U5969_PJD_Draft_reduced_size

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

Jurisdictional Determination Request
A. PARCEL INFORMATION
Street Address: US 501 (Madison Blvd.) STIP Proiect U-5969
City, State: Roxboro, North Carolina
County: Person
Parcel Index Number(s) (PIN): N/A Linear Transportation Project
B. REQUESTOR INFORMATION
Name: Chris Murray, Division 5, NCDOT
Mailing Address: 2612 North Duke Street
Durham, NC 27704
Telephone Number: 919-220-4600
Electronic Mail Address: [e-mail]
Select one:
I am the current property owner.
❑ I am an Authorized Agent or Environmental Consultant'
ZInterested Buyer or Under Contract to Purchase
❑ Other,please explain.
C. PROPERTY OWNER INFORMATION
Name:
Mailing Address: 2612 North Duke Street
Durham, NC 27704
Telephone Number: 919-220-4600
Electronic Mail Address: [e-mail]
ncdot.goy
' 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).
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Jurisdictional Determination Request
D. PROPERTY ACCESS CERTIFICATION',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. 1,the
undersigned, am either a duly authorized owner of record of the property identified herein, or
acting as the duly authorized agent of the owner of record of the property.
Print Name
Capacity: ❑ Owner ❑Authorized Agents
Date
Signature
E. REASON FOR JD REQUEST: (Check as many as applicable)
❑ 1 intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all aquatic resources.
❑ I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all jurisdictional aquatic resources under Corps authority.
✓❑ I intend to construct/develop a projector perform activities on this parcel which may
require authorization from the Corps, and the JD would be used to avoid and minimize
impacts to jurisdictional aquatic resources and as an initial step in a future permitting
process.
❑ I intend to construct/develop a projector perform activities on this parcel which may
require authorization from the Corps; this request is accompanied by my permit application
and the JD is to be used in the permitting process.
❑ I intend to construct/develop a project or perform activities in a navigable water of the
U.S. which is included on the district Section 10 list and/or is subject to the ebb and flow of
the tide.
❑ 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.
a If there are multiple parcels owned by different parties,please provide the following for each additional parcel on a
continuation sheet.
s Must provide agent authorization form/letter signed by owner(s).
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Jurisdictional Determination Request
F. JURISDICTIONAL DETERMINATION(JD)TYPE (Select One)
❑� I am requesting that the Corps provide a preliminary JD for the property identified herein.
A Preliminary Jurisdictional Determination(PJD)provides an indication that there may
be "waters of the United States"or"navigable waters of the United States"on a property.
PJDs are sufficient as the basis for permit decisions. For the purposes of permitting, all
waters and wetlands on the property will be treated as if they are jurisdictional "waters of
the United States". PJDs cannot be appealed(33 C.F.R. 331.2); however, a PJD is
"preliminary"in the sense that an approved JD can be requested at any time. PJDs do
not expire.
❑ I am requesting that the Corps provide an approved JD for the property identified herein.
An Approved Jurisdictional Determination(AJD) is a determination that
jurisdictional "waters of the United States"or"navigable waters of the United
States" are either present or absent on a site. An approved JD identifies the limits of
waters on a site determined to be jurisdictional under the Clean Water Act and/or
Rivers and Harbors Act. Approved JDs are sufficient as the basis for permit
decisions. AJDs are appealable (33 C.F.R. 331.2). The results of the AJD will be
posted on the Corps website. A landowner,permit applicant, or other"affected
party" (33 C.F.R. 331.2)who receives an AJD may rely upon the AJD for five years
(subject to certain limited exceptions explained in Regulatory Guidance Letter 05-
02).
❑ I am unclear as to which JD I would like to request and require additional information
to inform my decision.
G. ALL REQUESTS
Map of Property or Project Area. This Map must clearly depict the boundaries of the
review area.
Size of Property or Review Area 106 acres.
❑ The property boundary(or review area boundary) is clearly physically marked on the site.
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Jurisdictional Determination Request
H. REQUESTS FROM CONSULTANTS
Project Coordinates (Decimal Degrees): Latitude: 36.387933
Longitude: -78.988011
A legible delineation map depicting the aquatic resources and the property/review area.
Delineation maps must be no larger than I Ix17 and should contain the following: (Corps
signature of submitted survey plats will occur after the submitted delineation map has been
reviewed and approved).6
■ North Arrow
■ Graphical Scale
■ Boundary of Review Area
■ Date
■ Location of data points for each Wetland Determination Data Form or tributary
assessment reach.
For Approved Jurisdictional Determinations:
■ Jurisdictional wetland features should be labeled as Wetland Waters of the US, 404
wetlands, etc. Please include the acreage of these features.
■ Jurisdictional non-wetland features (i.e. tidal/navigable waters, tributaries,
impoundments) should be labeled as Non-Wetland Waters of the US, stream, tributary,
open water, relatively permanent water,pond, etc. Please include the acreage or linear
length of each of these features as appropriate.
■ Isolated waters, waters that lack a significant nexus to navigable waters, or non-
jurisdictional upland features should be identified as Non-Jurisdictional. Please
include a justification in the label regarding why the feature is non jurisdictional (i.e.
"Isolated", "No Significant Nexus", or"Upland Feature"). Please include the acreage
or linear length of these features as appropriate.
For Preliminary Jurisdictional Determinations:
■ Wetland and non-wetland features should not be identified as Jurisdictional, 404,
Waters of the United States, or anything that implies jurisdiction. These features can be
identified as Potential Waters of the United States, Potential Non-wetland Waters of
the United States, wetland, stream, open water, etc. Please include the acreage and
linear length of these features as appropriate.
❑ 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/Re ulatory-Permit-
Pro gram/Jurisdiction/
Version:May 2017 Page 5

Jurisdictional Determination Request
Completed appropriate Jurisdictional Determination form
• PJDs,please complete a Preliminary Jurisdictional Determination Form'and include the
Aquatic Resource Table
• AJDs,please complete an Approved Jurisdictional Determination Form'
Vicinity Map
a Aerial Photograph
USGS Topographic Map
El 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)
❑ NCWAM and/or NCWAM Assessment Forms and Rating Sheets
❑� NC Division of Water Resources Stream Identification Forms
❑ Other Assessment Forms
' www.saw.usace.gM.mil/Portals/59/docs/regulatoM/regdocs/JD/RGL 08-02_App_A_Prelim_JD_Form_fillable.pdf
' Please see http://www.saw.usace.army.mil/Missions/Re ug latory-Permit-Proaram/Jurisdiction/
Principal Purpose:The information that you provide will be used in evaluating your request to determine
whether there are any aquatic resources within the project area subject to federal jurisdiction under the regulatory
authorities referenced above.
Routine Uses:This information may be shared with the Department of Justice and other federal,state,and local
government agencies,and the public,and may be made available as part of a public notice as required by federal
law.Your name and property location where federal jurisdiction is to be determined will be included in the
approved jurisdictional determination(AJD),which will be made available to the public on the District's website
and on the Headquarters USAGE website.
Disclosure:Submission of requested information is voluntary;however,if information is not provided,the
request for an AJD cannot be evaluated nor can an AJD be issued.
Version:May 2017 Page 6

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: North Carolina County/parish/borough: Person City: Roxboro
Center coordinates of site (lat/long in degree decimal format):
Lat.: 36.387933 Long.: -78.988011
Universal Transverse Mercator: NAD83
Name of nearest waterbody: Tanyard Branch
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 Latitude Longitude Estimated amount Type of aquatic Geographic authority
number (decimal (decimal of aquatic resource resource (i.e.,wetland to which the aquatic
degrees) degrees) in review area vs. non-wetland resource "may be"
(acreage and linear waters) subject (i.e., Section
feet, if applicable) 404 or Section 10/404)

Table of Aquatic Resources in the Review Area Which "May Be" Subject to Regulatory Jurisdiction
Estimated amount of Geographic
Latitude Longitude aquatic resource in Type of aquatic resource authority to which
the aquatic resource
Site Number (decimal (decimal review area (acreage (i.e., wetland vs. non-
"may be" subject
degrees) degrees) and linear feet, if wetland waters)
(i.e., Section 404 or
applicable)
Section 10/404)
SA 36.373061 -78.982883 181 linear feet non-wetland waters 404
SB 36.373785 -78.98289 75 linear feet non-wetland waters 404
SC 36.374812 -78.983017 52 linear feet non-wetland waters 404
SD-Tanyard
36.403291 -78.980468 148 linear feet non-wetland waters 404
Branch
WA 36.372964 -78.983002 0.01 acre wetland 404
WB 36.373168 -78.9829 0.06 acre wetland 404
WC 36.37365 -78.982969 0.05 acre wetland 404
WD 36.373875 -78.982994 0.03 acre wetland 404
WE 36.387893 -78.987875 0.09 acre wetland 404
WF 36.388392 -78.988081 0.01 acre wetland 404
WG 36.400181 -78.982577 0.12 acre wetland 404

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 to provide an official
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:Provided by Atkins
❑■ 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:
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
❑ U.S. Geological Survey Hydrologic Atlas:
❑m USGS NHD data.
0 USGS 8 and 12 digit HUC maps.
❑■ U.S. Geological Survey map(s). Cite scale & quad name: 1 :24,000 Timberlake/Roxboro
❑m Natural Resources Conservation Service Soil Survey. Citation:
❑ National wetlands inventory map(s). Cite name:
❑ State/local wetland inventory map(s):
❑ FEMA/FIRM maps:
❑ 100-year Floodplain Elevation is: .(National Geodetic Vertical Datum of 1929)
❑■ Photographs: ❑■ Aerial (Name & Date): NC ONE Map 2017
or ❑ Other (Name & Date):
❑ Previous determination(s). File no. and date of response letter:
❑ Other information (please specify):
IMPORTANT NOTE: The information recorded on this form has not necessarily
been verified by the Corps and should not be relied upon for later jurisdictional
determinations.
Signature and date of Signature and date of
Regulatory staff member person requesting PJD
completing PJD (REQUIRED, unless obtaining
the signature is impracticable)'
' 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.

Waters_Nam in_Code HGM_Code Meas_Type Amount Units Waters_Type LatituUc Longitude Local_Waterway
SA-UT1 to North Flat River NORTH CAROLINA R4 RIVERINE Linear 181 FOOT RPW 36.37306100 -78.98288300 North Flat River
SB-UT2 to North Flat River NORTH CAROLINA R3 RIVERINE Linear 75 FOOT RPW 36.37378500 -78.98289000 North Flat River
SC-UT3 to North Flat River NORTH CAROLINA R4 RIVERINE Linear 52 FOOT RPW 36.37481200 -78.98301700 North Flat River
SD-Tanyard Branch NORTH CAROLINA R3 RIVERINE Linear 148 FOOT RPW 36.40329100 -78.98046800 Tanyard Branch
WA NORTH CAROLINA PFO RIVERINE Area 0.01 ACRE RPWWN 36.37296400 -78.98300200 North Flat River
WB NORTH CAROLINA PFO RIVERINE Area 0.06 ACRE RPWWD 36.37316800 -78.98290000 North Flat River
WC NORTH CAROLINA PFO RIVERINE Area 0.05 ACRE RPWWD 36.37365000 -78.98296900 North Flat River
WD NORTH CAROLINA PFO RIVERINE Area 0.03 ACRE RPWWD 36.37387500 -78.98299400 North Flat River
WE NORTH CAROLINA PFO RIVERINE Area 0.09 ACRE RPWWN 36.38789300 -78.98787500 Tanyard Branch
WF NORTH CAROLINA PFO RIVERINE Area 0.01 ACRE RPWWN 36.38839200 -78.98808100 Tanyard Branch
WG NORTH CAROLINA PFO RIVERINE Area 0.12 ACRE RPWWD 36.40018100 -78.98257700 Tanyard Branch

Characteristics of streams in the study area
Length Compensatory Mitigation River Basin
Map ID Classification HUC
(ft.) Required Buffer
SA 181 Intermittent Undetermined Not Subject 3020201
SB 75 Perennial Undetermined Subject 3020201
Sc 52 Intermittent Undetermined Not Subject 3020201
SD-Tanyard Branch 148 Perennial Undetermined Not Subject 3010104
Total 456

Characteristics of wetlands in the study area
Map ID NCWAM Classification NCWAM Hydrologic Area (ac.) in
Rating Classification Study Area
WA Headwater Forest Low Riparian 0.01
WB Headwater Forest Low Riparian 0.06
WC Headwater Forest Low Riparian 0.05
WD Headwater Forest Low Riparian 0.03
WE Headwater Forest Low Riparian 0.09
WF Headwater Forest Low Riparian 0.01
WG Bottomland Hardwood Forest Medium Riparian 0.12
Total 0.37

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WETLAND DETERMINATION DATA FORM— Eastern Mountains and Piedmont Region
Project/Site: US 501 (Madison Blvd.)STIP Project U-5969 City/County: Person Sampling Date: 5-3-2018
Applicant/Owner: NCDOT State: NC Sampling Point: BF02
Investigator(s): B.Cogdell/R.Gresham Section,Township,Range: Timberlake 1:24000 USGS Quad
Landform(hillslope,terrace,etc.): hillslope Local relief(concave,convex,none): Convex Slope(%): 6-10
Subregion(LRR or MLRA): LRRP Lat: 36.373168 Long: -78.9829 Datum: NAD83
Soil Map Unit Name: ApC-Applinq Sandy Loam NWI classification: N/A
Are climatic/hydrologic conditions on the site typical for this time of year? Yes x No (If no,explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are"Normal Circumstances"present? Yes No
Are Vegetation Soil or Hydrology naturally problematic? (If needed,explain any answers in Remarks.)
SUMMARY OF FINDINGS—Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No Is the Sampled Area
Hydric Soil Present? Yes No within a Wetland? Yes No
Wetland Hydrology Present? Yes No
Remarks:
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators(minimum of two required)
Primary Indicators(minimum of one is required:check all that apply) _ Surface Soil Cracks(136)
Surface Water(Al) _ True Aquatic Plants(B14) _ Sparsely Vegetated Concave Surface(B8)
High Water Table(A2) _ Hydrogen Sulfide Odor(Cl) _ Drainage Patterns(1310)
Saturation(A3) _ Oxidized Rhizospheres on Living Roots(C3) _ Moss Trim Lines(B16)
Water Marks(131) _ Presence of Reduced Iron(C4) _ Dry-Season Water Table(C2)
Sediment Deposits(62) _ Recent Iron Reduction in Tilled Soils(C6) _ Crayfish Burrows(C8)
Drift Deposits(133) _ Thin Muck Surface(C7) _ Saturation Visible on Aerial Imagery(C9)
Algal Mat or Crust(64) _ Other(Explain in Remarks) _ Stunted or Stressed Plants(D1)
Iron Deposits(135) _ Geomorphic Position(D2)
Inundation Visible on Aerial Imagery(137) _ Shallow Aquitard(D3)
Water-Stained Leaves(139) _ Microtopographic Relief(D4)
Aquatic Fauna(613) _ FAC-Neutral Test(D5)
Field Observations:
Surface Water Present? Yes No Depth(inches):
Water Table Present? Yes No Depth(inches):
Saturation Present? Yes No Depth(inches): Wetland Hydrology Present? Yes No
includes capillary fringe)
Describe Recorded Data(stream gauge, monitoring well,aerial photos,previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont—Version 2.0

VEGETATION (Five Strata)-Use scientific names of plants. Sampling Point: BF02
Absolute Dominant Indicator Dominance Test worksheet:
Tree Stratum (Plot size:30-ft radius %Cover Species? Status Number of Dominant Species
1.1-iriodendron tulipifera 10 Yes FACU That Are OBL,FACW,or FAC: 2 (A)
2.
Total Number of Dominant
3. Species Across All Strata: 6 (g)
4.
Percent of Dominant Species
5. That Are OBL, FACW,or FAC: 33 (A/g)
6.
10 =Total Cover Prevalence Index worksheet:
Total%Cover of: Multiply by:
50%of total cover: 5 20%of total cover: 2
OBL species 0 x 1 = 0
Sapling Stratum (Plot size:15-ft radius )
Liriodendron tuli ifera FACW species 0 x 2= 0
1. p 5 Yes FACU
FAC species 10 x 3= 30
2.Liquidambar styraciflua 5 Yes FAC
FACU species 75 x 4= 300
3.
UPL species x 5=
4.
Column Totals: 85 (A) 330 (g)
5.
6. Prevalence Index =B/A= 3.9
10 =Total Cover Hydrophytic Vegetation Indicators:
50%of total cover: 5 20%of total cover: 2 _ 1 -Rapid Test for Hydrophytic Vegetation
Shrub Stratum (Plot size:15-ft radius ) _ 2-Dominance Test is>50%
1 Rosa multiflora 10 Yes FACU _ 3-Prevalence Index is 153.0'
2 Liquidambar styraciflua 5 Yes FAC _ 4-Morphological Adaptations' (Provide supporting
3. data in Remarks or on a separate sheet)
4. Problematic Hydrophytic Vegetation' (Explain)
5.
'Indicators of hydric soil and wetland hydrology must
6. be present, unless disturbed or problematic.
15 =Total Cover Definitions of Five Vegetation Strata:
50%of total cover: 7.5 20%of total cover: 3
Tree-Woody plants,excluding woody vines,
Herb Stratum (Plot size:15-ft radius ) approximately 20 ft(6 m)or more in height and 3 in.
1 Sorghum halepense 50 Yes FACU (7.6 cm)or larger in diameter at breast height(DBH).
2. Sapling-Woody plants,excluding woody vines,
3. approximately 20 ft(6 m)or more in height and less
4 than 3 in.(7.6 cm)DBH.
5. Shrub-Woody plants,excluding woody vines,
6 approximately 3 to 20 ft(1 to 6 m)in height.
7. Herb-All herbaceous(non-woody)plants,including
$ herbaceous vines,regardless of size,and woody
plants,except woody vines,less than approximately 3
9. ft(1 m)in height.
10.
11. Woody vine-All woody vines, regardless of height.
50 =Total Cover
50%of total cover: 25 20%of total cover: 10
Woody Vine Stratum (Plot size:30-ft radius )
1.
2.
3.
4.
5. Hydrophytic
0 =Total Cover Vegetation
50%of total cover: 20%of total cover: Present? Yes No x
Remarks: (Include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont-Version 2.0

