20120285 Ver 1_Study_20061206

onra Fow.�
aaunxe wenwxo oe�arawnnox
(198] CDE WetleMS �ellnmticn Manwl)
RyeW5lte: Dele:
ADPIIraM/Oxner. �.. � Ca�ny'. .
InvesYgeror'. �� Ste�e'.
DoNOrmelGwmslanwsF'atwNaffile9 Ya$� No Cnmmunlryl�:':—
IsIM1esHealB��ntlY��d(ArypNSi$IWetlm)9 Y65 �N¢. TnrsM10:
ISMeereaepo�eMelRWbmAreai Yes No. Ro1�D;.
�rcneeaee,exoiemonreverse.� -- —
VEGETATON
0.vlrnaM %eM $oeyya �Sj)fy_r9 jpQj{�jq[ ComMen ReM 5 l� $�[@jym �pQ.�o�
]I.. fl.
6i I'. <.
n — s.
Pnrenl W Nmtranl5pmss Nel are OBL, FACW or FqC
(extlWltg FAG). �
RamaNS:
HT�ROLOGY

SOILS
LlelreSa Clevs:
riae on�„au�.
caa�rt+ape�*roex r� ra
uepm MeplxCOlor AbryeCqbrs MWIa iey�,����a.
ilIX{1�.1 N9[�9IL l�.� llAUnsN TM PW 51
��
Hy�IXCSOIIInElca�ors:
_MlSqml Conve'm�s
_H15�ICEplpetlw _H19� O�B�nicCOnlenbT ButlaW layer9an0y9oA5
9ul�IdcO�or pganlc5reakingln6antly9oils
�' (pulcMORlureReg�me Lql�onLOVlryyAdpS011¢LI51
_RWUMngCOnqM1Ons Ll9eaof.Na4onalHd SoIISLISI
_Gley¢po�Lw-L�mmaCdon _O;hei(Fiplainlnq¢mMyf
ft¢maM1C:
'NFTLAND OETEHMINqTON
Hytlpp��icVpelatlpnP�¢en�p Y� No (Ciltle�
We�lerqHYtletlqyPresallt V� ryp (CI�tla)
Nptic5d15P�qi(9 YB�� µ� I51M1BSemplbgPOInWIM1naW
Rwnakg',

oqrn rowa
aounxe wenpHa o�awnulwx
�iBB] COE WetleMS Cellneetlm AMnuel)
PrqxLSXe: pece:
NpplUanVO.vner' Ceunly:
ImreatlBeloc Stele:
WNO�melGramaleMVSEVICimllwslte't Yes No CommunlylO:'�
IstlresneugnlfimMyClsWNei(Arypi�ISlWetlan)i � Y� � Na TreriseqlD:
Is�Mareeepo�enllelfloEbmNeai Yes No %otlD:
(Hreetletl.e�lelnmrevnu) .� —
VEGETATION
Pe�t'enl o! Mmrnan� $peues 4^.a! are O0L FACW o� FAC
(eaCUCI� FqG-).
Rema�ks
HY�ROLOGY

SOILS
My LNiI Nare
�smesamcn�a): �.. oai�sacros:
r�omy (swswp): rae w.urvawre
c�r^"^�e�ryoe� r� w
I !�M� MalnxCOlor 1/qry�e�q�p �Q T��,���9.
'�1 H9PID1 i� �'O`v (�L
� w�:_
Hyelnc5olllntlielors;
_Hfs�osol ConaHla^.5
_Hlslm Eplpetlan
_SUlOtllcOtlor —w9�Om.+nioCOnlan�mSURaceLayerSaptlySOps
�AQUICMaklureReg�me _La,s9pa �SO��YIH1tlnc5ols�l's
_RMUangCOndl�lons _LR�etlonh'eponalHytlrlc6oilsLlsi
_GleyMmLOwL�mmeCOlors _O:he�(E�IaInlrtPomaMS)
Remans:
WETLqN� OETERMINqTION
HWmOM1YticVagautionRm'enli Ys No (GMe) ILirtle)
WoYaMM'4MailYP�ase��t Yg -Nj�
Hy@ICStiISP�mai19 y�. Hj
. IsWSSemplingPOin�WilM1ingWgpyidy yg µ�

% WETLANDSRATINGWORKSHEET rowxve,;�;
Projec[namc Nearenmed � ��
Counry Wetlandarear . acres WeUavdwidth - - fee��
Nameofevaluator � Date
WeNand loafian
�'� oupandorleke
❑ on perennial stream
❑ on inrecmittant meam
❑ �mm N«nR� a���ae
❑ ather
i Soil sen
❑ predominanttyorganic-humus,
muck, or peat
❑ predominan9ymineral-nonwvdy
❑ predominantly sandy
Hydraulic facrors
❑ steepmpagcaphy
, p ditched or cAannelized
� rotal npariav weHand widN? loo feei
_g
Wetland type (select one)'
Adjacent lavd ose
(witfiin 1/2 mile upa��eam, upslope,
or radi�s)
❑ forested/nenualvegeta�ion .� /
❑ agicultwq urbaNSUbuvban �� %
❑ impmious mrfacc %
Dom�nant vegetation
(I) i . �
�1� �:,.
(3) �
moor;�g �a wem��s
[-'j SemipertnenentiycopermanenHy
flooded or inundamd
�] sc onallyfloodedonnundated
❑ meermit�m�ly floaded ovicempo�ery
surfece watu
❑ mevidenceoftloodingors�rthec
water
❑ BonoMandhv�h.00dforts � R°esavawu ❑ Bogforts
G Neatlwo[uIDreA C Pmshnstermarsh I.I Bop/[eo .
fi Swampforesl �� �T�^°�RV�gcforesc ❑ Sap
❑ WetOS� '-� EphemeralwWmd C OW¢_
❑ Pocosw .J CmolinaBa} .
^Tbe rztiug rvnem ramot [e applieA to alt o� brzetixh eiaeshes or swm c6annels.
w.�g5e
R Wa�evaomgc _ x i.00 = Y
4 Bank/$hortlivevbJVation s i00 = / fVetlontl5care
T PolluLUtlremm�ats x 9.IN1 =
I WilNifcFabi�al x 2W = � �
N qqo�pcWevalve_ yQUO=
G ftmci�ioNEtlucatlon . z 100 =
�naa � x�n �� ��,��:�u.�� w�amrsnca a�a> �oi �o�w�m mm,m,��.. »;u,m �i mue �w=v�m, ���o�, o� ���.

