20151065 Ver 1_Buffer Determination_20130117

A"C"Al
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Richard Darling
Michael Baker Engineering
7800 Airport Center Dr, Suite 100
Greensboro, NC 27409
Division of Water Quality
Charles Wakild, P. E.
Director
John E. Skvarla, III
Secretary
January 17, 2013
Subject Property: Pleasant Ridge Development at Piedmont Triad International Airport, Greensboro NC,
Guilford County
On -Site Determination for Applicability to the Mitigation Rules (15A NCAC 2H .0506(h)
On -Site Determination for Applicability to the Jordan Lake Riparian Buffer Rules (15A NCAC 02B .0267)
Dear Mr. Darling:
On August 16, 2012, September 18, 2012 and November 6, 2012 at your request and in your attendance, I
conducted an on-site determination to review the features located on the subject properties for
intermittent/perennial determinations with regards to the above noted state regulations. Andy Williams with
the US Army Corps of Engineers (USACE) was also present during the site visit. The features that were
reviewed are identified on the attached maps.
The Division acknowledges the areas and boundaries identified as jurisdictional wetlands by the USACE. The
channels identified on the attached maps are accurate depictions of the stream determinations made
throughout the entire project boundary.
The owner (or future owners) should notify the DWQ (and other relevant agencies) of this decision in any
future correspondences concerning this property. This on-site determination shall expire five (5) years from
the date of this letter.
Please note that at the time of this letter, all intermittent and perennial stream channels and jurisdictional
wetlands found on the property are subject to the mitigation rules cited above. These regulations are subject
to change in the future.
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] \ FAX: [phone] \ Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity \ Affirmative Action Employer
NorthCarolina
naturally

Richard Darling
January 17, 2013
Page 2 of 2
Landowners or affected parties that dispute a determination made by the DWQ or Delegated Local Authority
that a surface water exists and that it is subject to the buffer rule may request a determination by the
Director. A request for a determination by the Director shall be referred to the Director in writing c/o Cyndi
Karoly, DWQ, 401 Oversight/Express Review Permitting Unit, 2321 Crabtree Blvd., Suite 250, Raleigh, NC
27604-2260. Individuals that dispute a determination by the DWQ or Delegated Local Authority that
"exempts" surface water from the buffer rule may ask for an adjudicatory hearing. You must act within 60
days of the date that you receive this letter. Applicants are hereby notified that the 60 -day statutory appeal
time does not start until the affected party (including downstream and adjacent landowners) is notified of
this decision. DWQ recommends that the applicant conduct this notification in order to be certain that third
party appeals are made in a timely manner. To ask for a hearing, send a written petition, which conforms to
Chapter 150B of the North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail
Service Center, Raleigh, N.C. 27699-6714. This determination is final and binding unless you ask for a hearing
within 60 days.
This letter only addresses the applicability to the mitigation rules and the buffer rules and does not approve
any activity within Waters of the United States or Waters of the State or their associated buffers. If you have
any additional questions or require additional information please call me at 336-771-4964
Sincerely,
Sue Homewood
DWQ Winston-Salem Regional Office
Enclosures: PTIA Preliminary Jurisdictional Maps
cc: Alex Rosser, PTAA (via email)
Andy Williams, USACE Raleigh Regulatory Field Office (via email)
DWQ, Winston-Salem Regional Office

11
TRIAD
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SWARTS LUCILLE B �
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NEAL FAMILY PROPERTIES LLC
PIEDMONT TRIAD AIRPORT —'
RIP RAP
PIEDMONT TRIAD AIRPORT
PIEDMONT TRIAD AIRPORT
DROP INLET
,24" RCP
Stormwater
Management
Pond (PA)
_ — — — — — — — — _ _ _S CPP
\ RIP RAP �SC
STREAM SG
INTERMITTENT I RPW
(161' LONG x 5' WIDE, 0.02 AC.)
MC 4 LLC
.P STREAM SG
PERENNIAL I RPW
(5' WIDE)
This certifies that this copy of this plat
accurately depicts the boundary of the
jursidiction of Section 404 of the Clean Water
Act as determined by the undersigned on this
date. Unless there is a change in the law or our
published regulations, this determination of
Section 404 jurisdiction may be relied upon for
a period not to exceed five years from this date.
This determination was made utilizing the 1987
Corps of Engineers Wetlands Delineation
Manual.
Regulatory Official
Title
Date
USACE Action ID
r V�
3 BEAM SFS
PERENNIAL I RPW
(d38' LONG x 5' WIDE, 0.02 A0.)
I, Marshall Wight, certify that this project was completed under
my direct and responsible charge from an actual surveymade under
my supewision;.that this survey was performed to meet the requirements
for an LIG/GIS survey [21'NCAC 56.1608] to the accuracy of Class B;
method used to evaluate the accuracy was Statistical RMS;
method of measurement was real time kinematic differential CPS;
date(s) of survey August 7", 2012;
and all coordinates are based on NAD83 (NA 2011);
Stream lines were derived from aerial photography and field verified.
Witness my original signature, regristration number and seal this
day of _ , A.D.,
Marshall Wight, PLS (L-5034)
l
J
i
(276' LONG x 4' WIISE; O 03 AC.)
x 4'" DE, 0.06 AC.)
0 100 200 400 600
Feet
1 "=200'
Point
Lat
Lu.
SE -IP
36.118836
-79.94 -
SE -EI
36.119502
1
SF -EP
`
-79.948188
SG -EI
36.119015
-79.948458
v
36.118564
-79.948527
f
I, Marshall Wight, certify that this project was completed under
my direct and responsible charge from an actual surveymade under
my supewision;.that this survey was performed to meet the requirements
for an LIG/GIS survey [21'NCAC 56.1608] to the accuracy of Class B;
method used to evaluate the accuracy was Statistical RMS;
method of measurement was real time kinematic differential CPS;
date(s) of survey August 7", 2012;
and all coordinates are based on NAD83 (NA 2011);
Stream lines were derived from aerial photography and field verified.
Witness my original signature, regristration number and seal this
day of _ , A.D.,
Marshall Wight, PLS (L-5034)
l
J
i
(276' LONG x 4' WIISE; O 03 AC.)
x 4'" DE, 0.06 AC.)
0 100 200 400 600
Feet
1 "=200'
Point
Lat
Lu.
SE -IP
36.118836
-79.94 -
SE -EI
36.119502
-79.94511,
SF -EP
36.118814
-79.948188
SG -EI
36.119015
-79.948458
SG-SF-CONF
36.118564
-79.948527
PIEDMONT TRIAD AIRPORT
PIEDMONT TRIAD AIRPORT
ACTION ID 19980910
JURISDICTIONAL WATERS OF THE
U.S. INCLUDING WETLANDS FOR
PTIA 1-73 TAXIWAY SITE
GUILFORD COUNTY, NC
Michael Baker Engineering, Inc.
7800 Airport Center Drive
Suite 100
07:=
• Greensboro, North Carolina 27409
Phone: [phone]
Fax: [phone]

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HUC 03030002 / Haw River Arm of Jordan Watershed
8
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14 International
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INDEX MAP
1 1 Pleasant Ridge Road Site Study Area
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0 0.5 1
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JURISDICTIONAL WATERS OF THE
U.S. INCLUDING WETLANDS FOR
PLEASANT RIDGE ROAD SITE
GUILFORD COUNTY, NC
Piedmont Triad International Airport
1000-ATed Johnson Parkway
Greensboro, NC 27409
Phone: [phone]
-MA PTI Fax: [phone]
PIEDMONT TRIAD AIRPORT AUTHORITY www.flyfrompti.com

1
L
01
1 02 1
03
04 05
1
06
07 08
11
09
10
11
12
13
14
Sheet 02 of 14
j
`h G DP -33 (yup)
0
Wetland W21
DP -4
0.098 ac.
Stream SC
Intermittent / RPW
112 I.f.
700", Wetland W23 -�---
- _ . w`wpR
s DP -4
� �pRpq`N`q` � sw Tio;eUFFFR 0.019 ac.
` _ 1` �\ �\\�
Stream SC \`
Perennial /RPW
1,499 Lf.
Wetland W22
DP -4
0.117 ac.
_ �'ZM\a\\U Frrr,
JURISDICTIONAL WATERS OF THE
U.S. INCLUDING WETLANDS FOR
Pleasant Ridge Road Site Study Area PLEASANT RIDGE ROAD SITE
L - - i GUILFORD COUNTY, NC
0 100 200 400 600
ommomminimil Feet
1 " = 200'
Piedmont Triad International Airport
1000-A Ted Johnson Parkway
T1 Greensboro, NC 27409
Phone: [phone]
Fax: [phone]
PIEDMONT TRIAD AIRPORT AUTHORITY www.flyfrompti.com

Stream SC
Perennial / RPW
1,499 I.f. , , _ ' ` Wetland W48
DP -10
,- /
0.009 ac.vo"�
00,
R
A �
\
Stream SBD
Perennial/ RPW �\
I 3,608 I.f. \�
\\ -'-- /1jille)
x111\\
1 \ \ \ \ 11\\\\A\*\\ (I
01
02 1
03
04 05
1
06
07 08
11
09
10
11
12
13
14
Sheet 03 of 14
O _ -
\` ♦ Stream SCB 1
\\ Perennial / RPW
7811
I \
%
\l` .... ur.=o luP1
oo
Wetland W53
DP -12 N
6.085 ac.
Pleasant Ridge Road Site Study Area
1___,
0 100 200
1 " = 200'
400
600
R Feet
r�
JURISDICTIONAL WATERS OF THE
U.S. INCLUDING WETLANDS FOR
PLEASANT RIDGE ROAD SITE
GUILFORD COUNTY, NC
Piedmont Triad International Airport
1000-ATed Johnson Parkway
T1 Greensboro, NC 27409
Phone: [phone]
Fax: [phone]
PIEDMONT TRIAD AIRPORT AUTHORITY www.flyfrompti.com

N
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0
0
U
W
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1 01
1
02 1 03
04 11 05 1 06
07 10 08 11 11 09 Pleasant Ridge Road Site Study Area
12
13
14
0 100 200 400 600
mmomommil Feet
Sheet 04 of 14 1 = 200
ft o'*� i�
Other Waters GC1
JURISDICTIONAL WATERS OF THE
U.S. INCLUDING WETLANDS FOR
PLEASANT RIDGE ROAD SITE
GUILFORD COUNTY, NC
Piedmont Triad International Airport
1000-ATed Johnson Parkway
T1 Greensboro, NC 27409
Phone: [phone]
Fax: [phone]
PIEDMONT TRIAD AIRPORT AUTHORITY www.flyfrompti.com

01
02 03
04 05 06
07 11 08 09
10 11
12
13
14
Sheet 05 of 14
Wetland W31
0.161 ac.
Other Waters GC1
3.19 ac. A
Other Waters GC3
0.902 ac.
DP -8 (wet)
DP -9 (up)
11 Pleasant Ridge Road Site Study Area
L__,
0 100 200 400 600
ommomminimil Feet
1 " = 200 '
Stream SBB
Perennial / RPW
124 11
0
Wetland W210
DP -4 _
0.015 ac. r�
1 ,
1 Wetland W29 , o
1 DP -4 1
QI 0.007 ac. 1
1 Wetland W28
O DP -4
0.004 ac. 1
1
�� Wetland W27
1 Calico Dr DP -4 _
- _ _ _ — — — — — —1 1 0.014 ac.
1 1
1 1 Wetland W26
1 DP -4
1 1 0.011 ac. _
W BUFFER - -
RAN LAKEWS
JOO- _ — — - FFER
1 — — — — — — 100' PTAA`Ns\N PROTECTI=N BU�
Wetland W25
1 DP -4
1 1 0.008 ac. -
1 '
1 '
JURISDICTIONAL WATERS OF THE
U.S. INCLUDING WETLANDS FOR
PLEASANT RIDGE ROAD SITE
GUILFORD COUNTY, NC
Piedmont Triad International Airport
1000-ATed Johnson Parkway
PTI Greensboro, NC 27409
Phone: [phone]
Fax: [phone]
PIEDMONT TRIAD AIRPORT AUTHORITY www.flytrompti.com

01
1 02 1
03
04 11 05
1
06
07 08
11
09
10
11
12
13
14
Sheet 07 of 14
9
0
O
(((tCQ<( 7 e�F
�/ A v
i
16MINMRS'
Pleasant Ridge Road Site Study Area
L__,
0 100 200 400 600
ommomminimil Feet
1 " = 200 '
JURISDICTIONAL WATERS OF THE
U.S. INCLUDING WETLANDS FOR
PLEASANT RIDGE ROAD SITE
GUILFORD COUNTY, NC
Piedmont Triad International Airport
1000-ATed Johnson Parkway
T1 Greensboro, NC 27409
Phone: [phone]
Fax: [phone]
PIEDMONT TRIAD AIRPORT AUTHORITY www.flyfrompti.com

N
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♦ �j a
♦
♦
01
02 1
03
04 11 05
1
06
07 1 08
11
09
10
11
12
13
14
Sheet 08 of 14
N
0
0
NOTE: NO JURISDICTIONAL FEATURES ON THIS MAP SHEET
Pleasant Ridge Road Site Study Area
L - -,
0 100 200 400 600
ommomminimil Feet
1 " = 200 '
f*" -1 /// ///.
JURISDICTIONAL WATERS OF THE
U.S. INCLUDING WETLANDS FOR
PLEASANT RIDGE ROAD SITE
GUILFORD COUNTY, NC
Piedmont Triad International Airport
1000-ATed Johnson Parkway
T1 Greensboro, NC 27409
Phone: [phone]
Fax: [phone]
PIEDMONT TRIAD AIRPORT AUTHORITY www.flyfrompti.com

N
0.
01
02 1 03
04 05 06
07 08 11 09
10 1 11
12
13 L14
Sheet 09 of 14
Wetland W54
DP -12
2.705 ac. /
•
Wetland W52
DP -12
0.532 ac.
Stream SB
Perennial / RPW
3,3571.f.
Conservation Easement Boundary
N
�J��l�////����♦ �Ji Wetland W49
DP -10
♦ 0.021 ac.
(wet) ♦ —
Wetland W410
i DP -10
0.019 ac.
Pleasant Ridge Road Site Study Area
L__,
0 100 200 400 600
ommomminimil Feet
1 " = 200 '
\0�
JURISDICTIONAL WATERS OF THE
U.S. INCLUDING WETLANDS FOR
PLEASANT RIDGE ROAD SITE
GUILFORD COUNTY, NC
Piedmont Triad International Airport
1000-A Ted Johnson Parkway
11 Greensboro, NC 27409
Phone: [phone]
Fax: [phone]
PIEDMONT TRIAD AIRPORT AUTHORITY www.flyfrompti.com

J
N
00
1.0
1
1
1
I
I
-� Stream SAF �\ \k
Wetland W44 Perennial / RPW
DP -10 221 I.f. '\L
0.011 ac.
r❑
01
02 II 03
04 II 05 II 06
07 II 08 11 09
10 11
12
13
14
Sheet 10 of 14
4
Stream SAB
Perennial / RPW
435 I.f.
Wetland PA
0.007 ac.
I
Stream SADA ,
Intermittent / RPW i
78 I.f.
iyK/1' /
Z , �
q� F : r<pNe g
� F OF
`wsw FFR ,
Q0' 99s�O�G�G�G��v�GG��G�
����:0;*��1G11*1 W �GG�G4GGG� �G�
1 ♦ ♦��G�GG`��GC�f►OGG�GG�
2.068 ac.
O
0
_ _ Pleasant Ridge Road Site Study Area
0 100 200 400 600
Feet
1 " = 200'
0
� I
III Stream SE
♦;A Perennial / RPW
\\\� ♦��j 669 I.f.
♦ ♦� Wetland L1
♦ �� 0.032 ac.
Stream SAD ♦��, I' �'
Perennial / RPW ♦ ��� I ; ' /
480 I.f. ♦ �9 'f
Stream SAC \ \
I I
Intermittent / RPW ' ♦ ; +
+ + 177 I.f. + �� ♦ �' ,�
1 ' ♦
11 ♦
° DP -2 (wet) O 1
1 m
o �i �5z
I co
JURISDICTIONAL WATERS OF THE
U.S. INCLUDING WETLANDS FOR
PLEASANT RIDGE ROAD SITE
GUILFORD COUNTY, NC
Piedmont Triad International Airport
1000-ATed Johnson Parkway
PTI Greensboro, NC 27409
Phone: [phone]
Fax: [phone]
PIEDMONT TRIAD AIRPORT AUTHORITY www.tlytrompti.com

IntStream
m t ent / RPW '
276I.f.
Stream SE
' Perennial / RPW
669 I.f. '
°moi
�0 ♦ ��
�� ♦ ���
QJ 4q,L
♦ A
♦ p
♦ �0
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01
02 1 03
04 11 05 1 06
07 1 08 11 09
010 11
12
13
14
Sheet 11 of 14
Q
11 Pleasant Ridge Road Site Study Area
L__,
0 100 200 400
1 " = 200'
600
R Feet
11
6
�--' \,mve N\'\�
JURISDICTIONAL WATERS OF THE
U.S. INCLUDING WETLANDS FOR
PLEASANT RIDGE ROAD SITE
GUILFORD COUNTY, NC
Piedmont Triad International Airport
1000-ATed Johnson Parkway
Greensboro, NC 27409
Phone: [phone]
'AA0PT1 Fax: [phone]
PIEDMONT TRIAD AIRPORT AUTHORITY www.flyfrompti.com

\\
DP -1 (up) G
01
02 1 03
04 05 06
07 08 09
10 11
12
13
14
Sheet 12 of 14
Wetland W45 ��% , \
ID -10
0.01 ac.
O �� ; i
J* , i
.. 4#
� � t
Stream SAG t `
ntermittent / RPW i
21 I.f. `� `� ` — — 100' PTAA WSW PROTECTION BUFFER
50' JORDAN LAKE WSW BUFFER_
` ` G
- �'
40
40
40
11 Pleasant Ridge Road Site Study Area
L - -,
0 100 200 400
1 " = 200'
600
R Feet
JURISDICTIONAL WATERS OF THE
U.S. INCLUDING WETLANDS FOR
PLEASANT RIDGE ROAD SITE
Zk GUILFORD COUNTY, NC
Piedmont Triad International Airport
1000-ATed Johnson Parkway
Greensboro, NC 27409
Phone: [phone]
'AA0PT1 Fax: [phone]
PIEDMONT TRIAD AIRPORT AUTHORITY www.flyfrompti.com
Stream SA
Perennial / RPW
l` 0
3,8051.f.
1
1
I '
I
1 '
2
I 1
I1
Ra
1
1
S
Q�
1
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1
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01
02 1 03
04 05 06
07 08 09
10 11
12
13
14
Sheet 12 of 14
Wetland W45 ��% , \
ID -10
0.01 ac.
O �� ; i
J* , i
.. 4#
� � t
Stream SAG t `
ntermittent / RPW i
21 I.f. `� `� ` — — 100' PTAA WSW PROTECTION BUFFER
50' JORDAN LAKE WSW BUFFER_
` ` G
- �'
40
40
40
11 Pleasant Ridge Road Site Study Area
L - -,
0 100 200 400
1 " = 200'
600
R Feet
JURISDICTIONAL WATERS OF THE
U.S. INCLUDING WETLANDS FOR
PLEASANT RIDGE ROAD SITE
Zk GUILFORD COUNTY, NC
Piedmont Triad International Airport
1000-ATed Johnson Parkway
Greensboro, NC 27409
Phone: [phone]
'AA0PT1 Fax: [phone]
PIEDMONT TRIAD AIRPORT AUTHORITY www.flyfrompti.com

I
0
1
I 1
1 \ 1
�0� _
-
1
I �
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1 '
NOTE: NO JURISDICTIONAL FEATURES ON THIS MAP SHEET
01
02 1 03
04 11 05 1 06
07 1 08 11 09
010 11
12
13
14
Sheet 13 of 14
11 Pleasant Ridge Road Site Study Area
L __,
l
I
I
1,
i
JURISDICTIONAL WATERS OF THE
U.S. INCLUDING WETLANDS FOR
PLEASANT RIDGE ROAD SITE
GUILFORD COUNTY, NC
Piedmont Triad International Airport
0 100 200 400 600 1000-ATed Johnson Parkway
Greensboro, NC
Feet Phone: [phone]
PTI Fax: [phone]
_ 200 PIEDMONT TRIAD AIRPORT AUTHORITY www.flyfrompti.com
% t
04
**
04
/
•
-
/
01
02 1 03
04 11 05 1 06
07 1 08 11 09
010 11
12
13
14
Sheet 13 of 14
11 Pleasant Ridge Road Site Study Area
L __,
l
I
I
1,
i
JURISDICTIONAL WATERS OF THE
U.S. INCLUDING WETLANDS FOR
PLEASANT RIDGE ROAD SITE
GUILFORD COUNTY, NC
Piedmont Triad International Airport
0 100 200 400 600 1000-ATed Johnson Parkway
Greensboro, NC
Feet Phone: [phone]
PTI Fax: [phone]
_ 200 PIEDMONT TRIAD AIRPORT AUTHORITY www.flyfrompti.com

Stream SAI
Perennial / RPW
430 I.f.
e`' i••
01
02 1 03
04 11 05 1 06
07 1 08 11 09
010 11
12
13
14
Sheet 14 of 14
/
/
/
/
/
I
Brush Creek
Perennial / RPW �'
536 I.f.
` Stream SAJ ♦ , ��
♦_' _ - �Perennial / RPW
' 1071.f.
- -QF 1A (_wet)
O
-DP-13 (up)
100' TAAWPW ECTION BUFFER
— — — ,
` 50' JORDAN Lk WSW BUFFER`,
— Wetland W51
DP -12 i
0.521 ac.
I J �—
I I
I
1
I
I 1
I 11
II I'
I
it
JURISDICTIONAL WATERS OF THE
U.S. INCLUDING WETLANDS FOR
1 1 Pleasant Ridge Road Site Study Area PLEASANT RIDGE ROAD SITE
L - - GUILFORD COUNTY, NC
Piedmont Triad International Airport
0 100 200 400 600 1000-ATed Johnson Parkway
Greensboro, NC
Feet Phone: [phone]
�AAOPTI Fax: [phone]
_
200' PIEDMONT TRIAD AIRPORT AUTHORITY www.flyfrompti.com
�v
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M '
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/
/
/
/
/
I
Brush Creek
Perennial / RPW �'
536 I.f.
` Stream SAJ ♦ , ��
♦_' _ - �Perennial / RPW
' 1071.f.
- -QF 1A (_wet)
O
-DP-13 (up)
100' TAAWPW ECTION BUFFER
— — — ,
` 50' JORDAN Lk WSW BUFFER`,
— Wetland W51
DP -12 i
0.521 ac.
I J �—
I I
I
1
I
I 1
I 11
II I'
I
it
JURISDICTIONAL WATERS OF THE
U.S. INCLUDING WETLANDS FOR
1 1 Pleasant Ridge Road Site Study Area PLEASANT RIDGE ROAD SITE
L - - GUILFORD COUNTY, NC
Piedmont Triad International Airport
0 100 200 400 600 1000-ATed Johnson Parkway
Greensboro, NC
Feet Phone: [phone]
�AAOPTI Fax: [phone]
_
200' PIEDMONT TRIAD AIRPORT AUTHORITY www.flyfrompti.com
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Homewood, Sue
From: DBrame [[e-mail]]
Sent: Thursday, January 10, 2013 1:48 PM
To: Homewood, Sue; [e-mail]
Cc: Williams, Andrew E SAW
Subject: RE: PTIA Pleasant Ridge Preliminary Jurisdictional and Buffer Determination
Attachments: SAG South of Bryan Blvd.pdf
Oops, It looks like we labeled two streams as SAG. One is an ephemeral feature located in the drainage swale
directly across from SAF (north of Bryan Boulevard). That is the one represented by the Stream forms that you
have. The other is located south of Bryan Boulevard and is an intermittent feature. It was labeled incorrectly
on the packet sent to you initially. Attached are the stream forms. Sorry for the confusion. Let me know if you
need anything further from me in this regard. Thanks,
DAVID BRAME
Project Manager
ECS Carolinas, LLP 4811 Koger Boulevard, Greensboro, NC 27407
T: 336-856-7150Y D: 336-478-1649 C: 336-209-6254 F: 336-856-7160 ,ec,limit„i ,. n
Confidential/proprietary message/attachments. Delete message/attachments if not intended recipient
From: Homewood, Sue[mailto:[e-mail]]
Sent: Tuesday, January 08, 2013 02:54 pm
To: [e-mail]
Cc: DBrame; Williams, Andrew E SAW
Subject: RE: PTIA Pleasant Ridge Preliminary Jurisdictional and Buffer Determination
Hey guys,
I've compared the newest maps with my notes from our site visit and there's one stream that doesn't match up, but I
don't have any notes so I can't remember what we said. In both the old package and the new one its labeled as SAG.
It's on Sheet 12 of the new maps. In the newest map its labeled as intermittent. On the map we used for the site visit
its shown as perennial and in both packages the DWQ Stream ID form has 17 pts and says Ephemeral.
Does anyone else have better recollection and/or better notes to clarify this for me?
Sue Homewood
NC DENR Winston-Salem Regional Office
Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]
FAX: [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
From: [e-mail] [mailto:[e-mail]]
Sent: Thursday, December 20, 2012 1:59 PM
To: [e-mail]; Homewood, Sue
Cc: [e-mail]; [e-mail]; [e-mail]; [e-mail]
Subject: PTIA Pleasant Ridge Preliminary Jurisdictional and Buffer Determination

NC DWQ Stream Identification Form Version 4.11 ��s�h f P ,.0-, -
Date:
Project/Site'. `-
Latitude: it ye
Evaluator: 11,1,_6
county: N re,
Longitude: '711 !0$
Total Points:
Stream is at feast intermittent
ircle one)
Stream Det =ntermittenc
Other ,y,�, toe
Name:
if;? 19 or erenniel if a 30*
EphemeralPerennial
e.g. Quad
A. Geomorphology ( Subtotal =
Absent
Weak
Moderate
Strong
1a' Continuity of channel bed and bank
0
1.5 1
2
15. Sediment on plants or debris
2. Sinuosity of channel alon thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
8S
2
3
4. Particle size of stream substrate
0
0 0.5
2
3
5. Active/relict floodplain
0
1.5
1.5
2
3
6. Depositional bars or benches
0
'perennial streams may also be identified using other methods. See
2
3
7. Recent alluvial deposits
D
1
2
3
8. Headcuts
0
2
3
9. Grade control
1
1.5
10. Natural valley
0.5
1
1.5
11. Second or greater order channel
No
=(0-1
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. Hvdrologv (Subtotal = C/ )
12. Presence of Baseflow
0 1
3
13. Iron oxidizing bacteria
0 1
3
14. Leaf litter
1.5 1
0, 0
15. Sediment on plants or debris
0
1.5
16. Organic debris lines or piles
0
1 1.5
17. Soil-basod evidence of high water table?
No = 0
8S
C. Biolo Subtotal =
18. Fibrous roots in streambed
3 2
0
19. Rooted upland plants in streambed
3 1
0
20. Macrobenthos (note diversity and abundance)
0 2
3
21. Aquatic Mollusks
1 2
3
22. Fish
0.5 1
1.5
23. Crayfish
0 0.5
1.5
24. Amphibians
25. Algae
0 0.5 1
0 0.5 1
1.5
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Other
'perennial streams may also be identified using other methods. See
p. 35 of manual.
Nates:
Sketch: )its.
t'
�1
Wx.
JA+l�c i

. y.
ItiSACF:TA DWQ # - - —
Site #, (indicate on attached map,
STREAM QUALITY ASSESSMENT,WO19KSHEET
PrQyjde the following in-fpr�n�tiol ,fog.tfie st5eaT•tr9eh�yndex assess ►ents
I'.App,licani's name, _ i I ` r i..k �. . _ _ 2' Evaluator: s name: _Ili
3. Date of evaluation:,- 4. Time of evaluation:_ _ D+ Oe.
5�_Name of stream-.-- 6, Rives basin:
7, Approximate drainage area: J!?D,: i+ e 8.,Stream order:. _
- -., - i
9..Lerigth of reach evaluated_-_ ZOO •i�:' 10. (county; �a��a�ariu� -- !
11. Sita coordinates (if -known): prefer m decimal degrees. 12.. Subdivision name (if anyy_ t 1
Latitude (ex, 34,872312): X111 w (t O L^o' nngitude (ex. —77.55661 t ):
Method location determined (circle): GPS, Topo Shedt 0rtboy(1 T --Ji lthotolGIS Other GIS' Other
1
3..hocation of reach under evaluation (pote-nearby. roads and lapdin_a['ks and"attach'tttap identifying'stream(s) location): -
14:-Proposed_channel-work (if any):
15.,Recentweather. conditions: -
16' Site conditions attime of visit:r
17. Identify any special waterway classifications known: Section 10_• Tidal Waters_ EssentW-Tisheries Habitat_
Trout Waters, _Outstanding Resource Waters Nutrient Sensitive Waters Water Supply Watershed JLL(f-L_-Y)
I$. Is there -a pond,or-lake located upstreaurof the evaluation point?.. YESO If yes, estimate thc,water s-urface area:- _ -
J9:;Does channel appear_on USGS,•quadmap? . "Nij'' 20,;Uoes chanizel appea[onUSDA Soil Survey? YE 'dip
21. Estimated watershed land use: 74, 9/0 -Residential _ _% COnlmepq:iq _ %-Industrial, _/o Agricultural,
/o Forested /o Cleared / Logged�-
-f� =
22. Bankfull width`j____ %! — _ _ 23. Bank height (from bed to top of bank. 274 f
-• ,
24., Channel slope down_center of stream: klat`(O-to 2%) Gentle (2 to 4%) _Moderate (4 to 100/6) _Steep (>10%)
25,,Channel sinuosity: Straight X Occasional bends _Frequent meander _Very sinuous:$raided channel
Iostruetions for, Completion of wo•,rksheet (located on, page 2) Begin by determining the most appropriate eeoregion based on
locationi,terrain, vegetatiQn, stream classification, etc. Every.characteristic must. be, scored, using trek same ecoregj ll. Assign points
to, each characteristic within" th® range shown for, the ecorogion. )?,age 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, e'valuate each
reach. The total score assigned to a_stream reach must range between 0 and 100, with;a score of 100 representing a sxreain of the '
highest quality.
" 60,1:Score, (from reverse)-- ;` Comments.,_
f
---- --- - — - — — - -
Evaluator's Signature- i' '��, �:m :Date ��
This channeVevaluation.form is"i4tided-to be,used,only as --a -pide"to assist landowners and e�roriinental".professionnls•iq;t
gathering :the. -data -required by the United States Array -Corgis of Engineers to,make, a preliminary assessment ,of stream.quality. The -total, sore resulting -from the, completion of this form is` subject -to-, liSACE' approval' and'-do'es not imply a;
particular mitigatiort:ratio-:or•."requirement, Form subject_to�change.-_version 06/,03: To Comment, please,caR919-876-844-Lx 26.
N

STREAM QUALITY ASSESSMENT WORKSHEET
a These characteristics are not assessed in coastal streams.