SOIL Sampling Point: BF02
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color(moist) % Color(moist) % Type' Loc2 Texture Remarks
0-6 10YR 5/4 100 Clay Loam
6-18 10YR 4/4 80 10YR 4/6 20 C M Clay Loam
'Type: C=Concentration,D=Depletion,RM=Reduced Matrix,MS=Masked Sand Grains. 2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: Indicators for Problematic Hydric Soils3:
Histosol(Al) _ Dark Surface(S7) _ 2 cm Muck(A10)(MLRA 147)
Histic Epipedon(A2) _ Polyvalue Below Surface(S8)(MLRA 147,148) _ Coast Prairie Redox(A16)
Black Histic(A3) _ Thin Dark Surface(S9)(MLRA 147,148) (MLRA 147,148)
Hydrogen Sulfide(A4) _ Loamy Gleyed Matrix(F2) _ Piedmont Floodplain Soils(F19)
Stratified Layers(A5) _ Depleted Matrix(F3) (MLRA 136,147)
2 cm Muck(A10)(LRR N) _ Redox Dark Surface(F6) _ Very Shallow Dark Surface(TF12)
Depleted Below Dark Surface(A11) _ Depleted Dark Surface(F7) _ Other(Explain in Remarks)
Thick Dark Surface(Al2) _ Redox Depressions(F8)
Sandy Mucky Mineral(S1)(LRR N, _ Iron-Manganese Masses(F12)(LRR N,
MLRA 147,148) MLRA 136)
Sandy Gleyed Matrix(S4) _ Umbric Surface(F13)(MLRA 136,122) 3Indicators of hydrophytic vegetation and
Sandy Redox(S5) _ Piedmont Floodplain Soils(F19)(MLRA 148) wetland hydrology must be present,
_ Stripped Matrix(S6) _ Red Parent Material(F21)(MLRA 127, 147) unless disturbed or problematic.
Restrictive Layer(if observed):
Type:
Depth(inches): Hydric Soil Present? Yes No X
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont—Version 2.0

WETLAND DETERMINATION DATA FORM— Eastern Mountains and Piedmont Region
Project/Site: US 501 (Madison Blvd.)STIP Project U-5969 City/County: Person Sampling Date: 5-3-2018
Applicant/Owner: NCDOT State: NC Sampling Point:BF02
Investigator(s): B.Cogdell/R.Gresham Section,Township,Range: Timberlake 1:24000 USGS Quad
Landform(hillslope,terrace,etc.): Riparian/bottom land Local relief(concave,convex,none): Concave Slope(%): 6-10
Subregion(LRR or MLRA): LRRP Lat: 36.373168 Long: -78.9829 Datum: NAD83
Soil Map Unit Name: ApC-Applinq sandy loam NWI classification: PF01C
Are climatic/hydrologic conditions on the site typical for this time of year? Yes x No (If no,explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are"Normal Circumstances"present? Yes No
Are Vegetation Soil or Hydrology naturally problematic? (If needed,explain any answers in Remarks.)
SUMMARY OF FINDINGS—Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No Is the Sampled Area
Hydric Soil Present? Yes No within a Wetland? Yes No
Wetland Hydrology Present? Yes No
Remarks:
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators(minimum of two required)
Primary Indicators(minimum of one is required:check all that apply) _ Surface Soil Cracks(136)
Surface Water(Al) _ True Aquatic Plants(B14) _ Sparsely Vegetated Concave Surface(B8)
High Water Table(A2) _ Hydrogen Sulfide Odor(Cl) _ Drainage Patterns(1310)
Saturation(A3) _ Oxidized Rhizospheres on Living Roots(C3) _ Moss Trim Lines(B16)
Water Marks(131) _ Presence of Reduced Iron(C4) _ Dry-Season Water Table(C2)
Sediment Deposits(62) _ Recent Iron Reduction in Tilled Soils(C6) _ Crayfish Burrows(C8)
Drift Deposits(133) _ Thin Muck Surface(C7) _ Saturation Visible on Aerial Imagery(C9)
Algal Mat or Crust(64) _ Other(Explain in Remarks) _ Stunted or Stressed Plants(D1)
Iron Deposits(135) _ Geomorphic Position(D2)
Inundation Visible on Aerial Imagery(137) _ Shallow Aquitard(D3)
Water-Stained Leaves(139) _ Microtopographic Relief(D4)
Aquatic Fauna(613) _ FAC-Neutral Test(D5)
Field Observations:
Surface Water Present? Yes No Depth(inches):
Water Table Present? Yes No Depth(inches):
Saturation Present? Yes No Depth(inches): Wetland Hydrology Present? Yes No
includes capillary fringe)
Describe Recorded Data(stream gauge, monitoring well,aerial photos,previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont—Version 2.0

VEGETATION (Five Strata)-Use scientific names of plants. Sampling Point: BF02
Absolute Dominant Indicator Dominance Test worksheet:
Tree Stratum (Plot size:30-ft radius %Cover Species? Status Number of Dominant Species
1.1-iriodendron tulipifera 20 FACU That Are OBL, FACW,or FAC: 9 (A)
2.Liquidambar styraciflua 15 FAC
Total Number of Dominant
3.Salix nigra 10 OBL Species Across All Strata: (B)
4.Alnus serrulata 2 OBL
Percent of Dominant Species
5. That Are OBL, FACW,or FAC: (A/B)
6.
47 =Total Cover Prevalence Index worksheet:
Total%Cover of: Multiply by:
50%of total cover: 23.5 20%of total cover: 9.4 OBL species x 1 =
Sapling Stratum (Plot size:15-ft radius )
FACW species x 2=
1 Liquidambar styraciflua 10 Yes FAC
FAC species x 3=
2 Acer rubrum 5 FAC
3 Liriodendron tulipifera 5 FACU FACU species x 4=
UPL species x 5=
4.
Column Totals: (A) (B)
5.
6. Prevalence Index =B/A=
20 =Total Cover Hydrophytic Vegetation Indicators:
50%of total cover: 10 20%of total cover: 4 _ 1 -Rapid Test for Hydrophytic Vegetation
Shrub Stratum (Plot size:15-ft radius ) x 2-Dominance Test is>50%
1. Liquidambar styraciflua 15 Yes FAC _ 3-Prevalence Index is 153.0'
2 Alnus serrulata 5 Yes OBL _ 4-Morphological Adaptations' (Provide supporting
3. Ligustrum sinense 2 No FACU data in Remarks or on a separate sheet)
4. Problematic Hydrophytic Vegetation' (Explain)
5.
'Indicators of hydric soil and wetland hydrology must
6. be present, unless disturbed or problematic.
22 =Total Cover Definitions of Five Vegetation Strata:
50%of total cover: 11 20%of total cover: 4.4 Tree-Woody plants,excluding woody vines,
Herb Stratum (Plot size:15-ft radius ) approximately 20 ft(6 m)or more in height and 3 in.
1.Osmundastrum cinnamomeum 60 Yes FACW (7.6 cm)or larger in diameter at breast height(DBH).
2. Juncus effusus 10 No FACW
Sapling-Woody plants,excluding woody vines,
3. approximately 20 ft(6 m)or more in height and less
4 than 3 in.(7.6 cm)DBH.
5. Shrub-Woody plants,excluding woody vines,
6 approximately 3 to 20 ft(1 to 6 m)in height.
7. Herb-All herbaceous(non-woody)plants,including
$ herbaceous vines,regardless of size,and woody
plants,except woody vines,less than approximately 3
9. ft(1 m)in height.
10.
11. Woody vine-All woody vines, regardless of height.
70 =Total Cover
50%of total cover: 35 20%of total cover: 14
Woody Vine Stratum (Plot size:30-ft radius )
1,Toxicodendron radicans 15 Yes FAC
2.Campsis radicans 5 Yes FAC
3.
4.
5.
20 Hydrophytic
=Total Cover Vegetation
50%of total cover: 10 20%of total cover: 4 Present? Yes x No
Remarks: (Include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont-Version 2.0

SOIL Sampling Point: BF02
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color(moist) % Color(moist) % Type' Loc2 Texture Remarks
0-4 10YR 3/4 100 Clay Loam
4-12 10YR 5/1 100 Clay Loam
12-16+ 10YR 5/2 80 10YR 3/4 20 C M Sandy Clay Loam
'Type: C=Concentration,D=Depletion,RM=Reduced Matrix,MS=Masked Sand Grains. 2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: Indicators for Problematic Hydric Soils3:
Histosol(Al) _ Dark Surface(S7) _ 2 cm Muck(A10)(MLRA 147)
Histic Epipedon(A2) _ Polyvalue Below Surface(S8)(MLRA 147,148) _ Coast Prairie Redox(A16)
Black Histic(A3) _ Thin Dark Surface(S9)(MLRA 147,148) (MLRA 147,148)
Hydrogen Sulfide(A4) Loamy Gleyed Matrix(F2) _ Piedmont Floodplain Soils(F19)
Stratified Layers(A5) X Depleted Matrix(F3) (MLRA 136,147)
2 cm Muck(A10)(LRR N) _ Redox Dark Surface(F6) _ Very Shallow Dark Surface(TF12)
Depleted Below Dark Surface(A11) _ Depleted Dark Surface(F7) _ Other(Explain in Remarks)
Thick Dark Surface(Al2) _ Redox Depressions(F8)
Sandy Mucky Mineral(S1)(LRR N, _ Iron-Manganese Masses(F12)(LRR N,
MLRA 147,148) MLRA 136)
Sandy Gleyed Matrix(S4) _ Umbric Surface(F13)(MLRA 136,122) 3Indicators of hydrophytic vegetation and
Sandy Redox(S5) _ Piedmont Floodplain Soils(F19)(MLRA 148) wetland hydrology must be present,
_ Stripped Matrix(S6) _ Red Parent Material(F21)(MLRA 127, 147) unless disturbed or problematic.
Restrictive Layer(if observed):
Type:
Depth(inches): Hydric Soil Present? Yes X No
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont—Version 2.0

WETLAND DETERMINATION DATA FORM— Eastern Mountains and Piedmont Region
Project/Site: US 501 (Madison Blvd.)STIP Project U-5969 City/County: Person Sampling Date: 5-3-2018
Applicant/Owner: NCDOT State: NC Sampling Point: BD04
Investigator(s): B.Cogdell/R.Gresham Section,Township,Range: Timberlake 1:24000 USGS Quad
Landform(hillslope,terrace,etc.): hillslope Local relief(concave,convex,none): Convex Slope(%): 0-2
Subregion(LRR or MLRA): LRRP Lat: 36.37365 Long: -78.982969 Datum: NAD83
Soil Map Unit Name: ChA-Chewacla and Wehadkee soils NWI classification: N/A
Are climatic/hydrologic conditions on the site typical for this time of year? Yes x No (If no,explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are"Normal Circumstances"present? Yes No
Are Vegetation Soil or Hydrology naturally problematic? (If needed,explain any answers in Remarks.)
SUMMARY OF FINDINGS—Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No Is the Sampled Area
Hydric Soil Present? Yes No within a Wetland? Yes No
Wetland Hydrology Present? Yes No
Remarks:
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators(minimum of two required)
Primary Indicators(minimum of one is required:check all that apply) _ Surface Soil Cracks(136)
Surface Water(Al) _ True Aquatic Plants(B14) _ Sparsely Vegetated Concave Surface(B8)
High Water Table(A2) _ Hydrogen Sulfide Odor(Cl) _ Drainage Patterns(1310)
Saturation(A3) _ Oxidized Rhizospheres on Living Roots(C3) _ Moss Trim Lines(B16)
Water Marks(131) _ Presence of Reduced Iron(C4) _ Dry-Season Water Table(C2)
Sediment Deposits(62) _ Recent Iron Reduction in Tilled Soils(C6) _ Crayfish Burrows(C8)
Drift Deposits(133) _ Thin Muck Surface(C7) _ Saturation Visible on Aerial Imagery(C9)
Algal Mat or Crust(64) _ Other(Explain in Remarks) _ Stunted or Stressed Plants(D1)
Iron Deposits(135) _ Geomorphic Position(D2)
Inundation Visible on Aerial Imagery(137) _ Shallow Aquitard(D3)
Water-Stained Leaves(139) _ Microtopographic Relief(D4)
Aquatic Fauna(613) _ FAC-Neutral Test(D5)
Field Observations:
Surface Water Present? Yes No Depth(inches):
Water Table Present? Yes No Depth(inches):
Saturation Present? Yes No Depth(inches): Wetland Hydrology Present? Yes No
includes capillary fringe)
Describe Recorded Data(stream gauge, monitoring well,aerial photos,previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont—Version 2.0

VEGETATION (Five Strata)-Use scientific names of plants. Sampling Point: BD04
Absolute Dominant Indicator Dominance Test worksheet:
Tree Stratum (Plot size:30-ft radius %Cover Species? Status Number of Dominant Species
1.1-iriodendron tulipifera 10 Yes FACU That Are OBL,FACW,or FAC: 2 (A)
2.
Total Number of Dominant
3. Species Across All Strata: 6 (g)
4.
Percent of Dominant Species
5. That Are OBL, FACW,or FAC: 33 (A/g)
6.
10 =Total Cover Prevalence Index worksheet:
Total%Cover of: Multiply by:
50%of total cover: 5 20%of total cover: 2
OBL species 0 x 1 = 0
Sapling Stratum (Plot size:15-ft radius )
Liriodendron tuli ifera FACW species 0 x 2= 0
1. p 5 Yes FACU
FAC species 10 x 3= 30
2.Liquidambar styraciflua 5 Yes FAC
FACU species x 4= 300
3.
UPL species x 5=
4.
Column Totals: 85 (A) 330 (g)
5.
6. Prevalence Index =B/A= 3.9
10 =Total Cover Hydrophytic Vegetation Indicators:
50%of total cover: 5 20%of total cover: 2 _ 1 -Rapid Test for Hydrophytic Vegetation
Shrub Stratum (Plot size:15-ft radius ) _ 2-Dominance Test is>50%
1 Rosa multiflora 10 Yes FACU _ 3-Prevalence Index is 153.0'
2 Liquidambar styraciflua 5 Yes FAC _ 4-Morphological Adaptations' (Provide supporting
3. data in Remarks or on a separate sheet)
4. Problematic Hydrophytic Vegetation' (Explain)
5.
'Indicators of hydric soil and wetland hydrology must
6. be present, unless disturbed or problematic.
15 =Total Cover Definitions of Five Vegetation Strata:
50%of total cover: 7.5 20%of total cover: 3
Tree-Woody plants,excluding woody vines,
Herb Stratum (Plot size:15-ft radius ) approximately 20 ft(6 m)or more in height and 3 in.
1 Sorghum halepense 50 Yes FACU (7.6 cm)or larger in diameter at breast height(DBH).
2. Sapling-Woody plants,excluding woody vines,
3. approximately 20 ft(6 m)or more in height and less
4 than 3 in.(7.6 cm)DBH.
5. Shrub-Woody plants,excluding woody vines,
6 approximately 3 to 20 ft(1 to 6 m)in height.
7. Herb-All herbaceous(non-woody)plants,including
$ herbaceous vines,regardless of size,and woody
plants,except woody vines,less than approximately 3
9. ft(1 m)in height.
10.
11. Woody vine-All woody vines, regardless of height.
50 =Total Cover
50%of total cover: 25 20%of total cover: 10
Woody Vine Stratum (Plot size:30-ft radius )
1.
2.
3.
4.
5. Hydrophytic
0 =Total Cover Vegetation
50%of total cover: 20%of total cover: Present? Yes No x
Remarks: (Include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont-Version 2.0

SOIL Sampling Point: BD04
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color(moist) % Color(moist) % Type' Loc2 Texture Remarks
0-6 10YR 5/4 100 Clay Loam
6-18 10YR 4/4 80 10YR 4/6 20 C M Clay Loam
'Type: C=Concentration,D=Depletion,RM=Reduced Matrix,MS=Masked Sand Grains. 2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: Indicators for Problematic Hydric Soils3:
Histosol(Al) _ Dark Surface(S7) _ 2 cm Muck(A10)(MLRA 147)
Histic Epipedon(A2) _ Polyvalue Below Surface(S8)(MLRA 147,148) _ Coast Prairie Redox(A16)
Black Histic(A3) _ Thin Dark Surface(S9)(MLRA 147,148) (MLRA 147,148)
Hydrogen Sulfide(A4) _ Loamy Gleyed Matrix(F2) _ Piedmont Floodplain Soils(F19)
Stratified Layers(A5) _ Depleted Matrix(F3) (MLRA 136,147)
2 cm Muck(A10)(LRR N) _ Redox Dark Surface(F6) _ Very Shallow Dark Surface(TF12)
Depleted Below Dark Surface(A11) _ Depleted Dark Surface(F7) _ Other(Explain in Remarks)
Thick Dark Surface(Al2) _ Redox Depressions(F8)
Sandy Mucky Mineral(S1)(LRR N, _ Iron-Manganese Masses(F12)(LRR N,
MLRA 147,148) MLRA 136)
Sandy Gleyed Matrix(S4) _ Umbric Surface(F13)(MLRA 136,122) 3Indicators of hydrophytic vegetation and
Sandy Redox(S5) _ Piedmont Floodplain Soils(F19)(MLRA 148) wetland hydrology must be present,
_ Stripped Matrix(S6) _ Red Parent Material(F21)(MLRA 127, 147) unless disturbed or problematic.
Restrictive Layer(if observed):
Type:
Depth(inches): Hydric Soil Present? Yes No X
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont—Version 2.0

