20200009 Ver 1_SAM Forms (Earlier process)_20200214 (2)

Strickland, Bev
From: Chris Huysman <[e-mail]>
Sent: Friday, February 14, 2020 3:14 PM
To: Chris Huysman; Johnson, Alan
Subject: [External] Fwd: The Parking Spot SAM forms
Attachments: 171026_ParkingSpot_T1_NCSAM.xlsm; 160426P_ParkingSpot_NC SAM.xlsm
External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
[e-mail]
Alan,
Here are some forms that we completed earlier in the process.
Thanks for the stormwater email yesterday- we have forwarded it to a bunch of our clients.
---------- Forwarded message ---------
From: Perry Isner <perry.isnerkgrnail.com>
Date: Thu, Feb 13, 2020 at 10:25 AM
Subject:
To: Perry Isner <perryisnerkwetlands-waters.com>, <chrishuysmangwetlands-waters.com>
Perry Isner
Wetlands & Waters, inc.
328 East Broad St. Suite D
Statesville, NC 28677
NIZAWtLcI EAyAcI:1
perryisner(a)-wetlands-waters.com
.,#YWETLANDS
a WATERS
1

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NC SAM FIELD ASSESSMENT FORM
Accompanies User Manual Version 2.1
INSTRUCTIONS: Attach a sketch of the assessment area and photographs. Attach a copy of the USGS 7.5-minute topographic
quadrangle, and circle the location of the stream reach under evaluation. If multiple stream reaches will be evaluated on the same
property, identify and number all reaches on the attached map, and include a separate form for each reach. See the NC SAM User
Manual for detailed descriptions and explanations of requested information. Record in the "Notes/Sketch" section if any supplementary
measurements were performed. See the NC SAM User Manual for examples of additional measurements that may be relevant.
NOTE EVIDENCE OF STRESSORS AFFECTING THE ASSESSMENT AREA (do not need to be within the assessment area).
PROJECT / SITE INFORMATION:
1. Project name (if any):
The Parking Spot
2. Date of evaluation: 10.26.17
3. Applicant/owner name:
The Parking Spot
4. Assessor name/organization:
5. County:
Mecklenburg
6. Nearest named water body
7. River Basin:
Catawba
on USGS 7.5-minute quad:
8. Site coordinates (decimal degrees, at lower end of assessment reach):
STREAM INFORMATION: (depth and width can be approximations)
P. Inner, Wetlands & Waters
Ticer Branch
9. Site number (show on attached map): T1 10. Length of assessment reach evaluated (feet): 100
11. Channel depth from bed (in riffle, if present) to top of bank (feet): 9 F Unable to assess channel depth.
12. Channel width at top of bank (feet): 8 13. Is assessment reach a swamp stream? r Yes ti
14. Feature type: Perennial flow Intermittent flow r Tidal Marsh Stream
STREAM RATING INFORMATION:
15. NC SAM Zone: Mountains (M) Piedmont (P) Inner Coastal Plain (1) Outer Coastal Plain (0)
16. Estimated geomorphic /
valley shape (skip for a b
Tidal Marsh Stream): (more sinuous stream, flatter valley slope) (less sinuous stream, steeper valley slope)
17. Watershed size: (skip Size 1 (< 0.1 mi1) Size 2 (0.1 to < 0.5 mil) Size 3 (0.5 to < 5 mil) Size 4 (>- 5 mil)
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
18. Were regulatory considerations evaluated? Yes No If Yes, check all that appy to the assessment area.
I Section 10 water i Classified Trout Waters Water Supply Watershed ( 1 II III IV V)
F Essential Fish Habitat F Primary Nursery Area F High Quality Waters/Outstanding Resource Waters
F Publicly owned property F NCDWR riparian buffer rule in effect L Nutrient Sensitive Waters
F Anadromous fish f 303(d) List I CAMA Area of Environmental Concern (AEC)
F Documented presence of a federal and/or state listed protected species within the assessment area.
List species:
Designated Critical Habitat (list species):
19. Are additional stream information/supplementary measurements included in "Notes/Sketch" section or attached? Yes
1. Channel Water - assessment reach metric (skip for Size 1 streams and Tidal Marsh Streams)
r' A Water throughout assessment reach.
r B No flow, water in pools only.
r C No water in assessment reach.
2. Evidence of Flow Restriction - assessment reach metric
r* A At least 10% of assessment reach in -stream habitat or riffle -pool sequence is adversely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impounded on flood or ebb within
the assessment reach (examples: undersized or perched culverts, causeways that constrict the channel, tidal gates).
B Not A
3. Feature Pattern - assessment reach metric
r A A majority of the assessment reach has altered pattern (examples: straightening, modification above or below culvert).
r* B Not A.
