Final PJD PDF Guilford 85.pdf

Preliminary ORM Data Entry Fields for New Actions
ACTION ID#: SAW- Begin Date(Date Received):
Prepare file folder n Assign Action ID Number in ORM ❑
1. Project Name [PCN Form A2a]: 17BP.7.R.131 Bridge No. 85
2. Work Type: ❑Private n Institutional ❑✓ Government ❑Commercial
3. Project Description/Purpose [PCN Form B3d and B3e]:
REPLACE BRIDGE NO.85 OVER REEDY FORK CREEK
ON SR 1858(BEESON ROAD)
GUILFORD COUNTY
4. Property Owner/Applicant [PCN Form A3 or A4]: Mike Mills, Division Engineer [e-mail]
5. Agent/Consultant[PNC Form A5—or ORM Consultant ID Number]:
Axiom Environmental
6. Related Action ID Number(s) [PCN Form B5b]: N/A
7. Project Location—Coordinates, Street Address, and/or Location Description[PCN Form Blb]:
36.133518, -80.014212 SR 1858 (Beeson Road)
8. Project Location—Tax Parcel ID [PCN Form Bla]: Multiple, NCDOT project
9. Project Location—County[PCN Form A2b]: Guilford
10. Project Location—Nearest Municipality or Town [PCN Form A2c]: Kernersville
11. Project Information—Nearest Waterbody[PCN Form B2a]: Reedy Fork Creek
12. Watershed/8-Digit Hydrologic Unit Code [PCN Form B2c]:03030002
Authorization: Section 10 ❑ Section 404 ❑✓ Section 10 and 404 ❑
Regulatory Action Type:
• Standard Permit Pre-Application Request
• Nationwide Permit# _Unauthorized Activity
• Regional General Permit# _Compliance
0 Jurisdictional Determination Request _No Permit Required
Revised 20150602

Jurisdictional Determination Request
US Army Corps
of Engineers.
Wilmington District
This form is intended for use by anyone requesting a jurisdictional determination(JD) from the
U.S. Army Corps of Engineers,Wilmington District(Corps). Please include all supporting
information, as described within each category, with your request. You may submit your request
via mail, electronic mail, or facsimile. Requests should be sent to the appropriate project
manager of the county in which the property is located. A current list of project managers by
assigned counties can be found on-line at:
Llttp://www.saw.usace.army.mil/Missions/RegulatorvPermitProgram/Contact/CountyLocator.asl, ,
by calling 910-251-4633,or by contacting any of the field offices listed below. Once your
request is received you will be contacted by a Corps project manager.
ASHEVILLE&CHARLOTTE REGULATORY WASHINGTON REGULATORY FIELD OFFICE
FIELD OFFICES US Army Corps of Engineers
US Army Corps of Engineers 2407 West Fifth Street
151 Patton Avenue,Room 208 Washington,North Carolina 27889
Asheville,North Carolina 28801-5006 General Number:[phone]
General Number:[phone] Fax Number:[phone]
Fax Number:[phone]
WILMINGTON REGULATORY FIELD OFFICE
RALEIGH REGULATORY FIELD OFFICE US Army Corps of Engineers
US Army Corps of Engineers 69 Darlington Avenue
3331 Heritage Trade Drive,Suite 105 Wilmington,North Carolina 28403
Wake Forest,North Carolina 27587 General Number:910-251-4633
General Number:[phone] Fax Number:[phone]
Fax Number:[phone]
INSTRUCTIONS:
All requestors must complete Parts A,B, C,D,E,F and G.
NOTE TO CONSULTANTS AND AGENCIES: If you are requesting a JD on behalf of a
paying client or your agency,please note the specific submittal requirements in Part H.
NOTE ON PART D—PROPERTY OWNER AUTHORIZATION: Please be aware that
all JD requests must include the current property owner authorization for the Corps to
proceed with the determination, which may include inspection of the property when
necessary. This form must be signed by the current property owner(s) or the owner(s)
authorized agent to be considered a complete request.
NOTE ON PART D-NCDOT RED?UESTS: Property owner authorization/notification for
JD requests associated with North Carolina Department of Transportation(NCDOT)
projects will be conducted according to the current NCDOT/USACE protocols.
NOTE TO USDA PROGRAM PARTICIPANTS: A Corps approved or preliminary JD
may not be valid for the wetland conservation provisions of the Food Security Act of
1985. If you or your tenant are USDA Program participants, or anticipate participation in
USDA programs, you should also request a certified wetland determination from the local
office of the Natural Resources Conservation Service,prior to starting.work.
Version:May 2017 Page 1

Jurisdictional Determination Request
A. PARCEL INFORMATION
Street Address: SR 1858 (Beeson Road) Bridge No. 85
City, State: Kernersville, NC
County: Guilford
Parcel Index Number(s) (PIN): N/A
B. REQUESTOR INFORMATION
Name: Jerry Parker, Division Environmental
Mailing Address: 1584 Yanceyville St, PO Box 14996
Greensboro, 27415-4996
Telephone Number: [phone]
Electronic Mail Address: [e-mail]
Select one:
0 I am the current property owner.
❑ I am an Authorized Agent or Environmental Consultant'
❑ Interested Buyer or Under Contract to Purchase
❑✓ Other,please explain. This JD request is for an NCDOT
bridge replacement project; landowners have been contE
C. PROPERTY OWNER INFORMATION2
Name: Mike Mills, Division Engineer
Mailing Address: 1584 Yanceyville St, PO Box 14996
Greensboro, 27415-4996
Telephone Number: [phone]
Electronic Mail Address: [e-mail]
I Must provide completed Agent Authorization Form/Letter.
2 Documentation of ownership also needs to be provided with request(copy of Deed,County GIS/Parcel/Tax Record).
Version:May 2017 Page 2

Jurisdictional Determination Request
D. PROPERTY ACCESS CERTIFICATION3,a
By signing below, I authorize representatives of the Wilmington District,U.S. Army Corps of
Engineers (Corps)to enter upon the property herein described for the purpose of conducting on-
site investigations, if necessary, and issuing a jurisdictional determination pursuant to Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. I,the
undersigned, am either a duly authorized owner of record of the property identified herein,or
acting as the duly authorized agent of the owner of record of the property.
Print Name
Capacity: ❑ Owner ❑Authorized Agents
Date
Signature
E. REASON FOR JD REQUEST: (Check as many as applicable)
❑ I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all aquatic resources.
❑ I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all jurisdictional aquatic resources under Corps authority.
❑✓ I intend to construct/develop a project or perform activities on this parcel which may
require authorization from the Corps,and the JD would be used to avoid and minimize
impacts to jurisdictional aquatic resources and as an initial step in a future permitting
process.
I intend to construct/develop a project or perform activities on this parcel which may
require authorization from the Corps; this request is accompanied by my permit application
and the JD is to be used in the permitting process.
❑ I intend to construct/develop a project or perform activities in a navigable water of the
U.S. which is included on the district Section 10 list and/or is subject to the ebb and flow of
the tide.
EA Corps JD is required in order obtain my local/state authorization.
I intend to contest jurisdiction over a particular aquatic resource and request the Corps
confirm that jurisdiction does/does not exist over the aquatic resource on the parcel.
❑ I believe that the site may be comprised entirely of dry land.
❑ Other:
3 For NCDOT requests following the current NCDOT/USACE protocols,skip to Part E.
° If there are multiple parcels owned by different parties,please provide the following for each additional parcel on a
continuation sheet.
5 Must provide agent authorization form/letter signed by owner(s).
Version:May 2017 Page 3

Jurisdictional Determination Request
F. JURISDICTIONAL DETERMINATION(JD)TYPE (Select One)
❑✓ I am requesting that the Corps provide a preliminary JD for the property identified herein.
A Preliminary Jurisdictional Determination(PJD)provides an indication that there may
be"waters of the United States"or"navigable waters of the United States"on a property.
PJDs are sufficient as the basis for permit decisions. For the purposes of permitting, all
waters and wetlands on the property will be treated as if they are jurisdictional"waters of
the United States". PJDs cannot be appealed(33 C.F.R. 331.2);however, a PJD is
"preliminary"in the sense that an approved JD can be requested at any time. PJDs do
not expire.
❑ I am requesting that the Corps provide an approved JD for the property identified herein.
An Approved Jurisdictional Determination(AJD)is a determination that
jurisdictional"waters of the United States"or"navigable waters of the United
States"are either present or absent on a site. An approved JD identifies the limits of
waters on a site determined to be jurisdictional under the Clean Water Act and/or
Rivers and Harbors Act. Approved JDs are sufficient as the basis for permit
decisions. AJDs are appealable(33 C.F.R. 331.2). The results of the AJD will be
posted on the Corps website. A landowner,permit applicant,or other"affected
party"(33 C.F.R. 331.2)who receives an AJD may rely upon the AJD for five years
(subject to certain limited exceptions explained in Regulatory Guidance Letter 05-
02).
❑ I am unclear as to which JD I would like to request and require additional information
to inform my decision.
G. ALL REQUESTS
✓❑ Map of Property or Project Area. This Map must clearly depict the boundaries of the
review area.
I I Size of Property or Review Area 3.67 acres.
❑ The property boundary(or review area boundary) is clearly physically marked on the site.
Version:May 2017 Page 4