WETLAND DETERMINATION DATA FORM— Eastern Mountains and Piedmont Region
Project/Site: US 501 (Madison Blvd.)STIP Project U-5969 City/County: Person Sampling Date: 5-3-2018
Applicant/Owner: NCDOT State: NC Sampling Point: BD04
Investigator(s): B.Cogdell/R.Gresham Section,Township,Range: Timberlake 1:24000 USGS Quad
Landform(hillslope,terrace,etc.): Riparian/bottom land Local relief(concave,convex,none): Concave Slope(%): 0-2
Subregion(LRR or MLRA): LRRP Lat: 36.37365 Long: -78.982969 Datum: NAD83
Soil Map Unit Name:ChA-Chewacla and Wehadkee soils NWI classification: PF01C
Are climatic/hydrologic conditions on the site typical for this time of year? Yes x No (If no,explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are"Normal Circumstances"present? Yes No
Are Vegetation Soil or Hydrology naturally problematic? (If needed,explain any answers in Remarks.)
SUMMARY OF FINDINGS—Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No Is the Sampled Area
Hydric Soil Present? Yes No within a Wetland? Yes No
Wetland Hydrology Present? Yes No
Remarks:
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators(minimum of two required)
Primary Indicators(minimum of one is required:check all that apply) _ Surface Soil Cracks(136)
Surface Water(Al) _ True Aquatic Plants(B14) _ Sparsely Vegetated Concave Surface(B8)
High Water Table(A2) _ Hydrogen Sulfide Odor(Cl) _ Drainage Patterns(1310)
Saturation(A3) _ Oxidized Rhizospheres on Living Roots(C3) _ Moss Trim Lines(B16)
Water Marks(131) _ Presence of Reduced Iron(C4) _ Dry-Season Water Table(C2)
Sediment Deposits(62) _ Recent Iron Reduction in Tilled Soils(C6) _ Crayfish Burrows(C8)
Drift Deposits(133) _ Thin Muck Surface(C7) _ Saturation Visible on Aerial Imagery(C9)
Algal Mat or Crust(64) _ Other(Explain in Remarks) _ Stunted or Stressed Plants(D1)
Iron Deposits(135) _ Geomorphic Position(D2)
Inundation Visible on Aerial Imagery(137) _ Shallow Aquitard(D3)
Water-Stained Leaves(139) _ Microtopographic Relief(D4)
Aquatic Fauna(613) _ FAC-Neutral Test(D5)
Field Observations:
Surface Water Present? Yes No Depth(inches):
Water Table Present? Yes No Depth(inches):
Saturation Present? Yes No Depth(inches): Wetland Hydrology Present? Yes No
includes capillary fringe)
Describe Recorded Data(stream gauge, monitoring well,aerial photos,previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont—Version 2.0

VEGETATION (Five Strata)-Use scientific names of plants. Sampling Point: BD04
Absolute Dominant Indicator Dominance Test worksheet:
Tree Stratum (Plot size:30-ft radius %Cover Species? Status Number of Dominant Species
1.1-iriodendron tulipifera 20 Yes FACU That Are OBL, FACW,or FAC: (A)
2.Liquidambar styraciflua 15 Yes FAC
3.Salix nigra 10 Yes Total Number of Dominant
OBL Species Across All Strata: (B)
4.Alnus serrulata 2 No OBL
Percent of Dominant Species
5. That Are OBL, FACW,or FAC: (A/B)
6.
47 =Total Cover Prevalence Index worksheet:
Total%Cover of: Multiply by:
50%of total cover: 235 20%of total cover: 9'4 OBL species x 1 =
Sapling Stratum (Plot size:15-ft radius )
FACW species x 2=
1 Liquidambar styraciflua 10 Yes FAC
FAC species x 3=
2 Acer rubrum 5 Yes FAC
3 Liriodendron tulipifera 5 Yes FACU FACU species x 4=
UPL species x 5=
4.
Column Totals: (A) (B)
5.
6. Prevalence Index =B/A=
20 =Total Cover Hydrophytic Vegetation Indicators:
50%of total cover: 10 20%of total cover: 4 _ 1 -Rapid Test for Hydrophytic Vegetation
Shrub Stratum (Plot size:15-ft radius ) x 2-Dominance Test is>50%
1. Liquidambar styraciflua 15 Yes FAC _ 3-Prevalence Index is 153.0'
2 Alnus serrulata 5 Yes OBL _ 4-Morphological Adaptations' (Provide supporting
3. Ligustrum sinense 2 No FACU data in Remarks or on a separate sheet)
4. Problematic Hydrophytic Vegetation' (Explain)
5.
'Indicators of hydric soil and wetland hydrology must
6. be present, unless disturbed or problematic.
22 =Total Cover Definitions of Five Vegetation Strata:
50%of total cover: 11 20%of total cover: 4.4 Tree-Woody plants,excluding woody vines,
Herb Stratum (Plot size:15-ft radius ) approximately 20 ft(6 m)or more in height and 3 in.
1.Carex frankii 30 Yes OBL (7.6 cm)or larger in diameter at breast height(DBH).
2.Sorghum halepense 25 Yes FACU
Sapling-Woody plants,excluding woody vines,
3.Juncus effusus 5 No FACW approximately 20 ft(6 m)or more in height and less
4 than 3 in.(7.6 cm)DBH.
5. Shrub-Woody plants,excluding woody vines,
6 approximately 3 to 20 ft(1 to 6 m)in height.
7. Herb-All herbaceous(non-woody)plants,including
$ herbaceous vines,regardless of size,and woody
plants,except woody vines,less than approximately 3
9. ft(1 m)in height.
10.
11. Woody vine-All woody vines, regardless of height.
60 =Total Cover
50%of total cover: 30 20%of total cover: 12
Woody Vine Stratum (Plot size:30-ft radius )
1,Toxicodendron radicans 15 Yes FAC
2.Campsis radicans 5 Yes FAC
3.
4.
5.
20 Hydrophytic
=Total Cover Vegetation
50%of total cover: 10 20%of total cover: 4 Present? Yes x No
Remarks: (Include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont-Version 2.0

SOIL Sampling Point: BD04
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color(moist) % Color(moist) % Type' Loc2 Texture Remarks
0-4 10YR 3/4 100 Clay Loam
4-12 10YR 5/1 100 Clay Loam
12-16+ 10YR 5/2 80 10YR 3/4 20 C M Sandy Clay Loam
'Type: C=Concentration,D=Depletion,RM=Reduced Matrix,MS=Masked Sand Grains. 2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: Indicators for Problematic Hydric Soils3:
Histosol(Al) _ Dark Surface(S7) _ 2 cm Muck(A10)(MLRA 147)
Histic Epipedon(A2) _ Polyvalue Below Surface(S8)(MLRA 147,148) _ Coast Prairie Redox(A16)
Black Histic(A3) _ Thin Dark Surface(S9)(MLRA 147,148) (MLRA 147,148)
Hydrogen Sulfide(A4) Loamy Gleyed Matrix(F2) _ Piedmont Floodplain Soils(F19)
Stratified Layers(A5) X Depleted Matrix(F3) (MLRA 136,147)
2 cm Muck(A10)(LRR N) _ Redox Dark Surface(F6) _ Very Shallow Dark Surface(TF12)
Depleted Below Dark Surface(A11) _ Depleted Dark Surface(F7) _ Other(Explain in Remarks)
Thick Dark Surface(Al2) _ Redox Depressions(F8)
Sandy Mucky Mineral(S1)(LRR N, _ Iron-Manganese Masses(F12)(LRR N,
MLRA 147,148) MLRA 136)
Sandy Gleyed Matrix(S4) _ Umbric Surface(F13)(MLRA 136,122) 3Indicators of hydrophytic vegetation and
Sandy Redox(S5) _ Piedmont Floodplain Soils(F19)(MLRA 148) wetland hydrology must be present,
_ Stripped Matrix(S6) _ Red Parent Material(F21)(MLRA 127, 147) unless disturbed or problematic.
Restrictive Layer(if observed):
Type:
Depth(inches): Hydric Soil Present? Yes X No
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont—Version 2.0

WETLAND DETERMINATION DATA FORM— Eastern Mountains and Piedmont Region
Project/Site: City/County: Sampling Date:
Applicant/Owner: State: Sampling Point:
Investigator(s): Section,Township,Range: 1:24000 USGS Quad
Landform(hillslope,terrace,etc.): Local relief(concave,convex,none): Slope(%):
Subregion(LRR or MLRA): Lat: Long: Datum:
Soil Map Unit Name: NWI classification:
Are climatic/hydrologic conditions on the site typical for this time of year? Yes No (If no,explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are"Normal Circumstances"present? Yes No
Are Vegetation Soil or Hydrology naturally problematic? (If needed,explain any answers in Remarks.)
SUMMARY OF FINDINGS—Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No Is the Sampled Area
Hydric Soil Present? Yes No within a Wetland? Yes No
Wetland Hydrology Present? Yes No
Remarks:
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators(minimum of two required)
Primary Indicators(minimum of one is required:check all that apply) _ Surface Soil Cracks(136)
Surface Water(Al) _ True Aquatic Plants(B14) _ Sparsely Vegetated Concave Surface(B8)
High Water Table(A2) _ Hydrogen Sulfide Odor(Cl) _ Drainage Patterns(1310)
Saturation(A3) _ Oxidized Rhizospheres on Living Roots(C3) _ Moss Trim Lines(B16)
Water Marks(131) _ Presence of Reduced Iron(C4) _ Dry-Season Water Table(C2)
Sediment Deposits(62) _ Recent Iron Reduction in Tilled Soils(C6) _ Crayfish Burrows(C8)
Drift Deposits(133) _ Thin Muck Surface(C7) _ Saturation Visible on Aerial Imagery(C9)
Algal Mat or Crust(64) _ Other(Explain in Remarks) _ Stunted or Stressed Plants(D1)
Iron Deposits(135) _ Geomorphic Position(D2)
Inundation Visible on Aerial Imagery(137) _ Shallow Aquitard(D3)
Water-Stained Leaves(139) _ Microtopographic Relief(D4)
Aquatic Fauna(613) _ FAC-Neutral Test(D5)
Field Observations:
Surface Water Present? Yes No Depth(inches):
Water Table Present? Yes No Depth(inches):
Saturation Present? Yes No Depth(inches): Wetland Hydrology Present? Yes No
includes capillary fringe)
Describe Recorded Data(stream gauge, monitoring well,aerial photos,previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont—Version 2.0

VEGETATION (Five Strata)-Use scientific names of plants. Sampling Point:
Absolute Dominant Indicator Dominance Test worksheet:
Tree Stratum (Plot size: ) %Cover Species? Status Number of Dominant Species
1. That Are OBL, FACW,or FAC: (A)
2.
Total Number of Dominant
3. Species Across All Strata: (B)
4.
Percent of Dominant Species
5. That Are OBL, FACW,or FAC: (A/B)
6.
=Total Cover Prevalence Index worksheet:
Total%Cover of: Multiply by:
50%of total cover: 20%of total cover:
OBL species x 1 =
Sapling Stratum (Plot size: )
FACW species x 2=
1.
FAC species 5 x 3= 15
2.
FACU species 65 x 4= 260
3.
UPL species x 5=
4.
Column Totals: 70 (A) 275 (B)
5.
6. Prevalence Index =B/A= 3.9
=Total Cover Hydrophytic Vegetation Indicators:
50%of total cover: 20%of total cover: _ 1 -Rapid Test for Hydrophytic Vegetation
Shrub Stratum (Plot size: ) _ 2-Dominance Test is>50%
1 _ 3-Prevalence Index is 153.0'
2 _ 4-Morphological Adaptations' (Provide supporting
3. data in Remarks or on a separate sheet)
4. Problematic Hydrophytic Vegetation' (Explain)
5.
'Indicators of hydric soil and wetland hydrology must
6• be present, unless disturbed or problematic.
=Total Cover Definitions of Five Vegetation Strata:
50%of total cover: 20%of total cover:
Tree-Woody plants,excluding woody vines,
Herb Stratum (Plot size: ) approximately 20 ft(6 m)or more in height and 3 in.
1 (7.6 cm)or larger in diameter at breast height(DBH).
2. Sapling-Woody plants,excluding woody vines,
3. approximately 20 ft(6 m)or more in height and less
4 than 3 in.(7.6 cm)DBH.
5. Shrub-Woody plants,excluding woody vines,
6 approximately 3 to 20 ft(1 to 6 m)in height.
7. Herb-All herbaceous(non-woody)plants,including
$ herbaceous vines,regardless of size,and woody
plants,except woody vines,less than approximately 3
9. ft(1 m)in height.
10.
11. Woody vine-All woody vines, regardless of height.
=Total Cover
50%of total cover: 20%of total cover:
Woody Vine Stratum (Plot size: )
1.
2.
3.
4.
5. Hydrophytic
=Total Cover Vegetation
50%of total cover: 20%of total cover: Present? Yes No
Remarks: (Include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont-Version 2.0

SOIL Sampling Point:
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color(moist) % Color(moist) % Type' Loc2 Texture Remarks
'Type: C=Concentration,D=Depletion,RM=Reduced Matrix,MS=Masked Sand Grains. 2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: Indicators for Problematic Hydric Soils3:
Histosol(Al) _ Dark Surface(S7) _ 2 cm Muck(A10)(MLRA 147)
Histic Epipedon(A2) _ Polyvalue Below Surface(S8)(MLRA 147,148) _ Coast Prairie Redox(A16)
Black Histic(A3) _ Thin Dark Surface(S9)(MLRA 147,148) (MLRA 147,148)
Hydrogen Sulfide(A4) _ Loamy Gleyed Matrix(F2) _ Piedmont Floodplain Soils(F19)
Stratified Layers(A5) _ Depleted Matrix(F3) (MLRA 136,147)
2 cm Muck(A10)(LRR N) _ Redox Dark Surface(F6) _ Very Shallow Dark Surface(TF12)
Depleted Below Dark Surface(A11) _ Depleted Dark Surface(F7) _ Other(Explain in Remarks)
Thick Dark Surface(Al2) _ Redox Depressions(F8)
Sandy Mucky Mineral(S1)(LRR N, _ Iron-Manganese Masses(F12)(LRR N,
MLRA 147,148) MLRA 136)
Sandy Gleyed Matrix(S4) _ Umbric Surface(F13)(MLRA 136,122) 3Indicators of hydrophytic vegetation and
Sandy Redox(S5) _ Piedmont Floodplain Soils(F19)(MLRA 148) wetland hydrology must be present,
_ Stripped Matrix(S6) _ Red Parent Material(F21)(MLRA 127, 147) unless disturbed or problematic.
Restrictive Layer(if observed):
Type:
Depth(inches): Hydric Soil Present? Yes No
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont—Version 2.0

WETLAND DETERMINATION DATA FORM— Eastern Mountains and Piedmont Region
Project/Site: City/County: Sampling Date:
Applicant/Owner: State: Sampling Point:
Investigator(s): Section,Township,Range: 1:24000 USGS Quad
Landform(hillslope,terrace,etc.): Local relief(concave,convex,none): Slope(%):
Subregion(LRR or MLRA): Lat: Long: Datum:
Soil Map Unit Name: NWI classification:
Are climatic/hydrologic conditions on the site typical for this time of year? Yes No (If no,explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are"Normal Circumstances"present? Yes No
Are Vegetation Soil or Hydrology naturally problematic? (If needed,explain any answers in Remarks.)
SUMMARY OF FINDINGS—Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No Is the Sampled Area
Hydric Soil Present? Yes No within a Wetland? Yes No
Wetland Hydrology Present? Yes No
Remarks:
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators(minimum of two required)
Primary Indicators(minimum of one is required:check all that apply) _ Surface Soil Cracks(136)
Surface Water(Al) _ True Aquatic Plants(B14) _ Sparsely Vegetated Concave Surface(B8)
High Water Table(A2) _ Hydrogen Sulfide Odor(Cl) _ Drainage Patterns(1310)
Saturation(A3) _ Oxidized Rhizospheres on Living Roots(C3) _ Moss Trim Lines(B16)
Water Marks(131) _ Presence of Reduced Iron(C4) _ Dry-Season Water Table(C2)
Sediment Deposits(62) _ Recent Iron Reduction in Tilled Soils(C6) _ Crayfish Burrows(C8)
Drift Deposits(133) _ Thin Muck Surface(C7) _ Saturation Visible on Aerial Imagery(C9)
Algal Mat or Crust(64) _ Other(Explain in Remarks) _ Stunted or Stressed Plants(D1)
Iron Deposits(135) _ Geomorphic Position(D2)
Inundation Visible on Aerial Imagery(137) _ Shallow Aquitard(D3)
Water-Stained Leaves(139) _ Microtopographic Relief(D4)
Aquatic Fauna(613) _ FAC-Neutral Test(D5)
Field Observations:
Surface Water Present? Yes No Depth(inches):
Water Table Present? Yes No Depth(inches):
Saturation Present? Yes No Depth(inches): Wetland Hydrology Present? Yes No
includes capillary fringe)
Describe Recorded Data(stream gauge, monitoring well,aerial photos,previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont—Version 2.0

