20201819 Ver 1_17BP.9.R.79_PJD_PACKAGE_06202019_20210429

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
ROY COOPER JAMES H. TROGDON, III
GOVERNOR SECRETARY

NC DEPARTMENT OF TRANSPORTATION
DIVISION OF HIGHWAYS – DIVISION 9

Telephone: [phone]
Customer Service: 1-877-368-4968

Website: www.ncdot.gov
375 SILAS CREEK PARKWAY
WINSTON-SALEM, NC 27127

June 20, 2019

United States Army Corps of Engineers
Charlotte Regulatory Field Office
ATTN: Bryan Roden-Reynolds
151 Patton Avenue, Room 208
Asheville, North Carolina 28801-5006

SUBJECT: Preliminary Jurisdictional Determination Package for the following Natural
Resources Technical Report: WBS No. 17BP.9.R.79: Replace Bridge No. 230 on SR
2250 (Becks Church Road) over Pounder Fork in Davidson County, North Carolina.

Mr. Roden-Reynolds,

The North Carolina Department of Transportation (NCDOT) proposes the replacement of Bridge No.
230 on SR 2250 (Becks Church Road) over Pounder Fork in Davidson County, North Carolina. Below
and attached are a brief description of the project, figures depicting all features, and appropriate forms.

On April 15, 2019, Three Oaks Engineering (Three Oaks) staff members Nathan Howell and Nancy
Scott conducted a site investigation (Figure 1). Ten potential jurisdictional features (four potential
streams and six potential wetlands) were identified within the study area (Tables 1-3; Figures 2-3). No
potential surface waters (i.e. ponds, basins, tributaries, etc.) were identified in the study area.

North Carolina Division of Water Resources (NCDWR) Stream Identification forms are included for
each potential stream where jurisdictionality was in question. North Carolina Stream Assessment
Method (NCSAM) forms were completed for potential streams that exhibited degraded conditions.
United States Army Corps of Engineers (USACE) wetland determination forms and North Carolina
Wetland Assessment Method (NCWAM) forms are included for all potential wetlands. Please see the
following PJD Package:

Table 1. Potential jurisdictional streams in the study area
Stream Name Map ID
NCDWR
Index
Number
Best Usage
Classification
Pounder Fork Pounder Fork 12-120 WS-V,B
Unnamed Tributary (UT) to
Pounder Fork SA 12-120 WS-V,B
UT to Pounder Fork SB 12-120 WS-V,B
UT to Pounder Fork SD 12-120 WS-V,B

Table 2. Characteristics of potential jurisdictional streams in the study area
Map ID Length
(ft.) Classification NCSAM Rating
Compensatory
Mitigation
Required
River Basin
Buffer
Pounder Fork 232 Perennial * Yes Not Subject
SA 794 Perennial Low (roadside
portion only) Yes Not Subject
SB 21 Intermittent Medium/
Medium Undetermined Not Subject
SD 143 Perennial * Yes Not Subject
Total 1,190
* NCSAM forms were not completed due to a lack of degraded conditions that would result in lower mitigation ratios.

Table 3. Characteristics of potential jurisdictional wetlands in the study area
Map ID NCWAM
Classification NCWAM Rating Hydrologic
Classification Area (ac.)
WA Headwater Forest High Riparian 0.02
WB Floodplain Pool Low Riparian 0.01
WC Floodplain Pool Low Riparian 0.04
WD Seep High Non-riparian <0.01
WE
Bottomland Hardwood
Forest/ Headwater
Forest
High (Bottomland
Hardwood Forest)/
High (Headwater
Forest)
Riparian 0.10
WF Floodplain Pool Low Riparian 0.02
Total 0.19

If you have any questions, require additional information, or would like to schedule a site visit, please
contact me at [phone] or by email at [e-mail]. This is a request for concurrence with
our assessment. We appreciate your assistance on this project.

Sincerely,

Amy Euliss
North Carolina Department of Transportation
Highway Division 9

Cc: Dave Wanucha, NCDWR

Appendix A

Figures
1FigureSR 2250SR 2232
SR2248S R 2 4 2 1
NC 47 SR2428SR 2253SR
2
2
4
7
SR 2487SR2373SR2 4 3 5
SR
22
4
3SR33 14
SR2252S R 2 2 46
SR 3404
S R 2379
SR2 4 3 2S R 2 2 7 6
SR 2244
S R 2 466
S R 2465
SR2249
SR 2251
Pounder ForkAbbottsCreek
Source: Esri, DigitalGlobe, GeoEye, Earthstar Geographics,CNES/Airbus DS, USDA, USGS, AeroGRID, IGN, and the GIS UserCommunity
Prepared For:Date:
Checked By:
Job No.:
Drawn By:
Scale:
Replace Bridge No. 230on SR 2250 (Becks Church Rd)over Pounder ForkWBS No. 17BP.9.R.79Project Vicinity MapDavidson County, North Carolina
June 2019
19-009
JMCMR
0 1,000500 Feet
¯
^_
R
O
W
A
N
C
O
U
NTY
DAVID
S
ONC
O
U
N
T
Y DAVIDSON COUNTYRANDOLPH COUNTY© OpenStreetMap (and)contributors, CC-BY-SA
Legend
Project Study Area
2Figure
SB
SA
SD
Pounder Fork
SA
WC
WD
WF
WE
WB
WA
SR 2250USGS The National Map: National Boundaries Dataset, 3DEPElevation Program, Geographic Names Information System, NationalHydrography Dataset, National Land Cover Database, NationalStructures Dataset, and National Transportation Dataset; USGS GlobalEcosystems; U.S. Census Bureau TIGER/Line data; USFS Road Data;Natural Earth Data; U.S. Department of State Humanitarian InformationUnit; and NOAA National Centers for Environmental Information, U.S.Coastal Relief Model. Data refreshed October 2018.
Prepared For:Date:
Checked By:
Job No.:
Drawn By:
Scale:
Replace Bridge No. 230on SR 2250 (Becks Church Rd)over Pounder Fork WBS No. 17BP.9.R.79USGS Topographic MapDavidson County, North Carolina
June 2019
19-009
JMCMR
0 15075 Feet
¯Legend
Project Study Area
Potential Wetland WOUS
Disturbed
Undisturbed
Potential Non-wetland WOUS (Stream)
Culvert
Intermittent
Perennial
3Figure
SB
SA
SD
Pounder Fork
SA
WC
WD
WF
WE
WB
WA
SR 2250 Source: Esri, DigitalGlobe, GeoEye, Earthstar Geographics,CNES/Airbus DS, USDA, USGS, AeroGRID, IGN, and the GIS UserCommunity
Prepared For:Date:
Checked By:
Job No.:
Drawn By:
Scale:
Replace Bridge No. 230on SR 2250 (Becks Church Rd)over Pounder ForkWBS No. 17BP.9.R.79Jurisdictional Features MapDavidson County, North Carolina
June 2019
19-009
JMCMR
0 15075 Feet
¯Legend
Project Study Area
Potential Wetland WOUS
Disturbed
Undisturbed
Potential Non-wetland WOUS (Stream)
Culvert
Intermittent
Perennial