Jurisdictional Determination Request
H. REQUESTS FROM CONSULTANTS
❑✓ Project Coordinates(Decimal Degrees): Latitude: 36.133518
Longitude: -80.014212
❑✓ A legible delineation map depicting the aquatic resources and the property/review area.
Delineation maps must be no larger than l 1x17 and should contain the following: (Corps
signature of submitted survey plats will occur after the submitted delineation map has been
reviewed and approved).6
• North Arrow
• Graphical Scale
• Boundary of Review Area
• Date
• Location of data points for each Wetland Determination Data Form or tributary
assessment reach.
For Approved Jurisdictional Determinations:
• Jurisdictional wetland features should be labeled as Wetland Waters of the US,404
wetlands, etc. Please include the acreage of these features.
• Jurisdictional non-wetland features(i.e.tidal/navigable waters,tributaries,
impoundments) should be labeled as Non-Wetland Waters of the US, stream,tributary,
open water,relatively permanent water,pond, etc. Please include the acreage or linear
length of each of these features as appropriate.
• Isolated waters,waters that lack a significant nexus to navigable waters, or non-
jurisdictional upland features should be identified as Non-Jurisdictional. Please
include a justification in the label regarding why the feature is non jurisdictional(i.e.
"Isolated", "No Significant Nexus", or"Upland Feature"). Please include the acreage
or linear length of these features as appropriate.
For Preliminary Jurisdictional Determinations:
• Wetland and non-wetland features should not be identified as Jurisdictional, 404,
Waters of the United States, or anything that implies jurisdiction. These features can be
identified as Potential Waters of the United States,Potential Non-wetland Waters of
the United States,wetland, stream, open water, etc. Please include the acreage and
linear length of these features as appropriate.
✓l Completed Wetland Determination Data Forms for appropriate region
(at least one wetland and one upland form needs to be completed for each wetland type)
6 Please refer to the guidance document titled"Survey Standards for Jurisdictional Determinations"to ensure that the
supplied map meets the necessary mapping standards.http://www.saw.usace.armv.mil/Missions/Regulatorv-Permit-
Program/Juri sdiction/
Version:May 2017 Page 5

Jurisdictional Determination Request
aCompleted appropriate Jurisdictional Determination form
• PJDsti please complete a Preliminary Jurisdictional Determination Form?and include the
Aquatic Resource Table
• AJDs,please complete an Approved Jurisdictional Determination Form8
✓❑ Vicinity Map
✓❑ Aerial Photograph
✓❑ USGS Topographic Map
❑✓ Soil Survey Map
Other Maps, as appropriate(e.g. National Wetland Inventory Map,Proposed Site
Plan,previous delineation maps, LIDAR maps,FEMA floodplain maps)
▪ Landscape Photos(if taken)
• NCSAM and/or NCWAM Assessment Forms and Rating Sheets
n NC Division of Water Resources Stream Identification Forms
▪ Other Assessment Forms
7 'vw.saw.usace.army.mil/Portals/59/docs/regulatory/regdocs/JD/RGL 08-02 Ap❑ A Prelim JD Form fillable.pdf
8 Please see http://www.saw.usace.armv.mil/Missions/Reaulatorv-Permit-Program/Jurisdiction/
Principal Purpose:The information that you provide will be used in evaluating your request to determine
whether there are any aquatic resources within the project area subject to federal jurisdiction under the regulatory
authorities referenced above.
Routine Uses:This information may be shared with the Department of Justice and other federal,state,and local
government agencies,and the public,and may be made available as part of a public notice as required by federal
law.Your name and property location where federal jurisdiction is to be determined will be included in the
approved jurisdictional determination(AJD),which will be made available to the public on the District's website
and on the Headquarters USAGE website.
Disclosure:Submission of requested information is voluntary;however,if information is not provided,the
request for an AJD cannot be evaluated nor can an AJD be issued.
Version:May 2017 Page 6

ATTACHMENT
PRELIMINARY JURISDICTIONAL DETERMINATION FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PRELIMINARY JURISDICTIONAL
DETERMINATION (JD):
B. NAME AND ADDRESS OF PERSON REQUESTING PRELIMINARY JD:
North Carolina Department of Transportation, Highway Division 7
1584 Yanceyville Street, Greensboro, 27415-4996
C. DISTRICT OFFICE, FILE NAME, AND NUMBER:
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
Replace 17BP.7.R. 131 Bridge No. 85 over Reedy Fork Creek on
SR 1858 (Beeson Road)
(USE THE ATTACHED TABLE TO DOCUMENT MULTIPLE WATERBODIES
AT DIFFERENT SITES)
State: North Carolina County/parish/borough: Guilford County City:
Kernersville
Center coordinates of site (lat/long in degree decimal format):
Lat. 36.13348°, Long. -80.014300°
Name of nearest waterbody: Reedy Fork Creek
Identify (estimate) amount of waters in the review area:
Non-wetland waters: 261 linear feet: 10-12 width (ft)
Cowardin Class: R3UB2
Stream Flow: Perennial
Wetlands: 0.02 acres
Cowardin Class: PEM1
Name of any water bodies on the site that have been identified as Section 10
waters:
Tidal: 0
Non-Tidal: 0
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT
APPLY):
Office (Desk) Determination. Date:
Field Determination. Date(s):
1. The Corps of Engineers believes that there may be jurisdictional waters of the
United States on the subject site, and the permit applicant or other affected party
1

who requested this preliminary JD is hereby advised of his or her option to
request and obtain an approved jurisdictional determination (JD) for that site.
Nevertheless, the permit applicant or other person who requested this
preliminary JD has declined to exercise the option to obtain an approved JD in
this instance and at this time.
2. In any circumstance where a permit applicant obtains an individual permit, or
a Nationwide General Permit (NWP) or other general permit verification requiring
"pre-construction notification" (PCN), or requests verification for a non-reporting
NWP or other general permit, and the permit applicant has not requested an
approved JD for the activity, the permit applicant is hereby made aware of the
following: (1) the permit applicant has elected to seek a permit authorization
based on a preliminary JD, which does not make an official determination of
jurisdictional waters; (2) that the applicant has the option to request an approved
JD before accepting the terms and conditions of the permit authorization, and
that basing a permit authorization on an approved JD could possibly result in less
compensatory mitigation being required or different special conditions; (3) that
the applicant has the right to request an individual permit rather than accepting
the terms and conditions of the NWP or other general permit authorization; (4)
that the applicant can accept a permit authorization and thereby agree to comply
with all the terms and conditions of that permit, including whatever mitigation
requirements the Corps has determined to be necessary; (5) that undertaking
any activity in reliance upon the subject permit authorization without requesting
an approved JD constitutes the applicant's acceptance of the use of the
preliminary JD, but that either form of JD will be processed as soon as is
practicable; (6) accepting a permit authorization (e.g., signing a proffered
individual permit) or undertaking any activity in reliance on any form of Corps
permit authorization based on a preliminary JD constitutes agreement that all
wetlands and other water bodies on the site affected in any way by that activity
are jurisdictional waters of the United States, and precludes any challenge to
such jurisdiction in any administrative or judicial compliance or enforcement
action, or in any administrative appeal or in any Federal court; and (7) whether
the applicant elects to use either an approved JD or a preliminary JD, that JD
will be processed as soon as is practicable. Further, an approved JD, a proffered
individual permit (and all terms and conditions contained therein), or individual
permit denial can be administratively appealed pursuant to 33 C.F.R. Part 331,
and that in any administrative appeal, jurisdictional issues can be raised (see 33
C.F.R. 331.5(a)(2)). If, during that administrative appeal, it becomes necessary
to make an official determination whether CWA jurisdiction exists over a site, or
to provide an official delineation of jurisdictional waters on the site, the Corps will
provide an approved JD to accomplish that result, as soon as is practicable.
This preliminary JD finds that there "may be"waters of the United States on the
subject project site, and identifies all aquatic features on the site that could be
affected by the proposed activity, based on the following information:
2

SUPPORTING DATA. Data reviewed for preliminary JD (check all that apply
- checked items should be included in case file and, where checked and
requested, appropriately reference sources below):
X Maps, plans, plots or plat submitted by or on behalf of the
applicant/consultant:
X Data sheets prepared/submitted by or on behalf of the
applicant/consultant.
Office concurs with data sheets/delineation report.
Office does not concur with data sheets/delineation report.
Data sheets prepared by the Corps:
Corps navigable waters' study:
U.S. Geological Survey Hydrologic Atlas:
USGS NHD data.
USGS 8 and 12 digit HUC maps.
X U.S. Geological Survey map(s). Cite scale & quad name: Belews Creek,
NC (2002) 7.5-minute topographic quadrangle.
X USDA Natural Resources Conservation Service Soil Survey. Citation:
Web Soil Survey (online at http://websoilsurvey.nrcs.usda.gov), and Soil
Survey of Guilford County (1977)
National wetlands inventory map(s). Cite name:
State/Local wetland inventory map(s):
FEMA/FIRM maps:
100-year Floodplain Elevation is: (National Geodetic Vertical Datum
of 1929)
X Photographs: IX Aerial (Name & Date): NC OneMap 2014 Orthoimagery.
or Other (Name & Date):
Previous determination(s). File no. and date of response letter:
Other information (please specify):
IMPORTANT NOTE: The information recorded on this form has not
necessarily been verified by the Corps and should not be relied upon for
later jurisdictional determinations.
Signature and date of Signature and date of
Regulatory Project Manager person requesting preliminary JD
(REQUIRED) (REQUIRED, unless obtaining
the signature is impracticable)
3

Estimated amount
Cowardin of aquatic Class of
Class resource in review aquatic
Site number Latitude Longitude area resource
1. Reedy Fork 116 feet length, non-section 10
Creek 36.13348000 -80.01430000 R3SB 6-8 feet avg width —non-wetland
2. Stream SA 36.13322800 -80.01433800 R3SB 145 feet length, non-section 10
2-5 feet avg width —non-wetland
3. Wetland WA 36.13374200 -80.01487200 PEM1 0.02 acre non-section 10
wetland
4

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—583 ,, ENVIRONMENTAL ANALYSIS BRANCH
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7/f j Guilford \
Forsyth _ Bridge No. 85 on Beeson Road
(SR 1858) over Reedy Fork Creek
i______-
__-~,1 GUILFORD COUNTY WBS 17BP.7.R.131 —
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Prepared for: Project: Title: Drawn by: AEK
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go"T+ Date: Oct 2018
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Beeson Road Area
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rf Project No.:18-007.08
over Reedy Fork Creek
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�� � Guilford County, NC FIGURE
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7.5-minute topographic quadrangle provided by the U.S.Geological Survey.