VEGETATION (Five Strata)-Use scientific names of plants. Sampling Point:
Absolute Dominant Indicator Dominance Test worksheet:
Tree Stratum (Plot size: ) %Cover Species? Status Number of Dominant Species
1. That Are OBL, FACW,or FAC: (A)
2.
Total Number of Dominant
3. Species Across All Strata: (B)
4.
Percent of Dominant Species
5. That Are OBL, FACW,or FAC: (A/B)
6.
=Total Cover Prevalence Index worksheet:
Total%Cover of: Multiply by:
50%of total cover: 20%of total cover:
OBL species x 1 =
Sapling Stratum (Plot size: )
FACW species x 2=
1.
FAC species x 3=
2.
FACU species x 4=
3.
UPL species x 5=
4.
Column Totals: (A) (B)
5.
6. Prevalence Index =B/A=
=Total Cover Hydrophytic Vegetation Indicators:
50%of total cover: 20%of total cover: _ 1 -Rapid Test for Hydrophytic Vegetation
Shrub Stratum (Plot size: ) _ 2-Dominance Test is>50%
1 _ 3-Prevalence Index is 153.0'
2 _ 4-Morphological Adaptations' (Provide supporting
3. data in Remarks or on a separate sheet)
4. Problematic Hydrophytic Vegetation' (Explain)
5.
'Indicators of hydric soil and wetland hydrology must
6. be present, unless disturbed or problematic.
=Total Cover Definitions of Five Vegetation Strata:
50%of total cover: 20%of total cover:
Tree-Woody plants,excluding woody vines,
Herb Stratum (Plot size: ) approximately 20 ft(6 m)or more in height and 3 in.
1 (7.6 cm)or larger in diameter at breast height(DBH).
2. Sapling-Woody plants,excluding woody vines,
3. approximately 20 ft(6 m)or more in height and less
4 than 3 in.(7.6 cm)DBH.
5. Shrub-Woody plants,excluding woody vines,
6 approximately 3 to 20 ft(1 to 6 m)in height.
7. Herb-All herbaceous(non-woody)plants,including
$ herbaceous vines,regardless of size,and woody
plants,except woody vines,less than approximately 3
9. ft(1 m)in height.
10.
11. Woody vine-All woody vines, regardless of height.
=Total Cover
50%of total cover: 20%of total cover:
Woody Vine Stratum (Plot size: )
1.
2.
3.
4.
5. Hydrophytic
=Total Cover Vegetation
50%of total cover: 20%of total cover: Present? Yes No
Remarks: (Include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont-Version 2.0

SOIL Sampling Point:
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color(moist) % Color(moist) % Type' Loc2 Texture Remarks
'Type: C=Concentration,D=Depletion,RM=Reduced Matrix,MS=Masked Sand Grains. 2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: Indicators for Problematic Hydric Soils3:
Histosol(Al) _ Dark Surface(S7) _ 2 cm Muck(A10)(MLRA 147)
Histic Epipedon(A2) _ Polyvalue Below Surface(S8)(MLRA 147,148) _ Coast Prairie Redox(A16)
Black Histic(A3) _ Thin Dark Surface(S9)(MLRA 147,148) (MLRA 147,148)
Hydrogen Sulfide(A4) _ Loamy Gleyed Matrix(F2) _ Piedmont Floodplain Soils(F19)
Stratified Layers(A5) _ Depleted Matrix(F3) (MLRA 136,147)
2 cm Muck(A10)(LRR N) _ Redox Dark Surface(F6) _ Very Shallow Dark Surface(TF12)
Depleted Below Dark Surface(A11) _ Depleted Dark Surface(F7) _ Other(Explain in Remarks)
Thick Dark Surface(Al2) _ Redox Depressions(F8)
Sandy Mucky Mineral(S1)(LRR N, _ Iron-Manganese Masses(F12)(LRR N,
MLRA 147,148) MLRA 136)
Sandy Gleyed Matrix(S4) _ Umbric Surface(F13)(MLRA 136,122) 3Indicators of hydrophytic vegetation and
Sandy Redox(S5) _ Piedmont Floodplain Soils(F19)(MLRA 148) wetland hydrology must be present,
_ Stripped Matrix(S6) _ Red Parent Material(F21)(MLRA 127, 147) unless disturbed or problematic.
Restrictive Layer(if observed):
Type:
Depth(inches): Hydric Soil Present? Yes No
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont—Version 2.0

WETLAND DETERMINATION DATA FORM— Eastern Mountains and Piedmont Region
Project/Site: City/County: Sampling Date:
Applicant/Owner: State: Sampling Point:
Investigator(s): Section,Township,Range: 1:24000 USGS Quad
Landform(hillslope,terrace,etc.): Local relief(concave,convex,none): Slope(%):
Subregion(LRR or MLRA): Lat: Long: Datum:
Soil Map Unit Name: NWI classification:
Are climatic/hydrologic conditions on the site typical for this time of year? Yes No (If no,explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are"Normal Circumstances"present? Yes No
Are Vegetation Soil or Hydrology naturally problematic? (If needed,explain any answers in Remarks.)
SUMMARY OF FINDINGS—Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No Is the Sampled Area
Hydric Soil Present? Yes No within a Wetland? Yes No
Wetland Hydrology Present? Yes No
Remarks:
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators(minimum of two required)
Primary Indicators(minimum of one is required:check all that apply) _ Surface Soil Cracks(136)
Surface Water(Al) _ True Aquatic Plants(B14) _ Sparsely Vegetated Concave Surface(B8)
High Water Table(A2) _ Hydrogen Sulfide Odor(Cl) _ Drainage Patterns(1310)
Saturation(A3) _ Oxidized Rhizospheres on Living Roots(C3) _ Moss Trim Lines(B16)
Water Marks(131) _ Presence of Reduced Iron(C4) _ Dry-Season Water Table(C2)
Sediment Deposits(62) _ Recent Iron Reduction in Tilled Soils(C6) _ Crayfish Burrows(C8)
Drift Deposits(133) _ Thin Muck Surface(C7) _ Saturation Visible on Aerial Imagery(C9)
Algal Mat or Crust(64) _ Other(Explain in Remarks) _ Stunted or Stressed Plants(D1)
Iron Deposits(135) _ Geomorphic Position(D2)
Inundation Visible on Aerial Imagery(137) _ Shallow Aquitard(D3)
Water-Stained Leaves(139) _ Microtopographic Relief(D4)
Aquatic Fauna(613) _ FAC-Neutral Test(D5)
Field Observations:
Surface Water Present? Yes No Depth(inches):
Water Table Present? Yes No Depth(inches):
Saturation Present? Yes No Depth(inches): Wetland Hydrology Present? Yes No
includes capillary fringe)
Describe Recorded Data(stream gauge, monitoring well,aerial photos,previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont—Version 2.0

VEGETATION (Five Strata)-Use scientific names of plants. Sampling Point:
Absolute Dominant Indicator Dominance Test worksheet:
Tree Stratum (Plot size: ) %Cover Species? Status Number of Dominant Species
1. That Are OBL, FACW,or FAC: (A)
2.
Total Number of Dominant
3. Species Across All Strata: (B)
4.
Percent of Dominant Species
5. That Are OBL, FACW,or FAC: (A/B)
6.
=Total Cover Prevalence Index worksheet:
Total%Cover of: Multiply by:
50%of total cover: 20%of total cover:
OBL species x 1 =
Sapling Stratum (Plot size: )
FACW species x 2=
1.
FAC species x 3=
2.
FACU species x 4=
3.
UPL species x 5=
4.
Column Totals: (A) (B)
5.
6. Prevalence Index =B/A=
=Total Cover Hydrophytic Vegetation Indicators:
50%of total cover: 20%of total cover: _ 1 -Rapid Test for Hydrophytic Vegetation
Shrub Stratum (Plot size: ) _ 2-Dominance Test is>50%
1 _ 3-Prevalence Index is 153.0'
2 _ 4-Morphological Adaptations' (Provide supporting
3. data in Remarks or on a separate sheet)
4. Problematic Hydrophytic Vegetation' (Explain)
5.
'Indicators of hydric soil and wetland hydrology must
6. be present, unless disturbed or problematic.
=Total Cover Definitions of Five Vegetation Strata:
50%of total cover: 20%of total cover:
Tree-Woody plants,excluding woody vines,
Herb Stratum (Plot size: ) approximately 20 ft(6 m)or more in height and 3 in.
1 (7.6 cm)or larger in diameter at breast height(DBH).
2. Sapling-Woody plants,excluding woody vines,
3. approximately 20 ft(6 m)or more in height and less
4 than 3 in.(7.6 cm)DBH.
5. Shrub-Woody plants,excluding woody vines,
6 approximately 3 to 20 ft(1 to 6 m)in height.
7. Herb-All herbaceous(non-woody)plants,including
$ herbaceous vines,regardless of size,and woody
plants,except woody vines,less than approximately 3
9. ft(1 m)in height.
10.
11. Woody vine-All woody vines, regardless of height.
=Total Cover
50%of total cover: 20%of total cover:
Woody Vine Stratum (Plot size: )
1.
2.
3.
4.
5. Hydrophytic
=Total Cover Vegetation
50%of total cover: 20%of total cover: Present? Yes No
Remarks: (Include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont-Version 2.0

SOIL Sampling Point:
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color(moist) % Color(moist) % Type' Loc2 Texture Remarks
'Type: C=Concentration,D=Depletion,RM=Reduced Matrix,MS=Masked Sand Grains. 2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: Indicators for Problematic Hydric Soils3:
Histosol(Al) _ Dark Surface(S7) _ 2 cm Muck(A10)(MLRA 147)
Histic Epipedon(A2) _ Polyvalue Below Surface(S8)(MLRA 147,148) _ Coast Prairie Redox(A16)
Black Histic(A3) _ Thin Dark Surface(S9)(MLRA 147,148) (MLRA 147,148)
Hydrogen Sulfide(A4) _ Loamy Gleyed Matrix(F2) _ Piedmont Floodplain Soils(F19)
Stratified Layers(A5) _ Depleted Matrix(F3) (MLRA 136,147)
2 cm Muck(A10)(LRR N) _ Redox Dark Surface(F6) _ Very Shallow Dark Surface(TF12)
Depleted Below Dark Surface(A11) _ Depleted Dark Surface(F7) _ Other(Explain in Remarks)
Thick Dark Surface(Al2) _ Redox Depressions(F8)
Sandy Mucky Mineral(S1)(LRR N, _ Iron-Manganese Masses(F12)(LRR N,
MLRA 147,148) MLRA 136)
Sandy Gleyed Matrix(S4) _ Umbric Surface(F13)(MLRA 136,122) 3Indicators of hydrophytic vegetation and
Sandy Redox(S5) _ Piedmont Floodplain Soils(F19)(MLRA 148) wetland hydrology must be present,
_ Stripped Matrix(S6) _ Red Parent Material(F21)(MLRA 127, 147) unless disturbed or problematic.
Restrictive Layer(if observed):
Type:
Depth(inches): Hydric Soil Present? Yes No
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont—Version 2.0

WETLAND DETERMINATION DATA FORM— Eastern Mountains and Piedmont Region
Project/Site: City/County: Sampling Date:
Applicant/Owner: State: Sampling Point:
Investigator(s): Section,Township,Range: 1:24000 USGS Quad
Landform(hillslope,terrace,etc.): Local relief(concave,convex,none): Slope(%):
Subregion(LRR or MLRA): Lat: Long: Datum:
Soil Map Unit Name: NWI classification:
Are climatic/hydrologic conditions on the site typical for this time of year? Yes No (If no,explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are"Normal Circumstances"present? Yes No
Are Vegetation Soil or Hydrology naturally problematic? (If needed,explain any answers in Remarks.)
SUMMARY OF FINDINGS—Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No Is the Sampled Area
Hydric Soil Present? Yes No within a Wetland? Yes No
Wetland Hydrology Present? Yes No
Remarks:
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators(minimum of two required)
Primary Indicators(minimum of one is required:check all that apply) _ Surface Soil Cracks(136)
Surface Water(Al) _ True Aquatic Plants(B14) _ Sparsely Vegetated Concave Surface(B8)
High Water Table(A2) _ Hydrogen Sulfide Odor(Cl) _ Drainage Patterns(1310)
Saturation(A3) _ Oxidized Rhizospheres on Living Roots(C3) _ Moss Trim Lines(B16)
Water Marks(131) _ Presence of Reduced Iron(C4) _ Dry-Season Water Table(C2)
Sediment Deposits(62) _ Recent Iron Reduction in Tilled Soils(C6) _ Crayfish Burrows(C8)
Drift Deposits(133) _ Thin Muck Surface(C7) _ Saturation Visible on Aerial Imagery(C9)
Algal Mat or Crust(64) _ Other(Explain in Remarks) _ Stunted or Stressed Plants(D1)
Iron Deposits(135) _ Geomorphic Position(D2)
Inundation Visible on Aerial Imagery(137) _ Shallow Aquitard(D3)
Water-Stained Leaves(139) _ Microtopographic Relief(D4)
Aquatic Fauna(613) _ FAC-Neutral Test(D5)
Field Observations:
Surface Water Present? Yes No Depth(inches):
Water Table Present? Yes No Depth(inches):
Saturation Present? Yes No Depth(inches): Wetland Hydrology Present? Yes No
includes capillary fringe)
Describe Recorded Data(stream gauge, monitoring well,aerial photos,previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont—Version 2.0

VEGETATION (Five Strata)-Use scientific names of plants. Sampling Point:
Absolute Dominant Indicator Dominance Test worksheet:
Tree Stratum (Plot size: ) %Cover Species? Status Number of Dominant Species
1. That Are OBL, FACW,or FAC: (A)
2.
Total Number of Dominant
3. Species Across All Strata: (B)
4.
Percent of Dominant Species
5. That Are OBL, FACW,or FAC: (A/B)
6.
=Total Cover Prevalence Index worksheet:
Total%Cover of: Multiply by:
50%of total cover: 20%of total cover:
OBL species x 1 =
Sapling Stratum (Plot size: )
FACW species x 2=
1.
FAC species x 3=
2.
FACU species x 4=
3.
UPL species x 5=
4.
Column Totals: (A) (B)
5.
6. Prevalence Index =B/A=
=Total Cover Hydrophytic Vegetation Indicators:
50%of total cover: 20%of total cover: _ 1 -Rapid Test for Hydrophytic Vegetation
Shrub Stratum (Plot size: ) _ 2-Dominance Test is>50%
1 _ 3-Prevalence Index is 153.0'
2 _ 4-Morphological Adaptations' (Provide supporting
3. data in Remarks or on a separate sheet)
4. Problematic Hydrophytic Vegetation' (Explain)
5.
'Indicators of hydric soil and wetland hydrology must
6. be present, unless disturbed or problematic.
=Total Cover Definitions of Five Vegetation Strata:
50%of total cover: 20%of total cover:
Tree-Woody plants,excluding woody vines,
Herb Stratum (Plot size: ) approximately 20 ft(6 m)or more in height and 3 in.
1 (7.6 cm)or larger in diameter at breast height(DBH).
2. Sapling-Woody plants,excluding woody vines,
3. approximately 20 ft(6 m)or more in height and less
4 than 3 in.(7.6 cm)DBH.
5. Shrub-Woody plants,excluding woody vines,
6 approximately 3 to 20 ft(1 to 6 m)in height.
7. Herb-All herbaceous(non-woody)plants,including
$ herbaceous vines,regardless of size,and woody
plants,except woody vines,less than approximately 3
9. ft(1 m)in height.
10.
11. Woody vine-All woody vines, regardless of height.
=Total Cover
50%of total cover: 20%of total cover:
Woody Vine Stratum (Plot size: )
1.
2.
3.
4.
5. Hydrophytic
=Total Cover Vegetation
50%of total cover: 20%of total cover: Present? Yes No
Remarks: (Include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont-Version 2.0

SOIL Sampling Point:
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color(moist) % Color(moist) % Type' Loc2 Texture Remarks
'Type: C=Concentration,D=Depletion,RM=Reduced Matrix,MS=Masked Sand Grains. 2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: Indicators for Problematic Hydric Soils3:
Histosol(Al) _ Dark Surface(S7) _ 2 cm Muck(A10)(MLRA 147)
Histic Epipedon(A2) _ Polyvalue Below Surface(S8)(MLRA 147,148) _ Coast Prairie Redox(A16)
Black Histic(A3) _ Thin Dark Surface(S9)(MLRA 147,148) (MLRA 147,148)
Hydrogen Sulfide(A4) _ Loamy Gleyed Matrix(F2) _ Piedmont Floodplain Soils(F19)
Stratified Layers(A5) _ Depleted Matrix(F3) (MLRA 136,147)
2 cm Muck(A10)(LRR N) _ Redox Dark Surface(F6) _ Very Shallow Dark Surface(TF12)
Depleted Below Dark Surface(A11) _ Depleted Dark Surface(F7) _ Other(Explain in Remarks)
Thick Dark Surface(Al2) _ Redox Depressions(F8)
Sandy Mucky Mineral(S1)(LRR N, _ Iron-Manganese Masses(F12)(LRR N,
MLRA 147,148) MLRA 136)
Sandy Gleyed Matrix(S4) _ Umbric Surface(F13)(MLRA 136,122) 3Indicators of hydrophytic vegetation and
Sandy Redox(S5) _ Piedmont Floodplain Soils(F19)(MLRA 148) wetland hydrology must be present,
_ Stripped Matrix(S6) _ Red Parent Material(F21)(MLRA 127, 147) unless disturbed or problematic.
Restrictive Layer(if observed):
Type:
Depth(inches): Hydric Soil Present? Yes No
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont—Version 2.0

