20120497 Ver 1_401 Application_20120512

Wiey Horn
and Assmtes, Inc 2 0 1 2 0 4 9 7
■
P 0 Box 33068
May 17 2012 Raleigh North Carolina
27636 3068
Ms Lauren Witherspoon
North Carolina Division of Water Quality
3800 Barrett Drive
Raleigh NC 27609
Ms Jean Gibby
US Army Corps of Engineers
3331 Heritage Trade Drive Suite 105
Wake Forest North Carolina 27587
Subject Riparian Buffer Authorization Request and Preliminary Jurisdictional
Determination Request for the Homestead Chapel Hill High School
Multi use Path (TIP Project U 4726DE)
Orange County North Carolina
Dear Ms Witherspoon
On behalf of our client the Town of Carrboro Kimley Horn and Associates Inc is
applying for a Riparian Buffer Authorization and Preliminary Jurisdictional Determination
for the Homestead Chapel Hill High School Multi use Path Project in Orange County
North Carolina The following information is included as part of the application
submittal
• Preconstruction Notification Form
• Figures
Figure 1 Vicinity Map
Figure 2 USGS Topographic
Figure 3 NRCS Soil Survey (Orange County) ley
Figure 4 Jurisdictional Features Mapi I)
Design Drawings QEN
Appendix A Agent Authorization Forms euand g �Kp�E.Uf-.
Appendix B Preliminary Jurisdictional Determination Request ate.�granch
Appendix C USACE and NCDWQ Stream Data Forms
The Project consists of design of a multi use (bicycle and pedestrian) path beginning at the
Claremont neighborhood north of Homestead Road extending east under Homestead
Road and through land owned by the University of North Carolina at Chapel Hill to
Chapel Hill High School at the Town of Carrboro /Town of Chapel Hill boundary The
length of the facility will be approximately 2 100 linear feet and includes a bridge crossing
■
TEL [phone]
FAX [phone]

❑i� Way Hom
and Associates, Inc
over Bolin Creek approximately 200 feet south of Homestead Road The multi use path
will be a 10 foot wide trail designed to AASHTO NCDOT and Town standards
The proposed project is located in the Cape Fear River Basin and streams in the vicinity of
the project are subject to the Jordan Lake Riparian Buffer Rules The proposed pedestrian
bridge at Bolin Creek and the stormwater outfall pipe (northwest of Homestead Rd) will
result in unavoidable impacts to Zone 1 (6 985 sq ft ) and Zone 2 (6 710 sq ft) of the
riparian buffers The proposed project is allowable under the Jordan Lake Riparian Buffer
Rules and no mitigation is anticipated No permanent or temporary impacts to streams
will result from the proposed project No impacts to wetlands will result from the project
If you have any questions or comments please contact me at [phone] or
Anna Reusche@kimley horn com
Sincerely yours
KIMLEY HORN AND ASSOCIATES INC
J�; 4f
Anna Reusche PWS
Enclosures
CC Sharon Myers UNC Chapel Hill
Jeff Brubaker Town of Carrboro

20120497
0F W ATF9
o� v� Office Use Only
r Corps action ID no
ti
° DWQ protect no
Form Version 1 3 Dec 10 2008
°�- �Lanch
Page 1 of 12
PCN Form — Version 1 3 December 10 2008 Version
Pre - Construction Notification PCN Form
A Applicant Information
1
Processing
1a
Type(s) of approval sought from the
Corps
El Section 404 Permit El Section 10 Permit
1b Specify Nationwide Permit (NWP) number or General Permit (GP) number
1 c
Has the NWP or GP number been verified by the Corps?
❑ Yes ® No
1d
Type(s) of approval sought from the DWQ (check all that apply)
❑ 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ® Riparian Buffer Authorization
le
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification
❑ Yes ® No
For the record only for Corps Permit
® Yes ❑ No
1f
Is payment into a mitigation bank or in lieu fee program proposed for mitigation
of impacts? If so attach the acceptance letter from mitigation bank or in lieu
fee program
El Yes ®No
1g
Is the project located in any of NC s twenty coastal counties If yes answer 1 h
below
❑ Yes ® No
1h
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes ® No
2
Project Information
2a
Name of project
Homestead Chapel Hill High School Multi use Path Project
2b
County
Orange
2c
Nearest municipality/ town
Carrboro
2d
Subdivision name
N/A
2e
NCDOT only T I P or state
project no
U- 4726DE
3
Owner Information
3a
Name(s) on Recorded Deed
State of North Carolina Parker Louis LLC Claremont Homeowners Association
3b
Deed Book and Page No
1750/470 4433/17 5030/353
3c
Responsible Party (for LLC if
applicable)
Town of Carrboro ATTN Jeff Brubaker Trans tanner
3d
Street address
301 W Main Street
3e
City state zip
Carrboro NC 27510
3f
Telephone no
[phone] v
3g
Fax no
(919) 918 -4454
3h
Email address
JBrubaker @ci carrboro nc us d St kQV,,L
°�- �Lanch
Page 1 of 12
PCN Form — Version 1 3 December 10 2008 Version

4
Applicant Information (if different from owner)
4a
Applicant is
® Agent ❑ Other specify
4b
Name
4c
Business name
(if applicable)
4d
Street address
4e
City state zip
4f
Telephone no
4g
Fax no
4h
Email address
5
Agent/Consultant Information (if applicable)
5a
Name
Anna Reusche PWS
5b
Business name
(if applicable)
Kimley Horn and Associates Inc (KHA)
5c
Street address
3001 Weston Parkway
5d
City state zip
Cary NC 27513
5e
Telephone no
[phone]
5f
Fax no
[phone]
5g
Email address
anna reusche @kimley horn com
Page 2 of 12
PCN Form — Version 1 3 December 10 2008 Version

