20010146 Ver 1_COMPLETE FILE_20010201

O?O? W AT ?RpG
Cj
o -c
Michael F. Easley
Governor
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Kerr T. Stevens
Division of Water Quality
April 11, 2001
DWQ # 01-014(
Chatham Count}
Page 1 of 2
Chatham Development Corp.
Attn: Pat O'Neal
211 Chancellors Ridge Drive
Durham, NC 27713
CC: ECS, Ltd.
Attn: Mr. Ben Wilson
PO Box 12015
Research Triangle Park, NC 27291
Re: Rosemont Subdivision, O'Kelly Church Road (SR 1731), Pittsboro, Chatham Co., NC
Unnamed Tributaries to Northeast Creek [03-06-05, 16-41-1-17-(4) WS-IV NSW-CA] and
Kit Creek [ 03-06-05, 16-41-1-17-1-(0.7) WS-IV NSW]
APPROVAL of 401 Water Quality Certification with ADDITIONAL CONDITIONS
Dear Mr. O'Neal,
You have our approval, in accordance with the attached conditions, to place fill within 0.07 acres and ± 150 linear
feet of wetlands and waters for construction of two pond dams and the Kilkenny Hills Drive Road crossing and flooding of
0.13 acres and ± 550 linear feet of wetlands and waters associated with the two proposed ponds, as described within your
application dated 1/30/01 with additional information presented to the Division of Water Quality (DWQ), Raleigh Regional
Office staff on 3/26/01. After reviewing your application, we have decided that this impact is covered by the DWQ General
Water Quality Certification Number 3287. This Certification allows you to use Nationwide Permit Number 39 when the US
Army Corps of Engineers (USACE) issues it. In addition, you should get any other required federal, state or local permits
before you go ahead with your project including (but not limited to) Sediment and Erosion Control and Non-Discharge.
Also, this approval will expire when the accompanying 404 permit expires unless otherwise specified in the General
Certification.
This approval is only valid for the purpose and design that you described in your application and proposed
construction plans dated on 1/30/01. If you change your project, you must notify us and you may be required to send us a
new application. If the property is sold, the new owner must be given a copy of this Certification and approval letter and is
thereby responsible for complying with all conditions. -If total wetland fills for this project (now or in the future) exceed one
acre, compensatory mitigation may be required as described in 15A NCAC 2H .0506 (h). For this approval to be valid, you
must follow the conditions listed in the attached certification and any additional conditions listed below
• Deed notifications or similar mechanisms shall be placed on remaining jurisdictional wetlands and waters in order to
assure compliance for future wetland and/or water impact. These mechanisms shall be put in place within 30 days of the
date of this letter or the issuance of the 404 Permit (whichever is later).
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing. You must
act within 60 days of the date that you receive this letter. 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, P.O. Box 27447, Raleigh,
N.C. 27611-7447. This certification and its conditions are final and binding unless you ask for a hearing.
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
919-733-1786 (phone), 919-733-6893 (fax), http://h2o.enr.state.nc.us/ncwetlands/
Page 2 of 2
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act. If you
have any questions, please telephone Mr. John Dorney or Mr. Bob Zarzecki at 919-733-1786.
Sincerely,
Attachment:
Sample Deed Restriction
Cc: Mr. Todd Tugwell, USACE, Raleigh Regulatory Field Office
Mr. Steve Mitchell, DWQ Raleigh Regional Office
File Copy
Central Files
010146
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT 4):
• PRE-CONSTRUCTION NOTIFICATION,APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE: ® 10146
7!I
1) NOTIFICATION TO THE CORPS OF ENGINEERS a
2) APPLICATION FOR SECTION 401 CERTIFICATION
3) COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND (1) ONE COPY OF THIS COMPLETED FORM TO THE APPROPRIATE
FIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN (7)
COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT (SEE
AGENCY ADDRESSES SHEET). PLEASE PRINT.
1 .' OWNER'S NAME
C_.

2. MAILING
A D R E S S: t C. 4 A Plf CZ. L t,`c
SUBDIVISION NAME:
CITY: ?y/!{-?a?n/+ t STATE: ZIP CODE: Z77)
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM MAILING
ADDRESS ABOVE):
3. TELEPHONE NUMBER (HOME):
G E 1 ..
WORK:
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:
j?
5. LOCATION OF WORK (PROVIDE A•MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP OR
AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: -1I j" M NEAREST TOWN OR CITY:
r PAYMENT
RECEIVED
SPECIFIC LOCATION (INCLUDE
ROAD, NUMBERS, LANDMARKS, ETC.):
Y
6. IMPACTED OR NEAREST STREAM/RIVER: C=,-, Z71-
RIVER BASIN: Ahhj
7A. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER (SA),
HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW), WATER SUPPLY (WS-I
OR WS-II) ? YES [ J NO ><1 IF YES, EXPLAIN:
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT
AREA OF ENVIRONMENTAL CONCERN (AEC)? YES [ J NO [ x J
7C. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION?
8A. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES [ J NO [fit J IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS
PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION):
8B. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE?
YES [ ] NO [ J IF YES, DESCRIBE ANTICIPATED WORK:
9A. ESTIMATED TOTAL . NUMBER. OF ACRES IN TRACT OF LAND: K r ??`i, t3
9B. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
.• ./ `?tJ-L 1
AjuL
7
lv v. ivullln ,x Ur A? rtr yr VvLTLANUS iMYACTED BY THE PROPOSED PROJECT BY:
FILLING: {g, y 7 EXCAVATION:
FLOODING: '9,1' 3 OTHER:
DRAINAGE:
TOTAL ACRES TO BE IMPACTED: &Z Q
10 B.
(1)STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT
DISTANCE BOTH BEFORE AND AFTER RELOCATION):
LENGTH BEFORE: /7 OG FT AFTER:
WIDTH BEFORE: (based on normal high water contours):
WIDTH AFTER: 120,,1 CU7N)T?il?(( u d,1' ? 0 /S b "rw
(IF RELCOCATED, PROVIDE
FT
?• " FT
FT
AVERAGE DEPTH BEFORE: ,. FT AFTER / Z
(2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL:
CHANNEL EXCAVATION: CONSTRUCTION OF A DAM/FLOODING:
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
DRAINING TO THE POND? Zc
WHAT IS THE EXPECTED POND SURFACE AREA? 2; 5- A515cl
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED (ATTACH PLANS: 8;1" X 11" DRAWINGS ONLY
C Gc1,;2 K i u/' /a VIZ-6 c':f-cb'S 'J % C ?j
FOIL 04- '4\
IK? -44z , S? 1 - CAL / -'?(_, J: ,
13. PURPOSE OF PROPOSED
WORK: fZ, c?,,,
?
cLc (
5 LA al a V i (
S+ &-\j ?Jtl 1 7-2f S -1-z' ?
vf
:Y J' ?I' ,E Lz'--n r
FT
3
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS):
?-its /?? 1y? c4S < ZZ65'I IC165 1 c-+fl?S T,)
Tr" ra 4!/;5 /e
15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE (USF&WS)
AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) (SEE AGENCY ADDRESSES SHEET
REGARDING THE PRESENCE OF ANY FEDERALLY LISTED OR PROPOSED FOR LISTING
ENDANGERED OR THREATENED SPECIES OR CRITICAL HABITAT IN THE PERMIT AREA THAT
MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED:
?f
(ATTACH RESPONSES FROM THESE AGENCIES.)
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER (SHPO)
(SEE AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTORIC PROPERTIES
IN THE PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT.
DATE CONTACTED: d?A
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF PUBLIC
(STATE) LAND?
YES [ ] NO (?] (IF NO, GO TO 18)
A. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL
DOCUMENT PURSUANT TO THE REQUIREMENTS OF TH. NORTH CAROLINA
ENVIRONMENTAL POLICY ACT? YES [ ] NO [ ]
B. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE?
YES [ ] NO [ ]
IF ANSWER TO 17B IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE
STATE CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING
COMPLIANCE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH, NORTH CAROLINA
27603-8003, TELEPHONE [phone].
4
18
THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED
ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OR FILL MATERIAL INTO WETLANDS.
A. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES AND PONDS
ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21, 26, 29, AND
38). ALL STREAMS (INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE
SHOWN ON THE MAP. MAP SCALES SHOULD BE 1 INCH EQUALS 50 OR 1 INCH
EQUALS 100 FEET OR THEIR EQUIVALENT.
B. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED
PROJECT.
C. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
D. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
E. WHAT IS LAND USE OF SURROUNDING PROPERTY?
F. IF APPLICABLE, WHAT IS PROPOSED METHOD. OF SEWAGE DISPOSAL?G
G. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE U.S. MAY NOT BE IMPACTED PRIOR TO:
1) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT
2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF
ENVIRONMENTAL MANAGEMENT (WATER QUALITY) CERTIFICATION, AND
3) (IN THE TWENTY COASTAL COUNTIES ONLY) A LETTER FROM THE
NORTH CAROLINA DIVISION OE" COASTAL MANAGEMENT STATING THE
PROPOSED ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA
COASTAL MANAGEMENT PROGRAM.
U? 2v Z?°
R? / AGENT'S SIGNATURE ATE
y
Ah?d
(AGENT'S SIGNATURE VALID ONLY IF
AUTHORIZATION LETTER FROM THE OWNER IS PROVIDED (18G.) )
5
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: r'I n f ,
Date: 7/ 2zoc
Applicant/Owner:
Investigator: EC S - fCounty:
?snt•' State: lV_C .
Do Normal Circumstances exist on the site? Yes No Community ID:
Is the site significantly disturbed (Atypical Situation)? Yes No Transect ID:
Is the area a potential Problem Area? Yes No Plot ID:
If needed, explain on reverse.)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator

2. i P U 1 f I ?
s a-1"-? 10.
3. i -- t-0 " i' , J 1
. P.J. h L T
1
4 12.
5. P r /1 v S "l ?c c>' t 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are O BL. FACW or FAC
emctudin FAG . ?
Remarks: 7 ?+
{ ??
HYDROLOGY
_ Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
_ Stream, Lake, or Tide Gauge Primary Indicators:
s Aerial Photographs Inundated
_ Other
No Recorded Data Available _
-Saturated in Upper 12 Inches
_ Water Marks
_ Drift Lines

Field Observations: _ Sediment Deposits
_ Drainage Patterns in Wetlands
Secondary Indicators (2 or more required):
Depth of Surface Water: (n.) _ Oxidized Root Channels in Upper 12 Inches
31
? _ Water-Stained Leaves
Depth to Free Water in Pit J
(in.) _ Local Soil Survey Data
_ FAC-Neutral Test

Depth to Saturated Sod: 1
(in.)
!Other (Explain in Remarks)
Remarks: !V;? jJ:?;??.?.?,1 ?1.,'?-.?(•?. 1- ?,?

B2 Appendix B Blank and Example Data Forms

DP' i
SOILS <° 1 4,1
Map tat8 Name
(Series and Phase): Drainage Class:
Taxonomy (Subgroup): Field Observations.
Confirm Mapped Type? Yes No
Profile Description__
Depth Matrix Color Mottle Colors Mottle Abundance/ Texture, Concretions,
(ice Horizon (Munseil Moist) IMunsell Moist) S' /Contrast Structure. etc. 64
hWric Soft Indicators:
Fistosol _ Concretions
_ Fistic Epipedon _ ligh Organic Content in Surface Layer in Sandy Soils
_ Sulfidic Odor _ Organic Streaking in Sandy Soils
_ Aquic Moisture Regime _ Listed on Local Hydric Soils List
_ Reducing Conditions _ Listed on National Hydric soils List
_ Gleyed or Low-Chroma Colors -. Other (Explain in Remarks)
Remarks: '
L) )i Self irej ^A
?''1 O StJ ? `? , c , c ? , ? !i/i c e !?'ct _. ? ??i9 to r
y ?.
WETLAND DETERMINATION
Hydrophytic Vegetation Present? No (Circle) (C)
.9?? Wetland Hydrology Present? Yet
Hydric Soils Present? Yes is this Sampling Point Within a Wetland? Yes
Remarks:
Approved by HQUSACE 3192
Appendix B Blank and Example Data Forms B3

?? ,??
:^ ,.;<
=?
--
°?-,?
-?? ,
?? ,?.
?= °.p
? ? J ?--` LAY 11? .???

DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site:c?S?r1?-?f
Applicant/Owner: A:? ,.?/dr,-,? Cep
Investigator: &r5 - /- r15( P j ?,,?• •2
Do Normal Circumstances exist on the site? Yes No
is the site significantly disturbed (Atypical Situation)? Yes No
Is the area a potential Problem Area? Yes No
(If needed, explain on reverse.)

Date:
County29e
State:
Community ID:
Transect ID:
Plot ID:
HYDROLOGY
- Recorded Data (Describe in Remarks): Wetland Hydrology trtdicators:
- Stream, Lake. or Tide Gauge Primary Indicators:
- Aerial Photographs
Inundated
Other
No Recorded Data Available _ Saturated in Upper 12 Inches
_ _ Water Marks
_ Drift Lines

Field Observations: _ Sediment Deposits
_ Drainage Patterns in Wetlands

WA Secondary Indicators (2 or more required):
Depth of Surface Water
(in.) - Oxidized Root Channels in Upper 12 Inches
_ Water-Stained Leaves
Depth to Free Water in Pit 1 (in.) _ Local Sod Survey Data

Depth to Saturated Soil: (in.) _ FAC-Neutral Test
_ Other (Explain in Remarks)
r
Remarks: ?l Fj /-.

r

G j ::
B2 Appendix B Blank and Example Data Forms
VEGETATION
SOILS V-1 e)
Map Wit Name
(Series and Phase):
Drainage Class:
Taxonomy (Subgroup): Field Observations
Confirm Mapped Type? Yes f b
Profile Description:
Depth Matrix Color Mottle Colors Mottle Abundance/ Texture. Concretions,
finches Horizon (Munson Moist) (MunseH Moist)sizelContrast Texture.. etc.
Hydric Sod Indicators:
_ 1-wosol _ Concretions
_ Fistic Epipedon _ Figh Organic Content in Surface Layer in Sandy Soils
_ Sut6dic Odor _ Organic Streaking in Sandy Soils
_ Aquic Moisture Regime _ Listed on Local
_ Reducing Conditions _ Listed on National Soils List
_ GleYed or Low Chroma Colors _ Other Remarks) Soils List
(Explain in Reemarks)
Remarks: t%A .iti f `?
?7
L/A /?
WETLAND DETERMINATION
Hyrdrophytic Vegetation Present? No (Circle)
Wetland Hydrology Present? Yea
Hydric Sods Present? Yes
Remarks:
(Circllee)??
Is this Sampling'Point Within a Wetland? Yes( No i
Y I-C ?-' : G

Approved by HOUSACE 3M
Appendix B Blank and Example Data Forms B3
0- Co?

DATA FORM
ROUTINE WETLAND DETERMINATION
0987 COE Wetlands Delineation Manual)
Project/Site: Date: G'O
Applicant/Owner:
County: L,,c
_ .,
Investigator: ;=C9 tcj
?) #/?/ '=sue State: _ nl c
Do Normal Circumstances exist on the site? Yes No Community ID:
Is the site significantly disturbed (Atypical Situation)? Yes No Transect ID:
Is the area a potential Problem Area? Yes No Plot ID:
1 (If needed, explain on reverse.)
VEGETATION
HYDROLOGY
_ Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
-Stream, Lake. or Tide Gauge Primary Indicators:
_ Aerial Photographs Inundated
_ Other
No Recorded Data Available _
- Saturated in Upper 12 Inches
_ _ Water Marks
_ Drift Lines

Field Observations: _ Sediment Deposits
_ Drainage Patterns in Wetlands
h l / Secondary Indicators (2 or more required):
Depth of Surface Water: (in.) _ Oxidized Root Channels in Upper 12 Inches
Water-Stained Leaves
Depth to Free Water in Pit _(in.) _ Local Soil Survey Data

Depth to Saturated Sod: t
(in.) _ FAC-Neutral Test
_ Other (Explain in Remarks)
Remarks: (v J . `c , ` t' t/ ?t r -1 CC