�ATAF00.N
ROUTINE WFTLpN� �EIERMINA1qN
(198� COE WetleMS Oellmetlon Msnuel)
arqecusne: oem: ��
Md�wnuMmec �� counry., :
invesne.m� � sm�e:
OoNOimelGwmslencesEnstmlheslle'! Vssi No CommunitylD:'�: �-_
isu��de�mm�uya�e�eea(nirWm�swenonl9 ve'c N4; ire�enio:
IsMeereaepo�entlelPmdemArea4 Ves � Plotl�: ; . S'�
Q(�etletl,ezplainonrevase.) —
VEGEfR110N
HYOROLOGY
RemrJa]WIe�ComCSinqenaA's): WNentlhyErq�ylntll�alas:
SYream,We,a�iltleGeupe qimerylMl�ws:
LeAeIPlriPorzV� InuMalei
CMO� _�Se102��InOppalIPIML[O
NoRevv�peleqvaMaMe _We�rMVks
om�unm
—sm�ioapo.n:
FbW Wservetlors: GalrugePal�eerm'InWe�laMs
Semnd YlMielws(2wrtnre�]uIN�:
wv�dswacewmar _0�.) o.noEaaooicre�reismuweriz'
—wae,sui� ��
oepUmvraewx�amRC _M.1 —�isaisiwevozu
FAGNaNaI Tesl
�b6eNrale�5d1: �n) OIMr(ExpleminRemeMS)
PanaAC:

SOIlS
�oenavammmeL V �� ,
r�.«wmv(s� � oai�nseciass�.
namwk Fa�m�uxore
,. �ollleor5o�nt � CPedryaa� ves No
�MelnxCdor µ�ry�e�y�
HoXmn (MU2d N�m (M �da TGWre.Cantlalo�s.
�i Mr. ��
My4tic5oll InElcebrs;
_Hlsfasol Convollons
_IIIS11cEplpetlon
_6ulOR OOOr —H�q�OyanlcWplenlN9u0areLpye/Bpn0ybo0a
_{pulcMOlslumReglme —Oryenlv8liea'pngin 6anpy9ol15
_ReouGngCOnolGOns —������°��MY�c5oI15OCt
—oiemaor�wcnromacomrs —usiEdo�Neuor,aiHyen�sonsua
_�IM1ar(ENleinlnRemefks)
flemaMS:
WETL4N��ETERMINATON
HW�>�WCVqera4anPrmen�'t �Y�., NO (Cirtle)
WatlaM HyLrdoryPrs�t Ym.. µ� (Clydal
H1tltiv5oLLCp�'gi�q 7�/ µ� IsIhI55empIInBPoInIWINnaWe0anP1 1��" ryp

�qTAFORM
(iBB] COE WatleMS OeIlnmNOn Menuel)
PrqacVStte: �ate:
ApDIImrNOrmer. Cpunry: '
�nmstlgelor S�sle:
�oNOrmelGiwmslancesF'sfonTesicei Yes, No Communlry�D: '
�smeNte96���aymewmetl(atyptalsmu5m�i Ves� �NC irensac��o:
IsMeeresepolenYalPm�kmAreai Yes ;Nq� PIO110:-
(xneeeea,exoiainanreverse.� --- —
VEGETNTION
0.Y�reM ReM $mo� $f�(ym �pQ�q� pmiraM peM SomeF �ym n�lqw
_ ��I+ _
�.. . � ..♦c . . "
-. __ _ � � i. : �y� �. i
�&
PertenlMWminanl5ce��t�alare 09L,FACWO�FNC
�extlu4Lg FAG�.
Ramarks'.
HY�ROLOGY
ReMNB] W�e�CCSmCelnRemeMS): W¢�lantltrytl�dtgylntll�alors:
$tream,laMe.mMeGaupe R1marylMlmbrs:
laflalPMCg2plv5 I�LaI�
OIFer SaluR{�In11p�1PIMqa
NoRavEeEDIDIeAreMffik Wa�wMarMs
— —oxrtur�
—sm�m��wwem
ReItlOGVBivatlo�: OrzlnagaPallemvi�WetlaMS
�PNWSU�xeWele�' SemMa�YIMla�ors�RO��mBI�NT�):
_M) o.�a�irmaomcw��cinuocer+z'
wa�suirea �mvss
@pMWFreeWelnlnpil: (In.) LoalShcSUrvry�d
FAGtkNrzl Tmt
�plM1b9eMelglShc'. _Qn.) OIM1a'I�d�InRaneM1S)
PlmepE: .. . . . ,

SOILS
Mq IIrJlflame
�SeXpsantlMayej ����
ora�aazs:
re.�y�sue���: Flaaoe:a,.aao,�
��mMePP�TpreR Y6c No
�eVN M LI Cd MoltlaCabrs
(�tll �pF4➢_ (M=-.. lMUn=—=µ„� PW^da—^��;— 5 �Wre.CO'�Ims,
eyan�sdima�em�:
w:m�i
—nin� eomeaa�
_swra���omi
_A�uicMOmlureReglma
Reauo'nP '��LAlorts
_GleyWO:LOwCpmmaColors
reaman.:
'NETLAN� OETERMINpT10N
—ca,.�r�o�
_ W9h O�yenlo fAmml In 6uRem LAyer 6antly 6olls
_Dryanio9trsakTa � 9anay Smis
_IJ51e0anlomlryytl�o9all5 Lsl
_ LiTaEOn NellonelHyddcS011e ps�
_ONV(E�plain In ftamadyf
HVtlrop�yticVO�euron Resenf? Y� No��' (C4tle)
w�ua�eHVe�mosrvre.amz ve ,.ri& Ici�aa�
Hw�sai,v�m��e v� �f8; isw:samewscom�w�u,maw�ua�aa r� rvo