B Project Information and Prior Project History
1 Property Identification
1a Property identification no (tax PIN or parcel ID)
9779573920 9779476533 9779481225
1b Site coordinates (in decimal degrees)
Latitude 36 027201 Longitude 7886556
(DD DDDDDD) (DD DDDDDD)
1c Property size
30 69 33 34 8 08 acres
2 Surface Waters
2a Name of nearest body of water (stream river etc ) to
Bolin Creek
proposed project
2b Water Quality Classification of nearest receiving water
C NSW
2c River basin
Cape Fear
3 Project Description
3a Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application
The proposed greenway is located in a mix of developed lands (including recreational fields a cross country trail
adjacent to a high school and a sewer easement) and early successional mid successional and mature forested land
The proposed multi use trail begins at the Claremont neigborhood north of Homestead Road extends east under
Homestead Road and then through land owned by the University of North Carolina at Chapel Hill (UNC CH) to Chapel
Hill High School at the Town of Carrboro/Town of Chapel Hill boundary While the project corridor is mostly on public
land some recently developed and soon to be developed residential property is also located adjacent to the project
corridor
3b List the total estimated acreage of all existing wetlands on the property
No wetlands were identified within the Project Area
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
2 200 LF perennial
3d Explain the purpose of the proposed project
The Town of Carrboro is proposing to provide a multi use path beginning at the Claremont neigborhood north of
Homestead Road extending east under Homestead Road and through land owned by UNC CH to Chapel Hill High
School at the Town of Carrboro/Town of Chapel Hill boundary
3e Describe the overall project in detail including the type of equipment to be used
The proposed improvements will include the construction of the multi use path and one single span bridge Typical
roadway construction equipment will be utilized
4 Jurisdictional Determinations
4a Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past?
® Yes ❑ No ❑ Unknown
Comments A preliminary junsidictional determination
request is included as part of this application
4b If the Corps made the jurisdictional determination what type
❑ Preliminary ❑ Final
of determination was made?
4c If yes who delineated the jurisdictional areas?
Agency /Consultant Company Kimley Horn and
Name (if known} Anna Reusche KHA
Associates Inc on January 17 2012
Other
4d If yes list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
Lauren Witherspoon NCDWQ performed a stream verification on April 17th 2012 One stream currently shown north of
the project corridor on the NRCS sod survey (Figure 3) was determined to no longer be present Bolin Creek Jolly
Branch and an unnamed tributary crossing the project corridor were determined perennial and subject to the Jordan
Lake Riparian buffer rules
Page 3 of 12
PCN Form — Version 1 3 December 10 2008 Version

5 Project History
5a Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past
❑ Yes ®No El Unknown
5b If yes explain in detail according to help file instructions
6 Future Project Plans
6a Is this a phased project?
❑Yes ® No
6b If yes explain
Page 4 of 12
PCN Form —Version 1 3 December 10 2008 Version

C Proposed Impacts Inventory
1 Impacts Summary
1a Which sections were completed below for your project (check all that apply)
❑ Wetlands ❑ Streams tributaries ® Buffers
❑ Open Waters ❑ Pond Construction
2 Wetland Impacts
If there are wetland impacts proposed on the site then complete this question for each wetland area impacted
2a
2b
2c
2d
2e
2f
Wetland impact
Type of jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps 404 10
Area of impact
Permanent (P) or
(if known)
DWQ — non -404 other)
(acres)
)
Temporary T
W1 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W2 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P FIT
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P FIT
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g Total wetland impacts
2h Comments No wetland impacts will result from the project
3 Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site then complete this
question for all stream sites impacted
3a
3b
3c
3d
3e
3f
3g
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number
(PER) or
(Corps 404 10
stream
length
Permanent (P) or
Temporary (T)
intermittent
(INT)?
DWQ —non -404
width
(linear
feet)
other)
(feet)
S1 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S2 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S6 ❑ P ❑ T
El PER
E:1 Corps
❑ INT
❑ DWQ
3h Total stream and tributary impacts
31 Comments No stream impacts will result from the project
Page 5 of 12
PCN Form — Version 1 3 December 10 2008 Version

4 Open Water Impacts
If there are proposed impacts to lakes ponds estuaries tributaries sounds the Atlantic Ocean or any other open water of
the U S then individually list all open water impacts below
4a
Open water
impact number —
Permanent (P) or
Temporary T
4b
Name of waterbody
(if applicable)
4c
Type of impact
4d
Waterbody type
4e
Area of impact (acres)
01 ❑P ❑T
02 ❑P ❑T
03 ❑P ❑T
04 ❑P ❑T
4f Total open water impacts
4g Comments
5 Pond or Lake Construction
If pond or lake construction proposed then complete the chart below
5a
Pond ID
number
5b
Proposed use or purpose
of pond
5c
Wetland Impacts (acres)
5d
Stream Impacts (feet)
5e
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5f Total
5g Comments
5h Is a dam high hazard permit required
❑ Yes ❑ No If yes permit ID no
51 Expected pond surface area (acres)
5j Size of pond watershed (acres)
5k Method of construction
Page 6 of 12
PCN Form —Version 1 3 December 10 2008 Version

6 Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer then complete the chart below If yes then individually list all buffer impacts
below If any impacts require mitigation then you MUST fill out Section D of this form
6a
❑ Neuse ❑ Tar Pamlico ® Other Jordan
Project is in which protected basin?
❑ Catawba ❑ Randleman
6b
6c
6d
6e
6f
6g
Buffer impact
number—
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary T
impact
required?
131 ®P ❑ T
Multi
use
Bolin Creek
❑ Yes
® No
6 985
6 710
path
B2 ❑ PEI T
El Yes
❑ No
B3 ❑ PEI T
El Yes
❑ No
6h Total buffer impacts
6 985
6 710
61 Comments Proposed impacts to the buffers will result from fill associated with the proposed path and a stormwater pipe
with an in stream outlet comprised of rip rap
D Impact Justification and Mitigation
1 Avoidance and Minimization
1 a Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
Direct impacts to streams in the project corridor were avoided by creating an alignment that minimizes buffer wetland and
stream impacts crossing the creek at 90 degrees minimizing grading and clearing to the minimum necessary and
maintaining diffuse flow
1 b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
Erosion and sedimentation control measures appropriate for the site will be implemented
2 Compensatory Mitigation for Impacts to Waters of the U S or Waters of the State
2a Does the project require Compensatory Mitigation for
❑ Yes ® No
impacts to Waters of the U S or Waters of the State?
2b Ifyes mitigation is required by (check all that apply)
❑ DWQ ❑ Corps
❑ Mitigation bank
2c If yes which mitigation option will be used for this
El Payment to in lieu fee program
projects
❑ Permittee Responsible Mitigation
3 Complete if Using a Mitigation Bank
3a Name of Mitigation Bank
3b Credits Purchased (attach receipt and letter)
Type
Quantity
Page 7 of 12
PCN Form — Version 1 3 December 10 2008 Version