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t.A Replace Bridge No. 85 on Potential
Beeson Road Jurisdictional Scale: 1:1800
/ over Reedy Fork Creek Features Project No.:18 007.08
era ' Guilford County, NC _ FIGURE
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Project No.:
over Reedy Fork Creek Map ' �
Guilford County, INC FIGURE
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map1V. provided uv the Natural Resources Conservation Service(mnCS).

WETLAND j,DETERMINATION DATAA FORM-Eastern Mountains a /d-Piedamopt Region q J//�/
Project/Site: (7 — i - ►/0e5(?N a-A a.( City/County: I'19uiV U 11I t V({t 11-al(/Sampling Date:i U!L V
Applicant/Owner: VV L 00 l State: /�C-- Sampling Point: wit 03 V
Investigator(s): p h- i vv !4— I t d& Section,Township,Range: 0 Qev R t ticz-
Landform(hillslope,terrace,etc.): ?-I do) pLc(t(i✓ Local refef(concave,convex,none): Cor-i/ --`& Slope(%):
Subregion(LRR or MLRA): 0 - 1' CO Lit:: 3( t 133 7 Li r, Long: -gth 0/Li 17! Datum: w65 1661 /
Soil Map Unit Name: C. ry A Co d o^u S I d ctfr.1 a-)-°la r-c tt,t-4 1{ C' NWI classification: f 7d f ir/14)t441// NL4.-14K!
Are climatic/hydrologic conditions on the site typical for this time of year? Yes No k , (If no.explain in Remarks.)
Are Vegetation 7 .Soil or Hydrology significantly disturbed? Are-Normal Circumstances'present? Yes X No
Are Vegetation A ,Soil .or Hydrology naturally problematic? (If needed,explain any answers in Remarks.)
SUMMARY OF FINDINGS-Attach site map showing sampling point locations, transects, important features,etc.
Hydrophytic Vegetation Present? Yes No
Hydric Soil Present? Yes No Is the Sampled Area
within a Wetland? Yes X No
Wetland Hydrology Present? Yes No
Remarks:
I�u4',-L ((vld"C UV•f-4Cie jm_e s\U " it -Bd((q ( )r544 • huvr-r-es
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators(minimum of two required)
Primary Indicators(minimum of one is required:check all that anolv) _ Surface Soil Cracks(B6)
Surface Water(Al) _ True Aquatic Plants 1E314) _ Sparsely Vegetated Concave Surface(B8)
4. High Water Table(A2) _ Hydrogen Sulfide Odor(C1) _ Drainage Patterns(B10)
X Saturation(A3) 4 Oxidized Rhizospheres on Living Roots(C3) _ Moss Trim Lines(B16)
_ Water Marks(B1) _ Presence of Reduced Iron(C4) _ Dry-Season Water Table(C2)
4 Sediment Deposits(B2) _ Recent Iron Reduction In'Tilled Soils(C6) _ Crayfish Burrows(C8)
_ Drift Deposits(B3) _ Thin Muck Surface(C7) _ Saturation Visible on Aerial Imagery(C9)
_ Algal Mat or Crust(B4) _ Other(Explain in Remarks) _ Stunted or Stressed Plants(D1)
_ Iron Deposits(B5) A. Geomorphic Position(D2)
_ Inundation Visible on Aerial Imagery(B7) _ Shallow Aquitard(D3)
_ Water-Stained Leaves(89) _ Microtopographic Relief(04)
_ Aquatic Fauna(1313) 4, FAC-Neutral Test(05)
Field Observations:
Surface Water Present? Yes No /� Depth(inches): 7 Id
Water Table Present? Yes No Depth(inches): ?id
Saturation Present? Yes X No , Depth(inches): 1 Wetland Hydrology Present? Yes [ \ No
(includes capillary fringe)
Describe Recorded Data(stream gauge,monitoring well,aerial photos,previous inspections),if available:
Remarks:
t Itt.) t5 a f ivvta- L(0(„e ukfe,5 oh'{t- ec/,e I;I4 _(men' y)(ul-„ ,
la0re1-5 tt, })Q i kv`-„V.tti< _ cui (Jr' c L ( ti/Al0. (4 5 e 5e.etc4l
fl y-.` i-q PI-t K` 6 5 r.,
US Army Corps of Engineers Eastern Mountains and Piedmont-Version 2.0

kiti
VEGETATION (Four Strata)-Use scientific names of plants. Sampling Point: R-��
Absolute Doninant Indicator Dominance Test worksheet:
Tree Stratum (Plot size: j( ) %Cover Soecies? Status Number of Dominant Species l
1. That Are OBL.FACW.or FAC: d (A)
2. Total Number of Dominant
3. Species Across All Strata: c2. (B)
4 Percent of Dominant Species
5' )That Are OBL.FACW,or FAC: OU i (NB)
6.
7 Prevalence Index worksheet:
Total Cover Total%Cover of: Multidy by:
50%of total cover: 20%of total cover: OBL species x 1 -
Sapling/Shrub Stratum (Plot size: i 5- ) FACW species x 2=
1• FAC species x 3=
2. FACU species x 4=
3. UPL species x 5=
—
q• j Column Totals: (A) (B)
5.
Prevalence Index =B/A
6.
Hydrophytic Vegetation Indicators:
7.
�/ I)1 •Rapid Test for Hydrophytic Vegetation
8. t/'?- minance Test is>50%
9.
�_` 3-Prevalence Index is 53.0'
=Total Cover 4-Morphological Adaptations'(Provide supporting
50%of total cover: 20%of total cover: —
Herb Stratum (Plot size:
data in Remarks or on a separate sheet)
1. 2 Li - c o S •Q - S U5 I 0 \/ ('(4(it/ _ Problematic Hydrophytic Vegetation'(Explain)
2. 0 o(l r) d (( S c•-• <1L=1 CS Ill Y ��/
3. %1 ' Jp co 500 _ 'Indicators of hydric soil and wetland hydrology must
be present.unless disturbed or problematic.
4. u- L 5 is Definitions of Four Vegetation Strata:
5-
Tree-Woody plants,excluding vines.3 in.(7.6 cm)or
6• more in diameter at breast height(DBH),regardless of
7• height.
8.
Sapling/Shrub-Woody plants,excluding vines,less
9 than 3 in.DBH and greater than or equal to 3.28 ft(1
10. m)tall.
11. Herb-All herbaceous(non-woody)plants.regardless
3 O =Total Cover of size,and woody plants less than 3.28 ft tall.
50%of total cover: I 20%of total cover: (0 Woody vine-All woody vines greater than 3.28 ft in
Woody Vine Stratum (Plot size: 3 d ) height.
1.
2.
3.
4. Hydrophytic
5. Vegetation
=Total Cover Present? Yes 1\ No
50%of total cover: 20%of total cover:
Remarks:1 (Include photo numbers here or on a separate sheet.)
sheet.)
V�C1 ( uu) ( 5 /ejt,(a^��{ WCV f (OCct4e0 1`^- eccf(,'Q
US Army Corps of Engineers Eastern Mountains and Piedmont-Version 2-0

