20030391 Ver 1_Complete File_20030324

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STATE OF NORTH CAROLINA
MICHAEL F. EASLEY
GOVERNOR
MEMORANDUM TO
FROM:
SUBJECT:
DEPARTMENT OF TRANSPORTATION
1584 YANCEYVILLE STREE'T', GREENSBORO, NC 27415 LYNDO TIPPETT
SECRETARY
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February 4, 2003
Mr. John Hennessy O'S
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Wetlands/401 Unit
Herbert L. McDowell, III, PE
District Engineer, District 3, Division 7
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Payment Information - Water Quality Certificate for Rockingham
County, Washington Street (SR 1604)
In accordance w' enrrai-Statute 143-215.3D(e) the following information if being provided to
facili71*Work yment of fees associated with the appropriate Water Qualm Certificate:
rtificates being requested NWP 3 and NWP 33 Order Number : 9.8072240

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PHONE [phone] FAX [phone]
STArt
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
1584 YANCEYVILLE STREET, GREE.Ns[30R0, NC 27415
March 11, 2003
Mrs. Jean Manuele
U.S. Army Corps of Engineers
Regulatory Field Office
6508 Falls of the Neuse Road, Suite 105
Raleigh, North Carolina 2761
(Two Copies)
Mr. John Hennessy
Wetlands/401 Unit
NC DENR Division of Water Quality
1650 Mail Service Center
Raleigh, NC 27699
(Courtesy Copies - Three)

LYNDO TIPPETT
SECRETARY
SUBJECT: Rockingham County, Extension of Box Culvert with 48" RCP and Upgrade Existing
Pipes at the Intersection of Washington Street (SR 1604) and Henry Street in Eden.
W.O.# 9.8072240
To Whom It May Concern:
The North Carolina Department of Transportation (NCDOT) proposes to extend a box culvert with
a 48" RCP and upgrade existing pipes. This activity will result in the placement of new fill and
dewatering. The NCDOT anticipates that the proposed filling activities will be authorized under
Nationwide Permit 3 and the dewatering operations will be authorized under NWP 33. This
application is intended as a request for formal written authorization from the USACE to place new
fill in the stream under NWP 3; and dewater the stream under NWP 33. This application is also
intended to provide a courtesy copy to the North Carolina Division of Water Quality. The
following information is being provided to satisfy Nationwide Permit Condition 13 (Federal
Register January 15, 2002).
PHONE [phone] FAX [phone]
PROJECT INFORMATION
Road Name SR Number Structure Number
Washington Street 1604
River Basin: DIDQ Stream Name