3c Comments
4 Complete if Making a Payment to In lieu Fee Program
4a Approval letter from in lieu fee program is attached
❑ Yes
4b Stream mitigation requested
linear feet
4c If using stream mitigation stream temperature
❑ warm ❑ cool ❑cold
4d Buffer mitigation requested (DWQ only)
square feet
4e Riparian wetland mitigation requested
acres
4f Non riparian wetland mitigation requested
acres
4g Coastal (tidal) wetland mitigation requested
acres
4h Comments
5 Complete if Using a Permittee Responsible Mitigation Plan
5a If using a permittee responsible mitigation plan provide a description of the proposed mitigation plan
6 Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
❑ Yes ® No
6b If yes then identify the square feet of impact to each zone of the riparian buffer that requires mitigation Calculate the
amount of mitigation required
Zone
6c
Reason for impact
6d
Total impact
(square feet)
Multiplier
6e
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1 5
6f Total buffer mitigation required
6g If buffer mitigation is required discuss what type of mitigation is proposed (e g payment to private mitigation bank
permittee responsible riparian buffer restoration payment into an approved in lieu fee fund)
6h Comments
Page 8 of 12
PCN Form — Version 1 3 December 10 2008 Version

E
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1
Diffuse Flow Plan
1a
Does the project include or is it adjacent to protected riparian buffers identified
® Yes ❑ No
within one of the NC Riparian Buffer Protection Rules?
1 b
If yes then is a diffuse flow plan included? If no explain why
Comments
®Yes El No
2
Stormwater Management Plan
2a
What is the overall percent imperviousness of this project?
508%
2b
Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c
If this project DOES NOT require a Stormwater Management Plan explain why Linear public transportation projects will
be required to treat stormwater runoff to the Maximum Extent Practicable in accordance with the practices described in
the NCDOT Best Management Practicies (BMP) Manual
2d
If this project DOES require a Stormwater Management Plan then provide a brief narrative description of the plan
No runoff from the path will be allowed to concentrate Any concentrated runoff from off site will be bypassed in a
nonerosive manner
® Certified Local Government
2e
Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3
Certified Local Government Stormwater Review
3a
In which local government s jurisdiction is this project?
Town of Carboro
® Phase II
3b
Which of the following locally implemented stormwater management programs
® NSW
apply (check all that apply)
❑ USMP
® Water Supply Watershed
® Other Jordan Buffer Rules
3c
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ® No
attached?
4
DWQ Stormwater Program Review
❑ Coastal counties
4a
Which of the following state implemented stormwater management programs apply
El HQW
❑ ORW
(check all that apply)
❑ Session Law 2006 246
❑ Other
4b
Has the approved Stormwater Management Plan with proof of approval been
attached?
❑ Yes ® No
5 DWQ 401 Unit Stormwater Review
5a
Does the Stormwater Management Plan meet the appropriate requirements?
® Yes ❑ No
5b
Have all of the 401 Unit submittal requirements been met?
® Yes ❑ No
Page 9 of 12
PCN Form — Version 1 3 December 10 2008 Version

F
Supplementary Information
1
Environmental Documentation (DWQ Requirement)
1a
Does the project involve an expenditure of public (federal/state/local) funds or the
® Yes
❑ No
use of public (federal/state) land?
1b
If you answered yes to the above does the project require preparation of an
environmental document pursuant to the requirements of the National or State
® Yes
❑ No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c
If you answered yes to the above has the document review been finalized by the
State Clearing House? (If so attach a copy of the NEPA or SEPA final approval
letter)
❑ Yes
® No
Comments The evironmental document is a Categorical Exclusion which is
required by the FHWA which the State Clearing House is not required to review
The project does not trigger any other NEPA/SEPA requirements
2
Violations (DWQ Requirement)
2a
Is the site in violation of DWQ Wetland Rules (15A NCAC 2H 0500) Isolated
Wetland Rules (15A NCAC 2H 1300) DWQ Surface Water or Wetland Standards
❑ Yes
® No
or Riparian Buffer Rules (15A NCAC 2B 0200)?
2b
Is this an after the fact permit application?
❑ Yes
® No
2c
If you answered yes to one or both of the above questions provide an explanation of the violation(s)
3
Cumulative Impacts (DWQ Requirement)
3a
Will this project (based on past and reasonably anticipated future impacts) result in
El Yes
®No
additional development which could impact nearby downstream water quality
3b
If you answered yes to the above submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy If you answered no provide a short narrative description
4
Sewage Disposal (DWQ Requirement)
4a
Clearly detail the ultimate treatment methods and disposition (non discharge or discharge) of wastewater generated from
the proposed project or available capacity of the subject facility
The proposed multi use path will not be generating any wastewater
Page 10 of 12
PCN Form — Version 1 3 December 10 2008 Version

5 Endangered Species and Designated Critical Habitat (Corps Requirement)
5a Will this project occur in or near an area with federally protected species or
❑ Yes ® No
habitat?
5b Have you checked with the USFWS concerning Endangered Species Act
❑Yes ®No
impacts?
5c If yes indicate the USFWS Field Office you have contacted
El Raleigh
❑ Asheville
5d What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
Critical habitat was not observed during site reconnaissance (01/27/2012 and 04/13/2012) in the project study area for
any of the categorized species on the U S Fish and Wildlife Service ( USFWS) list of threatened and endangered species
for Orange County
A review of the Natural Heritage Program (NHP) Element Occurrence Database was conducted on 01/27/2012 for the
project site This review did not identify any documented occurrences of the federally threatened or endangered species
listed for Orange County within the vicinity of the project study area (approximately 1 mile radius)
6 Essential Fish Habitat (Corps Requirement)
6a Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ® No
6b What data sources did you use to determine whether your site would impact Essential Fish Habitat?
Project does not occur in coastal plain
7 Historic or Prehistoric Cultural Resources (Corps Requirement)
7a Will this project occur in or near an area that the state federal or tribal
governments have designated as having historic or cultural preservation
❑ Yes ® No
status (e g National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b What data sources did you use to determine whether your site would impact historic or archeological resources?
A review of the State Historic Preservation Office (SHPO) online database was conducted on 04/11/2012 to identify any
properties eligible for listing on the National Register of Historic Places within the project study area This review did not
identify any National Register properties within the project study area
Additionally a review was conducted at the Office of State Archaeology (OSA) on 04/30/2012 This review by the OSA
did not identify any significant archaeological sites within the project study area or within the vicinity
No historical structures or indicators were found or observed during the field reconnaissance conducted on 01/27/2012
8 Flood Zone Designation (Corps Requirement)
8a Will this project occur in a FEMA designated 100 year floodplam?
® Yes ❑ No
8b If yes explain how project meets FEMA requirements A floodplam development permit is being submitted through the
Town of Carrboro s Floodplain Manager This application will require a flood impact study and either a No Rise
Certification or CLOMR for the proposed multi use path
8c What source(s) did you use to make the floodplam determination? The FEMA Flood Insurance Rate Maps were reviewed
for the project location According to the FEMA Flood Insurance Rate Maps Number 3710977900J the project site is
located in a FEMA regulated floodway
Page 11 of 12
PCN Form —Version 1 3 December 10 2008 Version