Corps Submittal Cover Sheet
Please provide the following info:
1. Project Name Piedmont Triad International Airport, 900 -acre Pleasant Ridge Site
2. Name of Property Owner/Applicant: Piedmont Triad Airport Authority
3. Name of Consultant/Agent: ECS Carolinas Ltd., Michael Baker Engineering Inc. / David Brame, Richard Darling
*Agent authorization needs to be attached.
4. Related/Previous Action ID number(s): 19980910
5. Site Address: N. Regional Rd. / Pleasant Ridge Rd. / Old Oak Ridge Rd. / Bryan Blvd.: Greensboro, NC
6. Subdivision Name: N/A
7. City: Greensboro
8. County: Guilford
9. Lat: 36.118619° Long: -79.9456440 (Decimal Degrees Please
10. Quadrangle Name: Guilford, NC
11. Waterway: unnamed tributaries to Brush Creek
12. Watershed: Cape Fear
13. Requested Action:
❑ Nationwide Permit #
❑ General Permit #
Enclosures:
❑ Jurisdictional Determination Request
❑ Pre -Application Request
Agent Authorization Form
Site Location Map (7.5' USGS Topo. Quad.)
Soils Map
2010 Aerial Photograph
Completed DWQ Stream Identification Forms (24 pages)
Competed Stream Quality Assessment Worksheets (48 pages)
Completed Wetland Determination Data Forms (21 pages)
Preliminary Survey of Jurisdictional Waters of the U.S.
The following information will be completed by Corps office:
AID:
Prepare File Folder Assign number in ORM
Authorization: Section 10 Section 404
Project Description/ Nature of Activity/ Project Purpose:
Site/Waters Name:
Keywords:
Begin Date

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO. PARCEL ID: 0097679, 0154647
STREET ADDRESS: --Taxiway over. 1-73 Site
Caindale Road to Bryan Boulevard
Please print:
Property Owner: _piedmont Triad Air art Authority
Property Owner:
The undersigned, registered property owner(s) of the above noted property, do hereby authorize
Richard Oarlini of Michael Baker Engineering, Inc.
(Contractor J Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
1000 A Ted Johnson Parkway; Greensboro, NC 21,109
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Autl orize Signature
Date:
Authorized Signature
Date:

�_��. � �`'•- ;r � _ ",.I�..,
_. -```A-
o
K/b
1w�
Do r cw
f
WS
■ ,
en,iw)ip ch D
" SOURCE: FIGURE 1
wg USGS TOPOGRAPHIC MAP
S GUILFORD, NC QUADRANGLE SITE LOCATION MAP
DATED 1951, REVISED 1994 PTIA
SUMMERFIELD, NC QUADRANGLE PLEASANT RIDGE ROAD
DATED 1969, REVISED 1994 GREENSBORO, NORTH CAROLINA
1" = 2,000' cu-�qm©Du iK/AIS ECS PROJECT NO. 09-21900

io
Ak
-\U-kir Mlil �,.,p J.
rp
ff 1hy M ff -i
209 7f
POD

NC DW Stream [den iGcation Form Version 4.11 �At �1
Evsduatw c County= La Itudc;
ToW Points: Stmarn Dote rmInaUgLrL[gmIe one) "er
Sfmam ht of Mae hUpwadrom iit1gpresrerrr&i4 M C # Epheme el ItFe7rltlSt »t PAninnial e.4 r�nrlf�a+taa:
A. Geomorphol2gy (Sublotal = ,5 I_
14 Omflnulty of channel bad and bank
Abisent
4
weak
1
Moderato
Strop
3
2 SIrLUONty of channel ale "m 1weg
0
1.
2
i .� 1
3. In -c nrrel glrudwrG. ex. nHte-PCKd, skhp-pop1,
n ke- a enge
¢
1
7
3
4. P24tlde we of 9dr"w 3ubsmu
1$" Organ ic *ebrls Imes (W hm _
17. Sml-beaed evOunm o1 h rs wit Ieh1E?
0 D-50.
i
1.5
51t#ivreici n
0
0-5
2
3
fi- ai bora or t acnes
G
1
7
3
7. Recut OuNel
0
1IV
1
3
a. Headculs
a
1
2
3
9. Grade ca b%A
0
FACW = j T5: OSL = 1 "'S
1
1,5
10. Natural vat
0
1
1.6
11. Second or greater order Owriel
= 0 .
Yes a
- ariridol dlmhes are iot rated, nqe dWk3as4ons in merluul "~
12. Presence of SaWkirw
0
2
3
13. Iron mWizing bacwft
1
2
3
14. Leaf Baer
i .� 1
ap
0
15" :Edirnent on lana or debris
f} 0-5
1
1
1$" Organ ic *ebrls Imes (W hm _
17. Sml-beaed evOunm o1 h rs wit Ieh1E?
0 D-50.
i
1.5
s * .
10. Plbomm wale in SIF"mond
3
1
19" Rocned u lanj ants irk sLwmbod
3
1
0
20" W=bonlhot. Hasa ri4woridly AIx7 anundanr:e
2
3
21" A UatiG Malrueks
2
3
22. Fish _
0-5
1
is
23. C eh
0-5
1
1.fa
24. Am hlbfana
D
Ob
1
1 6
2S, AI ae
U
1
1.
2E Wedand a nta 1n slraambed
FACW = j T5: OSL = 1 "'S
'peiWMn J !9r8em9 may dt4u00 b]angf id +Jdmg nlhOr methods Sea G 35 of M01PUAN
Naks;

A1C Division of Water 0uaiity-MathOdologyr for Identification of IntermMont and
Perennial Strearns and Their Origins v. 4.11
NC DWQ Stream lifcntifl.cation Form Version 4.11
Date: 10-16
Project/Site: Jsd++
Latltu4e=
Evaluator
Coun tv:
Longitude:
Total Points:
Stream is at bcasr irrawwerat _3�
SMNm Determination (circia grwa
Ephemeral
Down
F
I ntermFklen#
@ ¢ s�t1
rl z r_qor rerrnia? e a 3Cr`
1 0
3
e
k Geomo Subtotal = ZMk7
Ab"At
WO&
Moderate
Strong
1` Contin of dmnnel bed and bank
0
1
2
3
2, Sinumity of channe# abW 1
0
1
1 0
3
3, In-c#ornel sbucwre: ex" riffle -pool. step -pool,
fRRIRwgI U9ri0a
0
�
2
3
4, Pantile s&e of sirearn subWabg
0
1
2
S. Activefrelicl Iloodplain
0
1
28. Welland pliants in streambed
3
6. De osWonaI bars or benches
0
1
cv
3
7. Recent alluvial de is
0
1
2
B. Headcuts
0
1
2
g, Grade control
0
0.5
7
1
10. Nature valley�
0.�
11. Second or gmater ardef channel
hie 0
lies � 3
erlifiral dltChe+s 8rF not rated, sea dlseussians m manual
B. HAroloav (Subtotal = —L2-- )
12. Presence of Bascflaw
0 1
2
13. Iran oxidizing bacteria
0 1
2
14. Leaf litter
1.5 1
0"5 0
1 S. SadIment on plants or debris
0 it 5
1 1.
1$, Ckg4n Ic debris lines or pilies
1 0
#
17. Sol-baaad evidence of high water table?
I No = 0
Yes s
. Bi6013Y (Subtotal =
S. Fibrous mels to utmumbed
3
2 1
0
19. RboWd upland pWift Its streammbed
V
2
0
20. MOrabenMos note diversity and abumrsence
t 2
3
21. is Mol!65ks
#
3
22. Fish
23. crayrish
0,5 1 1
0,+5 1
1.5
24. Amphibians
g„5
25.
0
0.0 i
1-5
28. Welland pliants in streambed
FACLY = 0.75; 0134 = 1.5 Ctl�er
'pera W streams may also beloeified usx7g other awwtwds- S" p. 35 of manual,
Notes:
Sketch-.
41

NC DWO Strexni I(Icis (ifivut14)to Fortri Verc#on 4.1 T
Data:
Evaluator:
A. Geomorphology f ubtotal =� i Absent Wmk Mod
Prn}ewSltw PPI
UNU&w.
County J
Longitude;
13. Iron cw zing bacteria
!
3
Total Points: I%. erminallon (clads one?l
Other
stream is al least in�emoant phomer4lraermittent Pervanlsl
al z }'3 or rerr5nia� �� t 3fJ•
a o. O+fad Name:
it- -F
Strong
0 Coritinult of channel hod and bank
Q f
1
3
2. $mLK)sjty of channel atong lhaFweg
13. Iron cw zing bacteria
2
3
3 h -Channel SMjj=re: ax. rMe-pool. stop-poaG,
rl i Lome
1
2
3
4 Partrde SLZU 01 strewn sub 3vate
0
2
3
� l�tiv�l+'eta4i Auotlplaon
6 De atianal bars or benctms
0
0
2
2
�
3
. ReCIBnt alldViMl IIBPMi�i
0
2
3
8. heats
0 i
3
G+Mda cantfal
14 Nwural valley
D D.
Q
#
7
15
WE�ll
_
1 Second of ater order r�iarnei
ne
No
1.5
V"
"wrllllowl Oitr3,ea are nil rated; see disrx Waris m Irup4ril
B. Hvdraloov f ubtotal = If 1
12. Prasence of Baseflow
3
3
1
2
3
13. Iron cw zing bacteria
1
2
3
14. Leaf i{tr
1-5
0.$
0
IS. Sediment orG plants or dobns
0.5
1
1.5
M O nlc debris tines -or eiles
#T So+l-ked ea+ldAnca a r,lgh wafer rdhie'p
Lo"
0.5
No —
1 1
Tela * 3
is
C_ BiOloov I uhtotal = f .,15 1
18. F-braus roots n wrear*lo _
f 0 AaoLed upland pLanm m shear' bed
3
3
2
Z
1
o
20. MaUDkiehlrtio5 foot dow -3itx and Wundnd rr_e
1
2
3
1 A upk
2
3
22. RM
2Ai Gfa
+
24 Amphlb rls
D.5
1
1.5
25. Algae
0
0-5
1
1.5
26. Wadsnd plents in sucambed
FACVV Y0.751 O8t = 15
Ottwor a 0
'p4rnnnlnl lilrewm ray afsi t1a Iaent,f!od % mN alhtw pneViridn 5•~ p
3d of mwvat
— -
�GInS' —
Sketch;

NC > JWO -Stream 141MMtcation Form Version 4.1
DM. I Z-- - 11'Ltrsw: -113
Latitude:
Ew�►lualor CDunly- Lor+Wwde_
Tatdl Points; $tmawn Determination (lei Omer
S&MM u 4f taaaf nt kphem&rai' Intermittent Brenn" e g orad &arr+a:
2.19 W pMrfthnhW it 7 *
A Gemmnrr)hi3jociv rSLibintal : 1 � I i Abwnt lI Wvak I MadamtP I strn..r. ! �
1" CoritiFlug of ctmnnel bed end bank
I, 1
2
3
2 SJnypaity of channel along 1halwap
C 1
U. LW11h w
3
3. In -channel elruMnu ?: ex ►IIFta-pool, step -til,
ra la 4Ol as unnC _
A PorbNe sl2a of srearn aubstrate
C
c #
1
3
3
5. AINWrOct 11ondpilmn
6.oeiUonal dere or benohee
0 1
C 1
2
3
. Rerumt aNtivial delta
0
2
t
3
a. Headculs
0
b,S
3
9.Orode conk-ci —
0 0.5
1.5
10, Natural VRMY _
11. Second or greaw r ardor c wnnel
0 0.5
No 0)
Yes = 3
1.5
' arG1lr:Ial dltcheu Brim nol rnlad, %do dWLjgelan6 n, manual
B Hvdrnlmv t9uhmial is T-7 1
1$_ Pmaon[v of Samflow
0 1 2
3
13. Iron cWdizinp tracwia
2
3
U. LW11h w
1.5 R_5
0
15. Sedkrmnt an pWrniv or debrls
1
1.5
16. nio debrla alma or Was
0 1 1 0 1
1.5
17. WWmed eMiv" of nigh waEar hNs?
No = o yes ta
1
0.5
C 13in wv Mtjh t al - f t 3
1$. Fkbrous roots In stteembed
3
1
D
19. Rnatee upland plants in dMaRbw1
4
2d. Mscroberrtr4os JcAm dnwlWy and
1
(
3
21. Aqwbrz Ma"UrIks
2- FM
{}
0
1
0.5
2
t
3
15
23,
a
b,S
1.5
24_ Ara ibWne
01
# J
1.5
25. Pip&
OS
#.'
15
26. WRIlend Wv#s h *&Wnbed
FACYV m 1175; OBL = 1..5 Other = 0
`pa'wmw Unmp a rrmy also be k1wrMlad Laft marmi* S" p 35 d smiru l

N C" DWU Stream Edeotifrslllron Forex Version 4.11
Date; —, "a Ze Cf- PrG*LfSlt,!. 1 e - - LaMuds:
County: Longilude:
IOtal Points: Stream DetemiI watiork (circle one Omer
Sr?Mn) „a r➢t r<+r,ar Ephameral ltsrmitte €i Peres nial e. p QUfpd fgfr *Tj 6'
d t f R ri rrf{e!!f 2 JO'
A Geomnrni NM%O tSuMetei = ;? - 57 1 1 Ahssnt I Weak I Moderate Stronn
1" CcrrVnuNy of rhwlnei bad and bank
Q
i
2
3
F. SIruqWIy of channel al ftlmV
fJ
1
2
3
3 Irwchgonal stnrcture. em Ok-goal, slep-prof.
F s2qumm
0
=1
0.5
S
d PavWW siac of swmm substrate
0
1
2
I .s
5 k-ffim rata ftioadWain
0
fi
2
3
6. lbna} berx or bandies
4
t
_
24. AnVhibano
3
7. Reown alluvial oapasds
o
25.Ae
2
3
8. Headwis
Q
vz-17
2
3
9- Grade aonftl
0
0.5
1
1-5
10. NaturW valley
a
0.5
1
1.6
11 Seoond or greater ordQr Channel
two s 0-,
Yes= 3
arllf dal dI1ohn are nut glad, sw diet tssiane ir1 manual
13, Hydrolonv ?Subtotal _ 1
I pr"O"Ce of Ba9oilow
0
1
2
3
13. Iran OxidUlng bacteria
1
1
2
3
14. Leaf Iffier
1.5
=1
0.5
a
15 Sadlmalrlt an pWnts of dabft
0
0-5
2
I .s
15. is dgorh in" or Pam
0
5
f
1.5
17 Said-baesad wAderm of high wW" to [M7
1
1.S
_
24. AnVhibano
0.5 11
%,.. UlCH29Y giIJGlt]w - 3 I
1 B Rbroas mots w abewrr
3 2.
1
f9- IjxMd upli3nd giants 411 str n bed
' 2
1
0-
20. fil;tuobentn s i:aoli dlwm4v and atNUN12nce
1
_
2
3
21. � !�ollusks
1.
2
22- Rah
0,6
1
1,5
_ _
23.-qh
0.5
1
1.S
_
24. AnVhibano
0.5 11
1.5
25.Ae
A 0.5 1
r
1.
26. Wetitind Plants 1-1 4tmamhed
FAC1VlW = 0.75; CJSI_ =1 5
P6her
'p;mmrFnlil b[FaiAM5 rroy MA he Itltin11116a using oihar m0hadS Sae R 35 fif "lantial
Sketch

i` V NN V 61Cegiil IGCn1lRC2 ROD hOrM Vi' lOn 4.11
EvaWator- V County LDngKrxda.
T'W1 Points: $trparn Dela nnlnaiIon (circjn Hite) Mhbr
.5tn9a+n a of iansr nierrrurMnt �! 4� P. Ot+ad Nb+fFlr«
�! I-7 � 8r lar if t gyp' 1A #�erl3�ril In[Cfnlj�ent erennlal
A. Geomor holo ubtoial = "
Absent
Weak
Moderato
Swop
la Corwlim ty of channel bad and bank
2 Slaucsity of chanfml Wong thalweg
0
0
1
1
1
3
3
3 In•chanrtaw struLtura: $k, POWN01, Supp ol,
r opts uer qu
G
I
2
i
46 Particle sma of strr3erwr subaVvo
C
12
LT
& Atlivelrellc floodWarp
C
C2
3
6 napagdortal bars or 4e+vhos
C
1
3
7 Fhxxnt alluvial dsposft
1
3
B. ltiitedcuLs
q
1
M'
3
9. Graft control
0AV
1
1-5
10- Natural valley _ _
11. 5ewnd or greater order channel
0
O.
1..
Yes
1 6
erlaficlof stitches are nal Taint. see dacuaskina an manual
13. Hvdrolaav (Subtbial = V 1
13. Provence of Baseflaw
D 1
2
13. Iron Oxideing bsclerka _
14. Laai litter
0
1.5 1
3
0
16. Sediment on plants or i etxi6
0 Q„ry
1
16. 2Mntc debm liar€ or i”
0
4 _
_
4
17 Soil tosed &vglence of h;gh wauw L&W
Flo s0
ee
r Aksk iu f -,.&,it si= v i
10 ;9brbus roots in stre rnbed
3
2 1
1
0
10. Floated upland plsnbg in V ambod
2D. Macrobenthos frmte diver-Aty anG atUndpr$DO
3
0
1.
t
2
4
3
21_AquaVc Mollusks
2. Pwah
23 CrDyflsh
24. Am hibiens
4 _
_
4
1
0.6
05
D 5
1
1
1
t
3
1.5
1.55
1.5
25.
26. WoUnG Owls in s6mambed
FACW = 0.75; Q9L = t
may -on tie iderNrT,aG FMWI That fturr% 5. Sae P. 35 dt ffwwt#
1i oWs.

C D W Q Sires Iden 1iffca#iva Forth Version 4.11
Date! /0//Z I pmJectJstts: 50A Latitude:
Evaluator 4&e Comfy; LcrM tiudio:
Total PoiS;�ry,treafr Gelerirr* o�n to one)
chef
79 re &n
'$ $ 47fP"idlClY L� F F�' � Ephememl !*/Tri !ip Perennial E.g OvaNY
+7 wmo;
i� f1y FNN 1f x �
A, Geomogphology 15ubtotal = I
Absent
Weak
Mode aft
Strfln
iz Continuity of chermi bed and bank
2, Sir+"ty of channel abng tha
3
t
1
2
3
3. In -channel strijo ure; ax 091e- ov, eft-Kol,
Hof ee uence
3
13_ Iran oxidizing baderig
1
2
4. Particle stxe of sireem suba"to
C'
12
2
C31
C3 Acllve)41cl iloodp on
C
1
2
3
5. Ueposdlanal baro or benches
[
1
17. Soil -lased evidence of high waler'¢hF8?
3
7, Pwwnl aliuvW deposb
l:
0.5
2
1.5
a Headcufs
0
1
2
3
9_ CUM& cant -d
C
0-5
1
I.3
1OL tAhw-al valley
_
0.5
1.6
T 1. Sacend or grsafer order chamnat
Yea 3
-artlW=W McMe$ are r" . Mw dm%m=x in rhAm$ l
3
1
B. Hydrology Stimaisi =
10_ RoaWd upland plants m sweembed
3
12. Presence of Bawllow
U 1
2
3
13_ Iran oxidizing baderig
1
2
3
14_ Leaf AW
1.5 1
2
0
15_ $edlmerd an planta or debris
0
1
1.5
W nic debris lines or p4tsa
0 0-5
1
1.5
17. Soil -lased evidence of high waler'¢hF8?
No m 0
Yes S
r_ Fuolnery ffird5lntal c
18. Fibrous foots Ift streanrbed
3
1
l�
10_ RoaWd upland plants m sweembed
3
1
20.Msmbent m inma and mbumi me)
1
2
a
-2 1. AgwW Mollusks
#
2
3
22. Fish
5
1
_
1 '5
23. Crayfth
0.5
1
16
24. Amphlblens
0.5
1
1.5
25. Algae
0
0.5 O'y
1.5-
26. WMIand plants 1r; strombad
FACW=0.75; ❑BL m 1.S
II�Eher = d
40ato lnlal ewearnLs nwy a`so b■ Idemitetl kim1w ether meihvds Sea p. 35 d rrmrm.W.
kgteh:
_
I
:fw-ll
�64

q
VC D Slltarrt Ideiatifrcatr"on Fora Veninis 4.I 1
pace,
Weak
p G ptr-
."tituice,
Evaluatpr
Q
_
0
aunt :
Siream Delernlriiaftn (Orcie one)
l+phQmnrel PVtermill£rrt Varennlal
LonjjWdc
Tow Points;
SStroanl h R�r+sefst Ir�terrtxvtenr f
fi ;t 19 of f}fNdll of it ,fir¢'
Other
e.g. OurtdAlww'.
0
1
G 0.5
f
A. Geomorphology Subtotal =
-
Abs"t
Weak
Moderate
kr�rl
1° C"nqRy OF GbaGnmel ted and bank
2. Sinuaell Df chynnel along ltislwRg
3- tn-Oanr+W Structuro ux nffk6poaf. stw-pud.
�pw ext
Q
_
0
1
I
2
3
4- Parbdo We of Wripm &AX&M
0
1
G 0.5
f
AWmOOM fioWpWun
16. Orgaft debris its or
117
2
3
6. popmKiensi bans or tra[
Ho =0
1
7
'pemnriaP streams +;icy AM be Id*r+RGtkd uwmn gttler rnetKds See p. 95 4a msrw>AI
7. t ac"t alluvial dnpmIls
Q
Notes:
$ Headeuls
L
Sketch-
3
9_ oda control
1y.6
1
1.5
10_ hlals,wal vs Ile
0
-
1
1-5
t1_ Second or greater ordw channel
1Vn r 0
_.'
I 'dee Q'3
arllficlnl dtiehan din nol rateC, W& dtscuea+ons In Manual
R. Hvdre)lnav rSubtatai = r 1
12_ Presence ct flasolkw
a 1
2
3
13. Iron oxirtiring ba[ter4p_
1
2
3
14_ Lead litter
5 1
2
0
1�_Sedbnenton LIntgordeWs
G 0.5
f
is
16. Orgaft debris its or
0.5
tT.s
1.5
17. Sn&� s+t10ems defth waist tmW?
Ho =0
'Yeas
1.5
G_ Bieleav i%ubtetal 2; z 1
1$. FibrMm noots In Ot9mNo 3
2
1
a
1,51. f 00w Upkind plarits X11 streambed 3
2
0
. MacmbeH hcs n (Au ilmrslty 9hd stwinaanw)
1
2
3
21 Aquatic A+Iollusks
22 F7ah
23. Cra lash
1
1�.5
a.5
2
t
1
3
1,5
1.5
24. Amphbano
0.5
fi
1.5
25. Algae
26. VVetland plants in Mmmbed
0.5
F1ACVV _ 0.76; ORL = 1.5
t
her =
1.5
'pemnriaP streams +;icy AM be Id*r+RGtkd uwmn gttler rnetKds See p. 95 4a msrw>AI
Notes:
Sketch-

! lL UP WQ Ntrtsm Joe" 110cation t art" A' MOOD 4.11
Evaluator County. Longitude;
TONI Points � �D�tefmin3tion (strcle one) 0kher
$koxn t8 do lamuf of npffam pher +gra Intermittent Perennial 00. QunrlNmfrr*:
� f �Oft 30'
. Geompr holo Subtatai = _
1' CcMm4tv of charrnel bed and bank
2 Sinuoslt of crannef M ttm
AJhwrd
0
I}
we,*
#
f
ModoratQ
2
Stroh
3
3
3.4mdmonsistrwawo ex nffk-p 1, steppool.
dogIdw se ueace
2
0.5
f
2
3
C Patkia I" CO SY08m guts
0
f6. 0gemic detw* Inns or
2
3
S. AdNSWWIC1 Itoodplmn
17. SOMM&W e6ldenee of high water lah[en
1
2
3
I bars or barches
1.5
11
1
2
3
7. Moet alluviav d
11.5
2
3
_ Htmd IS
ll, GW& control
4
D
2
3
10. Noturel varly
0
11_ S=ri d Or gr04tGF order channel
Na
d)
Yvs - 3
WIMCFMI eft hea Are not rglad: son cwsrLrin rrmLiar
A. HVdrolmu lRaiMiNJ = 1
12. Prewce of BA9ef m
0 1
2
3
13. iron oxldlzrng beat -aft
14, LOO Uttar
1
6 1
2
0.5
3
15, SMmens on plafts ar datxks
O's
1
15
f6. 0gemic detw* Inns or
Or$
1
1.5
17. SOMM&W e6ldenee of high water lah[en
Mb
Yes z 3
0.5
0.5
1l}. FMHou6 i f In 1 t"Mbed
3
2
Q
19. footed qplgkd pianis in straamb d
3
1
1
2
d
3
20. Mambentmos ; nary oj,,mwry and awn4ance I
21. Aquafic MoNusks
0
(62
1
0.5
2
1
3
15
22. Fish
23. Crayfish
0
0.5
0.5
1
1
1.5
11
24. Am hlbdamt
25. Mpae
0.5
11.5
26. YVe0ard ptanis In streambed
_
FA 14i = 0.75. O L
= 1.5 t}thsr
'peremleM str■am� may �rl+�p 4a WQNlrred usury other n,�+ncd3. yes to 35 01 rlsdr ul.
Notes:
Ske1d7:

NC DM'G Stream Idei
EVAluator. AL
Total Points:
Sframm 19 of fastlnfnmmitlmml 00
of � T 9 ur 1wrerrrria3? W2 30' ,
1K{ l'"J on 4.11
PrvjeGt+Site.
Cour v:
Stream Dal
Ephemeral
_ a
une}
LAtRodc
LongJt�_
Other
e p ourto Nu+rro;
a4, Goomo hol Subtotal
Absent
Weak
Mods stn
Stroep
1' canymoy of channel heti amd tea,*
4
1
20 MaGYobWthu% ircAb rlvmmty arra ahreAarce
3
2 SINgapty of dwaum
0
fj 11
2
3
3. In-�nel smidum ex. Hif . sWp- c&,
ID
0.5
2
3
4. pWu* size of SumW Sufttrate
0
1
1.6
_
24, Amphlbkaos 0
5. Adrvehand Boodp4n
1
1
2
3
6- 08pDWOrtal bats Or b&lCl1�4
0
1 _
2
3
T. #fvt alluvial deposhs
0
2
3
0. *adcuts
0
1
3
9. GM00 aa"
0
0.5
1.s
10. Nawrel vmrley
0
0.5
1
:YmI
is
11 Sec and or greator order channel
No =0
i
' o M cio, {HIrhAa Ar P not rnlg� See CI � u - 8 In rel@rlu-0r
B. Fi drol Suhtotal =
12. Prmmce of Basotlow 1 3
13. Iron oxldi=#rt bacm-La 0 1 3
14. Leaf mar 1.5 0.5
13. Sed nwt on I3 or debris 111.5
16. l3 nic debris Ones or plies 0 0j 1.5
t7 Soikbased ovklence at h:gh water tate? No 3n yes -3
_ RkAmv isuhtnw = 4 1
15 FbVLM roots ire sbvamDed 3
1
G
19. POOW u laird plart5 m sireari ed 3
[
0
20 MaGYobWthu% ircAb rlvmmty arra ahreAarce
1
7
a
1. AgLOW MoMism
1
2
3
22 RO —
0.5
1
1.5
23, 2MIDish
0
1
1.6
_
24, Amphlbkaos 0
0
1
1 6
26. Alpi _ 0
1
1.6
26. Wsltood pI anis Irl ctroarnbod
f:ACW =
4.75: 09L = 1.6 Other
'p*Wnlrl almarns may also tier Idumi&c! using alhw t e2fttN 54L35 fir mmiuml.
Noss,
k9�d1:

Nc DWQ irest" Idenfifiel
Evaluvor 614
inuI Points: -3 U
SIA"rFP 4 er +east ..N,rnWdl" �*
.t . r8 — ,.rw.....el of y %A-
,1
crsioo 4.11
Prcr�nct+sa:
Counter'
Stream OLterminaban [:
Ephemeral Intermittent
—Lf I I:atltude-.
Longitude.
Cow
A. GemoMholgo (& blow - � `���
Abserd
Weak
Moderate
SUMg
i* t,ortlyiy or dWnrPol Gee ane bank
_
4
1
2
16- Non1c debria I1fra!5 of Van
_
2. Sdnuosltr 011 rhanrrel along Ihal
_
D
1
No = 0
.3
3. In -Wanner structt": ex of -pool, sta"onl,
0
1
}
3
fl nt 6$ gPncv
0.6
1-5
24 ArnphlWsris
4. AanxA size W atmm substrate
0-
1-6
26. Al twa
0
5-AcuvelrWict CoWplmn
5- AcMv&6)Wirt
1.5
28. Welland 1316M In 6irsernbed
3
6. Npositional bars or tenches
0
i
3
7 Recear alluvial dspnsim
D
i
3
8. hleadcuts
0
$ketch'
3
9 Grade -cpntrW
0
0-5
1.15
10. Natural valley
0
0.5
1�
11. Sawnd or renter girder than no?
No #0
Yee
arlplj w worwi oro ro rawa, +Jim fwuban" im mar"Lae
R HwirrknnV (4:aAbtntal c t } I
12- Presence of l3asallovr
13- Iran exldf bria
0 f
0 1
4, r 3
3
14- Lauf Her
1.5
3
15- Sedirnord on pWtv or debds
0 0.5
1 1.5
16- Non1c debria I1fra!5 of Van
0 0.5
1.5
?T. Sall-bonect aide nae at hagh water table?
No = 0
Yea 3
C. Bkflaew (R"Moisl LA I
18. Fibrowt rootp In stmt mbad
3
F
0
fill. Rooted W land p1mMs In almombod
3
1
4
20, Maar henthas rads dFArvAy pled aeurrdanrn)
2
3
21, Agow MolkiOs
1 2
3
22. FIoh
0
0-5
1.5
23 -Irl
0.6
1-5
24 ArnphlWsris
0
0.6 v,
1-6
26. Al twa
0
0.9 1
1.5
28. Welland 1316M In 6irsernbed
FACVV = 4.75. OGL = 1.5 CRhor Q
rsnrMW atnbarM Mg Mro tai �dirglnid uiling olhor mslhodli. Sia p.
35 of rmrnual
NctW
$ketch'

C DWO Stream identification Vorm Version 4.11
Data- D I r
PlojectJSite
Latitude:
"uatar, U
County:
Longitude*
Other
Total Points:
SltMSFwftturmInaVan {circle one} I
Sfreern is of leasl fn, ermirterN
ez 19 or Lmrafmlai lf'd 30'
Ephemerai.iintermittent Perennhal
e.g. Quad dame:
A. Geomomholov (ubtatal ,-- /,V'S') I Absord I Weak Moderate I Stronq
1" Cimftuity of channel bed and bank
d
1
2
L_3
3- Sinuosity of channel along thalweg
f]
1
2
3
3- In•dlaprieI structure: ex- Hilt$ -pool, slapIaof,
rh le oat se uen"
� }
I
�
�
�
4. Partlele size of Stream sutrstralu
t5
1
2
1.s
5. ACtiVelrall ct floodplain
0
0.5
1
3
6. N osik neI bars or trenches
0
1
2
3
7. Recent alluvial deposits
0 .
1
2
3
8. tiaadcula
4
D.5
FACW = 0.75; 08L
2
3
9. Grade control
D
—
—
1-5
10- Natural vatlo
11- Second or greater order channel
0
D-5
a = D
1-5
Yes r
aariiirc]al ditches are not rated; see discussions In many. -al
B. Hydrology (Subtotal;- ' .
12. Presences of Saseflow
Ly
1
2
3
13. Iran ckxWivJnp badefia
1
1
2
3
14. Leaf litter
Ys
1
2
a
15. Sedhinom cm lents ordebos
0
0.5
C-17
1.s
18- Grganir~ debris lines or piles
LA,i]-5
0.5
1
1.5
17. Soll-based evJderrca of In ig h water lable?
0
No = 0
Yes =1_-)
1-5
C. $10100V fsubmal = a}
18- Fibrous roots in streambed
3
F
11
0
113- hoots upland plants in stfeambed
3
2
0
20- Maorobsnthoe (note divemlly and ebunderrce)
1
2
3
21. Aquatic Mokusics
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfmh
0
0.5
1
1-5
N. Amphlblarrs
0-5
1
1.5
25. Algae _]E
26, Wetland pisnts Irl streambed
j
D.5
FACW = 0.75; 08L
1
= t - tmm = 0
1-5
'ijw0 MeA streams may ilea be identifwiid using o1lier molhods. Sae p 35 of manual.
-
—
—
Notes:
Sketi* -5�y4woc l 1 �1'Lra ,
PitiWjf
,-I 54MA'
JY-&faf