NC DWQ Stream Identification Form Version 4.11
Date: Project/Site: Latitude:
Evaluator: County: Longitude:
Total Points: Stream Determination (circle one) Other
Stream is at least intermittent Ephemeral Ism nt Perennial e.g. Quad Name:
if>_ 19 or perennial if>_30"
A. Geomorphology (Subtotal = ) Absent Weak Moderate Strong
1a.Continuity of channel bed and bank 0 1 ® 3
2. Sinuosity of channel along thalweg 0 1 ® 3
3. In-channel structure: ex. riffle-pool, step-pool, 0 (D 2 3
ripple-pool sequence
4. Particle size of stream substrate 0 (3) 2 3
5.Active/relict floodplain 0 0 2 3
6. Depositional bars or benches Q 1 2 3
7. Recent alluvial deposits (5) 1 2 3
8. Headcuts G 1 2 3
9. Grade control (a) 0.5 1 1.5
10. Natural valley 0 0.5 © 1.5
11. Second or greater order channel No=(a) Yes=3
a artificial ditches are not rated;see discussions in manual
B. Hydrology (Subtotal = )
12. Presence of Baseflow 0 1 ® 3
13. Iron oxidizing bacteria 0 1 ® 3
14. Leaf litter 1.5 CD 0.5 0
15. Sediment on plants or debris 0 0 1 1.5
16. Organic debris lines or piles 0 G 1 1.5
17. Soil-based evidence of high water table? No=0 Yes�3
C. Biology Subtotal =
18. Fibrous roots in streambed 3 ® 1 0
19. Rooted upland plants in streambed 3 Q 1 0
20. Macrobenthos(note diversity and abundance) 1 2 3
21.Aquatic Mollusks 1 2 3
22. Fish 0.5 1 1.5
23. Crayfish 0 0.5 1 1.5
24.Amphibians G 0.5 1 1.5
25.Algae G 0.5 1 1 1.5
26.Wetland plants in streambed FACW=0.75; OBL= 1.5 Other=(D
"perennial streams may also be identified using other methods.See p.35 of manual.
Notes:
Sketch:

NC DWQ Stream Identification Form Version 4.11
Date: Project/Site: Latitude:
Evaluator: County: Longitude:
Total Points: Stream Determination (circle one) Other
Stream is at least intermittent Ephemeral Intermittent eCgr�]1 I e.g. Quad Name:
if>_ 19 or perennial if>_30"
A. Geomorphology (Subtotal = ) Absent Weak Moderate Strong
1a.Continuity of channel bed and bank 0 1 2 Q
2. Sinuosity of channel along thalweg 0 1 ® 3
3. In-channel structure: ex. riffle-pool, step-pool, 0 1 (2) 3
ripple-pool sequence
4. Particle size of stream substrate 0 1 ® 3
5.Active/relict floodplain 0 1 © 3
6. Depositional bars or benches Q 1 2 3
7. Recent alluvial deposits 0 Q 2 3
8. Headcuts Q 1 2 3
9. Grade control 0 0.5 Q 1.5
10. Natural valley 0 0.5 1 0
11. Second or greater order channel No Yes=3
a artificial ditches are not rated;see discussions in manual
B. Hydrology (Subtotal = )
12. Presence of Baseflow 0 1 2
13. Iron oxidizing bacteria 0 1 2 Q
14. Leaf litter 'Q 1 0.5 0
15. Sediment on plants or debris 0 0.5 Q 1.5
16. Organic debris lines or piles 0 0.5 1.5
17. Soil-based evidence of high water table? No=0 Yes=Q)
C. Biology Subtotal =
18. Fibrous roots in streambed ® 2 1 0
19. Rooted upland plants in streambed © 2 1 0
20. Macrobenthos(note diversity and abundance) Q 1 2 3
21.Aquatic Mollusks Q 1 2 3
22. Fish Q 0.5 1 1.5
23. Crayfish Q 0.5 1 1.5
24.Amphibians Q 0.5 1 1.5
25.Algae Q 0.5 1 1 1 1.5
26.Wetland plants in streambed FACW=0.75; OBL= 1.5 Other=(D
"perennial streams may also be identified using other methods.See p.35 of manual.
Notes:
Sketch:

NC DWQ Stream Identification Form Version 4.11
Date: Project/Site: Latitude:
Evaluator: County: Longitude:
Total Points: Stream Determination (circle one) Other
Stream is at least intermittent Ephemeral lrqf3rmi t Perennial e.g. Quad Name:
if>_ 19 or perennial if>_30"
A. Geomorphology (Subtotal = ) Absent Weak Moderate Strong
1a.Continuity of channel bed and bank 0 1 ® 3
2. Sinuosity of channel along thalweg 0 1 (2) 3
3. In-channel structure: ex. riffle-pool, step-pool, 0 1 ® 3
ripple-pool sequence
4. Particle size of stream substrate 0 (D 2 3
5.Active/relict floodplain 0 1 Q 3
6. Depositional bars or benches Q 1 2 3
7. Recent alluvial deposits 0 m 2 3
8. Headcuts 1 2 3
9. Grade control ® 0.5 1 1.5
10. Natural valley 0 0.5 1 13
11. Second or greater order channel No Yes=3
a artificial ditches are not rated;see discussions in manual
B. Hydrology (Subtotal = )
12. Presence of Baseflow 0 1 2 Q
13. Iron oxidizing bacteria 0 1 2 3
14. Leaf litter 1.5 O 0.5 0
15. Sediment on plants or debris ® 0.5 1 1.5
16. Organic debris lines or piles 0 1 0.5 m 1.5
17. Soil-based evidence of high water table? No=0 Yes=(3)
C. Biology Subtotal =
18. Fibrous roots in streambed 3 (2) 1 0
19. Rooted upland plants in streambed © 2 1 0
20. Macrobenthos(note diversity and abundance) G 1 2 3
21.Aquatic Mollusks (5) 1 2 3
22. Fish CD 0.5 1 1.5
23. Crayfish (D 0.5 1 1.5
24.Amphibians G 0.5 1 1.5
25.Algae (ZD 0.5 1 1 1 1.5
26.Wetland plants in streambed FACW=0.75; OBL= 1.5 Other=(D)
"perennial streams may also be identified using other methods.See p.35 of manual.
Notes:
Sketch:

NC DWQ Stream Identification Form Version 4.11
Date: Project/Site: Latitude:
Evaluator: County: Longitude:
Total Points: Stream Determination (circle one) Other
Stream is at least intermittent Ephemeral Intermittent gel �n�]i e.g. Quad Name:
if>_ 19 or perennial if>_30"
A. Geomorphology (Subtotal = ) Absent Weak Moderate Strong
1a.Continuity of channel bed and bank 0 1 2
2. Sinuosity of channel along thalweg 0 1 (2) 3
3. In-channel structure: ex. riffle-pool, step-pool, 0 1 (2) 3
ripple-pool sequence
4. Particle size of stream substrate 0 1 ® 3
5.Active/relict floodplain 0 1 Q 3
6. Depositional bars or benches 0 1 ® 3
7. Recent alluvial deposits 0 1 2
8. Headcuts (D 1 2 3
9. Grade control 0 0.5 1 0
10. Natural valley 0 0.5 © 1.5
11. Second or greater order channel No=0 Yes
a artificial ditches are not rated;see discussions in manual
B. Hydrology (Subtotal = )
12. Presence of Baseflow 0 1 2
13. Iron oxidizing bacteria 1 2 3
14. Leaf litter 1 0.5 0
15. Sediment on plants or debris 0 0.5 m 1.5
16. Organic debris lines or piles 0 1 0.5 1 Q
17. Soil-based evidence of high water table? No=0 Yes�3
C. Biology Subtotal =
18. Fibrous roots in streambed © 2 1 0
19. Rooted upland plants in streambed Q 2 1 0
20. Macrobenthos(note diversity and abundance) 1 2 3
21.Aquatic Mollusks Q 1 2 3
22. Fish Q 0.5 1 1.5
23. Crayfish Q 0.5 1 1.5
24.Amphibians Q 0.5 1 1.5
25.Algae (ZD 0.5 1 1 1.5
26.Wetland plants in streambed FACW=0.75; OBL= 1.5 Other=0
"perennial streams may also be identified using other methods.See p.35 of manual.
Notes:
Sketch:

NC DWQ Stream Identification Form Version 4.11
Date: Project/Site: Latitude:
Evaluator: County: Longitude:
Total Points: Stream Determination (circle one) Other
Stream is at least intermittent err l Intermittent Perennial e.g. Quad Name:
if>_ 19 or perennial if>_30"
A. Geomorphology (Subtotal = ) Absent Weak Moderate Strong
1a.Continuity of channel bed and bank 0 1 ® 3
2. Sinuosity of channel along thalweg ® 1 2 3
3. In-channel structure: ex. riffle-pool, step-pool, 0 0 2 3
ripple-pool sequence
4. Particle size of stream substrate 0 Q 2 3
5.Active/relict floodplain 0 1 2 3
6. Depositional bars or benches 0 1 2 3
7. Recent alluvial deposits 0 © 2 3
8. Headcuts 0 (1) 2 3
9. Grade control G) 0.5 1 1.5
10. Natural valley G 0.5 1 1.5
11. Second or greater order channel No=(D Yes=3
a artificial ditches are not rated;see discussions in manual
B. Hydrology (Subtotal = )
12. Presence of Baseflow 0 (D 2 3
13. Iron oxidizing bacteria tD 1 2 3
14. Leaf litter 1.5 0 0.5 0
15. Sediment on plants or debris 0 0 1 1.5
16. Organic debris lines or piles 0 0.5 Q 1.5
17. Soil-based evidence of high water table? No=Q Yes=3
C. Biology Subtotal =
18. Fibrous roots in streambed 3 1 0
19. Rooted upland plants in streambed 3 2 0 0
20. Macrobenthos(note diversity and abundance) (a) 1 2 3
21.Aquatic Mollusks G 1 2 3
22. Fish ® 0.5 1 1.5
23. Crayfish 0.5 1 1.5
24.Amphibians 0.5 1 1.5
25.Algae Q 0.5 1 1 1.5
26.Wetland plants in streambed FACW=0.75; OBL= 1.5 Other<D
"perennial streams may also be identified using other methods.See p.35 of manual.
Notes:
Sketch:

NC WAM FIELD ASSESSMENT FORM
Accompanies User Manual Version 5.0
USACE AID# NCDWR#
Project Name US 501 (Madison Blvd.)STIP Date of Evaluation 5-3-2018
Project U-5969
Applicant/Owner Name NCDOT Wetland Site Name WA
Wetland Type Headwater Forest Assessor Name/Organization B. Co dell-Atkins
Level III Ecoregion Piedmont Nearest Named Water Body Tan and Branch
River Basin Neuse USGS 8-Digit Catalogue Unit 03020201
County Person NCDWR Region Raleigh
❑ Yes ® No Precipitation within 48 hrs? Latitude/Longitude deci-de rees 36.372964, -78.983002
Evidence of stressors affecting the assessment area(may not be within the assessment area)
Please circle and/or make note on the last page if evidence of stressors is apparent. Consider departure from reference, if appropriate, in
recent past(for instance,within 10 years). Noteworthy stressors include, but are not limited to the following.
• Hydrological modifications(examples: ditches,dams, beaver dams, dikes, berms, ponds, etc.)
• Surface and sub-surface discharges into the wetland(examples:discharges containing obvious pollutants,presence of nearby septic
tanks, underground storage tanks(USTs), hog lagoons,etc.)
• Signs of vegetation stress(examples: vegetation mortality, insect damage, disease, storm damage, salt intrusion,etc.)
• Habitat/plant community alteration (examples: mowing,clear-cutting,exotics,etc.)
Is the assessment area intensively managed? ❑ Yes ® No
Regulatory Considerations-Were regulatory considerations evaluated? ®Yes ❑No If Yes, check all that apply to the assessment area.
❑ Anadromous fish
® Federally protected species or State endangered or threatened species
® NCDWR riparian buffer rule in effect
❑ Abuts a Primary Nursery Area(PNA)
❑ Publicly owned property
❑ N.C. Division of Coastal Management Area of Environmental Concern(AEC)(including buffer)
❑ Abuts a stream with a NCDWQ classification of SA or supplemental classifications of 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) ❑ Lunar ❑ Wind ❑ Both
Is the assessment area on a coastal island? ❑ Yes ® No
Is the assessment area's surface water storage capacity or duration substantially altered by beaver? ❑ Yes ® No
Does the assessment area experience overbank flooding during normal rainfall conditions? ® Yes ❑ No
1. Ground Surface Condition/Vegetation Condition—assessment area condition metric
Check a box in each column. Consider alteration to the ground surface(GS)in the assessment area and vegetation structure(VS)in the
assessment area. Compare to reference wetland if applicable(see User Manual). If a reference is not applicable,then rate the assessment
area based on evidence an effect.
GS VS
❑A ❑A Not severely altered
®B ®B Severely altered over a majority of the assessment area(ground surface alteration examples: vehicle tracks, excessive
sedimentation, fire-plow lanes, skidder tracks, bedding, fill, soil compaction, obvious pollutants) (vegetation structure
alteration examples: mechanical disturbance, herbicides,salt intrusion[where appropriate],exotic species,grazing, less
diversity[if appropriate], hydrologic alteration)
2. Surface and Sub-Surface Storage Capacity and Duration—assessment area condition metric
Check a box in each column. Consider surface storage capacity and duration(Surf)and sub-surface storage capacity and duration(Sub).
Consider both increase and decrease in hydrology. A ditch <_ 1 foot deep is considered to affect surface water only, while a ditch > 1 foot
deep is expected to affect both surface and sub-surface water. Consider tidal flooding regime, if applicable.
Surf Sub
❑A ❑A Water storage capacity and duration are not altered.
®B ®B Water storage capacity or duration are altered, but not substantially(typically, not sufficient to change vegetation).
❑C ❑C Water storage capacity or duration are substantially altered(typically,alteration sufficient to result in vegetation change)
(examples: draining,flooding, soil compaction,filling, excessive sedimentation, underground utility lines).
3. Water Storage/Surface Relief—assessment area/wetland type condition metric(skip for all marshes)
Check a box in each column. Select the appropriate storage for the assessment area(AA)and the wetland type(WT).
AA WT
3a. ❑A ❑A Majority of wetland with depressions able to pond water> 1 deep
❑B ❑B Majority of wetland with depressions able to pond water 6 inches to 1 foot deep
❑C ❑C Majority of wetland with depressions able to pond water 3 to 6 inches deep
®D ®D Depressions able to pond water<3 inches deep
3b. ❑A Evidence that maximum depth of inundation is greater than 2 feet
❑B Evidence that maximum depth of inundation is between 1 and 2 feet
®C Evidence that maximum depth of inundation is less than 1 foot

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

9. Inundation Duration-assessment area condition metric(skip for non-riparian wetlands)
Answer for assessment area dominant landform.
®A Evidence of short-duration inundation(<7 consecutive days)
❑B Evidence of saturation,without evidence of inundation
❑C Evidence of long-duration inundation or very long-duration inundation(7 to 30 consecutive days or more)
10. Indicators of Deposition-assessment area condition metric(skip for non-riparian wetlands and all marshes)
Consider recent deposition only(no plant growth since deposition).
❑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 WC FW(if applicable)
❑A ❑A ❑A >-500 acres
❑B ❑B ❑B From 100 to<500 acres
❑C ❑C ❑C From 50 to< 100 acres
❑D ❑D ❑D From 25 to<50 acres
❑E ❑E ❑E From 10 to<25 acres
❑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
El ®I ®I From 0.1 to<0.5 acre
®J ❑J ❑J From 0.01 to<0.1 acre
❑K ❑K ❑K <0.01 acre or assessment area is clear-cut
12. Wetland Intactness-wetland type condition metric(evaluate for Pocosins only)
❑A Pocosin is the full extent(>-90%)of its natural landscape size.
❑B Pocosin type is<90%of the full extent of its natural landscape size.
13. Connectivity to Other Natural Areas-landscape condition metric
13a. Check appropriate box(es) (a box may be checked in each column). Involves a GIS effort with field adjustment. This metric
evaluates whether the wetland is well connected (Well) and/or loosely connected (Loosely)to the landscape patch, the contiguous
naturally vegetated area and open water(if appropriate). Boundaries are formed by four-lane roads, regularly maintained utility line
corridors the width of a four-lane road or wider, urban landscapes, maintained fields (pasture and agriculture), or open water> 300
feet wide.
Well Loosely
®A ❑A >_500 acres
❑B ❑B From 100 to<500 acres
❑C ❑C From 50 to< 100 acres
❑D ❑D From 10 to<50 acres
❑E ❑E < 10 acres
❑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 directions? If the assessment area is clear cut,
select option"C."
❑A 0
❑B 1 to 4
®C 5to8
15. Vegetative Composition-assessment area condition metric(skip for all marshes and Pine Flat)
❑A Vegetation is close to reference condition in species present and their proportions. Lower strata composed of appropriate
species,with exotic plants absent or sparse within the assessment area.
❑B Vegetation is different from reference condition in species diversity or proportions, but still largely composed of native species
characteristic of the wetland type. This may include communities of weedy native species that develop after clearcutting or clearing.
It also includes communities with exotics present, but not dominant, over a large portion of the expected strata.
®C Vegetation severely altered from reference in composition, or expected species are unnaturally absent (planted stands of non-
characteristic species or at least one stratum inappropriately composed of a single species), or exotic species are dominant in at
least one stratum.
16. Vegetative Diversity-assessment area condition metric(evaluate for Non-tidal Freshwater Marsh only)
❑A Vegetation diversity is high and is composed primarily of native species(< 10%cover of exotics).
❑B Vegetation diversity is low or has > 10%to 50%cover of exotics.
❑C Vegetation is dominated by exotic species(>50% cover of exotics).