Roanoke UT to Dan River
Buffer Rules Buffer Rule Conditions Water Quality
(where applicable) Designation
No Not Applicable C
Protected Species Presentb CAMA Essential Fishery Habitat
AEC
No No No
'Separate documentation attached as needed: n See the attached Endangered Species Review Sheet for further
information.
STRUCTURE REPLACEMENT INFORMATION
Existing None Proposed Pipe
Structure Structure
Construction Dry Build Dewatering None
Method Device*
Burial Depth +/- 60" E/C Plan N/A
Date
Construction As soon as practicable Duration 1 Week
Date
Impacts (ft.) 50'-enclosure; 10'-rip-rap dissipaters; I0'-temporary
Temporary Temporary impacts include the placement of cofferdams to dewater the
Impacts channel and silt screens to prevent incidental sediment loss. Temporary
impacts will be contained within the confines of the rip-rap dissipaters.
Restoration Within 15 working days of the activity all temporary structures (cofferdams
Plan and silt screens) will be entirely removed and natural stream contours will be
restored and seeded.
Special None
Conditions
RCP = reinforced concrete pipe; CMP = Corrugated metal pipe; CMPA = Corrugated metal pipe arch; E/C =
Erosion control. *A less intrusive dewatering device may be used in lieu of the one proposed.
MINIMIZATION INFORMATION
Impacts will be minimized by strict enforcement of Best Management Practices for the protection of
surface waters and wetlands, restrictions against the staging of equipment in or adjacent to waters of
the US, and coordination with the Division Environmental Officer.
-2-
MITIGATION INFORMATION
Stream mitigation is not anticipated, as the impacts to any individual stream do not exceed 150 feet.
This project is scheduled for review at SHPO "Effects" meeting.
APPLICATION INFORMATION
Enclosed please find the Pre-construction Notification Form and supporting documentation for the
above referenced project. If you have any questions or need any additional information, please
contact Herbert McDowell, III, PE or Wayne Rierson at [phone]. Your time and effort are
appreciated.
Sincerely,
, .M. Mills, P.E.
ision Engineer, Division 7
cc: Mr. Jerry Parker, Division Environmental Officer
Mr. Herbert McDowell, III, PE, District Engineer
Mr. Donald Pearson, Area Roadside Field Operations Engineer
Ms. Renee Gledhill-Earley
-3-
Office Use Only: 39 Form Version May 2002
USACE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
Processing
1. Check all of the approval(s) requested for this project:
Section 404 Permit Riparian or Watershed Buffer Rules
Section 10 Permit Isolated Wetland Permit from DWQ
® 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 3 and 33
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (verify availability with NCWRP prior to submittal of PCN), complete
section VIII and check here: ?
If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
II. Applicant Information
Owner/Applicant Information
Name: Mr. J.M. Mills RE Division Engineer - Division 7
Mailing Address: P.O. Box 14996
Greensboro, NC
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: mmills(a,dot.state.nc.us
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:_ Not Applicable
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
Page 1 of 8
• 111. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: SR 1604 - Washington Street
2. T.I.P. Project Number or State Project Number (NCDOT Only): 9.8072240 (non-TIP)
3. Property Identification Number (Tax PIN): Not Applicable
4. Location
County: Rockingham Nearest Town: Eden, NC
Subdivision name (include phase/lot number): Not Applicable
Directions to site (include road numbers, landmarks, etc.): SR 1533 Harringt o Highway
west 1.72 miles from NC 14 to NC 87. North on NC 87 1.86 miles to SR 1604 Washington
Street/NC 770. East on SR 1604 Washington Street 2 blocks to Henry Street
5. Site coordinates, if available (UTM or Lat/Long):_ See the attached USGS map.
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Property size (acres): Not Applicable
7. Nearest body of water (stream/river/sound/ocean/lake): UT to the Dan River
8. River Basin: Roanoke
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://l12o.enr.state.ne.Lis/adnlin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Business
Page 2 of 8
10. Describe the overall project in detail, including the type of equipment to be used:
Use backhoe to replace sub-standard pipes in intersection and extend box culvert with a 48"
RCP.
11. Explain the purpose of the proposed work: Correct drainage problems causing flooding in
roadway and nearby structures.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
Not Applicable
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
Not Applicable
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Page 3 of 8
1. Provide a written description of the proposed impacts: Placement of pipe and fill in
50' of intermittent stream.
2. Individually list wetland impacts below:
Wetland Impact
Site Number
(indicate on map)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(yes/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***
N/A

List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http://www.fema.,i?,ov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.) Indicate if wetland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property: Not Applicable
Total area of wetland impact proposed: Not Applicable
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
(indicate on map)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
(please specify)

1
Pipe replacement (en) 50'
(tmp) 10'
(rp) 10'
UT to the Dan River
5'
Intermittent

LIST each impact separately and identity temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usgs.gov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
www.iiiapquest.coni, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 50' - enclosure (en),
10' - temporary (tmp) 10' - rip rap (rp)
Page 4 of 8
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.) below:
Open Water Impact
Site Number

(indicate on map)
Type of Impact* Area of
Impact

(acres)