B2
Appendix B Blank and Example Data Farms

SOILS CO.,i')
Map Ling Name
(Series and Phase): Drainage Class:
Field Observations
Taxonomy (Subgroup): Confirm Mapped Type? Yes No
Profile nascriotion_
Depth Matrix Color Mottle Colors Mottle Abundance/ Texture, Concretions,
(inches) Horimn IMunsell Moist) fMunsell Moist) syzwContrast Structure. etc.
0-)0 roVTr 3 /2 Ale ie
Fydric Sod Indicators:
_ Kstosol _ Concretions
Fistic Epipedon _ Figh organic Content in Surface Layer in Sandy Sods
_ Sullidic Odor _ Organic Streaking in Sandy Sods
Aquic Moisture Regime _ Listed on Local Hydric Soils List
Reducing Conditions - Listed on National Flydric Sods List
_ Gleyed or LowrChroma Colors / _Other (Explain in Remarks)
Remarks: S ICI 7 -'00' ?r, CC ?1 ?dM ,
e-ee 46-
WETLAND DETERMINATION
Hydrophytic Vegetation Present? No (Circle) (Circle)
Wetland Hydrology Present? Yet
Hydric Sods Present? Yes Is this Sampling Point Within a Wetland? Yes No
Remarks:
s?;ls

Amm%,.d by HOUSACE 3/92
Appendix B Blank and Example Data Fors
B3
s�
.iPf►'
r
+ 7
i

DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: <se X J Zt Date:
Applicant/Owner: C h< f County: f. cc M
Investigator: __ c 5 i r State: ?.
Do Normal Circumstances exist on the site? Yes No Community ID: -
Is the site significantly disturbed (Atypical Situation)? Yes No Transect ID:
Is the area a potential Problem Area? Yes No Plot ID:
If,
needed, explain on reverse.
r
HYDROLOGY
_ Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
_ Stream. Lake. or Tide Gauge Primary Indicators:
- Aerial Photographs Inundated
_ Other
No Recorded Data Available _
_ Saturated in Upper 12 inches
_ _ Water Marks
_ Drift Lines

Field Observations: _ Sediment Deposits
_ Drainage Patterns in Wetlands
0- Secondary indicators (2 or more required):
Depth of Surface Water: (in.) - Oxidized Root Channels in Upper 12 inches

Depth to Free Water in Pit
{in.) _ Water-Stained Leaves
- Local Soil Survey Data
FAC-Neutral Test
Depth to Saturated Soil: (in.) _ Other (Explain in Remarks)
H
Remarks:
' rJ? l? •?? /?! t N
B2
Appendix 8 Blank and Example Data Forms
VEGETATION

r..
SOILS
Map Unit Name
(Series and Phase): Drainage Class:
.Field Observations
Taxonomy (Subgroup): Confirm Mapped Type? Yes No
Profile Description:
Depth Matra Color Mottle Colors Mottle Abundance/ Texture, Concretions,
((pegs) Horizon (Munself Moist) (Munsell Moist) size/Contrast Structure- etc.
_ ate ,7 e
Hydric Soil Indicators:
Hstosol _ Concretions
Hstic Epipedon High Organic Content in Surface Layer in Sandy Soils
7K Sulfidic Odor _ Organic Streaking in Sandy Sons
Aquic Moisture Regime _ Listed on Local Hydrlo Soils List
Reducing Conditions _ Listed on National Hydric Soils List
Gleyed or LowwChroma Colors _ Other(EVlain in Remarks)
Remarks:
/ ' C ?6 I i S ?L Sr'`?) ?? h /?r? t I-JA u?f7?f J
V el /'c
WETLAND DETERMINATION
HydrophyW Vegetation Present? No (Circle) (Circle)
Wetland Hydrology Present? No
Hydric Soils Present? s No Is this Sampling Point Within a Wetland? - Yes No
Remarks: A-ll (2t4e_-- I Pe 't I
n
Approved by HOUSACE 3192
Appendix B Blank and Example Data Fortes
133
r
X41
Y2!gt
+eC µ
• _�.,.,.»--.. _ - °�u���`p� i cF��i� FY' ,,mss - 'Cr��.i�`ss � \• "" *"-��
r .. .. .�y,
x �-

11%," rr y JLL GAIN <.1cW Jll ll. it llV tt CU1111
PrujectName: RiverRasun: L -,,-c r County: )
-a /l^c: Evaluator: 'IGcJ
DWQ Project 1\umbzr: Nearest Named Stream: /Uo't?!'=•iF Latitude: Signature?'sG2'
C'erK
Date: 71510o USGS QUAD: ? re n Level Longitude: Location/Directions: C yl(Pjl?, a.,?
*PLEASE NOTE: If evaluator and landowner agree that the feature is a man-made ditch, then use of this form is not necessary. p
Also, if in the best professional judgement of the evaluator, the feature is a man-made ditch and not a modified natural stream-this
rating system should not be used*
Primary Field Indicators: (Circle One Namber Per Line)
1. Geomor holoo Ab, nt Weak Moderate Stron
1) Is There A Riffle-Pool Seauencel' - 0 1 2 3
2) Is The USDA Texture In Streambed
5) Is There An Active (Or Relic)
9) Is A Continuous Bed & Bank Present? 0 1 2 3
("NOTE. /lBed & Bank Cmaed By Ditchine And it?THOOT smuos"ty n S e=0 •) _
10) Is A 2°a Order Or Greater Channel (As Indicated 1
PRIMARY GEOMORPHOLOGYINDICATOR
II. Hydrology Absent Weak Moderate Strong_
1) Is There A Groundwater
Flow/Discharge Present? / 0 1 I 2 3
PRIMARY HYDROLOGYINDICATORPOIN :__
3) Does Topography Indicate A
Natural Drainage Way? 0 1 .5
SECONDARY GEOMORPHOLOGYINDICA TOR POINTS: l
II. Hydro(oey Absent Weak Moderate Strong
1) Is This Year's (Or Last's) Leaflitter
4) Is Water In Channel And >48 Hrs. Since U .5 1 1.5
Last Known Rain? /'NOTE: !(Ditch Indicated /n a9 Above kio Tk's St oAnd a5 B /o •t
5) Is There Water In Channel During Dry G .5 1 1.5
Conditions Or In Growing Season)?
SECONDARY HYDROLOGY INDICATOR
SECONDARY BIOLOGY INDICATOR
TOTAL POINTS (Primary +Secondary)=a(IfGreater Than Or Equal To 19 Points The Stream Is At Least Intermittent)
¢e•6i nlj W
9,
Secondary Field Indicators: (0rrle0ne Number Per Lme)
5) Are weuana riants in Sneamoeo! SAY Mostly OBL Mostly FACW Mosttl - C Mostly FACU Mostly VPL
(• NOTE: /f Total Absence Ofdil Plants In Streambed 2 1 .75 t? 0 0
/-' I --q
po, 1,
Su station i
44 -
250 ll?N.
-, * lu
.tom:: ? x?..• . "?"? . ?'.t ?' ? - .. •? - ,?• ,_ - . - \-:
6.4-fliys Ch
d/ 300
\ y
- `e ?, i. _ t"? ?? tSp ! ?f /`ate ,? /f /- ?` 1? (? _ ? j } ?" ?:.: ? v? ..t;; t f r ? - -`Q,
.:- ? , ? .-:7? ??"`??? ? ''`?^?` ?'' /,///? ? -x`1;1 t % ??'. A
jlx
300 '
0,9
300
J ?'Sp' J 1 ti / 322 i f t / i
MEMORANDUM
TO: John Dorney Regional Contact: Matt Flynn
Non-Discharge Branch WQ Supervisor: men Schuster
Date:
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
Facility Name Rosemont Subdivision c/o Chatham Development County Chatham
Project Number 01 0146 County2
Recvd From APP Region Raleigh
Received Date 2/1/01 Recvd By Region
Project Type residential development including pond
Certificates Stream
Permit Wetland Wetland Wetland Stream Class Acres Feet
Type Type Impact Score Index Prim. Supp. Basin Req. Req.
39 OTH O Y O N F-16-41-1-17 WS1 NSw CA 30.605_ 020 11100.00
Mitigation Wetland
MitigationType Type Acres Feet
Is Wetland Rating Sheet Attached? Q Y 0 N Did you request more info? Q Y O N
Have Project Changes/Conditions Been Discussed With Applicant? Q Y 0 N
Is Mitigation required? Q Y 0 N
Provided by Region: Latitude (ddmmss) 355108
Recommendation: Q Issue 0 Issue/fond 0 Deny
Longitude (ddmmss) 785540
Comments:
No site specific plan or man of the eject and associated impacts- Corrected
3/26/01 - Issue
cc: Regional Office
Central Office Page Number 1
N
,16(
r v? `
??V do
512 N. Salisbury St. Raleigh NC 27604 Phone [phone]
MEMORANDUM
TO: John Dorney Regional Contact: Matt Flynn
Non-Discharge Branch WO Supervisor: Ken Schuster
Date:
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
Facility Name Rosemont Subdivision c/o Chatham Development County Chatham
Project Number 01 0146 County2
Recvd From APP Region Raleigh
Received Date 2/1/01 Recvd By Region
Project Type residential development including pond
Certificates Stream Stream Impacts (ft.)
Permit Wetland Wetland Wetland Stream Class Acres Feet
Type Type Impact Score Index Prim. Supp. Basin Req. Req. zam
3o OTH OO Y Q N F__ 16 41-1 17 wsiv NSW CA 30,66- (12,0 1,100.00
Mitigation Wetland
MitigationType Type Acres Feet
Is Wetland Rating Sheet Attached? O Y ON ' Did you request more info? O Y O N
Have Project Changes/Conditions Been Discussed With Applicant? O Y O N
Is Mitigation required? O Y O N Recommendation: O Issue O ISSue/Cond # Deny
Provided by Region: Latitude (ddmmss) 355108 Longitude (ddmmss) 785540
cc: Regional Office
Central Office Page Number 1
Comments:
site specific plan or map of the project and associated impacts
14 NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #):
w PRE-CONSTRUCTION NOTIFICATION-APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE: O 1 e 4 v ''; ^r?
1) NOTIFICATION TO THE CORPS OF ENGINEERS y
2) APPLICATION FOR SECTION 401 CERTIFICATION
3) COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND (1) ONE COPY OF THIS COMPLETED FORM TO THE APPROPRIATE
FIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN (7)
COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT (SEE
AGENCY ADDRESSES SHEET). PLEASE PRINT.
I. OWNER'S NAME
c