INC Division of Water Quality -Methodology for Jdentification of Intermittent and
Peirennial Streams and Their Origins v. 4.11
NC DWQ Sptream Identification Form Version 4,11
Date: (j
Proje-CtfSlte;
Latltude:
EvalGluntor: 1,-x]G�ey I C(S
County:
Stream Determination {clrclo
Longitude:
Total Points:
stroam IS ai Am& Jrrferm�ffenf y#
Uther
,
ifa 19ar ormnis?ita 30'
Epha mer l Intermittent erennla
eqr- c uatl�Vame:
A. Goo morphology Subtotal
1' CnMnr rlty of &annel bard 2nd hank
Absent
C.
_ Weak
Moderate
2
Strong
2_ Sinuosity of channel Mong thalweg
C
65 3
a3
1.
3 In -channel structure, ex. We -pool, step -pool,
r' e- ool sequence
C
1
2
05
d. Particle sine of stream sube1r81e
C
1
0.5
1.5
5. Activelrelld flood $In
C
i
['
3
6 Np iNnaI bars or benches
C
1
3
7. Recent alluvlal N
C
0.5
1
a
S. Heaeculs
G
1
a
9. Grade control
10. hkatural valley
C
0
FACW = 0.75; OBL = 1,5
Cher =
11. Second or UMataF order channei
Iwo-
Yes = 3
Sketch:
' ar liCkel dltdmea are not ml d, we docusomm K n �
B, HydrDlogy (Subtotal =—Ai+ 1
12. Presentee of Basefjow
0
1
2 3
13. Iran crAdWN bww a
0
1
65 3
14_ Leaf filter
1.
1
0.5 a
15. Sedimeni on p4amr, or ckebds
0
05
1 1.5
18.0 anis debris fines of piles
0
0.5
1.5
17_ W- based evkfenoe of high water table?
No =0
es
Q. mol OQV isubtotal = 11 x
18. Fibrous routs in streambed
2
1
0
18_ KOated dpt plants in strearrkW
3
2
1
0
20_ Mourobenthos grate diversity ono chum ur
0
1
3
21. Aquatic Mollusks
1
2
3
22. Flsh
0,5
1
1.5
23_ Gra rah
0
0.5
1.5
24. AmphIblans
0
0.5
1
1.5
25, Algae
0
0.5
1.5
26_ Wotland Lents In streambed
FACW = 0.75; OBL = 1,5
Cher =
"pesennlai strearrm may alba ne Ider,ti r*d Ue" other meth oM_ See R. 35 OF mmnuel,
Notes,
Sketch:
41

NC DWO Stream Identification Furm Verg ion 4.11
Data: r] .
JProjecL+Site: d�'�'
Latitude:
€valuatbr.
County:
Longitude:
Tota! Points,
stream es at least ff0D r A--rq
S"aFTIMttcLrminetion �cimile one}
Other
3
hemer intermittent Perennial
e.g Cuad Name;
if z ja dr lal tf a 30`
2
1
A. Geo sno holo Subkatal t
Absent
Weak
Moderate
Strong
1"finxtirm4ty of channel bed iartd bink
U
1
14. Leaf litter
3
2. Sinuosity of &tanneJ along thalweg
a
1
2
1
3. In-bllannel structure= ex. riffle-paotr step -Paas,
rl ooi sequence _
4. Particle site of stream sube#rale
{]
7
1
3
3
5- Acth+elraW0 floodplaln
13
CLxes = 3
2
3
6- DepositionW bars or barinhes
1
1
1.5
1.5
2
3
7. Recent al luviat deposits
4
1
2
3
8. hleadcuts
4
2
3
9, Cy ada control
0
0.5
10. Natural valiey
0
_
1-
11. Second or greater order channel
Aa = 0
You = 3
arftial ditches are npi rated; see d' 6 m manual
B. HVdmloav (SU bk A8I = rr)
12. Presence of Basedow
1
2
3
13- Iron oxidizing Wr taria
1
3.1
3
14. Leaf litter
1-6 1
L0-5-)
0
15. Sediment an plants or debrls
0 0.5
1
1.5
113.Organic debris Ines or pllas
0 p.
1
1.5
17. Soil -based evidence of high water table?
No = 0
CLxes = 3
1.5
C. 81040av ( UNOW =
10. Fibrous roota In strearnbed 3 — --
2
t
0
19. Rooted upland plants In streambed 3
2
4
20, Macrobonthas inole diweswty aril nbundaf+cej
1
2
3
21- Aquatic Mollusks
1
2
3
22- Fish
0.5
1
1.5
23- Cfayrish
0,5
1
1.5
24- AmpNblans
25- Algae
0.5
0.5
1
1
1.5
1.5
26 Watland pTanta in a#reambed FACVV = 0.75, O8L = 1.5 = 0
Iperenr+Lal 5tfeems may eFsb is ldenpfied using curer methods. See p. 35 of m wUer,
Notes:
Sketch= �kji�w`'r+t t ► ori 1�Jf�l•+f
%t+ I A .5 /yfAe#,6Z jy
rn �¢rk••,

NC DWO Stream [dentif cation Form Verson 4.1
Data: / PrujectlSiee-
Dvalualar: County -
Total Points-
i2 14 ornWRIUMW Pr a 10'
n
r Latitude,
Longitude:
nation (vrcls one) Cntwr
rmitlem Perennial iL g r,-a,7aL
A- GeLomorl bel Subtotal = '
Absent
Weak
Moderate
Stmt
1g Continuity of channsl bed and barb
0
5
2
3
. Sinuo i of chanrlal along thalweg
1 1-5
1
2
3
3. Int-bhannM shuctura; ax. riffle -pool, step-paN,
NovYes=
I
_
0.6
rt e- ulifica
g
1 j
2
3
4. Nrllclie sizer of alrearn Substrate
25, Algae
b-5
1.5
3
5- Ac6vWr911c1 noodplam
6
7
2
3
6. Deposwmal tars or tercKm
0
Lv
2
3
7. Reewl arluvuw deposrce
4
1
2
5
3
,
9- Heaoa,is 1 2
9- Gracia eawW o i
10. Malkwal valley
4
11. SaDwW or grealff ardor channel
No
Yep _
Offi tial ft;heA dra liat Mhpd. We CN 0 nMmai
Fl_ Hvdroloov (Suhbatal = I I
12- Presence of Be,aekw
1
2 3
13. Iron Oxicitzing bacteria
41 1
3
16. Leaf f!rtef
5
CAL0
15. Sadlment an pWft or,deons
0 0
1 1-5
16, OryaWc debris kal or piles
01
I.5
17 S04430Mld avidenM of hO walff 12NO
NovYes=
I
G. BkNogy Pubtow =
18 Ftbrous roots In lxtnr robed '
3 2
1
G
19 Floated upland piano Irl arnbed
1
2
3
20. Marmbenthos fade lilvandN arid abuhdanrN)
21. Aquatic, Mollk,sk5
1
0 0.6
2
1
3
1-5
22. Fish
23. Crayfish
0.6
1
1.5
24. Arrh+bianu
1
1.5
25, Algae
b-5
1
1.5
26. WeUrrd plants in we mbGd
1FACW = 0.75; Oft = 1.5
Otbar � Q i
,Pwmnm Streams" 21#4 to mud Uw3g Othw mebAz Ses v a5 of manual
Notes-
Sketch-

NC 0 WQ S treom Idendi<vttiott Form V ers ion 4.11
0*118, 3 project+Site. 6 /3 ' Latifude'
lEvolunWr. Gatrnly., Longitude:
Total Points: Stream Determination {cirorn anal Other
�nn
frfn +7 9f �f;arF �nflFrnvfl�jrnt
a z fa r Na -3 ' Ephemera] It+termfttani l rer�nia� e.g. rrro:
A. pill x1 10 8uhtoSei o
Alosalxt
Welt
Moderate
S
i' Continulty of channei bad and bank
0
1
2
3
P. Sinuosity of oharinst SION the"
0
W dab& lines crapes
I ol 0.5 1
3
3. In-chdnnol structure: ex. rft-pool, step -pool,
FI le- ool sa unnce
0
i
24. AnVNblans
3
d particle fixe of stream substrate
0
1
i 1.
3
5. Acftelrelkd Iia lelfi
0
1
2
3
6_ DepdsFli N-kal bars ar bencrtee
0
1
2
3
T. Recent alluvWi do Rs
B. HaadcLft j
0
0
1
2
3
3
9. Grade control
4
0.5
L=
fi
1-5
10. Nalurel valla
a
0.5
N
1.5
11, Seconu of greatur order ehannei
MC
Yee =3
' Wftgl d ichea aro not . era fNrcum nr wi manual
B_ HYdMiow (Subtotal =
12 province ior Basellow
W 1 2
3
13 iron =dtzinq bactwia
1 2
3
14. Leaf Idw
.5 i 0.5
Av
15. Ssdirmnt on p4ants or debris
0 G 1
1.5
W dab& lines crapes
I ol 0.5 1
1.5
17, Sa used evidence a(high wafer MW
NO Yes= 3
1 1-5
It- fbndus nxx3 in sl►eemftd 3
2
0
1$_ PAmA wd urpiand pkarrts as 9lreanf0d
2
1 0
. ma"twth m (cow ammy aw ahullrce)
1
2 3
2i_ Aqwft Maik*3
1
2 3
22. Fimb
05
1 1.5
23 Cm7figh
0_5
1 1-5
24. AnVNblans
as
1 1.6
25. ftw 0
i 1.
26. W t and Owfts in sbeembed
FACW - 0.75; UO = 1.5
'Pmmwi4W sVeorrr9 m" a1w he idru W*4 pmkV 0" nndhmk Sar p 35 o1 nwnuM
Notes
Sketch.
.

NC DNVQ Stream identification Farm
oru: J
Total Points:
Stwim fs 0 A9ast JndarxniftgeFk Z!,
de YD urnarenrNsi of V'
A nenrne%m lrslnnu rltisshtntal E iC I
rersinn 4.t1
pf0j"ttsita. J
Caunly:
Stream Delermiriatlan �+
Ephemeral Intermittent
Absent I Weak
Lat{iudf:
�plipltu0e:
Othar
e g Quid Naw
Moderate i Strone
1 ` Cvnitnuity of rhannal bad and bank_
0
3
2
1 2
2 Sinuosity ofrwner Wang IhalwEM
Q
1
0
15- SkIWient an lan!s or debris
I In-hannel Sl a: asr. ritfreft-pavl. Ie o4oi.
uenca
4
1
0 O 1
3
- Nnede size 01 !0"arn Substrame
0
1
2
3
. AcVMrvI4t
0.5
2
3
B. sonar bars uT w:hss
0
i
7
3
7,RM11-I allu%Oial depcsLt5
0
LQ
3
IS. Hwwbuts
0
i
2
3
0. Grade oontrol
0.5
1
1-5
Q. NAIU Bl valley
_
u.5
1.6
11. Sw=d or preater ordar channal
n =
Yes = 3
SWIM:
mKftlal bltchee are ul rated- see dimutaidns in manual -
R- Hvdmlrwiv f&lhtnfal ;:; 1
12. PMwcM of Basellow
1
3
13. Iron qt &dn haderia
�
1 2
3
14- Low litter
.5 0-5
0
15- SkIWient an lan!s or debris
f] Q S
1.5
19. raws OW
0 O 1
1,5
17 SoR4*OW evvkwze at hQ11 water t"?
No = () ee a
1
C Aidkvm 1Si1 nf..%r = or 71
10. FWOus roots In atrearrbBd
3
t
0
10. PzoW uplann :slams in strambed
2
1
0
LL
20. M m*onrhos mama and abmdame
T- -
2
3
21. AqLm= Mollusks
1
2
3
V. Fleh
0.5
t
1
33. CMfLMh _
0
0.9
1
1-5
_
2+4. Am hlblrsns
_
0
0.5
26. Nelel
0
0.5
t 6
26. Wetland plunt3 In atraambed
FACW - 0-76; OSL = 1.5
er =
4prr*nnly1 s1ripar m nay also be Ideniffied using alhex mmihuds are p 35 rif mw oal
SWIM:

C D WQ Stresm Identification Form Version 4.11
Date- Rnitlk: Latttuce
IEvaivaiur; zvc,*/t+alerttjr L,on►pf�tufle
TataI Points: Strum Nterr�jmatica le -erre ane) Damw
Sr+sa or;&BOaracrma►erx � F-pherneral ir#lerm�#tent �ererenkal e.q �?uarfrrat►.�=
f t ❑r i9 rer3nrra di a 3Lr
I. J
A- Amo hal Wy I SubloW = y
I" CoMnwty of chain -0 6W and tram
Abs+efd
0
1Afea1[
Moderate
'2
3
2 Stmuumly of chanm� a mameg
0
1
15. Badimeml Crrt p9aft or debns
3
3 In-�rpd smrwre ex rRIu-poul, Step -PD J,
uonGe
U
1
J
3
4 Parl+ a site cd stream subsV3te
0
1.
2
3
S. Actvelrediot
6, De mtkorml Cars or ben&es
cl
D.5
4-5
2
2
3
3
7. Recent adluvWl de
0
1,
2
3
0. Hmdcjjts
0
1
1. or =
3
9. t".+ra * eantrol
u
0-5
#.S
1D. Neo' ivalle
I 1 Somrvd or gmatEw order chaman
d]
as
-
1
YES = 3
is
iMYtr VW j-ilrhy5 8fe ruW ni16d. sae d:&ruE5laM in rraULkZA
B Hvdrndoav tSubtotal a ''S I
12. PNMnoa of gasediow
0
1
3
13. Impn ox"ng boct
14. Led iiftr
Q
j #.5
1
1
2 3
- u
15. Badimeml Crrt p9aft or debns
D
U
1.5
16. Droaftir, t obft tines or gin
2
3
1-5
17_ Solt mandl cMdence of high water table?
0_5
1
tyss
r. Rir11nny igum—tmi = if b
10. Fibrous roots In streambed
19. RooW upland plants in slreambed
3
3
2
}
1
D
a
20. Metmb-Drohm Inaba dlyarGity anal attul�dArtra)
1
2
3
21. uaflc Mullusk9
1
2
3
2. Fleh
0_5
1
1.5
3. Cala _
24. Amphibians
D.5
4-5
1
1
1.5
1.5
25 AJ e
a
0,5
1-b
. Waiiand P.Iarb kn mambad
FAC* - 015; OBL
1. or =
tgwl0 almamik f w1 alio be WenWW Using other Mwamds See
. 35 al manual.

1VE7 O 4&cam Identiftca#%nn Parr
xz
Total Paints. 3� y
Sfte&m J5,21 feast ?Itmmjk wnf r J
Version 4.11
Fpr;7cvsile ' Latitude'
County: - -
tream,F 4"Irpl ination (circle One)
Phomoral hitermittant PeFannlal
Lorglkudc
Othw
R I;. rhAd Nor"
Al. domo hot Submal _
I" CortlmIl!y of runnel tied and bank
2. SnwWy olohannelalong
Absent
0
4
Wag
t
Modal
2
2
Strom
3
3
3. In -charnel suudura ex riffkHDcd, sleprpaal,
ri
)
1
7
3
A FarOde size of minmm vArstma e
1 1.5
1
2
3
5 Acjwrakt ftxxt lw
No = 0 Yeas .
1
2
3
6.Oepmdionel bars or des
0.
0-5
2
3
7 Recent dlluvW deposgs
p
f
2
3
0. Hebdcuis
U
0.5
2
3
9 Gradin vont#ol
11
0.5
1
1.5
10 Natural valley_C
_
0.5
l.5
11. SvCond or foa[w order channel
0
Yag - 3
a Mder dKcri" are mi rated; Bee tNscus inns in ma"Umi �
B_ Hvdmiaav (Sutotai = 1
12- PrerlterKm of Baw low
0
1 2 3
13. 1n3n OXkJWFIg beclerea
Q
1 2 3
3
2
1
M. Berdkmrd on PWTdm or debris
20. MaK heir car aw migy ano a1mrriancAI
1 1.5
M is do" lrrrn or pines
2
1-5
#7. 8t1R-� an+i,denm of hV wasp: table?
No = 0 Yeas .
C. Biaientx (Suhlabil = i
1B- F-twOLe roots in atreambed
3
�
Q
19 kodM L94wW pwi�% rri 2Trt-an+[.--d
3
2
1
0
20. MaK heir car aw migy ano a1mrriancAI
1
2
3
21. AqLWk 141AUSke
1
2
3
22. Fisc,
0-5
1
1.5
23. CraMb
0.6
1
1.s
24_ +gym 4lblens
_
0
0.5
f
1.6
26. Algae
0
0.5
1
1.5
28. Wetland planta In btreambed
_
FACVV = 0 75; OIL = 1.5 P her =
'pare im" Strom FRAY Gila he Amstimad using Mar rnethocks. Sm p 3s of marlWl
Motes:
SketchAn 0

VIL' LP Ntmam Itlentiticaldnn I-Orm 1r ers10II $.11
Eva#uator X 'L., pjT S Counter; Longitude:
Tota; Paints:
Sw arrmm&mosraruamawierx $ +► erminalian (ci+t#a ane IFlar
l f 9 nr r rf 2! 30. pflemaral Wa rm l stent Pemnnial C-9 uow Nomc
OLa11 vOw.
WN
k Geomorphology s ubtotal =
Assent
Weak
Rodarate
Stm
13LConCinL ft of channel bad and bank
G
1
2
3
2. Skwcwy of chats" aloreg M24�
4]
16iG debrm lines On
2
3
3 In n��J sUt,Gture: ex. ri la -Pod. stE�.
nppkNppcA uer?ce
No = D
Yes = 8
2
3
4. Parbrc�e see of strwm sutshmle
0.3
A 5
1
1-5
15
26. 0
5. Acuvevrewr3 ilooWam
0
!
2
3
a_ ckipos&cmral bars or tangy
;*'pYwwru 4 suawm mffy akQ be kkwOW =4 *Ihm rwho&L Sm p. 35 a �Saf m
7�1Jt�_
2
3
7. Rewv.i aumnad depasd5
0
1
2
3
0. Fleadrxts
Q
3
fl. Grade wntrol
D
1
I'S
10. Natural vallev
0
0.5
�
f 5
1 i Second or gmaWr Order than vA
Yes = 3
" fid dlcr m are naf rale4: ! r[SBrW>o ��
a- HOfalaav iSubtcbl = I leml
12 fin*ence of aawkw
1
2 3
13. Ian oxidairig dactaw
0 1
3
14. La& Lir
-5 1
4 0
15. Sedimant on plenfz yr debris
eA
1.6
16iG debrm lines On
Q.S
1.5
17 Sods ed t~vdwc* of high wuW#able'
No = D
Yes = 8
C. Biohwv lSublat it = Z. 5 1
19 F6mus roots in mmmbW 3
2
1
4
19 Rcou 0 up4and 1snts in slywmbed 32
0
?d MaGrObOnlt iDOIA (fdy acrd abUMirCe)
1
2
3
2S Nuak Mollusks
1
7
3
22_ FISh 0
0.5
f
15
Z3. Cfs .--&_
24. AmpNbnares
0.3
A 5
1
1
1-5
15
26. 0
4
]
1-5
26. Well" ants in strmmbed
rACYV = 0.75: OR
= 1.5 Cgs ar = 4
;*'pYwwru 4 suawm mffy akQ be kkwOW =4 *Ihm rwho&L Sm p. 35 a �Saf m
7�1Jt�_

NC Division of Water Quality —Methodology for JdentificatEon of Intermittent and
Perennial Streams and Their Origins v, 4,11
NC VWQ 'stream Identification forni Version 4.11
Date; Pro}ec#Site �'(, .j, �atitrr�a=
EvaldatorI County; Longitude:
Total Paints: Stream Determination (circle ane Other
$trearrrrsa:leas!ir,?armg7er7 Ephemeral Intennitteni erenrNd e , . [+adAFarx32=
if a 19 or t"nidi+f 9 30'
A l`30l't10 Stibt tel = t k
+46sen!
Weak
NAp r4a Stra
1` Confinufty of channel bed and ban-
14. Leat MW
2
2_ Sinuosity of channel a
0
1
2
3 In-dmnnel stnwWre: e- utile -pool, d5piml.
,r lL ! sequencm
D
t
2 3
4, Particle size of suearm substrate
D
t
2 3
S. Acfiveire[ict flow lain
0
0-5
2
6. Depositional bars or `aBeChes
0
E
2 CY
7. Recent aJJ uvwl dapovts
0
1
2
8. H ea kAAS
0
1
2
9. Grade control
0
0.5
1
10 Natural valley
11 Second ar greater order channel
0
Na ly
0b
1 _
Yes = 3
Brtfinal dilGhS5 @re rKI fated, we5,n Manuel
R. Hvdr0laDv (Subtotal = � 1
12 Prasence of Oasefipw
0 1
2
13. Iron oxiaizi bacleria
1
19_ Ro Aed u p land plants in stfeamoed
14. Leat MW
i
4.6
15_ Sadinwa on planN or debris
0 4.5
1
16. dears fines or pRes
0-5
1
17. Salt ed evidence of high water table?
No = 0
Yes = 3
r'. Rinlmnv f Qr,hlmta3 = f17 4% h
1S_ FitKws roots in sheemtxed
3
2
0
19_ Ro Aed u p land plants in stfeamoed
3
2
0
20,Mambenfts nrAe dve-s-ty 8rvJabu4awe
t
2
3
21. Aquatic Mollusks
D
1
2
3
22. Fish
0
0-5
1
1.
23. Cray h
0.5
1
24_ Amp hIbiens
D
0.5
1
y.
25. AJzjae
0
Q,5
1
1.
26 Wetlianapianiv In streambed
FACW = 0.75. OBL = 1,5
Other = 0
'perennial streams may alas be rdentrkd using other r UxWa. SKe p- 35 of manual.
Nines:
Sketch,
41

NC DWO Strum Ideadfication Form Version 4.11
Date' ,
ira]es1lite
i�de;
E+rai�u;a r
County,
Longitude_
Tual Points:
Stream Determination (circle_ OD4.
other
rr5errr r at least � rerx
.+ a ! 4 c# nfa� +Yt 34'
Ephemeret fntermittent enWat
r-,; rd.)w �Varnn'.
A. Geo morphology ubtvhai= � �
1lbsent
Wa*
Moderate
Strong
i z C�in+�T ity of channel and t7arsk
d
1
Z
3
2. Sinwi6ky of ca'.annel along ih2"
0
1
0 (1.5
3
3. In-durmat structute_ e.PL AW -Pohl. SWP-POO.
n .ce
0
f
2
3
4. P2rtpde soe of swam sx:tmraie
Q
1
2
3
5. Act'veirehct ilcMxWlaW
0
1
2
3
$_ 09poeibonal bars ar benches
0
1
3
7. ReWM ailw rel dapostls
_
0
1
2
3
8. #e$dculs
4
1
r = 0
3
9 'rade wnftl
115
n -
10. Natural valley
0
0.5
sket& 441
1-S
11. Seaond or greaw order channel
#0=
G.
Yes 13
'rplil: xW dRahes are w rdred; we in r wwwal
12. Presence of Bas kw
0 1
3
13. liar+ ac&zmg back0a
0
3
14. Lauf Vtbw
1. 1
Q 0
15_ Sedhtrerd on plants 01 de"
0 TS
LQ 1.5
06. Cklaffor deb& acnes ar plias
0 (1.5
1 #
17. Sotbsaed ev4iance 0 fi gh waltz table?
No = 0
r es =3
C. Mow lsubhAw � OK
is. FbMLM Mots in ctmmbed
3
2
7
0
19. P40ted up1Wnd pianla dr amhed
3
2
1
Q
0.1lp'pbenthos fnWaMmmi yard&NndamA)
1
2
3
21, AqLqft ll clitMm
2
3
22. Fiah
0.5
t
1.5
23. SQA
0 .
05
1
15
24. Amphibians
a
0.5
#_IS
25. Algae
_
0
0.5
#.b
25. WallanQ Plants ln wreambed
FACW a 0.M. Cft I
r = 0
•pemnmaj s"arrm may also pe iggrtGFw wv� qtjyv
-�--
�� ahqSeg p 35 d Ramal
n -
sket& 441
A)

�u U w Q NureaLm ldcntific2tioa Furor version 4.11
Osie: Project -Ste C,,4 LM4,de-
fEY4Eusbr / it c Coun[y; I Longitude;
Tool Points; Etre-amulk.Urmina#ion Icimc a flnel other —
Srmmm is ai i&aasr rnt,rmarar9
i t r 9 au reri d i 30 hemeral Interni f it+�ri Pefenr[ iaj e g Goad Name:
A. GeomkoMhuJ ubma? = 0
Absent
sleek
Moderate
Stmng
I' Con musty of chatirlet bed and bunk
0
+
2
3
2 Smuas of aC raet at
3- In -Chanel MruCIure 0 rr k --pool, stem-:>aI.
!:e uer[ce
0
ID
i
2
2
3
3
4 pwmda sirs• of mmam submrapa
O
1
2
1.6
5 Av v5kWc1 floadplai-i
1
2
3
6. Dwaitlona3l bars or benches
1
2
3
7. PACent alluvial deposds
& Headcuts
10
0
#
1
2
e 9
3
3
9- Grade control
U-
1
1.5
10 Na3lurW valley
0
1
1.6
11 Swond or grmtor order channel
o =15 -
YIDS = 3
arUrArrl Wrches W& rlpp tZW: We dj%MgSKM Pn mprK}W
A. Hvdrolaav (-%btoial = .. ti
12. Prmnce of Bweflow
+ 1
2 3
13 Iron CWdiIJng b3aWO
1
2 3
14. Leaf Iftter
1-4 1
u0
15 Sedlmwnt ora planis dr detwla
0.5
1 1.5
1E. Organic debriS lines of Rks
0.5
1 11.5
17 Sopkbssed evIdenCa Ci bigh werer table?
= f}
Yea T 3
C. BIC4 ay [Subic l = } "
18, Fibrous meft in siraawWd
19 Roofed upland plat% in utmarnbed _
20. Macrobonthou {nape d4wmtoy arvd ntunganc.-ffj
3
3
A1
2
2
t
2
U
0
3
21. A uuafle Mollusks
22. Pimh
0
0
1
0.5
2
1
3
1-5
23. Crhyflah
24. Amphibians
0,5
0.5
1
1
1-3
1.5
26,
G.5
1
1.6
26. WaINM Oarits Iri snamt7ed
FAGVV m 0-75; DBL = 1.5
lfir =
'IwanNal straerrra may alae 4a IdanlMlad umft alhar rnelhoda Sas p. 3+5 pF manuai.
-
Nolm
l4etC�1:
w
FT.r
1

— � � � � � — Sri — ,� .,►.'
NC DWO Swam Identiriraliun
DOW �
€valufflor.
T" Poirrts-.
SP*mm a of mwd Irtl l
lel
.Osia. n. flisr6T7l7`
miau 4.11
ProjeuvSile. _ Ladlude. -
County-. Longitude-,
��rmnnatJon ic-Ircic One) Other
haimerel lerrF Mint perennial ag ClLz Ej fjLCrr-;
. Georrro hoi 5ubloup _ I I I
Absent Vftmk
moderate
S
I` CootImAly of channel bed and bank
2. SlrtuoWty of channel alcria mfilwe
0
_
15- Sedlmmm on pWftflr debris
3 In•channot stnrdurG: im rlifle-poul, Mmo-pool,
rjpvWjgal ee uence
4. Pencle size of stream substrate
1
0 ]
2
3
6. ArAlve mNo fioadpWn
MO -0
2
l
3
S. borer or benches
#
2
3
� i alluvkal
�
i
3
$ Naadt,+
4 I
3
8. fide contmi
D
1
LE1
1-5
10. Natni vallqX
Q
1.6
t1. Second or g rafter order channel
No 0
Yea =.l
'Or7ftol dltt#rnn Ara h6i tyied; 6e2 discueeibrrn in Mar►u41M
R 14vrlrnlnnv IRtihWal z i
12 PrMan a of a0sa low
# 2
'
13. lion oxidtxi tmderie
14, Lael Wkw
fi 2
fian
3
D4
_
15- Sedlmmm on pWftflr debris
D
20- MarMberlMOS nota dlworskly and aburydah"I
iS. rt: 6sbm fres or pLbs
2
3
17. Soil wsad ovkkrice of t lO wa'ler radO
MO -0
2
l
C. Bi *mv f SuhtrAM = 7 1
18. Fl&uw rwts In s#reembed 3
2
1
0
10 Roatad upland plards in strealmhed 3
2
1
D
20- MarMberlMOS nota dlworskly and aburydah"I
1
2
3
21 Aqualic Mollueks
22 SO
24. Ibians
25. ZEb.6
1
135
Q.6
2
l
$
1.5
1-5
26 WWantl LAppla kn s"emhed
FACW a 0 M.
OSS = i 5 lw
le=ad stn"FM &lire bo dery ed urarg Otrw rrM1NWXk See P 15 d r: ahual
ll�1i��I-
"6S
�4Y dr
3
f 4w
71

USACE AIDV DWQ N.. Site 0 (indwitte an satithed map)
M STREAM QUALITY ASSESSMENT WORKSHEET
Pru;idfi rhr ia#IntA i ng inrfinMR iap carr i#c strcxm reach susdpr usarsarnit:
J. Applicant'% name i gr A _ 2. EvaluHlar's n3ule: APL -
3. Data of evaJoat i im; M '10 #_ 11 me ofaualneriori;.
S. Nsirrre of gtGreem: _ _ A. h Ever fustrEcletG.
7. Appintiiirinta dna npga ares._ � dl.� - IL Armam isrder; � II
9. Llmgth of l' ch avalualv&' - Ill. County ro"
11. litean04ilMCA (if knasvrl); pre{GF indccwmaldegree%. 1i.Suhdrvisionramie(Lf any)_
Lai1Lul 0A. 1a Mt 3 dp i' LupigitUde lax, -77.5566 t I
C41Rdhod lareHslars r pRrmuyd �ti>w1el. +PS Fupa Shoos 0rpboJAxtkWPNxaA3l8 01her GL3 Cqc - -
13. Location of rallah utrder CVLlfizliorr (Dale nmrhy roods stuf 10KIm rks >ad aftAa coop kkntifying sitemost) I ok:At i on),_
14. PnVoi d cS xm=J work of any 1:
IS. Recetrt wcathff t�uiwlltlans:_
1,(4 rSitC tiiA]13ltiand Al tLF= of V191U -
17. Identify any gpex:iai watE:rway VNSSif=60MklW" ,$eairm 10 —Tidal Waren �—U&SCOrial FUILCnLI, Itablcai
_3'rout Wwc" _flulstanding Resource Wale _ Nutnew SensidVe Waters -_ Watnr Supply Waterrhed Lf (t-IV)A/V
18. is dwre n pond or lAt incited upstreem of the evaluki6on pointy 1�F5 ) ifyes, esd male the wtitarm0mcc area:
19. Dees charimot appcur lm U5GS grad map? 61 NO 10. pari chumel appear on USDA Sail 5luvey'# YAS 1+,10
21. F.sk=tad wrrtcrslrgd l:md uyc- Raxddemini G 1`Murxxciu.l � : industriaJ _% Agncu]tuW
Z2- fi=inkftrLl width. & 13. 011elk hdigM (fsambed to r1 ofb=k1
24. C.haMW1 slope &WFl ccnlaf of stre1M' Fat i0 us %) _ _Cands {1 to ^° 144odcrete (4 to i('%J Stop r � i(N)
25. Channel skrino ly Simight %! Ciccas nal bcidy _F"xpxm nwander Very sinuuul� ___$rat~w chaaoeI
imtr-uriion , rur comp"an or work-%beelr {Jocaied on page 2)t B*& by mertwuuir►g the rrtnst appm nate , nreSton bmicd SNr
loaalltass, Iurn In, Vegelal ion, ;cram classifucafion, etc. Fvtu ' CI wortonsik must bc scored using the samo ewregi43n A-ugn poiors
to each charactemtic wiLhni the rlr 9e shown Cor thi< cE7Cwreigilm page i provide, a bmief desrroior1 of how IE} rrview the
rharaclenstics idetitilred in the worksheet. Scares should rcllect an small assesxmeat tiff the stream mwh under cvnlalatiun. v a
charatterirstrc cannol be Cwa.lunted due to 5iiz or wentiser condihom l~ntcr Q Gn ft Koling box and pmvlde an explafar wan irz the
comment quvlion- Where Chore im obvims changes it1 the ohnt' acr of a stroo under r+cvic* (e.g_, the stream Ilows #tomo a plisturr,
into a forest), the jamm ilwy hir divided inlo smiler rrachea that dir+plriy inure cor4rinuity, and a paree Form used la cvnluate Inch
reeuh. 1'he total scare mmlgned to a strr m reach mniat rnlige bctworii it erid Itl[3, with a score of l00 rglrt�juanlitig ai srrcm of the
wghe�a ciality.
T cRol Score ffru m rr+ enc: 03`7c1111tmu t.
Jr,vidnalor'4Sir aturr _ Dole
T'ith channel n%lu,iticpa rarm k inteaided to be used only as it Volde in atchl landowern and ow4ruprn€nial pridepsion,a1% in
gatberin� tiie dalil r4quired by the! United rates Arany Corps of Englikuvra to make a prelim1nary Qvirs5mrni of strenru
quality. Vhr lolul wory reslalting [rum the compirtiion of this Fofni Ih %0160 to USAGE apprnvul and dirCH Sol laiply u
pariicol■r rilii[go tion rxllu or requlrognt 1. l=arm subject to change - vimmotl 0"3, to Cornment. plmm call'419=ti 76-8441 x 16.