4. Feature Longitudinal Profile - assessment reach metric
r* A Majority of assessment reach has a substantially altered stream profile (examples: channel down -cutting, existing damming,
over widening, active aggradation, dredging, and excavation where appropriate channel profile has not reformed from any of
these disturbances).
B Not A
5. Signs of Active Instability - assessment reach metric
Consider only current instability, not past events from which the stream has currently recovered. Examples of instability include
active bank failure, active channel down -cutting (head -cut), active widening, and artificial hardening (such as concrete, gabion, rip -rap).
O� A < 10% of channel unstable
" B 10 to 25% of channel unstable
" C > 25% of channel unstable
6. Streamside Area Interaction - streamside area metric
Consider for the Left Bank (LB) and the Right Bank (RB).
LB RB
# A � " A Little or no evidence of conditions that adversely affect reference interaction
" B r B Moderate evidence of conditions (examples: berms, levees, down -cutting, aggradation, dredging) that adversely affect
reference interaction (examples: limited streamside area access, disruption of flood flows through streamside area,
leaky or intermittent bulkheads, causeways with floodplain constriction, minor ditching [including mosquito ditching])
r' C r' C Extensive evidence of conditions that adversely affect reference interaction (little to no floodplain/intertidal zone access
[examples: causeways with floodplain and channel constriction, bulkheads, retaining walls, fill, stream incision,
disruption of flood flows through streamside area] or too much floodplain/intertidal zone access [examples:
impoundments, intensive mosquito ditching]) or floodplain/intertidal zone unnaturally absent or assessment reach is a
man-made feature on an interstream divide
7. Water Quality Stressors - assessment reach/intertidal zone metric
* No

Check all that apply.
F A Discolored water in stream or intertidal zone (milky white, blue, unnatural water discoloration, oil sheen, stream foam)
IF B Excessive sedimentation (burying of stream features or intertidal zone)
F C Noticeable evidence of pollutant discharges entering the assessment reach and causing a water quality problem
F D Odor (not including natural sulfide odors)
E Current published or collected data indicating degraded water quality in the assessment reach. Cite source in the "Notes/Sketch"
section.
F F Livestock with access to stream or intertidal zone
F G Excessive algae in stream or intertidal zone
F H Degraded marsh vegetation in the intertidal zone (removal, burning, regular mowing, destruction, etc.)
I1_1 I Other: urban stream (explain in "Notes/Sketch" section)
F J Little to no stressors
8. Recent Weather —watershed metric
For Size 1 or 2 streams, D1 drought or higher is considered a drought; for Size 3 or 4 streams, D2 drought or higher is considered a
drought.
C A Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
C B Drought conditions and rainfall exceeding 1 inch within the last 48 hours
re C No drought conditions
9 Large or Dangerous Stream —assessment reach metric
r Yes r` N o Is stream is too large or dangerous to assess? If Yes, skip to Metric 13 (Streamside Area Ground Surface Condition).
10. Natural In -stream Habitat Types — assessment reach metric
10a. Yes No Degraded in -stream habitat over majority of the assessment reach (examples of stressors include excessive
sedimentation, mining, excavation, in -stream hardening [for example, rip -rap], recent dredging, and snagging)
(evaluate for size 4 Coastal Plain streams only, then skip to Metric 12)
10b. Check all that occur (occurs if > 5% coverage of assessment reach) (skip for Size 4 Coastal Plain streams)
F A Multiple aquatic macrophytes and aquatic mosses i F 5% oysters or other natural hard bottoms
(include liverworts, lichens, and algal mats) C G Submerged aquatic vegetation
F— B Multiple sticks and/or leaf packs and/or emergent o F H Low -tide refugia (pools)
vegetation o r I Sand bottom
r C Multiple snags and logs (including lap trees) CU F— J 5% vertical bank along the marsh
F_ D 5% undercut banks and/or root mats and/or roots K Little or no habitat
in banks extend to the normal wetted perimeter
i ✓ E Little or no habitat
*********************************REMAINING QUESTIONS ARE NOT APPLICABLE FOR TIDAL MARSH STREAMS****************************
11. Bedform and Substrate —assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
11 a. (' Yes * No Is assessment reach in a natural sand -bed stream? (skip for Coastal Plain streams)
11 b. Bedforrn evaluated. Check the appropriate box(es).
F A Riffle -run section (evaluate 11 c)
F B Pool -glide section (evaluate 11 d)
F7 C Natural bedform absent (skip to Metric 12, Aquatic Life)
11 c. In riffles sections, check all that occur below the normal wetted perimeter of the assessment reach — whether or not submerged.
Check at least one box in each row (skip for Size 4 Coastal Plain Streams and Tidal Marsh Streams). Not Present (NP) _
absent, Rage (R) = present but <_ 10%, Common (C) _ > 10-40%, Abundant (A) _ > 40-70%, Predominant (P) _ > 70%. Cumulative
percentages should not exceed 100% for each assessment reach.