2. MAILING
ADRESS: '01
SUBDIVISION NAME:
CITY: 1°??n{-?.E?y?i " STATE: ZIP CODE: 27zlE
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM MAILING
ADDRESS ABOVE):
3. TELEPHONE NUMBER (HOME) : WORK:
t;?
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: JF?I\; Itii{LSL`?iy, ? ?G?IC1 )- Lj?- 7357
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY.A COPY OF USGS TOPOGRAPHIC MAP OR
AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: NEAREST TOWN OR CITY:_'lj'y Tj f"-
1 PAYMENT
RECEIVED
14

ROAD, NUMBERS, LANDMARKS, ETC.):
SPECIFIC LOCATION (INCLUDE
6. IMPACTED OR NEAREST STREAM/RIVER: n4G27'ItA i c0tr- T
RIVER BASIN: 7A. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER (SA),
HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW), WATER SUPPLY (WS-I
OR WS-II)? YES [ ] NO [<] IF YES, EXPLAIN:
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT
AREA OF ENVIRONMENTAL CONCERN (AEC)? YES [ ) NO [ x
7C. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION?
8A. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES ( ; NO [?t ] IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS
PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION):
8B. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE?
YES [ ] NO [ ` ] IF YES, DESCRIBE ANTICIPATED WORK:
9A. ESTIMATED TOTAL NUMBER. OF ACRES IN TRACT OF LAND:
9B. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
l`Q E?

tv H. ivvr,L)r?n Ur Hl t(?,J Ur Wr'1'LANUS IMPACTED BY THE PROPOSED PROJECT BY:
-FILLING: C> _ EXCAVATION
FLOODING: y,! 3 OTHER:
DRAINAGE: TOTAL ACRES TO BE IMPACTED: &Z
10 B.
(1)STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELCOCATED, PROVIDE
DISTANCE BOTH BEFORE AND AFTER RELOCATION):
LENGTH BEFORE: lzpt FT AFTER: nu FT
WIDTH BEFORE: (based on normal high water contours): ?.u FT
WIDTH AFTER: fo"i CoY?) l L'iJL(? ?'y !l`' ,3 /k- 7 _ FT
AVERAGE DEPTH BEFORE: FT AFTER / Z FT
(2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL:
CHANNEL EXCAVATION: CONSTRUCTION OF A DAM/FLOODING:
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
DRAINING TO THE POND? ZL
WHAT IS THE EXPECTED POND SURFACE AREA? Az,-fcf
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED (ATTACH PLANS: 8'-," X 11" DRAWINGS ONLY):
7-i -( C- W,2 K ? ..JJuL L't: f ;t ' -T2??I-? ??5 ?.-?r? e ? % ? /???.?? vl'- ?
FOIL -r& t/1
13. PURPOSE OF PROPOSED WORK: -tS

1
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS):
C
15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE (USF&WS)
AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) (SEE AGENCY ADDRESSES SHEET
REGARDING THE PRESENCE OF ANY FEDERALLY LISTED OR PROPOSED FOR LISTING
ENDANGERED OR THREATENED SPECIES OR CRITICAL HABITAT IN THE PERMIT AREA THAT
MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED: _4YA
(ATTACH RESPONSES FROM THESE AGENCIES.)
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER (SHPO)
(SEE AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTORIC PROPERTIES
IN THE PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT.
DATE CONTACTED: dA
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF PUBLIC
(STATE) LAND?
YES [ ] NO (IF NO, GO TO 18)
A. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL
DOCUMENT PURSUANT TO THE REQUIREMENTS OF TH. NORTH CAROLINA
ENVIRONMENTAL POLICY ACT? YES [ ] NO [ ]
B. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE?
YES [ ] NO [ ]
IF ANSWER TO 17B IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE
STATE CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING
COMPLIANCE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH, NORTH CAROLINA
27603-8003, TELEPHONE [phone].
4
18
THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED
ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OR FILL MATERIAL INTO WETLANDS.
A. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES AND PONDS
ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21, 26, 29, AND
38). ALL STREAMS (INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE
SHOWN ON THE MAP. MAP SCALES SHOULD BE 1 INCH EQUALS 50 OR 1 INCH
EQUALS 100 FEET OR THEIR EQUIVALENT.
B. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED
PROJECT.
C. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
D. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
E. WHAT IS LAND USE OF SURROUNDING PROPERTY? tC4WO
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? ?G
G. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE U.S. MAY NOT BE IMPACTED PRIOR TO:
1) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT
2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF
ENVIRONMENTAL MANAGEMENT (WATER QUALITY) CERTIFICATION, AND
3) (IN THE TWENTY COASTAL COUNTIES ONLY) A LETTER FROM THE
NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE
PROPOSED ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA
COASTAL MANAGEMENT PROGRAM.

'i?V / AGENT'S SIGNATURE
Zv Z?
? ATE

(AGENT'S SIGNATURE VALID ONLY IF
AUTHORIZATION LETTER FROM THE
OWNER IS PROVIDED (18G.) )

5
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site:, M n l-
Date: 7/'
/?C G
Applicant/Owner:
County: S
Investigator: ?? S L f, - YG I State: A.'._c .
Do Normal Circumstances exist on the site? Yes No Community ID:
Is the site significantly disturbed (Atypical Situation)? Yes No Transect ID:
Is the area a potential Problem Area? Yes No Plot ID:
(if needed, explain on reverse.)
VEGETATION -
Dominant Plant Species Stratum Indicator
2.Li rtly?Gncfr?.v "f u?.__.?.?rc, '???
3. j *` l' . , un V, . dts?.J.+1 4 'r
4.?-
5. P o A%l i''? ectG, ff
6.
7.
8.
Dominant Plant Soecies Stratum Indicator
9.
10.
11.
12.
13.
14.
15.
t6.
Percent of Dominant Species that are OBL. FACW or FAc
(excluding FAG).
Remarks:
A 45.
HYDROLOGY
Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
_ Stream. Lake, or fide Gauge Primary Indicators:
_ Aerial Photographs e Inundated
_ Other _ Saturated in Upper 12 Inches
_ No Recorded Data Available _ Water Marks
_ Drift Lines
_ Sediment Deposits
Field Observations: Drainage Patterns in Wetlands
Secondary Indicators (2 or more required):
Depth of Surface Water: > (in.) _ Oxidized Root Channels in Upper 12 Inches
Water-Stained Leaves
Depth to Free Water in Pit (in.) _ Local Soil Survey Data -AiA Depth to Saturated Sod: _ FAC-Neutral Test
Other (Ex
AA /? plain in Remarks)
Remarks:
_ J
B2
Appendix 8 Blank and Example Data Forms
DP-i
01
SOILS
Map Wit Name
(Series and Phase): Drainage Class:
Field Observations
Taxonomy (Subgroup): Confirm Mapped Type? Yes No
Pmtile Description:
Depth Matrix Color Mottle Colors Mottle Abundance/ Texture, Concretions,
(inches) Horizon (Munsell Moist) (Munsell Moist) Si /Contrast Structure. ate.
0-40 f o r I r 5?,1 .c ?o 4k
Hydric Sol Indicators:
Flistosol _ Concretions
_ FFstic Epipedon _ Hgh Organic Content in Surface Layer in Sandy Solt
_ Sulf1dic Odor _ Organic Streaking in Sandy Soils
_ Aquic Moisture Regime - Listed on local Hydric Soils List
_ Reducing Conditions - Listed on National Hydric Solt List
Gleyed or Low-Chroma Colors _ Other (Explain in Remarks)
Remarks:
1A v n Se
t" ?, ??ir ce hJ144o
WETLAND DETERMINATION
Hydrophytic Vegetation Present? S No (Circle) (Circle)
Welland Hydrology Present? Yet
Hydric Soils Present? Yes is this Sarnpliing Point Within a Wetland? Yes
Remarks:
Approved by HOOSACE 3(92
Appendix B Blank and Example Data Forrns B3
co,

DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: Tr
Applicant/Owner: v //
ih-1-
investigator: :ter L rd - tz ?i rn? ? 1 + r
Do Normal Circumstances exist on the site? Yes No
is the site significantly disturbed (Atypical Situation)? Yes No
Is the area a potential Problem Area? Yes No
I (If needed. explain on reverse-)
r
VEGETATION
Date:
County:
State: C'
Community ID:
Transect10:
Plot 10:
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
2_ L el J 10.
3.? U s "?'s P G
4. ekI,,-J??CS CiUSfir-I•C f'-4
F?;c
12
.
5. 13.
6. 14.
7. 15.
6. 16.
Percent of Dominant Species that are OBL. FACW or FAC
(excluding FAG
).
Remarks:
+

HYDROLOGY
_ Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
- Stream, Lake, or Tide Gauge Primary Indicators:
-Aerial Photographs
inundated
_ Other
_ No Recorded Data Available _ Saturated in Upper 12 Inches
- Water Marks
_ Drift Lutes

Field Observations: _ Sediment Deposits
_ Drainage Patterns in Wetlands
t, +'
'? Secondary Indicators (2 or more required):
Depth of Surface Water: f (in.) a Oxidized Root Channels in Upper 12 Inches

Depth to Free Water in Pit in.) _ Water-Stained Leaves
_ Local Soil Survey Data
t
Depth to Saturated Soil:
(in.) ® FAC-Neutral Test
_ Other (Explain in Remarks)
r
Remarks: fV C? .`
J e L I r. +

B2 Appendix B Blank and Example Data Forms
SOILS
Map Unit Name
(Series and Phase):
Drainage Class:
Taxonomy (Subgroup):. Field Observations
Confirm Mapped Type? i Yes No
Profile Description.*
Depth Matrix Color Mottle Colors Mottle Abundance/ Texture, Concretions,
(inches). Horizon (Munsell Moist) I'Munsed Moist) cs (contrast Structure. etc.
C r- tv ilong-
Hydric Soa Indicators:
_ Histosol _ Concretions
_ Histio Epipedon _ Hgh Organic Content in Surface Layer in Sandy Soils
_ Suffidic Odor _ Organic Streaking in Sandy Solis
_ Aquic Moisture Regime _ Listed on Local Hydric Soils List
_ Reducing Conditions _ Listed on National Hydric Soils List
_ Gleyed or Low-Chroma Colors i _. Other (Explain in Remarks)
Remarks: 117"yn
! L /A ?^? -(445) tit t? n.
WETLAND DETERMINATION
RArophytic Vegetation Present? C.4) No (Circle)
Wetland Hydrology Present? Yea (19
Hydric Sods Present? Yes
Remarks:
(Ckcjee))
Is this Sampling Point Within a Wetland? Yes C No 1
P
Approved by HOUSACE 3192
Appendix B Blank and Example Data Forms a3
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: n S w?{,.? f 5, v s, •, ia1., s d !? Date: G'O
Applicant/Owner: County:
Investigator: C; ?d _L ?I U?1 `y s?
State: AL C
Do Normal Circumstances exist on the site? Yes No Community ID: DP- 3
Is the site significantly disturbed (Atypical Situation)? Yes No Transect ID:
Is the area a potential Problem Area? Yes No Plot ID:
11 If needed, a lain on reverse.
VEGETATION -
Dominant Ptant Species Stratum Indo? Dominant Plant Species Stratum indicator
1. A C</ fJ h r? 9
2. fox' Ct-??t'.?6?> a:i 19cd.lcns 10.
a
3. GlM 1'< 11.
4. 12
5. 13-
6 . 14.
7' 15.
16.
`Percent or Dominant Species that are OBL. FACW or FAC
(excluding FAC- . (/ V
Remarks:
HYDROLOGY
_ Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
_ Stream, Lake, or Tide Gauge Primary Indicators:
_ Aerial Photographs _ Inundated
_ Other _ Saturated in Upper 12 Inches
_ No Recorded Data Available _ Water Marks
_ Drift Lines
_ Sediment Deposits
Field Observations: _ Drainage Patterns in Wetlands
Secondary indicators (2 or more required):
Depth of Surface Water: Cm-) _ Oxidized Root Channels in Upper 12 Inches
Water-Stained.Leaves
Depth to Free Water in Pit: (in.) _ Local Soil Survey Data
_ FAC-Neutral Test
Depth to Saturated Soil: / {in.) _ Other (Explain in Remarks)
Remarks: v j J ! , < L' 1/ r n rv
1 ?
B2 Appendix B Blank and Example Data Forms

r..
SOILS
Map Limit Name
(Series and Phase): Drainage Class:
Field Observations
Taxonomy (Subgroup): Confirm Mapped Type? Yes No
pmfHe Description:
Depth Matrix Color Mottle Colors Mottle Abundance/ Texture, Concretions,
(inches) Horn (Munsetl Moist) (Munsel Moist) Sim/Contrast Structure. etc.
(? ° ID io -2 me 7
i-iydric Sol Indicators:
_ Fistosol _ Concretions
Fistia Epipedon _ Figh Organic Content in Surface Layer in Sandy Soils
Sulfidic Odor _ Organic Streaking in Sandy Sots
_ Aquic Moisture Regime _ Listed on Waal Hydric Soils Ust
Reducing Conditions _ Listed on Mflonal Hydric Soils List
_ Gleyed or Low-Chroma Colors j _ Other (Explain in Remarks)
Remarks: ,(/ n 3G' /l rc'c d .'.+ 7 d S A7
WETLAND DETERMINATION
I-Iydrophytic Vegetation Present? No (Circle) (Circle)
Wetland Hydrology Present? Yea <19
Ffydric Sods Present? Yes f4e?) is this Sampling Point Within a Wetland? Yes No
Remarks:
S®;1 s
Approved by HQt)sAGE 3(g2
Appendix B Stank and Example Data Forms
83
Y ?

DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: X J
Applicant/Owner: C h, d c n 21e__-_"--_k1 4 J vl c .,? c7 5y
Investigator: E c; S"
Do Normal Circumstances exist on the site? Yes No
Is the site significantly disturbed (Atypical Situation)? Yes No
Is the area a potential Problem Area? Yes No
(if needed, explain on reverse.)
Date: 7/ /b G
County: r',( -? IA4M
Stater 111. el.
Community ID: .-?
Transect ID:
Plot ID:
HYDROLOGY
_ Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
- Stream, Lake. or Tide Gauge Primary Indicators:
-Aerial Photographs
Inundated
_ Other
No Recorded Data Available _ Saturated in Upper 12 Inches
_ Water Marks
_ Drift Lines -

Field Observations: _ Sediment Deposits
_ Drainage Patterns in Wetlands
Secondary Indicators (2 or more required):
Depth of Surface Water: (in.) _ Oxidized Root Channels in Upper 12 Inches

Depth to Free Water in Pit:
? ." (in.) _ Water-Stained Leaves
_ Local Sod Survey Data

5 _ FAC-Neutral Test
Depth to Saturated Soil: " (in.) _ Other (Explain in Remarks)