SOIL Sampling Point: " t r
P 9
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color(moist) % . Color(moist) % Type' Loc' Texture Remarks
__- y WI'11- 3 yt, /0. to 4 i
'Type: C.Concentration,D-Depletion, RM-Reduced Matrix,MS=Masked Sand Grains. Location: PL-Pore Lining,M=Matrix.
Hydric Soil Indicators: Indicators for Problematic Hydric Soils':
Histosol(Al) _ Dark Surface(S7) 2 cm Muck(A10)(MLRA 147)
_ Histic Epipedon(A2) _ Polyvalue Below Surface(S8)(MLRA 147, 148) _ Coast Prairie Redox(A16)
_ Black Histic(A3) _ Thin Dark Surface(S9)(MLRA 147, 148) (MLRA 147,148)
_ Hydrogen Sulfide(A4) Loamy Gleyed Matrix(F2) _ Piedmont F loodplain Soils(F19)
Stratified Layers(A5) / Depleted Matrix(13) (MLRA 136, 147)
2 cm Muck(A10)(LRR N) _ Redox Dark Surface(F6) _ Very Shallow Dark Surface(TF12)
_ Depleted Below Dark Surface(A11) _ Depleted Dark Surface(F7) _ Other(Explain in Remarks)
Thick Dark Surface(Al2) _ Redox Depressions(FE)
Sandy Mucky Mineral(S1)(LRR N, Iron-Manganese Masses(F12)(LRR N,
MLRA 147,148) MLRA 136)
Sandy Gleyed Matrix(S4) _ Umbric Surface(F13)(MLRA 136, 122) 'Indicators of hydrophytic vegetation and
_ Sandy Redox(S5) _ Piedmont Floodplain Soils(F19) (MLRA 148) wetland hydrology must be present,
_ Stripped Matrix(S6) _ Red Parent Material(F21)(MLRA 127,147) unless disturbed or problematic.
Restrictive Layer(if observed):
Type:
Depth(inches): Hydric Soil Present? Yes No
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont-Version 2.0

vve-4fmid kvA - (4°
WETLAND DETERMINATION DATA FORM- Eastern Mountains and Pied ont Region r
Project/Site: /` 5- fl oo5cL LOG V City/County: K ei v"7 PI Li•tie (1.16( �� Sampling Date: I C5 1`
Applicant/Owner: C 10 dT state: Sampling Point: MI 03
P 9 'T tip
VC
Investigator(s): /{'.(v Y f l v� Section,Township,Range: \0 eQ -e
Landform(hillslope,terrace,etc.): (60 d n is(✓v Local reief(concave,convex,none): Ii0 Aitte'L Slope(96)<-S/.
Subregion(LRR or MLRA): P-I ,10_ 1Lat: t G. 13 7 cl Long: L ? Datum !/1 t-(
Soil Map Unit Name: 6 ail] ( t 7 OW'u 5 du.wt G- -% -r!'u--t /' NWI classification: 41f4"-
Are climatic/hydrologic condition,on the site typical for this time of year? Yes No X (If no.explain in Remarks.)
I Are Vegetation 1,Soil Ai/.or Hydrology �✓ significantly disturbed? Are'Normal Circumstances"present? Yes No
Are Vegetation ,: ,Soil f j .or Hydrology /1 naturally problematic? (If needed,explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No
Is the Sampled Area
Yes No
Hydric Soil Present?
Wetland Hydrology Present? Yes NoT within a Wetland? Yes No Y
Remarks:
u p(a-t,r)
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators(minimum of two required)
Primary Indicators(minimum of one is required;check all that anoly) Surface Soil Cracks(B6)
_ Surface Water(A1) _ True Aquatic Plants 1614) _ Sparsely Vegetated Concave Surface(B81
_ High Water Table(A2) Hydrogen Sulfide Odor(C1) _ Drainage Patterns(B10)
Saturation(A3) _ Oxidized Rhizospheres on Living Roots(C3) _ Moss Trim Lines(B16)
Water Marks(81) _ Presence of Reduced Iron - — Dry-Season Water Table(C2)
Sediment Deposits(82) — Recent Iron Reductftin In Tilled Soils(C6) _ Crayfish Burrows(C8)
Drift Deposits(63) i Thin Muck Surface(C7) _ Saturation Visible on Aerial Imagery(C9)
_ Algal Mat or Crust(B4) _ Other(Explain in Remarks) _ Stunted or Stressed Plants(D1)
_ Iron Deposits(B5) _ Geomorphic Position(D2)
_ Inundation Visible on Aerial Imagery(B7) _ Shallow Aquitard(D3)
Water-Stained Leaves(B9) _ Microtopographic Relief(04)
_ Aquatic Fauna(B13) _ VAC-Neutral Test(D5)
Field Observations:
Surface Water Present? Yes No i Depth(inches):
Water Table Present? Yes No 77 Depth(inches): f
Saturation Present? Yes No \ Depth(inches): Wetland Hydrology Present? Yes No •/
(includes capillary fringe)
Describe Recorded Data(stream gauge,monitoring well,aerial photos,previous inspections),if available:
Remarks: r _ I
,47-€._ 7A46(4.llh it-
US Army Corps of Engineers Eastern Mountains and Piedmont-Version 2.0

yvekl�d Volk -ve
VEGETATION (Four Strata)-Use scientific names of plants. Sampling Point: "" �� n
Absolute Dominant Indicator Dominance Test worksheet:
Tree Stratum (Plot size: 30 ) %Cover Soecles? Statug Number of Dominant Species
1• That Are OBL,FACW.or FAC: (A)
2.
Total Number of Dominant J
3. Species Across All Strata: (B)
4.
Percent of Dominant Species �A1
5' That Are OBL,FACW.or FAC: I 0
/0 s. (Ala)
7 Prevalence Index worksheet:
Total Cover Total%Cover of: Multiply by:
50%of total cover: 20%of total cover: OBL species x 1 =
SaolinglShrub Stratum (Plot size: I ) FACW species x 2=
1. FAC species x 3=
2. FACU species x 4=
3. UPL species x 5=
4, Column Totals: (A) (B)
5.
Prevalence Index =B/A=
6.
7.
Hydrophytic Vegetation Indicators:
_ 1 -Rapid Test for Hydrophytic Vegetation
8. ia<J-Dominance Test is>50%
9.
3•Prevalence Index is s3.0'
To
l
50%of total cover: 20%of total o Cover er: - 4-Morphological Adaptations'(Provide supporting
Herb Stratum((Plot size: i` ) data in Remarks or on a separate sheet)
1. f ell!-U f 9 coo • () ✓ { - Problematic Hydrophytic Vegetation'(Explain)
2. Ly 4 Sao
3. i a�r r/tr Q Cie • 4 'Indicators of hydric soil and wetland hydrology must
- be present.unless disturbed or problematic.
4' Definitions of Four Vegetation Strata:
5.
6 Tree-Woody plants,excluding vines.3 in.(7.6 cm)or
more in diameter at breast height(DBH),regardless of
7. height.
8.
Sapling/Shrub-Woody plants.excluding vines,less
9. than 3 in.DBH and greater than or equal to 3.28 ft(1
10. m)tall.
11. Herb-All herbaceous(non-woody)plants.regardless
c J U =Total Cover of size,and woody plants less than 3.28 ft tall.
50%of total cover: 2-J 20%of total cover: I 0
3l' ) Woody vine-All woody vines greater than 3.28 ft in
Woody Vine Stratum (Plot size: V height
1. _^
2.
3.
4.
Hydrophytic
5. -- Vegetation
=Total Cover
Present? Yes No
50%of total cover: 20%of total cover:
Remarks: (Include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont-Version 2.0

vitt- 1 ovel ✓vI - up
SOIL Sampling Point: 11
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color(moist) 96 Color(moist) % Type' Loc2 Texture Remarks
04- (Of-
U,(,) ar) It) dv
'Type: C=Concentrntion,D-Depletion.RM-Reduced Matrix,MS=Masked Sand Grains. 'Location: PL=Pore Lining.M-Matrix.
Hydric Soil Indicators: Indicators for Problematic Hydric Soils':
_ Histosol(Al) _ Dark Surface(S7) _ 2 cm Muck(A10)(MLRA 147)
Histic Epipedon(A2) Polyvalue Below Surface(S8)(MLRA 147, 148) _ Coast Prairie Redox(A16)
_ Black Histic(A3) _ Thin Dark Surface(S9)(MLRA 147, 148) (MLRA 147, 148)
_ Hydrogen Sulfide(A4) _ Loamy Gleyed Matrix(F2) Piedmont Floodplain Soils(F19)
_ Stratified Layers(AS) _ Depleted Miirix-(13)--�- (MLRA 136, 147)
_ 2 cm Muck(A10)(LRR N) _-Redox Dark Surface(F6) Very Shallow Dark Surface(TF12)
Depleted Below Dark Surface-(All) _ Depleted Dark Surface(F7) _ Other(Explain in Remarks)
Thick Dark Surface(Al2) _ Redox Depressions(FE)
Sandy Mucky Mineral(S1)(LRR N, _ Iron-Manganese Masses(F12)(LRR N,
MLRA 147,148) MLRA 136)
_ Sandy Gleyed Matrix(S4) _ Umbric Surface(F 13)(MLRA 136, 122) 'Indicators of hydrophytic vegetation and
_ Sandy Redox(S5) _ Piedmont Floodplain Soils(F19)(MLRA 148) wetland hydrology must be present.
_ Stripped Matrix(S6) _ Red Parent Material(F21) (MLRA 127, 147) unless disturbed or problematic.
Restrictive Layer(if observed):
Type: %
Depth(inches):_ Hydric Soil Present? Yes No 7,
Remarks: .
US Army Corps of Engineers Eastern Mountains and Piedmont-Version 2.0