S'E'RE.01 QUALITY ASSESSMENT WORKSHEET
* Tkse cU=terisllcs nm not Assessed in conial scrams.
ECOREGION POWT
RANGE,
#
C [ I �TERIM S
SCORE
Ommmij
>ml
momma
_
Prescacc of now I persisomf paoia In stmam
0-5
0 4
0-5
7
(nn flow or gmr=zii3ft = 0; g V_VW - max points)
2
0-6
{� _ 5
0-5
Xvidenor of pmat bumaa altcrstiam
dttmsivc alteruttun = 0, no ahcrat otl = mai unix
Riparian none
_
06
0 4
0-5
do bLdTer _ G+ oonu 0us Verde buffmr ; mb
4
Evklmw •f"tricat or cbcmkal dii&tMes
0-5
0-4
0-4
oauo,nxi 'rrdistil _ [}; no dis s - MAX puintt:l
S
rcmdw ater dlechcrge
0 3
0-4
0-4
ua disc ' C - 0' arrilig& sem W C tluruig etc, - ME,; pi rlAtx
PFl ence' of adjaml flcedphdo
{} t
0-
0-2
2-
Da � = I}; �7[tCf;AiYC 1SOtr[1 13E11 = ins3}
F-mb tckmml I amdPhLiu4 am"
0-4
0- 2
FFF���
11 d
�p1y evtm�chCd=�: t'reauaut ilcEa � Rutx nomtt --.
-
8.
rnmenc <' yr td jacettt weilands
0-4
0 -
(1-6
nn wedands - (1, low parent wLiIan b= oinm
Clrantld dauuusll}'
+
yr chAngcU- nn = 0: nWW]d twandct = nma �ioty
I
0-5
U. 4
0-4
St�dlmen� ilnpei
l mt+iv cktn �tx �; Urdu ar no 'ca mm_at - max
-
Ei -;
4 - S
Un &dhersky ofchmabet 1l rd suWrate�
1 l
NA*: �
-��ipue, ll4ittrS4gCr1�lktS {�: � d fveftiC �� = mai �Enirlis 1
— _ _ -
_
_
0-5
fr wtta-- - 0; -mbk bad A. bw Lkh = Ema M_r�sl
_ _
1 11�a ail- � bsski- Will arL*
-
-
(� W crzr�irm_-
{
14 Oa+t apw! dCa±ilEs VIk lsa4ti�
0 - 3
11 4
[t ` 1'
Ina % sible rc[PO. il; lkme roots'thrullt �IouI - rrMK txnnQ -
- - -
- 4
0 S
1�
f1
1 1 ra�sr��t by *g6c ilium-�$y�ermck.1 or timber
0 _
tE�.d�sprodurflOLL
31 b5Lm ti0j Irrt vt � W evidance z m1m
1 b
prwmacc or ame-pnavrippk-pant ftmpkses
0-1
{� - 1
0-6
I_
IIS{} r11�It7pplSS OC rlp{�]y ' t} Wr1J•devl4 v
llabltttt complrait}17
0-6
0-6
(1-6
hnic or no habitue = 0; fj]N!jcqL vmisd hibimts - tttsx mib
1
amopp cov ermp over stn:am>dr+d
0 5
9-5
0-5
rto v5&zldfioc - 0; ci minugus commy -man v
1Ek*
0-4
0-4
19
Substrate embrddedaem
ISIX embLddcd , 0-1Nnc stractu= = =%
20
prmeace of stream I nvtrte brstes (gee pugs Al
0-4
0_5
0-5
y
o cvideuoC = 0- cS4#t mn nutrrercma ttyo- max irft
G
likrereslce of ampb lbions
21
0-4
6 - 4
Q. 4
ob urndemm - 0" E2LLMeL rmner{,uH rypt, = max olrtttt
pl eJiCnCe of flail
q. 4
0-4
0- 4
IIl7 tV1�CdC . colitmon nnrry rrti g $5 ' tSt Rinoinw
21
Errideace of wMife an
0 - 6
0- S
(1-5
�
pvWrccc - 0, aburkUg Cvi OXX 20iftts)
Tula] Pal em Passible
l
ico
i{q
TOTAL SM (alp cmt%-r an fsrst page)
* Tkse cU=terisllcs nm not Assessed in conial scrams.

USACE aAlIM IwoA Me€t IMicateotstrmcbedmW)
M
STREAM U A LITY ASS ESSMEN T WORKS14EET AdW
Provide the min" Ioa Informaiirrn for the stream reach ander assessrncov
I. Appbmtil's nnaw- 1-k 2. Evaluator's nam:VC [ I- , its
3. bole of evmantmn. _ 6elolq
5. Nano of atrvirn9-4�4 ;
7. Appm,,imate dminga =U'
9. Liwgth of Tead evidutued' i
ft:. SMe o€ardinufes (if knawor. pritfrr injosrrna1 "ff.
Ll ibxk frtx yt.vj'" 1:
Time 01 -evaluation;
Riverbasin: /A& _a r
1. *Amm order- f
10. irrunty_ AMIAellv
121. Sukrd€vision narnr (if +any)-
1LMSMjdr(ea z7 9rµit
Meshed kcanoe det rocd lett N) GPS Topa SAftt 0Mw (Aerza3) Fl AWGL5 Qlhor GIS O l res
13. Lamillon of Bch Under uwsluaii0fl (MW nemby roads Lwd laidnawku and attach map odent€f±r,rw stmauAi) locaurxir
K Pro ssi%l clatinef work { if any 1
15. Recersi weaiiier =nd tinikc
M Sits evnditirrm at Lrnte orvisit:
17. ldcnnfry any sp=al WaWrwoy d"4XIcnli+mt` knoUll: Section $11 :1Ydol WMrns :l?,G+=Uisl Fishrsies Habitat
Trout W.91ers :00t€ iolnding Rewurvc WtItLTs _Ntttricnt Sins€tivc Waters X_ Water Supply Wutemhed _ (1-I )
1R. is there a }fond or takes Wood PApo W.mps i11 i#tt-cva4Wa{iUfk point`! YES NU 'ryes. �sttril:Yie thdi water surfinc,e rirea;=
19. Does channel apMr on V96S q€€nd €nq? to NL)
21. Estimated watershed innd urc _%, Reoidential
"�. Formed
20. Does L=harmel Lppw kin l iS DA Soil Survey D NO
% Commerciol % Indumviul °ter Agsicaltzsrul
% Cleared / l oRged ".t 001art
23. EkaklWl width: f-74 44 23_ Sent height i From bed to lk p of hailk}- Z` I
Z 04-
24. Cho mwI slope down creeper of wtrcm. —J ai IG 1u 2%1 7 Gentle 1 z la 44 1 LMO&rK€r tLl to til%) ` i>IWIC 1
25. C112111MCl MUROSIV ,SiMlghl —06",4114 MAI bids A, Frequent n amu .-r --Vvy > hmout --Taidr d cWM
Instrucftns for euttnpk4lm of uurk beef t1owed an page 2). Hegira by drierr wimg Ow twgt spa ecoregion hLwd on
lrxation, rrrsain., VugetILUM Strftm clatolicailm etc Ftvy moist mmi be scored UWng the uric ccAwcgtun Awpri pain
to ,etch characteristic wilhiu fix rarnt[c ah+,w#i f+i� khc eoureVon. page 3 provides a tenet deser€pi€on M how In tevicw tete
chm-amMsdcs idmtife,d in the waktNhmi. Scorm 4kould telleo an evm11 sim%sttumi of The vueeptt troch tmdv to-aluA tum. If A
chmmuL -istic camico be avalusteri sur 1;* rrtC ar weather conditiorm enler 44 m €hc smrenj box mid p€vvk mi cXpipnatit i in the
comment scriii n, Where tlirre Are iaisraouk rlu+ngm to the claerac#rr of a stream ander review the orsatm tlow€r from is posture
sato a fotCst}r the #nULM MY he dlwidW inikM smeallt't m4ches thea disptay mare,:,untinuity, end a separate tbrm u%ed In arvalttnte cath
tench The lolnl fiwTe asyipod to u simam reach must ntingc berween 4 and 100, with a sci nc of 1[AP ftTm-cntuig 0 Attcen, Of the
highest 4ovdi[y.
Teal Scoec Grum reverse}: comments:
Evaluator's Signature Hale _
'1115 channel esslurtiuo form h Intended to bit ascd only as a guide to avrisr landowners wmdl *nvireaamt-Taal prafcsbkin ills In
gathering the data mquired by rk Unlit -d Str€ts Anmy Corps GF F-ugiorers tti make m prellmioars WssrsiRinent of +atregm
quatky. Tbv total ~core resulting farm OiLt Cumpte lou of this farm is subject to LTSACF aliprgvid milli dares not imply a
pardeAAr midgation ratio aFr rrquircMCIII, Fotm sublccf w 0111AK - version (lfr+t)J. i{%CommrnL ptcavic c:lfl 9111-9764W41 a ?b-

STREAM QUALITY ASSESSMENT WORKSHEET
+ `I hvL c Q 11ui oQwriim ILS LIEU 11411 awsgmW in wawtuj '41rLarnw.
CR. .cam
Mm -u
'on
W
prencc 4f f�R.1 x p�ersisir#tf pools
ono flaw or fiaftffafion = 0: ;tranrllw = max rk5tarsl
2
Fkidcnecofput human s0teration
V t
A 5
0-5
c"mEive altcnntior. = 0; no af:Ersnon - =% rspm%)
d
iRi aarlue zow
_
�+
41-3
(no bu fcr = u: rflaa u&. wudc bufies = =N pmntj1
,3
iF-4depre of anFrueste or chentkal discharges
0-3
0 4
0 4
Groundwater dischlrge
00 1}; w CCG- = I pOrfst-';}
Presrare of adja+[mt no dptais
0-4
0-4
Q - `
no IIDM ?aul 0, Cxlcusivc lloxr'i, Lim = max u )
7
Earrencibameot 1 flip lain accm I
U-3
0-11
Q-
! d,�e't>h+ entr,dnched = #1; fi�usot ficxxiln� = t polnt�)
Prexeoc'e of ad]mcear wetilreds
U-6
�-4
0- �
no 4 - o: hir a ud ucri wolands - max D5oiniL- l
tl
01mund FJOB city
Lt- 3
0 - 4
0- 3
icrteszsjlfc chawwlizatim = fl; naluml mender- rnitw e►t}]M'1
i(I
b"immt inpa1
0-5
0-4
0-4
[r+<]e'mmye d-+4sltim- tl; h We ar Tim iL'dirsieni = tmt pomu)
�
#
Sirs do divmo of s:bmmlitd bed mbstmIL
1
0-4
0-
(finc, hnrrw-1 rmous- 0 I divem mss - it x �
l
>E; vidcarc of dwill3c! I ncisinu or widenlag
_
i}
t dee p ly mcl%ed - [F, sil:shlr lied .- haui -r, - mn rw. ts)
#
presrnlrr ofmAjor burl � FSRures
{1
1t -
Q -
(ompm rmxjon = W no a Iap, suthlc hanky - mllir 7vas
14
Root dtpth aaddousllw um ban
�
0 4
0-5
pn vOW room = 0, dCMcm-' NUTS lhr.7i ghnut = rrl x itrus)
X10
15
lmpaaet by x%rknitum. livestock-, or dmtwr preduc0as,r
0 5
ti .1
0
Isub% retial i2pwl =0, no evldener = mnx paints)
1 i+
P'remce or rifne-i wilripple ani complelt"
U-3
{r -S
0h
t
1 na nMvmin Ei cir is - 0' wcll.dLn'clDprd = ulax pGjFtts)
IRs> mw CQMP
1T
city
ll-fi
0-6
Cl -tr
(little~ or tia hijbltal = 0. !Y 1iml. vurird bnbitats=max rint%)
I R
CMipapy coverage over slrcambW
0- 3
0-5
0-5
(no AaflinA vo euili-m - o, COMIT uuui 4i111SY = ra" P0lHtSj
14
Stskm9rufe embeddcdncu
A*
0-4
deeply emN.-dded - 0; limit iw1j wv - miaxf
It
PMOUCr of iftlelIN 11mvilrbre4ps jAce pagr 4)
�F
_
no m4enre cp)mtncm, numerous tym= max roh,15
21
Pio gamer of umpkibium
rt 1
(1 4
� -
(no eyidmic =tib cummm. n=crteuk typa11 = guix painLq
Presrnce or ttylt t, - a
0 d
(1-4
t1i! C4tti� oce _ 0 ennuoun. rhumen-pus 1 Flt - num D rLm)
ti i
fl 5
']I ITVMCBM art+lidllfe tree to - ti
{nu r��idam:v - 1). wbunLLmL cvidorwe = max paintw)
lw
loll
TWA Nnlnta NOW 140
'Mjjjjj,4C0ltXAglso anter orl first stage)
+ `I hvL c Q 11ui oQwriim ILS LIEU 11411 awsgmW in wawtuj '41rLarnw.

I'SACU MDO [)W(}d Siit! # {rndicatefin aaach� map,
STREAM QUALITV ASSESSMENT WORKSHEET __AIC;p
FrowkIt tbse faftssln9 mlarmartlon far the 0rrarn reach under &%%c5%M4-gj:
1. Appikam's name_ _ L Ewaluetor's nurse D
3. Doti: of cva I uwicm_ xx � � — . & 1 fmc of ev�.luauats
5, rime or stream: H f1. Klyci- 'ripen: _�`
7, Appro>timGkte dminage area- 1t a►c#"'1 S. 5tr{iuH aider:
9.11-= ofrench rvalualad: V-%41 ilk, County- r„, � .#
111. Site cmi-dintil m iifknown IL prefer sn d5ctma.l degrem. 11. ?ubdivisior nnnke irF nnyI-
Lill soLYdrIrK .1487,?3Q): LAMg1i.LKkkrx.-IasWIa 1:
Method I+,K-Utaun drlrsmined (ssrr1:0- CPS A opo Sk al l-Trlha IAelimIk P holniCrIS IIUrrr riIS rllhcr
13. Lucntion of detach cinder evaluation {note nearby road s Held ii41idnwrkb iinJ atlpCli neat+ Om IIfying stream( %) Iocaiioil V
14. prupomed GlSitonei work or
15. Rcrr1 celher condiuonsv
W 51 Wcrvldir ons at lime ofvisi
"wd 1' -
17, 1dannfy t{Iiy viol waterway classifmations known: �Saciion W ,Tidal Waters _F4srntial Fisi,enes Habitstr
_Tnput Waters _Guistailding kcsol-Inc watcrs _ JVldris nt 9Cr1. WV& WNWIi Vl aw SuMly WotenhedI� --(I-IV)J �
til. is there a pond u lake Wt, ted upnrearn of line evaluattun pont? YF -S if yes. t-+tltnulrt Thr valor iarf"x
{
19. Dasa c uurme I appear on LISGS quad m W7 YES ir?' 20. Ckxt rhuwei der VSnA Snit Survey' YES N6
21. Eantimwll waren land Le- ReFklendall ±if% C'0171merriai % laduagivll :`w Agmndtimall
,P—% Founmed �% Cleared r l.c+gga d _`.ro Othar f 1
22. ffimk ullI w4h. 23 8=k hci& (gym bed ts) test+ of bdnkl; ..ir
2#. C'#u mwi dope &U+w11 maw of scram- Fts►40 io MI _Cw nde l2 to 4%) lMPdcraue (d 4o lir 0 _S1ccp r> i0%j
25, Cbmiell finamity- iUx"imml bcads frequenI rx+e nd” —Vary iln4aus _B aided fhannei
1lnnruttietT! far aampiedon of warki5hM (kwAled on page 2J. W -ghs by d"minjililg Me moss apm, updjta 4�comgi€In based +m
ItIcaurin. Ice In, vqoalOri, 'imm l Clars2dfiratiom ac- Crary rhm-Acrm Nbc nt"t be {u fid sts:sng lhv sarriv eCorgi". A&Agn poinks
to vAuh ch;trm:twisTiv wAin the range shown for The ccoregicm Wage � pmvidex a brief dcwl:rip1ion of haw In review the
cltieracseri,IiiIEJcrst1ft0d in the worksheet, Scams should rell ocr an ovci-4i11 asetalfictll of ibc Wkr mn ieach Liddle eVaJustiOn. If A
j;jl,Lm% t,'I -li , ..imol be Evill uaied due IQ site or weathur contftiatis, eoter !T In the Scoring 1141F. Reid IitoVWLl all ckpJslnsiion in the
crkriji1Wni ,t4 tLor I W11 11sorK arar obvious ciunges in the vharwer of a mrrartl under review (c -g, the mlraam nki ws frnm a pwrtuTe
111kgk iti illri`411, 1110 RtN-aln may he divided into smaller riches tlkal dnplsy nwIV C011t1rIt1I1Y, dial Ik NI 1)a me form 45rd W evaluate each
1t1rth. ML tiltul SCUM LISSIgncd 10 11 AFtUtu leach must rssnRd borwoun 0 and II1il, wIIM u Acore or iw ri 1pmgo m inA u 5lrram of idle
11igalerlt 4 U;k1ity-
'fatal snare (ftm reverw). _ commelm:
l?rnlsslntar'Amostarre-- _ Dieu
ihls c6anne9 cvaluvilIon farm ]s lareslded ro he asrd oelwy m ■ guide to xssirli Ixeticlwlrori and eltvltaamentall profeminnWN kn
llntherly1f the 4212 required by rhe trotted Saites Army Corps of lEaginmrs to mike a prellnrinary ari"smcga ell itrraio
glEollt}. Thir Intal scorn resultln2 from the campledoka of this irriran 1a subjvcr W USAC'19 approval and docs not kmpl� a
particular mlatgallaaa ralio ,;i fvquirv=nl, Form subjecn In dWge - vrrskun aWV; To Comnioni, please ealll N 19-4 7 r844 1 x 26

hC16C(!htLttL6leH91ICM 4FC 11LI[ 4A%C.S4itl 111 L4Fi.L-11A 2-TMI113i
#
CIURACMRIST7CS
ECOREGION POMT
RANGE
SCORE
1111
riwont
111knunhrin
_
Presence of kw 1 persistent pools in stream
_
0 5
0-4
U - 5
on flow or sattuarim = 0- stmng now = ma,1< mis
P%idencc of past human sherml o■
0-6
0-5
0-5
0XL=iVC a]lerafjM = 0= W akcranan = MaX nTi
Rlparials aoTMr
Q
-
-
ao buff _ cc a a widr buffer= max wits)
FvideiKe u r nu tricul cw vhemip l d rges
U_
I rsteaszsr discn=vn = (Y Be &whargm = max inti
ti
f-moodwater discharge
0-3
0-4
0-4
no disc - U`wet etc. = � mts
Frnescr aradjmwat flaodpl&in
U-4
0- d
0-2
f BO flood . C+' extensive flood awn - =x D0911s)
6atreatkmumi r noadpfaii arcen
0— i
0-4
0-2
- 0 t Roadio - ,n g
Prnem m or ad jaerat weHa�
0-6
0-!
0-2
No wet.6n s - ail we" ,& - mm Dmw
Chimed 92HOIlty
-
{I-
ivc chann�eWalim - 0' rant RLr�ndel } Mn-
f o
SLAmw impel
4-
0-4
0-4
teoxive - 00 lirdi or no wLilir ml - mn PoMW
41
Sim & dlveraty of cYamael bid sobsu to
NA'
0-4
0-5
��IYCI.e si7,0�, = Ma tuts)
iCvkkoee of choose) incision or widndag
-
i+-
rt
(docoly isncioW= *IC We bed & banks = mos
L
PtsaaLoe of major bank tag urea
13
0- 5
9-5
0 .3
8Y' Crr Ciov*n - b" ]tip cnmior4 stable bauis = max Ial*'
1
Ran[ deptb and dcniii} eR WAilL.f'
0 - 3
0-4
{no visibir toms = [r &n4e roots ihrougigiul = man FwMrrI5P
1$
Imapmrl by ngr"Iranv, %w'elllack. or timber producifto4
0-5
#]
[!
,t►tlst�tfl ` t � na evid�r = max im,0
16
Prcu2cc of HM-ponUtipple-pool romioexes
0-3
0-5
$-6
n#ilrsr rs ar ,uIs D. tII dV1: =max Lti
Hilbllat i umplesky
[M
17
0-6
4 - 6
(1-6
(little or no habitat - 0 uen varies habitat nmx ints
19
Calsapy euverage over 111nmmbed
0-5
0-5
0-5
Inv mh4d kop vp elution - 0 cerwinums ca -nae][ cMnts
19
Subviwe embeddedom
NA*
0 - 4
0-4
(deepiv cmb%dikd = 0, 1 m stLwtLwe = man
:0
Prmcoce of sl ream lowwtebratcs (see page 4)
- 4
0-5
0-i
r
iia Ct+ Fwir = ccmTium n wnerous typu =mgn poiw)
i
Prarnce of amphiblans
i) -
I (1-
-
no midizaa a 0 11i1h11�T AN = ek
"1
0-4
0-4
22
Prrsebm or f1d
IJ -4
11L1 rvidmco - U- uUtIMP1117 L111w roux tym inax oint5
VVIdcnnr or Whdlife ate
0-5
0-5
no evidence - [I, abundant evidence - juax m .Lits
Tog imIPolntartw1ble
IW)
1170:
100
TOTAL SCORE taho vriter oft firs[ page)
hC16C(!htLttL6leH91ICM 4FC 11LI[ 4A%C.S4itl 111 L4Fi.L-11A 2-TMI113i

USAF£ AlW _ _ DWQ 1 _ Siw i untbcmv Ons mtbAchad rnapi
a] STREAM QUALITYASSESSMENT WORKSHEET _,,4W
Provide the folle*ing information for thv to ream reach tuider ass"4aarone;
1. llppiiontir's oatsee � _ }. Fvaltlatasfi'r tiaitlx: � _�
J. late of earpluati 4. Tntia x,f cutual ion
om& Nam of su+eaurk 1t.1��vtr bas+d
7. Appmxierartr drainage area + a . 8. Sawsn nd,- -:
9. Lmo of mart evmluated —0%- 10, Cvunly't 'rG•*li
11. S'sle g mwdinaLes (if known l: prrrct rir+$ermadl jagnees.
J-,uitudela.i 1487231:)'
11 SubdiviaInn h,imC (if zpy)�
l.onziftW OR. -71-356611
MdJmd 1a4;1Leiri31 d.ehunvned4cirtlk!l. OPS Topr) Stx@4 OrftjAerW) P'holiVUl5 VOW GIS Ohm
11, LKaliU11 OF reach u.arder aVallud#ion inore nearby mads and laadtmwks and anuh map identifying sLt a s) lacntiunj,
ik t. Nvoosed c1Onm2el wntk (if may):
#1 . Romm wmthcr o.mdit ons `
16. Site �013ditions al um of vwt
17, )dmniify dny special %stffway rlassifiwauoims lmnwn: _Section lit —Tidni Waters __EasentW rishmses HabiLm
_'Tmut W Oter.S T Oumiwding Resource Watm Nutrient 94mm ive Mom Water Supply Watembed 0-11 1 1/5"6`
18.6 thorn a pond or lake located upstteunt of tir rvalumioo point? YES NO I i' yes, ceit(aMtc thn waWr surface RufaW
19. Don 4' aanol appear ou USQS quad tnop7 YU 00
20. Dow a hmmal npp mr ors USDA Soil Stwvay? YES NO �
21. Fattaim d watembed lane! tsse: :9 ftazidatAW 9b Cor=er tall _" u ladusaid _% Agrscaltrual
. Bankhffl wmah, 13. Baak be, gbi i.fiviR1 twd to top ofbw*):
14.{.hntwl dope down {qua ofsamm =- Vint Ort to ".i. __Cieode(2 to 4%) plaid rote 1'1 to 100 _S (;Ifrvi)
Kch{ st7t $ 5Inuosity'—strnigbi ()IL-CA$1Wkal I'Cnd3 _%_ Frequent Meandct —VCFy So3isaus .- 13r ided clrnnnel
1njFirurtldi01 fur canrr#pledon of WOrkshccr (loCilled urs pogo 2): Bcgin by deta:rmining rhe mass appropnate ecorrgiusy batted on
looniiait, lurmin, vogeafion, stream a:iomiflcntitxt. ale- Every characteristic mulct he scomd ming rhe same ecoreourt A%ip perinl%
to euofi ohamMrialic within the range shown for rhe ocamgion. nage .1 providox n brief description of how to teview lice
churmnlarixtios identiliod in the woAshecl. ScoicLs xhould ra±llert an avcralI as5wrtionl of ho strearh reach under ovuiuultun. lF n
c mmtonsAie cannot ba evalwalr,d "e to site or wrn#ta<r oudltitrfls, enter 0 un Iho sCnrnng box and prnutde an expIspal in rte the
owl tncot tylion. Where them we obvious cha,trM to the chitmcter of a scream lintier rcvtuw (r.g, Etat stream 11owS From n pasture
into x fomat), The storm may he sdMded Levo muller saaChes bass driVky more c0nti$kk91ty, Md u 5CF4h-ate form usrd ro evaluOre MOP
reach. The toW scorn a:isiped to at su in reach uveas raid bcfwc= 0 acrd IOf). with n wore of 1011 mpresenttng a scream r)( Elie
hioat quaSity,
Total %wt< urnm reverse): Codumm ti -
Cvaitualnr*a SImhnture Date
phis ehannari rwatlnatlan form is intended to he wwd anly urs a puldae to as!<ist landowners sad euvlrommentat profmsluarrl% iu
galbrr)pg the drita rcqu!T d by the Vatted S4*Lki Army Carps of Faxinfers to make a preliminary assessment of Stream
quality. rhe total score resulting frdm t1K corgph:tiaa of ibis rarm is sabjartt w USACE approval and does out imply a1
partkrulat mltlgat la n ratio or regolremea t- Form miblW to ill - +rasion 0W] i'o Cor"menF. please call 914.876- 4441 it 26-

STREAM M QUALITY ASSESSMENT WORKSHEET
* 'Ilsexc chamctcnkiics !3rtr nal aasen9ed in X091rsl gtmnti
ORE ION POINT
RANGE
0CEE.
R iC'I`)�'R� '1'[C'S
SCORE
Fm-
pledmaal
Vk=Wa
Pre -ware of flow I persistent paais IN rlrram
0-5
0-4
0-5
On flow ur saturation = d- SYTM nuw - MRX iota)
Eridemeg of pact bu mae alleraNan
0-6
0 _. S
0-5
oXILrWNO alteration J 0; nu ull=tian - max oil
3
F,4mrian xmmii!
0-6
0-4
0-5
trio buffor = 0; you ' ous wide buffer - aufx oLa
4
Evidcocr of nucrieni ur chcmlesl dlsehargae
0-5
0 - d
0 4
e[XtVR5rva 119C11ffi O5 = 0, nO dIHG C8 - rr= POWFS)
5
Groundwater disch■rge
0- 1
0-4
17-4
(no dim - c - 4 wrdUa ete. - ami inls
Presence urad}aceut lht udplaltt
U-4
0-4
0-
no tloo,i Lju-b_ i =L4Au flood lam Trlle 00inrti
F a t >nie t) &mDdpW2 acorns
0-3
U-4
�} -#
emim ied- U. I fle2 in =neat #ifs}
0-2
�
Presence of ad#aunt egsalli
0-6
0 -#
� wdlarfd�- � lir jai' cxm! wetla:�da - altfwt atxj
Chad alornmity -
e7tiarssixreCjUW eiir,antrM=0.MtmalTntumfler=max 'It4s�
Sediment input
' `� ry r+_ `!
r!
10
(q�I nsivy tleppsiiion- 0, Me or rsu sudirri i a iaiax o mismm.
-S
Sim & divenhy of duE= i bed xuhsUW
t h14' 4, i.' 0-4
�frac..fUmm��e><i„��s �;lttrglFclivcrec sites=mmt:�x+i>sas} � - _ ..
Evidence oftlmma.rJ hwhuu or wfiiittalrA
4
_
—_ (devOLY j = G. wbk- bed 1c. bmf"' -- ma, permti)-
-
.r
ftes" [s* of sra w bm& f>rnum
_ -
� i1 1_CG: +;r[ ►1rt - l}; oO [oipn_ R *}t; htnks - #LSAx �rtoix)
- -
.�
RwE deptbL arad i} an back,. d _ 3 {a -,
I
fS 5
�-
fno vmW ror�i - 0; 34o[5t�IT4ug*fl -rtTdx
(watt by egrWal4ure, Ovamadc, or tEmber prodlmirti
IS
U - 3 0-4
Lx0b%=txl invact AX uo tr'+'Pdm-ze m mu PRM
{? 5
L
ib
i"rcYeace of ri le-poeLerippk-pool ccagA xes
0- 3
0-1
to- 6
fav rif ri les cr pooIs - 0; well-developed= am
1
llnbitst wmpl.exky
0-6
0-6
lF-lr
>ittle or no babital = 0. frequent. vary hsbitatn mu aims
I
C omepy coverage over stres tubed
0-5
0-5
0-5
no niledin , V tatinn = 0; Continuous enmo - imx imm)
l
SuBmte cod &Adedness
NAL"
0-4
0-4
dtikiply umbcddM = 11, smzcture , mjVx
20
Prlsweace of iI#Iram invertebrates (sae pngn 4)
o-4
0-5
0-5
�
fl0 OVSdemig Oi uummun numerou.; types - max inti
21
Pmsc ce of umphib lamm
0-4
0-4
U 4
O
(inu wodk,,ce 0� mmmcx1, numerous t = m&x paimml
22
Prentice of rob
n - a
o -d
0�4
�I
(no cv�+or c = 0• cornmun, rumetuus � - n%L iflr4
I
lE vldence of wffi ife use
U-6
Q-5
0-3
trL` evidence = �' abuodmi evidence - nm pKiiuLx
11dat Poiara Pemble
100
too
too
TMAL SCORE (also CBTCF on first P i~)
* 'Ilsexc chamctcnkiics !3rtr nal aasen9ed in X091rsl gtmnti