Appendix B

Stream and Wetland Data Forms
USACE AID #:NCDWR #:
PROJECT / SITE INFORMATION:
1. Project name (if any):2. Date of evaluation:
3. Applicant/owner name:
5. County:6. Nearest named water body
7. River Basin: on USGS 7.5-minute quad:
8. Site coordinates (decimal degrees, at lower end of assessment reach):
STREAM INFORMATION: (depth and width can be approximations)
9. Site number (show on attached map):10. Length of assessment reach evaluated (feet):
11. Channel depth from bed (in riffle, if present) to top of bank (feet):Unable to assess channel depth.
12. Channel width at top of bank (feet):13. Is assessment reach a swamp stream?Yes No
14. Feature type:Perennial flow Intermittent flow Tidal Marsh Stream
STREAM RATING INFORMATION:
15. NC SAM Zone:Mountains (M)Piedmont (P)Inner Coastal Plain (I)Outer Coastal Plain (O)
16. Estimated geomorphic
valley shape (skip for a b
Tidal Marsh Stream):(more sinuous stream, flatter valley slope)(less sinuous stream, steeper valley slope)
17. Watershed size: (skip Size 1 (< 0.1 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?Yes No If Yes, check all that appy 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 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?Yes No
1.Channel Water – assessment reach metric (skip for Size 1 streams and Tidal Marsh Streams)
A Water throughout assessment reach.
B No flow, water in pools only.
C No water in assessment reach.
2.Evidence of Flow Restriction – assessment reach metric
A At least 10% of assessment reach in-stream habitat or riffle-pool sequence is adversely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impounded on flood or ebb within
the assessment reach (examples: undersized or perched culverts, causeways that constrict the channel, tidal gates).
B Not A
3.Feature Pattern – assessment reach metric
A A majority of the assessment reach has altered pattern (examples: straightening, modification above or below culvert).
B Not A.
4.Feature Longitudinal Profile – assessment reach metric
A Majority of assessment reach has a substantially altered stream profile (examples: channel down-cutting, existing damming,
over widening, active aggradation, dredging, and excavation where appropriate channel profile has not reformed from any of
these disturbances).
B Not A
5.Signs of Active Instability – assessment reach metric
Consider only current instability, not past events from which the stream has currently recovered. Examples of instability include
active bank failure, active channel down-cutting (head-cut), active widening, and artificial hardening (such as concrete, gabion, rip-rap).
A < 10% of channel unstable
B 10 to 25% of channel unstable
C > 25% of channel unstable
6.Streamside Area Interaction – streamside area metric
Consider for the Left Bank (LB) and the Right Bank (RB).
LB RB
A A Little or no evidence of conditions that adversely affect reference interaction
B B Moderate evidence of conditions (examples: berms, levees, down-cutting, aggradation, dredging) that adversely affect
reference interaction (examples: limited streamside area access, disruption of flood flows through streamside area,
leaky or intermittent bulkheads, causeways with floodplain constriction, minor ditching [including mosquito ditching])
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)
17BP.9.R.79 4/15/2019
35.760953, -80.223417
SA-roadside 480
NCDOT 4. Assessor name/organization:N. Howell - Three Oaks Eng.
Davidson
Yadkin-PeeDee Pounder Fork
Manual for detailed descriptions and explanations of requested information. Record in the "Notes/Sketch" section if any supplementary
NOTE EVIDENCE OF STRESSORS AFFECTING THE ASSESSMENT AREA (do not need to be within the assessment area).
measurements were performed. See the NC SAM User Manual for examples of additional measurements that may be relevant.
NC SAM FIELD ASSESSMENT FORM
Accompanies User Manual Version 2.1
INSTRUCTIONS:Attach a sketch of the assessment area and photographs.Attach a copy of the USGS 7.5-minute topographic
quadrangle,and circle the location of the stream reach under evaluation.If multiple stream reaches will be evaluated on the same
property,identify and number all reaches on the attached map,and include a separate form for each reach.See the NC SAM User
3-5
4-6
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 the "Notes/Sketch"
section.
F 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
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
C No drought conditions
9 Large or Dangerous Stream – assessment reach metric
Yes No Is stream is too large or dangerous to assess? If Yes, skip to Metric 13 (Streamside Area Ground Surface Condition).
10.Natural In-stream Habitat Types – assessment reach metric
10a.Yes No Degraded in-stream habitat over majority of the assessment reach (examples of stressors include excessive
sedimentation, mining, excavation, in-stream hardening [for example, rip-rap], recent dredging, and snagging)
(evaluate for size 4 Coastal Plain streams only, then skip to Metric 12)
10b.Check all that occur (occurs if > 5% coverage of assessment reach) (skip for Size 4 Coastal Plain streams)
A Multiple aquatic macrophytes and aquatic mosses F 5% oysters or other natural hard bottoms
(include liverworts, lichens, and algal mats)G Submerged aquatic vegetation
B Multiple sticks and/or leaf packs and/or emergent H Low-tide refugia (pools)
vegetation 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
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)
11b.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)
11c.In riffles sections, check all that occur below the normal wetted perimeter of the assessment reach – whether or not submerged.
Check at least one box in each row (skip for Size 4 Coastal Plain Streams and Tidal Marsh Streams). Not Present (NP) =
absent, Rare (R) = present but ≤ 10%, Common (C) = > 10-40%, Abundant (A) = > 40-70%, Predominant (P) = > 70%. Cumulative
percentages should not exceed 100% for each assessment reach.
NP R C A P
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)
*********************************REMAINING QUESTIONS ARE NOT APPLICABLE FOR TIDAL MARSH STREAMS****************************Check for TidalMarsh Streamsonly
12.Aquatic Life – assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
12a.Yes No Was an in-stream aquatic life assessment performed as described in the User Manual?
If No, select one of the following reasons and skip to Metric 13. No Water Other:
12b.Yes No Are aquatic organisms present in the assessment reach (look in riffles, pools, then snags)? If Yes, check
all that apply. If No, skip to Metric 13.
1 >1 Numbers over columns refer to “individuals” for size 1 and 2 streams and “taxa” for size 3 and 4 streams.
Adult frogs
Aquatic reptiles
Aquatic macrophytes and aquatic mosses (include liverworts, lichens, and algal mats)
Beetles (including water pennies)
Caddisfly larvae (Trichoptera [T])
Asian clam (Corbicula )
Crustacean (isopod/amphipod/crayfish/shrimp)
Damselfly and dragonfly larvae
Dipterans (true flies)
Mayfly larvae (Ephemeroptera [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 (Plecoptera [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 include: ditches, fill,
soil, compaction, livestock disturbance, buildings, man-made levees, drainage pipes)
14.Streamside Area Water Storage – streamside area metric (skip for Size 1 streams, Tidal Marsh Streams, and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB) of the streamside area.
LB RB
A A Majority of streamside area with depressions able to pond water ≥ 6 inches deep
B B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
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 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.
A Streams and/or springs (jurisdictional discharges)
B Ponds (include wet detention basins; do not include sediment basins or dry detention basins)
C Obstruction that passes some flow during low-flow periods within assessment area (beaver dam, bottom-release dam)
D Evidence of bank seepage or sweating (iron oxidizing bacteria in water indicates seepage)
E Stream bed or bank soil reduced (dig through deposited sediment if present)
F None of the above
17.Baseflow Detractors – assessment area metric (skip for Tidal Marsh Streams)
Check all that apply.
A Evidence of substantial water withdrawals from the assessment reach (includes areas excavated for pump installation)
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 stream-side area has been modified resulting in accelerated drainage into the assessment reach
E Assessment reach relocated to valley edge
F None of the above
18.Shading – assessment reach metric (skip for Tidal Marsh Streams)
Consider aspect. Consider “leaf-on” condition.
A Stream shading is appropriate for stream category (may include gaps associated with natural processes)
B Degraded (example: scattered trees)
C Stream shading is gone or largely absent
19.Buffer Width – streamside area metric (skip for Tidal Marsh Streams)
Consider “vegetated buffer” and “wooded buffer” separately for left bank (LB) and right bank (RB) starting at the top
of bank out to the first break.
Vegetated Wooded
LB RB LB RB
A A A 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
B 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 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 – First 100 feet of streamside area metric (skip for Tidal Marsh Streams)
Evaluate the dominant vegetation within 100 feet of each bank or to the edge of the watershed (whichever comes first) as it contributes
to assessment reach habitat.
LB RB
A A Vegetation is close to undisturbed in species present and their proportions. Lower strata composed of native
species, with non-native invasive species absent or sparse.
B B Vegetation indicates disturbance in terms of species diversity or proportions, but is still largely composed of native
species. This may include communities of weedy native species that develop after clear-cutting or clearing or
communities with non-native invasive species present, but not dominant, over a large portion of the expected strata or
communities missing understory but retaining canopy trees.
C C Vegetation is severely disturbed in terms of species diversity or proportions. Mature canopy is absent or communities
with non-native invasive species dominant over a large portion of expected strata or communities composed of planted
stands of non-characteristic species or communities inappropriately composed of a single species or no vegetation.
25.Conductivity – assessment reach metric (skip for all Coastal Plain streams)
25a.Yes No Was a conductivity measurement recorded?
If No, select one of the following reasons. No Water Other:
25b.Check the box corresponding to the conductivity measurement (units of microsiemens per centimeter).
A <46 B 46 to < 67 C 67 to < 79 D 79 to < 230 E ≥ 230
Notes/Sketch:
Notes of Field Assessment Form (Y/N)
Presence of regulatory considerations (Y/N)
Additional stream information/supplementary measurements included (Y/N)
NC SAM feature type (perennial, intermittent, Tidal Marsh Stream)
(4) Floodplain Access
(4) Wooded Riparian Buffer
(4) Microtopography
(3) Stream Stability
(4) Channel Stability
(4) Sediment Transport
(4) Stream Geomorphology
(2) Stream/Intertidal Zone Interaction
(2) Longitudinal Tidal Flow
(2) Tidal Marsh Stream Stability
(3) Tidal Marsh Stream Geomorphology
(1) Water Quality
(2) Baseflow
(2) Streamside Area Vegetation
(3) Upland Pollutant Filtration
(3) Thermoregulation
(2) Indicators of Stressors
(2) Aquatic Life Tolerance
(2) Intertidal Zone Filtration
(1) Habitat
(2) In-stream Habitat
(3) Baseflow
(3) Substrate
(3) Stream Stability
(3) In-stream Habitat
(2) Stream-side Habitat
(3) Stream-side Habitat
(3) Thermoregulation
(2) Tidal Marsh In-stream Habitat
(3) Flow Restriction
(3) Tidal Marsh Stream Stability
(4) Tidal Marsh Stream Geomorphology
(3) Tidal Marsh In-stream Habitat
(2) Intertidal Zone Habitat
Overall LOW
MEDIUM
LOW
LOW
MEDIUM
LOW
MEDIUM
NA
NA
MEDIUM
NA
LOW
MEDIUM
MEDIUM
NA
NA
NA
NA
MEDIUM
MEDIUM
(3) Tidal Marsh Channel Stability
(3) Streamside Area Attenuation
Function Class Rating Summary
(1) Hydrology
NA
LOW
MEDIUM
LOW
MEDIUM
NA
NO
HIGH
Stream Site Name 17BP.9.R.79 Date of Evaluation
MEDIUM
(4) Tidal Marsh Channel Stability
LOW
LOW
NA
NA
LOW
NA
MEDIUM
NC SAM Stream Rating Sheet
Accompanies User Manual Version 2.1
LOW
LOW
USACE/
All Streams
NCDWR
Intermittent
NA
NA
(2) Flood Flow
N. Howell - Three Oaks Eng
4/15/2019
NO
YES
NO
Perennial
(2) Baseflow
Stream Category Assessor Name/Organization
HIGH
Pb1
USACE AID #:NCDWR #:
PROJECT / SITE INFORMATION:
1. Project name (if any):2. Date of evaluation:
3. Applicant/owner name:
5. County:6. Nearest named water body
7. River Basin: on USGS 7.5-minute quad:
8. Site coordinates (decimal degrees, at lower end of assessment reach):
STREAM INFORMATION: (depth and width can be approximations)
9. Site number (show on attached map):10. Length of assessment reach evaluated (feet):
11. Channel depth from bed (in riffle, if present) to top of bank (feet):Unable to assess channel depth.
12. Channel width at top of bank (feet):13. Is assessment reach a swamp stream?Yes No
14. Feature type:Perennial flow Intermittent flow Tidal Marsh Stream
STREAM RATING INFORMATION:
15. NC SAM Zone:Mountains (M)Piedmont (P)Inner Coastal Plain (I)Outer Coastal Plain (O)
16. Estimated geomorphic
valley shape (skip for a b
Tidal Marsh Stream):(more sinuous stream, flatter valley slope)(less sinuous stream, steeper valley slope)
17. Watershed size: (skip Size 1 (< 0.1 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?Yes No If Yes, check all that appy 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 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?Yes No
1.Channel Water – assessment reach metric (skip for Size 1 streams and Tidal Marsh Streams)
A Water throughout assessment reach.
B No flow, water in pools only.
C No water in assessment reach.
2.Evidence of Flow Restriction – assessment reach metric
A At least 10% of assessment reach in-stream habitat or riffle-pool sequence is adversely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impounded on flood or ebb within
the assessment reach (examples: undersized or perched culverts, causeways that constrict the channel, tidal gates).
B Not A
3.Feature Pattern – assessment reach metric
A A majority of the assessment reach has altered pattern (examples: straightening, modification above or below culvert).
B Not A.
4.Feature Longitudinal Profile – assessment reach metric
A Majority of assessment reach has a substantially altered stream profile (examples: channel down-cutting, existing damming,
over widening, active aggradation, dredging, and excavation where appropriate channel profile has not reformed from any of
these disturbances).
B Not A
5.Signs of Active Instability – assessment reach metric
Consider only current instability, not past events from which the stream has currently recovered. Examples of instability include
active bank failure, active channel down-cutting (head-cut), active widening, and artificial hardening (such as concrete, gabion, rip-rap).
A < 10% of channel unstable
B 10 to 25% of channel unstable
C > 25% of channel unstable
6.Streamside Area Interaction – streamside area metric
Consider for the Left Bank (LB) and the Right Bank (RB).
LB RB
A A Little or no evidence of conditions that adversely affect reference interaction
B B Moderate evidence of conditions (examples: berms, levees, down-cutting, aggradation, dredging) that adversely affect
reference interaction (examples: limited streamside area access, disruption of flood flows through streamside area,
leaky or intermittent bulkheads, causeways with floodplain constriction, minor ditching [including mosquito ditching])
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)
1-2
2-3
NC SAM FIELD ASSESSMENT FORM
Accompanies User Manual Version 2.1
INSTRUCTIONS:Attach a sketch of the assessment area and photographs.Attach a copy of the USGS 7.5-minute topographic
quadrangle,and circle the location of the stream reach under evaluation.If multiple stream reaches will be evaluated on the same
property,identify and number all reaches on the attached map,and include a separate form for each reach.See the NC SAM User
Manual for detailed descriptions and explanations of requested information. Record in the "Notes/Sketch" section if any supplementary
NOTE EVIDENCE OF STRESSORS AFFECTING THE ASSESSMENT AREA (do not need to be within the assessment area).
measurements were performed. See the NC SAM User Manual for examples of additional measurements that may be relevant.
17BP.9.R.79 4/15/2019
35.761912, -80.222812
SB 20
NCDOT 4. Assessor name/organization:N. Howell - Three Oaks Eng.
Davidson
Yadkin-PeeDee Pounder Fork
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 the "Notes/Sketch"
section.
F 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
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
C No drought conditions
9 Large or Dangerous Stream – assessment reach metric
Yes No Is stream is too large or dangerous to assess? If Yes, skip to Metric 13 (Streamside Area Ground Surface Condition).
10.Natural In-stream Habitat Types – assessment reach metric
10a.Yes No Degraded in-stream habitat over majority of the assessment reach (examples of stressors include excessive
sedimentation, mining, excavation, in-stream hardening [for example, rip-rap], recent dredging, and snagging)
(evaluate for size 4 Coastal Plain streams only, then skip to Metric 12)
10b.Check all that occur (occurs if > 5% coverage of assessment reach) (skip for Size 4 Coastal Plain streams)
A Multiple aquatic macrophytes and aquatic mosses F 5% oysters or other natural hard bottoms
(include liverworts, lichens, and algal mats)G Submerged aquatic vegetation
B Multiple sticks and/or leaf packs and/or emergent H Low-tide refugia (pools)
vegetation 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
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)
11b.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)
11c.In riffles sections, check all that occur below the normal wetted perimeter of the assessment reach – whether or not submerged.
Check at least one box in each row (skip for Size 4 Coastal Plain Streams and Tidal Marsh Streams). Not Present (NP) =
absent, Rare (R) = present but ≤ 10%, Common (C) = > 10-40%, Abundant (A) = > 40-70%, Predominant (P) = > 70%. Cumulative
percentages should not exceed 100% for each assessment reach.
NP R C A P
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)
*********************************REMAINING QUESTIONS ARE NOT APPLICABLE FOR TIDAL MARSH STREAMS****************************Check for TidalMarsh Streamsonly
12.Aquatic Life – assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
12a.Yes No Was an in-stream aquatic life assessment performed as described in the User Manual?
If No, select one of the following reasons and skip to Metric 13. No Water Other:
12b.Yes No Are aquatic organisms present in the assessment reach (look in riffles, pools, then snags)? If Yes, check
all that apply. If No, skip to Metric 13.
1 >1 Numbers over columns refer to “individuals” for size 1 and 2 streams and “taxa” for size 3 and 4 streams.
Adult frogs
Aquatic reptiles
Aquatic macrophytes and aquatic mosses (include liverworts, lichens, and algal mats)
Beetles (including water pennies)
Caddisfly larvae (Trichoptera [T])
Asian clam (Corbicula )
Crustacean (isopod/amphipod/crayfish/shrimp)
Damselfly and dragonfly larvae
Dipterans (true flies)
Mayfly larvae (Ephemeroptera [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 (Plecoptera [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 include: ditches, fill,
soil, compaction, livestock disturbance, buildings, man-made levees, drainage pipes)
14.Streamside Area Water Storage – streamside area metric (skip for Size 1 streams, Tidal Marsh Streams, and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB) of the streamside area.
LB RB
A A Majority of streamside area with depressions able to pond water ≥ 6 inches deep
B B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
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 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.
A Streams and/or springs (jurisdictional discharges)
B Ponds (include wet detention basins; do not include sediment basins or dry detention basins)
C Obstruction that passes some flow during low-flow periods within assessment area (beaver dam, bottom-release dam)
D Evidence of bank seepage or sweating (iron oxidizing bacteria in water indicates seepage)
E Stream bed or bank soil reduced (dig through deposited sediment if present)
F None of the above
17.Baseflow Detractors – assessment area metric (skip for Tidal Marsh Streams)
Check all that apply.
A Evidence of substantial water withdrawals from the assessment reach (includes areas excavated for pump installation)
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 stream-side area has been modified resulting in accelerated drainage into the assessment reach
E Assessment reach relocated to valley edge
F None of the above
18.Shading – assessment reach metric (skip for Tidal Marsh Streams)
Consider aspect. Consider “leaf-on” condition.
A Stream shading is appropriate for stream category (may include gaps associated with natural processes)
B Degraded (example: scattered trees)
C Stream shading is gone or largely absent
19.Buffer Width – streamside area metric (skip for Tidal Marsh Streams)
Consider “vegetated buffer” and “wooded buffer” separately for left bank (LB) and right bank (RB) starting at the top
of bank out to the first break.
Vegetated Wooded
LB RB LB RB
A A A 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
B 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 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 – First 100 feet of streamside area metric (skip for Tidal Marsh Streams)
Evaluate the dominant vegetation within 100 feet of each bank or to the edge of the watershed (whichever comes first) as it contributes
to assessment reach habitat.
LB RB
A A Vegetation is close to undisturbed in species present and their proportions. Lower strata composed of native
species, with non-native invasive species absent or sparse.
B B Vegetation indicates disturbance in terms of species diversity or proportions, but is still largely composed of native
species. This may include communities of weedy native species that develop after clear-cutting or clearing or
communities with non-native invasive species present, but not dominant, over a large portion of the expected strata or
communities missing understory but retaining canopy trees.
C C Vegetation is severely disturbed in terms of species diversity or proportions. Mature canopy is absent or communities
with non-native invasive species dominant over a large portion of expected strata or communities composed of planted
stands of non-characteristic species or communities inappropriately composed of a single species or no vegetation.
25.Conductivity – assessment reach metric (skip for all Coastal Plain streams)
25a.Yes No Was a conductivity measurement recorded?
If No, select one of the following reasons. No Water Other:
25b.Check the box corresponding to the conductivity measurement (units of microsiemens per centimeter).
A <46 B 46 to < 67 C 67 to < 79 D 79 to < 230 E ≥ 230
Notes/Sketch:
Notes of Field Assessment Form (Y/N)
Presence of regulatory considerations (Y/N)
Additional stream information/supplementary measurements included (Y/N)
NC SAM feature type (perennial, intermittent, Tidal Marsh Stream)
(4) Floodplain Access
(4) Wooded Riparian Buffer
(4) Microtopography
(3) Stream Stability
(4) Channel Stability
(4) Sediment Transport
(4) Stream Geomorphology
(2) Stream/Intertidal Zone Interaction
(2) Longitudinal Tidal Flow
(2) Tidal Marsh Stream Stability
(3) Tidal Marsh Stream Geomorphology
(1) Water Quality
(2) Baseflow
(2) Streamside Area Vegetation
(3) Upland Pollutant Filtration
(3) Thermoregulation
(2) Indicators of Stressors
(2) Aquatic Life Tolerance
(2) Intertidal Zone Filtration
(1) Habitat
(2) In-stream Habitat
(3) Baseflow
(3) Substrate
(3) Stream Stability
(3) In-stream Habitat
(2) Stream-side Habitat
(3) Stream-side Habitat
(3) Thermoregulation
(2) Tidal Marsh In-stream Habitat
(3) Flow Restriction
(3) Tidal Marsh Stream Stability
(4) Tidal Marsh Stream Geomorphology
(3) Tidal Marsh In-stream Habitat
(2) Intertidal Zone Habitat
Overall
NC SAM Stream Rating Sheet
Accompanies User Manual Version 2.1
LOW
MEDIUM
USACE/
All Streams
NCDWR
Intermittent
NA
NA
(2) Flood Flow
N. Howell - Three Oaks Eng
4/15/2019
NO
YES
NO
Intermittent
NA
MEDIUM
HIGH
LOW
(2) Baseflow
Stream Category Assessor Name/Organization
HIGH
Pb1
Stream Site Name
MEDIUM
NA
17BP.9.R.79 Date of Evaluation
HIGH
(4) Tidal Marsh Channel Stability
NA
NA
MEDIUM
LOW
HIGH
HIGH
MEDIUM
HIGH
NA
NA
LOW
NA
HIGH
MEDIUM
(3) Tidal Marsh Channel Stability
(3) Streamside Area Attenuation
Function Class Rating Summary
(1) Hydrology
HIGH
HIGH
NA
NA
NA
NA
NA
MEDIUM
HIGH
LOW
HIGH
HIGH
HIGH
MEDIUM
NA
NO
NA
NA
HIGH
NA
NA
NA
NA
HIGH
NO
NA
NA
HIGH
HIGH
NA
NA
NA
MEDIUM
HIGH
HIGH
HIGH
HIGH
HIGH
HIGH
LOW
HIGH
HIGH
HIGH
LOW
HIGH
LOW
HIGH
LOW
HIGH
NA
NA
HIGH
NA
MEDIUM
HIGH
HIGH
Project/Site:Sampling Date:
Applicant/Owner:State:Sampling Point:
Investigator(s):
Landform (hillside, terrace, etc.):
Subregion (LRR or MLRA):Lat:Long:
Soil Map Unit Name:
X
Are Vegetation , Soil , or Hydrology Yes X
Are Vegetation , Soil , or Hydrology
SUMMARY OF FINDINGS – Attach site map showing sampling point locations, transects, important features, etc.
X No
X No X
X No
X
X
X
X
Yes X
Yes X
Yes X X
Sediment Deposits (B2)
Drift Deposits (B3)
Remarks:
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
0
0
Depth (inches):
Depth (inches):
Depth (inches):
No
Saturation Present?
(includes capillary fringe)
Surface Water Present?
Field Observations:
Yes NoAre climatic / hydrologic conditions on the site typical for this time of year?(If no, explain in Remarks.)
significantly disturbed?
naturally problematic?
Are “Normal Circumstances” present?
(If needed, explain any answers in Remarks.)
Remarks:

Is the Sampled AreaYes
Yes
Yes
Hydric Soil Present?
Hydrophytic Vegetation Present?
Wetland Hydrology Present?
Nowithin a Wetland?Yes
City/County:17BP.9.R.79 Becks Church Rd over Pounder Fork Lexington/Davidson
WA/WE WET
4/15/19
NCDOT NC
No
Section, Township, Range:---N. Howell, N. Scott - Three Oaks Eng.
0-2concavefloodplain
Datum:NAD 83-80.22516035.759885LRR P, MLRA 136
PFONWI classification:Chewacla loam, 0 to 2 percent slopes, frequently flooded (ChA)
Slope (%):Local relief (concave, convex, none):
Surface Water (A1)
High Water Table (A2)
Saturation (A3)
Water Marks (B1)
Wetland Hydrology Indicators:
True Aquatic Plants (B14)
Saturation Visible on Aerial Imagery (C9)
Secondary Indicators (minimum of two required)
NCWAM: Headwater Forest/Bottomland Hardwood Forest. This form is for Wetlands WA and WE, which have similar characteristics.
HYDROLOGY
Geomorphic Position (D2)
Shallow Aquitard (D3)
Hydrogen Sulfide Odor (C1)
Oxidized Rhizospheres on Living Roots (C3)
Presence of Reduced Iron (C4)
Recent Iron Reduction in Tilled Soils (C6)
Thin Muck Surface (C7)
Other (Explain in Remarks)
Iron Deposits (B5)
U.S. Army Corps of Engineers
WETLAND DETERMINATION DATA SHEET – Eastern Mountains and Piedmont Region
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R
OMB Control #: 0710-xxxx, Exp: Pending
Requirement Control Symbol EXEMPT:
(Authority: AR 335-15, paragraph 5-2a)
Microtopographic Relief (D4)
FAC-Neutral Test (D5)
Inundation Visible on Aerial Imagery (B7)
Water-Stained Leaves (B9)
Aquatic Fauna (B13)
Algal Mat or Crust (B4)
Wetland Hydrology Present?
Stunted or Stressed Plants (D1)
NoYes
2
No
No
Water Table Present?
Primary Indicators (minimum of one is required; check all that apply) Surface Soil Cracks (B6)
Sparsely Vegetated Concave Surface (B8)
Drainage Patterns (B10)
Moss Trim Lines (B16)
Dry-Season Water Table (C2)
Crayfish Burrows (C8)
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont – Version 2.0
Sampling Point:
(Plot size:
1.
2.
3.
4.
5.
6.(A/B)
7.
50% of total cover:20% of total cover:x 1 =
Sapling/Shrub Stratum (Plot size:x 2 =
1.x 3 =
2.x 4 =
3.x 5 =
4.Column Totals:(B)
5.
6.
7.
8.X
9.X
4 - Morphological Adaptations1 (Provide supporting
50% of total cover:20% of total cover:
Herb Stratum (Plot size:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
50% of total cover:20% of total cover:
Woody Vine Stratum (Plot size:
1.
2.
3.
4.
5.
50% of total cover:20% of total cover:Yes X
3 - Prevalence Index is ≤3.01
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation1 (Explain)
No
WA/WE WET
7
7
FACU species
UPL species
Hydrophytic Vegetation Indicators:
0
415
0
155
Total Number of Dominant
Species Across All Strata:
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC:
FAC
OBL species
FACW species
FAC species
Sapling/Shrub – Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft (1
m) tall.
Tree – Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
1Indicators of hydric soil and wetland hydrology must be
present, unless disturbed or problematic.
Absolute
% Cover
100.0%
Percent of Dominant Species
That Are OBL, FACW, or FAC:
60
Acer negundo
Acer rubrum
Tree Stratum
)
=Total Cover
Acer rubrum
Acer negundo
Fraxinus pennsylvanica
30 feet )
70
Indicator
Status
40
20
No
Dominant
Species?
Yes
20
10
Yes10
Ligustrum sinense 10
20
Cornus amomum
Carex lurida
Juncus effusus 10
15 feet
Definitions of Four Vegetation Strata:
Woody Vine – All woody vines greater than 3.28 ft in
height.
Hydrophytic
Vegetation
Present?
=Total Cover
Herb – All herbaceous (non-woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
30 feet )
Smilax rotundifolia
20
4
1230
10
Prevalence Index worksheet:
FACW
Total % Cover of:
95
10
(A)
(B)
(A)
No
No
285
10
40
Multiply by:
80
2.68Prevalence Index = B/A =
FACU
40
FAC
Yes FACW
1 - Rapid Test for Hydrophytic Vegetation
2 - Dominance Test is >50%
VEGETATION (Four Strata)– Use scientific names of plants.
35 14
10
10
Yes
Yes
FAC
FAC
Remarks: (Include photo numbers here or on a separate sheet.)
)5 feet
=Total Cover
FACW
OBL
Yes
13
=Total Cover5
5 Yes FAC
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont – Version 2.0
X
Depth (inches):X
Dark Surface (S7)unless disturbed or problematic.Red Parent Material (F21) (MLRA 127, 147, 148)
No
Hydric Soil Indicators:
Polyvalue Below Surface (S8) (MLRA 147, 148)
Thin Dark Surface (S9) (MLRA 147, 148)
Loamy Gleyed Matrix (F2)
Redox Dark Surface (F6)
Redox Depressions (F8)
Loamy Mucky Mineral (F1) (MLRA 136)
Depleted Matrix (F3)
Depleted Dark Surface (F7)
2 cm Muck (A10) (MLRA 147)
Coast Prairie Redox (A16)
Indicators for Problematic Hydric Soils3:
(MLRA 147, 148)
Piedmont Floodplain Soils (F19)
(MLRA 136, 147)
Very Shallow Dark Surface (F22)
Red Parent Material (F21)
(outside MLRA 127, 147, 148)
2 cm Muck (A10) (LRR N)
Stripped Matrix (S6)
Iron-Manganese Masses (F12) (LRR N,Other (Explain in Remarks)
3Indicators of hydrophytic vegetation and
wetland hydrology must be present,
Umbric Surface (F13) (MLRA 122, 136)
Piedmont Floodplain Soils (F19) (MLRA 148)
Sandy Gleyed Matrix (S4)MLRA 136)
Depleted Below Dark Surface (A11)
Thick Dark Surface (A12)
Sandy Mucky Mineral (S1)
Sandy Redox (S5)
%
Distinct redox concentrations
Texture
30 M
WA/WE WETSOIL
Type1
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Redox FeaturesDepth
(inches)Color (moist)Remarks
1Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.2Location: PL=Pore Lining, M=Matrix.
%
Matrix
10YR 4/1 10YR 4/40-12
Loc2
Loamy/Clayey70C
Color (moist)
Sampling Point:
Yes
Restrictive Layer (if observed):
Remarks:
Hydric Soil Present?
Type:
Histosol (A1)
Histic Epipedon (A2)
Black Histic (A3)
Hydrogen Sulfide (A4)
Stratified Layers (A5)
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont – Version 2.0
Project/Site:Sampling Date:
Applicant/Owner:State:Sampling Point:
Investigator(s):
Landform (hillside, terrace, etc.):
Subregion (LRR or MLRA):Lat:Long:
Soil Map Unit Name:
X
Are Vegetation X , Soil , or Hydrology Yes X
Are Vegetation , Soil , or Hydrology
SUMMARY OF FINDINGS – Attach site map showing sampling point locations, transects, important features, etc.
X No
X No X
X No
X
X
X
X
Yes X
Yes X
Yes X X
U.S. Army Corps of Engineers
WETLAND DETERMINATION DATA SHEET – Eastern Mountains and Piedmont Region
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R
OMB Control #: 0710-xxxx, Exp: Pending
Requirement Control Symbol EXEMPT:
(Authority: AR 335-15, paragraph 5-2a)
Microtopographic Relief (D4)
FAC-Neutral Test (D5)
Inundation Visible on Aerial Imagery (B7)
Water-Stained Leaves (B9)
Aquatic Fauna (B13)
Algal Mat or Crust (B4)
Wetland Hydrology Present?
Stunted or Stressed Plants (D1)
NoYes
1
No
No
Water Table Present?
Primary Indicators (minimum of one is required; check all that apply) Surface Soil Cracks (B6)
Sparsely Vegetated Concave Surface (B8)
Drainage Patterns (B10)
Moss Trim Lines (B16)
Dry-Season Water Table (C2)
Crayfish Burrows (C8)
Surface Water (A1)
High Water Table (A2)
Saturation (A3)
Water Marks (B1)
Wetland Hydrology Indicators:
True Aquatic Plants (B14)
Saturation Visible on Aerial Imagery (C9)
Secondary Indicators (minimum of two required)
NCWAM: Floodplain Pool. This form is for Wetlands WB, WC, and WF, which share similar characteristics. Vegetation is disturbed in all wetlands.
HYDROLOGY
Geomorphic Position (D2)
Shallow Aquitard (D3)
Hydrogen Sulfide Odor (C1)
Oxidized Rhizospheres on Living Roots (C3)
Presence of Reduced Iron (C4)
Recent Iron Reduction in Tilled Soils (C6)
Thin Muck Surface (C7)
Other (Explain in Remarks)
Iron Deposits (B5)
City/County:17BP.9.R.79 Becks Church Rd over Pounder Fork Lexington/Davidson
WB/WC/WF WET
4/15/19
NCDOT NC
No
Section, Township, Range:---N. Howell, N. Scott - Three Oaks Eng.
0-1concavefloodplain
Datum:NAD 83-80.222373935.760300LRR P, MLRA 136
PEMNWI classification:Chewacla loam, 0 to 2 percent slopes, frequently flooded (ChA)
Slope (%):Local relief (concave, convex, none):
Yes NoAre climatic / hydrologic conditions on the site typical for this time of year?(If no, explain in Remarks.)
significantly disturbed?
naturally problematic?
Are “Normal Circumstances” present?
(If needed, explain any answers in Remarks.)
Remarks:

Is the Sampled AreaYes
Yes
Yes
Hydric Soil Present?
Hydrophytic Vegetation Present?
Wetland Hydrology Present?
Nowithin a Wetland?Yes
Sediment Deposits (B2)
Drift Deposits (B3)
Remarks:
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
0
0
Depth (inches):
Depth (inches):
Depth (inches):
No
Saturation Present?
(includes capillary fringe)
Surface Water Present?
Field Observations:
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont – Version 2.0
Sampling Point:
(Plot size:
1.
2.
3.
4.
5.
6.(A/B)
7.
50% of total cover:20% of total cover:x 1 =
Sapling/Shrub Stratum (Plot size:x 2 =
1.x 3 =
2.x 4 =
3.x 5 =
4.Column Totals:(B)
5.
6.
7.
8.X
9.X
4 - Morphological Adaptations1 (Provide supporting
50% of total cover:20% of total cover:
Herb Stratum (Plot size:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
50% of total cover:20% of total cover:
Woody Vine Stratum (Plot size:
1.
2.
3.
4.
5.
50% of total cover:20% of total cover:Yes X
=Total Cover
Remarks: (Include photo numbers here or on a separate sheet.)
)W/in Wetland
=Total Cover
FACW
OBL
Yes
1 - Rapid Test for Hydrophytic Vegetation
2 - Dominance Test is >50%
VEGETATION (Four Strata)– Use scientific names of plants.
20
0
20
0
Multiply by:
30
1.43Prevalence Index = B/A =
15
Prevalence Index worksheet:
Total % Cover of:
0
0
(A)
(B)
(A)
923
W/in Wetland
Definitions of Four Vegetation Strata:
Woody Vine – All woody vines greater than 3.28 ft in
height.
Hydrophytic
Vegetation
Present?
=Total Cover
Herb – All herbaceous (non-woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
W/in Wetland )
Absent
45
Yes
Yes
20Carex lurida
10Rumex spp.
Juncus effusus 15
Absent
Tree Stratum
)
=Total Cover
Absent
W/in Wetland )
Indicator
Status
Dominant
Species?
OBL species
FACW species
FAC species
Sapling/Shrub – Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft (1
m) tall.
Tree – Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
1Indicators of hydric soil and wetland hydrology must be
present, unless disturbed or problematic.
Absolute
% Cover
66.7%
Percent of Dominant Species
That Are OBL, FACW, or FAC:
3 - Prevalence Index is ≤3.01
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation1 (Explain)
No
WB/WC/WF WET
2
3
FACU species
UPL species
Hydrophytic Vegetation Indicators:
0
50
0
35
Total Number of Dominant
Species Across All Strata:
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC:
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont – Version 2.0
X
Depth (inches):X
Sampling Point:
Yes
Restrictive Layer (if observed):
Remarks:
Hydric Soil Present?
Type:
Histosol (A1)
Histic Epipedon (A2)
Black Histic (A3)
Hydrogen Sulfide (A4)
Stratified Layers (A5)
Loc2
M
50
Loamy/Clayey
Loamy/Clayey
80 C
Color (moist)
Matrix
D10YR 4/3
10YR 4/1 10YR 4/4
10YR 4/13-12
0-3
WB/WC/WF WETSOIL
Type1
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Redox FeaturesDepth
(inches)Color (moist)Remarks
1Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.2Location: PL=Pore Lining, M=Matrix.
10YR 4/4
%
Faint redox concentrations
Depleted Below Dark Surface (A11)
Thick Dark Surface (A12)
Sandy Mucky Mineral (S1)
Sandy Redox (S5)
%
M10
Distinct redox concentrations
Texture
20 M
C40
Stripped Matrix (S6)
Iron-Manganese Masses (F12) (LRR N,Other (Explain in Remarks)
3Indicators of hydrophytic vegetation and
wetland hydrology must be present,
Umbric Surface (F13) (MLRA 122, 136)
Piedmont Floodplain Soils (F19) (MLRA 148)
Sandy Gleyed Matrix (S4)MLRA 136)
Dark Surface (S7)unless disturbed or problematic.Red Parent Material (F21) (MLRA 127, 147, 148)
No
Hydric Soil Indicators:
Polyvalue Below Surface (S8) (MLRA 147, 148)
Thin Dark Surface (S9) (MLRA 147, 148)
Loamy Gleyed Matrix (F2)
Redox Dark Surface (F6)
Redox Depressions (F8)
Loamy Mucky Mineral (F1) (MLRA 136)
Depleted Matrix (F3)
Depleted Dark Surface (F7)
2 cm Muck (A10) (MLRA 147)
Coast Prairie Redox (A16)
Indicators for Problematic Hydric Soils3:
(MLRA 147, 148)
Piedmont Floodplain Soils (F19)
(MLRA 136, 147)
Very Shallow Dark Surface (F22)
Red Parent Material (F21)
(outside MLRA 127, 147, 148)
2 cm Muck (A10) (LRR N)
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont – Version 2.0
Project/Site:Sampling Date:
Applicant/Owner:State:Sampling Point:
Investigator(s):
Landform (hillside, terrace, etc.):
Subregion (LRR or MLRA):Lat:Long:
Soil Map Unit Name:
X
Are Vegetation , Soil , or Hydrology Yes X
Are Vegetation , Soil , or Hydrology
SUMMARY OF FINDINGS – Attach site map showing sampling point locations, transects, important features, etc.
X No
X No X
X No
X X
X
X
Yes X
Yes X
Yes X X
Sediment Deposits (B2)
Drift Deposits (B3)
Remarks:
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
0
0
Depth (inches):
Depth (inches):
Depth (inches):
No
Saturation Present?
(includes capillary fringe)
Surface Water Present?
Field Observations:
Yes NoAre climatic / hydrologic conditions on the site typical for this time of year?(If no, explain in Remarks.)
significantly disturbed?
naturally problematic?
Are “Normal Circumstances” present?
(If needed, explain any answers in Remarks.)
Remarks:

Is the Sampled AreaYes
Yes
Yes
Hydric Soil Present?
Hydrophytic Vegetation Present?
Wetland Hydrology Present?
Nowithin a Wetland?Yes
City/County:17BP.9.R.79 Becks Church Rd over Pounder Fork Lexington/Davidson
WD WET
4/15/19
NCDOT NC
No
Section, Township, Range:---N. Howell, N. Scott - Three Oaks Eng.
2-4concavefloodplain
Datum:NAD 83-80.22576335.759360LRR P, MLRA 136
PEMNWI classification:Cecil sandy loam, 2 to 8 percent slopes (CcB)
Slope (%):Local relief (concave, convex, none):
Surface Water (A1)
High Water Table (A2)
Saturation (A3)
Water Marks (B1)
Wetland Hydrology Indicators:
True Aquatic Plants (B14)
Saturation Visible on Aerial Imagery (C9)
Secondary Indicators (minimum of two required)
NCWAM: Seep
HYDROLOGY
Geomorphic Position (D2)
Shallow Aquitard (D3)
Hydrogen Sulfide Odor (C1)
Oxidized Rhizospheres on Living Roots (C3)
Presence of Reduced Iron (C4)
Recent Iron Reduction in Tilled Soils (C6)
Thin Muck Surface (C7)
Other (Explain in Remarks)
Iron Deposits (B5)
U.S. Army Corps of Engineers
WETLAND DETERMINATION DATA SHEET – Eastern Mountains and Piedmont Region
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R
OMB Control #: 0710-xxxx, Exp: Pending
Requirement Control Symbol EXEMPT:
(Authority: AR 335-15, paragraph 5-2a)
Microtopographic Relief (D4)
FAC-Neutral Test (D5)
Inundation Visible on Aerial Imagery (B7)
Water-Stained Leaves (B9)
Aquatic Fauna (B13)
Algal Mat or Crust (B4)
Wetland Hydrology Present?
Stunted or Stressed Plants (D1)
NoYes
0
No
No
Water Table Present?
Primary Indicators (minimum of one is required; check all that apply) Surface Soil Cracks (B6)
Sparsely Vegetated Concave Surface (B8)
Drainage Patterns (B10)
Moss Trim Lines (B16)
Dry-Season Water Table (C2)
Crayfish Burrows (C8)
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont – Version 2.0
Sampling Point:
(Plot size:
1.
2.
3.
4.
5.
6.(A/B)
7.
50% of total cover:20% of total cover:x 1 =
Sapling/Shrub Stratum (Plot size:x 2 =
1.x 3 =
2.x 4 =
3.x 5 =
4.Column Totals:(B)
5.
6.
7.
8.X
9.X
4 - Morphological Adaptations1 (Provide supporting
50% of total cover:20% of total cover:
Herb Stratum (Plot size:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
50% of total cover:20% of total cover:
Woody Vine Stratum (Plot size:
1.
2.
3.
4.
5.
50% of total cover:20% of total cover:Yes X
3 - Prevalence Index is ≤3.01
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation1 (Explain)
No
WD WET
3
3
FACU species
UPL species
Hydrophytic Vegetation Indicators:
0
65
0
40
Total Number of Dominant
Species Across All Strata:
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC:
FAC
OBL species
FACW species
FAC species
Sapling/Shrub – Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft (1
m) tall.
Tree – Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
1Indicators of hydric soil and wetland hydrology must be
present, unless disturbed or problematic.
Absolute
% Cover
100.0%
Percent of Dominant Species
That Are OBL, FACW, or FAC:
5
Acer rubrum
Tree Stratum
)
=Total Cover
Absent
W/in Wetland )
Indicator
Status
Dominant
Species?
Yes
Yes20
5
Carex lurida
Juncus effusus 15
W/in Wetland
Definitions of Four Vegetation Strata:
Woody Vine – All woody vines greater than 3.28 ft in
height.
Hydrophytic
Vegetation
Present?
=Total Cover
Herb – All herbaceous (non-woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
W/in Wetland )
Absent
35
7
13
18
Prevalence Index worksheet:
Total % Cover of:
5
0
(A)
(B)
(A)
15
20
0
Multiply by:
30
1.63Prevalence Index = B/A =
15
1 - Rapid Test for Hydrophytic Vegetation
2 - Dominance Test is >50%
VEGETATION (Four Strata)– Use scientific names of plants.
20
Remarks: (Include photo numbers here or on a separate sheet.)
)W/in Wetland
=Total Cover
FACW
OBL
Yes
=Total Cover
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont – Version 2.0
X
Depth (inches):X
Dark Surface (S7)unless disturbed or problematic.Red Parent Material (F21) (MLRA 127, 147, 148)
No
Hydric Soil Indicators:
Polyvalue Below Surface (S8) (MLRA 147, 148)
Thin Dark Surface (S9) (MLRA 147, 148)
Loamy Gleyed Matrix (F2)
Redox Dark Surface (F6)
Redox Depressions (F8)
Loamy Mucky Mineral (F1) (MLRA 136)
Depleted Matrix (F3)
Depleted Dark Surface (F7)
2 cm Muck (A10) (MLRA 147)
Coast Prairie Redox (A16)
Indicators for Problematic Hydric Soils3:
(MLRA 147, 148)
Piedmont Floodplain Soils (F19)
(MLRA 136, 147)
Very Shallow Dark Surface (F22)
Red Parent Material (F21)
(outside MLRA 127, 147, 148)
2 cm Muck (A10) (LRR N)
Stripped Matrix (S6)
Iron-Manganese Masses (F12) (LRR N,Other (Explain in Remarks)
3Indicators of hydrophytic vegetation and
wetland hydrology must be present,
Umbric Surface (F13) (MLRA 122, 136)
Piedmont Floodplain Soils (F19) (MLRA 148)
Sandy Gleyed Matrix (S4)MLRA 136)
Depleted Below Dark Surface (A11)
Thick Dark Surface (A12)
Sandy Mucky Mineral (S1)
Sandy Redox (S5)
%
M10
Distinct redox concentrations
Texture
Faint redox concentrations
20 M
WD WETSOIL
Type1
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Redox FeaturesDepth
(inches)Color (moist)Remarks
1Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.2Location: PL=Pore Lining, M=Matrix.
%
Matrix
C10YR 4/3
10YR 4/1 10YR 4/4
10YR 4/48-12
0-8
Loc2
50
Loamy/Clayey
Loamy/Clayey
80 C
Color (moist)
Sampling Point:
Yes
Restrictive Layer (if observed):
Remarks:
Hydric Soil Present?
Type:
Histosol (A1)
Histic Epipedon (A2)
Black Histic (A3)
Hydrogen Sulfide (A4)
Stratified Layers (A5)
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont – Version 2.0
Project/Site:Sampling Date:
Applicant/Owner:State:Sampling Point:
Investigator(s):
Landform (hillside, terrace, etc.):
Subregion (LRR or MLRA):Lat:Long:
Soil Map Unit Name:
X
Are Vegetation , Soil , or Hydrology Yes X
Are Vegetation , Soil , or Hydrology
SUMMARY OF FINDINGS – Attach site map showing sampling point locations, transects, important features, etc.
No X
No X X
No X
Yes X
Yes X
Yes X X
Water Table and Saturation are greater than 12 inches deep.
Sediment Deposits (B2)
Drift Deposits (B3)
Remarks:
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
12
12
Depth (inches):
Depth (inches):
Depth (inches):
No
Saturation Present?
(includes capillary fringe)
Surface Water Present?
Field Observations:
Yes NoAre climatic / hydrologic conditions on the site typical for this time of year?(If no, explain in Remarks.)
significantly disturbed?
naturally problematic?
Are “Normal Circumstances” present?
(If needed, explain any answers in Remarks.)
Remarks:

Is the Sampled AreaYes
Yes
Yes
Hydric Soil Present?
Hydrophytic Vegetation Present?
Wetland Hydrology Present?
Nowithin a Wetland?Yes
City/County:17BP.9.R.79 Becks Church Rd over Pounder Fork Lexington/Davidson
WA-WF UPL
4/15/19
NCDOT NC
No
Section, Township, Range:---N. Howell, N. Scott, Three Oaks Eng.
2-4nonehillslope
Datum:NAD 83-80.22545435.759746LRR P, MLRA 136
---NWI classification:Pacolet sandy loam, 8 to 15 percent slopes (PaD)
Slope (%):Local relief (concave, convex, none):
Surface Water (A1)
High Water Table (A2)
Saturation (A3)
Water Marks (B1)
Wetland Hydrology Indicators:
True Aquatic Plants (B14)
Saturation Visible on Aerial Imagery (C9)
Secondary Indicators (minimum of two required)
HYDROLOGY
Geomorphic Position (D2)
Shallow Aquitard (D3)
Hydrogen Sulfide Odor (C1)
Oxidized Rhizospheres on Living Roots (C3)
Presence of Reduced Iron (C4)
Recent Iron Reduction in Tilled Soils (C6)
Thin Muck Surface (C7)
Other (Explain in Remarks)
Iron Deposits (B5)
U.S. Army Corps of Engineers
WETLAND DETERMINATION DATA SHEET – Eastern Mountains and Piedmont Region
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R
OMB Control #: 0710-xxxx, Exp: Pending
Requirement Control Symbol EXEMPT:
(Authority: AR 335-15, paragraph 5-2a)
Microtopographic Relief (D4)
FAC-Neutral Test (D5)
Inundation Visible on Aerial Imagery (B7)
Water-Stained Leaves (B9)
Aquatic Fauna (B13)
Algal Mat or Crust (B4)
Wetland Hydrology Present?
Stunted or Stressed Plants (D1)
NoYes
0
No
No
Water Table Present?
Primary Indicators (minimum of one is required; check all that apply) Surface Soil Cracks (B6)
Sparsely Vegetated Concave Surface (B8)
Drainage Patterns (B10)
Moss Trim Lines (B16)
Dry-Season Water Table (C2)
Crayfish Burrows (C8)
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont – Version 2.0
Sampling Point:
(Plot size:
1.
2.
3.
4.
5.
6.(A/B)
7.
50% of total cover:20% of total cover:x 1 =
Sapling/Shrub Stratum (Plot size:x 2 =
1.x 3 =
2.x 4 =
3.x 5 =
4.Column Totals:(B)
5.
6.
7.
8.
9.
4 - Morphological Adaptations1 (Provide supporting
50% of total cover:20% of total cover:
Herb Stratum (Plot size:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
50% of total cover:20% of total cover:
Woody Vine Stratum (Plot size:
1.
2.
3.
4.
5.
50% of total cover:20% of total cover:Yes X
3 - Prevalence Index is ≤3.01
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation1 (Explain)
No
WA-WF UPL
4
8
FACU species
UPL species
Hydrophytic Vegetation Indicators:
0
330
0
95
Total Number of Dominant
Species Across All Strata:
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC:
FAC
OBL species
FACW species
FAC species
5
Sapling/Shrub – Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft (1
m) tall.
Tree – Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
1Indicators of hydric soil and wetland hydrology must be
present, unless disturbed or problematic.
Absolute
% Cover
50.0%
Percent of Dominant Species
That Are OBL, FACW, or FAC:
25
Acer rubrum
Tree Stratum
)
=Total Cover
Querucs alba
Liriodendron tulipifera
Acer rubrum
30 feet )
80
Indicator
Status
30
30
Yes
Dominant
Species?
Yes
5
20
Ilex opaca
Polystichum acrostichoides 10
15 feet
Definitions of Four Vegetation Strata:
Woody Vine – All woody vines greater than 3.28 ft in
height.
Hydrophytic
Vegetation
Present?
FAC
=Total Cover
Herb – All herbaceous (non-woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
30 feet )
Smilax rotundifolia
10
2
513
5
Prevalence Index worksheet:
FAC
Total % Cover of:
50
45
(A)
(B)
(A)
150
0
180
Multiply by:
0
3.47Prevalence Index = B/A =
0
Yes FACU
1 - Rapid Test for Hydrophytic Vegetation
2 - Dominance Test is >50%
VEGETATION (Four Strata)– Use scientific names of plants.
40 16
20
0
Yes
Yes
FACU
Remarks: (Include photo numbers here or on a separate sheet.)
)5 feet
=Total Cover
FACUYes
25
=Total Cover10
Toxicodendron radicans
5 Yes
Yes
FAC
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont – Version 2.0
Depth (inches):X
Dark Surface (S7)unless disturbed or problematic.Red Parent Material (F21) (MLRA 127, 147, 148)
No
Hydric Soil Indicators:
Polyvalue Below Surface (S8) (MLRA 147, 148)
Thin Dark Surface (S9) (MLRA 147, 148)
Loamy Gleyed Matrix (F2)
Redox Dark Surface (F6)
Redox Depressions (F8)
Loamy Mucky Mineral (F1) (MLRA 136)
Depleted Matrix (F3)
Depleted Dark Surface (F7)
2 cm Muck (A10) (MLRA 147)
Coast Prairie Redox (A16)
Indicators for Problematic Hydric Soils3:
(MLRA 147, 148)
Piedmont Floodplain Soils (F19)
(MLRA 136, 147)
Very Shallow Dark Surface (F22)
Red Parent Material (F21)
(outside MLRA 127, 147, 148)
2 cm Muck (A10) (LRR N)
Stripped Matrix (S6)
Iron-Manganese Masses (F12) (LRR N,Other (Explain in Remarks)
3Indicators of hydrophytic vegetation and
wetland hydrology must be present,
Umbric Surface (F13) (MLRA 122, 136)
Piedmont Floodplain Soils (F19) (MLRA 148)
Sandy Gleyed Matrix (S4)MLRA 136)
Depleted Below Dark Surface (A11)
Thick Dark Surface (A12)
Sandy Mucky Mineral (S1)
Sandy Redox (S5)
%Texture
WA-WF UPLSOIL
Type1
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Redox FeaturesDepth
(inches)Color (moist)Remarks
1Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.2Location: PL=Pore Lining, M=Matrix.
%
Matrix
10YR 4/40-12
Loc2
Loamy/Clayey100
Color (moist)
Sampling Point:
Yes
Restrictive Layer (if observed):
Remarks:
Hydric Soil Present?
Type:
Histosol (A1)
Histic Epipedon (A2)
Black Histic (A3)
Hydrogen Sulfide (A4)
Stratified Layers (A5)
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont – Version 2.0
USACE AID#:NCDWR #:
Yes No
Evidence of stressors affecting the assessment area (may not be within the assessment area)
Please circle and/or make note on last page if evidence of stressors is apparent. Consider departure from reference, if
appropriate, in recent past (for instance, approximately within 10 years). Noteworthy stressors include, but are not limited
to the following.
•
•
•
•
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 HQW, 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)Lu 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 of an effect.
GS
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
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 for each group below. 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 foot 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
Hydrological modifications (examples: ditches, dams, beaver dams, dikes, berms, ponds, etc.)
Latitude/Longitude (deci-degrees)
Habitat/plant community alteration (examples: mowing, clear-cutting, exotics, etc.)
Surface and sub-surface discharges into the wetland (examples: discharges containing obvious pollutants, presence of nearby
Sub
VS
septic tanks, underground storage tanks (USTs), hog lagoons, etc.)
Precipitation within 48 hrs?
Signs of vegetation stress (examples: vegetation mortality, insect damage, disease, storm damage, salt intrusion, etc.)
35.760737, -80.223936
NC WAM WETLAND ASSESSMENT FORM
Accompanies User Manual Version 5
Pounder Fork
N. Howell - Three Oaks Eng.
WA/WE
4/15/19Date of Evaluation
Wetland Site Name
Assessor Name/Organization
Nearest Named Water Body
Project Name
Wetland Type Headwater Forest
Level III Ecoregion
03040103
Winston-SalemNCDWR RegionCounty
Yadkin-PeeDee
Davidson
USGS 8-Digit Catalogue Unit
Piedmont
River Basin
Applicant/Owner Name NCDOT
17BP.9.R.79
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 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). Effective riparian buffers
are considered to be 50 feet wide in the Coastal Plain and Piedmont ecoregions and 30 feet wide in the Blue Ridge Mountains ecoregion.
WS 5M 2M
A A A ≥ 10% impervious surfaces
B B B Confined animal operations (or other local, concentrated source of pollutants)
C 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
F F F ≥ 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 dainage and/or overbank flow from affectio 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.
7b.How much of the first 50 feet from the bank is weltand? (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 tributary 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
Check a box in each column. 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 F From 15 to < 30 feet
G G From 5 to < 15 feet
H H < 5 feet
Forest only)
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).
A 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 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
F F F 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 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
evaluates whether the wetland is well connected (Well) and/or loosely connected (Loosely) to the landscape patch, the contiguous
metric 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, fields (pasture open and agriculture), or water > 300 feet wide.
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
F F 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 directiions? If the assessment area is clear-cut,
select option "C."
A 0
B 1 to 4
C 5 to 8
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).
B Vegetation diversity is low or has > 10% to 50% cover of exotics.
C Vegetation is dominated by exotic species (>50% cover of exotics).
Well
WC
Loosely
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.
A ≥ 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.
A A Canopy closed, or nearly closed, with natural gaps associated with natural processes
B B Canopy present, but opened more than natural gaps
C C Canopy sparse or absent
A A Dense mid-story/sapling layer
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).
B Not A
19.Diameter Class Distribution – wetland type condition metric (skip for all marshes)
A Majority of canopy trees have stems > 6 inches in diameter at breast height (DBH); many large trees (> 12 inches DBH) are
present.
B 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
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.
B 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.
AA WT
Notes CanopyMid-StoryShrubHerb
Notes on Field Assessment Form (Y/N)
Presence of regulatory considerations (Y/N)
Wetland is intensively managed (Y/N)
Assessment area is located within 50 feet of a natural tributary or other open water (Y/N)
Assessment area is substantially altered by beaver (Y/N)
Assessment area experiences overbank flooding during normal rainfall conditions (Y/N)
Assessment area is on a coastal island (Y/N)
Sub-function Rating Summary
Function Sub-function Metrics
Hydrology Surface Storage and Retention Condition
Sub-Surface Storage and Retention Condition
Water Quality Pathogen Change Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Particulate Change Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Soluble Change Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Physical Change Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Pollution Change Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Habitat Physical Structure Condition
Landscape Patch Structure Condition
Vegetation Composition Condition
Function Rating Summary
Function Metrics/Notes
Hydrology Condition
Water Quality Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Habitat Condition
Overall Wetland Rating
Rating
HIGH
HIGH
NO
NO
NO
YES
NO
NO
NC WAM Wetland Rating Sheet
Wetland Type
Wetland Site Name WA/WE
N. Howell - Three Oaks EngHeadwater Forest
Date
Assessor Name/Organization
4/15/19
Accompanies User Manual Version 5.0
HIGH
HIGH
HIGH
YES
MEDIUM
HIGH
LOW
Rating
HIGH
MEDIUM
NA
HIGH
HIGH
NO
NA
YES
NA
NA
MEDIUM
HIGH
YES
HIGH
YES
HIGH
NA
HIGH
USACE AID#:NCDWR #:
Yes No
Evidence of stressors affecting the assessment area (may not be within the assessment area)
Please circle and/or make note on last page if evidence of stressors is apparent. Consider departure from reference, if
appropriate, in recent past (for instance, approximately within 10 years). Noteworthy stressors include, but are not limited
to the following.
•
•
•
•
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 HQW, 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)Lu 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 of an effect.
GS
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
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 for each group below. 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 foot 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
Hydrological modifications (examples: ditches, dams, beaver dams, dikes, berms, ponds, etc.)
Latitude/Longitude (deci-degrees)
Habitat/plant community alteration (examples: mowing, clear-cutting, exotics, etc.)
Surface and sub-surface discharges into the wetland (examples: discharges containing obvious pollutants, presence of nearby
Sub
VS
septic tanks, underground storage tanks (USTs), hog lagoons, etc.)
Precipitation within 48 hrs?
Signs of vegetation stress (examples: vegetation mortality, insect damage, disease, storm damage, salt intrusion, etc.)
35.760737, -80.223936
NC WAM WETLAND ASSESSMENT FORM
Accompanies User Manual Version 5
Pounder Fork
N. Howell - Three Oaks Eng.
WB/WF
4/15/19Date of Evaluation
Wetland Site Name
Assessor Name/Organization
Nearest Named Water Body
Project Name
Wetland Type Floodplain Pool
Level III Ecoregion
03040103
Winston-SalemNCDWR RegionCounty
Yadkin-PeeDee
Davidson
USGS 8-Digit Catalogue Unit
Piedmont
River Basin
Applicant/Owner Name NCDOT
17BP.9.R.79
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 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). Effective riparian buffers
are considered to be 50 feet wide in the Coastal Plain and Piedmont ecoregions and 30 feet wide in the Blue Ridge Mountains ecoregion.
WS 5M 2M
A A A ≥ 10% impervious surfaces
B B B Confined animal operations (or other local, concentrated source of pollutants)
C 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
F F F ≥ 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 dainage and/or overbank flow from affectio 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.
7b.How much of the first 50 feet from the bank is weltand? (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 tributary 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
Check a box in each column. 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 F From 15 to < 30 feet
G G From 5 to < 15 feet
H H < 5 feet
Forest only)
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).
A 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 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
F F F 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 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
evaluates whether the wetland is well connected (Well) and/or loosely connected (Loosely) to the landscape patch, the contiguous
metric 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, fields (pasture open and agriculture), or water > 300 feet wide.
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
F F 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 directiions? If the assessment area is clear-cut,
select option "C."
A 0
B 1 to 4
C 5 to 8
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).
B Vegetation diversity is low or has > 10% to 50% cover of exotics.
C Vegetation is dominated by exotic species (>50% cover of exotics).
Well
WC
Loosely
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.
A ≥ 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.
A A Canopy closed, or nearly closed, with natural gaps associated with natural processes
B B Canopy present, but opened more than natural gaps
C C Canopy sparse or absent
A A Dense mid-story/sapling layer
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).
B Not A
19.Diameter Class Distribution – wetland type condition metric (skip for all marshes)
A Majority of canopy trees have stems > 6 inches in diameter at breast height (DBH); many large trees (> 12 inches DBH) are
present.
B 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
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.
B 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.
AA WT
Notes CanopyMid-StoryShrubHerb
Notes on Field Assessment Form (Y/N)
Presence of regulatory considerations (Y/N)
Wetland is intensively managed (Y/N)
Assessment area is located within 50 feet of a natural tributary or other open water (Y/N)
Assessment area is substantially altered by beaver (Y/N)
Assessment area experiences overbank flooding during normal rainfall conditions (Y/N)
Assessment area is on a coastal island (Y/N)
Sub-function Rating Summary
Function Sub-function Metrics
Hydrology Surface Storage and Retention Condition
Sub-Surface Storage and Retention Condition
Water Quality Pathogen Change Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Particulate Change Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Soluble Change Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Physical Change Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Pollution Change Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Habitat Physical Structure Condition
Landscape Patch Structure Condition
Vegetation Composition Condition
Function Rating Summary
Function Metrics/Notes
Hydrology Condition
Water Quality Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Habitat Condition
Overall Wetland Rating
Rating
LOW
NA
NO
NO
NO
NO
NO
NO
NC WAM Wetland Rating Sheet
Wetland Type
Wetland Site Name WB/WF
N. Howell - Three Oaks EngFloodplain Pool
Date
Assessor Name/Organization
4/15/19
Accompanies User Manual Version 5.0
LOW
HIGH
HIGH
YES
LOW
LOW
HIGH
Rating
LOW
MEDIUM
NA
NA
NA
NO
NA
NA
NA
YES
MEDIUM
HIGH
YES
HIGH
YES
HIGH
HIGH
HIGH
USACE AID#:NCDWR #:
Yes No
Evidence of stressors affecting the assessment area (may not be within the assessment area)
Please circle and/or make note on last page if evidence of stressors is apparent. Consider departure from reference, if