NC WAM FIELD ASSESSMENT RESULTS
Accompanies User Manual Version 5.0
USACE AID# NCDWR#
Project Name B-85 _ Date of Evaluation 181101
Applicant/Owner Name NCDOT _ Wetland Site Name WA-03
Wetland Type Bottomland Hardwood Forest Assessor Name/Organization Keith-Axiom
Level III Ecoregion Piedmont Nearest Named Water Body Reedy Fork Creek
River Basin Cape Fear USGS 8-Digit Catalogue Unit 03030002
County Guilford NCDWR Region Winston-Salem
❑ Yes ® No Precipitation within 48 hrs? Latitude/Longitude(deci-degrees) 36.133742, -80.014872
Evidence of stressors affecting the assessment area(may not be within the assessment area)
Please circle and/or make note on the last page if evidence of stressors is apparent. Consider departure from reference, if appropriate, in
recent past(for instance,within 10 years). Noteworthy stressors include, but are not limited to the following.
• Hydrological modifications(examples: ditches,dams, beaver dams,dikes, berms, ponds, etc.)
• Surface and sub-surface discharges into the wetland(examples:discharges containing obvious pollutants,presence of nearby septic
tanks, underground storage tanks(USTs), hog lagoons,etc.)
• Signs of vegetation stress(examples: vegetation mortality, insect damage, disease, storm damage, salt intrusion,etc.)
• Habitat/plant community alteration (examples: mowing,clear-cutting,exotics,etc.)
Is the assessment area intensively managed? ® Yes ❑ No
Regulatory Considerations-Were regulatory considerations evaluated? ®Yes ❑No If Yes, check all that apply to the assessment area.
❑ Anadromous fish
❑ Federally protected species or State endangered or threatened species
• NCDWR riparian buffer rule in effect
❑ Abuts a Primary Nursery Area(PNA)
❑ Publicly owned property
❑ N.C. Division of Coastal Management Area of Environmental Concern(AEC)(including buffer)
❑ Abuts a stream with a NCDWQ classification of SA or supplemental classifications of HOW, ORW,or Trout
❑ Designated NCNHP reference community
• Abuts a 303(d)-listed stream or a tributary to a 303(d)-listed stream
What type of natural stream is associated with the wetland, if any?(check all that apply)
❑ Blackwater
• Brownwater
❑ Tidal (if tidal,check one of the following boxes) ❑ Lunar ❑ Wind ❑ Both
Is the assessment area on a coastal island? ❑ Yes ® No
Is the assessment area's surface water storage capacity or duration substantially altered by beaver? ❑ Yes ® No
Does the assessment area experience overbank flooding during normal rainfall conditions? ❑ Yes ® No
1. Ground Surface Condition/Vegetation Condition—assessment area condition metric
Check a box in each column. Consider alteration to the ground surface(GS)in the assessment area and vegetation structure(VS)in the
assessment area. Compare to reference wetland if applicable(see User Manual). If a reference is not applicable,then rate the assessment
area based on evidence an effect.
GS VS
❑A ❑A Not severely altered
®B ®B Severely altered over a majority of the assessment area(ground surface alteration examples: vehicle tracks, excessive
sedimentation, fire-plow lanes, skidder tracks, bedding, fill, soil compaction, obvious pollutants) (vegetation structure
alteration examples: mechanical disturbance, herbicides,salt intrusion[where appropriate],exotic species,grazing, less
diversity[if appropriate], hydrologic alteration)
2. Surface and Sub-Surface Storage Capacity and Duration—assessment area condition metric
Check a box in each column. Consider surface storage capacity and duration(Surf)and sub-surface storage capacity and duration(Sub).
Consider both increase and decrease in hydrology. A ditch <_ 1 foot deep is considered to affect surface water only, while a ditch > 1 foot
deep is expected to affect both surface and sub-surface water. Consider tidal flooding regime, if applicable.
Surf Sub
❑A ®A Water storage capacity and duration are not altered.
B ❑B Water storage capacity or duration are altered, but not substantially(typically, not sufficient to change vegetation).
❑C ❑C Water storage capacity or duration are substantially altered(typically,alteration sufficient to result in vegetation change)
(examples: draining,flooding, soil compaction,filling, excessive sedimentation, underground utility lines).
3. Water Storage/Surface Relief—assessment area/wetland type condition metric(skip for all marshes)
Check a box in each column. Select the appropriate storage for the assessment area(AA)and the wetland type(WT).
AA WT
3a. ❑A ❑A Majority of wetland with depressions able to pond water> 1 deep
❑B ❑B Majority of wetland with depressions able to pond water 6 inches to 1 foot deep
®C ®C Majority of wetland with depressions able to pond water 3 to 6 inches deep
❑D ❑D Depressions able to pond water<3 inches deep
3b. ❑A Evidence that maximum depth of inundation is greater than 2 feet
❑B Evidence that maximum depth of inundation is between 1 and 2 feet
®C Evidence that maximum depth of inundation is less than 1 foot

4. Soil Texture/Structure—assessment area condition metric(skip for all marshes)
Check a box from each of the three soil property groups below. Dig soil profile in the dominant assessment area landscape feature.
Make soil observations within the top 12 inches. Use most recent National Technical Committee for Hydric Soils guidance for regional
indicators.
4a. ❑A Sandy soil
®B Loamy or clayey soils exhibiting redoximorphic features(concentrations, depletions,or rhizospheres)
❑C Loamy or clayey soils not exhibiting redoximorphic features
❑D Loamy or clayey gleyed soil
❑E Histosol or histic epipedon
4b. ®A Soil ribbon < 1 inch
❑B Soil ribbon>_ 1 inch
4c. ®A No peat or muck presence
❑B A peat or muck presence
5. Discharge into Wetland—opportunity metric
Check a box in each column. Consider surface pollutants or discharges(Surf)and sub-surface pollutants or discharges(Sub). Examples
of sub-surface discharges include presence of nearby septic tank, underground storage tank(UST), etc.
Surf Sub
®A ®A Little or no evidence of pollutants or discharges entering the assessment area
❑B ❑B Noticeable evidence of pollutants or discharges entering the wetland and stressing, but not overwhelming the
treatment capacity of the assessment area
❑C ❑C Noticeable evidence of pollutants or discharges(pathogen, particulate, or soluble)entering the assessment area and
potentially overwhelming the treatment capacity of the wetland (water discoloration, dead vegetation, excessive
sedimentation, odor)
6. Land Use—opportunity metric(skip for non-riparian wetlands)
Check all that apply(at least one box in each column). Evaluation involves a GIS effort with field adjustment. Consider sources draining
to assessment area within entire upstream watershed (WS),within 5 miles and within the watershed draining to the assessment area (5M),
and within 2 miles and within the watershed draining to the assessment area(2M).
WS 5M 2M
❑A ❑A ❑A > 10%impervious surfaces
❑B ❑B ❑B Confined animal operations(or other local, concentrated source of pollutants
ZC ®C ®C >_20%coverage of pasture
❑D ❑D ❑D >_20%coverage of agricultural land (regularly plowed land)
❑E ❑E ❑E >_20%coverage of maintained grass/herb
OF OF OF >_20%coverage of clear-cut land
❑G ❑G ❑G Little or no opportunity to improve water quality. Lack of opportunity may result from little or no disturbance in
the watershed or hydrologic alterations that prevent drainage and/or overbank flow from affecting the
assessment area.
7. Wetland Acting as Vegetated Buffer—assessment area/wetland complex condition metric(skip for non-riparian wetlands)
7a. Is assessment area within 50 feet of a tributary or other open water?
®Yes ❑No If Yes,continue to 7b. If No, skip to Metric 8.
Wetland buffer need only be present on one side of the water body. Make buffer judgment based on the average width of wetland.
Record a note if a portion of the buffer has been removed or disturbed.
7b. How much of the first 50 feet from the bank is wetland? (Wetland buffer need only be present on one side of the .water body. Make
buffer judgment based on the average width of wetland. Record a note if a portion of the buffer has been removed or disturbed.)
®A >_50 feet
❑B From 30 to<50 feet
❑C From 15 to<30 feet
❑D From 5 to< 15 feet
❑E <5 feet or buffer bypassed by ditches
7c. Tributary width. If the tributary is anastomosed, combine widths of channels/braids for a total width.
®<_ 15-feet wide ❑> 15-feet wide ❑ Other open water(no tributary present)
7d. Do roots of assessment area vegetation extend into the bank of the tributary/open water?
❑Yes No
7e. Is stream or other open water sheltered or exposed?
®Sheltered—adjacent open water with width <2500 feet and no regular boat traffic.
❑Exposed—adjacent open water with width>_2500 feet or regular boat traffic.
8. Wetland Width at the Assessment Area—wetland type/wetland complex condition metric(evaluate WT for all marshes and
Estuarine Woody Wetland only; evaluate WC for Bottomland Hardwood Forest, Headwater Forest, and Riverine Swamp Forest
only)
Check a box in each column for riverine wetlands only. Select the average width for the wetland type at the assessment area(WT)and
the wetland complex at the assessment area(WC). See User Manual for WT and WC boundaries.
WT WC
®A ®A >_ 100 feet
❑B ❑B From 80 to< 100 feet
❑C ❑C From 50 to<80 feet
❑D ❑D From 40 to<50 feet
❑E ❑E From 30 to<40 feet
❑F OF From 15 to<30 feet
❑G ❑G From 5 to< 15 feet
❑H ❑H <5 feet