NP R C A P
r r r r r Bedrock/saprolite
r r r r r Boulder (256 — 4096 mm)
r r r r r Cobble (64 — 256 mm)
r r r r r Gravel (2 — 64 mm)
r r r r r Sand (.062 — 2 mm)
r r r r Silt/clay (< 0.062 mm)
r r r r Detritus
r r r r Artificial (rip -rap, concrete, etc.)
11 d. r Yes NC Are pools filled with sediment? (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
12. Aquatic Life — assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
12a. (* Yes No Was an in -stream aquatic life assessment performed as described in the User Manual?
If No. select one of the following reasons and skip to Metric 13. No Water Other:
12b. r` Yes No Are aquatic organisms present in the assessment reach (look in riffles, pools, then snags)? If Yes, check
all that apply. If No, skip to Metric 13.
1 >1 Numbers over columns refer to "individuals" for size 1 and 2 streams and "taxa" for size 3 and 4 streams.
F, f Adult frogs
r- F Aquatic reptiles
r r Aquatic macrophytes and aquatic mosses (include liverworts, lichens, and algal mats)
F C Beetles (including water pennies)
r- F Caddisfly larvae (Trichoptera [T])
F r Asian clam (Corbicula )
F f Crustacean (isopod/amphipod/crayfish/shrim p)
F F Damselfly and dragonfly larvae
F F Dipterans (true flies)
F F Mayfly larvae (Ephemeroptera [E])
F F— Megaloptera (alderfly, fishfly, dobsonfly larvae)
F F Midges/mosquito larvae
F— f Mosquito fish (Gambusia) or mud minnows (Umbra pygmaea)
F F Mussels/Clams (not Corbicula )

F F Other fish
F F Salamanders/tadpoles
F r Snails
F_ f Stonefly larvae (Plecoptera [P])
F F Tipulid larvae
r— C Worms/leeches
13. Streamside Area Ground Surface Condition — streamside area metric (skip for Tidal Marsh Streams and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB). Consider storage capacity with regard to both overbank flow and
upland runoff.
LB RB
A (— A Little or no alteration to water storage capacity over a majority of the streamside area
" B r B Moderate alteration to water storage capacity over a majority of the streamside area
C �' C Severe alteration to water storage capacity over a majority of the streamside area (examples include: ditches, fill,
soil, compaction, livestock disturbance, buildings, man-made levees, drainage pipes)
14. Streamside Area Water Storage — streamside area metric (skip for Size 1 streams, Tidal Marsh Streams, and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB) of the streamside area.
LB RB
A A Majority of streamside area with depressions able to pond water >_ 6 inches deep
" B " B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
r* C r C Majority of streamside area with depressions able to pond water < 3 inches deep
15. Wetland Presence — streamside area metric (skip for Tidal Marsh Streams)
Consider for the Left Bank (LB) and the Right Bank (RB). Do not consider wetlands outside of the streamside area or within the
normal wetted perimeter of assessment reach.
LB RB
C Y ( Y Are wetlands present in the streamside area?
r' N r' N
16. Baseflow Contributors — assessment reach metric (skip for size 4 streams and Tidal Marsh Streams)
Check all contributors within the assessment reach or within view of and draining to the assessment reach.
A Streams and/or springs (jurisdictional discharges)
B Ponds (include wet detention basins; do not include sediment basins or dry detention basins)
C Obstruction that passes some flow during low -flow periods within assessment area (beaver dam, bottom -release dam)
D Evidence of bank seepage or sweating (iron oxidizing bacteria in water indicates seepage)
E Stream bed or bank soil reduced (dig through deposited sediment if present)
F None of the above
17. Baseflow Detractors — assessment area metric (skip for Tidal Marsh Streams)
Check all that apply.
A Evidence of substantial water withdrawals from the assessment reach (includes areas excavated for pump installation)
F B Obstruction not passing flow during low flow periods affecting the assessment reach (ex: watertight dam, sediment deposit)
P, C Urban stream (>! 24% impervious surface for watershed)
R D Evidence that the stream -side area has been modified resulting in accelerated drainage into the assessment reach
F E Assessment reach relocated to valley edge
IF F None of the above
18. Shading — assessment reach metric (skip for Tidal Marsh Streams)
Consider aspect. Consider "leaf -on" condition.
A Stream shading is appropriate for stream category (may include gaps associated with natural processes)
" B Degraded (example: scattered trees)
C Stream shading is gone or largely absent
19. Buffer Width — streamside area metric (skip for Tidal Marsh Streams)
Consider "vegetated buffer" and "wooded buffer" separately for left bank (LB) and right bank (RB) starting at the top
of bank out to the first break.