Anna Reusche I 4:�L < U _'U� I 05/11/2012
Applicant/Agent s Printed Name i (Agent s signature is s Signature I Date
s valid only if an authorization letter from the applicant
is
Page 12 of 12
PCN Form — Version 1 3 December 10 2008 Version

EM" !• and Associates, Inc.
Legend
U- 4726DE Proposed Alignment
Existing Bikeways
Existing Sidewalks
Figure 1
Project Vicinity
TIP Project U- 4726DE
Homestead - Chapel Hill High School
Multi -Use Path
Orange County, NC

I .
.,,
W HIGH SCHOOL. t
ha 1w It I
No stream 14h &-h '
present at
this location
UT to
Bolin Creek
(SB)
q
a
,• °` Jolly Branch
ar
we
R 500 1,00
Feet
o Legend
Proposed Greenway
Proposed Greenway Connection
- Streams
�? Figure 2: Project Study Area Map (Chapel Hill)
` TIP Project U- 4726DE
Homestead - Chapel Hill High School
KimleyHorn Multi -use Path
��� and Associales, Inc. Orange County, NC

X /�/.
No stream
present at
this location
0
wQ
W
O
—t j1
r
:Jolly T to
Branch
a
Ono
E
'?J tyBr a
240 48
L
Feet
Legend
Proposed Greenway
■ ■i■■ Proposed Greenway Connection
Streams
-- Figure 3: NRCS Soil Survey (Orange County)
TIP Project U- 4726DE
®-❑�� Horn Homestead - Chapel Hill Nigh School
eY- Multi -use Path
wdAwdates, k Orange County, NC

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Appendix A.
Agent Authorizati ®n Forms

Letter of Authorization
Mr Jeff Brubaker with the Town of Carrboro authorizes Kimley Horn and
Associates Inc to act as our limited agent to coordinate with the U S Army
Corps of Engineers and the North Carolina Division of Water Quality for the
preparation and submittal of the jurisdictional determination application
associated with Multi Use Path between Homestead Road and Chapel Hill High
School (TIP # U- 4726DE) located in Orange County North Carolina
Authorization will terminate on either final agency action or upon written
notification from either parties involved
Company Name KimlyEH— a and Associates. Inc.
Contact Name Jeff Moore, P L
Client Address Town of Carrboro
301 W Main St.
Carrhoro, XC 271
Client Phone # [phone]
Client Fax # [phone]
Client Email Drubaker(Mci.carrboro nc.us
Date

�' I� � �r �rMI
Preliminary Jurisdictional Request

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
Kimley Horn and Associates Inc
Attn Anna Reusche PWS on behalf of the Town of Carboro
P O Box 33068
Raleigh NC 27636 -3068
C DISTRICT OFFICE, FILE NAME, AND NUMBER
D PROJECT LOCATION(S) AND BACKGROUND INFORMATION The
path begins at the Claremont neighborhood north of Homestead Road extending
east under Homestead Road and through the land owned by the University of
North Carolina at Chapel Hill to Chapel Hill High School at the Town of
Carrboro/Town of Chapel Hill boundary
(USE THE ATTACHED TABLE TO DOCUMENT MULTIPLE WATERBODIES
AT DIFFERENT SITES)
State NC County /pansh /borough Orange City Carrboro
Center coordinates of site (lat/long in degree decimal format) Lat
35 9422970 N Long 79 0850620 W
E
Universal Transverse Mercator
Name of nearest waterbody Bolin Creek
Identify (estimate) amount of waters in the review area
Non wetland waters 2 200 linear feet 30 width (ft) and /or acres
Cowardin Class Rivernne
Stream Flow Perennial
Wetlands N/A acres
Cowardrn Class N/A
Name of any water bodies on the site that have been identified as Section 10
waters
Tidal N/A
Non Tidal N/A
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
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 applicants 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
2

This preliminary JD finds that there maybe 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
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)
® Maps plans plots or plat submitted by or on behalf of the
applicant/consultant Kimley Horn and Associates Inc
❑ 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
® U S Geological Survey map(s) Cite scale & quad name 124 000 Chapel
Hill Quad
® USDA Natural Resources Conservation Service Soil Survey
Citation Orange County Soil Survey
❑ National wetlands inventory map(s) Cite name
❑ State /Local wetland inventory map(s)
❑ FEMA/FIRM maps
❑ 100 year Floodplain Elevation is (National Geodectic Vertical Datum
of 1929)
® Photographs ® Aerial (Name & Date) 2010 Statewide Imagery
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
Regulatory Project Manager
(REQUIRED)
05/11/2012
Signature and date of
person requesting preliminary JD
(REQUIRED unless obtaining
the signature is impracticable)

Estimated
Site
Cowarden
amount of
Class of
number
Latitude
Longitude
Class
aquatic
aquatic
resource in
resource
review area
Bolin
359425
790850
Rivenne
800 linear feet
non - section
Creek
10 — non tidal
UT to
359424
790815
Rivenne
700 linear feet
non section
Jolly
10 — non -tidal
Branch
Jolly
359434
790811
Rivenne
700 linear feet
non section
Branch 1
10 — non tidal