9. Inundation Duration—assessment area condition metric(skip for non-riparian wetlands)
Answer for assessment area dominant landform.
®A Evidence of short-duration inundation(<7 consecutive days)
❑B Evidence of saturation,without evidence of inundation
❑C Evidence of long-duration inundation or very long-duration inundation(7 to 30 consecutive days or more)
10. Indicators of Deposition—assessment area condition metric(skip for non-riparian wetlands and all marshes)
Consider recent deposition only(no plant growth since deposition).
Sediment deposition is not excessive, but at approximately natural levels.
❑B Sediment deposition is excessive, but not overwhelming the wetland.
❑C Sediment deposition is excessive and is overwhelming the wetland.
11. Wetland Size—wetland type/wetland complex condition metric
Check a box in each column. Involves a GIS effort with field adjustment. This metric evaluates three aspects of the wetland area: the
size of the wetland type (WT), the size of the wetland complex (WC), and the size of the forested wetland (FW) (if applicable, see User
Manual). See the User Manual for boundaries of these evaluation areas. If assessment area is clear-cut,select"K"for the FW column.
WT WC FW(if applicable)
❑A ❑A ❑A >_500 acres
❑B ❑B ❑B From 100 to<500 acres
❑C ❑C ❑C From 50 to< 100 acres
❑D ❑D ❑D From 25 to<50 acres
❑E ❑E ❑E From 10 to<25 acres
OF OF OF From 5 to< 10 acres
❑G ❑G ❑G From 1 to<5 acres
❑H ®H ❑H From 0.5 to< 1 acre
❑I ❑I ❑I From 0.1 to<0.5 acre
®J ❑J ❑J From 0.01 to<0.1 acre
❑K ❑K ®K <0.01 acre or assessment area is clear-cut
12. Wetland Intactness—wetland type condition metric(evaluate for Pocosins only)
❑A Pocosin is the full extent(>_90%)of its natural landscape size.
❑B Pocosin type is<90%of the full extent of its natural landscape size.
13. Connectivity to Other Natural Areas—landscape condition metric
13a. Check appropriate box(es) (a box may be checked in each column). Involves a GIS effort with field adjustment. This metric
evaluates whether the wetland is well connected (Well) and/or loosely connected (Loosely)to the landscape patch, the contiguous
naturally vegetated area and open water(if appropriate). Boundaries are formed by four-lane roads, regularly maintained utility line
corridors the width of a four-lane road or wider, urban landscapes, maintained fields (pasture and agriculture), or open water> 300
feet wide.
Well Loosely
❑A ®A >_500 acres
B ❑B From 100 to<500 acres
❑C ❑C From 50 to< 100 acres
❑D ❑D From 10 to<50 acres
❑E ❑E < 10 acres
OF OF Wetland type has a poor or no connection to other natural habitats
13b. Evaluate for marshes only.
❑Yes ❑No Wetland type has a surface hydrology connection to open waters/stream or tidal wetlands.
14. Edge Effect—wetland type condition metric(skip for all marshes and Estuarine Woody Wetland)
May involve a GIS effort with field adjustment. Estimate distance from wetland type boundary to artificial edges. Artificial edges include
non-forested areas >_40 feet wide such as fields, development, roads, regularly maintained utility line corridors, and clear-cuts. Consider
the eight main points of the compass. Artificial edge occurs within 150 feet in how many directions? If the assessment area is clear cut,
select option"C."
❑A 0
❑B 1 to 4
®C 5to8
15. Vegetative Composition—assessment area condition metric(skip for all marshes and Pine Flat)
❑A Vegetation is close to reference condition in species present and their proportions. Lower strata composed of appropriate
species,with exotic plants absent or sparse within the assessment area.
❑B Vegetation is different from reference condition in species diversity or proportions, but still largely composed of native species
characteristic of the wetland type. This may include communities of weedy native species that develop after clearcutting or clearing.
It also includes communities with exotics present, but not dominant, over a large portion of the expected strata.
®C Vegetation severely altered from reference in composition, or expected species are unnaturally absent (planted stands of non-
characteristic species or at least one stratum inappropriately composed of a single species), or exotic species are dominant in at
least one stratum.
16. Vegetative Diversity—assessment area condition metric(evaluate for Non-tidal Freshwater Marsh only)
❑A Vegetation diversity is high and is composed primarily of native species(< 10%cover of exotics).
▪ Vegetation diversity is low or has > 10%to 50%cover of exotics.
❑C Vegetation is dominated by exotic species(>50% cover of exotics).

17. Vegetative Structure—assessment area/wetland type condition metric
17a. Is vegetation present?
®Yes ❑No If Yes,continue to 17b. If No,skip to Metric 18.
17b. Evaluate percent coverage of assessment area vegetation for all marshes only. Skip to 17c for non-marsh wetlands.
EA >_25%coverage of vegetation
❑B <25%coverage of vegetation
17c. Check a box in each column for each stratum. Evaluate this portion of the metric for non-marsh wetlands. Consider
structure in airspace above the assessment area (AA)and the wetland type(WT)separately.
AA WT
o❑A ❑A Canopy closed, or nearly closed,with natural gaps associated with natural processes
c ❑B ❑B Canopy present, but opened more than natural gaps
U ®C ®C Canopy sparse or absent
g ❑A ❑A Dense mid-story/sapling layer
(1)▪ ❑B ❑B Moderate density mid-story/sapling layer
®C ®C Mid-story/sapling layer sparse or absent
❑A ❑A Dense shrub layer
❑B ❑B Moderate density shrub layer
®C ®C Shrub layer sparse or absent
®A ®A Dense herb layer
❑B ❑B Moderate density herb layer
❑C ❑C Herb layer sparse or absent
18. Snags—wetland type condition metric(skip for all marshes)
❑A Large snags(more than one)are visible(> 12 inches DBH,or large relative to species present and landscape stability).
ZB NotA
19. Diameter Class Distribution—wetland type condition metric(skip for all marshes)
EA Majority of canopy trees have stems>6 inches in diameter at breast height(DBH); many large trees(> 12 inches DBH)are
present.
El Majority of canopy trees have stems between 6 and 12 inches DBH,few are> 12 inch DBH.
®C Majority of canopy trees are<6 inches DBH or no trees.
20. Large Woody Debris—wetland type condition metric(skip for all marshes)
Include both natural debris and man-placed natural debris.
❑A Large logs(more than one)are visible(> 12 inches in diameter,or large relative to species present and landscape stability).
®B Not A
21. Vegetation/Open Water Dispersion—wetland type/open water condition metric(evaluate for Non-Tidal Freshwater Marsh only)
Select the figure that best describes the amount of interspersion between vegetation and open water in the growing season. Patterned
areas indicate vegetated areas,while solid white areas indicate open water.
❑A ❑B ❑C ❑D
•
\\( :� � ) \ L.) ) -_ )
22. Hydrologic Connectivity—assessment area condition metric(evaluate for riparian wetlands and Salt/Brackish Marsh only)
Examples of activities that may severely alter hydrologic connectivity include intensive ditching,fill,sedimentation,channelization,diversion,
man-made berms, beaver dams, and stream incision. Documentation required if evaluated as B, C, or D.
❑A Overbank and overland flow are not severely altered in the assessment area.
El Overbank flow is severely altered in the assessment area.
❑C Overland flow is severely altered in the assessment area.
®D Both overbank and overland flow are severely altered in the assessment area.
Notes
This is wetland is located in a linear drainage feature at the edge of a large floodplain, this wetland drains to Reedy Fork Creek. Wetland
is maintained,as three of four vegetation strata were missing due to mowing. Wetland extends outside of project area. Area surrounding the
wetland was maintained pasture,one house and driveway were also located adjacent to the wetland.

NC WAM Wetland Rating Sheet
Accompanies User Manual Version 5.0
Wetland Site Name WA-03 Date of Assessment 181101
Wetland Type Bottomland Hardwood Forest Assessor Name/Organization Keith-Axiom
Notes on Field Assessment Form (Y/N) YES
Presence of regulatory considerations (Y/N) YES
Wetland is intensively managed (Y/N) YES
Assessment area is located within 50 feet of a natural tributary or other open water (Y/N) YES
Assessment area is substantially altered by beaver (Y/N) NO
Assessment area experiences overbank flooding during normal rainfall conditions (Y/N) NO
Assessment area is on a coastal island (Y/N) NO
Sub-function Rating Summary
Function Sub-function Metrics Rating
Hydrology Surface Storage and Retention Condition LOW
Sub-surface Storage and
Retention Condition MEDIUM
Water Quality Pathogen Change Condition LOW
Condition/Opportunity LOW
Opportunity Presence (Y/N) NO
Particulate Change Condition LOW
Condition/Opportunity LOW
Opportunity Presence (Y/N) NO
Soluble Change Condition LOW
Condition/Opportunity LOW
Opportunity Presence (Y/N) NO
Physical Change Condition LOW
Condition/Opportunity LOW
Opportunity Presence (Y/N) NO
Pollution Change Condition NA
Condition/Opportunity NA
Opportunity Presence (Y/N) NA
Habitat Physical Structure Condition LOW
Landscape Patch Structure Condition LOW
Vegetation Composition Condition LOW
Function Rating Summary
Function Metrics Rating
Hydrology Condition LOW
Water Quality Condition LOW
Condition/Opportunity LOW
Opportunity Presence (Y/N) NO
Habitat Condition LOW
Overall Wetland Rating LOW