Remarks:
62
Appendix B Blank and Example Data Forms
VEGETATION
SOILS
Map Lath Name
(Series and Phase): Drainage Class:
.Field Observations
Taxonomy (Subgroup): Confirm Mapped Type? Yes No
Profile Descriotion:
Depth Matrbc Color Mottle Colors Mottle Abundance/ Te)dure, Concretions,
(inches). Horizon jMunsed Moist) IMunsed Moist) 57A/Contrast Structure. etc.
Hydric Sod indicators:
Hfstosol _ Concretions
Hstic Epipedon Hgh Organic Content in Surface Layer in Sandy Soils
Sulfidic Odor _ Organic Streaking in Sandy Sods
Aquic Moisture Regime _ Listed on Loral Fydric Soils List
Reducing Conditions _ Listed on National RAric Sods List
.?4Gleyed or LowrChroma Colors _ O#W (Expim m Remarks)
Remarks: ff / II ^?
?y??;C ?6f IS ??S?y?? ?C/1/s,n< C? W?o r'1u?f7?f 1
WETLAND DETERMINATION
f ydrophytic Vegetation Presets? No (Circle) (Circle)
Wetland Hydrology Present? No
"Aric Sods Present? s No Is this Sampling Pats Within a Wetland? Yes No
Remarks:
All G e?-?rs??
Aooroved by NOUSACE 3192
Appendix 8 Blank and Example Data Forms 83
Y ?
1?1?L rr yu cdlll 1..1d JJ(1ll.d llV ll 1,UI III
Project Name: River Basin: L?'=c, t-Cu" County: Evaluator:
?SJ6?
DWQ Project Number: - Nearest Named Stream: iUa `AY-,S f Latitude: Signature:
/ Creek
Date: 71 ? Gv USGS QUAD: E reen kev(d Longitude: Location/Directions: p'l(e'll?, a,o
*PLEASE NOTE: If evaluator and landowner agree that the feature is a man-made ditch, then use of this form is not necessary.
Also, if in the best professional judgement of due evaluator, the feature is a man-made ditch and not a modified natural stream-this - Ra4c{
rating system should not be used*
Primary Field Indicators: (Circle One Number Per Line) -
I J •? ?
1. Geomorphology Ab. ent Weak Moderate Stron
1) Is There A Riffle-Pool Seduence? 0 2 3
2) Is The USDA Texture In Streambed
5) Is There An Active (Or Relic)
9) Is A Continuous Bed & Bank Present? 0 I 3
("NOTE: lfBed & Bonk CmtseA By Ditchme And w7THOUTSInuosity Then Score=09
10) Is A 2°d Order Or Greater Channel (As Indicated
PRIMARY GEOMORPHOLOGY INDICATOR
II. Hvdroloev Absent Weak Moderate Strong
1) Is There A Groundwater
FlowfDischaree Present? / 0 J I 2 3
PRIMAR Y HYDROL OGY INDICA TOR
POIN :?_
1) Is There A Head Cut Present In Channels 0 SY ` -V (?? Y U•1 V•?
2) Is There A Grade Control Point In Channel? CO 5 1 1.5
3) Does Topography Indicate A
Natural Drainage Way? ...r
0
1
1.5
SECONDARYGEOMORPHOLOGYINDICATORPOINTS: l
11. Hydrology Absent Weak Moderate
Stron
1) Is This Year's (Or Last's) Leaflitter
Present In treambed?
1.5
1
Z Is Sediment On Plants Or Debris) Present? 5 t L
3 Are Wrack Lines Present? 0 .5 1 1.5
4) Is Water In Channel And >48 Hrs. Since 0
Last Known Rain? t •NOTE.? !f Ditch indicated In #9 Above Sk(o Deis Sleo .5 1
And #5 Below) 1.5
5) Is There Water in Channel During Dry
Conditions Or In Growin Season)? . G .5 1 1.5
6) Are Hvdric Soils Present In Sides Of Channel (Or In Head_rn t)y Yes=1.5 _ No=
SECONDARYHYDROLOGYINDICATORPOINTS. I /,,
TOTAL POINTS (Primary + Seeontlary)= (If Greater Than Or Equal To 19 Points The Stream Is At Least Intermittent)
Secondary Field Indicators: (Circle One Number Per Line)
5) Are Wetland r1ants In Streambed'! SAV Mostly OBL Mostly FACW Mosul ' C Mostly FACU Mostly UPL
(• NOTE: If T ml Absence Ofdll Plants In Sireambed 1 1 .75 5 0 0
As Noted Above Ski ni Ste UNLESS SAV PresenP
SECONDARY BIOLOGY INDICATOR POINTS: 7-,71
,}?.
Q b t
station ? -- ?
48
250 -\..
Oll
f t
r 17311 i??•• i _ 1Lt \
/
w-N
-__ (t`" \1 f /1? ! ` 300 ?/ t \*
v``,.\
r r! Q - ?- 300 i i
•
/ f h - '. -- ern; ?' ? ?` , ( ? ? :•
C30, i '
-J DSO / , ?? s? ? , / 321 ? -!j ? t ? ,! , / ,
277
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #):
J
PRE-CONSTRUCTION NOTIFICATION.APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE: 1 0 1 4 6 ,r
1) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATION FOR SECTION 401 CERTIFICATION
3) COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND (1) ONE COPY OF THIS COMPLETED FORM TO THE APPROPRIATE
FIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN (7)
COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT (SEE
AGENCY ADDRESSES SHEET). PLEASE PRINT.
1. OWNER'S NAME

2. MAILING
ADRESS : n-1
C'.b?CZ?t ; dIr?
SUBDIVISION NAME:
CITY: wn144PTVA r*? STATE: 1y L ZIP CODE: 27?
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM MAILING
ADDRESS ABOVE):
3. TELEPHONE NUMBER (HOME): WORK:??Tft n.??- 5e-6L
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:
j?
LS PTO ?a !?©X ?Z ?, ( 1
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP OR
AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: L_i.l?t,rt NEAREST TOWN OR CITY:
f `?_E is l'\ ("??-?l i?-? ?1? ??
1 PAYMENT
RECEIVED
ROAD, NUMBERS, LANDMARKS, ETC.):
SPECIFIC LOCATION (INCLUDE
6. IMPACTED OR NEAREST STREAM/RIVER: j
RIVER BASIN: 7A. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER (SA),
HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW), WATER SUPPLY (WS-I
OR WS-II)? YES [ ] NO [<] IF YES, EXPLAIN:
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT
AREA OF ENVIRONMENTAL CONCERN (AEC)? YES [ ] NO [ x
7C. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION?
8A. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES [ ] NO [?t ] IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS
PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION) :
8B. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE?
YES [ ] NO [,>< ] IF YES, DESCRIBE ANTICIPATED WORK:
9A. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND EL7??`." r
9B. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
7
1V H
LVVC10rLn Ur t1l.tCr,J Vr WGT1.E-1NUb 1tvlYACTZD BY THE PROPOSED PROJECT BY:
FILLING: r), o 7 EXCAVATION:
FLOODING: Z),! OTHER:
DRAINAGE: TOTAL ACRES TO BE IMPACTED: l?.L
10 B.
(1)STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELCOCATED, PROVIDE
DISTANCE BOTH BEFORE AND AFTER RELOCATION):
LENGTH BEFORE:.- ?O G FT AFTER: FT
WIDTH BEFORE: (based on normal high water contours): f.u FT
WIDTH AFTER: ?Ui11? C0A6 TC'jL.(rugf yL' 73 FT
AVERAGE DEPTH BEFORE: FT AFTER f Z yrif Ax F
(2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL:
CHANNEL EXCAVATION: CONSTRUCTION OF A DAM/FLOODING:
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
DRAINING TO THE POND? 20
WHAT IS THE EXPECTED POND SURFACE AREA? Itr dCj
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED (ATTACH PLANS: 8'-1" X 11" DRAWINGS ONLY):
TI-I C W'AK i .JJt;L v'f: f (ti ' -T2CA-V-4 c' '?5 r ?/ e of % /f? /,,?( ?-
Yv2 A
f7-wl!755
"
13. PURPOSE OF PROPOSED
WORK: To- CK;tf
?
y??.t?
5?fi?!/t V l /
1 1l t?1J ?J'J t W f 7
-( :3 ?
j
:ZAr-14' r
ry
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS):
'Tits A J.5°-< cx&C -I ?Jg- l &+L11'
-,lS -T() /t7Ql-'? S
A, &P42n?i ? - ' /J?1 t J ,fie-r/r 7-7-" iz I ??/? <<
15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE (USF'&WS)
AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) (SEE AGENCY ADDRESSES SHEET
REGARDING THE PRESENCE OF ANY FEDERALLY LISTED OR PROPOSED FOR LISTING
ENDANGERED OR THREATENED SPECIES OR CRITICAL HABITAT IN THE PERMIT AREA THAT
MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED: ery/?
(ATTACH RESPONSES FROM THESE AGENCIES.)
16. YOU ARE.REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER (SHPO)
(SEE AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTORIC PROPERTIES
IN THE PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT.
DATE CONTACTED: AIIA
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF PUBLIC
(STATE) LAND?
YES [ ] NO (IF NO, GO TO 18)
A. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL
DOCUMENT PURSUANT TO THE REQUIREMENTS OF TH. NORTH CAROLINA
ENVIRONMENTAL POLICY ACT? YES [ ] NO [ ]
B. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE?
YES [ ] NO [ ]
IF ANSWER TO 17B IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE
STATE CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING
COMPLIANCE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH, NORTH CAROLINA
27603-8003, TELEPHONE [phone].
4
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED
ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OR FILL MATERIAL INTO WETLANDS.
A. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES AND PONDS
ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21, 26, 29, AND
38). ALL STREAMS (INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE
SHOWN ON THE MAP. MAP SCALES SHOULD BE 1 INCH EQUALS 50 OR 1 INCH
EQUALS 100 FEET OR THEIR EQUIVALENT.
B. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED
PROJECT.
C. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
D. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
E. WHAT IS LAND USE OF SURROUNDING PROPERTY?
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? ?(G
G. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE U.S. MAY NOT BE IMPACTED PRIOR TO:
1) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT
2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF
ENVIRONMENTAL MANAGEMENT (WATER QUALITY) CERTIFICATION, AND
3) (IN THE TWENTY COASTAL COUNTIES ONLY) A LETTER FROM THE
NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE
PROPOSED.ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA
COASTAL MANAGEMENT PROGRAM.
AGENT'S SIGNATURE ATE
(AGENT'S SIGNATURE VALID ONLY IF
AUTHORIZATION LETTER FROM THE
OWNER IS PROVIDED (18G.) )