17. Vegetative Structure—assessment area/wetland type condition metric
17a. Is vegetation present?
®Yes ❑No If Yes,continue to 17b. If No,skip to Metric 18.
17b. Evaluate percent coverage of assessment area vegetation for all marshes only. Skip to 17c for non-marsh wetlands.
❑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.
AA WT
T
o❑A ®A Canopy closed, or nearly closed,with natural gaps associated with natural processes
❑B ❑B Canopy present, but opened more than natural gaps
U ®C ❑C Canopy sparse or absent
g❑A ❑A Dense mid-story/sapling layer
❑B ®B Moderate density mid-story/sapling layer
®C ❑C Mid-story/sapling layer sparse or absent
❑A ❑A Dense shrub layer
1E ❑B ®B Moderate density shrub layer
U) ®C ❑C Shrub layer sparse or absent
-0®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.
Notes

NC WAM Wetland Rating Sheet
Accompanies User Manual Version 5.0
Wetland Site Name WA Date of Assessment 5-3-2018
Wetland Type Headwater Forest Assessor Name/Organization B. Cogdell-Atkins
Notes on Field Assessment Form (Y/N) NO
Presence of regulatory considerations (Y/N) YES
Wetland is intensively managed (Y/N) NO
Assessment area is located within 50 feet of a natural tributary or other open water (Y/N) YES
Assessment area is substantially altered by beaver (Y/N) NO
Assessment area experiences overbank flooding during normal rainfall conditions (Y/N) YES
Assessment area is on a coastal island (Y/N) NO
Sub-function Rating Summary
Function Sub-function Metrics Rating
Hydrology Surface Storage and Retention Condition LOW
Sub-surface Storage and
Retention Condition MEDIUM
Water Quality Pathogen Change Condition MEDIUM
Condition/Opportunity MEDIUM
Opportunity Presence (Y/N) NO
Particulate Change Condition LOW
Condition/Opportunity NA
Opportunity Presence (Y/N) NA
Soluble Change Condition MEDIUM
Condition/Opportunity MEDIUM
Opportunity Presence (Y/N) NO
Physical Change Condition MEDIUM
Condition/Opportunity MEDIUM
Opportunity Presence (Y/N) NO
Pollution Change Condition NA
Condition/Opportunity NA
Opportunity Presence (Y/N) NA
Habitat Physical Structure Condition MEDIUM
Landscape Patch Structure Condition LOW
Vegetation Composition Condition LOW
Function Rating Summary
Function Metrics Rating
Hydrology Condition LOW
Water Quality Condition MEDIUM
Condition/Opportunity MEDIUM
Opportunity Presence (Y/N) NO
Habitat Condition LOW
Overall Wetland Rating LOW

NC WAM FIELD ASSESSMENT FORM
Accompanies User Manual Version 5.0
USACE AID# NCDWR#
Project Name US 501 (Madison Blvd.)STIP Date of Evaluation 5-3-2018
Project U-5969
Applicant/Owner Name NCDOT Wetland Site Name WB
Wetland Type Headwater Forest Assessor Name/Organization B. Co dell-Atkins
Level III Ecoregion Piedmont Nearest Named Water Body Tan and Branch
River Basin Neuse USGS 8-Digit Catalogue Unit 03020201
County Person NCDWR Region Raleigh
❑ Yes ® No Precipitation within 48 hrs? Latitude/Longitude deci-de rees 36.373168, -78.9829
Evidence of stressors affecting the assessment area(may not be within the assessment area)
Please circle and/or make note on the last page if evidence of stressors is apparent. Consider departure from reference, if appropriate, in
recent past(for instance,within 10 years). Noteworthy stressors include, but are not limited to the following.
• Hydrological modifications(examples: ditches,dams, beaver dams, dikes, berms, ponds, etc.)
• Surface and sub-surface discharges into the wetland(examples:discharges containing obvious pollutants,presence of nearby septic
tanks, underground storage tanks(USTs), hog lagoons,etc.)
• Signs of vegetation stress(examples: vegetation mortality, insect damage, disease, storm damage, salt intrusion,etc.)
• Habitat/plant community alteration (examples: mowing,clear-cutting,exotics,etc.)
Is the assessment area intensively managed? ❑ Yes ® No
Regulatory Considerations-Were regulatory considerations evaluated? ®Yes ❑No If Yes, check all that apply to the assessment area.
❑ Anadromous fish
® Federally protected species or State endangered or threatened species
® NCDWR riparian buffer rule in effect
❑ Abuts a Primary Nursery Area(PNA)
❑ Publicly owned property
❑ N.C. Division of Coastal Management Area of Environmental Concern(AEC)(including buffer)
❑ Abuts a stream with a NCDWQ classification of SA or supplemental classifications of 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) ❑ Lunar ❑ Wind ❑ Both
Is the assessment area on a coastal island? ❑ Yes ® No
Is the assessment area's surface water storage capacity or duration substantially altered by beaver? ❑ Yes ® No
Does the assessment area experience overbank flooding during normal rainfall conditions? ® Yes ❑ No
1. Ground Surface Condition/Vegetation Condition—assessment area condition metric
Check a box in each column. Consider alteration to the ground surface(GS)in the assessment area and vegetation structure(VS)in the
assessment area. Compare to reference wetland if applicable(see User Manual). If a reference is not applicable,then rate the assessment
area based on evidence an effect.
GS VS
❑A ❑A Not severely altered
®B ®B Severely altered over a majority of the assessment area(ground surface alteration examples: vehicle tracks, excessive
sedimentation, fire-plow lanes, skidder tracks, bedding, fill, soil compaction, obvious pollutants) (vegetation structure
alteration examples: mechanical disturbance, herbicides,salt intrusion[where appropriate],exotic species,grazing, less
diversity[if appropriate], hydrologic alteration)
2. Surface and Sub-Surface Storage Capacity and Duration—assessment area condition metric
Check a box in each column. Consider surface storage capacity and duration(Surf)and sub-surface storage capacity and duration(Sub).
Consider both increase and decrease in hydrology. A ditch <_ 1 foot deep is considered to affect surface water only, while a ditch > 1 foot
deep is expected to affect both surface and sub-surface water. Consider tidal flooding regime, if applicable.
Surf Sub
❑A ❑A Water storage capacity and duration are not altered.
®B ®B Water storage capacity or duration are altered, but not substantially(typically, not sufficient to change vegetation).
❑C ❑C Water storage capacity or duration are substantially altered(typically,alteration sufficient to result in vegetation change)
(examples: draining,flooding, soil compaction,filling, excessive sedimentation, underground utility lines).
3. Water Storage/Surface Relief—assessment area/wetland type condition metric(skip for all marshes)
Check a box in each column. Select the appropriate storage for the assessment area(AA)and the wetland type(WT).
AA WT
3a. ❑A ❑A Majority of wetland with depressions able to pond water> 1 deep
❑B ❑B Majority of wetland with depressions able to pond water 6 inches to 1 foot deep
❑C ❑C Majority of wetland with depressions able to pond water 3 to 6 inches deep
®D ®D Depressions able to pond water<3 inches deep
3b. ❑A Evidence that maximum depth of inundation is greater than 2 feet
❑B Evidence that maximum depth of inundation is between 1 and 2 feet
®C Evidence that maximum depth of inundation is less than 1 foot

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

9. Inundation Duration-assessment area condition metric(skip for non-riparian wetlands)
Answer for assessment area dominant landform.
®A Evidence of short-duration inundation(<7 consecutive days)
❑B Evidence of saturation,without evidence of inundation
❑C Evidence of long-duration inundation or very long-duration inundation(7 to 30 consecutive days or more)
10. Indicators of Deposition-assessment area condition metric(skip for non-riparian wetlands and all marshes)
Consider recent deposition only(no plant growth since deposition).
❑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 WC FW(if applicable)
❑A ❑A ❑A >-500 acres
❑B ❑B ❑B From 100 to<500 acres
❑C ❑C ❑C From 50 to< 100 acres
❑D ❑D ❑D From 25 to<50 acres
❑E ❑E ❑E From 10 to<25 acres
❑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
El ®I ®I From 0.1 to<0.5 acre
®J ❑J ❑J From 0.01 to<0.1 acre
❑K ❑K ❑K <0.01 acre or assessment area is clear-cut
12. Wetland Intactness-wetland type condition metric(evaluate for Pocosins only)
❑A Pocosin is the full extent(>-90%)of its natural landscape size.
❑B Pocosin type is<90%of the full extent of its natural landscape size.
13. Connectivity to Other Natural Areas-landscape condition metric
13a. Check appropriate box(es) (a box may be checked in each column). Involves a GIS effort with field adjustment. This metric
evaluates whether the wetland is well connected (Well) and/or loosely connected (Loosely)to the landscape patch, the contiguous
naturally vegetated area and open water(if appropriate). Boundaries are formed by four-lane roads, regularly maintained utility line
corridors the width of a four-lane road or wider, urban landscapes, maintained fields (pasture and agriculture), or open water> 300
feet wide.
Well Loosely
®A ❑A >_500 acres
❑B ❑B From 100 to<500 acres
❑C ❑C From 50 to< 100 acres
❑D ❑D From 10 to<50 acres
❑E ❑E < 10 acres
❑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 directions? If the assessment area is clear cut,
select option"C."
❑A 0
❑B 1 to 4
®C 5to8
15. Vegetative Composition-assessment area condition metric(skip for all marshes and Pine Flat)
❑A Vegetation is close to reference condition in species present and their proportions. Lower strata composed of appropriate
species,with exotic plants absent or sparse within the assessment area.
®B Vegetation is different from reference condition in species diversity or proportions, but still largely composed of native species
characteristic of the wetland type. This may include communities of weedy native species that develop after clearcutting or clearing.
It also includes communities with exotics present, but not dominant, over a large portion of the expected strata.
❑C Vegetation severely altered from reference in composition, or expected species are unnaturally absent (planted stands of non-
characteristic species or at least one stratum inappropriately composed of a single species), or exotic species are dominant in at
least one stratum.
16. Vegetative Diversity-assessment area condition metric(evaluate for Non-tidal Freshwater Marsh only)
❑A Vegetation diversity is high and is composed primarily of native species(< 10%cover of exotics).
❑B Vegetation diversity is low or has > 10%to 50%cover of exotics.
❑C Vegetation is dominated by exotic species(>50% cover of exotics).

17. Vegetative Structure—assessment area/wetland type condition metric
17a. Is vegetation present?
®Yes ❑No If Yes,continue to 17b. If No,skip to Metric 18.
17b. Evaluate percent coverage of assessment area vegetation for all marshes only. Skip to 17c for non-marsh wetlands.
❑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.
AA WT
T
o❑A ®A Canopy closed, or nearly closed,with natural gaps associated with natural processes
®B ❑B Canopy present, but opened more than natural gaps
U ❑C ❑C Canopy sparse or absent
g❑A ❑A Dense mid-story/sapling layer
®B ®B Moderate density mid-story/sapling layer
❑C ❑C Mid-story/sapling layer sparse or absent
❑A ❑A Dense shrub layer
1E ®B ®B Moderate density shrub layer
U) ❑C ❑C Shrub layer sparse or absent
-0❑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.
Notes

NC WAM Wetland Rating Sheet
Accompanies User Manual Version 5.0
Wetland Site Name WB Date of Assessment 5-3-2018
Wetland Type Headwater Forest Assessor Name/Organization B. Cogdell-Atkins
Notes on Field Assessment Form (Y/N) NO
Presence of regulatory considerations (Y/N) YES
Wetland is intensively managed (Y/N) NO
Assessment area is located within 50 feet of a natural tributary or other open water (Y/N) YES
Assessment area is substantially altered by beaver (Y/N) NO
Assessment area experiences overbank flooding during normal rainfall conditions (Y/N) YES
Assessment area is on a coastal island (Y/N) NO
Sub-function Rating Summary
Function Sub-function Metrics Rating
Hydrology Surface Storage and Retention Condition LOW
Sub-surface Storage and
Retention Condition MEDIUM
Water Quality Pathogen Change Condition MEDIUM
Condition/Opportunity MEDIUM
Opportunity Presence (Y/N) NO
Particulate Change Condition LOW
Condition/Opportunity NA
Opportunity Presence (Y/N) NA
Soluble Change Condition MEDIUM
Condition/Opportunity MEDIUM
Opportunity Presence (Y/N) NO
Physical Change Condition MEDIUM
Condition/Opportunity MEDIUM
Opportunity Presence (Y/N) NO
Pollution Change Condition NA
Condition/Opportunity NA
Opportunity Presence (Y/N) NA
Habitat Physical Structure Condition MEDIUM
Landscape Patch Structure Condition LOW
Vegetation Composition Condition MEDIUM
Function Rating Summary
Function Metrics Rating
Hydrology Condition LOW
Water Quality Condition MEDIUM
Condition/Opportunity MEDIUM
Opportunity Presence (Y/N) NO
Habitat Condition LOW
Overall Wetland Rating LOW

NC WAM FIELD ASSESSMENT FORM
Accompanies User Manual Version 5.0
USACE AID# NCDWR#
Project Name US 501 (Madison Blvd.)STIP Date of Evaluation 5-3-2018
Project U-5969
Applicant/Owner Name NCDOT Wetland Site Name WC
Wetland Type Headwater Forest Assessor Name/Organization B. Co dell-Atkins
Level III Ecoregion Piedmont Nearest Named Water Body Tan and Branch
River Basin Neuse USGS 8-Digit Catalogue Unit 03020201
County Person NCDWR Region Raleigh
❑ Yes ® No Precipitation within 48 hrs? Latitude/Longitude deci-de rees 36.37365, -78.982969
Evidence of stressors affecting the assessment area(may not be within the assessment area)
Please circle and/or make note on the last page if evidence of stressors is apparent. Consider departure from reference, if appropriate, in
recent past(for instance,within 10 years). Noteworthy stressors include, but are not limited to the following.
• Hydrological modifications(examples: ditches,dams, beaver dams, dikes, berms, ponds, etc.)
• Surface and sub-surface discharges into the wetland(examples:discharges containing obvious pollutants,presence of nearby septic
tanks, underground storage tanks(USTs), hog lagoons,etc.)
• Signs of vegetation stress(examples: vegetation mortality, insect damage, disease, storm damage, salt intrusion,etc.)
• Habitat/plant community alteration (examples: mowing,clear-cutting,exotics,etc.)
Is the assessment area intensively managed? ❑ Yes ® No
Regulatory Considerations-Were regulatory considerations evaluated? ®Yes ❑No If Yes, check all that apply to the assessment area.
❑ Anadromous fish
® Federally protected species or State endangered or threatened species
® NCDWR riparian buffer rule in effect
❑ Abuts a Primary Nursery Area(PNA)
❑ Publicly owned property
❑ N.C. Division of Coastal Management Area of Environmental Concern(AEC)(including buffer)
❑ Abuts a stream with a NCDWQ classification of SA or supplemental classifications of 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) ❑ Lunar ❑ Wind ❑ Both
Is the assessment area on a coastal island? ❑ Yes ® No
Is the assessment area's surface water storage capacity or duration substantially altered by beaver? ❑ Yes ® No
Does the assessment area experience overbank flooding during normal rainfall conditions? ® Yes ❑ No
1. Ground Surface Condition/Vegetation Condition—assessment area condition metric
Check a box in each column. Consider alteration to the ground surface(GS)in the assessment area and vegetation structure(VS)in the
assessment area. Compare to reference wetland if applicable(see User Manual). If a reference is not applicable,then rate the assessment
area based on evidence an effect.
GS VS
❑A ❑A Not severely altered
®B ®B Severely altered over a majority of the assessment area(ground surface alteration examples: vehicle tracks, excessive
sedimentation, fire-plow lanes, skidder tracks, bedding, fill, soil compaction, obvious pollutants) (vegetation structure
alteration examples: mechanical disturbance, herbicides,salt intrusion[where appropriate],exotic species,grazing, less
diversity[if appropriate], hydrologic alteration)
2. Surface and Sub-Surface Storage Capacity and Duration—assessment area condition metric
Check a box in each column. Consider surface storage capacity and duration(Surf)and sub-surface storage capacity and duration(Sub).
Consider both increase and decrease in hydrology. A ditch <_ 1 foot deep is considered to affect surface water only, while a ditch > 1 foot
deep is expected to affect both surface and sub-surface water. Consider tidal flooding regime, if applicable.
Surf Sub
❑A ❑A Water storage capacity and duration are not altered.
®B ®B Water storage capacity or duration are altered, but not substantially(typically, not sufficient to change vegetation).
❑C ❑C Water storage capacity or duration are substantially altered(typically,alteration sufficient to result in vegetation change)
(examples: draining,flooding, soil compaction,filling, excessive sedimentation, underground utility lines).
3. Water Storage/Surface Relief—assessment area/wetland type condition metric(skip for all marshes)
Check a box in each column. Select the appropriate storage for the assessment area(AA)and the wetland type(WT).
AA WT
3a. ❑A ❑A Majority of wetland with depressions able to pond water> 1 deep
❑B ❑B Majority of wetland with depressions able to pond water 6 inches to 1 foot deep
❑C ❑C Majority of wetland with depressions able to pond water 3 to 6 inches deep
®D ®D Depressions able to pond water<3 inches deep
3b. ❑A Evidence that maximum depth of inundation is greater than 2 feet
❑B Evidence that maximum depth of inundation is between 1 and 2 feet
®C Evidence that maximum depth of inundation is less than 1 foot

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

9. Inundation Duration-assessment area condition metric(skip for non-riparian wetlands)
Answer for assessment area dominant landform.
®A Evidence of short-duration inundation(<7 consecutive days)
❑B Evidence of saturation,without evidence of inundation
❑C Evidence of long-duration inundation or very long-duration inundation(7 to 30 consecutive days or more)
10. Indicators of Deposition-assessment area condition metric(skip for non-riparian wetlands and all marshes)
Consider recent deposition only(no plant growth since deposition).
❑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 WC FW(if applicable)
❑A ❑A ❑A >-500 acres
❑B ❑B ❑B From 100 to<500 acres
❑C ❑C ❑C From 50 to< 100 acres
❑D ❑D ❑D From 25 to<50 acres
❑E ❑E ❑E From 10 to<25 acres
❑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
El ®I ❑I From 0.1 to<0.5 acre
®J ❑J ❑J From 0.01 to<0.1 acre
❑K ❑K ❑K <0.01 acre or assessment area is clear-cut
12. Wetland Intactness-wetland type condition metric(evaluate for Pocosins only)
❑A Pocosin is the full extent(>-90%)of its natural landscape size.
❑B Pocosin type is<90%of the full extent of its natural landscape size.
13. Connectivity to Other Natural Areas-landscape condition metric
13a. Check appropriate box(es) (a box may be checked in each column). Involves a GIS effort with field adjustment. This metric
evaluates whether the wetland is well connected (Well) and/or loosely connected (Loosely)to the landscape patch, the contiguous
naturally vegetated area and open water(if appropriate). Boundaries are formed by four-lane roads, regularly maintained utility line
corridors the width of a four-lane road or wider, urban landscapes, maintained fields (pasture and agriculture), or open water> 300
feet wide.
Well Loosely
®A ❑A >_500 acres
❑B ❑B From 100 to<500 acres
❑C ❑C From 50 to< 100 acres
❑D ❑D From 10 to<50 acres
❑E ❑E < 10 acres
❑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 directions? If the assessment area is clear cut,
select option"C."
❑A 0
❑B 1 to 4
®C 5to8
15. Vegetative Composition-assessment area condition metric(skip for all marshes and Pine Flat)
❑A Vegetation is close to reference condition in species present and their proportions. Lower strata composed of appropriate
species,with exotic plants absent or sparse within the assessment area.
®B Vegetation is different from reference condition in species diversity or proportions, but still largely composed of native species
characteristic of the wetland type. This may include communities of weedy native species that develop after clearcutting or clearing.
It also includes communities with exotics present, but not dominant, over a large portion of the expected strata.
❑C Vegetation severely altered from reference in composition, or expected species are unnaturally absent (planted stands of non-
characteristic species or at least one stratum inappropriately composed of a single species), or exotic species are dominant in at
least one stratum.
16. Vegetative Diversity-assessment area condition metric(evaluate for Non-tidal Freshwater Marsh only)
❑A Vegetation diversity is high and is composed primarily of native species(< 10%cover of exotics).
❑B Vegetation diversity is low or has > 10%to 50%cover of exotics.
❑C Vegetation is dominated by exotic species(>50% cover of exotics).