USACF AIDN DWQ 0_ - _ sill! 4 1 tD&CRIC 00 attached imp+
0 STREAM QUAUTV ASSESSMENT VVORIKSHELT _,OW
Pivvwi+ the 14AkkWjhg lato"naitlon for the %lrrrm n:arh under ritsimmment,
I. ALppliekinl's nain,:. P 71 �A 2. E"MWtor'q nAlue. Line_iuy_.� -
3. DQtC Of rvaivatlort; � � _ 4r Ti= nf ew41uation_
S. Narrac of slrimfrn & River h wn-✓
7. ApprUxipiaw#o D1C7k' '1 }
*��i. _ $. ;;ti'cgr[! arijs�
9. Length gar reach evalur od. + 4 � _ l♦l. C'.nwia y'. �
11. Site coordiwuues (if kirown)= ttrrtrrt ISI dacrrnit b% tl« Ubdiiei%ioat na= (if dry)
1.nliMurc (CA 34 K .'+ISI
t.onga PAA i � 77556611):
4iaxhoi locative tk-w iumI{ctrJc1: IPS Tope Shcot Dnha IAenal} PhLiTufC15 C1dM ICfS oLhrr _ _ _
13. L.ocativii orrc=b underevaluation WAr nearby rondo arwdloobbiLukg end attach map ademdfying itrewn(s) lucatk)1%1;
14. Pwpascd 6ru mO work ilf kay);
15. Re xrnt wcu h a caritiitiamL
1lt. Sitr cmaditiom at lupe of VIN it
17.1dcaettfy >uty special W#Iwway cLssifirations k-nowo: _&Xil u 10 -__'tidal Waeers _Fe=tid Fisheries Hahiaat
Trout 9w wcm __Ctpstaadimg Rewuree Wat,rss , , Manan Semis nuc Watm _;�_ WHICr Supply WaWANhed _LP1_(1-r ),
M Ove Issd=e a pmd or In tc+d kcaof the avaluat�*1111un ? YES 6P if yes, eKtimrse water mrracc tea:
19. Dam charm A qVitman USGS quad amp- YES & 20, Doem rhumel crPew m USDA Soil Survey? YES 740
21. EAUWWd ratatir bed law: true; Tib Itcsidmtw % caanncrrill l �°r. Indmanal �9fa Agncuhwai
+wlij Fglrtsted _,"a Clmrt!d i Logged _`�r Otho[ l 1
F i
11.x. U4akf A vtrmlh-_ ___j
— 23. $nak bea& (hem bed io lop ofbiink);
r
$4. Chifincl slope do Am center of wta m- {t) in 2%) � ('ret(flC {2 to 4'Sio) �ftl4det'dtC f4 to lt1'Ni ___&eep (> 109ru1
25.Clurmal sinuosity _45imi; ht '% Ckcmranal ben& _FnNuenr meaiidet —Very sinuous, _-.Braidrel CKamcl
Instrucrinas for complellop of wurkshoew 1lucmita d ep palLr 2): Benin by deturinLmmg the m3m appy trtlto econion hawd on
lucatiaeoa, irttaio. Vega urioll. staautn cladiN.m Lon. ctc. Fv ry Ouvacirns is muail he ;Fared wing Ute same ecangooa. AmLgn puinb
to ekwa:h rzhamctch-xtic within The rxuw shown for the o-epon Page 3 pmvides R htta:f dese4fica of haw tip m0ew rho
Than wmisbca Wrntificd uz the wt+rkshoea_ 5comt. 3hoold refIca an overnll msc rl of the Ftremm teach wdrr ev ah=ota I f a
Lh..act�hshc connol he cvalusled due to site or weather condetwum, enter 0 Fn the %:QFireg bOX and prpvrdc sin txplaamw ni m the
Coma mt iectwn. Wherr them are obvious AkaFIM in the L:hmaeoer Of it stream uascict MiCw (12%8, tlwr StM= Ramos from aM pasnOe
iniq a famwt), the Am= t wtly he rlewtded into NUMIler reaches Ilwrlt display riwt7re wueatenuaty- mW a separwtr foam used to rvalueite cacao
r=h. The total wom aoigxtal lac a WUUM t h roust rang bewoers 0 and 1 W, with a satire LP( 100 representinte ■ srrrum of tits
heghol qua:lity-
toes]Score Itram rr-'nerve}:
IcvAigor"s Sigrlaloi Darr _ — _-
This elmenot ovatluartion farce it Emended la be urnd only as s wide to assist lwtedas%am and envlreanevral profeWuuals is
gathering The d4ttit required by Me United Slaw Army Corps of EngiRcers lu make a pn'eelimilta#y amessena:nt of tta'ram
rlwtalfi.V. 1'he lato1 scare romilting from thr mmpkQo* of 1hlw fora is subject to USACE approval and docs, iml Imply a
partl£UI*r• mitigaEWa rodLo or tequinvtmt. Form sub W todmnge -- version 01VO3 To Cornrneawt, please call 419 -M6 -R441 x26.

STREAM QUALITY ASSESSMENT WORKSHFET
ZiteWchornctrriflus are not "ruk�-,aW m cowml strciimt
ECOREG ION P01 TRANGK
#
CHARACTERISTICS
SCORE
Coasw
Pledmunt
Maualsfm
!
P'rtxeace of flaw I perxiaeteat pools I■ stream
D-5
0 4
0 - 3
Luc now or swunticm = 0: avtin (law = mWc inu
y
grid nee of psa hummA nlierstl m
0- 5
0-5
0 b
oxtzuAn c al twation - 0- no elsmtion = mu e4
Rlparirss aoeW
0-6
4 � 4
0-5
(no buffer �' runs utts, wide Nuiftx - mu }
4
Pvfdelste of nutrient or e:heemiral dhcharees
0 - 5
0-4
0 d
e nNthive disci t _ � o� dixch�r es =max fMty
i
G roundwatcr dfachwgr
5
0-3
ina dimchar ' il; 5 rift , Weannds. efe. - MLI
PmemcenfadjuculIlwsodpluleQ_4
0-
0-
i
uo fl it Ft. extonsivc flood tato - n= Q
7
IKatrcaschneut I k?uodplaim t14 -m
0- 5
0- ,3
0- 2
t deep1 ant2=� od' • f3: Fia uont Ila - max DiVj%
"mom ar ad jweds
0-
fl -
0-2
NO urdato #s = 0;! uxut wctbm& = rim rs n
p
p
17 — 3
17
(ckimm kr- mthin - (f agigu1 awandur ' mum rte)
- - - - -
1
Sedlinent htput
0 —5
0-4
� - �
extensive depsrsiaia—. D; liyd. or ix, seduucret = max L.
11
- � „�
Size & dhmrsilg of`ehsancl 1w d aabstme
{ ltuxdagcouen = forge. dlvctst sns= _irrksl
--
�-
> .oe ofinajee'i' fi laaxs
LSI—
. �,�'�`�}`�. - �} 1Yl ;lY kLtYY-I¢F� �ayv�•r�SI:IFll4 j9�- $� �
-
_ __ _ _
_
0- i
rl 4
R*W drpti and deWly on banks
-
0- 4
inn v6iblr n-mts = 0; dmm• . uots r. im LVur = e ax;ate
11-4
?i
15
iavPWt by agrir_uisur&, Hve;turlL, or limber pmd11ctin■
0-5
0-5
�7a�t81tLGi� L 8G1 � lick IViC�fiCC : �
16
IN a of rlf 1c-puWdppie-poul compleites
0-3
0 -1
-
0-6
2-
na rill U or pcialk = 0; wep-evelo d - est>p� rots
.(ric
Habitatt
lT
compkdty
0 _ 15
0-6
0-6
iittie or no hab iW - 0; hmqucn vnrls:Yd hebdfils - mrtxPoints)
I
Cmaunpy mverage over srtreamb ed
0 5
0-5
0 5
shadin vn tatie c 0' nrcinurtus cants - m x inW
19
Suiudraft nobeddedoess
NA*
0--4
0-4
crrasWik+d - 0- baso ;ibuOuTt - aeon
110
Premmer of strum laxer"ralee 0,m page 4)
0-4
0-5
0-5
1
no Lvidemcr - li- {omrtnoa mmw=li Mxj = max uta
(,
Preaeaae of aiaplsiblesrs
0-4
0-4
D-4
no evidenca - 0; conuwn nwncrous !xm = mit Oullltfi a
22Pressatce
or nch
0 4
0 - 4
1} -4
(�
no "dance= 0 cot]tTm, numamw Max rots
F; vldeatce of wVdL& rsc
0- b
0-5
D - $
no ewtdenc�c P. bundam eridme - mux trite
`I DLAJ Paints PIPPA c
100
140
100
TOTAL. SCORE (&u enter an firmpage)
ZiteWchornctrriflus are not "ruk�-,aW m cowml strciimt

rUSAC8 AfI7#_ DWQ # — Site #F (indicate on attached snap)
M STREAM QUALITY ASSESSnENT WORKSHEET
ET -
Provide the folluw4tg Warmation for the stream roth ender assess mens:
1, Appli=t'F. uaruez 2. F.,valuatur's name- J-Ucley
3. Dato of evaluation.' ID/10 4, Tirao of evaluatictt_
5. Namc of stream'_ 6. kivvr basin: 114r[C
7. Approximate draiaage area OLC- S. Stream order, f
4. Length of reach evaluated: _ _.0 u
1 t. Site cooMinfttrs (if knawn); prefer in dtmimai drgncs_
Latitude (ax_ 34.87.2312)'
1o. County' 1W 1 4drd _
12, subdivision name (if any):
L cmgitude (m-37_ssFe 1 E
Method 43eadnn determined (circle); GVS Terpo Sheet OTI o {Aerial} Plio[ea G N Other Gla Ocher
13. Location of reach under evaluation (nuto nearby roads and landmarks and attach map idcutifying s[ream(s) kwation):�
14. Prpposed channel w6rk (if any):
15. R.ccent weather conditions:
16. Site conditions at firm of
17. Identify �Lny special waterway classifications known: erection I4 1dal Maters ssenrial Fisheries Habitat
Trout Waters _ C3utrtanding Resource Waters _ Nutrient Smsitive Waters Water Supply Waterabed (nV)
] & Is there a pored ar lake located upstream of the evaluation point? YES NO If yaF, estimate the water surface area;
M. Does channel appear on USGS quad map's YF_9 NO 2p. Dees cWnel appear un i.ISDA Soil Surny? YES NO
21. irstimate;d walmhod. land use: _% Residential _% Cotumcrcial 0-6A Lmdust W % Agricuhuml
14 Forested % Cleared � Logged % Other
22. 13ankht! width; 41-00 23, Bank height (from bed to top of bank)'
24. Channel slope down center of stream. _Flat (0 to 2%) _Gentie {2 to 4%) _Moderate (4 to I OM/) _Steep (> l pg
25. Channel sinuosity: Straight _Occasional bends Frequent meander _Very sinuous braided channel
Instrncdons for completion of warli Avet govaled ep page 2): RegiTG by determining the mast appmpriatc ecordgion based on
location, terrain, vtgctatian, strd-am cltt9si.kiid6n, i�tc_ Every rhftractcrihi ie most be s arbd using the sarne cioregion. Assign paints
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of }pow to review the
characteristics identified in [he works beat Scores shoaled refleer an overall asses smmt of the stream reach under evaluation. If a
charactedstie cannot be evaluated duck to site or weaakrtr canditions, cn[e:r 0 io the 5,wring boa and provide an mplanativn iTs the.
comment sft ioa. Where there are obvious Ghanges in the character of a stream wider review (e.g., the stream flows from a pastdYe
into a forest), the stream may be divided anta smaller reaches thal display more continuity, and a separate form used to evaluate each
reach_ The tectal scum assigtol tb a strtam =oh mkt rang between 0 and 100, with a score of 101D n:presenEing a stream of the
highest quality.
Tobd Scare (from mverse): 66 Cornmeots:
Evaluator's Signature Date
This chxnni!l efaluation forin is Intended to be used only as a guide to assist landowners and enviroumeataI 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 trsutting from the completion of this form is subject to USACE approval and does not Imply A
particular Tnidgation i'stio or requirement. Form subject to change - versiou 06103, To Cumument� please call 919-876-8441 x 26.

STREAM QUALITV ASSESSMIENT WORKSHEET
i f no mW of ntmmlqn : SL.m flow = gw UOS
I KTWkm= of patsl hiumim >dieratkm
I 0 0-5 5-
laFa.�l�Qn
mbnf� = {F enn ide buffim !PL,�aoi�ls 0-6 8 - 4 - 5
IMkoce of nkibiml or nc�ralki ff dhthm
-xtrmi 'e dLielmrpes = 0; no d� ck�� = mm- I� -4 0- 4
romeL3.1vies,IdsrclmW _ 3 U-4 U-4 J
1747 disuh= ,S III�i, R2i F �k'Cif.FLr1�5, 4"[C-. 17�
Preece of adjocm I MoodpWa
1 -flood m¢ _ 0; raltzlsiwe rloodialain = TAHI iloinE+�
F.�•emr� mcnt J 4loosl . iy�im accrR�4
0 - 'a
cd - [1_ .: mpcmi Flaoding = rmgL p6inlx
usx WC&U& - ll: • adjac�T,l wj;LbncS =mHx pi¢rs1
[ hanne3 4osi#q - - 0 5 0 4 U—.3 -
I _ 1rCd9ivit.0 riCli Ei[>ti = 5fiXte Max. I
5cdumcm input
��(r.`kL�n�i�+rclilx�rf]�.lisiTr�u�n�..yr�fao�ml�n���rrmt�� €I S €1 0-4
I i
Sur& ldivr _v ofdiammel Fled ,sohscratr
—
j U,6hk um orchan aid fmi6m mr widening 5 li # 0 5
-
13
Pr��aAlap ssE or a�lc 6niorl D 5 t 0 � �� 5
.Heol daylh amid dimsillr un hanks
14 6-5
nq visible root - 0, der ■1
' Impart by l� ElveomdL, or fmbEr pffndmffi"
15 #} 5 fl Y #*
{ bs�aossal ; ><aca; =ct: na.t�,z3rw; = ma.% s
16 Pa�l+eace�of rilQe-puanSrriap_�k•�o] cou7plexes 0-3 0 - � 3[lav tiffle,&?6PP . OT F'MX Is ; e[ dcwe]rr�exi_ max 0-
� ; EfobiiLtl rum�x�y
ffgip 4f SIO iso mll i): 7uem rim, habimis max 4ri�st� 0-6
Casap) euvenLge over i�r>
irimbed
Tii ## rr
_ U -S
�. (114t�4AR Vep.jon tm = {l: Cnnl7qu,�uR L�1�J DM_TWOL 9qN
Sabsmtc embLAdcdnm
i$ *dA" - 0 .4 -0-4
Prtmenre of srmm .
- —
fM
-_ 1 c'vidm7 �- D: ommnag T�suaersarl�.t3paxs = nmx,. gimq) a?
Pr6ence +Lf nmpjdbinFW- II Ol {J N (} 4
yJ t;},C41a GJ1:L I1, cI-,'lilll tiYe.�.16W11 gpms- SkprtS_ -lE dll11k1u1 �'—.. —
' # Presence of rob
0-A 47 A 0 -A
_ flop vithnico - Ot cm gl{!il, mmwi muss
i Fvldi,mcc ekf wlldllbLL me 0
_
{1 191 Lr. V[l!L!r1%-L{_{I; ,IIIL!JjLIArrLryid 8lkc, 9na k T'llilE{s)
— {I.�.
Crural Puilles 120.0-101c, 1(0
'F'+C TALL SC ORE,
I'lick chnracicnsries nrr Rot Amq��sied m c,-�atral ;rream ; - -

1. USAC E AID# f}WQ #�
Site A (indicate on attached rttup)
M STREAM QUALITY ASSESSMENT WORK FCEFT
Provide the fvllnwing hdormation for [h€ strEam r€ach under assessmeme: AO
1. Applicant's name; PTA 3. Evaluator's amne: Pke
3. Datc of evaluation: 16-10 4. Tim of evaluation.
5. Nsmc of gtrea T -
7. Apptoxuvste [drainage area:..1.0 AL .
9. Length of reach Cvaluatedti la=r11r
11. Site coordinates (if known); prefer in decimal dq eeR_
1,WiW6 {ax- 34.8723 12):
6, Rivei basin: rt T 4�
S. Sze= order _ I _
M Cusmty
12. Subdivision name (ifaay)-
Longitude {ex. -77.3M6 [ I
elk od lacottnn dcterrrdrwd (circie). GPS Tqa Sheet Urtho (Aeriad)PhoWMS C}ther GIS tabu_
13. Lavation of reach under evahiation ( note nearby roads and landmarks artd attach niap identifying stream(s) location)'
14, P'raposed channel work (if any); -
15. Recent weather cortditions: _
lb. Site conditions at tirrm of visit-
17. Identify any sprzial waterway cimsifirutions kumm: Section 10 Tidal Waters Emntial Fisheries Habitat
`.,Trout Waters 0ats[anding resource Waters Nutrient Son 't' a Waters Water Supply Watershed —04V)
M Is there a pond or lake located upstream of the evaluation point? YES if yes, estimate [he water surface area;
19. Dous channel appear on USGS quad m p? YES 20. Does cbamel uppear on USDA Soil Survey: YES NO
21. i?stimatt-Ad watershed land uw, —% residential _°l Commercial --Y. Industrial a Agriculbtn l
LG /o Forested _% Geared { Logged —°/o Other {
22, Rankfuli width: 23. Sauk h6ght (from bad to top of bank); � r
24. Channel slope down center ofstr:am: Flat.(G to 2%) C3cntic (2 to °10-) Modcrate(4 to lWA) _Steep (>I0%)
25. ChanrieI sinuosity: Straiot "casionai bends _i-requmt meander Very sinuous ­13raided chaonet
ingtrardonsi for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoreglon based on
location, terrain, vegetation, stream CIMSiftcation, etc, F'very Oarattertstic must he scared usaag the same ecamgion. Aastign putntil
to each characterlstic within the range shown for the ecora&& Page 3 provides a bri,-f description of stow to review the
cbaraeteristic4 idenlifeed in tate worksheet. Scores sMuld reflect an overall assessment of the strewn reach under evaluation. if a
0har:ieteristir, caveat be evaluated due to site or weather conditions, enter 0 in the scoring Wa and provide, an explanation in the
aamment section. Where ffierc arc obviow changes to the ohftmtctar of a streatrt under ov,ow (c,g., trio strum flows frail a pasture
into a forest), the g hmam may be divided into smaller reaches that display more continuity, and a separate form uEed to evaluate each
reach. The total scare assigned to a stream reackt must neige between 0 and IGO. witb a score of IN representing a strcam of the
highest quality,
To4al Scare (from reverse); Cumments-
Evaluator's Signature Date
This channel evaluation fortrt is Intended to be used only as a guide to assist landowners and environmental professional& in
gatherinft the data required by the United Ststtrs Army warps of EngirLms to stake a prdirninary sssesaffment or stream
quality. The total score resulting from the completion of tuts form is subject to U ACK spproval cad does not imply a
particular mitigation ratio or requirement, Form subject to change version 06M3, To Cnn1nen4 please 1919- 9-576-8443 x 26_

STRE&M QUAMTVASSESSMENT WORKSHEIET
e�
1 Nc.-,mfe of flaw i prm*jssur pgwW% itl streom (l �--
(no -Paw or swoWion_ (ll stx nr, {iuw=mix rA)hT s
—-EviRkaatrr. of pig human Alii ttion a 6
uii _ rton - Ir, noalIm tijm -
wparxan Igoe � F+
E ddence of w ilracot or cheita s] &V%ap'" s
_ i_u[Eco ivr t c'Mr ; - #h rin dex:tuuPL% = zms 1 rl+sj Q
igo �ts£ _fit, sprims, -wgs. Lk' , rlti.- TRLhx (was}
�.► Pmepm of mdjw�ms I Q-
{mfluod L�La = 0: cs#rr�ixaa fl�� kl��}nirt run
! - IF i0michm-go ! Mmmiphiin acriss
cnTr�rl,ret = 0L fwgprrt Prx+dtn 492% 0—
Prewnce of 24J Weal *,L'1lwudx 0 - 6
��xsykcC3 Lia =�e ua a 3di ' _at wettaflt% Rrci T)tltrrtsl
f cl elIrlouilxl[}
� 9 Li -5
(erbsis}ve L etik�Lm = lk; rr amm i me-todct mm. atnCS
1 - - - - sa"0611 input - -- 0-5
{gid 'rdrrpusi.�ion-{I: little u_t iko xtx]ar crit .nax Ponos
LFrac, hfiMaE�N10us = 0: lorpcl.divMc t;17kfiL— DIM pntnix)
RvIdtmce of rhanarl Incisi on or wkiciditg
�. 1 '(.c€r��yia£cisc.�c1=�:.stubl�l�er] t�- h.G71.ti Ispat ry�rrlt5) �i�-;
Presewe of lnnjirr balls ratilurc
F - IWVLr[=guu =1J; du)crns3c„� Ld;1blt• I3.t11L} - nlrx Polnts7 -
f Rant drpllr and dcil3Uy ou b-AILU R 3
foo Yssih_ 1C mut = f�: i3&:nsc MUM tMAI&IM - ITzM pnirro; I
I S I rttpari by agri"turc. 1'nvdudc, ar tlrniher pv(kfDCtioa it
tip+ r�Ei .
_ Iil�ry�'ki �u1k- L'1-$d1.hUc Ttt,iR prsrotr,)
it, F`fesea€ of riilR pool'rippkF-pool {'nttrrp6ecCs 0 ,i
!C'i.LTF - Q. w IG dCVCJgna - RI" jLL3IT TJ
� IFlarbila! in3mpltxilti
oc or no habAm 9 �ntrrd. 4ariti ImNtats t um Pdmm% i
1# Cimopy cuVerargr avrr iTrdri#bod fl.:
_too_ slimming ver -r ti (in - i.M; cLontiniQa c�Igvy - mpxpau�Lg] -
Crl Subsitmcc emloveldWam # ...
_ _ �deels�4'errehedde�--f}: Zor�e ytrric�urr' ttur��� — --
1rf� Presemcc of sfrcvm,lip vrrlCbrales twL, p ige 4)
(no ekiderlce =11; uammnn, riirrt�r LLw i).pr.y_ rnLIX.Litttyl_ T
!'rescnty pr Itmplrkirisus
�Inca �w.ilJrrtu'= Cl; i;ixtn.t!lcF[e, itu[rtrt{xu,c rvris'i Tl}g7L_j1(�fni9] 1
Prrscn[c of lish
{nn i'4'eC�€m-c - f}; i[�SCi1TIFIIFi ttrAlClititlti t �]w+ mix-�ints]
T � y �—
E%-Mmee'nTwildllfL: ta3kc
€n,P ovkkvice= 0. labtttidatll evid''#loc 101-% pstikuL,t
I aCal )�1]4tS Fasfibbk� 411p
9L entet-an fir.&A
i �wj OS+twcicnsvt s we lith aase-�scd in LC;tsW mlca"IN
N r'I RANGIk ISCMIK
11 4 0- 5
5
.0-5
tl
4
O -+i
#I-4
0-4
p - 2
11-4
0-2
0
0 -
li 3
0 d
0. 5
II i
Ir�s
"z_
(l -4
U -S
0- •1
-
Li
t1i b 6
i? Q b
11 5' 1 0 S
0. 4 fj 4
U- S 0- 5 C)
ip 4
+l .T 0 4
tt S 0 C

USACF AIDP 17WQ V Silt rF Ilndimle on imodC ed Tnap.l
M
TRFAM UAL11-V .. ESM -ENT WORKSHEET
PM%Idv the featowinc Information for ilir rttnmw rraeli undrrammmi ivat:
L. App haw 1'a nutnc: 2. Evalum ar',� came:
3. f]ntc of e-valsu d no: — 4. 1'rW of evalimtiort.
& Mum um or . _ 6. Rivas lxasim
1. Apr rcfx6naie dhaina &ca.�J
9. Length of ranch s► luatcd 14. Gallnlyr w .. #
t 1. SAL- coordi t jan I if knmwnl prefer PrP Ank mW degtceL 12. Subdi v ision rimme (if any);
!.atm& (ft 14,572314)w
1-4*WA &d tk. -77356611
.Mdhrsd l{mAtion WcirrEincd (crrcfc)-. rPPS Tapn 5hset a7rrJtcr {Ar iml} Pirata C'iS 0OW Cr1S []lyes
I3. Location or reach under evaluasmu mole nearby n> and Imadnuwkq and Onch Map tdaat5dng atrenFN0 Iocatimi.
$4, Nwc sed ehmmel wart Cif arty?
15, Recent wasthdr t:omd&m;r. .0-
I (i.
0-
I(r, Site oasrdidons At time of riatl.
17. Irfwmtifv any special Walerwsy ckseificntivn.� knowtt. _scetion 10 'Nal V4atc1€ _-,sim?W Fisheries liabilrl
=17out walcts _0utstp dmn8 l mkoce Watery _ Nuirtrni Scsitive Waters are+r 5uppty Watmhed (J -M le OV"
18. 6 iMm a pond or lake luceted upstrrtmrn mfthr: cvzlrmsran prim? YE6N I if y", tirnatc the water aturfeee Orr -L
0. Dm t:ita =l appear on USGS guar! map" YES 90 2A. Dm chmmel *peer on USDA Sail 5trrvey7 YES NO
2tl. Fltimawd wulMhad Wid wee= _ °,a RLSidmtial 9b % C'olmmlmial _% iadustai AVMhMn4
22. Beak full width:.— #3. Qawk height {fir= bed ID lop of bank
24. Chunml slopc down Lvnter of t trram: MAI (0 to 2%) b-' Ganda (2 so 49'x) � k4oderaw (4 to 1OV, l __St,raep (> 10%)
ZS. C'l mm2 sinuosity' Stmghi __!tOct Lskirwl bon& _Fnequfst mearadesVery sinuouA _Braided chasrncl
Initrttctlotla for cirrpletluA of 1Yorksircel (!neared an page I)- Begitl by dim mraing the MUSI al+ I)Pflate eCUrfttatt based tsar
location, kn hi. vtecta11cc, sMrn elamfcaficn, arta. FVery chum-leristtc mast be scared tt.9ailg IN s reormgim. , ssW pornt_a
to each rrhartir~rerisnc witbus rhe stege shown for thr eraregion Pqc ] prrnride, o bria description of how io irvtew rhe
chartalcnoic-, identified 1n tete work-thect. Scares should relleit m ove 0i as5es5nicol of the stream ref► undt`r OvaluolkorL if a
churvicnsric cannar he evalmu4 dun lm 3ik oT weather wndiriarrs, cater 0 in the wwirng box and provide an rxpinntmQn to the
CoMpt E section, Where intra: nee Ubvious chants M the ch off Of it a€tranrrt utulcr n-ViCW te_g., the ,!Tram Lows fn.Trn a paste
into a fonmi j, the %retain may be divided into sln4lim rmehim drat dully more cantinkAly, Md rr 1"ratc rnrna opal to evaluate each
mraeh, The toLul %carr` tsssignad io a strum reach am►oi ranee between 0 emf 100, with a srx+rr 0 ItIU rCpreseruMg a-011M1a of the
htghcsr clraallty,
E.valualer's 81ganture_ _ ilrlc
IAU channel et•mit Sidon Turin h inreiaded is lee usrd uni) of a1 stuide le ww6l lamdownem mind evArontTtcnral pru[rssianals in
gathering rite data required by the United StateL Army Carps of Engioeen to lnokit a prebminery atier'smvw of'treanr
yualiry. The roial Benre resnitliig "rn tiro cortipletluet of [Ws form is saubject co US~ACE. approval and duos nes imply u
parricela>It mI igation t*lio or requlrremenr. form ar b)ect DD done - vtreittrt Q&M3_ To Gammen,, pll4r Tali 919-874-4" 1 x 26

STREAM QUAIJTV ASSFSSRIUNT WORKSHEET
HEET
' I'bmchonrcteriaie5 are nal ashamed;Gk comtul Atronms,
ECOREGIO POINT[ RANGE
SCORE
r
Prem -Pre of sww f pe!'sistest pools its sgtsm
0-5
0 4
0 5
i uJD Bow or sanaatinn = 0 flaw = max ium
E,.idmre of ppu h rensa shersdo■
0-6
D - 5
em miti'e alteradon = 0; no nkg atian = max
.0-5
3
Riparisu ne
0_6
0-4
0-5
txu buffer - 0', t us, wide buffer = mom mis
Evidence of14b`imt or ckrmkd hex
0-
U-
-
><.kt2R.eive disc e5 = 0. no d&hargLs =mai j
Gromm4 warm diacbarge
0 - 3
0 4
Q —4
I no digzh L_re - 0; x hn s s, m ei Umds, etc. = max bits
Pre eder RE adincemt 1190dplsixt
p#
0- d
0 -2
j
Do f nMnia�n = 0• cxteasive fly Bite am is
7
En [reaochmeal i tloolp]ain arca$
0- 5
0-4
0-2
1 ennreel =1};ftNaml floodbi -
_
Prewvm of midwest wetlands
4 6
0� 4
0-2
{on wcdAnds = 0 a djacmi w Ltiandi = mzm
i
f'
�
�
CAmmd slamo fit]
0 - 5
0_4
0-3
�aii+e tiprt = 0Lna�mtl rneendel = o�a�€ r��
-
0 - 5
0
0-4
—I
1
i
1{1
Sediment input
ti+ry tiara= 0- Ldkv ar no sc&=t = mnx )
sm & crsuy ofc#sand bW snbFtrwte
{�
f -
dribs sic _ � . letslk
t1
0
ltla}y
EvOm r of rkn and fuciedua or mkoin
icri = U: 9n�k lid & bmml _ma },omt5 F
0
fl 5
r
frame al mwjw lank amsm#1
1 ,C% OTO -T� _k !Yu 5Fu47tx�l mai
a
14
Smog*plh a" dmskj on maks
4
U=
13-4
#}-;
-
_Arco V"IaX69W--0; drnx_rcruts iluzau opt =max PdUICsI
0--5-
0- 4
{} -
isubglantiO
Isaprrt by iWIr, ►kture; ll muck, or olmber production
i cl -Ll` no evidence = max o"I
16
Premce of riffleTeWrlpplc-pool complexes
U-3
0-5
0-6
(no ri91 + Icsvr pools=0Nwdl-d{v.clo nod=mix nisi"
Habitat
l 7
complexity
0- G
U- 6
0- i5
lifflo (lt no habital - Q" fixg aill, waritxi bnhilato =max iffy
10
C#aupy coverage ever stminbed
[1-
- S
0 -S
nu rbadin ""600 i 0; ccrtidaljuuq Cana - tzksax Ding
19
Substmite emWdeduess
NA*
0-4
0 -4
doc I embedded "4' loofe mLTuCtutL' !rink
20
Pfelll m of dirt%m lawrtLbrntes (sue pagL 4)
0-4
0-5
P-5
}-5
#
L-
nu evrdaoac � U' uaGnrrxuG nnn�mu� � r telex oiut5l
�
2.1-a
Preaenarr of sinphlbliaw
0-4
ii 4
mi7 CYi{]ERGC % i'{7fllm7A g1UfLCrO13R fl = mil7[ Olnt.9
?
Pregcnre of lmhQ
D-4
0-4
G-4
�
No qwa {lenue= 0' cori7nwn nftlticYau� t M = max aintrl
2-1
Evidence sof wlldtlFe u me
0-6
0-5
0-5
01l'1 evidgwo - O' abLuLdairl c6dunce = max oints
'it oral hilt" PUN%Lb a
100
100
l0d
TOTAL SCORE (also eater an first page)
' I'bmchonrcteriaie5 are nal ashamed;Gk comtul Atronms,