DATAFOPM
ROIITINE WETIHNO OEfERMINRTqN
(1B8] COE WetlaMS Dallneatlon Msnuel)
TqmtlSllc .. I•.�� �.i �eR: . _
/wdinnowmac�: � Counry�. �
InvettiBalor I S�ete:
WNO�melGUmsUnresEwslanMesilei Ves� No Communiryl0i�
IsM¢sl�eslB���M41sNNeC(F[yTAaISIWatlM)) �T f� �- T madl�
IsBreereaepolentlelProSkmNreei Yvs (J�a PIO�10:�,��
(om.reaae. exoiem on reverse.) -
VEGETpl10N
HYCROLOGY

SOILS
MaV WENare
(Smlas eM FM1me). C-. : I � ' - .
' T� �alla9BCl�s-
rvmanrlsuM�w): � F�aaoe.enxuoric
�rtnMaPRbType'f Yes µ�
MaINtCdo� M1bNeCOlors MWIa
H¢84� lM�n.a IM�L PbVM » S��Wre.Cdlo-etlons.
�� "i�
rvyexcsaimeim�on:
Mslosol
Hi511cEplpeGOn
SNfiClcOtlor
=Hquic MnlSwe Reglme
Rndudpg Condlnons
y Gleyetl m LowCNOma Colors
Pemadc:
WETU�NO pETERMINqTION
_COnve[ons
_ WgM1 O�gnnlcCOnlen�ln 5u�am Leyaz 6antly 80115
_ OsSen�on LoulHytlnc Socs L 5(5
_ LI9ed on NaJOnel Hy4dc6oi15L151
_O:per(6pleln In R¢ma�ks)
MYQppM1ylicVegelationR�en1> Y�. No (CWe)
weu��anr��aoy�v,���v v rvo (ciraa)
XyOh $W5pt�0nti � ryp I5�IS5amplln Pon WM
�
emeM1S:

oqrq rowa
aaunxe wen.aHO o�awwalwx
�isa� coe weae�wa odme.um r.bnueq
wyeni&m i�o�i oe�e: � ;I
/wd�mromre cauny �
m.�uaam s��: i'r,
4AbrtnelGeamsleneasFrhlmNesHei ':,YLa.� No f unHylD: „I;, �.
IsMesl�es4NfmsMYdh9nbe4lAM1'I�5'Wetlonli Ves .;. No Trerm'MIO: '
ISMeareeapatenWlProbbmNeai Y� LNn� RotlRC.�2���x
(Mneetleq eWlain on rsverse )
VEGEfRTION
NY�ROLOGT

SOILS
M1� � YNVre
i5a1�eNFM1aze)' "..� ;� 1...
. �. Rslre�reCla%'.
r�.«wmv (swa�wo): viae oe�aa�
c�r�n+evre+Troev ves rvo
HoAeo.Emmw��
��� MaYi�Cebr AbMe4brs AbXb Te*4caCOr�aelims.
(�1 f14�y Munse Mn (MUnca' 1.Nq� (�y�a����ll �—
— — �i i
HyMC$pIIInEIBIOrs:
_ Msmaal ConnaYOns
__Hrs4cEplpepon _W6M10'BanlcCOnlenllnSURat�eLaye�Santly5d15
_6ul(tllcOtlor Organlc9�rea4ngln Bendy6olls
_AQwcMOislmeR�lme �lly�edantaalHyalc6ollsGSt
_RetludnB�ontllllons Lkleppn NellonelHy0nc9ollsIJ51
_Gley¢pmLOwL�mmaOOlors _Ol�nr(&plalnlnRemeBS)
Remadr
WEflANO �ETERMINATION
M'�mPM1wcVh'��eWnPrm�enr ., Wi� IC✓tleI
weaamHVemogvP�es��x rs fcimel
Mbn`sd�a�n r� t✓�m' i:ai:samaiireaom�wmn�aweueiaa r�:�ryb

WETLANDSRATINGWORKSHSET eo�nxv�m�
Pmjectname Nearertmad I -
Counry Wetlanderea acres WMlandwidth I'- feet',,
Namaofeval�ator � Da�e . ��
Wctland locatio�
❑ onpandorleke
❑ on perennial nream
❑ o int�n�t me�
❑ witAin ivtersveam divide
0 other_
d Soil sen
❑ predominantly orgavic-fiumus,
muck,orpeaz
' � predominamlymi�eral-nov-sandy
❑ prcdominantly sandy �
Hvdraulic factors
❑ sceepmpography
❑ dimhed or chv�nelized
�0 rotel ripariav wetlend wid[h? ]00 fee[
W etland type (select ona)'
� BonoMandM1aNwwdfartn '� Fncwvwu
u Hcide'alerfo¢n '� Fmsh�nmmvah
❑ Su�mPlorest ❑ Eswanvcfnnye&res
❑ WttOat ❑ EPtiw�wc[I.v�d
G Pacosin � ��Hay
Adjeceot land use
(within ll2 milauprtream, upslope,
orrndius)
❑ forened/namrsl vege[afion � ��, %
❑ agncWmre,uebaNsuburban .. %
❑ impevvioussurface_% �
Dominantvegetafion
P)�
(z) �
(3)
Floo[ing and wemess
❑ Semipartnenantlympe`mavemly
Flooded w inundatea
, � sw�on�ry nooa�a o�����aa�ea
�Q ivterminantly flooded ortemporery
mIf'a<e water
❑ noevidenceoftloodi�garsurfacc
waier
❑ Hogfa�est
1] Bop/kn .
fJ Scep
❑ Uher
'TLC 21ing rvA<m cusu� M apiliM�o sall orMat.L shmarsMS or SVC�m chaouels.
we�glrr
R � Nacernorzgc _ x Q00 =
A . - Bank/ShorelineubilGauo� x 100 = fYetlandcmrc
T Pall�ueuremmals x 500 =
I WIIdW'eMbilst �'_ � z 200 ° �
N qqu¢4a lifc vvlvc x i Ofl =
G RmcatiomE�uqtion ' x L00 =
*Atltl 1 p�in� dw sensEVC wa�ershetl antl � 10% no�ry�int ai9mh n^s aneM1in `/a mile upsvcun� u�nlope, or rzd�a.