17. Vegetative Structure—assessment area/wetland type condition metric
17a. Is vegetation present?
®Yes ❑No If Yes,continue to 17b. If No,skip to Metric 18.
17b. Evaluate percent coverage of assessment area vegetation for all marshes only. Skip to 17c for non-marsh wetlands.
❑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.
AA WT
T
o❑A ®A Canopy closed, or nearly closed,with natural gaps associated with natural processes
®B ❑B Canopy present, but opened more than natural gaps
U ❑C ❑C Canopy sparse or absent
g❑A ®A Dense mid-story/sapling layer
®B ❑B Moderate density mid-story/sapling layer
❑C ❑C Mid-story/sapling layer sparse or absent
❑A ®A Dense shrub layer
1E ®B ❑B Moderate density shrub layer
U) ❑C ❑C Shrub layer sparse or absent
-0❑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.
Notes

NC WAM Wetland Rating Sheet
Accompanies User Manual Version 5.0
Wetland Site Name WC Date of Assessment 5-3-2018
Wetland Type Headwater Forest Assessor Name/Organization B. Cogdell-Atkins
Notes on Field Assessment Form (Y/N) NO
Presence of regulatory considerations (Y/N) YES
Wetland is intensively managed (Y/N) NO
Assessment area is located within 50 feet of a natural tributary or other open water (Y/N) YES
Assessment area is substantially altered by beaver (Y/N) NO
Assessment area experiences overbank flooding during normal rainfall conditions (Y/N) YES
Assessment area is on a coastal island (Y/N) NO
Sub-function Rating Summary
Function Sub-function Metrics Rating
Hydrology Surface Storage and Retention Condition LOW
Sub-surface Storage and
Retention Condition MEDIUM
Water Quality Pathogen Change Condition MEDIUM
Condition/Opportunity MEDIUM
Opportunity Presence (Y/N) NO
Particulate Change Condition LOW
Condition/Opportunity NA
Opportunity Presence (Y/N) NA
Soluble Change Condition MEDIUM
Condition/Opportunity MEDIUM
Opportunity Presence (Y/N) NO
Physical Change Condition MEDIUM
Condition/Opportunity MEDIUM
Opportunity Presence (Y/N) NO
Pollution Change Condition NA
Condition/Opportunity NA
Opportunity Presence (Y/N) NA
Habitat Physical Structure Condition LOW
Landscape Patch Structure Condition HIGH
Vegetation Composition Condition MEDIUM
Function Rating Summary
Function Metrics Rating
Hydrology Condition LOW
Water Quality Condition MEDIUM
Condition/Opportunity MEDIUM
Opportunity Presence (Y/N) NO
Habitat Condition LOW
Overall Wetland Rating LOW

NC WAM FIELD ASSESSMENT FORM
Accompanies User Manual Version 5.0
USACE AID# NCDWR#
Project Name US 501 (Madison Blvd.)STIP Date of Evaluation 5-3-2018
Project U-5969
Applicant/Owner Name NCDOT Wetland Site Name WD
Wetland Type Headwater Forest Assessor Name/Organization B. Co dell-Atkins
Level III Ecoregion Piedmont Nearest Named Water Body Tan and Branch
River Basin Neuse USGS 8-Digit Catalogue Unit 03020201
County Person NCDWR Region Raleigh
❑ Yes ® No Precipitation within 48 hrs? Latitude/Longitude deci-de rees 36.37875, -78.982994
Evidence of stressors affecting the assessment area(may not be within the assessment area)
Please circle and/or make note on the last page if evidence of stressors is apparent. Consider departure from reference, if appropriate, in
recent past(for instance,within 10 years). Noteworthy stressors include, but are not limited to the following.
• Hydrological modifications(examples: ditches,dams, beaver dams, dikes, berms, ponds, etc.)
• Surface and sub-surface discharges into the wetland(examples:discharges containing obvious pollutants,presence of nearby septic
tanks, underground storage tanks(USTs), hog lagoons,etc.)
• Signs of vegetation stress(examples: vegetation mortality, insect damage, disease, storm damage, salt intrusion,etc.)
• Habitat/plant community alteration (examples: mowing,clear-cutting,exotics,etc.)
Is the assessment area intensively managed? ❑ Yes ® No
Regulatory Considerations-Were regulatory considerations evaluated? ®Yes ❑No If Yes, check all that apply to the assessment area.
❑ Anadromous fish
® Federally protected species or State endangered or threatened species
® NCDWR riparian buffer rule in effect
❑ Abuts a Primary Nursery Area(PNA)
❑ Publicly owned property
❑ N.C. Division of Coastal Management Area of Environmental Concern(AEC)(including buffer)
❑ Abuts a stream with a NCDWQ classification of SA or supplemental classifications of 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) ❑ Lunar ❑ Wind ❑ Both
Is the assessment area on a coastal island? ❑ Yes ® No
Is the assessment area's surface water storage capacity or duration substantially altered by beaver? ❑ Yes ® No
Does the assessment area experience overbank flooding during normal rainfall conditions? ® Yes ❑ No
1. Ground Surface Condition/Vegetation Condition—assessment area condition metric
Check a box in each column. Consider alteration to the ground surface(GS)in the assessment area and vegetation structure(VS)in the
assessment area. Compare to reference wetland if applicable(see User Manual). If a reference is not applicable,then rate the assessment
area based on evidence an effect.
GS VS
❑A ❑A Not severely altered
®B ®B Severely altered over a majority of the assessment area(ground surface alteration examples: vehicle tracks, excessive
sedimentation, fire-plow lanes, skidder tracks, bedding, fill, soil compaction, obvious pollutants) (vegetation structure
alteration examples: mechanical disturbance, herbicides,salt intrusion[where appropriate],exotic species,grazing, less
diversity[if appropriate], hydrologic alteration)
2. Surface and Sub-Surface Storage Capacity and Duration—assessment area condition metric
Check a box in each column. Consider surface storage capacity and duration(Surf)and sub-surface storage capacity and duration(Sub).
Consider both increase and decrease in hydrology. A ditch <_ 1 foot deep is considered to affect surface water only, while a ditch > 1 foot
deep is expected to affect both surface and sub-surface water. Consider tidal flooding regime, if applicable.
Surf Sub
❑A ❑A Water storage capacity and duration are not altered.
®B ®B Water storage capacity or duration are altered, but not substantially(typically, not sufficient to change vegetation).
❑C ❑C Water storage capacity or duration are substantially altered(typically,alteration sufficient to result in vegetation change)
(examples: draining,flooding, soil compaction,filling, excessive sedimentation, underground utility lines).
3. Water Storage/Surface Relief—assessment area/wetland type condition metric(skip for all marshes)
Check a box in each column. Select the appropriate storage for the assessment area(AA)and the wetland type(WT).
AA WT
3a. ❑A ❑A Majority of wetland with depressions able to pond water> 1 deep
❑B ❑B Majority of wetland with depressions able to pond water 6 inches to 1 foot deep
❑C ❑C Majority of wetland with depressions able to pond water 3 to 6 inches deep
®D ®D Depressions able to pond water<3 inches deep
3b. ❑A Evidence that maximum depth of inundation is greater than 2 feet
❑B Evidence that maximum depth of inundation is between 1 and 2 feet
®C Evidence that maximum depth of inundation is less than 1 foot

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

9. Inundation Duration-assessment area condition metric(skip for non-riparian wetlands)
Answer for assessment area dominant landform.
®A Evidence of short-duration inundation(<7 consecutive days)
❑B Evidence of saturation,without evidence of inundation
❑C Evidence of long-duration inundation or very long-duration inundation(7 to 30 consecutive days or more)
10. Indicators of Deposition-assessment area condition metric(skip for non-riparian wetlands and all marshes)
Consider recent deposition only(no plant growth since deposition).
❑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 WC FW(if applicable)
❑A ❑A ❑A >-500 acres
❑B ❑B ❑B From 100 to<500 acres
❑C ❑C ❑C From 50 to< 100 acres
❑D ❑D ❑D From 25 to<50 acres
❑E ❑E ❑E From 10 to<25 acres
❑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
El ®I ❑I From 0.1 to<0.5 acre
®J ❑J ❑J From 0.01 to<0.1 acre
❑K ❑K ❑K <0.01 acre or assessment area is clear-cut
12. Wetland Intactness-wetland type condition metric(evaluate for Pocosins only)
❑A Pocosin is the full extent(>-90%)of its natural landscape size.
❑B Pocosin type is<90%of the full extent of its natural landscape size.
13. Connectivity to Other Natural Areas-landscape condition metric
13a. Check appropriate box(es) (a box may be checked in each column). Involves a GIS effort with field adjustment. This metric
evaluates whether the wetland is well connected (Well) and/or loosely connected (Loosely)to the landscape patch, the contiguous
naturally vegetated area and open water(if appropriate). Boundaries are formed by four-lane roads, regularly maintained utility line
corridors the width of a four-lane road or wider, urban landscapes, maintained fields (pasture and agriculture), or open water> 300
feet wide.
Well Loosely
®A ❑A >_500 acres
❑B ❑B From 100 to<500 acres
❑C ❑C From 50 to< 100 acres
❑D ❑D From 10 to<50 acres
❑E ❑E < 10 acres
❑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 directions? If the assessment area is clear cut,
select option"C."
❑A 0
❑B 1 to 4
®C 5to8
15. Vegetative Composition-assessment area condition metric(skip for all marshes and Pine Flat)
❑A Vegetation is close to reference condition in species present and their proportions. Lower strata composed of appropriate
species,with exotic plants absent or sparse within the assessment area.
®B Vegetation is different from reference condition in species diversity or proportions, but still largely composed of native species
characteristic of the wetland type. This may include communities of weedy native species that develop after clearcutting or clearing.
It also includes communities with exotics present, but not dominant, over a large portion of the expected strata.
❑C Vegetation severely altered from reference in composition, or expected species are unnaturally absent (planted stands of non-
characteristic species or at least one stratum inappropriately composed of a single species), or exotic species are dominant in at
least one stratum.
16. Vegetative Diversity-assessment area condition metric(evaluate for Non-tidal Freshwater Marsh only)
❑A Vegetation diversity is high and is composed primarily of native species(< 10%cover of exotics).
❑B Vegetation diversity is low or has > 10%to 50%cover of exotics.
❑C Vegetation is dominated by exotic species(>50% cover of exotics).

17. Vegetative Structure—assessment area/wetland type condition metric
17a. Is vegetation present?
®Yes ❑No If Yes,continue to 17b. If No,skip to Metric 18.
17b. Evaluate percent coverage of assessment area vegetation for all marshes only. Skip to 17c for non-marsh wetlands.
❑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.
AA WT
T
o❑A ®A Canopy closed, or nearly closed,with natural gaps associated with natural processes
®B ❑B Canopy present, but opened more than natural gaps
U ❑C ❑C Canopy sparse or absent
g❑A ®A Dense mid-story/sapling layer
®B ❑B Moderate density mid-story/sapling layer
❑C ❑C Mid-story/sapling layer sparse or absent
❑A ®A Dense shrub layer
1E ®B ❑B Moderate density shrub layer
U) ❑C ❑C Shrub layer sparse or absent
-0❑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.
Notes

NC WAM Wetland Rating Sheet
Accompanies User Manual Version 5.0
Wetland Site Name WD Date of Assessment 5-3-2018
Wetland Type Headwater Forest Assessor Name/Organization B. Cogdell-Atkins
Notes on Field Assessment Form (Y/N) NO
Presence of regulatory considerations (Y/N) YES
Wetland is intensively managed (Y/N) NO
Assessment area is located within 50 feet of a natural tributary or other open water (Y/N) YES
Assessment area is substantially altered by beaver (Y/N) NO
Assessment area experiences overbank flooding during normal rainfall conditions (Y/N) YES
Assessment area is on a coastal island (Y/N) NO
Sub-function Rating Summary
Function Sub-function Metrics Rating
Hydrology Surface Storage and Retention Condition LOW
Sub-surface Storage and
Retention Condition MEDIUM
Water Quality Pathogen Change Condition MEDIUM
Condition/Opportunity MEDIUM
Opportunity Presence (Y/N) NO
Particulate Change Condition LOW
Condition/Opportunity NA
Opportunity Presence (Y/N) NA
Soluble Change Condition MEDIUM
Condition/Opportunity MEDIUM
Opportunity Presence (Y/N) NO
Physical Change Condition LOW
Condition/Opportunity LOW
Opportunity Presence (Y/N) NO
Pollution Change Condition NA
Condition/Opportunity NA
Opportunity Presence (Y/N) NA
Habitat Physical Structure Condition LOW
Landscape Patch Structure Condition HIGH
Vegetation Composition Condition MEDIUM
Function Rating Summary
Function Metrics Rating
Hydrology Condition LOW
Water Quality Condition LOW
Condition/Opportunity LOW
Opportunity Presence (Y/N) NO
Habitat Condition LOW
Overall Wetland Rating LOW

NC WAM FIELD ASSESSMENT FORM
Accompanies User Manual Version 5.0
USACE AID# NCDWR#
Project Name US 501 (Madison Blvd.)STIP Date of Evaluation 5-3-2018
Project U-5969
Applicant/Owner Name NCDOT Wetland Site Name WE/WF
Wetland Type Headwater Forest Assessor Name/Organization B. Co dell-Atkins
Level III Ecoregion Piedmont Nearest Named Water Body Tan and Branch
River Basin Roanoke USGS 8-Digit Catalogue Unit 03010104
County Person NCDWR Region Raleigh
❑ Yes ® No Precipitation within 48 hrs? Latitude/Longitude deci-de rees 36.387893, -78.987875
Evidence of stressors affecting the assessment area(may not be within the assessment area)
Please circle and/or make note on the last page if evidence of stressors is apparent. Consider departure from reference, if appropriate, in
recent past(for instance,within 10 years). Noteworthy stressors include, but are not limited to the following.
• Hydrological modifications(examples: ditches,dams, beaver dams, dikes, berms, ponds, etc.)
• Surface and sub-surface discharges into the wetland(examples:discharges containing obvious pollutants,presence of nearby septic
tanks, underground storage tanks(USTs), hog lagoons,etc.)
• Signs of vegetation stress(examples: vegetation mortality, insect damage, disease, storm damage, salt intrusion,etc.)
• Habitat/plant community alteration (examples: mowing,clear-cutting,exotics,etc.)
Is the assessment area intensively managed? ® Yes ❑ No
Regulatory Considerations-Were regulatory considerations evaluated? ®Yes ❑No If Yes, check all that apply to the assessment area.
❑ Anadromous fish
® Federally protected species or State endangered or threatened species
❑ NCDWR riparian buffer rule in effect
❑ Abuts a Primary Nursery Area(PNA)
❑ Publicly owned property
❑ N.C. Division of Coastal Management Area of Environmental Concern(AEC)(including buffer)
❑ Abuts a stream with a NCDWQ classification of SA or supplemental classifications of 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) ❑ Lunar ❑ Wind ❑ Both
Is the assessment area on a coastal island? ❑ Yes ® No
Is the assessment area's surface water storage capacity or duration substantially altered by beaver? ❑ Yes ® No
Does the assessment area experience overbank flooding during normal rainfall conditions? ❑ Yes ® No
1. Ground Surface Condition/Vegetation Condition—assessment area condition metric
Check a box in each column. Consider alteration to the ground surface(GS)in the assessment area and vegetation structure(VS)in the
assessment area. Compare to reference wetland if applicable(see User Manual). If a reference is not applicable,then rate the assessment
area based on evidence an effect.
GS VS
❑A ❑A Not severely altered
®B ®B Severely altered over a majority of the assessment area(ground surface alteration examples: vehicle tracks, excessive
sedimentation, fire-plow lanes, skidder tracks, bedding, fill, soil compaction, obvious pollutants) (vegetation structure
alteration examples: mechanical disturbance, herbicides,salt intrusion[where appropriate],exotic species,grazing, less
diversity[if appropriate], hydrologic alteration)
2. Surface and Sub-Surface Storage Capacity and Duration—assessment area condition metric
Check a box in each column. Consider surface storage capacity and duration(Surf)and sub-surface storage capacity and duration(Sub).
Consider both increase and decrease in hydrology. A ditch <_ 1 foot deep is considered to affect surface water only, while a ditch > 1 foot
deep is expected to affect both surface and sub-surface water. Consider tidal flooding regime, if applicable.
Surf Sub
❑A ❑A Water storage capacity and duration are not altered.
❑B ®B Water storage capacity or duration are altered, but not substantially(typically, not sufficient to change vegetation).
®C ❑C Water storage capacity or duration are substantially altered(typically,alteration sufficient to result in vegetation change)
(examples: draining,flooding, soil compaction,filling, excessive sedimentation, underground utility lines).
3. Water Storage/Surface Relief—assessment area/wetland type condition metric(skip for all marshes)
Check a box in each column. Select the appropriate storage for the assessment area(AA)and the wetland type(WT).
AA WT
3a. ❑A ❑A Majority of wetland with depressions able to pond water> 1 deep
❑B ❑B Majority of wetland with depressions able to pond water 6 inches to 1 foot deep
❑C ❑C Majority of wetland with depressions able to pond water 3 to 6 inches deep
®D ®D Depressions able to pond water<3 inches deep
3b. ❑A Evidence that maximum depth of inundation is greater than 2 feet
❑B Evidence that maximum depth of inundation is between 1 and 2 feet
®C Evidence that maximum depth of inundation is less than 1 foot