Vegetated Wooded
LB RB LB RB
r A A A A >_ 100-feet wide or extends to the edge of the watershed
r B B B '" B From 50 to < 100-feet wide
r' C (* C * C" C From 30 to < 50-feet wide
r D D D D From 10 to < 30-feet wide
(" E " E" E E < 10-feet wide or no trees
20. Buffer Structure — streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Vegetated" Buffer Width).
LB RB
A L A Mature forest
" B (* B Non -mature woody vegetation or modified vegetation structure
C C C Herbaceous vegetation with or without a strip of trees < 10 feet wide
D { " D Maintained shrubs
" E'E Little or no vegetation
21. Buffer Stressors — streamside area metric (skip for Tidal Marsh Streams)
Check all appropriate boxes for left bank (LB) and right bank (RB). Indicate if listed stressor abuts stream (Abuts), does not abut but
is within 30 feet of stream (< 30 feet), or is between 30 to 50 feet of stream (30-50 feet).
If none of the following stressors occurs on either bank, check here and skip to Metric 22:
Abuts < 30 feet 30-50 feet
LB r LB RB LB RB
rA rA rA rA rA rA Row crops
r B r B r B r B r B r B Maintained turf
r C r C r C " C r C r C Pasture (no livestock)/commercial horticulture
(" D r D r D D r D r D Pasture (active livestock use)

22. Stem Density - streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Wooded" Buffer Width).
LB RB
r' A (* A Medium to high stem density
r B B Low stem density
r C C No wooded riparian buffer or predominantly herbaceous species or bare ground
23. Continuity of Vegetated Buffer - streamside area metric (skip for Tidal Marsh Streams)
Consider whether vegetated buffer is continuous along stream (parallel). Breaks are areas lacking vegetation > 10-feet wide.
LB RB
* A (* A The total length of buffer breaks is < 25 percent.
B B The total length of buffer breaks is between 25 and 50 percent.
C C The total length of buffer breaks is > 50 percent.
24. Vegetative Composition -First 100 feet of streamside area metric (skip for Tidal Marsh Streams)
Evaluate the dominant vegetation within 100 feet of each bank or to the edge of the watershed (whichever comes first) as it contributes
to assessment reach habitat.
LB RB
A A Vegetation is close to undisturbed in species present and their proportions. Lower strata composed of native
species, with non-native invasive species absent or sparse.
* B B Vegetation indicates disturbance in terms of species diversity or proportions, but is still largely composed of native
species. This may include communities of weedy native species that develop after clear -cutting or clearing or
communities with non-native invasive species present, but not dominant, over a large portion of the expected strata or
communities missing understory but retaining canopy trees.
C C Vegetation is severely disturbed in terms of species diversity or proportions. Mature canopy is absent or communities
with non-native invasive species dominant over a large portion of expected strata or communities composed of planted
stands of non -characteristic species or communities inappropriately composed of a single species or no vegetation.
25. Conductivity - assessment reach metric (skip for all Coastal Plain streams)
25a. Yes * No Was a conductivity measurement recorded?
If No, select one of the following reasons. s No Water s Other:
25b. Check the box corresponding to the conductivity measurement (units of microsiemens per centimeter).
r A <46 r B 46 to < 67 r C 67 to < 79 r D 79 to < 230 r E >- 230
Notes/Sketch:

NC SAM Stream Rating Sheet
Accompanies User Manual Version 2.1
Stream Site Name The Parking Spot
Stream Category Pb2
Notes of Field Assessment Form (Y/N)
Presence of regulatory considerations (Y/N)
Additional stream information/supplementary measurements included (Y/N)
NC SAM feature type (perennial, intermittent, Tidal Marsh Stream)
Date of Evaluation 10.26.17
Assessor Name/Organization'. Isner, Wetlands & Water
NO
NO
NO
Intormittont
Function Class Rating Summary
USAGE/
All Streams
NCDWR
Intermittent
(1) Hydrology
(2) Baseflow
(2) Flood Flow
(3) Streamside Area Attenuation
(4) Floodplain Access
(4) Wooded Riparian Buffer
(4) Microtopography
(3) Stream Stability
(4) Channel Stability
(4) Sediment Transport
(4) Stream Geomorphology
(2) Stream/Intertidal Zone Interaction
(2) Longitudinal Tidal Flow
(2) Tidal Marsh Stream Stability
(3) Tidal Marsh Channel Stability
(3) Tidal Marsh Stream Geomorphology
LOW
MEDIUM
LOW
LOW
LOW
HIGH
NA
LOW
LOW
LOW
MEDIUM
NA
NA
NA
NA
NA
LOW
MEDIUM
LOW
LOW
LOW
HIGH
NA
LOW
LOW
LOW
MEDIUM
NA
NA
NA
NA
NA
(1) Water Quality
(2) Baseflow
(2) Streamside Area Vegetation
(3) Upland Pollutant Filtration
(3) Thermoregulation
(2) Indicators of Stressors
(2) Aquatic Life Tolerance
(2) Intertidal Zone Filtration
LOW
MEDIUM
HIGH
HIGH
MEDIUM
YES
LOW
NA
LOW
MEDIUM
HIGH
HIGH
MEDIUM
YES
NA
NA
(1) Habitat
(2) In -stream Habitat
(3) Baseflow
LOW
LOW
MEDIUM
LOW
LOW
MEDIUM

NC SAM FIELD ASSESSMENT FORM
Accompanies User Manual Version 2
A
r%aLiny %.d1UU1dw1 VVIbl ll c
USACE AID #: NCDWR #:
INSTRUCTIONS: Attach a sketch of the assessment area and photographs. Attach a copy of the USGS 7.5-minute topographic
quadrangle, and circle the location of the stream reach under evaluation. If multiple stream reaches will be evaluated on the same
property, identify and number all reaches on the attached map, and include a separate form for each reach. See the NC SAM User
Manual for detailed descriptions and explanations of requested information. Record in the "Notes/Sketch" section if any supplementary
measurements were performed. See the NC SAM User Manual for examples of additional measurements that may be relevant.