_. WE'ILANDSRA7INGWORKSHEET eoiw,v�,a�
Pmjeatname Neazes[mad U'��.
Comty � ' Wedandaree ?'� acres Wetlendwidih : feei�
Namcofevaluaror � ➢aze i �.-�=
Wetland lowtiov
�Q onpovdarlake
Q on pemnnal strcam
❑ onintecmivantsveam
❑ witF�inintr.nreamdivide
❑ other
Sall serlas , „1„ , ,�
❑ predominanilyogavic-humus,
muck, or peaz
❑ predominanHymi�eral-nomundy
❑ predominavHysandy �
Hydraulic fa<mrs
❑ steepropogaphy
❑ dimhed or cham�elized
�i tael rlpanan wetland widfi? 100 feai
We�md rype (select ona)"
❑ eo�w�a�an;�a�.ocamaa �- v�n`�`".�,
C Nea�a'amefinen J FresLwa�vmvsM1
C SmemPforen `� EmunneMV&efores�
u We�dat ❑ EphemeMxNavtl
, P�� J C.volwaHay
.4djacent lavd use
(withiv 1@ mile upstroam, upslope,
o� radius)
❑ foreamd/namral vegetanon �
❑ agiwlmm, ��bads�bucban I,� %
❑ impervioussurtace_%
Dominantveguation
(1)
(2) �Ar� ol,.�
(g) _,.{ .. :... . _ - �-� . .
Floolin6 and wemess
[ Semipumanwtly ro pertnenamly
n�oaea o�;����a��ea
, [I seazonally flooded orinundated
�] iu[ocmittantly flooded ocmmpocery
suefrce warer
❑ noevldwceoPfloodingormrtuce
water
� ookrams�
❑ Hopjfev .
❑ Scep
`F] ONV �.P� �
"Ne mtiog rynem rnmo� be n�,p1iW lo.alt arbmckLShmvehcs or meam cM1wvrlx
wel8ht
A , Wa¢rs�orzgc _ x {.00 °
A �'� BaNdShomliveAabilvalion .� 400 ° IVedao65mm
T Pallmvummmalx � x SIN1 = .1.
1 Wi18ScM1abiW � x 200 °
N Aqm�&Iilevalue _ x AUO =
c aa,�,imrvea�wuoo x �oo =
�nm i w�n ic �e s�nuM nnmrsmm ��a> �oi 000w�� a�m�m�o�� ��m�� �5 ��e ���v�n,m�ow o. aa�

ORTFFOFM
HOUTINE WETLqNO �E}ERMINATpN
(iBB� COE WetleMS Cellriee'0.m Alenuel)
vrMx✓Sme oate �z
MWire uow ar ��y,-,;
imesuaaiar smr�:
ro�uo�OiG�,m:��«:EUSi�,uw�v v�� rvn �mm���io:,.."��
ismesrce�eni�renMmswmeelaNq��s�waaan)a vee' �'. rrenseuio:
Is Me erea a polen6el PmElem Nee4 Yas . N J' %ot I�: b: �.
QfrreetleE,eylalnonreverss.) � —
VEGETRTION
HYOROLOGT

SOILS
MmUMNrAe
(SrkeeM PnueA�"" ,I— fhal�e claa:
r�mv(s�e�mw). Flaeoe�au�
co�r� r�vre� ir�v v� rvo
PmAe�vMppn.
I�ffil H3�CL M�W IUn"• M1bltlaCaMS Mgtle TBature�CUmNms�
^`�I� PDuManm/f n Sl�wlure el
%' �- �\ 14ik'- � ....�,
— F— i ��,It I.�,_'.�'i:i — l�
—1-- i "=
HpncStillMlrzlors:
_Xigoml ConveJOns
_HISJCEplpotlon HIgM1 p6anlcCOn�¢npT 3uRamLaVa�5eMy9q15
_SUIOtlIC4tlor O�A�n�cB�reapngln5enayfiolls
�naw�mo�wreaesr�a —un�ao.�m�iMrawsausus�
RMUqng ConMlov LI5!eEOn NpllonalH 41 6o0stlst
V GIeyPo mLwa-Clvona Colors _Ol�er(Explainlnftema�ki)
Rema,ks
WETLqND �ETERMINNTION
MMmp�yJCVpelaeemnPrmsen�i YaL W (CWaI (Cirtle�
WHIeMXYtlrtlo�prm'pn�R jr �.q
'+ra�swna�amv '� � isuissamon�ePoimwminawauam� r�o
a.m:ir :

ORTR FOIIM
POIITINE WETLpNO OEfERMINpTION
(iB9] COE WetleMS �'Ineetlan Menuel)
v�aecus��� . oa�a, v � ;
MWim Vow�ar cwnN: �
m.esaea�or s�ate:
4NwmelGUmsUncesEr�slmtlresllei y� ry4 Carv�unHylp
IstlreslleslBNArantlyEl5W2etl(Aryylrsl5lWetlon�i Yas ryy� Treree�tl0
IsUaereaapp�enOelPmplemNeei Yes J� Pb�lO:p�_ �
(MmetlaY,eRplelnanreverse.) � —
VEGETqTION
MYOROLOGY