5
DATA FORM
ROUTINE WETLAND DETERMINATION
(1967 COE Wetlands Delineation Manual)
Project/Site: ?1,155 Date:
Applicant/Owner:
- County:u
Investigator: %t S L Yom,,, I fit/ Iesn er State: A)._C .
Do Normal Circumstances exist on the site? Yes No Community ID:
Is the site significantly disturbed (Atypical Situation)? Yes No Transect ID:
Is the area a potential Problem Area? Yes No Plot ID:
(If needed. explain on reverse.)
VEGETATION
Dominant Plant Species Tatum Indicator Dominant Plant oecies Stratum Indicator

2. r J P e.,cl rte., l v i i^?r ?--? 10.
3.
4. I
h
i JI?J "fry ?Co?
5. P l_ 13.
6. 14.
T. t 5
16.
Percent of Dominant Species that are OBL. FACW or FAC r `'mil
e eludin FAC- . r.
Remarks: 14,2

HYDROLOGY
_ Recorded Data (Describe in Remarks): Wetland Hydrology indicators-
- Stream. Lake. or Tide Gauge Primary Indicators:
- Aerial Photographs inundated
Other
- Saturated Upper 12 Inches
_ No Recorded Data Available Water Marks
Drift Lines
_
_ Sediment Deposits
Field Observations; _ Drainage Patterris in Wetlands
Secondary indicators (2 or more required):
Depth of Surface Water: (in.) -Oxidized Root Channels in Upper 12 Inches

AI _ Water-Stained Leaves
Depth to Free Water in Pit A Cn•D _ Local Soil Survey Data
'
1 _ FAC-Neutral Test
Depth to Saturated Soil: r
(in.) T Other (Explain in Remarks)
Remarks:
.( 5 . +??^ h? . ? :jam ,.'l ? F? r.' . ,.Y.• ,? f

132 Appendix B Blank and Example Data Forms
DP-
SOILS c° -1' j
Map Unit Name
(Series and Phase): Drainage Class:
Feld Observations.
Taxonomy (Subgroup):... Confirm Mapped Type? Yes No
Prohte Description:
Depth Matrix Color Mottle Colors Mottle Abundance/ TeAure, Concretions,
(inks) Horizon IMunsell Moist) IMunsell Moist) na/Contrast Structure- etc. f /
Hydric Soil Indicators:
tistosol _ Concretions
_ tfstic Epipedon _ Hgh Organic Content in Surface Layer in Sandy Soft
_ Sulfidic Odor _ Organic Streaking in Sandy Soils
Aquic Moisture Regime _. Listed on Local Hydric Soils List
Reducing Conditions _ Listed on National l-"ric Soils List
_ Gbyed or LovwChroma Coors _ Other (E*ain in Remarks)
Remarks:
v Sell 1,64 - h Vdf ?? ??M? y 2)
WETLAND DETERMINATION
Hydrophyfic Vegetation. Present? (?No (Circle) (Circle)
Wetland Hydrology Present? Ye&
Hydric Soils Present? Yes Is this Sampling Point Within a Wetland? Yes
Remarks:
P/yj
y jr' G y?i Serf
Approved by 1-I001RACE 3192
Appendix 8 Blank and Example Data Forms B3
-;?>-
_ Y `.
' ?
-. ?- _
;?'? !/?u ' ' ?1 ? j - .:J ?,(??Z,?`4 ,2? . raj' J??

DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site:? Scrnr:?>?
Applicant/Owner:
Investigator: &e-l_
L r? is ?i ysr _? -
Do Normal Circumstances exist on the site? Yes No
Is the site significantly disturbed (Atypical Situation)? Yes No
Is the area a potential Problem Area? Yes No
(It needed, exD)ain on reverse.)
HYDROLOGY
Date:
County:
State: . ?
Community ID:
Transect ID: _
Plot ID:
_ Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
.- Stream, Lake. or Tide Gauge Primary Indicators:
- Aerial Photographs
inundated
- Other
No Recorded Data Available _ Saturated in Upper 12 Inches
_ _ Water Marks
_ Drift Lines

Field observations: _ Sediment Deposits
_ Drainage Patterns in Wetlands
Secondary Indicators (2 or more required):
WA
Depth of Surface Water. { - _(in.) Oxidized Root Channels in Upper 12 Inches
Water-Stained Leaves
Depth to Free Water in Pit (in.) _ Local Soil Survey Data
l ?-
Depth to Saturated Soil:
FAC-Neutral Test
(in.) _ Other (Explain in Remarks)
r _
Remarks:

?J ?{ snG CJ 1' ??j! :?? Y

B2
Appendix B Blank and Example Data Forms
VEGETATION

D.F-2
SOILS
Map ).hit Name
(Series and Phase):
Drainage Class:
Taxonomy (Subgroup): Field Observations .
Confirm Mapped Type? Yes No
Profile Description:
Depth Matrix Color Mottle Colors Mottle Abundance/ Texture, Concretions,
(inches) Florinon (Munsell Moist) (Munsell Moist) 5Za/Contrast
Structure. etc-
411 //One S. ??? l?s y
Hydric Sod Indicators:
Kwtosol _ Concretions
_ Hstic Epipedon _ Hgh Organic Content in Surface Layer in Sandy Soft
_ Suf idic Odor _ Organic Streaking in Sandy Soils
_ Aquic Moisture Regime _ Listed on Local Hydric soils List
_ Reducing Conditions _ Listed on National NWric Soils List
- Gieyyed?or,LovwChroma Colors f -. Other (Explain in Remarks)
Remarks:
?? c, f-?? ?/ r/ /
L/A
WETLAND DETERMINATION
I+Arophytic Vegetation Present? Ceq) No (Circle)
Wetland Hydrology Present?' Yee (i
I ydric Soils Present? Yes
Remarks:
(Ckcllee)'
Is this Sampling PoW Wilton a Wetland? Yes( No )

Approved by HOUSACE 3192
Appendix B Blank and Example Data Forms
B3
?--' ^1 ?
v L/ i? w? , Y?.? I /

DATA FORM
ROUTINE WETLAND DETERMINATION
0987 COE Wetlands Delineation Manual)
Project/Site: ??.?? a?,•?f i i? v i, ?•, r?ihs? Z t? /?
Applicant/Owner:
Investigator: CS - _ td
- .G I V>f `-so??
Do Normal Circumstances exist on the site? Yes No
is the site significantly disturbed (Atypical Situation)? Yes No
Is the area a potential Problem Area? Yes No
(If needed, explain on reverse.)