appropriate, in recent past (for instance, approximately within 10 years). Noteworthy stressors include, but are not limited
to the following.
•
•
•
•
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 HQW, 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)Lu 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 of an effect.
GS
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
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 for each group below. 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 foot 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
Piedmont
River Basin
Applicant/Owner Name NCDOT
17BP.9.R.79
03040103
Winston-SalemNCDWR RegionCounty
Yadkin-PeeDee
Davidson
USGS 8-Digit Catalogue Unit
NC WAM WETLAND ASSESSMENT FORM
Accompanies User Manual Version 5
Pounder Fork
N. Howell - Three Oaks Eng.
WC
4/15/19Date of Evaluation
Wetland Site Name
Assessor Name/Organization
Nearest Named Water Body
Project Name
Wetland Type Floodplain Pool
Level III Ecoregion
Hydrological modifications (examples: ditches, dams, beaver dams, dikes, berms, ponds, etc.)
Latitude/Longitude (deci-degrees)
Habitat/plant community alteration (examples: mowing, clear-cutting, exotics, etc.)
Surface and sub-surface discharges into the wetland (examples: discharges containing obvious pollutants, presence of nearby
Sub
VS
septic tanks, underground storage tanks (USTs), hog lagoons, etc.)
Precipitation within 48 hrs?
Signs of vegetation stress (examples: vegetation mortality, insect damage, disease, storm damage, salt intrusion, etc.)
35.760300, -80.223739
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 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). Effective riparian buffers
are considered to be 50 feet wide in the Coastal Plain and Piedmont ecoregions and 30 feet wide in the Blue Ridge Mountains ecoregion.
WS 5M 2M
A A A ≥ 10% impervious surfaces
B B B Confined animal operations (or other local, concentrated source of pollutants)
C 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
F F F ≥ 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 dainage and/or overbank flow from affectio 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.
7b.How much of the first 50 feet from the bank is weltand? (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 tributary 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
Check a box in each column. 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 F From 15 to < 30 feet
G G From 5 to < 15 feet
H H < 5 feet
Forest only)
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).
A 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 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
F F F 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 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
evaluates whether the wetland is well connected (Well) and/or loosely connected (Loosely) to the landscape patch, the contiguous
metric 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, fields (pasture open and agriculture), or water > 300 feet wide.
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
F F 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 directiions? If the assessment area is clear-cut,
select option "C."
A 0
B 1 to 4
C 5 to 8
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).
B Vegetation diversity is low or has > 10% to 50% cover of exotics.
C Vegetation is dominated by exotic species (>50% cover of exotics).
Well
WC
Loosely
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.
A ≥ 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.
A A Canopy closed, or nearly closed, with natural gaps associated with natural processes
B B Canopy present, but opened more than natural gaps
C C Canopy sparse or absent
A A Dense mid-story/sapling layer
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).
B Not A
19.Diameter Class Distribution – wetland type condition metric (skip for all marshes)
A Majority of canopy trees have stems > 6 inches in diameter at breast height (DBH); many large trees (> 12 inches DBH) are
present.
B 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
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.
B 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.
AA WT
Notes CanopyMid-StoryShrubHerb
Notes on Field Assessment Form (Y/N)
Presence of regulatory considerations (Y/N)
Wetland is intensively managed (Y/N)
Assessment area is located within 50 feet of a natural tributary or other open water (Y/N)
Assessment area is substantially altered by beaver (Y/N)
Assessment area experiences overbank flooding during normal rainfall conditions (Y/N)
Assessment area is on a coastal island (Y/N)
Sub-function Rating Summary
Function Sub-function Metrics
Hydrology Surface Storage and Retention Condition
Sub-Surface Storage and Retention Condition
Water Quality Pathogen Change Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Particulate Change Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Soluble Change Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Physical Change Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Pollution Change Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Habitat Physical Structure Condition
Landscape Patch Structure Condition
Vegetation Composition Condition
Function Rating Summary
Function Metrics/Notes
Hydrology Condition
Water Quality Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Habitat Condition
Overall Wetland Rating
NA
NA
NA
NO
NA
NA
NA
YES
MEDIUM
HIGH
YES
HIGH
YES
HIGH
HIGH
HIGH
LOW
MEDIUM
Rating
LOW
LOW
LOW
HIGH
HIGH
YES
LOW
NC WAM Wetland Rating Sheet
Wetland Type
Wetland Site Name WC
N. Howell - Three Oaks EngFloodplain Pool
Date
Assessor Name/Organization
4/15/19
Accompanies User Manual Version 5.0
Rating
LOW
NA
NO
NO
YES
NO
NO
NO
USACE AID#:NCDWR #:
Yes No
Evidence of stressors affecting the assessment area (may not be within the assessment area)
Please circle and/or make note on last page if evidence of stressors is apparent. Consider departure from reference, if
appropriate, in recent past (for instance, approximately within 10 years). Noteworthy stressors include, but are not limited
to the following.
•
•
•
•
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 HQW, 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)Lu 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 of an effect.
GS
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
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 for each group below. 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 foot 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
Hydrological modifications (examples: ditches, dams, beaver dams, dikes, berms, ponds, etc.)
Latitude/Longitude (deci-degrees)
Habitat/plant community alteration (examples: mowing, clear-cutting, exotics, etc.)
Surface and sub-surface discharges into the wetland (examples: discharges containing obvious pollutants, presence of nearby
Sub
VS
septic tanks, underground storage tanks (USTs), hog lagoons, etc.)
Precipitation within 48 hrs?
Signs of vegetation stress (examples: vegetation mortality, insect damage, disease, storm damage, salt intrusion, etc.)
35.75936, -80.225763
NC WAM WETLAND ASSESSMENT FORM
Accompanies User Manual Version 5
Pounder Fork
N. Howell - Three Oaks Eng.
WD
4/15/19Date of Evaluation
Wetland Site Name
Assessor Name/Organization
Nearest Named Water Body
Project Name
Wetland Type Seep
Level III Ecoregion
03040103
Winston-SalemNCDWR RegionCounty
Yadkin-PeeDee
Davidson
USGS 8-Digit Catalogue Unit
Piedmont
River Basin
Applicant/Owner Name NCDOT
17BP.9.R.79
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 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). Effective riparian buffers
are considered to be 50 feet wide in the Coastal Plain and Piedmont ecoregions and 30 feet wide in the Blue Ridge Mountains ecoregion.
WS 5M 2M
A A A ≥ 10% impervious surfaces
B B B Confined animal operations (or other local, concentrated source of pollutants)
C 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
F F F ≥ 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 dainage and/or overbank flow from affectio 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.
7b.How much of the first 50 feet from the bank is weltand? (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 tributary 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
Check a box in each column. 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 F From 15 to < 30 feet
G G From 5 to < 15 feet
H H < 5 feet
Forest only)
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).
A 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 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
F F F 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 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
evaluates whether the wetland is well connected (Well) and/or loosely connected (Loosely) to the landscape patch, the contiguous
metric 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, fields (pasture open and agriculture), or water > 300 feet wide.
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
F F 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 directiions? If the assessment area is clear-cut,
select option "C."
A 0
B 1 to 4
C 5 to 8
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).
B Vegetation diversity is low or has > 10% to 50% cover of exotics.
C Vegetation is dominated by exotic species (>50% cover of exotics).
Well
WC
Loosely
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.
A ≥ 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.
A A Canopy closed, or nearly closed, with natural gaps associated with natural processes
B B Canopy present, but opened more than natural gaps
C C Canopy sparse or absent
A A Dense mid-story/sapling layer
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).
B Not A
19.Diameter Class Distribution – wetland type condition metric (skip for all marshes)
A Majority of canopy trees have stems > 6 inches in diameter at breast height (DBH); many large trees (> 12 inches DBH) are
present.
B 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
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.
B 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.
AA WT
Notes CanopyMid-StoryShrubHerb
Notes on Field Assessment Form (Y/N)
Presence of regulatory considerations (Y/N)
Wetland is intensively managed (Y/N)
Assessment area is located within 50 feet of a natural tributary or other open water (Y/N)
Assessment area is substantially altered by beaver (Y/N)
Assessment area experiences overbank flooding during normal rainfall conditions (Y/N)
Assessment area is on a coastal island (Y/N)
Sub-function Rating Summary
Function Sub-function Metrics
Hydrology Surface Storage and Retention Condition
Sub-Surface Storage and Retention Condition
Water Quality Pathogen Change Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Particulate Change Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Soluble Change Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Physical Change Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Pollution Change Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Habitat Physical Structure Condition
Landscape Patch Structure Condition
Vegetation Composition Condition
Function Rating Summary
Function Metrics/Notes
Hydrology Condition
Water Quality Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Habitat Condition
Overall Wetland Rating
Rating
NA
NA
NO
NO
NO
YES
NO
NO
NC WAM Wetland Rating Sheet
Wetland Type
Wetland Site Name WD
N. Howell - Three Oaks EngSeep
Date
Assessor Name/Organization
4/15/19
Accompanies User Manual Version 5.0
HIGH
HIGH
NA
NA
HIGH
HIGH
HIGH
Rating
HIGH
HIGH
NA
NA
NA
NO
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
USACE AID#:NCDWR #:
Yes No
Evidence of stressors affecting the assessment area (may not be within the assessment area)
Please circle and/or make note on last page if evidence of stressors is apparent. Consider departure from reference, if
appropriate, in recent past (for instance, approximately within 10 years). Noteworthy stressors include, but are not limited
to the following.
•
•
•
•
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 HQW, 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)Lu 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 of an effect.
GS
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
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 for each group below. 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 foot 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
Piedmont
River Basin
Applicant/Owner Name NCDOT
17BP.9.R.79
03040103
Winston-SalemNCDWR RegionCounty
Yadkin-PeeDee
Davidson
USGS 8-Digit Catalogue Unit
NC WAM WETLAND ASSESSMENT FORM
Accompanies User Manual Version 5
Pounder Fork
N. Howell - Three Oaks Eng.
WE
4/15/19Date of Evaluation
Wetland Site Name
Assessor Name/Organization
Nearest Named Water Body
Project Name
Wetland Type Bottomland Hardwood Forest
Level III Ecoregion
Hydrological modifications (examples: ditches, dams, beaver dams, dikes, berms, ponds, etc.)
Latitude/Longitude (deci-degrees)
Habitat/plant community alteration (examples: mowing, clear-cutting, exotics, etc.)
Surface and sub-surface discharges into the wetland (examples: discharges containing obvious pollutants, presence of nearby
Sub
VS
septic tanks, underground storage tanks (USTs), hog lagoons, etc.)
Precipitation within 48 hrs?
Signs of vegetation stress (examples: vegetation mortality, insect damage, disease, storm damage, salt intrusion, etc.)
35.759995, -80.224902
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 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). Effective riparian buffers
are considered to be 50 feet wide in the Coastal Plain and Piedmont ecoregions and 30 feet wide in the Blue Ridge Mountains ecoregion.
WS 5M 2M
A A A ≥ 10% impervious surfaces
B B B Confined animal operations (or other local, concentrated source of pollutants)
C 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
F F F ≥ 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 dainage and/or overbank flow from affectio 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.
7b.How much of the first 50 feet from the bank is weltand? (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 tributary 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
Check a box in each column. 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 F From 15 to < 30 feet
G G From 5 to < 15 feet
H H < 5 feet
Forest only)
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).
A 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 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
F F F 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 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
evaluates whether the wetland is well connected (Well) and/or loosely connected (Loosely) to the landscape patch, the contiguous
metric 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, fields (pasture open and agriculture), or water > 300 feet wide.
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
F F 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 directiions? If the assessment area is clear-cut,
select option "C."
A 0
B 1 to 4
C 5 to 8
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).
B Vegetation diversity is low or has > 10% to 50% cover of exotics.
C Vegetation is dominated by exotic species (>50% cover of exotics).
Well
WC
Loosely
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.
A ≥ 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.
A A Canopy closed, or nearly closed, with natural gaps associated with natural processes
B B Canopy present, but opened more than natural gaps
C C Canopy sparse or absent
A A Dense mid-story/sapling layer
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).
B Not A
19.Diameter Class Distribution – wetland type condition metric (skip for all marshes)
A Majority of canopy trees have stems > 6 inches in diameter at breast height (DBH); many large trees (> 12 inches DBH) are
present.
B 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
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.
B 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.
AA WT
Notes CanopyMid-StoryShrubHerb
Notes on Field Assessment Form (Y/N)
Presence of regulatory considerations (Y/N)
Wetland is intensively managed (Y/N)
Assessment area is located within 50 feet of a natural tributary or other open water (Y/N)
Assessment area is substantially altered by beaver (Y/N)
Assessment area experiences overbank flooding during normal rainfall conditions (Y/N)
Assessment area is on a coastal island (Y/N)
Sub-function Rating Summary
Function Sub-function Metrics
Hydrology Surface Storage and Retention Condition
Sub-Surface Storage and Retention Condition
Water Quality Pathogen Change Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Particulate Change Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Soluble Change Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Physical Change Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Pollution Change Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Habitat Physical Structure Condition
Landscape Patch Structure Condition
Vegetation Composition Condition
Function Rating Summary
Function Metrics/Notes
Hydrology Condition
Water Quality Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Habitat Condition
Overall Wetland Rating
NA
LOW
LOW
NO
NA
YES
NA
YES
HIGH
HIGH
YES
HIGH
YES
MEDIUM
MEDIUM
HIGH
HIGH
LOW
Rating
HIGH
HIGH
HIGH
HIGH
HIGH
YES
HIGH
NC WAM Wetland Rating Sheet
Wetland Type
Wetland Site Name WE
N. Howell - Three Oaks EngBottomland Hardwood Forest
Date
Assessor Name/Organization
4/15/19
Accompanies User Manual Version 5.0
Rating
HIGH
MEDIUM
NO
NO
NO
NO
NO
NO