NOTE EVIDENCE OF STRESSORS AFFECTING THE ASSESSMENT AREA (do not need to be within the assessment area).
PROJECT / SITE INFORMATION:
1. Project name (if any): The Parking Spot 2. Date of evaluation: 04/26/16
3. Applicant/owner name: Mike Boyle, The Parking Spot 4. Assessor name/organization:
5. County: Mecklenburg 6. Nearest named water body
7. River Basin: Catawba on USGS 7.5-minute quad:
8. Site coordinates (decimal degrees, at lower end of assessment reach): 35.23671-80.94646
STREAM INFORMATION: (depth and width can be approximations)
H&B
Ticer Branch
9. Site number (show on attached map): Channel 1 10. Length of assessment reach evaluated (feet): 1200
11. Channel depth from bed (in riffle, if present) to top of bank (feet): 6 F Unable to assess channel depth.
12. Channel width at top of bank (feet): 10 13. Is assessment reach a swamp stream?
14. Feature type: * Perennial flow Intermittent flow r Tidal Marsh Stream
STREAM RATING INFORMATION:
15. NC SAM Zone: Mountains (M) * Piedmont (P) Inner Coastal Plain (1) Outer Coastal Plain (0)
16. Estimated geomorphic /
valley shape (skip for a * b
Tidal Marsh Stream): (more sinuous stream, flatter valley slope) (less sinuous stream, steeper valley slope)
17. Watershed size: (skip Size 1 (< 0.1 mi1) * Size 2 (0.1 to < 0.5 mil) Size 3 (0.5 to < 5 mil) r Size 4 (>- 5 mil)
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
18. Were regulatory considerations evaluated? * Yes No If Yes, check all that appy to the assessment area.
I Section 10 water I- Classified Trout Waters F Water Supply Watershed ( 1 II III IV V)
F Essential Fish Habitat F Primary Nursery Area L High Quality Waters/Outstanding Resource Waters
Publicly owned property F NCDWR riparian buffer rule in effect f Nutrient Sensitive Waters
Anadromous fish r 303(d) List F CAMA Area of Environmental Concern (AEC)
f Documented presence of a federal and/or state listed protected species within the assessment area.
List species:
Designated Critical Habitat (list species):
19. Are additional stream information/supplementary measurements included in "Notes/Sketch" section or attached? Yes * No
1. Channel Water - assessment reach metric (skip for Size 1 streams and Tidal Marsh Streams)
* A Water throughout assessment reach.
B No flow, water in pools only.
C No water in assessment reach.
2. Evidence of Flow Restriction - assessment reach metric
r A At least 10% of assessment reach in -stream habitat or riffle -pool sequence is adversely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impounded on flood or ebb within
the assessment reach (examples: undersized or perched culverts, causeways that constrict the channel, tidal gates).
* B Not A
3. Feature Pattern - assessment reach metric
* A A majority of the assessment reach has altered pattern (examples: straightening, modification above or below culvert).
B Not A.
4. Feature Longitudinal Profile - assessment reach metric
r* A Majority of assessment reach has a substantially altered stream profile (examples: channel down -cutting, existing damming,
over widening, active aggradation, dredging, and excavation where appropriate channel profile has not reformed from any of
these disturbances).
B Not A
5. Signs of Active Instability - assessment reach metric
Consider only current instability, not past events from which the stream has currently recovered. Examples of instability include
active bank failure, active channel down -cutting (head -cut), active widening, and artificial hardening (such as concrete, gabion, rip -rap).