USACE and NCDWQ Stream Data Forms

North Carolina Division of Water Quality Stream Identification Form Version 411
Date 1/17/2012
Project/Site Bolin Creek
Latitude 359426
Evaluator A Reusche KHA
County Orange
Longitude 79 085
Total Points 43
0
1
2
Stream Determination
Other
Stream Is at least intermittent
Ephemeral Intermltte Perennial
e g quad Name Chapel Hill
IN? 19 or perennial if 2 30
3
2
A Geomorphology Subtotal = 225
Absent
Weak
Moderate
Strong
Score
1a Continuity of channel bed and bank
0
1
2
3
3
2 Sinuosity of channel along thalweg
0
1
2
3
2
3 In- channel structure ex nffle pool step pool ripple-
ool s uence
0
1
2
3
—
3
4 Particle size of stream substrate
0
1
2
3
3
5 Active/relic flood lain
0
1
2
3
1
6 Depositional bars or benches
0
1
A
3
2
7 Recent alluvial deposits
0
1
2
3
3
8 Headcuts
0
1
2
3
0
9 Grade control
0
0 5
1
15
1
10 Natural valley
0
0 5
1
16
11 Second or greater order channel
No = 0
Yes =
3
aiuuaai uuanCS art: nu[ ra[ea see discussions In manual
B Hydrology Subtotal = 10
12 Presence of Baseflow
0
1
2
3
3
13 Iron oxidizing bacteria
2
1
2
3
0
14 Leaf litter
15
1
05
0
1 5
15 Sediment on plants or debris
0
05
1
15
1
16 Organic debris lines or piles
0
05
1
is
15
17 Soil based evidence of high water table?
No = 0
Yes = 3
3
C Biology Subtotal = 95
18 Fibrous rots in streambed
3
2
1
0
2
19 Rooted upland plants in streambed
3
1
0
2
20 Macrobenthos note diversity and abundance
0
1
3
2
21 A uatic Mollusks
0
1
3
2
22 Fish
0
05
1
is
0
23_Crayfish
05
1
15
0
24 Am hlbians
05
1
15
0
25 Algae
0
05
1
M
16
26 Wetland plants in streambed
FACW = 0 75 OBL
= 1 5
r - 0
0
perennial streams may also be Identified using other methods See p 35 of manual
Notes Bolin Creek is a lar a perennial channel Stoneflies
and mayflies were observed during site reconaissance

North Carolina Division of Water Quality Stream Identification Form Version 411
Date 1/17/2012
Project/Site Jolly Branch
Latitude 359425
Evaluator A Reusche KHA
County Orange
Longitude 79 085
Total Points 45
Stream Determination
Other
Stream is at least Intermittent
Ephemeral IntermitteriEPerennia0le
Chapel Hill
g Quad Name
if 2 19 or perennial It 2:30
0
1
A Geomorphology Subtotal= 255
Absent
Weak
Moderate
Strong
Score
18 Continuity of channel bed and bank
0
1
2
3
3
2 Sinuosity of channel along thalw n
0
1
2
3
3
3 In-channel structure ex raffle pool step pool ripple-
ooi s uence
0
1
2
3
3
4 Particle size of stream substrate
0
1
2
il
3
5 Active/relic flood lain
0
1
2
3
3
6 Depositional bars or benches
0
1
A
3
2
7 Recent alluvial deposits
0
1
2
3
3
8 Headcuts
0
1
2
3
0
9 Grade control
0
0 5
1
15
1
10 Natural valle
0
0 5
1
1.61
16
11 Second or greater order channel
No = 0
Yes =
3
aninciai ditches are not rarea see aiscussions in manual
B Hydrology Subtotal = 10
12 Presence of Baseflow
0
1
2
0
3
13 Iron oxidizing bacteria
2
1
2
3
0
14 Leaf litter
15
1
05
0
16
15 Sediment on plants or debris
0
05
2
15
1
16 Organic debris lines or piles
0
05
1
il
1 16
17 Soil based evidence of high water table?
No = 0
Yes = 3
3
C Bioloav Subtotal = 95
18 Fibrous roots in streambed
3
1
0
2
19 Rooted upland plants In streambed
3
2
1
0
2
20 Macrobenthos note diversity and abundance
0
1
2
3
2
21 Aquatic Mollusks
0
1
2
3
2
22 Fish
0
05
1
15
0
23 Crayfish
A
05
1
15
0
24 Amphibians
A
05
1
1 5
0
25 Algae
0
05
1
1
15
26 Wetland plants in streambed
FACW = 0 75 OBL
= 15 0
IhIr
>s 0
0
perennial streams may also be identified using other methods See p 35 of manual
Notes Jolly Branch flows southwest to Bolin Creek Jolly is
located outside of the project area Stonefliesand mayflies were
observed during site reconaissance

North Carolina Division of Water Quality Stream Identification Form Version 411
Date 1/17/2012
Project/Site UT to Jolty Branch
Latitude 359425
Evaluator A Reusche KHA
County Orange
Longitude 79 085
Total Points 335
Stream Determination
Other
Stream is at feast interm(ttenc
Ephemeral Intermitte Perennial
e g Quad Name Chapel Hill
if a 19 or perennial if a 30
0
1
A Geomorphology Subtotal = 195
Absent
Weak
Moderate
Strong
Score
18 Continuity of channel bed and bank
0
1
a
3
2
2 Sinuosity of channel along thalwe
0
1
2
a
3
3 In -channel structure ex riffle pool step pool ripple-
ool uence
0
1
2
3
2
4 Particle size of stream substrate
0
1
2
3
1
5 Active /relic flood lain
0
1
2
3
1
6 Depositional bars or benches
0
1
9
3
2
7 Recent alluvial deposits
0
1
2
5
3
8 Headcuts
0
1
2
3
0
9 Grade control
0
0 5
1
15
1
10 Natural valley
0
0 5
1
15
11 Second or greater order channel
ir
No = 0
Yes =
3
amnaai ditches are not rated see discussions in manual
B Hydrology Subtotal= 10
12 Presence of Baseflow
0
1
2
A
3
13 Iron oxidizing bacteria
A
1
2
3
0
14 Leaf litter
j-5
1
05
0
16
15 Sediment on plants or debris
0
05
1
15
1
16 Organic debris lines or piles
0
05
1
is
15
17 Soil based evidence of high water tableT-----T
No = 0
Yes =
3
C Biology Subtotal = 4
18 Fibrous roots in streambed
3
2
1
0
2
19 Rooted upland plants In streambed
3
2
1
0
2
20 Macrobenthos note diversity and abundance J
0
1
2
3
0
21 Aquatic Mollusks
0
1
2
3
0
22 Fish
06
1
is
0
23 Crayfish
0
05
1
15
0
24 Amphibians
A
05
1
1 5
0
25 Algae
A
05
1
5
0
26 Wetland plants in streambed
FACW = 0 75 OBL
=1 5 Other = 0
0
perennial streams may also be identified using other methods See p 35 of manual
Notes This channel has been impacted by the existing walkway
The channel is currently lined with nn ran at the exemAinn with thA