VEGETATION
Date: I)
??
County: L L,4 -
State: _ Al- C.
Community ID: DP-- 3
Transect ID:
Plot ID:
Dominant Plant Species
1. A Cep r., 6 ?? Tatum Indic-tor Dominant Plant Species Stratum Indicator

r
1
3. r7 M i 1???? . -_ 11.
4. 12.
5. 13.
6. 14.
7. 15.
8. 16.
`Percent of Dominant Species that are 081- FACW or FAC
FAG
di
l
u
ng
.
(exc
Remarks:

HYDROLOGY
_ Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
Stream, Lake, or Tide Gauge Primary Indicators:
_ Aerial Photographs Inundated
_ Other
No Recorded Data Available _
_ Saturated in Upper 12 Inches
- _ Water Marks
_ Drift Lines

Field Observations: _ Sediment Deposits
_ Drainage Patterns in Wetlands
/f Secondary Indicators (2 or more required):
Depth of Surface Water: (in.) _ Oxidized Root Channels in Upper 12 Inches
A i _ Water-Stained Leaves
Depth to Free Water in Pit (In•) - Local Soil Survey Data

Depth to Saturated Soi: f
(in.) _ FAG-Neutral Test
_ Other (Explain in Remarks)
?!
Remarks: t'viJJ t
L

' t ?-
/

B2
Appendbt 8 Blank and Example Data Forms
--4T 5, - **::, -I
L
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: Ro kAe.,r- )N< X j
Applicant/Owner: C h? ? ?• r7e A., e. >e
Investigator: :` c S - r r,$
Do Normal Circumstances exist on the site? Yes No
Is the site significantly disturbed (Atypical Situation)? Yes No
Is the area a potential Problem Area? Yes No
(if needed. explain on reverse-)
r
VEGETATION
Date: ;7
County: ('? fdi 4 .,
State: lU e.
Community ID:
Transect ID:
Plot ID:
Dominant Plant Species Stratum Indicator Dominant Plant Species Tatum Indicator
1_ inn
l J 4 9
3. TVe z. L
12Z _JL it.
4. 12.
5. 13.
6. 14.
7. is.
6. 16.
Percent of Dominant Species that are OBI, FACW or FAC
(e)dudin FAC- . / V
Remarks:
HYDROLOGY
_ Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
- Stream. Lake. or Tide Gauge Primary Indicators:
-Aerial Photographs _ Inundated
_ Other _ Saturated in Upper 12 Inches
-No Recorded Data Available - Water Marks
_ Drift Lines
- Sediment Deposits
Field Observations: - Drainage Patterns in Wetlands
_ Secondary Indicators (2 or more required):
Depth of Surface Water: (in.) - Oxidized Root Channels in Upper 12 inches

Depth to Free Water in Pit L
7J ' 4?(in.) Water-Stained Leaves
_ Local Soil Survey Data

? s FAC-Neutral Test
Depth to Saturated Soi: 4t r (in.) _ Other (Explain in Remarks)

Remarks: rJ? ?j ?/J /J^/
B2
Appendot B Blank and Example Data Forms

f"
SOILS
Map Wit Name
(Series and Phase): Drainage Class:
.Field Observations
Taxonomy (Subgroup): Confirm Mapped Type? Yes No
Profile Description:
Depth Matrix Color Mottle Colors Mottle Abundance/ Texture, Concretions,
(inches) Horizon (Munsed Moist) (Munsell Moist) Size/Contrast Structure- etc.
Hydric Sol Indicators:
_ Histosol _ Concretions
Hstic Epipedon _ Hgh Organic Content in Surface Layer in Sandy Sods
Sulidic Odor _ Organic Streaking in Sandy Sols
Aquic Moisture Regime Listed on Local Fydric Soils List
Reducing Conditions _ Listed on National Hydric Soils List
Gleyed or Low-Chroma Colors - Other(Explain in Remarks)
Remarks:
V? l lit /G<. _ J
WETLAND DETERMINATION
Hydrophytic Vegetation Present? No (Cirri!,) (Circle)
Wetland Hydrology Present? No
Hydric Soils Present? s No is this Sampling Point Within a Welland? • Yes No
Remarks:
All FA r, QferS / (e
Approved by HOUSACE 3192
Appendix B Blank and Example Data Fortes
B3
iK??'? ?(
t?.., I-# vv Le ou cant t_lkl"Illua LIU11 r vrtu
ProiectName: 1c;5c„-.o,,; River Basin: Czp::,f- County: L)J,A,. Evaluator: '?GLt
5.I L. J) 'a s,an
DWQ Project Number: Nearest Named Stream: IV-Latitude: Signature:
(=zt-
Date: 71`7 / GG USGS QUAD: Green ke,e l Longitude: Location./Directions: (Dlleelly gate
*PLEASE NOTE: If evaluator and landowner agree that tee feature is a man-made ditch, then use of this form is not necessary. Rao,l
.1
Also, if in the best professional judgement of the evaluator, the feature is a man-made ditch and not a modified natural stream-this -
rating system should got be used*
Primary Field Indicators: (Circle One Number Per Line)
1. Geomor holoo Ab. nt Weak Moderate Strong
11 Is There A Riffle-Pool Sequence? 0 f 2 3
2) Is The USDA Texture In Streambed a
5) Is There An Active (Or Relic)
9) Is A Continuous Bed & Bank Present? 0 1 2 3
/'NOTE: If BeA & Bank t=ea hine nd HOOT Sinuosity Then Score=o •1
10) Is A 2°e Order Ohannel (As Indicated
PRIMARY GEOMORPHOLOGYINDICA TOR
II. Hvdroloev Absent Weak Moderate Strong
1) Is There A Groundwater
Flow/Discharize Present? (0 ) ( 2
PRIMARYHYDROLOGYINDICATORPOIN :_r
PRIMARYBIOLOGYINDICA TOR POINTS:
Secondary Field Indicators: (circle One Number Per Line)
2) Is -Fhere A Urade Control Point In Channel? (0 5 1 t _
3) Does Topography Indicate A
Natural Drains a Way? 0 "
1.5
SECONDARYGEOMORPHOLOGYINDICATORPOINTS: 1.
II. Hvdroloev Absent Weak Moderate Strong
1) Is This Year's (Or Last's) Leaflitter
Present In treambed?
1 1 .5 r1do
Z Is Sediment On Plants Or Debris Present? h
5 1 L5
3 Are Wrack Lines Present? 0 .5 1 1.5 ?K
4) Is Water In Channel And >48 Hrs. Since 0 .5 1 1.5
Last Known Rain? ('NOTE: If Ditch Indicated In a9 Above
it Pep A d N5 B to -)
5) Is There Water In Channel During Dry G
T .5 1 1.5
Conditions Or In rowin Season ?
6) Are Hvdric Soils Present In Sides Of Channel (Or In Hea Icn r)? Yes=1.5 Vo=
SECONDARYHYDROLOGYINDICA TOR POINTS: I /1
SECONDARY BIOLOGY INDICATOR
TOTAL POINTS (Primary + Secondary=?(IfGreater Than Or Equal To 19 Points The Stream Is At Least Intermittent)
Not
9,
a) Are wettana riants In stteamneo( SAV Mostly OBL Mostly FACW Mostly C Mostly FACU Mostly UPL
(• NOTE: If T ml Absence OIAll Plants A Sr-,bed 1 1 .75 t T) 0 0
op -11?-e? to 1?- t -?
• t Su station I
I00
48 f( `'
250 ti
1o-
i OSellyB Ch
t ,
/ \\ \ 300 7 ?F s
jj:
\?n1
1173,11 I ?'• ? ? C? _• ? -^ ? ? : - 77
ILI,
?V' - ? •. r .. ? ! ? } -- "yam _ `v 1 ',j ? ! 1"-'-? ` \ \` '? ? - ? / // ? `J r '• l l r?? ? -? `
(jam `.,- ?.? ` . --/ . ? ??, ???;-? --??1--?. ?' _ • . ? `, ;?. ,i1 ? ?..: ?,?_ ??• ?, !
-- - ? ?, 011 - %:?_ ??: ?,(' ? '-' i' i /?'' ~ ? ` ;, ? 3? --•? ? ? ?\ 1"
'7. 7
__= - __ ` ,` ,,\ \ ?-,I f r I 'ri' '•'? `}, ? t ^, Jim i /j//, \ _,(- - \, (\<'.\ ``' - `
300
rr - 300
?' - ' - ••l ` ? 1 ;.?? it '' l( t rt ? O ? •? -/
(.322
l \ -
?r % 1 - 17
1/10