A < 10% of channel unstable
" B 10 to 25% of channel unstable
C > 25% of channel unstable
6. Streamside Area Interaction - streamside area metric
Consider for the Left Bank (LB) and the Right Bank (RB).
LB RB
A A Little or no evidence of conditions that adversely affect reference interaction
" B " B Moderate evidence of conditions (examples: berms, levees, down -cutting, aggradation, dredging) that adversely affect
reference interaction (examples: limited streamside area access, disruption of flood flows through streamside area,
leaky or intermittent bulkheads, causeways with floodplain constriction, minor ditching [including mosquito ditching])
r' C r' C Extensive evidence of conditions that adversely affect reference interaction (little to no floodplain/intertidal zone access
[examples: causeways with floodplain and channel constriction, bulkheads, retaining walls, fill, stream incision,
disruption of flood flows through streamside area] or too much floodplain/intertidal zone access [examples:
impoundments, intensive mosquito ditching]) or floodplain/intertidal zone unnaturally absent or assessment reach is a
man-made feature on an interstream divide

7. Water Quality Stressors — assessment reach/intertidal zone metric
Check all that apply.
F A Discolored water in stream or intertidal zone (milky white, blue, unnatural water discoloration, oil sheen, stream foam)
F B Excessive sedimentation (burying of stream features or intertidal zone)
F C Noticeable evidence of pollutant discharges entering the assessment reach and causing a water quality problem
F D Odor (not including natural sulfide odors)
F E Current published or collected data indicating degraded water quality in the assessment reach. Cite source in the "Notes/Sketch"
section.
F F Livestock with access to stream or intertidal zone
F G Excessive algae in stream or intertidal zone
F H Degraded marsh vegetation in the intertidal zone (removal, burning, regular mowing, destruction, etc.)
F I Other: (explain in "Notes/Sketch" section)
P-1 J Little to no stressors
8. Recent Weather — watershed metric
For Size 1 or 2 streams, D1 drought or higher is considered a drought; for Size 3 or 4 streams, D2 drought or higher is considered a
drought.
C A Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
r B Drought conditions and rainfall exceeding 1 inch within the last 48 hours
C No drought conditions
9 Large or Dangerous Stream — assessment reach metric
Yes * No Is stream is too large or dangerous to assess? If Yes, skip to Metric 13 (Streamside Area Ground Surface Condition).
10. Natural In -stream Habitat Types — assessment reach metric
10a. * Yes No Degraded in -stream habitat over majority of the assessment reach (examples of stressors include excessive
sedimentation, mining, excavation, in -stream hardening [for example, rip -rap], recent dredging, and snagging)
(evaluate for size 4 Coastal Plain streams only, then skip to Metric 12)
10b. Check all that occur (occurs if > 5% coverage of assessment reach) (skip for Size 4 Coastal Plain streams)
A Multiple aquatic macrophytes and aquatic mosses F 5% oysters or other natural hard bottoms
(include liverworts, lichens, and algal mats) G Submerged aquatic vegetation
B Multiple sticks and/or leaf packs and/or emergent 0 H Low -tide refugia (pools)
U) -E
vegetation 0 1 Sand bottom
C Multiple snags and logs (including lap trees) Co
J 5% vertical bank along the marsh
D 5% undercut banks and/or root mats and/or roots v K Little or no habitat
in banks extend to the normal wetted perimeter
E Little or no habitat
*********************************REMAINING QUESTIONS ARE NOT APPLICABLE FOR TIDAL MARSH STREAMS****************************
11. Bedform and Substrate —assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
11 a. Yes * No Is assessment reach in a natural sand -bed stream? (skip for Coastal Plain streams)
11 b. Bedform evaluated. Check the appropriate box(es).
A Riffle -run section (evaluate 11 c)
B pool -glide section (evaluate 11 d)
C Natural bedform absent (skip to Metric 12, Aquatic Life)
11 c. In riffles sections, check all that occur below the normal wetted perimeter of the assessment reach — whether or not submerged.
Check
at least
one
box in each row (skip for Size 4 Coastal Plain Streams and Tidal Marsh Streams). Not Present (NP) _
absent, Rare (R) = present but <_ 10%, Common (C) _ > 10-40%, Abundant (A) _ > 40-70%, Predominant (P) _ > 70%. Cumulative
percentages should
not exceed 100% for each assessment reach.
NP
R
C
A P
r
r
r
r r Bedrock/saprolite
r
r
r
r r Boulder (256 — 4096 mm)
r
r
r
r r Cobble (64 — 256 mm)
r
r
r
r r Gravel (2 — 64 mm)
r
r
r r Sand (.062 — 2 mm)
r
r
r r Silt/clay (< 0.062 mm)
r
r
r r Detritus
r
r
r
r r Artificial (rip -rap, concrete, etc.)