SOILS
Map UN1 Nmre
(3Mx eM PM1ae)' I�,: p{ .� ��� �, .
Llal�sClsss'.
r..��y �suepmin): Flae om�auo,�
�^^ �PP� iyye'! Yss Nu
E�'4��PINR�
�b MahlvCOlw AbltleLdazu FkMe
(IDtl1�1 L�^l8�0_ (MUre. Mrv.� (Mi�mal A.. �u�a�, Tem�re�COmNCns�
�S�
� �� � IV ���(lin
�_ �y _
�
Hy!Ipo 9dl IMlplars_
_HiqOwl ConveEOns
_ws��eoiwao� =wanoys,ocomamms�na��erarsn�aysai:
_sumaioaao. _o�z�a�se�xi2maznrysou.c
_pqu:cnwin�reaeqrme ustmo��o�iHyae�soasust
—a��eca�onm,� =us�ao�rv�o�aiHa son:un
—siereem�w,on,�mecm� —anmtraami�aeman�l
aaman�.
WETLqND DETERMINATION
NvemcnWcveea�onalmemv v� fc�me) I (cime)
WNeNXYENWYPre¢e�l> Y� �•
Hy0R5dISRm¢n1p y� IxNbSampllnBPOin�WINIneWeYmiEi Vm�ry�
Remalw:

I
WETLANDS RATING WORKSHEET Fo,mn v�;o„
Pmject nam ` Near st oad
C y .. r"1=.� .!Y
�
unTy WeHa darea " ac a Watlandindth - (e�{ �
Nameofevalvato ,
Dre
WeHxnd lomtion Adjaceot lavd uea
�QOnpovd0119�Ce owltmvl/2RI��a0p418011Sup9�Opq
Ildd111S�
❑ oo puenniel s�reem
❑ onintecmiflantstreem ❑ fores[ed/veNralvegqa0on -9� /
❑ vnthiniutr.meamdivide ❑ egeiculmr¢,u�beNsubuvban �� /
❑ o�her � �mpervious suKace %
Soll eones' � io., �., i
❑ predomi�avtlyargv�ic-humus,
muck, or pea[
❑ predominantlymimral-nomsandv
❑ predomi�antlysandy �
Hvdraulic fxcmrs
❑ .neep �opogephy
� � dirohed oe charmelized
'E] rotal ripadav wetleod widtA? 100 Cett
wetlend type (select aue)^
❑ HonoMa�tlFarLrvoopforen ❑ q°e'i'��,"",
❑ Heetlwalerlorut � �FShwa(umarsh
wamptoreat � E�^^eGiogcfore.ct
� wev0a �� Ep6ememlwe�antl
❑ Pocosw J CvoWaBa��
Dommam vegmafian
(1) J��,,.�... ._41.. �.,.
(3)',,'.�_.,; i',��. ��_ ,.
�3) �—�—.'_
Floo[ing and wemess
❑ Semipermenenttympe�manen8y
Flooded or inmdated
�. � seesonallylloadadarloundarod
�� inmrmittantty flooded ormmporary
surEace water
❑ noevldencaofFloodSngarsurtLCe
watcr
❑ Bog (orea
� Bay/frn .
❑ Seep
J OWv
'ThCntlugnnemev�valkeaFpliMtasaltorbrzUishmarshaoemnmcM1an 1
R WavraorzBC I x JOOn=
�
A DoNdShoalNemb�vatlan � x 300 = � IYepondSrnre
T PoIW�aNrtmmaLs iq� -
� . RilAlleM1ablut_L s 200 = _ 4f, _
�" Aqiaucll(evaluc � L-
_ s a.on = 0
� a�ua�weoo _ x i oo = �
-naairv�iaN �x�a.,�a>�oi�o�rolmmn�,a„�a,,;�nm�h�iew,fim;,m.��nm�*-o.��u..

WETLANDS RATING WORKSFIEET Fo,mev�;a,;
Pmjectneme � +I '� �i�. Nearertmad't;�'
Coonry � WcUa d e'J ZI ecres WeHendwidth - feee,�'
Nameofe�alua�or � , Date.'
Wettendloce[ian �
Atljacevt Iend ose
(wi�biv 1/2 mile �pmeeeq upslope,
��0 anpovdorleke orrndius)
❑ on perennial sveam
❑ on i�te.emittant meem � [o�cs�eNnanual vegetanoo - /
❑ wiehin inrermeam divide � agncWwre, urbaNsuburban i a
❑ othev ❑ �m➢e+�'�ous evrfaee /
Sail se�ae A � . I �
�r��I� I
❑ Oredommentlyorgamc-hum�s, "'
uck, or peat
� PredominanHyminenl-non-sandy
❑ predomi�amly savdy �
Hydra�lic Pac[ors
❑ skepropagraphy
❑ ditchedorchanvelized
� mtel riparien wGlavd wid(h? 100 Ccat
Wetiand type (selec� ovep
L Botlov��ndhvdvo�tlforea -� A°cv
C Heatlwa�eefoeetl �' FresLxatvmarsh
❑ Swamp(meR G Emwiueln'nge(ore9
❑ Welllat ❑ Ephaucreln'c6antl
C P¢osin '� ��Ba�'
Dominant vegttaGOv
(11�- .
�T)
(3) �
Alaonng en� wcmese
❑ Semipumencntlyropermanently
Flooded or inwdared
. 0 seasonally tlooded or inundared
�] inoumfttaznly Flooded orrempo�ury
surtacc water
❑ nacvidenceoflloodiqgo�swfece
watu
_^ �o5farest
❑ Bap/fev
�Sry
6 Othv
�Therzongmt mo�beuppliM�osaltorbrzcashmvshuor.awm hv�ntlx
R ` Waterno �'�'ighl -
n5e _ � J.00
'� `-'.� 6ank/Shore4ueSabilvalio� '. x {00 = IVet(andScore
T �� PolWlwmmmals _ x 5.00 =
� WilLhfehuNO� : x 2W =
N Aquvficlilevpine �
_ x J00 =
� Rtt�m.��maLMrau _ x I On =
_—
•nae� N��c;�mo,�m��rva��rsnee��a�iov�o� Nvm�.nae�u,„aW�n�m��mG�,.��ma.o��a,�

WETLANDS RAITNG WORKSHEET eo�mnve,;�
V"; - . . r,,.
Pmjec[name Neams[xoad t:� '
Counry � µ'���duea ,� au'es Wetlandwidth�- fett'..
Namaofeveluazor W r. paze �
Weiland location
❑ ov pond or leke
❑ onperenNalstream
❑ o� intemuttaM sveam
❑ wiHwi ivtersheam divide
❑ other
'} Sailseries � � ��
❑ predominan8yorganic-hum�s,
muck, a� peel
�Q predomivan8ymineml-nov-sandy
❑ predomivantly sandy
Adjacent land use
(wi[hin 1/2 milaupmeavy upslope,
orndius)
❑ PoresteNnanualveseta5on �- %
❑ agriwltwe,urbaNmbwban "R %
❑ imperviovs surfaoe %
Dominavtvegnatlon
(D ���'
�2) .. .. ��,.,�,.
(3)i „
Flooi ing and wemess
. � Semi➢evmanemlympa�nenemly
Hydraulicfacmrs floodedor uvdaoed
. p s� so���rnooneao������aa�ea
❑ sTeep mpography i-> . `fl mtemilttanNy llooded or remporary
�� di[cAed or chvwelized surfacc water
❑ mtal riparian we�land width? ]00 Feet ❑ m cvidence of 1looding m surface
warer
WaHand type (selat ona)"
❑ Bonomiavdhvtlwootltmst � A^essvama C Bogforcn
❑ Hndwaz<rIDrtn � Acs�wvtumazsh ❑ Hop/tev .
❑ SwemPfarcst ❑ E.stuviue5w4e(ores u SaP ,
❑ w<inai n eM�<yammn �❑ owa, � ..
❑ vocavn ❑ camwv,evy
�ThCatingSye�emwmotbeepytiMtossllarbrzckishmarsLr orstic�mchamels.
welghl
A Waze[ROmge � % 4.W _
A BaNJShaNivesabil'vztion i x 1.On = �VrilanJSCOre
T Polluwntremwals x SW =
I Wilmi[cLalnut x 3.00 = �
N hq��uticlifevatue . x 6p0 = _
c � a�uoaea�:woo '- , �oo -
+naa i wm� �tm:e�eu.� ��aicrsnw.��a> im�„o„rom� ma,W,,,,m �rw� v, �m �sv�• �m���. o� aa���.

DATA FQNM
ROUTINE WETIAND YEIEANVIpTqN
(i8B]COE WetleMS pellmetlon Menuel)
Prqed/5:te: , �.��. Deb: ,.i r
�ves�b�r Ccunty'. .:
Slete:
NNttmelGwmMercu6lsimtlaellei Yep No CwrvnunitylO `_�
IatlnsHeslONflan%'EIeWNeE(NqA'uI5lWetlon)i h ry� T ee¢IO
Istlreereeepo�dtllelROdemNee] Y<6 1�� Pbll�:...�
(Mrealetl.explelnmrnrpse. �
VEGETRTION
XYOROLOG

SOILS
MV UMNaiw
(SMmeMFM1em): � .
... PeI�WeC�c:
*m�r(suea�w): .- . � naaae�vauo,c
CaMrmMOcetlTy➢e'1 Ys W
�91� Me41 CWr ANNaCOMa Atllb TazWn,�lma.
� �64�_ lM A4AF � NYIMa�/f $O�Yn�' -�° S�
_ — �— �
HyGhc$tlIInEPalwc:
_Hlgosol _Cqnne4an5
_HI50cEplpWon _MlgpOrganlcfq,olenllnSURa�L
y5ullitllcOtlm _OrgaMC'aLeaXln " San0V5olk �e�Sently5d15
_AqulcMalslweReyima 9��
Re�uo�gCOMMIOe¢ —��°��onLwelHytlnoeollsLls�
_GI[yWwlw-0NwnaLdqS —psletlonNallonalHytlncSOlbpsl
_Wier�Ea0lelnln0.amaM1C)
Remeks:
WETlqNO OETE0.MIHRTION
Y W IChtlal (CINe)
Y� Np
� � IsNh6emPIInBPdniWlWneWetleM4 �Y�W
RemvFS:

�ATAFORM
PDIItINE WETU�NOOETERMINAl10N
(iBe]CqEWetleeMS DNlrwatlm Menuel�
Rde15Xe: Y: Oele:
AP�I�t/Omw� . ��ty. ".
Slek:
WNamelGwmadwsExlalantlrecXe'! YBy No CummunXylU: �
IstlreeXesldNflmXIYNSW�tad(AryylfelSlWetlan)'1 Y �y Tn�wetll�: �l`�
icmeermeowmneivmeiemnreav vec Hy po�io:�.:,... i�.�.—
rn�e.e. ey�ein on rew�ce.)
vec�nnox
maoiaor

SOILS
Np WuYNare
ISeneaemanmel: '.' -..',: .. -... ,.
._Gel^eapG�a:
*�wnr(susa�n+): � - Flaeoe�ewa
CmflimMepVa'1TYNi Ym' !b
Bm9B P�:
� MeWCqor
I�Y1 :b�C�L lMUVa Abl. lM�mal� A�W� ��,� Taz1re��5`
� �
_ y_ �� _
Nve� sai me�a�ore;
—Hi.m..ni _cm�euo�
_wsuoepiweo� _q�ano�qam�co�mm�i�s�nam�a sa�aysais
_BUNd¢ptlor _pyenl5treaq/pin$an�5oik ��
_AqWOMN51ureRealme Llsle]onLO�IHytivc8o11aL151
_FNUOngCprpprortc GS�eCOnNalqnaiHytl�ic5qlspsl
_GIeyMO�LwL�2maCOlds _OAO��EeplalnlnRemeNS)
PemaM1S:
MERAN� OETERMINqT10N
��o���������„ �m � «�., �
WetluNHM�^dYP�a�'a'ili Ys (Grtle)
�����P��� V� IsNlsSam011rgpoNIWINIneWetlantli Ym�,