USACE AID# DWQ it Site # (indicate on aoachcd maul
M STRE" Q U ALITY ASS E S SMYNTWO R K S H E E r
Provide the folleming InformAdotr For the stream reach ander assessumnt:
1, Appliczpt's name: f 2. Evaluator's nye: L-1 Y114.1
3. Mtc of evaluation: 3
s. Martie of stream: e
7. Approximate drainage area:
9. length of reach evaluated:
11. Site coordinates (if known): praier in decimal ftrees-
4. Time of evalustion:
6. litiver basim-Y qt Fear
8. Stream order; r *
1s. Cmmty: biu"
12. Subdivisitm name (if any):
Latitude (m 34-972112): Longitude (ex- - 735661 t).
}�Te�haxl Iocatio �eterm�oed (circlej;
GPS TON Sheet Ortho (Aedas) Pbotoi{i1S 0Ener 015 Odter
13. Locatiun of reach under evaluation {note nearby roads and landmarks and attach map identify* strearn(s) Iocation):�
14. Proposed channel work (if any)'
15. Recunt weAther conditions:
46, Site mndidons at bine of
17. Identify any spacial watcnvay Classifications known: _section 10 _Tidal Waters _Essential Fisheries Rabitat
_Trout Waters �OutstEtndirtg Resource Waters _Nutrient Sensitive Waters Water Supply Watershed (14V)
18. Is there a pend cw 1 aloe Inated upstream of Elie evaluation poirLO YES NO if yes, intimate the water surface area: Lugs
19. Dm channel appear cm USGS quad mag9 OFNO 20. Does channel appear on USDA Soil Survey? (F NO
21. Estimaled wat bed land use: i % Residential !?-% Cil rnrnercial °/c, i.ndastrial _9'a A -cult"
% 1' oreslcd (IL°lu f'leared / Logged P °10 Other 14- (*VM
22. Rankfall width; - 1 21 Bank height (from herd to tap aFhank);_
24. Channel s lope dawn ccntcr of Rtroam: _Flat (0 to 20/11) Gontle (2 to 49/a) — Mederate (4 to 10%) ___SWp (>I 0°fo)
25. Channel sinuosity: StraightOccasional bends _Frcqucnt mcands r Very sinuous _,Braided channel
lutructioos for completion of warkshtet (located on page 2): Begin by detemvning the most appropriate ecoregion based on
location, terrain, vegetation, stream classidcntion, etc. Livery characteristic .must be scored rising the same ecoregien- Assign poinrs
to each characteristic within the range shown for the ucurcgion- Page 3 provides a bfief description of how to rovicw the
chaructcristics identified in the Wurkshcet. Scores should reflect an overall asses=ent of the stream reach under evidu.ation. if a
ebaracteristin umnot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explsrmtion in the
comment section. Where there ars obvious dangea in the character of a strum ander review (e -g., the stream flows from a pastuic
into a forest), the stream muy he divided into smallcr reaclms ghat display more continuity, raid a scparate form used to evaluate each
reaoh, The total score 2mlgned to a siream reach frust range betwm 0 and 100, "b a score of 100 representing a stream of the
highest quality.
TotaN Score (from reverse): Comments;
Evaluator's Signature Date
This elkannel evaiundou forni is intended to be used only as a wide to assist landowners and environmental professionals in
gatheriltg the data required by the United States Army Corps of Engineers to make a preliminary assessroent or stream
gaatity. The Natal score resulting from the completion of this form is subject to USACE approval and does pot imply a
partizulair mitigation ratio or requirement Faun subject to change • version 06143. To Currmaent, please call 919-5768441 x 26,

TREAM QUALITY ASSMSMENT WORKSHEET'
Fuses offlasr w1ru3semY Puuk ih,1IrrwM S
R&W or 9wn3tjq ' li. *trLuw k* - trt#7L- I�;j
G-4
0- 5
0 S
!
+ric,r �l�psi#hom�Esllrrnrtl U "b
y— ex Cubve akamaim - 0, no W crmx iN R
- —
Pirlmrian ir.9w
T
l•;ridrnlsc of eirient pr eYernirxli�r�s p r
cx 6 6 hMtM A, w di l lnN _ nun jpkMULj;)
l-� Cxraaw*Xu r dkduuv 0-3
— "a 41.g am No-cjj--*Y vkLi t_5 t, . ti*A %6)
Il d
Il 4
#
0 4
� �
i
1D- •
Pfi adjwCat Ilrodplaln
Irx1 floodakun Q: xs��zx'r �I. t aln m_ax FAI.MO 0-4
o -4
_ {Ii.�q�tti aroarrfradly wtL &M LE as ROMLM-- - F"M +amn) _ 0-5
l
Prasesa[>e of a wea4t VK%Isli h
a d
11 �1
v
x�,d �l#�
C CTISTVC C�ioNTI e4Fr doff = 0, pmbwal I•RCRFr1gE-- "IS W11
- - - -
tl • :4
ft �
Ll0
AML-st imp%t [I - 5
I.rXicirM_LVi: {IGpCS.tW, = 0. lirillU ILi EW &LM1i E2kt - tlln j7t1418y.)
0-4
ll -.3.
I
_
SW & d1ve rsu). of CIMPEuel I" Aut"ITSIC �
Qin V. h[unlll$LT!jp1,5 � - 0, C, C!VRiChc C', C... min Puirp(KI
Il
�k
-
Evidrurr of €hxnBAincimianluT whirring
_ (da T iti rrroi .,%J 11: hL�bf_r bk%f & kua1tk ti ate_ t —6)
-
�-a
-
Ott
�`
Prneare of msjor hwalk fi*ilus
T�=_ Y m"M —f r-wer_o_�t���1[�y�S�Yyk!'�..—
Root dep4h # ad IIT.} w4 hmiL4i
�r• �
ft,ov;x�fi+s:e�,�_[hd�nwrr�Ltlsel�F•��,: �1•,...�,r�ncx; --
�+
U-5
I
tmpar# 1y agriCubov, Ikmtocllw or dwiPw# prodwsirrn
_ t n_lr+simtal Mvsq no idk7k-r - :nrs`,L TWMl`
4
3
{l -b
ib
�.
'
PrrwAcv arrffktjpa punteomp"cs ._,
_ rwrttllr np,caarPi";;-O�% tier._o.- rte. Rlwk i
o—ta
0a6
I
_
1111hital I� mki
a—a
little ur no tuibim= 0fi Frugiw t, } habits% tt �p[,iFlicl
A S
0- i
0 9R
--
Ceonn taverage over shad it 'S
Y- fill !4113[ �I,n'taltrbn =E} Lwbnlr[IUiLLk3 __ ►�V -_illRsi j7L+p3_k�i , —
t{k
•
ssblmmtc embsddeWitela
r�rly L'rntiLxldcd.= 0 1wiw r ksom - rmJ_ -
N)
, l
Pre -more Of stream TL7Swithritm {Set yapx -S}
0, Ctll]tiTLcm 12'-rn.+flus 6Y� C�ttmxfa%
FrCL mcc of emphibLoas l i4
(iltr4ldL:IIL`{}.li�41tTMI1H.fllLltlL7�SLiLIyr el Yxtlsk.
0 4
1
rl I I I
-- 7-
:.
1P`tacm of fhbry
U L"`k`�r�i.y,:Y - Q;7T_E11C_!1, :1L£I1C:l'-p$ ma faN7lrpnoyd---
- }: vi&mr a f vpua lltie st4+e r} r+
I I)+1 C► iLcrrxe = FF LhtuLt«z!: : t Ldeaw- Ma �L117L7i�
4 - —
fntagrpi t% Ijljn?-Nc aadti
-Fn tag rpi
i1Ml too-
TOTA .
-71
!
i I i14xC whoraCCCC
L41 LVN .0 r:ljl is--c-ised La ril95ril -4LiC+LISLs

05ACD Ala# *W(j IV ane + {rrulaoattr OrL artmadted Tap}
IM STREAM QUALITY ASSESSWENT WORMHUT _A*
Pmviide the railnw•Ju+ lnrwmedDit far rhe irtr,r#m nrycb uaader s%wsrMcat-
9. Applicwrt's natifc. P ?a 2. JbvaltlffiWS Ftaanc_
J. i)NiVdfCVA ktlulltui: 4. Time ofmartuahum
S. Name K aMartx: _ b, Rlvasr Irt: /Ag�
IiAw-
7. Approatin+nW drainage a ma'.f �;2 a. Stream larder: f
9. Langth of runoh evtrlunted;_ — I 0 Counly:-'e"-t /AW -
11. Sitt cmirdi naim (If knuwa�: prefer -.n ami+rwi dogreca. 13. Sabdivldion mane (ifany1=_
LmAv&a et. 34.K'F21 t.�' I-rulginVta (o%-77JR611;
Mv&)d lacstkm determined farde): GPS Tapu Sheet Chet # +marll PM;rdGLS Otirr G:S othv�
13. Lmatioe of nmr-h under evaluation Now nearby nmA% and lmufttturks and attk1h wrap idrnti6-Ing slrram(,q I ricxtiLin).
it Propossll chamwl WDM I if anyy
M Recent weir candiunns;
16. si[c-, cQwitionq ill On of VWt:
17. jtlelWy any Nr1G4 id walffway dissifwations ImL wit-. _Sooian I U
Tidal Waters—lEmmlial Pishenes Baabitnt
—Trout Watem �OWtartdi g ltewurce Walm _ NiAdent Sen�;i6ye Wa l5m -- -Water Supply Watcrshcd f �(1-EV)�a
18. la vera a pond or Ipkc locstod upstm= of the tavaaluation pernt'f YES f If yea% emirmw the W9W !iutf10e: atrev-.
19, Does choral nppmar on USGS quad map? YES 0) 2& Dm cb&msl appear +aa USDA (Soil Survey? Y M NO
21. F.gtirrrttied wtmrAcd lid use. � �661��6 ResidentW �NO mal Taldu9maf 9i 1lgricuk=W
22. >iaa 1M wtdth:_ 23. Built height � from bed to tsop of bm k y ! -3.6�
?+ii. Chuml alope dr+wn cera# of imam _Flat (0 to 2%) J�4—ientlr 12 lu 4%)Moderwe (4 w 11PkwI Jyy S,to�w(-10%)
MChimmisintopiry- —stmigm�Ianoelben& _Froquentmmuder _Veryitinuous ��rLAi{ 4ri,laanpl
lma,rdom for comptcoan or wmrlzbext (loco ted on psige I): Tkw by dctcanining the most appropmte ecomogion basil un
lutaucn_ 1CW0N1, v9geta1i011, Sitcom dasaafic4op, err- Every rho rKicristic mLpmi bC scared using the mune awm%tun. Ais�ign ixiints
io each rhatactcrtok wilhirt The range shown for thr ccasrsgiun Paige 3 ptovidts a brief d"c-ription ur how ler, Nvl%�w the
OR neieTi91 i{Ls idrndfiod in the wurisheel. Scores should rckct an oventl airemment of the atremn roach w%Jer 4 VvmINWjnil If a,
chmetch9tic oatinot be evalunted dun to bite or weather condllios. rotor U in this nearing box and provide en npla rmlion m ilia
conkmeni scotion. Whtrro IWL airr ubvieus rigs in rhe clramwr of a SIMM uudar rcvieW (C.gL, that ttrram 110w11 jtum 91 pnVtura
into a forest), the atraum many he divided Into smaller reachm that dirplay mune continuity, avid a swrate form ii.wd lv cvallrtit4 t!llah
Teach. The talitl 9vbrc uuirW lu a stream reach Tnu91 rang! bt,4'Wt:tad U 406 100, with a scare of 100 repmenling a atrerini 4f the
jsigbe5 quilfity.
Tota ace" {freta "Versep q5 Commeats.
FValaiatoeo Signal are Date
This channel evatluaiion form is intrade4l to be rased only at a guide to asdst tandownrrx and vnvironmrntat prok"innisla in
ptbuing the darts rragpircd by the Uirlied SlAtes term} Corps rag Cngintrrs iu make s preliminssy zv;e-sNmrni or sitreuni
quality. The Mal arum rekUlling Prom rhe completion of thht farm Im subjeci to USACE approvai and dms nal Imply a
partkater mitigation rriiltr of requiremeol. Form s7. bled to vhangC - vatnion IWO. To Comment. pleaso tail 90-K704441 it 24.

STREAM QUALITY ASSESSMENT WORKS E T
' Thew churterkli'" are nol a, in coasW strram.
#
SCORE i N POINT
RANGE
CHARACTERISTICSc,�mmw
SORE
Fkdmomr
-mimatdu
I
Praeme of go* ! perd.va t pooh itL siremp
0 - S
0-4
0-5
(no flow M raft mmtkm 4 0 sbwg flaw - mat ibusl
2
Evidence of Pam human Attratfos
0.6
u- 5
0-5
€[easive allemon - 0; no alLvatlon - ffox p2iLl�si
R#mrbm mue
"
0-6
~ �
� - �
U-5
f
no bnf r = U' eao O wide buffer - max
'T
4
Evideme of ■uirirstut cbcmicni dwkarg"
0-5
0 4
0-4
extmurm disc ea - 0 uo dksk #Ler a - max Tots
�
cku�vtv-;
0 _ 3
U - 4
4-4
oa - _ �Grouedrral�er
you �
Prmmctorw4sceagnumipldn
p_q
0-�
0-�
(no fwm
_ = 0; cxtagwe class} lain - rim DDim
'.
+
Fmtrmchmeul i Jluodpisiv
_
0 4
0 LL
_
= 0 L fl ISIS
rseem ar adlomt vel#
0-6
0 - 4
0-2
Fn0
- U: ad rA L tllZn& -ice[ ria7uDs
Q {
0 -
0
=
Give Cbemdt LlCKt 0' =Iumi r[rut�det 1t11pt
til
sedbwo impof
0�5
D-4
I1--4
�
['� aitiatt= �' Piffle c,r n �, s�dirnrnt � utnx�poin�
5�it 8c di'vrta' ufctmn4el �e+d 6Absl�ste
'N
y
1
Y3
tfn%-- hotmgenckus = dsvcrw 5d=Fi = Tanx Ehflltt�: �
�vidt�e �f �riei tndsiaa ui" widrwio�
t
{Y i
0-d
Q - q
it -5
-•
�
0 �
Pr of�jR 6lmk failuRes
0 -
-.----
0-5
-13
ems+ t;j tr%-to C1 1}: ]a, cusum, !aubiu bi;T& - MVL to� _
y
.
=# 1k
Ram drpth mud d€mity no IiAnk�
0 1
4 4
{
v,
-.--
1#
0 5
L 11
Lmpaet by agricul iure, lhesiuek, a r tiMbLT 1N'ada tka
0-4
0- S
(Fobs4ntial im ct -0• un evidenaa -umx aims
f I
Ch
Presence of riltln-ponUrippl�apl compluscs
U -3
rl .5
Q-6
no riltlesiri ales or pooh, _ 00 wuti-dcvclo ud = max inia
17
Habfta# minpi"itp
0-6
0-6
0-6
Little or no habitat - 0; frcqucnvdhcd haNtuts = mux poinqL
I$
Canopy coverage aver at o shad
0-5
0- #
0-5
iiO vogourhzm - 0- continuous tans - max paiLl$I
19
Subslrate embeddedmen
NA'
0-4
0-4
20
Prebeuce of storm Inver tvbrmfve (gee page dl
11-4
0-5
0--3
to evulmcE = 0" commun. mumrow types d mu poi U
{
l
Prelcace of amphibfsor
U A
U 4
0- 4
} I
OO GVIi�CUC�C = 11" i:{]m�3 0Syi17C't4l�s { = IILgx iryt3
�
�
Preseitre offish
8-4
0 -4
0-4
{aa cvr mee ' Q; T21 KAI, ==rues , types= ma mu
73
19% idenc of +elldlife osc
0-6
Ix -5
Q-5
IIo evWcnc = 0" abmdaed evide[�ee = 1S
Total Paras Pauibk
100
100 -T
10U
T UAL SCORE (abw mWr on fiml pelta)
�
' Thew churterkli'" are nol a, in coasW strram.

CISACE Ail
[)WQ
Site k1 I kndlcale on attached Ynap I
M STREAM QUALITY ASSESSMENT O S1IEE T
rravide Me fella+ring 111rnmatWit for Nle strc*m rra+rh herder amm meat:
1. Applicant's loam[; DA 2, Fvalua3nr's na=:
3. Date of euaivaAun- _ 4. Timr, ai' evaluaiium.
5. Natrac of otmatn: .a F ad 6. Rivor basin�f?.
7. Approximate drainage area. 1 0. Stream order:
9. Length of ranch e+raJ4aned: ��.�� til. C"aunty;_ ilt r �
11. Site Cootdinaim (if known): prefer ifl decimal degrow4. 12. Subdivision nam (if any):- _
t.etttI&(m�4.V21L21' Langitude(cL—V.5556 t�
hfethmd location delam4oed (ciecle): GPS Topp Sheer 0nh9(Acridl) PhatWG1S O1hQ GM5 Otkr
M Lomucm of such un&,r eva Iwiion (nota nearby meds aril Eertdtn kl, and attach map :dcatifying sueum(ij1 Waskni)-
14. Propomd channel wain (;f rmy):
Vk Remni wcatha conditloos
I& Site conditions at Latae of visit:
17, ;Idt.nufy any spectral waterway alassifioativns known; —Section 10 —Ti" Waters _Eeseotiol Fisheries I labstat
,Trani Waiers _Outstanding Resource Waters _ [ulnen Sensitive Waters Fater Supply Wwerahcd 1 (I-IV) +
18. Is therc a pond or lake located upstrewn of the evotuation poinC? YES NO If yes, estuocte the wafer surface arou:
19. Dm channel 9ppou apt USG$ quad map? YES NO It Do" channel appear ext USDA Soil Surveyor YES NO
2L Estlnwed watcrshed laud ux- —& Residential 4o C1a _ -4/u jndr b+aI d�
Agricaltu
0 Famstcd Geared / Lagged °/c C{11Cr i
/
22. BankfulI width. 23. Bank hexgllt (from bed to iop 5f bank). f �
Z41. C:h mP4 slope down censer of stream _Flat (D to 2%) X_Gentle (2 to 4%) ,fo&erate (4 to LC%) i5twp (;�t0%)
M Clmnr l sinuosity. _ . _ Straight _(k"s,onal bft& Frsqueru irkexDder !C Very sinuous --jlraided chao341
linuatrtions for cam pletion of vrorkshefl (located on page 2): Be& by d4crmining she most amoptiasr evamgion bawd osl
ltx:wion, lerrbtn, vcgnlafion. sl ream classification. etc Fvery rharn[teiiak -must be scored firing the sm9w ecuneglon. Assign points
LD each characicriAic W1111 n t1le Lange shOvit for the econgion. Page i provides a brief dt%udption of how to review the
charactmisticb identified irk Lire worksheet, Scams sMuld reflect to ovmll awmsmmt of the stream reach wider cvalualion- If a
dliftruttTintic c=wt be evaluated due to site or weather cuncttilom el W 0 ir# alae -coring bay[ and provide eel explanatton in the
conttnenl section. Where there are obvious clumgas in the characlar of o amm under review (e.g., the stmarn, flows from a petsture
into a furem), the storm may be divided into smaller reaches that display more wnrinuity, and a separate form used to evaluate tack
reach. 'l -he to#sl same assigned to a stream reach n}us1 range hLlwecta 0 and 100, with a surae of 100 representing n stream of the
highest quality,
Toad genre (from reverre):�� C"flmtn nt :_
Ely ski uator's igeaturr D2te
This thatrnrl evolvallan form is intended to be Lased only a! ■ gulde le assial landamwn and crivircntnrntal prafemioails in
gathering the dale required by the United States Army Corps of Vaginerrs to mane a preliminary zssmsmcni of stream
quaEiry. The 1001 were resuiling from the compieemn of this form is subjeel to U5ACE appruva1 and dam nol imply a
pad iratar irk IHgrlIon rally or requirement. Form subject in change - version t]W03. To C:omrnrnt, please call x119-87[-6441 x 26.

STREAM QUALITY ASSESSM-ENTWORKSHEET
"']'hese chara,.rcristics are not asmased in coastal s Creams.
OREGIO Pc INT
RANGE
I
F#�:
#
C'AARA 'bG STIC
SCORE
Caastal
Piedmont
Mountain
I
Presence of flow f persistent pools in stream
0-5
0- 4
U-5
(no flow or saturation = 0: sttxm-g flow =Rax aints
2
Ertdenee of post human sd(cration
0-6
0-5
0-5
extensive axlterattiou = 0- ng ahcraticm = max poin
3
Riparian zone
0-6
0-4
0- 5
L.
no buffer - 0; conn uous wide buffer muxpoints)
4
Evidence of untrien t or chemical diseharge-s
0-5
0-4
0-4
exleasive discharges - 0; no disc s = maxpoints)
5
Groundwater discharge
0- 3
0-4
0-4
no dischar = 0; hpr!pgs, seeps, wetlands etc. - maxpoints)
�.,
6
!presence of adjacent flnudplsiu
0-4
0-4
0- 2
rf,
ino floodplain= 0; extmsive flood la[n mupoints)
Entrenchment ) Road koro arrvss
P
0-5
0 .4
0 2
(de ly antrmched = 0; frequent f wdin = moa€ amts
S
Presence of adjacent wetlands
0-6
fl- 4
0-2
(nn wetlands = Djarw ad-auciat rnsxt puintsl
Channel sinu451ty
0-5
0 - 4
0-3.
_
(axt�isive chamohaflon = Q- uatmal meander= == nems}
=
a1
'ltl
Sedimeet input
IJ I 4
V
(p,rtc�rrsi�'e dcpoaiiivlr= 0; lit[1c or no dimcm = max pamts
1
€1
1 Size & diversity or rh:ivnel tred snhstmteY } I
-
�n1e,13omoget3Uu5 =- C7; lark, dik urns .;yrs = mai[, rri�Ts� _; = : -. . . ,,F. .3w�
P�'ideneeolfrLsnneiindsiaonenidcniog w
0-4i? (-5
--
.--.--
-.
td [- 0. s�e kdbnks-maK Poia�s)
.�
13
Prue of major hselr fa1'1!ares f
- -
(x�Cra.erosum- o; uo rrus;oa stable banks -= nia%. poirLsp
--
14
Rant depth sed density on banns
'
nu visible Faces_ 0: douse routs throa out
R - _
�pact by atgrirnl#ure, E emac or timber p rod i it�n
k, {] �-5 0-4 0- S
lsubs=u al Impact mu ; no evidence = mpoinv r
li
- —
16
Preaeam of riffle-pootlrrpple-pool complexes 0-3 0 - 5 0 - 6
no riffle les or pools - 0; well-developed = inaa[ oints;I
It
17
[Eabitat complerirw
it .6 0- 6 0-6
Fps
ittle or no habitat 0; frqqumvaried habitats - maxpoints)
Canopy coverage over streombed
1
(ac shad n ve etabon - 0; cootuiaaus canopy--maxPoints)0-5
Cl �
0-5
19
Substrate embeddedni2is
-NA*.
0- 4
0-4
�}
(de l)' embedded - 0• loose st-ucture - max
j
20
Presence of stream invertebrates (sce page 4)
0-4
0- 5
0-5
no evidence = 4' common numemus es = max Tigip S
U
21
Presence of amphibians
0-4
0-4
0-4
0
(na evidence 0- cornmoa numerates types = max pojVJ
' 4
iZ
Presence of fish
D-4
Q - 4
0-4
no evidence 0; Gammon ax awverous t vs = mints23
Evidence of wildlife use
"
(I -
0-5
f IIo evidence = U• abundant evidence = rmah oints}
Total Poapts faossihfe
IN
l00
100
TOTAL SCORE (abso enter on first page)
"']'hese chara,.rcristics are not asmased in coastal s Creams.

U A01v AU> DWQ # site 0 (indicate oto auadted map)
M TRE M QUALITY ASSESSMENT WORKSHEET ZAQP
Provide the following Inrormadati for t> a stream reach under a55essrnent:
1. Applicant's rtame: ff-LL— 2. Evaluator's name: �+5 —
w
3. Data of evaluation:.. i - d 4. Time of evaluation_
5. Name of stream- l y— C River basin:* F6
7. Approximate drainage area: & Stream order -
9. Leno of reach evaluated; 10. counv,
11. Site coordirmtes (if known): prefer in decirml degrees. 12. Subdivisioil name (if
latitude (ex. 34-$723 t 2�
Longitude (im -77.556631;_.
Method location detormincd (circle), GPS 'Topa Sheet Ortho (Atria]) Phot&G1 S t]dw G:5 other
13. Location of reach under evaluation (note nearby roads and landmarks and avach map idenfi fying stmart:(e+) location];
14. Proposed channel wurlt (if any):
15. Recent weathcr conrGtions:
16. Site conditions at time of visit; —
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Front Waters __Oursmnding Resource Waters _Nutrient Sensitive Waters Water Sur -ply Watershed
HL is tlsore a pond nr lake located upstream of the evaluation paint? YF if yes, estimate the water surface area:
19. Does channel appear an LISGS quad raiap? `140 20. Does channel appear on USDA Soil Survey? YL O
21. Esthmated watcrsbed tend use=71 "la Resid ttia; 9Nio- Corrtmmial :°o industrial '!6 AgnculntreI
lL01a Forested °10 Cleared f Logged �°l0 Other
22. Hankfull width;_ � � � 23- Bank heigbt (fmrrt bed to top of bankj-.
. Channel slopo down umtcr of strearn_ Flat (O to 24fu) -f�-Ucntlo (2. to 4%) _Modcrato (4 to 10°10) _Steep
25. CharineI sinuogity: Straighl . kcasional bends Frequcnt mcauder {_Verysinauus __Braided Owmel
lnstructiooh for comptletion of worksheet (located on page 2): Be& by determining the mast appr-rpriate ecoregion based on
location, terrain, vegetatiou, stream classification, etc. Every characteristic MUST. he scored nsitlg the same eCor�giwi. Assiut points
to each characteristic within the range shown far the ecoreginrti Page 3 provides a briar description of haw to review the
characteristics identified in the worksheet, Booed Aould reflcet an overall assassmcnL of the strusm reach under evaluation. If a
characteristic cannot be evaluated dee to site or weather conditions, easter 0 in the scaring box and provide ati explanation in the
comTnenl section. Where there are obvious changes in the character of a learn tender review (e -g-. the aTem flours frGm a pasture
into a fbrest), thu stream tray be divided into smailcr rruches that display more continuity, and a geparmty form usod to evaluate each
Mach. The total some assigned to a stream reach must range between 0 and 100, with a score of 100 representing a strej sm of dw
higbest quality.
Total Score (from reverse): t GmMelnts:
Evaluator's Signature Date
This channel evaluation Form is intruded to be used only as a guide to assist landowners and en-Oronmental professionals in
gathering the data required by the United Stares Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of Oki$ form is subject to USACE approval and does Rat imply o
particuigrrni4gation ratio or requirement. Form subject to chmge- wcrsion06103- Tolroummn p[L-nc call 919-876-8441 x 26.