—]
USACE AID# DWv# Site # ^�
Q (indicate on attached map)
0 STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment
1 Applicant s name Town of Carboro 2 Evaluator s name A Reusche KHA
3 Date of evaluation 01/17/2012
5 Name of stream Bolin Creek
7 Approximate drainage area 10 000 acres
9 Length of reach evaluated 250 feet
11 Site coordinates (if known)
Latitude (ex 34 872312)
prefer in decimal degrees
359425
4 Time of evaluation 9 00 am
6 River basin Cape Fear
8 Stream order Third Order
10 County Orange
12 Subdivision name (if any)
Longitude (ex —77 556611)
790850
Method location determined (circle) EIPSDopo Sheet[DDrtho (Aenai) Photo /GIS[3)ther GISather
13 Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location)
Bolin Creek crosses Homestead Road
14 Proposed channel work (if any) Pedestrian bridge
15 Recent weather conditions Approximately 50 degrees
16 Site conditions at time of visit cloudy and cool
17 Identify any special waterway classifications known OSection 10 Tidal Waters Essential Fisheries Habitat
IITrout Waters 0outstanding Resource Waters F V L Nutnent Sensitive Waters aWater Supply Watershed (I IV)
18 Is there a pond or lake located upstream of the evaluation pointy If yes estimate the water surface area
19 Does channel appear on USGS quad map? 20 Does channel appear on USDA Soil Survey9
21 Estimated watershed land use 25 % Residential _% Commercial _% Industrial 15 % Agricultural
55 % Forested _% Cleared / Logged _% Other (
22 Bankf ill width
24 Channel slope down center of stream OFIat (0 to 2 %)
25 Channel sinuosity Straight 00ccasional bends
23 Bank height (from bed to top of bank)
Gentle (2 to 4 %) ElModerate (4 to 10 %) ,QSteep (>10%)
O✓ Frequent meander OVery sinuous ,Braided channel
Instructions for completion of worksheet (located on page 2) Begin by determining the most appropriate ecoregion based on
location terrain vegetation stream classification etc Every characteristic must be scored using the same ecoregion Assign points
to each characteristic within the range shown for the ecoregion Page 3 provides a brief description of how to review the
characteristics identified in the worksheet Scores should reflect an overall assessment of the stream reach under evaluation If a
characteristic cannot be evaluated due to site or weather conditions enter 0 in the scoring box and provide an explanation in the
comment section Where there are obvious changes in the character of a stream under review (e g the stream flows from a pasture
into a forest) the stream may be divided into smaller reaches that display more continuity and a separate form used to evaluate each
reach The total score assigned to a stream reach must range between 0 and 100 with a score of 100 representing a stream of the
highest quality
Total Score (from reverse) 68 Comments
Bolin Creek is a large, perennial channel Stoneflies and mavflies were observed during site reconnaissance
Evaluator s Signature Z:— 1< *AA � Date 01 /17/2012
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement Form subject to change — version 06/03 To Comment please call 919 876 8441 x 26

Bolin Creek
STREAM QUALITY ASSESSMENT WORKSHEET
111- �11a1a1.w.113L1W al0 11U aSSCSSCU III CUaSial SaeamS
#X
�- , - F 0' --V- w
CHARACTERISTICS ��
ECOREGION +POINTjRANGE
tt
Rr
Coastal
piedmont
Mountain
SCORE
1
Presence of flow /persistent pools in stream
3
no flow or saturation = 0 strong flow = max points)
0-5
0 — 4
0-5
4
Evidence of past human alteration
2
extensive alteration = 0 no alteration = max points)
0-6
0-5
0-5
5
3
Riparian zone
no buffer = 0 contiguous, wide buffer = max points)
0-6
0 — 4
0-5
3
Y
4
Evidence of nutrient or chemical discharges
extensive discharges = 0 no discharges = max po ints
0-5
0 - 4
0-4
2
5
Groundwater discharge
Vno
discharge = 0 springs, sees wetlands etc = max points)
0-3
0-4
0-4
4
j
6
Presence of adjacent floodplain
no flood lain = 0 extensive flood lain = max points)
0-4
0-4
0-2
2
�y
Entrenchment / floodplam access
a
(deeply entrenched = 0 frequent flooding = max points)
0-5
0 - 4
0-2
3
8
Presence of adjacent wetlands
no wetlands = 0 large adjacent wetlands = max points)
0-6
0 - 4
0-2 2
2
9
Channel sinuosity
extensive channelization = 0 natural meander = max points)
I — 5
0-4
0 — 3
3
10
Sediment input
extensive deposition-- 0 little or no sediment = max points)
0-5
0-4
0-4
4
11
Size & diversity of channel bed substrate
v
fine homogenous = 0 large, diverse sizes = max points)
ANA*
0-4
0 — 5
4
12
Evidence of channel incision or widening
(deeply mcised = 0 stable bed & banks = max, oints
0-5
0 - 4
0-5
4
13
Presence of major bank failures
a
severe erosion = 0 no erosion stable banks = max points)
0-5
0 — 5
0-5
5
14
Root depth and density on banks
H
no visible roots = 0 dense roots throughout = max oints
0-3
0 — 4
0-5
4
15
Impact by agriculture, hvestock, or timber production
substantial impact =0 no evidence = max points)
0-5
0 - 4
0-5
1
16
Presence of riffle pool/ripple pool complexes
no riffles/ripples or pools = 0 well developed = maxi oints
0-3
0 - 5
0-6
5
17
Habitat
Habitat complexity
or no habitat = 0 frequent, vaned habitats = max points)
0-6
0 — 6 ;
0-6
5
�a
18
Canopy coverage over streambed
no shading vegetation = 0 continuous = max points)
0-5
0 — 5
0-5
2
19
- Substrate embeddedness
de 1 embedded =-O, loose structure = max)
ANA*
0-4
0 — 4
3
r '
20
Presence of stream invertebrates (see page 4)
no evidence = 0 common, numerous types = max points)
0-4
0 - 5
0-5
3
&J,
21
Presence of amphibians
O
no evidence = 0 cominon, numerous types = max points)
0-4
0-4
0-4
0
1O
22
Presence of fish
no evidence = 0 common, numerous types = max points)
0-4
0 - 4
0-4
0
23
Evidence of wildlife use
s
no evidence = 0 abundant =
0-6
0 - 5
0-5
0
evidence max omts ,
Total PointsfPos�ible 100 100 5 100 -4
a � f # 0y�
z TOTAL,SCORE; ,,(also enter ;on first page)
6$
r
111- �11a1a1.w.113L1W al0 11U aSSCSSCU III CUaSial SaeamS