Name pplicabblle) Wate)
(if applicable) Type of Waterbody

(lake, pand estuary, sound,
bay, ocean, etc.)
N/A

List each impact separately and identity temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
5. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): E] uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):_ Not Applicable
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): Not Applicable
Size of watershed draining to pond: N/A Expected pond surface area: N/A
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
Culvert extension and pipe upgrades are necessary to control flooding of roadway and nearby
structures. Impacts will be minimized by strict enforcement of Best Management Practices for
the protection of surface waters equipment staging restrictions and coordination with Division
Environmental Officer.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 5 of 8
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
littp://h2o.enr.state.nc.us/ncwetlands/strmgide.html.
1. Provide a brief description of the proposed mitigation plan. Tile description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
A finding of insignificant impact is anticipated, therefore a mitigation plan is not provided
Cumulative impacts are less than 150 feet The maximum amount of impact to a single
stream is 50' linear feet. No Outstanding Resource Waters federally protected species or
their habitats, or essential fishery habitats occur in the project area The project is not located
in a High Quality Water.
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at http://h2o.enr.state.ne.us/wrp/index.litm. If use of
the NCWRP is proposed, please check the appropriate box on page three and provide the
following information:
Amount of stream mitigation requested (linear feet): Not Applicable
Amount of buffer mitigation requested (square feet): Not Applicable
Amount of Riparian wetland mitigation requested (acres): Not Applicable
Amount of Non-riparian wetland mitigation requested (acres): Not Applicable
Amount of Coastal wetland mitigation requested (acres): Not Applicable
Page 6 of 8
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state) hinds or the use of public
(federal/state) land?
Yes ® No
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 213 .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes [:] No ® If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 N/A 3
2 N/A 1.5
Total N/A
_-? , ","U" Uui w ,cc, pcrpenuicuwar irom near oanK or cnannei; Lone t cxtenas an
additional 20 feet from the edge of Zone 1.
Page 7 of 8
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
Not Applicable
XI. Stormwater (required by DWQ)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
In accordance with the February 25, 1991 delegation agreement one copy of the sediment and
erosion control plan will be submitted to DENR - Division of Land Resources and NCDOT
Roadside Environmental prior to construction.
XII. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
Not Applicable
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (I 5A NCAC 2H .0500) or any Buffer Rules?
Yes E] No
Is this an after-the-fact permit application?
Yes E] No
XIV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
Not Applicable
/Z Z?3
Aplicant/Agent's Signature Date
(Agent's gnature is valid only if an authorization letter from the applicant is provided.)
Page 8 of 8
NCDOT
HAZARDOUS SPILL BASIN CHECKLIST
Division Seven County Rockingham Project ID: N/A
River Basin Roanoke Bridge No: N/A
Route SR 1604 Stream UT to Dan River
Water Quality Criteria
Yes No
Stream Crossing Blueline on USGS Ej ORW E] WSI El WS II, III, or IV Crossing Within 0.5 mi. of W.S. Critical Area Ej Roadway Criteria

Route Designation Yes No
Arterial Urban ?
Arterial Rural E:] Z
Additional Site Information:
N/A
Yes No
Is a Hazardous Spill Basin Required? El Criteria Based Upon NCDOT "Best Management Practices for the
Protection of Surface Waters" (March, 1997).
January 30, 2003
Site 1
Construction Sequence and Erosion Control Plan for Extension of Box
Culvert with Pipe - Rockingham County, SR 1604
Work to begin as soon as practicable following authorization.
Construction is anticipated to take 1 week.
4.
6.
ALL WORK WILL BE CONDUCTED IN THE DRY.
Prior to beginning installation, install a rock check dam downstream to prevent
incidental sediment loss due to unforeseen precipitation.
Excavate to sufficient depth to allow 20% burial of the pipe, place base stone, and
single line of 48' long 48" RC pipe.
Backfill the new line of pipe and place riprap only as needed.
Notify landscape department for final seeding.
Silt fences to be placed as site conditions require.
A 10' X 15' dirt bag will be used to remove excess water in the hole where the new
pipe is being replaced.
Site conditions and weather may alter these plans.
iE STRUCTURE STANDARDS
SE PAD (840.00) PAGE 4
PCH BASIN (840.01) PAGES 6.6
:ATCH BASIN (840.02) PAGES 7-8
rES, 9 HOOD (840.03) PAGES 8-10
JUNCTION BOX (840.31) PAGE 11
URE STEPS (840.66) PAGE 12
IG FOR 6'x6' JUNCTION BOX PAGE 13
UCATED CATCH BASINS MEET NCDDT
'E CATCH BASIN STANDARD 840.02
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NOTE: SE
roject Name: P? ?aS River Basin: Pt County: keCktckdP` Livaluator: 1101
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WQ Project Number: Nearest Named Stream: Latitude: Signature: 6
9 go ?aa?a -D&k Pjvt w
ate: USGS QUAD: Longitude: Location/Directions:
LEASE NOTE: If evaluator and landowner agree that the feature is a man-made ditch, then use of this form is not necessary.
lso, if in the best professional judgement of the evaluator, the feature is a man-made ditch and not a modified natural dream-this
ding system should not be used*
RIMARY FIELD INDICATORS: (Circle One Number Per Line)
Geomor holo Absent Weak Moderate Strom
Is there a Riffle-Pool Sequence? 0 I 2 3
Is the USDA texture in Streambed
-
-?
different from surrounding terrain? I 2 3
Are natural Levees present? 0 I 2 3
Is the Channel Sinuous? 0 1 2 3