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STREAM QUAILATY ASSESSMENT WORKSHEET-
-
—
-
RECKA POINTRANGE
C� + f' its. I3C
cmww
-
rnsmu of M?" r Persis `st PwLin Stn=m
y
Eva nkz 6F p st homm f hermlim
0-6
4-5
0-3
3
ffiuvart=ft�
inn bnf�v ik cos4 rls. q i: -le b uff f - mK )
0-6
U-4
0-5
kvidewroil etiirirnt or the a al dhchaJ:gm
10
-
GYdwiucr d6chArgr
0 �
4 �
Q �
(qn Jdisch stir - I ac- --7�E invi I '
6
� o[ �sar�t �oadph�
0. 4
6-4
0 -?
(no fkwwWam = Ui z9 r t]txx1plain = rw-x pawl
?
---- Ewrrochmm /rmwpbm aoms
f
0 5
U -f
U
�dr'Gi IV cnwmdkcxd +Usr+ fl -g = max PaL-w l
(zJG LV LIS = I.t 391w Jia = wE - IILg>4yUmis
f�iC siFPP�4:fF
l $
0 4
++
yFQC [Inmr�rrnl�pn = 0-, Fl umv) nY� = nwE Pauln)
.
0
0-4
0-4
s .
[mttgri w Vr. do usa u(M-.Q l lC Lir no �riir�u�Ji = >�pff�.
11
si di'ersitw aFCb-ii-, hew ww—tr; 1g
,
-
0-5
fine, i gklULM = 0: tore, divcJ c si i = � I
=__
1 }
Esidenrr of channel imicbinn or wWrdpZ
0-5.
0. 4
0 - 313 -
d m65of = U; ppb Ir bcd & b nks = maz .
i?Jrm a of major bmtk1si lum
11
-
_ 4v r rro lirn - n., :Ktr.luo, ,Lib1 L banks - mq garm
+
141
Rnrw depth and drn;1#y on bank -s.-
a
D - 4
(P-5
nu ve"i' -k rpyLi Y3 UO LKL triols UULV l hn�il _maK Points)
15
IMPNC1 by agrloWtu rJ, livestock. Or limber produrtinu
0-5
i! -
0-5
4VJ Lw1 I EkCi =# , r�u c w rJ�mor = �L�C puauu l
,� �-
t
PrWFLCPmfriMr-poOUri�pFJew�rnultrnnPlex
U-3
0-5
0-6
.rtll3esh'I Ir5 nr ;1u�s f}: w��I-i]rycid_'_-orWx �oruLy
17
Cabjiat uuplr 7tld}
it -6
A=6'
0-6
�IUdc or no habitm 0; freramw, V riie-d habitam- nmx
IR
eop} covermgc @Ver ArLWmb4
-
0 5
iF
� �luu�irL� v�j�etgiion = {l. ec,'lili ni�s►u� wr�op}- Jr,�+�. i,gtrlxsl
_
r
19
_ _
yulrslrlltL` euabiAdedurss
-.0;
Prsmm- of Rtrpe m ail vorrcluott J .`s (site r1g+r. 4 E
i
0-5
fl 5
(no o}'idcnu=U; minimnumcruu}c ty�xi'�=max trrrir3tk)
-
21
' Preseaicc o[J4niPILibinnS
T Jnq tsY�+ r+u' -.�}i UVrnuurrl, riLLnL,:rLim iylarr.-_rnnn Ekunisl
?
l'rr.6Lnve of Ow t
_
ni3 t4'1{�tli�f;L{ f�; GfMriicix?IL, EllIIIIr-rou t td ljlr l iA111 i 7_.
1'.Yldi`.nct, id ri'llrllifr, 1l6L*
-
-
- tlgc evidtiece 0, iilmnililr,d VJLJCAU-A' It1SJL L�ltil.---
I`�Mlo� I'��I�ifx I'iMhM1ilili`
lJT7
300,
C'00
*'I Il yl C}inC4�4'� r�N$1 5 11SC n0l LLS&L.;iiM in Cnl-,iu d gteallh
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WETLAND DETERMINATION DATA FORM - Eastem Mountains and Piedmont /
Prujacvs1te. —2111— fiky+CoufMlk J '+� Sa11,plai4j
a pc3nunvOwner — rare: SamPfinq Ppo14 .
rrlVeNiafFMV(S u.664 di Sadfiarl, Towmhip, Ftangw
I.ondfal111 (ktilldslope, [WrWc, sk li Loafll raw 0M=va, ow"X. nava)
Subroplon (t RR rir MLRAI. LFII, Lang.
Soil Map U{rN No"
or ^ tP.&fe.
NIM Umz&Mlcagm:
Slopa %-
Dalurrt
Are tllm401r, I ho(04VIC oDrdllldn4 nh tlbe Me lyphua7 ror I#rla ions df yaar? Y" � No fir no, explain in Rarrwks I
Am Vefleralion � Salf :, (If HYCM lolly _ _ dpnl rlcandy rJisllebeV Arra "Nommi Ckeumslanms' present? Yes ,,� No
Ara VaAvlallon _ _ , 8011, or Hydmmipy. nalurodly proNorriotic? (If retied, expLaln any 9n.5wers m Hemi r15 r
5ilMMAR Y OF F1NDiN0S - Attach sIto map showing sarrrpiIng point locations, transects, important features, etc.
Hydr phynr. V�p■�:aL�+l f�rafne�lr`+ Ywe fVu — b the 84rnpitd Ar■&
+iy inc Sal Prmenr 1'e4 Hfs wflhln a Wetlind? Yat. Nn '"C
vVvinarid r-lywalagy Pre rti7 V+ NrS
Rem�ks # —
HYDROLOGY
= s1 a sal c f56)
$ Y vogabmw rx ' s I Ra
Drwnage Pgwvn516101
M068 Tmn Ln" (816)
DrV-Sezwn WvkK Table- (lam
Crwyl;3f► fyl F&M JCS)
.& � V an A9►E31 IMUWGV I CIAi
gmw CX Stev�PJ Ptum (l) t)
C*eon+v+vt+t P�Yselon I D2?
shmlow ilquiCOU 1173)
WaaGaPPRM Wv Relief (134 f
rAC-Neerlraf Tali In5)
SafiPv1D9 Pre5ml? Yp6 N4 Dspv% {+ry hohl , Wetland Hydrorogy Pro&onP Yea No
RernaAs
;rkt9Eh-1yrFuge r+xaniuWINJ wu+l W-tMI PfkA4YN. PrevbUm InhP(nAP s) 1' Mwndahler
US Army Corps cA Engff+rfia r E+Isfprn ly mrdylra and Plat Fpwl - Inffirlln Vor9Y�h
Surface ?4&inr I At i
too A4Laoc Pwa M14)
Howw1er Table iA21
= HydrgetiSfraftodw(Cl }
_ SakdaLon (A3)
_ s7Aavad Rl+rwWmapn iLNvlg RDM (C31
war V$r M (132)
PrQrlfrKA of A06LOWd Rohr (C4)
Sa*nKgt o upe> a (B2)
Rfic* 4 bm PAdUC4mn in TIM s d5 tc6j
Ural Dvoars (W3
rhm muck su:'f" IC1)
�. Allpl Mgt rw Cru!9 {BAf
othe d6 f4 in Ramorks j
Iran 0900--ia (BsI
_ lwxgl Vrgtble On ACF491 Ifn2j0fy (RI
—KWffkxS1,1kw! Leave& ?841
AQu3Ur r ,n% (8131
l'lald Ob�e.val�ane;
Surfape Wf}ter Pr&%m17 v 5 � No�
PeNri k4pCtmo
Waver Table Prenl? Yue No
is
Dopni (rnrthmJ'
= s1 a sal c f56)
$ Y vogabmw rx ' s I Ra
Drwnage Pgwvn516101
M068 Tmn Ln" (816)
DrV-Sezwn WvkK Table- (lam
Crwyl;3f► fyl F&M JCS)
.& � V an A9►E31 IMUWGV I CIAi
gmw CX Stev�PJ Ptum (l) t)
C*eon+v+vt+t P�Yselon I D2?
shmlow ilquiCOU 1173)
WaaGaPPRM Wv Relief (134 f
rAC-Neerlraf Tali In5)
SafiPv1D9 Pre5ml? Yp6 N4 Dspv% {+ry hohl , Wetland Hydrorogy Pro&onP Yea No
RernaAs
;rkt9Eh-1yrFuge r+xaniuWINJ wu+l W-tMI PfkA4YN. PrevbUm InhP(nAP s) 1' Mwndahler
US Army Corps cA Engff+rfia r E+Isfprn ly mrdylra and Plat Fpwl - Inffirlln Vor9Y�h

►VEGETA TION I F m r Strata) - Use -scienfific names of plarntt.
-- err Ur�rrr�t irri
IL
=near
iPd >a e
a
Fit- C-
a
IL
I�
IOL
= Toddl r~a�r
twdLmowm I FkA sigAc
# t
rl'r _
-(r�lx. •
arc* Tn! WW%O *t
Km dw of Do.yn Spraes
Thos Am OBL FACIN, or FAC (+ ]
Tc1 Mm. r d oomb"
spwmilvorx�s Ae' 1
ofcom spomD
Tw owv oBL r -Acv. w F;AC _ t1Ve t
LW NM-
.
_
FAM
mWerms0
,,_a
UFIL spm
[ s #
cukpm ' alb
(,y
'ib M)
Pe aki-m
tapes -&A +
# - Raw 7"1 to' I rkopftvw VVENAbn
2 - Dornkwm Test �i � %
! 3 • pmyawm krdear s 13 4'
dna ingm.ln oron a MpotMo d")
Prmbleeroi6e htydmohgtC V&D"W' ;TOWN
`b-OiW4grs d fryprIC !A mid wind Oprdagx rrmiO
he tfRsenL UnJM *WWW ea [rr UC
Dei Fd,om of Farr YfpOion ftn
T"o-+Moan piw ts- ftty drq 3 in (Te aml or
nsare in at bde begat (Mmy m9et%ft;+ or
3 - 44oOdy pEenRs. #V vera irrs
Ir 2 R DBH U40 gPsw 111W 3 2 9 iF 0 m� w
""--M f"Mmo s (trarwr+ .dr} plan, t*g&*d
#1 -of sm, and wwft ptarliS kris nan 328 * W
Tmm Comm
V-" SUHMM tftw wo I
3
4
= TMM Cctw
pPOO "W"W" r or a1►*�"Pon
+ lo F
US Aumv corps no Vroo wo
V100" ** - Ps wmdw -n-L-5 g+*atrr r %mm 3 M # n
TM
E.Emksm Mou+,talns gill FrWL rwi - Intorl❑+ Vomlar+

SCRL SampiiN Point -
Profile 13"[ ipflon-, IDescribe to the depth needed to document the Indicater ax confirm the ab¢ence of indicato r.�
Ngtth _ MiRTIx Redox Fastreres
Rndiyol Calor {Mofsti % Color {mold} % ; e Lacy Textura Remarks
�-3 7. fYA L
q 16 lip - — –
HOrlc $011 tndicatom,
FfJstosal (Al )
Nstic Epipedon (A2)
Shock Hlstrc (Ak ]I
Rydmgam SaJkf de (M)
Sbi111iaci t-ayasrs [A5)
T Z orr, Munk (.410) JLRR H�
DeplMot] Relow Dark sur414e (A r i l
Thlok parte Sur#sae {AW)
Sa3rtdy Mucky MIM"I (S-1) (Utft H,
MUM 147, 149)
Sandy Guyedty blx(84)
Sandy Radox (M)
_ Stripped MalOx (96)
Reabrictfve Layer (if observed):
Type: —
r}epih (lnc0s):
Romarks-
'tocation- PL=Fora Lining. M=Malrix.
Indicaiom for Problawfic Hydric Sc
2 cm Muck (A10} {MLFLA W1
Coast Pralrie Redox (A1&;
(MLRA 147, 14.8)
Piedmnnt Flowplaln &ifs (F19)
I„1LRIA 136, 147)
Red Paraint Waleriiol (TF2I
Very Shallsw Dark S.urfaca (7F12)
Other {Expk:dri in FRemarks)
Dark 5urfaea (Sl}
Polyualua a@Jour Surfaa;e (W (MLRA 147, 148)
Thln Bark Surface (SS) (MLRA 147, 1461
LaatTly G{a3+ald NWx {F2}
❑nPhMad Matrlx (F9 �
Redox dark Surtaw TO)
Depleted DwIcSuence (M
Redox Depressions (H)
Iron -Manganese Muesses (F77) (LRR M.
MLRA 13d)
— Umbric Surface (F13� (MLRA 136, 1221
Piedmont FloodMaln Soft (F19) (M LRA 143)
'rftd=tnrs of irydrophydc wegelsiion and
amdand hydrology must he present,
untesa disturbed or pmlihamak-
Hydric 5oH Prosanl7 YID No r
98 Arrnv Carps a[ Englneem Eastern Mcunlawis and PkB(JMonl - IDIP,im yarFion

WETLAND DETERMWATIOk DATA FORM- Eastern Mountains and Pied mant
PtojecilSda. _ _ _ CIIVECounty ,14. j S2mpl1n1g Dal8.
AWcentl0wrle+. V1 fA _ $IaIe _ Sampling Fudrlk . +
Inve9ll13alar(>t}. _ - Serkn, 1rvwrrship, Range f
Lnrldhkm J01%klpd, larria 1. EIC j. e ,h til T ral acal rollaf {tanrava, convex, Hanel' S1opa (s�j. — -
Sut•"on {LRR or MLNA}- Lel; Lnr1g . Dalum.
Soil Nino eewl Not" NWJ elassificabDn:
AFEI dI MQIIC � tly[lrnloplC COFIdWWO 4FI MIP RIIQ lyplCAi kF lhlr, IIn16 ai Vaar7 Yea ! Nu . (K PD, explain in Remarl45. �
Art Vagulkilion , W1 :, 9F H1Ntriki9Y � OignMr.unlly dhakuted7 Am -Normal Urci-r11Stancesr prewnt? Yes }, _ 140
Anq VEIpL-tplisrn -� ,Sall or Hydrftly _ .-- rtgttl(eJly flmhlarrtMllc7 {kt ribaded. expkwn any amswers Ir? P#Amarks-)
SUMMARY OF FIN DIN GS Attach situ trap showing sampling point locations, transects, important features, etc.
Hydra4ihy1ic V■rgatEpon Prevent ' Yas NO -
flydrrC Sal PrM nr? Y+1K _ No Ef the Sampled Ares
WNN1rr i iAtetlind7 TSS �r No �!
Wgstlanif HydrokW Pre9or,P Yox _ NO
Remarks.
trijj ff } �
'-<C L. til iRl.%L 46 -4ff_F1
NMROLGGY
Wi1FifFd FlydFiv,! QV k dll I
5ecorrcarr Indr�RlafS il.w-in-R m of iR^ reguWadi
$arrdC Soil wry I1M}
L4ater fAij
rulla
,ue AqAMU 18141
Cunwm $ 1:941)'
s,�.
_
_
�s
— V VVBter 7M* [AZ
Hyl fte I �i4 4 Q�Jr (Cl k
��v
DrakuR •ii (a 10)
SaWrWko IA3)
!_
_ Oxklomd Rlueari_#terry M4 uAn Roots (CJ l
T MM Trh LkW (816 )
I ffW 1fiAS l B i J
: Pti'oopw t AF Radac 9! Iran KA)
DrySawan Waler-ra6i2 (C2)
_ S� p,,,qb W21
Wow Iran Radumm In Tftd So& LCS)
_ CGayfell Bcrrmn VM)
Dr f.. Cwepos,ts I. B3)
Thin Mum SwtA�e 1C?}
5alwabw V on Awl ftroDwy (C9)
— Aral UM or Civo M4)
❑ql bft (f In In ganwrks-
_ Srtrrted or svewm planu (DI)
kw DePOSM {BS)
Gaamnri nir POSU)n 021
llMald9IYu11 do AarW WMgWk (97)
Shilliaw A4LAard ( 1
SlYmw-Stood LiMPA% (W
_ W&0TIG)PfAPWftr R AEFF (D4)
Aqwbu Fax& fB13)
_ FAC-i4oWnaI T+yrl SM)
field Ctmorwabofts-
s6wyw-f! Water pTeeftq[' -CE
No 02W ( u�
ftlef Tie P sanl7 'ees
No Dom {MMXt1r
Je'rstuatton 1'reae11Yep T
Np , book (�Idtaal
YYatbnd Hydrology Prs9arrti "ras N4 ._
de - 'Ito lFJ e
Re= DFO.a (51rga- rnnMo1111p WO. AatW "MR. PMOMA 1M4PWtkM) d evadable
"PIJI /t ry lw IF +" .. 4 f *,-, �C '
LIS Amy Carps al 1rnWneors EV$tern Mnuntghis 0014 PJadrnOM - JOIaFim baFalan

VEGETATION (Four Strata) - V" scientific names of plants
j �I Atw1ula i.iurnl do iracakw
Cfldr tfiltL�1 IPPA RK14 J *' F 10 ', la'
3 CK
I#i&ftaev- W'
a
7
Tow C.on-
Srawnon�katur*r rPrei wzr
zFA
3 +..! . !
do
5
6
T
10
w Tows [;Uvea+
Mtr_4ratum (PIrA MLJA
1 C
3 44Xf
{ bf rbr4dt��— L
14
1i
12
Te,ia1 Craver
kVDO v VMO 3lraii M (PhA wW I
1 F F r
3 -
L
S�rr�lup�oarwt' r
Dram um= Tran+ ofth+H_
Member ar Dominanr Spedrlr
Tirol; Are , FACW. nr PAC i (Al
TaW b Umbo o of Dr1r+W+rw
pedes Across M SkW& Li 161
dOWNy Tira. Am M_ FACW OF FAC 0A)
I off'+
1Prrv&4 nc# Inrsrn
T
OM
r#•
FAnW
FAC we ms . 3
1=ACJ s.p t A- q6
LiPL sPOCm s x S = �-
isi
Fredenor WCAM - JVA -
FlydnpirytiCil*pa mwi indloalam
_ t _ Rgpd Test for +#yds vo-. Vag obw
y'c 2 - Dwr+r3u pm Tax is i -MM
�3 - P -M wrtigr krdRx 4 53 oe
4 - 6AwplmbpioRi AdnpWI m' i Provrde suppoong
dam In PjwnMks or on rr itwernis shat]
_ PmWumallc HVOraphtlk VageWiwin4 (Explaln)
FIrdlcators of hyd k wN and wa6md hydmkPQV murt
hp present, urUso6 dwul)w or prts4l matic.
Definld+ins ad Pour Y�hrllcm Btr'a�:
Trac - Woody p1m 0 , exowdMV +rhe 3 M, (7 6 M) or
GIMP ti diaMMOr a<bM4>d hdQ N CCWX ' on On CI
fwd
isAP&*SV%M - W"dtr O N` MdM Wok hm
&w 3 rn OW mad qr"W Vw N ) 201 (1 mr 10
Hwb - AM fWbOMOM In OPWOO y } f to nft. r*pM 5
d ei= Wid woody gMft Yna OW J 2a A U4
wbedy Ulm - Ali wawv ,,.+ens ,QtMi a Iften 328 p FM
1
YM Ma
= TqU0 Cam
RMOrla Derk4v ONM MardbRKS h" OR M • Pr
CJS ArmvGips d Em$nmrR Eaelcwi, Mawlams and M� - kmwi n Vwww

IL
sampkw PU" ,
Pra41le COSC iplian_ I Oescralk9 to the depth heeled to dnoraoenl the irrd+ralur or corrf4rm Che ab FW,* nt NnOWA4nrs I
C ICr k"atrt R6WI Fl -alk -Jett
lr tFdai9M (rrowl N COOK N 7 Lot' T�� -e_
a7 SW °f-
..eyl A
Rorie SW wicalms;
tndichtors for PrabfaF uft Hydrld b"'
_ Niched fA1)
Nrk Surfed (57)
: 2 orn Muck JAI 0) (WRA 147)
Hlst6c €plpodon (A2)
_ Palyvalua Galow Sodom (S$) (MCRA 147, 1401
: COW Pf&* ROdOK (A IS)
Slack Hrr:l{c (A3)
THr' (]Firk Sw 1we M1 (MLRA 147r U&I
JMLRAr 147, 14$}
Hydrogen Selfide (Ad}
Loamy Gleyed Matrix 1F2)
— plad w� Floadpetrn SI41F IF 310
Sttalified Layers (A5)
DeRdetad Matra 1F3]
(MLRA 136, 147
2 circ P4uck (A141 (LAR NJ
_ Redox Durk Surface jFOJ
— HGO 12POW4 Mal■rltl (7F21
_ Depfeked 13eWw barn Surface'A11)
_ Uepleiad Dark Surrme {p7)
— VWy ShFt low Cmrk 9urinra M12)
_ T#aock bark Sudwo (Al2j
_ Redox OupramMorrs (FS)
— Mar(Explrin In Remmfigs}
S;tndy Mucky MIneml (S1) (URN ht.
_ Iran-Manganesre frMaesus (F t 7)(LRR N.
MLRA 147, 148)
MLRA 136)
_ Sandy Csieod Matrix (S4)
_ UnibLdc Surface (F13) (M LRA $36. 1221
1Cnclic741am at rfydrpphy11c age4slion And
_ Sandy Redox (S5)
_ PisdmorFt Flaadplein Soup (F 19) JMLRA 1431
uMe4l" hV"ftV mua# fit pm&wA,
Shipped MaW (S61
Ginlaet d olarM or Mblam0c
Rea1rlative Layer (hF 4�S�n/od)
Type: � -
Depth OrrOes), Hydrip SOIL PIGMtlP TW leo
Remarks.
1 k M
LIS A"'e C4" d Er,grrrp-r9 E aA%Prr. &LAOti lns OPLI Pedriporll - Inium" vorwim

VVETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont
PeNedislis CI} Nrnlp
caroOwner-
J"%WU?ala{aj .lfl' L tir f 8 Glrpn, Tawnaivp 1 argn
. ardforrn iirr�Y6krp�- Ierrarre. eK. i d1 �� r7ie+'� l o� t�lrr�i {aa}arlw c�w+v+o-s rxrna �'
SU4rggw JI -RR or VILRA LON
SW Map LWI name'
smro g u k
DPY
. Sammiry on"
NW dirl6rawn
tWum
(%'I
are rsrwaw I "ra+rsgc corKiRrips an ft s9w ty" for Ihn tare of year? yr _ No _. (W rlo, sm ilYr In Ror++� t
Are Yego=w —. so& or "ydxww ! ogrnicaraly ambsbw Air "Flonnsl Cr nW"Unct- Pf4 �&"7 res — %-
Are V Sai _ ar tivdf bzv — Twu aaP+ w—ww-1 (R tmoda4, rttpiFn ■ny a wmm in Remarks 1
SUMMARY OF FIN DING – Attach site map showing sampling pnGJit locations, tran5uclS. Irsepwtam features, enc,
i-1ydrapi.}R1e Yegwabcn Prwrer.+Yap Ni..
LL the Sampled Ansa
HYdrx Sal PteserV yes Na'J
1rr4thln a VlfoHard-P Yes No
VVUItsrld LJd UFUIggV PraMT97 Yas Nc.
ROrnarks —
i- + c �.: ,., :'C IL ars 'A w J
KAT
HYDROLOGY
MrUand Hydrology indicatora;
SdEMCIAnr IrYdWWUM 4minlrrrurrr Of rwn reaulrod4
Prhnarw Inds ars nrrii-Lim um or ane
ir, rag und chuc14mill
lhalinod+rj. _
_ S.urfeoaSoll Cxsckle (M6)
Surfecr: Wwor (Al)
true Aquntle Plant (13 T41
Spmoly Vagnlaisd Concave Surface (136)
_ High Water Toble (A2)
_
_ HYdrmw $ulAdA Odx (C 1)
Z 0*nElge Patlsrns (010)
_ Saluradon (A3]
DP:Weiid Rhl 4s hama on Living Roane (G3)
#inose Tn n Unca (919)
.r Wafer Marks M I?
Promnce of Redumd Iron (C+4}
_ Dry-Saasati Wolof Takla (CI)
Sedimant D epc5ils {$2)
Recant Iron R*fMdlap in 11IIad Salt? lC11)
CraYfsh $urroyn P3)
brifr noposltr (83)
_ TNIn Muck SurfwA (W)
_ Saluratlon Vlmb4n an Aman Imiagary C9}
Algal falai ar C"si � 8 4)
_ O+hor i Ewpuo rq rn RammmLa l
StuntQd or Stressed prams (D }
T Iton l7epQ51L4; (Bfl
_ Gaumo mic Posllron (D2f
lnund fiat% V+Ahlr} on Awlal Htragurr (97)
ShalkM Artoard �113)
VvatarStalned Leaves ID91 #
ek.10W*6&j
_
W rotupWrapltr Ref (D4 j
_ A aE� FaLona. tI313)
_ FAC-Neutrol Tesl (D5)
Ffaid ObsarrFationis:
5uriace Waw Presml7 Yes
No
Drrplt+ twvr#rni) _
wadl�t cable preasnl' yes
Ho:
f}g01) fw4twsl
saw. asm Pfasom? Yo
No
DOW (MCh aI �
W*Varld Hydru"V PYeserrP Yes -X— NO
tpW� j5;MW+qffl, irgnYtinng +rAN- &NJW W+o4W4 P►eraux 1ronS}, i+ .�lgh1F'
US Atirrq CQFPFi rd E-NIApBrry Eastern Mourntimns and t iertfrmnl – Interim Version

VE ,ErATKM (Pour fiats) - Um ricren6lic nam" of pkats.
O A.nrar oaoylrf J,r�r�r
Imo. 4 41 k AWML-
3 or a
-
e
f
= T3tal Caves �
lPld 1
6.
T
t0
TWN Cover
Herb sh&m (plot 9pyrs
Z !+ '
x
d
Ta
71 —
Ago V,za SAWrpkpt I
i krar¢e ohow mp"txkm n o Or a+a - 1p mo-
la d.ol. *.-� /,r
powwowsembon WeAmhoot
M gpjp _ !
FACW OeMse •
FAG opine R 3 • ��
FAM *4*
. - —
LOL .ponom . s
cdum Tctas * a JA) M)
Pnwmmnnr Indy. = FYA = 2.
_ 1 • kopw Trot fbr HyOmpFy is vo wrlslwn
2 - 4an*wm Tar 4 1,50%
a • pmvworioe Index Is 53 W
4 - Marp1 ckgicel Adopralunn' lProwirlu iL4p¢pnrIlri�
d01p In Ramwkt or m a lkalipume %haarj
T Pmbfsmuft FEydmpflYUC VaQsMan' (ExpWn)
'mk9m a, hydlhel2w am wim"Iml hyd+w "y mums
b4 praaonl, wtlau dlilutbod or pn*WulErla.
GylMllbi�orls of Vsgo dlon Blmft: �
Tm' VbDd1r Pfd, ambxllnq vwlto. I tn (1-6 east} ex
mora M drA mar at brm heipl I batt I. repvdlrne of
hir9r-r
IQapHngl3hrub • 1Ma2dy Imo;, ■xdudlnp Wnax. lava
Ahab 3 in. DSH And polrebf Rw 3 ?b A 0 ml IoM
Halt - AN hwbK O" #rwn-'wa' o owwria. Powdlfr
at mfti Wrd woody ow" Iw Ilan 3 R tart
1. ■ TawVdoodV vww - Ail *oady ww t ptmW OW 3.25 It n
cow ht.Ihl
vapohom
vex
* Takm Cprlrr
Ta■ ?�` No
85 Asmv (; xrw of Emmerrt r-agem Mmnl;vrm glvl Pw &norkr - lnWu Vemon
sa mp" ►�+
TOOwedohnot
-
- —
rwllardw at Ded w l Sp omp
;Iu�I Ara M r`ACW. Cir rAC
4^1
TOW N x m of Own"�vv
+laaos" S►lt&
pww of DW90 res spM
416
TMt An FACW. or FAC
�.y:=^
(AMP
powwowsembon WeAmhoot
M gpjp _ !
FACW OeMse •
FAG opine R 3 • ��
FAM *4*
. - —
LOL .ponom . s
cdum Tctas * a JA) M)
Pnwmmnnr Indy. = FYA = 2.
_ 1 • kopw Trot fbr HyOmpFy is vo wrlslwn
2 - 4an*wm Tar 4 1,50%
a • pmvworioe Index Is 53 W
4 - Marp1 ckgicel Adopralunn' lProwirlu iL4p¢pnrIlri�
d01p In Ramwkt or m a lkalipume %haarj
T Pmbfsmuft FEydmpflYUC VaQsMan' (ExpWn)
'mk9m a, hydlhel2w am wim"Iml hyd+w "y mums
b4 praaonl, wtlau dlilutbod or pn*WulErla.
GylMllbi�orls of Vsgo dlon Blmft: �
Tm' VbDd1r Pfd, ambxllnq vwlto. I tn (1-6 east} ex
mora M drA mar at brm heipl I batt I. repvdlrne of
hir9r-r
IQapHngl3hrub • 1Ma2dy Imo;, ■xdudlnp Wnax. lava
Ahab 3 in. DSH And polrebf Rw 3 ?b A 0 ml IoM
Halt - AN hwbK O" #rwn-'wa' o owwria. Powdlfr
at mfti Wrd woody ow" Iw Ilan 3 R tart
1. ■ TawVdoodV vww - Ail *oady ww t ptmW OW 3.25 It n
cow ht.Ihl
vapohom
vex
* Takm Cprlrr
Ta■ ?�` No
85 Asmv (; xrw of Emmerrt r-agem Mmnl;vrm glvl Pw &norkr - lnWu Vemon

SOIL r,rsg
i+*eftle d;c,7fp 6n. (DNCrlbr CO thr depth warded [a documeiri the kr►dK:ItK pr ppn'fiM the 4h$QFKV of iFPtfWIjD rs. f
M �WaRi € _
r —G6 f�,yyl Rer*aik3
YZw
.
dy - /I- / Sa it
� . Cion. O Dppkflxn. RM -Red,, A %AakNi AAS -I Sana Grakm L -cation. aL-,'�drB urft. M=$AmruL
"he Sall wimtalf
= HWomd (At I
1i rk Ep+ipadm (A2)
_ Blah, +idle iA3J
HydmVan SWhft IA4)
Slraidw L WYOM I 5)
2 cm Muer (A 10) (LRR H)
T Dapltrlvd Oalow Ddr1, Surface [Al 1)
Thlak Dnrk Surtam IA12)
Barody Mucky Mineral (51) (LRR W.
MLRA 147, 1")
Sandy Glayad M+4ik ;SA)
Sandy Radox (35)
_ Sldpped MAIrkm tS9i
R sIvIct l Layer {It observecQ.
Typw
bap4h fko"i!
F%Marka
Durk Surface (S7)
= Iulyvalua Barow Sur(aoe JS8) ( LRA 147,143?
_ Thin Owt Surface (S9J A '147,1411)
Loony Calaped MaDu {F2}
DBOR166 matrix {€3)
Rmdo& bark Surface AFB}
De~ DaFK SUFE" I F7)
Re4M Depressions (F6)
Ira"arrgangs& Masses f F 12 y {LltR M,
MI -RA in)
WbAc Staloam (F131(MUtA tad, 122M
t
Mftb rnm+ Floo4ptetmSols IF19)i#1LRAIW
tadi4alors Fpr Pra4lemalic Hydric Soils
2 apt W6mk to 10 a (MIRA 147)
Coast Ptarre Redox (Al6
— Madrnonl Flimdploin Sor,1s {F I R)
(W -RA 135. 147)
Rad Parent Materml (TF21
Very ShaHnw< Dark Surface (TF12)
— tkhar "Iain Jn Rsmerwa)
3lndiEgbm of *kop)yur xepa Oun Wd
WI f4i d t;ydraiogy must tm prawrA.
un1 Ww kl$iurbed or MtAemalmc
16(
Hydric Sall P 117 Yet. _ we
cry l►. jo-rj t.
U5 Am+y Carps (it EnInrarb Eaatan, MnuI rfaKkg drib Pw4monf - IN enm 'JersiQn

WETLAND DETERARIIkifATi 3N DATA FORMI— Eastern Mountains and Piedmont
+ Ole
PrUlrr�f5+1� _ - 'L CrEyfCou„!y. Sampkn9+naLa
Stefe: SwTong fan
I��rest'gatar(a} _ it [_ L L Spaxjon. TowrnsNp. fangs
LartidkWn MI148k 3oe, taw.lgw- Lac -.31 -sLef fcanaave, comeOx, non --k
SkihreQion (LR1? or MLRA}. Lai LonU
5kpa 4%}
DRIU +
Soll Map Llnll Name. NVV1 GW'BSiFEA00h
Are ChrhEltic r hydrolcorir adrndrFc+# an th- %fIe tyvipl fpr IN5 rime of yesr7 Yes Nn _ (ii M. expl&n in Rernwks 1
Are Veg emUon _ Soil _ or Hydrdugy skgniRt:antIV divburhed7 Are `NomQd Cir€ rmlaneem' pmem t7 Yeti No
Art& Y01gel2llen _ _. SOW oY HVdmk)19v _ _ naturally ptninterrobrj lir needed explain any ifn5W2rF r1 FleMWka I
SUMMARY OF F1N01NOS - Attach seta map showing sampling point locations, transects, important features, etc.
I-lydrophybc Y®gsaatron PFFsa+nl7 Yes Na
Hydric Sail P'rnsernl'? Yes -e- No
Wdllana Hofa 9y Pr n" Yes Nrr
Is the Sampied Arca
wlthin a Wetland7 Yoe
PemiprLs
r
C rhe � �w�0�*+ rl �� ■ � .
HYDROLOGY
Wetland HydroiDgy Indicalars;
9ecandai v indlolom (minkmum yf W ragulradl
Pmmnnr tndogai rS ( nirnum ❑f nue ks ruulrad• Ghelck
all that eoolvl
9ui-Faaa "I Ctzoke 0391
Swaaoe VVolar (AT)
= True Aquatic Plants (8 14)
_ 5paraaly Vogalalad Concave S urface (tiii
. High Water Tabla (A2)
_ Hydrogen Sulfide Qdpr (CSI)
13ramage Plows (BI 0)
Salurekion (A3)
Oxidized RtrU4sphePN orn UA ng Roofs i C3)
_ Moes Urn Llres (B 18)
Waiter Marr, (Si)
_ Preae!roe of Reduced itan (C4)
Dry-San4an Misr Table �Q j
8edIrnent deposits f"
_ Reurntiron RnijwcUnn In Tiled 8oile (ca)
T C;wylph Bumms (Cal
Dril9 Npveds (1133 }
_ PlIn Muck Surface (C7)
Satumflon V4Ihla on Aarlel krwRoly PH)
Algal bit or Cr'lrst (134 k
_ Otfier {Explelrn I rI for• mks)
_ Sturmd or SPOOM {I Plata (D t 1
Iron Deposits 1$$)
Geomorphic Pomltion (02 )
Inundation Vislble on Aerial Imagery (971
_ Shallow Ayultord J133}
atarStainautaaves(99)
_ M4Lr14Q(3QWWtjiVli*IWID4)
Aqugli4 Fauna fE13}
FAG-Nowl4w tams (Ols)
Field Observations-,
Salrftwa Wales Present? Yes No
Dupla Iinc+iee)
W.Iter Table preser9t? Yes No
DeM tlrirhamj X1^1
Sal-xatian Preser4? Yes No
Deice I Inmen).
Watlbnd HYtlrol"y Preignt? YEA -Y— eb
(stream craugm, Rinimceirm well, a&w photae. pivwous Irspocilurisl if nwulablc
US Army C d En7neevS CSUPM k1i7Unllwi• Old I +wnt - MMM VOM09',