F-USACE AID# DWQ # Site # (indicate on attached mapl]
f STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment
1 Applicant s name Town of Carboro 2 Evaluator s name A Reusche KHA
3 Date of evaluation 01/17/2012
5 Name of stream Jolly Branch
7 Approximate drainage area 4 000 acres
9 Length of reach evaluated 200 feet
11 Site coordinates (if known)
Latitude (ex 34 872312)
prefer in decimal degrees
359425
4 Time of evaluation 10 00 am
6 River basin Cape Fear
8 Stream order Second Order
10 County Orange
12 Subdivision name (if any)
Longitude (ex -77 556611)
790850
r
Method location determined (circle) EIPSEVopo Shee[DDrtho (Aenal) Photo /GIS [ather GISather
13 Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location)
Jolly Branch is located southeast of the project corridor
14 Proposed channel work (if any) None
15 Recent weather conditions Approximately 50 degrees
16 Site conditions at time of visit cloudy and cool
17 Identify any special waterway classifications known OSection 10 Tidal Waters Essential Fisheries Habitat
aTrout Waters Doutstanding Resource Waters 2✓ Nutrient Sensitive Waters Dwater Supply Watershed (I IV)
18 Is there a pond or lake located upstream of the evaluation pointy If yes estimate the water surface area
19 Does channel appear on USGS quad map9 20 Does channel appear on USDA Soil Survey9
21 Estimated watershed land use 25 % Residential _% Commercial _% Industrial _% Agricultural
25 % Forested _% Cleared / Logged 50 % Other ( School Yards )
22 Bankfull width
24 Channel slope down center of stream OFlat (0 to 2 %)
25 Channel sinuosity Straight 00ccasional bends
23 Bank height (from bed to top of bank)
QGentle (2 to 4 %) OModerate (4 to 10 %) DSteep (>10%)
JZ[Frequent meander Very sinuous 1213raided channel
Instructions for completion of worksheet (located on page 2) Begin by determining the most appropriate ecoregion based on
location terrain vegetation stream classification etc Every characteristic must be scored using the same ecoregion Assign points
to each characteristic within the range shown for the ecoregion Page 3 provides a brief description of how to review the
characteristics identified in the worksheet Scores should reflect an overall assessment of the stream reach under evaluation If a
characteristic cannot be evaluated due to site or weather conditions enter 0 in the scoring box and provide an explanation in the
comment section Where there are obvious changes in the character of a stream under review (e g the stream flows from a pasture
into a forest) the stream may be divided into smaller reaches that display more continuity and a separate form used to evaluate each
reach The total score assigned to a stream reach must range between 0 and 100 with a score of 100 representing a stream of the
highest quality
Total Score (from reverse) 68 Comments
Jolly branch flows southwest to Bolin
Evaluator s Signature < � � Date01/17/2012
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement Form subject to change — version 06/03 To Comment please call 919 876 8441 x 26

Jolly Branch
STREAM QUALITY ASSESSMENT WORKSHEET
These characteristics are not assessed in coastal streams
#�
�t � � CI3ARA'CTERISTICS `�
ECOREGION POINT
R GE
AN
SCORE
Coastal
- Piedmonf
'Mountain
,
} t �
Presence of flow / persistent pools in stream
I
no flow or saturation = 0 strong flow = max points)
0-5
0-4
0-5
4
2
Evidence of past human alteration
0-6
0-5
5
extensive alteration = 0 no alteration = max points)
0-5
3
Riparian zone i
0-6
0 - 4
0-5
4
no buffer = 0 contiguous, wide buffer = max points)
Evidence of nutrient or chemical discharges
4
extensive dischar es = 0 no discharges = max points)
0-5
0 - 4
- 0-4
3
Groundwater discharge
4
Uno
5
discharge = 0 springs, sees wetlands etc = max oints
0-3
0-4
0-4'
4
0
Presence of adjacent floodplam
-6
no flood lam = 0 extensive flood lam = max points)
0-4
0 - 4
0-2
2
Entrenchment / floodplam access
(deeply entrenched = 0 frequent flooding = max points)
0-5
0 - 4
0-2
3
8
Presence of adjacent wetlands
0-6
0-4
0-2
0
no wetlands = 0 large adjacent wetlands = max points)
9
Channel sinuosity
0-5
0-4
0-3
3
extensive channehzation = 0 natural meander = max points)
10
Sediment input f
0-5
0-4
0-4
4
extensive deposition-- 0 little or no sednnent = max points)
Size & diversity of channel bed substrate
11
fine homogenous = 0 lar a diverse =
NA
*
0-4
0 - 5
4
sizes max points)
s
12
Evidence of channel incision or widening
0-5
0 - 4
0-5
4
(deeply incised = 0 stable bed & banks = max points)
13
Presence of major bank failures
0-5
0 - 5
0-5
5
j�
severe erosion = 0 no erosion stable banks = max points)
Rat
14
Root depth and density on banks
no visible roots = 0 dense ;roots throughout = max points)
0-3
0 - 4
0-5
4
Impact by agriculture, livestock, or timber production
15
substantial un act =0 no evidence = max points)
0-5
0 - 4
0-5
1
16
Presence of riffle poollripple pool complexes
E
no riffles/ripples or pools = 0 well developed = max points)
0-3
0 - 5
0-6
5
17
Habitat complexity
0-6
0-6
0-6
5
little or no habitat = 0 frequent, varied habitats = max points)
18
Canopy coverage over st eambed
no shading vegetation = 0 continuous canopy = max points)
0- 5
0 - 5
0-5
2
19
Substrate embeddedness
NA*
0-4
0-4
3
(deeply embedded = 0 loose structure = max)
Presence of stream invertebrates (see page 4)
20
no evidence = 0 common, numerous types = max points)
Presence
0-4
0 - 5
0-5
3
(�}
21
of amphibians
0-4
0 - 4
0-4
0
O
no evidence = 0 common, numerous es = max points)
t04 ?
22
Presence of fish
0-4
0 - 4
0-4
0
no evidence = 0 common, numerous es = max points)
23
Evidence of wddlife use
0- 6
0- 5
, 0- 5
0
no evidence = 0 abundant evidence = max points)
TotallP,olnts Possible- 7
3100
` ' Im
100-
� a�
�f TOTAL SCORE -(also enter on first :page)
68
These characteristics are not assessed in coastal streams