Appendix C

JD Request Form
PJD Form

Jurisdictional Determination Request
Version: May 2017
Page 1

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:
http://www.saw.usace.army.mil/Missions/RegulatoryPermitProgram/Contact/CountyLocator.aspx,
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
FIELDOFFICES
US ArmyCorps of Engineers
151 Patton Avenue,Room 208
Asheville, North Carolina28801-5006
GeneralNumber: [phone]
Fax Number: [phone]
RALEIGHREGULATORYFIELDOFFICE
US ArmyCorps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina27587
GeneralNumber: [phone]
Fax Number: [phone]
WASHINGTONREGULATORYFIELDOFFICE
US ArmyCorps of Engineers
2407 West Fifth Street
Washington, North Carolina27889
GeneralNumber: [phone]
Fax Number: [phone]
WILMINGTONREGULATORYFIELDOFFICE
US ArmyCorps of Engineers
69 Darlington Avenue
Wilmington, North Carolina 28403
GeneralNumber:910-251-4633
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 REQUESTS: Propertyowner 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.
Jurisdictional Determination Request
Version: May 2017
Page 2
A. PARCEL INFORMATION
Street Address: _______________________________________________
City, State: _______________________________________________
County:
Parcel Index Number(s) (PIN):
B. REQUESTORINFORMATION
Name:
Mailing Address:
_________________________________________
Telephone Number: _________________________________________
Electronic Mail Address: ________________________________________
Select one:
I am the current property owner.
I am an Authorized Agent or Environmental Consultant
1
Interested Buyer or Under Contract to Purchase
Other, please explain. ________________________________________
__________________________________________________________
C. PROPERTY OWNER INFORMATION
2
Name:
Mailing Address:
Telephone Number:
Electronic Mail Address:
_______________________________________________________________________________________________________________________
1 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).
Multiple Parcels
Lexington, NC
Davidson
Multiple PIN's
Amy Euliss
375 Silas Creek Parkway
Winston-Salem, NC 27127
[phone]
[e-mail]
Multiple Property Owners
✔
Jurisdictional Determination Request
Version: May 2017
Page 3

D. PROPERTY ACCESS CERTIFICATION
3,4
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 Agent5
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 underCorpsauthority.
I intendto construct/develop a project or perform activities on this parcelwhich may
require authorization from the Corps, andthe JDwould beusedto avoid and minimize
impacts tojurisdictional aquatic resources and as aninitialstep in a future permitting
process.
I intendto construct/develop a project or perform activities on this parcelwhich 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 intendto 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.
A 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.
4 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).
✔
Jurisdictional Determination Request
Version: May 2017
Page 4

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.
Size of Property or Review Area acres.
The property boundary (or review area boundary) is clearly physically marked on the site.
9.0
✔
✔
✔
Jurisdictional Determination Request
Version: May 2017
Page 5

H. REQUESTS FROM CONSULTANTS
Project Coordinates (Decimal Degrees): Latitude: ______________________
Longitude: ______________________
A legible delineation map depicting the aquatic resources and the property/review area.
Delineation maps must be no larger than 11x17 and should contain the following: (Corps
signature of submitted survey plats will occur after the submitted delineation map has been
reviewed and approved).6
ƒNorth Arrow
ƒGraphical Scale
ƒBoundary of Review Area
ƒDate
ƒLocation of data points for each Wetland Determination Data Form or tributary
assessment reach.
For Approved Jurisdictional Determinations:
ƒJurisdictional wetland features should be labeled as Wetland Waters of the US, 404
wetlands, etc. Please include the acreage of these features.
ƒJurisdictional 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.
ƒIsolated 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:
ƒWetland 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.
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.army.mil/Missions/Regulatory-Permit-
Program/Jurisdiction/
35.760246
-80.224199✔
✔
✔
Jurisdictional Determination Request
Version: May 2017
Page 6

Completed appropriate Jurisdictional Determination form
x PJDs,please complete a Preliminary Jurisdictional Determination Form7 and include the
Aquatic Resource Table
x AJDs, please complete an Approved Jurisdictional Determination Form
8
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
NC Division of Water Resources Stream Identification Forms
Other Assessment Forms
_____________________________________________________________________________
7 www.saw.usace.army.mil/Portals/59/docs/regulatory/regdocs/JD/RGL_08-02_App_A_Prelim_JD_Form_fillable.pdf
8 Please see http://www.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Jurisdiction/
Principal Purpose:The information thatyouprovide will beusedinevaluating your request to determine
whether thereareany aquatic resources within the project areasubjecttofederaljurisdictionunder the regulatory
authorities referencedabove.
RoutineUses:Thisinformation maybeshared with theDepartmentof Justice andotherfederal, state,and local
government agencies, and the public,andmaybe made available aspartof a public notice as required byfederal
law. Your nameandproperty location wherefederal jurisdiction is to bedetermined will beincluded in the
approved jurisdictional determination (AJD),which will bemade available tothe public on the District's website
andontheHeadquartersUSAGEwebsite.
Disclosure:Submission ofrequested information is voluntary; however, ifinformation is notprovided, the
requestforanAJD cannot beevaluatednorcananAJD be issued.
✔
✔
✔
✔
✔
✔
Appendix 2 - PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
A.REPORT COMPLETION DATE FOR PJD:
B.NAME AND ADDRESS OF PERSON REQUESTING PJD:
C.DISTRICT OFFICE, FILE NAME, AND NUMBER:
D.PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES AND/OR
AQUATIC RESOURCES AT DIFFERENT SITES)
State: County/parish/borough: City:
Center coordinates of site (lat/long in degree decimal format):
Lat.:Long.:
Universal Transverse Mercator:
Name of nearest waterbody:
E.REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
Office (Desk) Determination. Date:
Field Determination. Date(s):
TABLE OF AQUATIC RESOURCES IN REVIEW AREA WHICH “MAY BE”SUBJECT TO REGULATORY
JURISDICTION.
Site
number
Latitude
(decimal
degrees)
Longitude
(decimal
degrees)
Estimated amount
of aquatic resource
in review area
(acreage and linear
feet, if applicable)
Type of aquatic
resource (i.e., wetland
vs. non-wetland
waters)
Geographic authority
to which the aquatic
resource “may be”
subject (i.e., Section
404 or Section 10/404)
SEE ATTACHED LIST
6/20/2019
Amy Euliss, 375 Silas Creek Parkway, Winston-Salem, NC 27127
NC Davidson Lexington
35.760246 -80.224199
17
Pounder Fork
1) The Corps of Engineers believes that there may be jurisdictional aquatic resources in
the review area, and the requestor of this PJD is hereby advised of his or her option
to request and obtain an approved JD (AJD) for that review area based on an
informed decision after having discussed the various types of JDs and their
characteristics and circumstances when they may be appropriate.
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 AJD for the
activity, the permit applicant is hereby made aware that: (1) the permit applicant has
elected to seek a permit authorization based on a PJD, which does not make an
official determination of jurisdictional aquatic resources; (2) the applicant has the
option to request an AJD before accepting the terms and conditions of the permit
authorization, and that basing a permit authorization on an AJD could possibly result
in less compensatory mitigation being required or different special conditions; (3) 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) 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) undertaking any activity in reliance upon the subject
permit authorization without requesting an AJD constitutes the applicant’s acceptance
of the use of the PJD; (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 PJD constitutes agreement that all aquatic resources in the
review area affected in any way by that activity will be treated as jurisdictional, and
waives 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 AJD or a PJD, the JD will be processed
as soon as practicable. Further, an AJD, 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. If, during an administrative appeal, it
becomes appropriate to make an official determination whether geographic
jurisdiction exists over aquatic resources in the review area, or toprovideanofficial
delineation of jurisdictional aquatic resources in the review area, the Corps will
provide an AJD to accomplish that result, as soon as is practicable. This PJD finds
that there “may be” waters of the U.S. and/or that there “may be”navigable waters of
the U.S. on the subject review area, and identifies all aquatic features in the review
area that could be affected by the proposed activity, based on the following
information:
SUPPORTING DATA. Data reviewed for PJD (check all that apply)
Checked items should be included in subject file. Appropriately reference sources
below where indicated for all checked items:
Maps, plans, plots or plat submitted by or on behalf of the PJD requestor:
Map: ________________BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB.
Data sheets prepared/submitted by or on behalf of the PJD requestor.
Office concurs with data sheets/delineation report.
Office does not concur with data sheets/delineation report. Rationale: _______BBBBBBBBBBBB.
Data sheets prepared by the Corps:________BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB.
Corps navigable waters’ study: ____________BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB.
U.S. Geological Survey Hydrologic Atlas: ________BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB.
USGS NHD data.
USGS 8 and 12 digit HUC maps.
U.S. Geological Survey map(s). Cite scale & quad name: _________BBBBBBBBBBBBBBBBBBBBBB.
Natural Resources Conservation Service Soil Survey. Citation: __________BBBBBBBBBBBBBBBBB.
National wetlands inventory map(s). Cite name: ________BBBBBBBBBBBBBBBBBBBBBBBBBBBBBB.
State/local wetland inventory map(s): ____________BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB.
FEMA/FIRM maps: ________________BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB.
100-year Floodplain Elevation is: ____BBBBBBBBBBBB.(National Geodetic Vertical Datum of 1929)
Photographs: Aerial (Name & Date): ______BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB.
or Other (Name & Date): ______BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB.
Previous determination(s). File no. and date of response letter: __________BBBBBBBBBBBBBBBB.
Other information (please specify): ______________BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB.
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 staff member person requesting PJD
completing PJD (REQUIRED, unless obtaining
the signature is impracticable)
1
1 Districts may establish timeframes for requestor to return signed PJD forms. If the requestor does not respond
within the established time frame, the district may presume concurrence and no additional follow up is
necessary prior to finalizing an action.
Vicinity Map, Topo Map, Jurisdictional Features Map
1:24,000 2016 Lexington East, NC
1994 Davidson County Soil Survey
6-24-19
Aquatic resources in the review area which “may be” subject to regulatory jurisdiction
Site
Number Latitude Longitude
Estimated
amount of
aquatic
resource in
review area
(lf. & ac.)
Type of aquatic
resource
Geographic
authority to
which the
aquatic resource
“may be”
subject
Pounder
Fork 35.760187 -80.224236 232
Non-wetland,
Potential Perennial
Stream
Section 404
SA 35.760579 -80.223866 794
Non-wetland,
Potential Perennial
Stream
Section 404
SB 35.761912 -80.222812 21
Non-wetland,
Potential
Intermittent
Stream
Section 404
SD 35.759290 -80.225827 143
Non-wetland,
Potential Perennial
Stream
Section 404
WA 35.761678 -80.222952 0.02 Potential Wetland Section 404
WB 35.760737 -80.223936 0.01 Potential Wetland Section 404
WC 35.760300 -80.223739 0.04 Potential Wetland Section 404
WD 35.759360 -80.225763 <0.01 Potential Wetland Section 404
WE 35.759995 -80.224902 0.10 Potential Wetland Section 404
WF 35.760091 -80.224621 0.02 Potential Wetland Section 404