NC SAM FIELD ASSESSMENT RESULTS
Accompanies User Manual Version 2.1
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 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): Bridge 85 2. Date of evaluation: 181101
3.Applicant/owner name: NCDOT 4.Assessor name/organization: Keith/Axiom
5. County: Guilford 6. Nearest named water body
7. River basin: Cape Fear on USGS 7.5-minute quad: Reedy Fork
8. Site coordinates(decimal degrees, at lower end of assessment reach): 36.133480,-80.014300
STREAM INFORMATION: (depth and width can be approximations)
9. Site number(show on attached map): Reedy Fork 10. Length of assessment reach evaluated(feet): 150
11. Channel depth from bed(in riffle, if present)to top of bank(feet): 25 ❑Unable to assess channel depth.
12. Channel width at top of bank(feet): 6-8 13. Is assessment reach a swamp steam? ['Yes ❑No
14. Feature type: ®Perennial flow ❑Intermittent flow ❑Tidal Marsh Stream
STREAM CATEGORY INFORMATION:
15. NC SAM Zone: ❑ Mountains(M) ® Piedmont(P) ❑ Inner Coastal Plain (I) ❑ Outer Coastal Plain (0)
16. Estimated geomorphic ®A\---�� ❑B
valley shape(skip for
Tidal Marsh Stream): (more sinuous stream,flatter valley slope) (less sinuous stream,steeper valley slope)
17.Watershed size: (skip ❑Size 1 (<0.1 mi2) ❑Size 2(0.1 to<0.5 mi2) ®Size 3(0.5 to<5 mi2) ['Size 4(>_5 mi2)
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
18.Were regulatory considerations evaluated? EYes ❑No If Yes, check all that apply to the assessment area.
['Section 10 water ❑Classified Trout Waters ®Water Supply Watershed (❑l ❑II ®III ❑IV ❑V)
['Essential Fish Habitat ❑Primary Nursery Area ❑ High Quality Waters/Outstanding Resource Waters
['Publicly owned property ®NCDWR Riparian buffer rule in effect ❑Nutrient Sensitive Waters
❑Anadromous fish ®303(d)List ❑CAMA Area of Environmental Concern(AEC)
['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? EYes ❑No
1. Channel Water-assessment reach metric(skip for Size 1 streams and Tidal Marsh Streams)
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
❑A At least 10% of assessment reach in-stream habitat or riffle-pool sequence is severely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impoundment on flood or ebb within
the assessment reach(examples: undersized or perched culverts,causeways that constrict the channel,tidal gates,debris jams,
beaver dams).
• 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
®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 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])
❑C ❑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.
®A Discolored water in stream or intertidal zone(milky white, blue, unnatural water discoloration, oil sheen, stream foam)
❑B Excessive sedimentation(burying of stream features or intertidal zone)
❑C Noticeable evidence of pollutant discharges entering the assessment reach and causing a water quality problem
❑D Odor(not including natural sulfide odors)
ZE Current published or collected data indicating degraded water quality in the assessment reach. Cite source in "Notes/Sketch"
section.
OF Livestock with access to stream or intertidal zone
❑G Excessive algae in stream or intertidal zone
❑H Degraded marsh vegetation in the intertidal zone(removal, burning, regular mowing,destruction, etc)
❑I Other: (explain in"Notes/Sketch"section)
❑J Little to no stressors
8. Recent Weather—watershed metric(skip for Tidal Marsh Streams)
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.
❑A Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
❑B Drought conditions and rainfall exceeding 1 inch within the last 48 hours
▪ 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 , ,, OF 5%oysters or other natural hard bottoms
(include liverworts, lichens, and algal mats) m ❑G Submerged aquatic vegetation
®B Multiple sticks and/or leaf packs and/or emergent o ❑H Low-tide refugia(pools)
vegetation Y r ❑I Sand bottom
❑C Multiple snags and logs(including lap trees) . @ ❑J 5%vertical bank along the marsh
❑D 5% undercut banks and/or root mats and/or roots ° ❑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)
11a. ❑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 11c)
®B Pool-glide section(evaluate 11d)
❑C Natural bedform absent(skip to Metric 12,Aquatic Life)
11 c. In riffle 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
® ❑ ❑ ❑ ❑ Bedrock/saprolite
• ❑ ❑ ❑ ❑ Boulder(256—4096 mm)
® ❑ ❑ ❑ ❑ Cobble(64—256 mm)
❑ ❑ ® ❑ ❑ Gravel (2—64 mm)
❑ ❑ ❑ ❑ ® Sand (.062—2 mm)
❑ ❑ ❑ ® ❑ Silt/clay(<0.062 mm)
❑ ® ❑ ❑ ❑ Detritus
❑ ® ❑ ❑ ❑ Artificial (rip-rap, concrete,etc.)
11d. ZYes ❑No Are pools filled with sediment?(skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)

12. Aquatic Life—assessment reach metric(skip for 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 DOther:
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.
❑ ['Adult frogs
❑ ['Aquatic reptiles
❑ ['Aquatic macrophytes and aquatic mosses(include liverworts, lichens, and algal mats)
❑ ['Beetles
❑ ❑Caddisfly larvae(T)
❑ ['Asian clam (Corbicula)
❑ ['Crustacean(isopod/amphipod/crayfish/shrimp)
❑ ['Damselfly and dragonfly larvae
❑ ❑Dipterans
❑ ['Mayfly larvae(E)
❑ ❑Megaloptera(alderfly,fishfly, dobsonfly larvae)
❑ ❑Midges/mosquito larvae
❑ ['Mosquito fish(Gambusia)or mud minnows(Umbra pygmaea)
❑ ❑Mussels/Clams(not Corbicula)
• ['Other fish
❑ ❑Salamanders/tadpoles
❑ ['Snails
❑ ❑Stonefly larvae(P)
❑ ❑Tipulid larvae
❑ ❑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 ❑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: 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
®C ®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
• ❑Y Are wetlands present in the streamside area?
❑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.
• Streams and/or springs(jurisdictional discharges)
❑B Ponds(include wet detention basins;do not include sediment basins or dry detention basins)
DC Obstruction passing flow during low-flow periods within the assessment area(beaver dam, leaky dam, bottom-release dam,weir)
®D Evidence of bank seepage or sweating(iron 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)
❑B Obstruction not passing flow during low-flow periods affecting the assessment reach (ex:watertight dam,sediment deposit)
❑C Urban stream(>_24%impervious surface for watershed)
®D Evidence that the streamside 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.
®A Stream shading is appropriate for stream category(may include gaps associated with natural processes)
❑B Degraded (example: scattered trees)
DC 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 ❑A >_ 100 feet wide or extends to the edge of the watershed
❑B ❑B ❑B ❑B From 50 to< 100 feet wide
❑C ❑C ❑C ❑C From 30 to<50 feet wide
❑D El ®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 ❑A Mature forest
• ®B Non-mature woody vegetation or modified vegetation structure
❑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 RB LB RB LB RB
❑A ❑A ❑A ❑A ❑A ❑A Row crops
❑B ❑B ❑B ❑B ❑B ❑B Maintained turf
❑C ❑C ❑C ❑C ❑C ❑C Pasture(no livestock)/commercial horticulture
❑D ❑D ❑D ❑D ❑D ❑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
❑A ❑A Medium to high stem density
• ®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
®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—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 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 ❑B 46 to<67 DC 67 to<79 ❑D 79 to<230 ❑E >_230
Notes/Sketch:
Stream has maintained pastures on left bank with very few trees. Stream contains abundant sand and many bank failures and scour from recent
hurricanes Florence and Michael--cattle and horses have been fenced off denying access to stream. This section of Reedy Fork is listed on the
2016 Final 303d list for fair benthics and fish commnities.

Draft NC SAM Stream Rating Sheet
Accompanies User Manual Version 2.1
Stream Site Name Bridge 85 Date of Assessment 181101
Stream Category Pa3 Assessor Name/Organization Keith/Axiom
Notes of Field Assessment Form (Y/N) YES
Presence of regulatory considerations(Y/N) YES
Additional stream information/supplementary measurements included (Y/N) YES
NC SAM feature type(perennial, intermittent, Tidal Marsh Stream) Perennial
USACE/ NCDWR
Function Class Rating Summary All Streams Intermittent
(1) Hydrology LOW
(2)Baseflow HIGH
(2) Flood Flow LOW
(3)Streamside Area Attenuation LOW
(4) Floodplain Access MEDIUM
(4)Wooded Riparian Buffer LOW
(4)Microtopography LOW
(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 LOW
(2)Baseflow HIGH
(2)Streamside Area Vegetation HIGH
(3)Upland Pollutant Filtration HIGH
(3)Thermoregulation HIGH
(2) Indicators of Stressors YES
(2)Aquatic Life Tolerance LOW
(2) Intertidal Zone Filtration NA
(1) Habitat LOW
(2) In-stream Habitat LOW
(3)Baseflow HIGH
(3)Substrate LOW
(3)Stream Stability LOW
(3) In-stream Habitat LOW
(2)Stream-side Habitat HIGH
(3)Stream-side Habitat MEDIUM
(3)Thermoregulation HIGH
(2)Tidal Marsh In-stream Habitat NA
(3)Flow Restriction NA
(3)Tidal Marsh Stream Stability NA
(4)Tidal Marsh Channel Stability NA
(4)Tidal Marsh Stream Geomorphology NA
(3)Tidal Marsh In-stream Habitat NA
(2) Intertidal Zone NA
Overall LOW