>
NC
Are pools filled with sediment? (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
12. Aquatic Life — assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
12a. Yes * No Was an in -stream aquatic life assessment performed as described in the User Manual?
If No, select one of the following reasons and skip to Metric 13. No Water Other:
12b. * Yes No Are aquatic organisms present in the assessment reach (look in riffles, pools, then snags)? If Yes, check
all that apply. If No, skip to Metric 13.
1 >1 Numbers over columns refer to "individuals" for size 1 and 2 streams and "taxa" for size 3 and 4 streams.
F F_ Adult frogs
F F Aquatic reptiles
F f Aquatic macrophytes and aquatic mosses (include liverworts, lichens, and algal mats)
F F Beetles (including water pennies)
F F Caddisfly larvae (Trichoptera [T])
F F Asian clam (Corbicula )
F F Crustacean (isopod/amphipod/crayfish/shrim p)
F F Damselfly and dragonfly larvae
F F Dipterans (true flies)
F F Mayfly larvae (Ephemeroptera [E])
F F Megaloptera (alderfly, fishfly, dobsonfly larvae)
F f Midges/mosquito larvae
F_ I— Mosquito fish (Gambusia) or mud minnows (Umbra pygmaea)

F- Mussels/Clams (not Corbicula )
F Other fish
F_ r Salamanders/tadpoles
F F Snails
F F Stonefly larvae (Plecoptera [P])
F Tipulid larvae
F Worms/leeches
13. Streamside Area Ground Surface Condition — streamside area metric (skip for Tidal Marsh Streams and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB). Consider storage capacity with regard to both overbank flow and
upland runoff.
LB RB
# A � " A Little or no alteration to water storage capacity over a majority of the streamside area
B r' B Moderate alteration to water storage capacity over a majority of the streamside area
C- C '' C Severe alteration to water storage capacity over a majority of the streamside area (examples include: ditches, fill,
soil, compaction, livestock disturbance, buildings, man-made levees, drainage pipes)
14. Streamside Area Water Storage — streamside area metric (skip for Size 1 streams, Tidal Marsh Streams, and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB) of the streamside area.
LB RB
i( A A Majority of streamside area with depressions able to pond water >_ 6 inches deep
C B " B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
r' CC Majority of streamside area with depressions able to pond water < 3 inches deep
15. Wetland Presence — streamside area metric (skip for Tidal Marsh Streams)
Consider for the Left Bank (LB) and the Right Bank (RB). Do not consider wetlands outside of the streamside area or within the
normal wetted perimeter of assessment reach.
LB RB
r Y Y Are wetlands present in the streamside area?
re N * N
16. Baseflow Contributors — assessment reach metric (skip for size 4 streams and Tidal Marsh Streams)
Check all contributors within the assessment reach or within view of and draining to the assessment reach.
F A Streams and/or springs (jurisdictional discharges)
IF B Ponds (include wet detention basins; do not include sediment basins or dry detention basins)
IF C Obstruction that passes some flow during low -flow periods within assessment area (beaver dam, bottom -release dam)
F D Evidence of bank seepage or sweating (iron oxidizing bacteria in water indicates seepage)
F, E Stream bed or bank soil reduced (dig through deposited sediment if present)
F F None of the above
17. Baseflow Detractors — assessment area metric (skip for Tidal Marsh Streams)
Check all that apply.
A Evidence of substantial water withdrawals from the assessment reach (includes areas excavated for pump installation)
B Obstruction not passing flow during low flow periods affecting the assessment reach (ex: watertight dam, sediment deposit)
Iv C Urban stream (>! 24% impervious surface for watershed)
F D Evidence that the stream -side area has been modified resulting in accelerated drainage into the assessment reach
E Assessment reach relocated to valley edge
F None of the above
18. Shading — assessment reach metric (skip for Tidal Marsh Streams)
Consider aspect. Consider "leaf -on" condition.
0 A Stream shading is appropriate for stream category (may include gaps associated with natural processes)
B Degraded (example: scattered trees)
C Stream shading is gone or largely absent
19. Buffer Width — streamside area metric (skip for Tidal Marsh Streams)
Consider "vegetated buffer" and "wooded buffer" separately for left bank (LB) and right bank (RB) starting at the top
of bank out to the first break.