USACE AID#,
DWQ#
Site #- (indicate on attached map)
Full STREAM QUALITY ASSESSMENT WORKSHEET t
Provide the following information for the stream reach under assessment
1 Applicant s name Town of Carboro 2 Evaluator s name A Reusche KHA
3 Date of evaluation 01 /17/2012
5 Name of stream UT to Jolly Branch
7 Approximate drainage area 400 acres
9 Length of reach evaluated 100 feet
11 Site coordinates (if known)
Latitude (ex 34 872312)
prefer in decimal degrees
359434
4 Time of evaluation 10 00 am
6 River basin Cape Fear
8 Stream order First Order
10 County Orange
12 Subdivision name (if any)
Longitude (ex —77 556611)
790811
Method location determined (circle) EIPSOTopo SheeODrtho (Aenal) Photo /GISED)ther GISE]Dther
13 Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location)
The UT to Jolly Branch is located southeast of the project corridor at the existing walkway
14 Proposed channel work (if any) None
15 Recent weather conditions Approximately 50 degrees
16 Site conditions at time of visit cloudy and cool
17 Identify any special waterway classifications known OSection 10 Tidal Waters Essential Fisheries Habitat
Trout Waters 0outstanding Resource Waters 0 Nutrient Sensitive Waters aWater Supply Watershed (I IV)
18 Is there a pond or lake located upstream of the evaluation point? If yes estimate the water surface area
19 Does channel appear on USGS quad map? 20 Does channel appear on USDA Soil Survey?
21 Estimated watershed land use 25 % Residential _% Commercial _% Industrial `% Agricultural
2 5 % Forested _% Cleared / Logged -Ea% Other ( School yard )
22 Bankfull width
24 Channel slope down center of stream Flat (0 to 2 %)
25 Channel sinuosity Straight 00ccasional bends
23 Bank height (from bed to top of bank)
Gentle (2 to 4 %) OModerate (4 to 10 %) OSteep (>10%)
Frequent meander Overy sinuous OBraided channel
Instructions for completion of worksheet (located on page 2) Begin by determining the most appropriate ecoregion based on
location terrain vegetation stream classification etc Every characteristic must be scored using the same ecoregion Assign points
to each characteristic within the range shown for the ecoregion Page 3 provides a brief description of how to review the
characteristics identified in the worksheet Scores should reflect an overall assessment of the stream reach under evaluation If a
characteristic cannot be evaluated due to site or weather conditions enter 0 in the scoring box and provide an explanation in the
comment section Where there are obvious changes in the character of a stream under review (e g the stream flows from a pasture
into a forest) the stream may be divided into smaller reaches that display more continuity and a separate form used to evaluate each
reach The total score assigned to a stream reach must range between 0 and 100 with a score of 100 representing a stream of the
highest quality
Total Score (from reverse) 62 Comments
This channel has been impacted by the existing walkway The channel is currently lined with np rap at the crossing with the
existing walkway
Evaluator s Signature 4:�Z- < Date01/17/2012
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement Form subject to change - version 06/03 To Comment please call 919 876 8441 x 26

UT to Jolly Branch
STREAM QUALITY ASSESSMENT WORKSHEET
A AA\0✓ %,uaia%,L%A Ibuw ale uuii assessed in coastal streams
1
#
� 1� 1 -1
CHARACTERISTICS
ECOREGION POINT RANGE
'
{
SCORE
Coastal
Piedmont z
Mountain
1
Presence of flow / persistent pools in stream
no flow or saturation = 0 strop flow = max points)
0-5
0 — 4
0-5
4
2
Evidence of past human alteration
extensive alteration = 0 no alteration = max points)
0-6
0 — 5
0-5
2
3
Riparian zone
T
no buffer = 0 contiguous, wide buffer = max points)
0-6
0 — 4
0-5
4
4
Evidence of nutrient or chemical discharges
extensive discharges = 0 no discharges = max points)
0-5
0 — 4
0-4
3
a
5
Groundwater discharge
Uno
discharge = 0 springs-, sees wetlands etc = max points)
0-3
0-4
0-4
4
*4
Presence of adjacent floodplain
6
no flood lam = 0 extensive flood lam = max omts
0— 4
0— 4
0— 2
2
Entrenchment Aoodpla n access
a�
de 1 entrenched = 0 frequent flooding = max points)
0-5
0 — 4
0-2
3
8
, Presence of adjacent wetlands
d i
no wetlands = 0 large adjacent wetlands = max omits
0— 6
0— 4
0— 2
0
9
Channel sinuosity
extensive channehzation = 0 natural meander = max omits
0-5
0-4
10-3
3
10
Sediment input
'
extensive deposition= 0 httle or no sediment = max points)
0-5
0 - 4
0-4 4
4
11
Size & diversity of channel bed substrate
fine homogenous = 0 large, diverse sizes = max omits
NA *e e
0-4
0 - 5
4
12
Evidence of channel incision or widening
j�•i
(deeply mcised = 0 stable bed & banks = max points)
0-5
0 — 4
0-5
4
13
Presence of major bank failures
a�
severe`erosion = 0 no erosion stable banks = max points)
0-5
0 — 5
0-5
5
14
Root depth and density on banks
L
no visible roots = 0 dense roots throu out =max omits
0-3
0 - 4
0-5
4
�l
15
Impact by agriculture, livestock, or timber production '
substantial impact =0 no evidence = max points)
0-5
0 — 4
0-5
51
16
Presence of raffle pool/ripple pool complexes
H
no nffles /n les or pools = 0 well developed = max omits
0-3
0 — 5
0-6
5
17
Habitat complexity
£�
little or no habitat = 0 frequent, vaned habitats = max omits
0-6
0-6
0-6
5
18
Canopy coverage over streambed
no shading vegetation = 0 continuous canopy = max points)
0-5
0 - 5
0-5 5
2
19
Substrate embeddedness
(deeply embedded = 0 loose structure = max
NAr* ,�
r
0-4
0 - 4
3
20
Presence of stream invertebrates (see page 4)
no evidence = 0 common numerous es = max points)
0-4
0 — 5
0-5
0
U`
21
Presence of amphibians
Oil
no evidence = 0 commo numerous es = max omits
0— 4
0-4
0 - 4
0
22
Presence of fish
no evidence = 0 common, numerous es = max points)
0-4
0 — 4
0-4
0
23
Evidence of wddhfe use
no evidence = 0 abundant evidence = max omits
0-6
0 — 5
0 — 5
0
# Total Pofnts +Possible Y
' 100
1100 m �
1004r j
x
TOTAL�SCORE (also enterion fusfpage) �, -
62
A AA\0✓ %,uaia%,L%A Ibuw ale uuii assessed in coastal streams