oqrn row�
xounxe weruHO o�awixanox
(19B] COE WatleMS �YJneetlm Mg�wel)
RO)BWSHC OHIa �5lJJ�O�
t
ny ��W.x if A' < [a�nM I �
9mlm i 1 �
WNOrtnelGrtumsleMesErlslonVresXe't Y�ey ryq Comminlryl�:�.siy'�.!�
IsNesXeslaNfimntlytlisWRe!(ArypNaISM�etlm)9 �Y �."Np� Tnreepl0:
IsMearesapolenOelROb4mMaeP Yea �J %otlP.���, ��
(Ifneetled,e�yleinmreverse)
VEGETFTION
HYUROLOGY

SOILS
�umrv�
(seri�arr�vx�eA �...�.
ua� c�:
raiurvnr(su�9mw1' .. F�ea.+waa�a
�mP�mMapyvJiryex Y¢ pp
L�AeGepin .
�� � MMyCObr
G�N' El �1i¢C.� lMUrse'A Mne l�Me�� � anwrt'n..rv�.. T,di�� �
U�.' � �_ i i.� ��I .
HyEtic9olllndiqlary.
_Hls�usal ConoeAoris
_HisLCEpip¢tlon —
_9ulAalc04or —�Ah�qenmCOntoniln6urtnceL¢yer5antly6ala
=ApuloMO�5lureReglme —O�genlc6treo11n81n9an0yBOAs
_RNUCin9Can0ilior�c —�is'qaontp`alNyylcSaASl.ls1
�GleyeCo�La+:LMamaCOlon —LI51e4onNa�lonalHytlncSOilsli5l
_ Olhe��Nplain In flema�ks)
RemeMS:
WFTLANO DETERMINqTION
HWmpnNic V�euiqn R�ent�... y y �,q IGme�
weazmHVeMoevwsse,�n Y� r» fcime)
Hy�IRSdpR�qifl ,pp� ryp IcPiiSempli�gponWM
RaneM1S:

ORTpFORM
0.011THE WETLpN� �EIEpNIN�TION
(180] COE WetleMe peli�wtlm Manuel)
��°: Wla �'�iQZ/'l-/
Aoq�re Vamnr � �N< r
InvBS'�qab . � CWnlY:
s�eie N
4NOrmelGwm�isrcesESlGmdreel�eR Vyp, No CommunMl�:"''/-� .�
IatlresXea�gNflrenGytlbYVbeEIArypIUISMwtlon)R Vm 'Np TnnseGlO.
I¢NeereeeMlmtlelROdemNae9 Ym .�Ffj� Pbllo:�i•��._.�'-,:.,�i•i
(I(nee0etl, e yleln on reverse,)
VEGETAl10N
NYOROLOGY

sans
Meo u,a rvem.
(sen��,arn�aC_� - .
��. � :..i- PeIM6eG�s:
rva..�v(sma�m): - r� pp�ryre� rm w
�Manzcaor �aerm�
}� (Mmee A!-'nl llAUnxq Mya �� T°�����s.
i '� .l �! � — Ahv�eu��Nmsl $ei....p
— — — G "--+ �'�—, �
I xycncsrvliwle�as:
_wsmwi
_wxreepio�o�
_s�mm�oeo,
�ApWC MolsWre R&Jlme
� Fe]udr5 CoMNbrts
_ GIeyM or LcwLrymrra Cqws
ltemeAC:
N'ETL4XD OElEIiMINFTIpN
_ ��o-eua�:
— �isn orsam�comen m s�a.re�arersa�ey sdi:
— o,eam� sreaxme m samy wn:
usm � �ami xyenosaii us�
_ llsletl on Na�lonal HytlncSOils llni
—��(E*de�n In qemarXS)
hw�onwcv.oemu�c�emv H '.'� rco-.�
WWeMMNm'qYPreval] Vs� � � (G�oe)/�
����P�m&j�� Y� IaPbSUnplVgPOmIWMInaWetlentli Tm ryo//

MTA FONM
ROUTNE WETqND UEfERMINq1qN
(iB8]CqE Wetle�dspellmeticnM1Lnuel)
PrdacUSXe I I �. W�: _' :
Mqtrem/0.mr ���,.,
im.nuaemr - S�sie:
�oNwmelGwmaleMasEWimMesXe4 Yes. No Communlryl0:�.�.:�r-i.,,..i
IctlreWleclgNflrentlydlaW2¢tl�A�l$IWetlm)Y Yr
Trensxt ID:
IsiMereeepo�entlelPrademNee) Ye¢ Noy Pb112 e�
(XrreeEel,eyYelnmreverse. ' —
VEGETFTION
HY�qOLOGY

SOILS
MaPWYNare � —
I�m.���al: �
. u�ne�c�eu:
r�nv(su�s�w)�� . , .. . naaamwv.nom
CmNnnM1Np�glTryei Yec W
I .... MaUV Cubr
y�— ���q�� l�a�� �a Te�Crte.faqqlmc.
AW�deu�Smo�sl Swa�re etr
— _ �_�'
� T�
HyEhcSLI IMImWp:
_Hb�pwl _fqnveYOns
_HU(cEplpetlOn _Hlgpp�ganlcCqn�enllnSUXewleye�5antlySplS
_SU104icOaor _pyanic5veakinglnSaMyS011s
�AqulaMq5lureR�lme 11slMOnLOmIHy0�c9allstlst
_aea�e,yco�aumr,� =useeo�uano��HVenosamus
=�IayelorLUw-ClwmeGOrs _OlM1er(4pIaInlnRemads)
flemahe'.
WETLqN� OETEflMINpT10N
MampnWcVw�uona�menn Yw w (cwel
wm.mxvemaarvres�n ..ryy�. �.a fco-da)
Mb�sasr�memv �� 'n izmissemWi.mrom�wnnmeweaenev��.. vm, w