VEGETATION Wow Sb*s) —Use Wonlif lc names of plartls-
IPlotnrae i %Cow irer�ur
i i +
i
low Crier
t
2-
i 1+
f16IL
di
Tum Cover
HOED raturn (P104 sire i
3
d
I�
1E�
a1
M TAW CbW
4
TOW COW
E (PphoW nW tMj rr.M or Cm 4 nF I enrrl I
S4m[4rnp F'or,t
6k~ or aarwwwo sped"
T?wAP*0BL--ACW.orFAC f04
TOW Pod WO or car+ dui
Zp� AV AN fat
Pb►C�rx a► tie.r'r�rrF � i
T?w Am COL FACK or FAIL' 066)
brdr's wDoW a ".
I — % cGlew r#
WON br
CeL w9con
FAC laps a.).
}
FALU m4-
LPL}yam
C06" Tat"
PMV40MMEB Inde ? IVA c
_ 1 • ROW Teres fmr H1i'droOh 11e VORI alk,
2 • QONr&&,m Taw# 1e #,W%
_'0L .3 - Pnivolenm trm%x is s3 D'
_ 1- McrpM1aplml AdepuilimmI iPravtda aLMl is id lrlt)
dt►tn 10 4ternO t yr On a eapnrpto 11i7eat f
_ Prublemotlo Hydrophytic Vspet9110mr 1Exptaknj
' Indlcalore al hydric eaq and Nntland hydru$M mdU
he proearr(, unlee4 dtrlrai'bttd or pmblamoUb.
her~ - Wb3dy pLoift. 44wwor'g wros. 3 Ilr, (7.4 arra I or
rmn In ilameGor at. bfUtst hWgM r08M). regardloWof
howl.
SmpRng,Swub - Mrloody pbm- 4 vinam. ww
Ow3xt DEIKang pimWIlw3?J1It(1171110
Herb - AJI rurbecs m (rdmm,00dy ) mss- teg,ir0 as
CrF WV. aM woMoy PbV1t ksx 1hM 32A A twit
i4Foard�jr ■M& - As wrrudk Par's ortale+ tl+eMw 3 29 t* it�
Hy*c oc
vapmwtkm
PrMjwd.)1 Yes
US Army uxglz 4 Eonu&m Eastern Mmnua nr, Arid Piedrrmtxw - interim Varrion

SM Sampliing Pant _ ?I
Profiile Clusuriptilcm IDMGrlbr is UW daps heeded 10 dacumen� the Indicator or confirm the otmence of indicMors.M
Depth _ IMIE9 Z --- Rgdox Fealurer
i inchssl Cr wim--Otey, ° — 70. r , 9�T _T I r� _ RenmrK5
AAP
Hydric 901 Indicators:
Hlol4e4l �A1 j
Histic Ep"don (A2)
BraQx 11511 ( )
Hydrogen Su;Mde (A4)
Stra3ified Layer& AN
2 cm Murk (AIll� (LRR N)
Depleted Seraw dark Surraca i Al I i
_ Tnidk Dark &Kiau� �Al2)
Sandy M u ft Wnaral (S 1 � (SRR N,
1141 -AA 147r 144)
Sandy Gleynd MuWA (S+4)
Sandy FZe&x (S5)
Strippnel Metrix (St3)
RastrJc#iwe layer (if nb52rved):
Type: - —
E)epth CmCher)-
Dark Surface (STS
RoryuioIrra 1301Ow SUffiR% (SB} (MLr A 14r, 14p
Titin Dark Srn?aoe (S$) (MLFL,a 1147, 14.0
_ Loamy meyed I�tabix (M
Npteteti IVIEWx (03
Redox Dark SurNCO (1`6)
bepreted Oark Srufeca {F7)
Redox bepreseiens (r*
Iran-Munganese Mawas (Ft 2) (LHR N,
WILRA 136)
Umlxie Surtace (F13) (MLRA 036,122)
Pledman3 Floodplaln Si�gs (F19) (VLRA 141)
Remarks..
Indicators for Problemaft Hydric Sc
� rm Arlrjok (AIDI jMLRA i47)
coast Prairie Redox (A 113'
JMLRA 147, 1481
Piedmont nooclplairi Soma (F19)
(MLAA 13b, 1471
Red Parent Material (1F2)
Year Shallow Dark Surface (TF12}
Other (Explaon in Remark:)
'I rttdratom of hydra} 06c W"LO& rr end
W91Lfarrcl #ly&Ok> }y rnurl pe pre3enl,
urw-r. ghWmrbW OF problematic,
Hydric Sail PresepiP YosIv NO
US Army CaTps ril Eioginaers E -astern MounlaNis and Fk$cl vnt - In,erlm Verslan

WETLAND 0ETEIRM INAT10N DATA FORM - Eastern MounWns and Piedmont
Pajoct+Sflb: / jt& L A" * C"ylCounly
Appllcarivowner-
Inveslir dmf€s}- Uan, Townsiup, Ftangv.
11andfrxm Nuclpa. terram. eir. loraf fg1IW4 (CMQeVR. comer none
Subregion �LRR cm AALRA) — Lal +. Lori0
340 Map llnit Name'
Samphng date:
arom: _ Sarnpkrxg Paint _
} Rlpp? I!4}
enr -r
NWI dassO allnry
Are dwrQ+rc r x1rc cOnak is On Vk@ NU 4VM=W tar PO YrM ar WOW? Yin Na Of m. er'pjelnin RarrPark` I
bre Vegelalann SIMI rx HydRAMA: y ylvR43 rlty dr� Aro -Worm& C ir,m ur�xrtrx- Pf -p vas � NO
a V� SaN or "Yb f +mhimoy Pru4u "lice of neegnd. earn gmf ariwer n Rxrnarhs F
SUMMARY OF FtNOING - Anairh site map showing samoing point locations, transects, important fej3tums. ate,.
Hvdm lyw Vefgetan n i-rawl-P
rK S40 pn!t�
Vftdard Hydro"i PYV
Te -
0,0% -Jt
HYDROLOGY
41--irt-
v's No
No
V29 NO
b ON #swf pJ *d Arra r
W*hu, ■ Wvllbfld7 Yam Ho
} f
C om( �W- L-�/ ll �rey.
t rt
#1 tb 4-~ (d. C -L t-, j
k *--
4 f . j e-, ,-0/.
Wedand Hydrv1r3gy Indlcaton'
Sntmgg w lndmatom rmlrllmun7 04 lwo fa4uirbdl
4
_ Suffoce Sal Crecks M6?
= Surtaw Water ;Al)
_ True Aquok Plantq (1114)
6pumaly Vegetated ConcE wa Surhoce f B8)
High Waley Tadie (A2)
_ h+ydregnrn Sulirde Odnr (C1)
_ drsiriaga Poaams (RIO0
Saturapon {A3}
_ Oxidwad RhI7Q-% herpg (in L IVlrrg Roots (W I
w Mani Trim Lines i416)
_ Waier MarlsI5 (91)
_ ProeaIlCA or Rerraucau Iran jCA)
_ lark -Season Wator Table (C2}
_ Sedlmenl depoaits (B2}
Rocaml IrorF Rpdurdon In Tilldd 4orld (fi131
CrAVNII SUrmwta (C%
DFIN I]eDQslla {B3i
_ Thin Muck 5urfnoe fCT1
Satluation Visible OG Aeriar Imegery (C9)
Algal Mal Dr CrustfBd)
_ Other tfwplerrlIrl Rernerke)
: Siu riled of &LFESMad Plants i D 1)
Iron ❑epdsiLs; )
C*i0MQFPhir Pas/115m(W)
Inundellon 1(slble on Aerial Imagwy f 1371
Shallr w AgL&rd {f]3)
VVaW-Stained L•davea fB5j5
MIcrowpo7aphlc Reuel (N)
AciLialir Fauns fdt31
FAC-Neulral Fist 105)
frold Obaefvations'
F�airrarp Wale.r Present? Yes NG _ _
Qep9h Imchas}_
Watar Tarlo Rr&&er0 Yfis Fria !
Ouplh iinmtww};
SWLwallen PrE3cni', Yets Na
Ckeplh jdMCPM .
WottAnd Hydroiggy Pros AO Yas No
Cosate Rnrtnfhed dela tsb to 91LN98�, rm ukraV MO. aOrhO O DIC$ PVvi1V0 ")ftllgns}. 4tawnfW*
Rarrswrs
f
US Army £carpi or Cti}ina rs LY.01mim KAmoliAln r anti ;Iledrndf 11 - In trrrvn Vat&orx

VEGrETATMW (Fow Obit■) - Use scient tic names of plants
Ab%MLw DarMnwd
tPW sue SQ=?
1
7M
2.
dr
ro
s
SWDOWN9 PWR Pip -
Task h" t
li nbo OF Dolled Sp""
Td4 Mx"bw d lk"mW
spm X=o A&
P"ttur
r,rumOBLFAC* dr QAC (Ass
Lai% ru
15 ! f
_ -raw czrpft
IL
, 2+ 6 17
013L_ WO+:aOS ----��
I FAcY6 s oom s r
4: i
FACT. 04 -
Dow.Torab€ f 14) ? tBl
-
1 - FWW Test %F oc VDDA~
— 2 - DM*Oxe Tait 4;0 C
3-Pw4krimk4mli130'
: Tnog Cam
pata in ctanwim fir orn a mpwalo sh&MP
H*fb Statum (Plat s#a
PrahlemaClc Nyd+aGhY4ic VrQalaLp 3ExPlotn)
'kzbcMDm of hot sag "wo@W d hydm4 gy trgvfL
3
• EA
D 1a of Fv%P Vevel&46pi Bb da.
5 l
EACAO
TtM - 1 fll.Rly OarCi. @31clumrXg Yinf.R. 21 In t # 6 CM] or
rn-* 4n darriot--r at t-aasr howl {Ceil}. rogordM►t or
teigm
i
BaplaargfSafaruib - Wwdy Pb+ft, olxfudlilq +OuM#. lits
$
tW0 3 it WH @nd mer
10
_
tjwb - M MrtraaeoLar (r rwa jl P�
11
of sue, and moody Plods w" roar .1 n fl We
17
t TOW C""
Waxtr Vine Stowi a a.r■
I of ac
2
3
i
5.
-tocol covM
rsn naalr�alta hrr�r or un ■ � lW
V8 Army t�ralpn of fri11rrsunt
1lViup vwo — fi& wom* wma gmmw than 326 d r,
tow
HOrcoytkc
ftcation -"L-
P172p*rt� iYOi 114
e4 a -o CII)VOP4xv�71
J��-;L2fn MDLntwm and Ploibnml - Intorim VW11 ll

SOIL 5.armlrng Pr ini: #I
RrolSin DuserlDQs�rlpUon; (Vearerltse to the depth neadotr to docwmenI the indicator W conflFM the absence of Ihdiaalurs,f
Dopth ME&IM Redox Fearuias
llnch t.Ooloq morst E Pfllartmgir I % ,_Ty � L rW TextvrB ReMBFks
'Tvoa- G-Concentralain, D=Deflation, RM tlUaed Molox#=i4fa&'. ed Sand Gre,ins. 21-acation. PL --Pore Lining. M Metrix
Hydele 8011 Indicators=
tndlcainrs far Rrablsfnailc Hydric Sailg}
— Hlskml {A1 }
Dark Surface (S71
_ 2 cm Muds JAI 0) (MULA W4
— HIsticEplpedon(A2i
PalyvzWUlm Storz (SS)(K LA 147d 1414
. Coast Prairie Redox ;Al 6}
Black Hlstic (A5)
_ Thin mark 5eirPowe ) ISA 1474 140)
(MLRA #47, 148)
Hydmg rk SuWd9 (A4
_ l_aarny Gleyed Mbtrix (n)
_ Piedmant Floodplain SaAs (F19 M
Stmorehd Layers (A5}
oeplelea Matrix {Fa)
JMLRA 136, 147)
� cm Muds (Ail}) (LRA NJ
, Redox Dark Surface (F6)
_ Had Pawl Material ;TFC)
_ ✓5epraoad Eolow Dark Suvfaca (A I I
: Delaaeled Dark SurFar_e V)
_ Veit Sbatlow Dark Surlaca (TF1 2)
Thick peri€ Surtaaa (Ai2}
Redox Depressium (F8)
_ 01hm �Explaln irr Romarks�
_ SFmdyr MLjc Y Mlnem; (51) (LRR N,
_ Fria -Manganese Masses �;;rt 2) (LRR f1,
MLRA 147, 146)
MLRA 136)
_ Sandy Gleyed Matrix (54)
� Umbria Surface (F13) {MLRA 136, 122)
'rndlcelnrs ❑f hydrophytic vogetatlan arid
Sandy Redox ( S5}
_ i�ledmartt F3oadplaln Balis {F1 B� (!Rl RA 148N
wetland hydmbg V must be pna-& rt,
SVipped Malrix (W
unre$r dlstLjnmd or problematic.
Rvztri#iwe L.ay$r (if observed),
Type —
DaA (lndies)-
Hydric Sail Present? Yos No
f f�,■ , , � S F' V ,j e moi__ lir/
Ua AFm y Carps. el Er glneers Ea31em Mountains And Ple*mwil — interlm Verelan

WETLAND DETERMINATIDN DATA FORM - Eastern Mat,ntains and Piedmont
r
P,aJar VSdo �,- 0(w1T e � ' CJCy+G�un1y
AppilcorrlUwltsr -
ItiVfsllp$I¢r(�i 5ec1ion, Towmmip. Range
Upidh)rm Ih41-410 te. rerraea. alt.)- LPCAI Mimi ([nhoye, wrivex. hone):
Suhreq+on (t.RR or MLRA) Let LDnT
Sail Mr,i, urik Name
Sampling dalb
_ faampling FLulnr
NWi ekasslncalion
Slope 1%)
paturn.
Are rilm ailc � hWf Dlagk ondigorrs nn lha okie lyp#l;W br thlh rlrrm al yvaO Yes _ No (# nD, axptain an Remarks.)
Ars Vogwalion . S4)H or Hydrology � 6IgnifmMl y dislumed'' Are "Norma.1 l ifCumslanDae praseW Yes No
No Vepl!pralicrk _ . Soil or HVi1rdoGY - — naWtatly preblamatlr:'r III needed, expkafn rrny answers in Aemw*-5.1
SUMMARY OF FINDING$ - AnaCh seta map showing sampling point locations, transects, important features, etc.
;jyrllophyijc VUpbijll141r raraWn17
Pv&C salt PreeanII
VVelland Hydrakia ;y Praoenl?
Remnrk%
re ,p
HYDROLOGY
YOR __ No
Yps : Nn J5(1—
yes , NO %C
1t 1119 Sampled Arba
wrltharr a Yrratiand'i 1'06 No
We land 1#yd+ral6W 10WICN11:00 :
Sacmdar+r Indlsalers imkni mum of Em marked)
t'+rknMry la ftalurs +mYihnum of la 1yGrrred,
ch
foe
_ Surface Sari Cravk5 (96)
We land 1#yd+ral6W 10WICN11:00 :
Sacmdar+r Indlsalers imkni mum of Em marked)
t'+rknMry la ftalurs +mYihnum of la 1yGrrred,
ch
wck all JbW aQ01
_ Surface Sari Cravk5 (96)
.9wf" water (At)
Tr'U4 A+ uw Flgn115 (814)
5per51e4y VepaWed CaneaW $CfIX9 M)
! High Ywm4er Tal5lrr P21
Hydrogen sumde adw fc 1
_ drarage Pamms {S10)
Sahwabon 03)
!
OK 4aW Atwzmphem on wg knaLs. Lci)
Moss Tri, Utmva 16 1.6 1
Water Marks +I31 i
,
, Pr■spn= of Rodkxso loon ICA 1
_ D'y-Semon wow Tame (C2)
Siadw er,t Deposits 1921
:
Recent Wn Raojo n in Tied Sods fC61
crayfish BLffm& ICaI
Dr* daposali (031
Ttrlrl MUCk S+alaca iC71
_ 5akualwn V4ibke on Aerial Irnarg" KS)
,+," ww or Cluak MA
�
01tw fc*w I Romw"
_ SCUNEd or snued pi2m (iii}
Iran ODpo6tb 1951
_ Cv nrorPhc P'�ptliEm (D21
= 1rRut l4 Y1sl* ur1 Atrat111t owv
i
_ -3hullo* AWdM {U3}
! VWna--r-Stis a Leaw s IEW)
daptgap iC Redd [D41
— Aqlaikc r-aum+$$![)
tit (M
Field o awe=
srrtem Waw Prrw"-y YW
No
t']aplir rac+esl
Water T" presanP yes
43MISON7 Vr.
No !
OD
Dopm (0ch"I
I}11RM(MtCMMl
Hydreiogy Prasent7 Y0%, NO
SaturarxW.
I
tree Rg AwC6 : Dafg titftbM 9=9D, rt1[ Kodrrg wd, MW*i #*Aft PWAM% Q OpECONWIL i! ava'Jar
i
Vemor"
WOH d.
I
1 Nr► ■ t i eA
LIS Army Corpq of Englnmrs I ngtarn Wurliairis mW PIrdmanI - Inaerlm Veraian

VEGETATION (Four Semft) —Use scientific names of plants,
ft CUWAW@ I JF
brae SaapLerrt sem: r 'Nk
.crs+�r 9ta�r�
a-
= tt�w1
5
t
4L
i [+
y� = TOW Cower
Herd SiTatu+n 4P9d s". 7
_ c.1 •���+ � --
is
S
F Tota[ Coar
5
4
Wrtbd`d 007iWKMF -
Thai Are iFBL FACW. dr FAG. _
Tc d FU+ber of baffft lK Lf
Amass At Strata � }
Pkw'4' ter i7orrwgni 5pet"
Ttw Axe UK FAGW or FAC
Prrraiatn# 11 wortsiwll.
oft
FPZW weK>
. I t
FAC speue5
t•=
CPL 4 -ACA -S
Cdumn Took-
' 1A} 3 • (to
plll� Olt,..
_ i - Rodd Teri W H~VM *owsbon
z - Dwff-� Tarr i5
a - F tp 1rm*,L b S2i o'
4 - MarphnkW1 Adop1aSom' i PRowtda * jppaAMg
dWr, in Reoz ks or an t} wmrarete shoo)
)
fwotaematic riydt+r� �e9a'+" tFxpii�t M
'irdr abm of hydric hoe qmd wedanG hydtology mrpp
he ptese7L unlam dWhFrb•d or DrahwmmFoc
pefrnitip� of r-flt,. +d.p.l�Elon �r.re.:
Tree - woody min. m3 i k%w 3 In, 01 and or
Mwem Eftar-L r at 4raa5t hugl JD NM}. "Carden of
height M/ y
DOdy
pWft-
KVL
ow J Ft. VPH w V9voW 3 25 11 (1 f" I h&
Hwkk - #8 hwtoomma jnor"P 0d:1 Owls. ms's
d sire, and WOO&y t'en's isle wren 328 1 CFI!
Woody vine - AA woo* voU! giX7--- VgWs 3.;?f+ R ■1
fbM* q"jC
vegauft rr
Present? Yrri Bio �i
Taw CCM
j li►ffude i�htMU fxantEArs 000 in an a upwWw *oW }
�+� ��i+x*�ri*� �✓� tam � +
US Atrny Crjrp►ePErtglnswrpi Enaiem hirmnkelna nM Preiirnorri - IMor rm Ve+rnrin

SOIL
Profile Deserlpflan; (Des -9013c to IN da put needed to tlacumell# the india&or or confirM She ijbW0Wj
DEWRI Matrix Redux 1-Pdture5
;irFC� COIOr.TMOGI) _ olortrnolskl Tops Lnclr
Sampling
9f krdiea#oral
Pffnaak5
HydrTa Sail fndivators:
htdica#om for Pfablematit Hydric Sailer
FHrinsnr;AI)
_ Dark Surface (371
_ 2 an Muck tAiG) �MLRA 141)
_ 0611: 4lpedan (A2)
_ Pdywawa Sala* Sajrfacs JSS) jMLRA 147, 1401
CO -W Prairie Redox (A 16)
_ Slack Hie (AI)
_ Thdn Dark Surfaca tSq} (WILRA 147, 146)
�MLRA 147, 14e1
— #-Ivdrvgefl Sulf1de MA
_ t nOMY G" Mat+lx jF:2)
f5iedmoni t lgpdpleln 5olls (i=19
stvtifiml Layers tW
_ Dep4aisd Matrix (n)
�MLRA 134, 147)
2 em Muck W 1) � (LRR H)
_ Redw Dark Surface (P
Red Paranf M aterial M2)
Depliqled Below Dark urfaca {A11)
— flapMeiad Dark Suo Wm �F-n
Very Shallow Qark SurFwo (Ml 2)
TJdok Dark 5urfarA ;AIZ)
_ Redoa DwresoimnG (")
_ Other (Expkafn ]n Remarks)
— Sandy MtK, y W*MraM (SI) JLRR N,
_ lmr-Manreneee Me"rsim. 0121 �LRR K.
FALRAl 147, 143)
MLRA 1361
Sandy Gleyed Matrlx (84)
_ UffibTIC Surface (F-13) {MLRA I X 122)
3lfodiCatars of fiydrop Y11C vagV6.111an and
-- Sandys Radax (S5)
_ Pk dmard Floodplaln Soils (F 19) (JALRA 14a)
wetland hyftlogy mint be xeswi.
T Shipped Malrix M)
untesa c 704rbed Or PFVblematic
ResiricHwe iayw I if abrsorvad}:
Type:
E00ptfr (lnGhas�
Remarks: rC
HydNc Sail Prssant7 Yap
No
LMS Army CurpS ul F_n&*ef�_ Eaomm Mounla4ns ar6 Phadmunt – kmeiirn VarsRan

WETLAND QNATION DATA F -OP -M - EasWn Mountafns and Piedmont
"owsrre ao r- CAx�-ter EeFtV" faaW
_ Ti> Ip. RAs.
I ii � W"31*. IL J Af w ` r OCal nAi (aVW:aVe. air- noted gf&2 4Mr Sicse i%s —
Subm9mm 1 RR or MLRA), r�7 s.-rng Dalt+++
Shc uVwt Narr+e MM ula�Ew. _
km dY' r J rlydrakgc cundmm5.un the site iYPW.Aa rot t9f DFrtO rY )Var7 Yas — No {II no. expum A Rermfm.I
Are lfegetwkm Stijl et Hydrokxgy �ignrirranthl oi5t� Aim ?lonnal CirmuTk, s' PreM"P Yes No
Ater vegeLrrrtpn — - SW or OvwuIogq r+aluralN probpmotir? J4 ne ceded, excAam any arsv� in marks 1
UMMARY OF Ff#rIOING$ - AMCh s1to map ShowJng sampling pain# locations, transects. important feaIures, etc,
qiydm,FmVw Vagewim Proun1# Ya A-- Na 11% 00 $agr09d Arra
Hydrkc Sol M"81.4? Yes No w1ft o a W nd7 Yes M13
Wetlrnd Rydmjop PPmard7 Yeas W
A-07 it R [ f l i (� x 'r • 7A'.
1YOROLOGY
W"w Hydvi"y makwlanL
Sedmeary htilwars imrturra m tr Iwo magi dI
Nlrrmrw htdlruIpt3 Lanlmi,m fl{ one,u reouifed. chemo
all Irwl aoaly)
_ Surfat2 Soil Cracks iM)
Surlave YVefor (A9
_ Trwe Aquadr, PjanL% faJ4)
_ Sparsely Vfgfftmad Concave Surfem (133
Hiq?i Wow Table {A?}
_ Hydrogen Sultlde Odor (C 1)
Craimaga Paltams (910)
_ Stllu Nun (A3}
_ Oulo4E%d RhlfosptWeng on Lfvmg RuQt9 (G3)
_ Moss Trial Luies [5 16)
_ Water Marls ($f)
_ Preunue of Reduced Iron (G4;
_ Dry -Season Water Table 1 C2)
T sad"W1 oapu4moW)
! ReOsfit Iron Podijokri In T1ILed stilt$ (cij
: crayfish Burrows fGB)
OFF DOPCISIE4 1153)
7-Nri Muck swtwR P7)
_ Saturation Vlsihie on Aerie3 Imagery 1 C9}
AIGdI M11i of Ct"I 3 134)
Oilier {Exptain In Remarks)
_ Stunted or StFessed PLanis (0 1)
Imn Geponibi (8f i
_ Goorrmorphbn Poslllon (D2)
_ lrwmdetlon VwAblo un Aerlal tmaWveyl IB?)
_ Sheltaw Arjuilerd (05)
1i aw-5wwwd Laetrile {q9k
_ Micr4topogrsphic Rake (03)
Aqusiio Fauhs (9 13}
— FNC-Nauval Test (D5)
�IOId atnervatlone;
Surtacs Vbninr 1 tlhdogk? Yea Nii
Depth (fnc I
Woloi Tubw Proeeni7 Year No
Devitt 1mr-mesJ;
Seturnliun present r" ._ _ No
Depth fwirlieG).
Wetiand Hydroiogy Preseni? Yes No
Drily Iwrom gnugv, nwAI4xrrlq weP. awlml jiWod, pmylique Insp abons), 11fivapaWe
xx i
US Arrity r ps d FPS neors fastest+ 6.k rniWnR i1nd Placu m t – Interinr Vr`rsiorr

VEGETATION (Four stakes) - Use scPon dfic. rxam" of plants.
AIS div'ti�k n�ipbr
-ftm 1PkA SMS 4 4l M 1ti_99MIM soma
fm FA
}.
ze
�Afw
= TOW cum
V17i.
3- 'FACA�
7-
110.
= i TOW fi"IeF
(PW size
OM
1C
t1
_ Tc" CX+wx
115" 'G�r um �}
3
*
It TOW CCMW
RwM* jk#*mda PnWn Pte* MIO Ok an a - M - MMI 090-1
_7L ig 01 wo6l ft%LJ- L/e
Mmew or DMWMM spoubn
T� An C� FAC1kY. ar rA (Al
Tait kwdtm aI DoGs�anarsl
spwn AXRM As 5xrmc;P ; 61
pkoY of DCAN tKt Spdc76S
rW Jot DBL FACW. of FAC Aa13k
Pnn%%W K* 11WWR workmNM
T-4& % C*r--fi3t
Mt s;eKms
+
L
FACWs
■ 2 s
FAC S
Aqu i 3 *
UKspanim
i S
—T
inn ToLM
JAI
Lai
were knrdem = WA t
I -Raw Taw kr+lgdmp ¢ VGFKM n
T 2 - Don71wmw Taft Ys }SO%
dda i, Remarks or oro M *OpWab lre.11
NOesr.3kcI-krorup&,tC V ' (e w plan i
,;LM=&R or hj,&C We am h'y&Dk )g v r7 .M
DvF�9 bom Oi Faw Vegetstkon Mr1hr
Tram -Woody ON -h. ft+kM¢ wow 3 in (1.49 on) Or
drem Yn dk rieka+ at twe 1111111111^ 0D9
too".
SaFungfghnib ` 1r PI - wcwdkV vvwk 1*n
Puna 4D CMN wd ry-palet rw 3 294 0 Ms tIN
1i1rr - M rM (nwwwoody f dui- ftgwd4s1c
of sOu* and +moody "W 320 It U&
1 Val x x#rr - AD wacdx w+es grams Vwn 3 2b It n
—,
"Ytic
Vagatanbn It
U9 Atmw 1_gxpv rA FnOwww L fasutm N%Dunkalnm and Fpuilmone - +n*(Ini Vomlon

SOIL
surrtklq;2dm P1, I
Profile f eiicr�p[ion= ;uestn-he to the depth minded to docurnonf the rndicator or c,3nflrm um ahserFci of indWAk".I
C*Jorrirrmist ; CObFfrhoisli _ T�rpe Lac- Tm4ae Rff! rks
+/#' !
!-f
6—
liy&i c Soil krdicCws=
Astir Cpoadm i j
_ R:BC# Htsbc 03}
_ Hycmgm Sutada IA41
Skr Vh6d Lame W)
2 am Wick (Aft)ILRRW)
Be~ Bek)* flank Swr we (A11 M
Tbrch trate Suvfam (Al2)
— Sandy MLedry Mhunt (S?) (L FtR It,
WLRA 147, 148}
T &Wdy ( WVed Make (541
—Swwly Redux IS,5)
$wooed mat" j SR]
LayDr (if nioswvocl�.
Type:
Depth (OCher&l
amxec Mwm, MS=MvALErd Ragd Grm-46 'Lomban PLaP [ r 1-a*ka, M=MaLrb-
I�+-M8r1 yes {� t 21(LRR f�
MLRA 11q
LNribric Surface F13) PURA 13L 122 'Indio m uF trFdra YW vowtati n aru
PkmkrAn Fox, n Soilm {Fl% (ULM 1481 WWd Wd #tyoraPagu MUSt L@ nraseni.
dr4an &Mumed or t amabc
�r' 7a• L4.[��'�� tori
1ko-v 'rte
Hydric Soil Pro -sent? Yc& No
LIS Atony {:,utgm 151 Ln -sneer, Earlarn Ntminlams and Pkedm❑m - hnlertm V& -ion
4cp"tcw% #(w Nvw"% tib " rip scam -
Dark 5uri� (ST)
2 Ern Muck iAfC1 fMLRA 147)
— Potyuakrm &N -aim M) (MifrA 147, 1 AS)
_ f nam Of"* Rados (A Ifij
— Thin Qaa Smote (S'31 JULRA IV, 149M
(ML RA 147, 1401
— umny Gkyad WkbtL (F2:
— R'dr*riti r10aepM;in $UI$ JF'19)
— DOPMM mamx (F3)
(ML RA 13L 147
RMUR Dark SiIre)
Red Parr kweroo1 )
Dwigted L7imrk S1u�
V" Stm%Gw Dag* $Low* M 121
— Re*P EIMMMSCH5 (FBS
Otter (Vjplr�n en Rbmarlr31
I�+-M8r1 yes {� t 21(LRR f�
MLRA 11q
LNribric Surface F13) PURA 13L 122 'Indio m uF trFdra YW vowtati n aru
PkmkrAn Fox, n Soilm {Fl% (ULM 1481 WWd Wd #tyoraPagu MUSt L@ nraseni.
dr4an &Mumed or t amabc
�r' 7a• L4.[��'�� tori
1ko-v 'rte
Hydric Soil Pro -sent? Yc& No
LIS Atony {:,utgm 151 Ln -sneer, Earlarn Ntminlams and Pkedm❑m - hnlertm V& -ion

LEGEND
Approximate Site Boundary
Approximate Location of Perennial Stream
/V Approximate Location of Intermittent Stream
Approximate Location of Wetland
Approximate Location of Open Water
Approximate Location of Ephemeral Channel
• Data Point
SC,
1,
sA, 0 ...1
mwater
anagamant Pontl sAB z�1 b n,
SA 2 SAS ;�i
�...J •� SAB4 ` (
�l e
WAS 18 SAG 1�
"��WAB 9-21 `:
Illi ASI f(
' SA
� SAG 2 SAD 3
WAS SAE, J ' SAD2
p �sADb
WA
9 bA81 � \ l '
SAF 1 \l.j
�..1 � SAD 5 /
SAF 3 SAF 4 (1,I
I � �$AE2 SAD 1MAI
e
SAF 2 SAC 1
SMA 2 <
WA9-11� 1�', P ,SAC2
111 SAC 3
t �,'•� SAC 4
Sto water Management I'� LA;s r
� _ J Pontl
WA117-120
7
�\ G
Stomwateranagement
low
SD
SD 3
WD 1�S�
<
SDI [
I
} Sl
SCB
Q
SB 1 / W81.1
`,sac z
SBA 2
/
I SBA 1
SBC 3 SBA 1
�SBA4 O 1
SB 2
In
? Braeh Creek Tient. C -d l
�EEJ/jJ
Y
SAS '-
SOURCE:
TOPOGRAPHIC MAP
J f FROM GUILFORD COUNTY
FTP WEBSITE
f AND JURISDICTIONAL FEATURES
J w FROM ECS FIELD NOTES
ej
�\ FIGURE 4
r STREAMIWETLAND FLAG MAP
^� r PTIA
PLEASANT RIDGE ROAD
�. GREENSBORO, NORTH CAROLINA
l
ECS PROJECT NO. 09-21900