Vegetated Wooded
LB RB LB RB
* A (* A A L* A >_ 100-feet wide or extends to the edge of the watershed
B (" B B'" B From 50 to < 100-feet wide
C r" C C" C From 30 to < 50-feet wide
D r D D D From 10 to < 30-feet wide
E r E " E E < 10-feet wide or no trees
20. Buffer Structure — streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Vegetated" Buffer Width).
LB RB
A (" A Mature forest
�" B Co- B Non -mature woody vegetation or modified vegetation structure
r C { " C Herbaceous vegetation with or without a strip of trees < 10 feet wide
(_ D r D Maintained shrubs
f' E r E Little or no vegetation
21. Buffer Stressors — streamside area metric (skip for Tidal Marsh Streams)
Check all appropriate boxes for left bank (LB) and right bank (RB). Indicate if listed stressor abuts stream (Abuts), does not abut but
is within 30 feet of stream (< 30 feet), or is between 30 to 50 feet of stream (30-50 feet).
If none of the following stressors occurs on either bank, check here and skip to Metric 22: -�
Abuts < 30 feet 30-50 feet
LB RB LB RB LB RB
rA "A "A rA rA rA Row crops
r B B B '' B r B r B Maintained turf
r C r C " C " C r C r C Pasture (no livestock)/commercial horticulture
r D r D " D D r D r D Pasture (active livestock use)

22. Stem Density - streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Wooded" Buffer Width).
LB RB
�C* A C* A Medium to high stem density
B B Low stem density
C'C No wooded riparian buffer or predominantly herbaceous species or bare ground
23. Continuity of Vegetated Buffer - streamside area metric (skip for Tidal Marsh Streams)
Consider whether vegetated buffer is continuous along stream (parallel). Breaks are areas lacking vegetation > 10-feet wide.
LB RB
r* A (* A The total length of buffer breaks is < 25 percent.
r B r B The total length of buffer breaks is between 25 and 50 percent.
r" C r' C The total length of buffer breaks is > 50 percent.
24. Vegetative Composition -First 100 feet of streamside area metric (skip for Tidal Marsh Streams)
Evaluate the dominant vegetation within 100 feet of each bank or to the edge of the watershed (whichever comes first) as it contributes
to assessment reach habitat.
LB RB
A A Vegetation is close to undisturbed in species present and their proportions. Lower strata composed of native
species, with non-native invasive species absent or sparse.
* B B Vegetation indicates disturbance in terms of species diversity or proportions, but is still largely composed of native
species. This may include communities of weedy native species that develop after clear -cutting or clearing or
communities with non-native invasive species present, but not dominant, over a large portion of the expected strata or
communities missing understory but retaining canopy trees.
C C Vegetation is severely disturbed in terms of species diversity or proportions. Mature canopy is absent or communities
with non-native invasive species dominant over a large portion of expected strata or communities composed of planted
stands of non -characteristic species or communities inappropriately composed of a single species or no vegetation.
25. Conductivity - assessment reach metric (skip for all Coastal Plain streams)
25a. Yes * No Was a conductivity measurement recorded?
If No, select one of the following reasons. _ No Water _ Other:
25b. ChecK the box corresponding to the conductivity measurement (units of microsiemens per centimeter).
(-' A <46 r B 46 to < 67 r C 67 to < 79 r D 79 to < 230 r E >- 23C
Notes/Sketch:

Draft NC SAM Stream Rating Sheet
Accompanies User Manual Version 1
Rating Calculator Version 1
Stream Site Name The Parking Spot Date of Evaluation
Stream Category Pb2 Assessor Name/Organization
Notes of Field Assessment Form (Y/N)
Presence of regulatory considerations (Y/N)
Additional stream information/supplementary measurements included (Y/N)
NC SAM feature type (perennial, intermittent, Tidal Marsh Stream)
U SAC E/
Function Class Rating Summary
All Streams
(1) Hydrology
LOW
(2) Baseflow
HIGH
(2) Flood Flow
LOW
(3) Streamside Area Attenuation
LOW
(4) Floodplain Access
LOW
(4) Wooded Riparian Buffer
HIGH
(4) Microtopography
NA
(3) Stream Stability
LOW
(4) Channel Stability
LOW
(4) Sediment Transport
LOW
(4) Stream Geomorphology
LOW
(2) Stream/Intertidal Zone Interaction
NA
(2) Longitudinal Tidal Flow
NA
(2) Tidal Marsh Stream Stability
NA
(3) Tidal Marsh Channel Stability
NA
(3) Tidal Marsh Stream Geomorphology
NA
(1) Water Quality
HIGH
(2) Baseflow
HIGH
(2) Streamside Area Vegetation
HIGH
(3) Upland Pollutant Filtration
HIGH
(3) Thermoregulation
HIGH
(2) Indicators of Stressors
NO
(2) Aquatic Life Tolerance
HIGH
(2) Intertidal Zone Filtration
NA
(1) Habitat
LOW
(2) In -stream Habitat
LOW
04/26/16
H&B
NO
NO
NO
Perennial
NCDWR
Intermittent