OATAFOFM
ROUTHEWE1LqNDOETERMINATpN
(1B6] COE WetleMS Oe'I�reeticn Menuql)
PrqeC/SM: "� ' Oele:�sl:�.>��
Mdlnmio�.,e.: �,ny�. ;
m.ae�ea� _ sm�e:
UoNmnelGwmsbr�esF'elmtlresry¢1 yn` No CammunttylD:'�,.��I
ktlieNbµaNfluMtytlhNke�(ArypkslSWetlmj'! Ves Ne Trenseql0:
i:aa.reaeoom�n.i�a,mnre.v v� nni �oiio:�.; i.,.—
p���eeaee,eiw'.manreveme.) —
VEGETp110N
HY00.0LOGY

SOIlS
WpWipNam
(SerlmeMPlia�e): .
..: �. . .. ) delra�eGac:
rw..omv(smamw) .. . . Flaaawd.auars
�^^�PV�Trye9 Ym Np
MeNxCabr M1bltleCdws
�SPIL lMURe 11-�_1 lMUrwe Md�+ �a���� ���•
� ��i �
HMhcStlIIM1@Iwe:
_Hlslm'ol CanveGOns
_w:uoepia�o� =wsxorea�m�oi�n�s�nam�ayarsawysam
_6uryltlloOtlw OrBenlofllreeMingln6enLy5ol15
_POuIcAblsWreR�lme GsimonLaalryydnc6ol�sLlst
_fldlutiigCOntllllok LI5letlonryallonalH MSplsli5l
_GltyglorlpµpNqneGlors _Ol�ar(EVpIaInlnRam�ki)
RemaMS;
WETLIN� OETERMINATION
M'amPM1WcVeye�etlanPmanl9 Ym �µ�l (CINaI .
WetlerpHYEm'WYPresa�19 Ym .:�. (Clrtle)
��S�P��� Ya :J IeIMaSamplingPOIMW11111neWBtl¢nEi Ys �N�

[.
�✓ET�.AND$ RATINCr W�RR$j;EET' FmmF Vmion
Project veme � - . _ - Neaast mad . -
Courty �in �� Wctlendarea . acres Wetlandwid[h fee['*
Nemeofeveluator Daze '
Wetland location
❑ onpovdorieke
�� on perennial mcam
❑ a intemiine�rtmcem
❑ within imersveam divide
❑ ather _
Sail sen s � � �. �.
❑ preJominan�lyorpv�ic-humus,
m�� o, p�
-��� predominan�lyminerel-von-sandr
❑ predominvntly sandy
Hydrwlic (acmrs
�'[✓] rieepmpogrephy
❑ ditcheAOrchv�velized
❑ mvel riparian wetland width? 100 Cen
Wttland type (sdett one)'
❑ 0o�loMandheetlwoatl fa�m " �e 9���
❑ Hudwatafortn �' FmGwamm,m"
❑ SavemPforol C Esmuine5in4�(a�ep
❑ Wetd9 '- Eph�cNn�N.wa
❑ Puc"�" _ Carolma0a�'
Adjacem land use
(wi[hin 1l2 mileupsueam, upslope,
orredius)
❑ forerted/natural vegnation � %
❑ agnculnve,uhaNSUburban, ^, %
❑ impervioussurtnce %
Dowoent vegtteuon
(1)
(2) ,
i3) �
Floo<ing und wamcss
❑ Scmipermonmtly to permanemly
Elooded or inundared
. � seasonallytloodedorinundared
�] inwmtittentty Iloaded onemporery
311lCeCC W3tC(
❑ noevidenceofFlOOdingormrf'ace
wstu
❑ Bog(art�
� ❑ Bap/f<n .
{ $xp
C OJia
�ThC�atingnstm�amotbe�ppliedtosal�arbrs-1 hmuzFUamremcEavnetc
wtlHFt
R.,.T.A� Wo�eraorzS+_ x!W° _
a�. , eaowsnaai�vne�timJon= : a.oa - �vew„as�o.e
T � Pollmvilremmals x SW =
� wumxen,mu: � : =ao = -_
N Aqatic life �alue _ x J W= _
G RmeatioNEMOtiov x 1 W=
*Atldlp�in�ifinsenstivena[rsM1Wand�IV�ononqi��dSrvMn¢��i�hinS;mile�rystteun�uP,laR.onNUS. ,

WETLANDS RATING WORKSHEET Fown v�,,;o„
Project name I\+> �� Nearex road
Counry Wetlanderea� aores WaHend�hdth� {���
Name of evaluamr Da�e
Wetlandlocation
❑ on pond or leke
0-on permnial sveam
❑ onintttminMtrtresm
❑ withiniutuYreeeudivide
❑ other_
Soil senes � �,.. „ �
❑ predominantlyorgar�ic-humus,
mucF:, or peat
��Predominantly miveral - mmsandy
❑ predonunanHy sandy
Hydraolic fauors
❑ srecpmpography
� dimhed archanneliz d � � ������ ; �` ,�.°�
❑ mrel nparian wotlend wideh? 100 feet �„�,11.� I
Wetland type (selec[ ave)"
\❑ Do��oW.vitlFaNxoa'IfomR � Rncvv,ww
VG Aratlealerfores C Freshwacam=m"
� Snamp (ore.n G Eavarwe 4iuge foren
C WetOu� ❑ EphwerWwetl.�ntl
❑ Poeosi� G CaeotiwBa.
Adjacwt lend uae
(within 1/2 mile uprtaem, upslopq
ov radius)
❑ forested/naNralvegetation ` %
❑ egicvlmre,urbaNSUbu�ban �-; /
❑ imparvious surfew /
Dom�nam vegna0ou
(I) .
„..
(3) ::
FlooCing and wuness
❑ Semipermanently[operma�ently
flooded or inuvdated
❑ swsonally flooded orinundared
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