NC SAM FIELD ASSESSMENT RESULTS
Accompanies User Manual Version 2.1
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 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): Bridge 85 2. Date of evaluation: 181101
3.Applicant/owner name: NCDOT 4.Assessor name/organization: Keith/Axiom
5. County: Guilford 6. Nearest named water body
7. River basin: Cape Fear on USGS 7.5-minute quad: Reedy Fork
8. Site coordinates(decimal degrees, at lower end of assessment reach): 36.133238,-80.014338
STREAM INFORMATION: (depth and width can be approximations)
9. Site number(show on attached map): Stream SA 10. Length of assessment reach evaluated(feet): 150
11. Channel depth from bed(in riffle, if present)to top of bank(feet): 5-7 ❑Unable to assess channel depth.
12. Channel width at top of bank(feet): 2-5 13. Is assessment reach a swamp steam? ['Yes ❑No
14. Feature type: ®Perennial flow ❑Intermittent flow ❑Tidal Marsh Stream
STREAM CATEGORY INFORMATION:
15. NC SAM Zone: ❑ Mountains(M) ® Piedmont(P) ❑ Inner Coastal Plain (I) ❑ Outer Coastal Plain (0)
16. Estimated geomorphic ®A\---�� ❑B
valley shape(skip for
Tidal Marsh Stream): (more sinuous stream,flatter valley slope) (less sinuous stream,steeper valley slope)
17.Watershed size: (skip ❑Size 1 (<0.1 mi2) ®Size 2(0.1 to<0.5 mi2) ❑Size 3(0.5 to<5 mi2) ['Size 4(>_5 mi2)
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
18.Were regulatory considerations evaluated? EYes ❑No If Yes, check all that apply to the assessment area.
['Section 10 water ❑Classified Trout Waters ®Water Supply Watershed (❑I ❑II ®III ❑IV ❑V)
['Essential Fish Habitat ❑Primary Nursery Area ❑ High Quality Waters/Outstanding Resource Waters
['Publicly owned property ®NCDWR Riparian buffer rule in effect ❑Nutrient Sensitive Waters
❑Anadromous fish 111303(d)List ❑CAMA Area of Environmental Concern(AEC)
['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? EYes ['No
1. Channel Water-assessment reach metric(skip for Size 1 streams and Tidal Marsh Streams)
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
❑A At least 10% of assessment reach in-stream habitat or riffle-pool sequence is severely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impoundment on flood or ebb within
the assessment reach(examples: undersized or perched culverts,causeways that constrict the channel,tidal gates,debris jams,
beaver dams).
• 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).
LIB Not A
4. Feature Longitudinal Profile-assessment reach metric
®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
DB 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])
®C ®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.
Discolored water in stream or intertidal zone(milky white, blue, unnatural water discoloration, oil sheen, stream foam)
❑B Excessive sedimentation(burying of stream features or intertidal zone)
❑C Noticeable evidence of pollutant discharges entering the assessment reach and causing a water quality problem
❑D Odor(not including natural sulfide odors)
❑E Current published or collected data indicating degraded water quality in the assessment reach. Cite source in "Notes/Sketch"
section.
OF Livestock with access to stream or intertidal zone
❑G Excessive algae in stream or intertidal zone
❑H Degraded marsh vegetation in the intertidal zone(removal, burning, regular mowing,destruction, etc)
❑I Other: (explain in"Notes/Sketch"section)
❑J Little to no stressors
8. Recent Weather—watershed metric(skip for Tidal Marsh Streams)
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.
❑A Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
❑B Drought conditions and rainfall exceeding 1 inch within the last 48 hours
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 , ,, OF 5%oysters or other natural hard bottoms
(include liverworts, lichens, and algal mats) m ❑G Submerged aquatic vegetation
®B Multiple sticks and/or leaf packs and/or emergent o ❑H Low-tide refugia(pools)
vegetation Y r ❑I Sand bottom
❑C Multiple snags and logs(including lap trees) . @ ❑J 5%vertical bank along the marsh
❑D 5% undercut banks and/or root mats and/or roots ° ❑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)
11a. ❑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 11c)
®B Pool-glide section(evaluate 11d)
❑C Natural bedform absent(skip to Metric 12,Aquatic Life)
11 c. In riffle 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
❑ ❑ ❑ ❑ ❑ Bedrock/saprolite
• ❑ ❑ ❑ ❑ Boulder(256—4096 mm)
❑ ® ❑ ❑ ❑ Cobble(64—256 mm)
❑ ❑ ® ❑ ❑ Gravel (2—64 mm)
❑ ❑ ❑ ® ❑ Sand (.062—2 mm)
❑ ❑ ❑ ® ❑ Silt/clay(<0.062 mm)
❑ ® ❑ ❑ ❑ Detritus
• ❑ ❑ ❑ ❑ Artificial (rip-rap, concrete,etc.)
11d. ®Yes ❑No Are pools filled with sediment?(skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)

12. Aquatic Life—assessment reach metric(skip for 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 DOther:
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.
❑ ®Adult frogs
❑ ['Aquatic reptiles
❑ ['Aquatic macrophytes and aquatic mosses(include liverworts, lichens, and algal mats)
❑ ['Beetles
• ❑Caddisfly larvae(T)
❑ ['Asian clam (Corbicula)
❑ ®Crustacean(isopod/amphipod/crayfish/shrimp)
❑ ['Damselfly and dragonfly larvae
❑ ❑Dipterans
❑ ['Mayfly larvae(E)
❑ ❑Megaloptera(alderfly,fishfly, dobsonfly larvae)
❑ ❑Midges/mosquito larvae
❑ ['Mosquito fish(Gambusia)or mud minnows(Umbra pygmaea)
❑ ❑Mussels/Clams(not Corbicula)
• ['Other fish
❑ ❑Salamanders/tadpoles
❑ ['Snails
❑ ❑Stonefly larvae(P)
❑ ❑Tipulid larvae
❑ ❑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 ❑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: 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
®C ®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
DY DY Are wetlands present in the streamside area?
• ®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)
DC Obstruction passing flow during low-flow periods within the assessment area(beaver dam, leaky dam, bottom-release dam,weir)
❑D Evidence of bank seepage or sweating(iron 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)
❑B Obstruction not passing flow during low-flow periods affecting the assessment reach (ex:watertight dam,sediment deposit)
DC Urban stream(>_24%impervious surface for watershed)
❑D Evidence that the streamside area has been modified resulting in accelerated drainage into the assessment reach
®E Assessment reach relocated to valley edge
O 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)
DC 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 ❑A >_ 100 feet wide or extends to the edge of the watershed
❑B ❑B ❑B ❑B From 50 to< 100 feet wide
❑C ❑C ❑C ❑C From 30 to<50 feet wide
❑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 ❑A Mature forest
LIB LIB Non-mature woody vegetation or modified vegetation structure
®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 RB LB RB LB RB
❑A ❑A ❑A ❑A ❑A ❑A Row crops
❑B ❑B ❑B ❑B ❑B ❑B Maintained turf
❑C ❑C ❑C ❑C ❑C ❑C Pasture(no livestock)/commercial horticulture
❑D ❑D ❑D ❑D ❑D ❑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
❑A ❑A Medium to high stem density
• ®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
®A ®A The total length of buffer breaks is<25 percent.
❑B LIB 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—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 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 ❑B 46 to<67 DC 67 to<79 ❑D 79 to<230 ❑E >_230
Notes/Sketch:
Stream is extremely incised. Driveway runs along right bank--appears to have been relocated to edge of floodplain.

Draft NC SAM Stream Rating Sheet
Accompanies User Manual Version 2.1
Stream Site Name Bridge 85 Date of Assessment 181101
Stream Category Pa2 Assessor Name/Organization Keith/Axiom
Notes of Field Assessment Form (Y/N) YES
Presence of regulatory considerations(Y/N) NO
Additional stream information/supplementary measurements included (Y/N) YES
NC SAM feature type(perennial, intermittent, Tidal Marsh Stream) Perennial
USACE/ NCDWR
Function Class Rating Summary All Streams Intermittent
(1) Hydrology LOW
(2)Baseflow HIGH
(2) Flood Flow LOW
(3)Streamside Area Attenuation LOW
(4) Floodplain Access LOW
(4)Wooded Riparian Buffer LOW
(4)Microtopography LOW
(3)Stream Stability LOW
(4)Channel Stability HIGH
(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 MEDIUM
(2)Baseflow HIGH
(2)Streamside Area Vegetation MEDIUM
(3)Upland Pollutant Filtration MEDIUM
(3)Thermoregulation MEDIUM
(2) Indicators of Stressors NO
(2)Aquatic Life Tolerance MEDIUM
(2) Intertidal Zone Filtration NA
(1) Habitat LOW
(2) In-stream Habitat LOW
(3)Baseflow HIGH
(3)Substrate LOW
(3)Stream Stability MEDIUM
(3) In-stream Habitat LOW
(2)Stream-side Habitat LOW
(3)Stream-side Habitat MEDIUM
(3)Thermoregulation LOW
(2)Tidal Marsh In-stream Habitat NA
(3)Flow Restriction NA
(3)Tidal Marsh Stream Stability NA
(4)Tidal Marsh Channel Stability NA
(4)Tidal Marsh Stream Geomorphology NA
(3)Tidal Marsh In-stream Habitat NA
(2) Intertidal Zone NA
Overall LOW

Reedy Fork NORTH CAROLINA Rau0 RIVER,NE Linear 116 FOOT RPW 18 13148006 -0061430000
Stream SA NORTH CAROLINA R3UB N1.1RNE Linear 145 FOOT RPW 38.13322800 -80.01433800
Wetland WA NORTH CAROLINA PEM RI.ERIVE Area 0.02 ACRE DELINEATE 36.13374200 -80.01487200