Is there an active (or relic)
/?
rloodplain Present? (u /
1
2
3
Is the channel Braided? 0 1 2 3
Are recent alluvial deposits present? 0 1) 2 3
Is there a bankful bench presnet? Q 1 2 3
Is a continuous Bed & Bank present? 0 1 2 3)
OTE: If Bed & Bank Caused By Ditching And WITHOUT Sinuosity Then Score=0*
0) Is a 2"° order or greater channel (as indicated on Topo map andUor in field) present? Yes=3 No =0
11IMARY GEOMORPHOLOGY INDICATOR POINTS:
Hydrology Absent Weak Moderate Strong
Is there a groundwater flow/discharge
Present? 0 I 2 3
MMARY HYDROLOGY INDICATOR POINTS: 1-
Biology Absent Weak Moderate Strom
Are fibrous roots present in streambed? 3 2 0
Are rooted plants present in streambed? 3 2 1 0
Is periphyton present? Algae on rocks
60)
under water? 1 2 3
_
Are bivalves presents LO 1 2 3
UMARY BIOLOGY INDICATOR POINTS: _
,:CONDARY FIELD INDICATORS: (Circle one number per line)
Geomorphology Absen
1 Is there a head cut present in channel? 0
Is there a grade control point in channel? 0
1 Does topography indicate a natural
drainage way? 0
;CONDARY GEOMORPHOLOGY POINTS:
[A?i,,7 1-,,,(f I
I lydrology Abent Weak Moderate Strong
Is this year's (or last's) leaflitter
Present in streambed? 1.5 1 .5 0
i Is sediment on plants (or debris) present? 0 .5 1 1.5
1 Are wrack lines present? 0 .5 1 1.5
Us water in channel and>48 hrs. since 0 5 1 1.5
Last known rain? (*Note: If ditch indicate _ n #9 above skip this step and #5 below*)
i Is there water in channel during dry (0 5 1 1.5
conditions OR in growing season?
i Are hydric soils present in sides of channel (or in headcut)? Yes= 1.5 N 0 21
;CONDARY HYDROLOGY INDICATOR POINTS:
Biology Absent Weak Moderate Strom
i Are fish present? 5 1 1.5
i Are amphibians present? .5 1 1.5
i Are aquatic turtles present? .5 1 1.5
Are crayfish present? 0? .5 1 1.5
Are Macrobenthos present?__ 0) .5 1 1.5
Are iron oxidizing bacteria/f ingus present? 0 (.51 1 1.5
I Is filamentous algae present?_ ( 0) -5. I 1.5
i Are wetland plants in streambed? SAV Mostly 013E Mostly FACW Mostly FAC Mostly FACU Mostly UPL
IOTE: If total absence of all plants in streambed is noted above kip this step UNLESS SAV present.
2 1 x.75) .5 0 0
CONDAIZY BIOLOGY INDICATOR POINTS: 1 ?'>
i
1TAL POINTS (Primary + Secondary)= [,' l5 (If
greater Ntan or egttal to 19 points the strea
m is at least
termittent)

SITE 1

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