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

9. Inundation Duration-assessment area condition metric(skip for non-riparian wetlands)
Answer for assessment area dominant landform.
®A Evidence of short-duration inundation(<7 consecutive days)
❑B Evidence of saturation,without evidence of inundation
❑C Evidence of long-duration inundation or very long-duration inundation(7 to 30 consecutive days or more)
10. Indicators of Deposition-assessment area condition metric(skip for non-riparian wetlands and all marshes)
Consider recent deposition only(no plant growth since deposition).
❑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 WC FW(if applicable)
❑A ❑A ❑A >-500 acres
❑B ❑B ❑B From 100 to<500 acres
❑C ❑C ❑C From 50 to< 100 acres
❑D ❑D ❑D From 25 to<50 acres
❑E ❑E ❑E From 10 to<25 acres
❑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
El ®I ❑I From 0.1 to<0.5 acre
®J ❑J ®J From 0.01 to<0.1 acre
❑K ❑K ❑K <0.01 acre or assessment area is clear-cut
12. Wetland Intactness-wetland type condition metric(evaluate for Pocosins only)
❑A Pocosin is the full extent(>-90%)of its natural landscape size.
❑B Pocosin type is<90%of the full extent of its natural landscape size.
13. Connectivity to Other Natural Areas-landscape condition metric
13a. Check appropriate box(es) (a box may be checked in each column). Involves a GIS effort with field adjustment. This metric
evaluates whether the wetland is well connected (Well) and/or loosely connected (Loosely)to the landscape patch, the contiguous
naturally vegetated area and open water(if appropriate). Boundaries are formed by four-lane roads, regularly maintained utility line
corridors the width of a four-lane road or wider, urban landscapes, maintained fields (pasture and agriculture), or open water> 300
feet wide.
Well Loosely
❑A ❑A >_500 acres
❑B ❑B From 100 to<500 acres
❑C ❑C From 50 to< 100 acres
❑D ❑D From 10 to<50 acres
❑E ❑E < 10 acres
®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 directions? If the assessment area is clear cut,
select option"C."
❑A 0
❑B 1 to 4
®C 5to8
15. Vegetative Composition-assessment area condition metric(skip for all marshes and Pine Flat)
❑A Vegetation is close to reference condition in species present and their proportions. Lower strata composed of appropriate
species,with exotic plants absent or sparse within the assessment area.
❑B Vegetation is different from reference condition in species diversity or proportions, but still largely composed of native species
characteristic of the wetland type. This may include communities of weedy native species that develop after clearcutting or clearing.
It also includes communities with exotics present, but not dominant, over a large portion of the expected strata.
®C Vegetation severely altered from reference in composition, or expected species are unnaturally absent (planted stands of non-
characteristic species or at least one stratum inappropriately composed of a single species), or exotic species are dominant in at
least one stratum.
16. Vegetative Diversity-assessment area condition metric(evaluate for Non-tidal Freshwater Marsh only)
❑A Vegetation diversity is high and is composed primarily of native species(< 10%cover of exotics).
❑B Vegetation diversity is low or has > 10%to 50%cover of exotics.
❑C Vegetation is dominated by exotic species(>50% cover of exotics).

17. Vegetative Structure—assessment area/wetland type condition metric
17a. Is vegetation present?
®Yes ❑No If Yes,continue to 17b. If No,skip to Metric 18.
17b. Evaluate percent coverage of assessment area vegetation for all marshes only. Skip to 17c for non-marsh wetlands.
❑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.
AA WT
T
o❑A ❑A Canopy closed, or nearly closed,with natural gaps associated with natural processes
®B ®B Canopy present, but opened more than natural gaps
U ❑C ❑C Canopy sparse or absent
g❑A ❑A Dense mid-story/sapling layer
❑B ❑B Moderate density mid-story/sapling layer
®C ®C Mid-story/sapling layer sparse or absent
❑A ❑A Dense shrub layer
1E ❑B ❑B Moderate density shrub layer
U) ®C ®C Shrub layer sparse or absent
-0®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.
Notes

NC WAM Wetland Rating Sheet
Accompanies User Manual Version 5.0
Wetland Site Name WE/WF Date of Assessment 5-3-2018
Wetland Type Headwater Forest Assessor Name/Organization B. Cogdell-Atkins
Notes on Field Assessment Form (Y/N) NO
Presence of regulatory considerations (Y/N) YES
Wetland is intensively managed (Y/N) YES
Assessment area is located within 50 feet of a natural tributary or other open water (Y/N) NO
Assessment area is substantially altered by beaver (Y/N) NO
Assessment area experiences overbank flooding during normal rainfall conditions (Y/N) NO
Assessment area is on a coastal island (Y/N) NO
Sub-function Rating Summary
Function Sub-function Metrics Rating
Hydrology Surface Storage and Retention Condition LOW
Sub-surface Storage and
Retention Condition MEDIUM
Water Quality Pathogen Change Condition LOW
Condition/Opportunity LOW
Opportunity Presence (Y/N) NO
Particulate Change Condition LOW
Condition/Opportunity NA
Opportunity Presence (Y/N) NA
Soluble Change Condition LOW
Condition/Opportunity LOW
Opportunity Presence (Y/N) NO
Physical Change Condition LOW
Condition/Opportunity LOW
Opportunity Presence (Y/N) NO
Pollution Change Condition NA
Condition/Opportunity NA
Opportunity Presence (Y/N) NA
Habitat Physical Structure Condition LOW
Landscape Patch Structure Condition LOW
Vegetation Composition Condition LOW
Function Rating Summary
Function Metrics Rating
Hydrology Condition LOW
Water Quality Condition LOW
Condition/Opportunity LOW
Opportunity Presence (Y/N) NO
Habitat Condition LOW
Overall Wetland Rating LOW

NC WAM FIELD ASSESSMENT FORM
Accompanies User Manual Version 5.0
USACE AID# NCDWR#
Project Name US 501 (Madison Blvd.)STIP Date of Evaluation 5-3-2018
Project U-5969
Applicant/Owner Name NCDOT Wetland Site Name WG
Wetland Type Bottomland Hardwood Forest Assessor Name/Organization B. Co dell-Atkins
Level III Ecoregion Piedmont Nearest Named Water Body Tan and Branch
River Basin Roanoke USGS 8-Digit Catalogue Unit 03010104
County Person NCDWR Region Raleigh
❑ Yes ® No Precipitation within 48 hrs? Latitude/Longitude deci-de rees 36.400181, -78.982577
Evidence of stressors affecting the assessment area(may not be within the assessment area)
Please circle and/or make note on the last page if evidence of stressors is apparent. Consider departure from reference, if appropriate, in
recent past(for instance,within 10 years). Noteworthy stressors include, but are not limited to the following.
• Hydrological modifications(examples: ditches,dams, beaver dams, dikes, berms, ponds, etc.)
• Surface and sub-surface discharges into the wetland(examples:discharges containing obvious pollutants,presence of nearby septic
tanks, underground storage tanks(USTs), hog lagoons,etc.)
• Signs of vegetation stress(examples: vegetation mortality, insect damage, disease, storm damage, salt intrusion,etc.)
• Habitat/plant community alteration (examples: mowing,clear-cutting,exotics,etc.)
Is the assessment area intensively managed? ❑ Yes ® No
Regulatory Considerations-Were regulatory considerations evaluated? ®Yes ❑No If Yes, check all that apply to the assessment area.
❑ Anadromous fish
® Federally protected species or State endangered or threatened species
❑ NCDWR riparian buffer rule in effect
❑ Abuts a Primary Nursery Area(PNA)
❑ Publicly owned property
❑ N.C. Division of Coastal Management Area of Environmental Concern(AEC)(including buffer)
❑ Abuts a stream with a NCDWQ classification of SA or supplemental classifications of 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) ❑ Lunar ❑ Wind ❑ Both
Is the assessment area on a coastal island? ❑ Yes ® No
Is the assessment area's surface water storage capacity or duration substantially altered by beaver? ❑ Yes ® No
Does the assessment area experience overbank flooding during normal rainfall conditions? ® Yes ❑ No
1. Ground Surface Condition/Vegetation Condition—assessment area condition metric
Check a box in each column. Consider alteration to the ground surface(GS)in the assessment area and vegetation structure(VS)in the
assessment area. Compare to reference wetland if applicable(see User Manual). If a reference is not applicable,then rate the assessment
area based on evidence an effect.
GS VS
®A ®A Not severely altered
❑B ❑B Severely altered over a majority of the assessment area(ground surface alteration examples: vehicle tracks, excessive
sedimentation, fire-plow lanes, skidder tracks, bedding, fill, soil compaction, obvious pollutants) (vegetation structure
alteration examples: mechanical disturbance, herbicides,salt intrusion[where appropriate],exotic species,grazing, less
diversity[if appropriate], hydrologic alteration)
2. Surface and Sub-Surface Storage Capacity and Duration—assessment area condition metric
Check a box in each column. Consider surface storage capacity and duration(Surf)and sub-surface storage capacity and duration(Sub).
Consider both increase and decrease in hydrology. A ditch <_ 1 foot deep is considered to affect surface water only, while a ditch > 1 foot
deep is expected to affect both surface and sub-surface water. Consider tidal flooding regime, if applicable.
Surf Sub
❑A ❑A Water storage capacity and duration are not altered.
®B ®B Water storage capacity or duration are altered, but not substantially(typically, not sufficient to change vegetation).
❑C ❑C Water storage capacity or duration are substantially altered(typically,alteration sufficient to result in vegetation change)
(examples: draining,flooding, soil compaction,filling, excessive sedimentation, underground utility lines).
3. Water Storage/Surface Relief—assessment area/wetland type condition metric(skip for all marshes)
Check a box in each column. Select the appropriate storage for the assessment area(AA)and the wetland type(WT).
AA WT
3a. ❑A ❑A Majority of wetland with depressions able to pond water> 1 deep
❑B ❑B Majority of wetland with depressions able to pond water 6 inches to 1 foot deep
®C ®C Majority of wetland with depressions able to pond water 3 to 6 inches deep
❑D ❑D Depressions able to pond water<3 inches deep
3b. ❑A Evidence that maximum depth of inundation is greater than 2 feet
❑B Evidence that maximum depth of inundation is between 1 and 2 feet
®C Evidence that maximum depth of inundation is less than 1 foot

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

9. Inundation Duration-assessment area condition metric(skip for non-riparian wetlands)
Answer for assessment area dominant landform.
®A Evidence of short-duration inundation(<7 consecutive days)
❑B Evidence of saturation,without evidence of inundation
❑C Evidence of long-duration inundation or very long-duration inundation(7 to 30 consecutive days or more)
10. Indicators of Deposition-assessment area condition metric(skip for non-riparian wetlands and all marshes)
Consider recent deposition only(no plant growth since deposition).
❑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 WC FW(if applicable)
❑A ❑A ❑A >-500 acres
❑B ❑B ❑B From 100 to<500 acres
❑C ❑C ❑C From 50 to< 100 acres
❑D ❑D ❑D From 25 to<50 acres
❑E ❑E ❑E From 10 to<25 acres
❑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 type is<90%of the full extent of its natural landscape size.
13. Connectivity to Other Natural Areas-landscape condition metric
13a. Check appropriate box(es) (a box may be checked in each column). Involves a GIS effort with field adjustment. This metric
evaluates whether the wetland is well connected (Well) and/or loosely connected (Loosely)to the landscape patch, the contiguous
naturally vegetated area and open water(if appropriate). Boundaries are formed by four-lane roads, regularly maintained utility line
corridors the width of a four-lane road or wider, urban landscapes, maintained fields (pasture and agriculture), or open water> 300
feet wide.
Well Loosely
❑A ®A >_500 acres
❑B ❑B From 100 to<500 acres
❑C ❑C From 50 to< 100 acres
❑D ❑D From 10 to<50 acres
®E ❑E < 10 acres
❑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 directions? If the assessment area is clear cut,
select option"C."
❑A 0
❑B 1 to 4
®C 5to8
15. Vegetative Composition-assessment area condition metric(skip for all marshes and Pine Flat)
❑A Vegetation is close to reference condition in species present and their proportions. Lower strata composed of appropriate
species,with exotic plants absent or sparse within the assessment area.
®B Vegetation is different from reference condition in species diversity or proportions, but still largely composed of native species
characteristic of the wetland type. This may include communities of weedy native species that develop after clearcutting or clearing.
It also includes communities with exotics present, but not dominant, over a large portion of the expected strata.
❑C Vegetation severely altered from reference in composition, or expected species are unnaturally absent (planted stands of non-
characteristic species or at least one stratum inappropriately composed of a single species), or exotic species are dominant in at
least one stratum.
16. Vegetative Diversity-assessment area condition metric(evaluate for Non-tidal Freshwater Marsh only)
❑A Vegetation diversity is high and is composed primarily of native species(< 10%cover of exotics).
❑B Vegetation diversity is low or has > 10%to 50%cover of exotics.
❑C Vegetation is dominated by exotic species(>50% cover of exotics).

17. Vegetative Structure—assessment area/wetland type condition metric
17a. Is vegetation present?
®Yes ❑No If Yes,continue to 17b. If No,skip to Metric 18.
17b. Evaluate percent coverage of assessment area vegetation for all marshes only. Skip to 17c for non-marsh wetlands.
❑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.
AA WT
T
o®A ®A Canopy closed, or nearly closed,with natural gaps associated with natural processes
❑B ❑B Canopy present, but opened more than natural gaps
U ❑C ❑C Canopy sparse or absent
g❑A ❑A Dense mid-story/sapling layer
®B ®B Moderate density mid-story/sapling layer
❑C ❑C Mid-story/sapling layer sparse or absent
❑A ❑A Dense shrub layer
1E ❑B ❑B Moderate density shrub layer
U) ®C ®C Shrub layer sparse or absent
-0❑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.
Notes

NC WAM Wetland Rating Sheet
Accompanies User Manual Version 5.0
Wetland Site Name WG Date of Assessment 5-3-2018
Wetland Type Bottomland Hardwood Forest Assessor Name/Organization B. Cogdell-Atkins
Notes on Field Assessment Form (Y/N) NO
Presence of regulatory considerations (Y/N) YES
Wetland is intensively managed (Y/N) NO
Assessment area is located within 50 feet of a natural tributary or other open water (Y/N) YES
Assessment area is substantially altered by beaver (Y/N) NO
Assessment area experiences overbank flooding during normal rainfall conditions (Y/N) YES
Assessment area is on a coastal island (Y/N) NO
Sub-function Rating Summary
Function Sub-function Metrics Rating
Hydrology Surface Storage and Retention Condition MEDIUM
Sub-surface Storage and
Retention Condition MEDIUM
Water Quality Pathogen Change Condition MEDIUM
Condition/Opportunity MEDIUM
Opportunity Presence (Y/N) NO
Particulate Change Condition MEDIUM
Condition/Opportunity MEDIUM
Opportunity Presence (Y/N) NO
Soluble Change Condition MEDIUM
Condition/Opportunity MEDIUM
Opportunity Presence (Y/N) NO
Physical Change Condition LOW
Condition/Opportunity LOW
Opportunity Presence (Y/N) NO
Pollution Change Condition NA
Condition/Opportunity NA
Opportunity Presence (Y/N) NA
Habitat Physical Structure Condition LOW
Landscape Patch Structure Condition LOW
Vegetation Composition Condition MEDIUM
Function Rating Summary
Function Metrics Rating
Hydrology Condition MEDIUM
Water Quality Condition MEDIUM
Condition/Opportunity MEDIUM
Opportunity Presence (Y/N) NO
Habitat Condition LOW
Overall Wetland Rating MEDIUM

NC SAM FIELD ASSESSMENT RESULTS
Accompanies User Manual Version 2.1
USACE AID#: NCDWR#:
INSTRUCTIONS: Attach a sketch of the assessment area and photographs. Attach a copy of the USGS 7.5-minute topographic quadrangle,
and circle the location of the stream reach under evaluation. If multiple stream reaches will be evaluated on the same property, identify and
number all reaches on the attached map,and include a separate form for each reach. See the NC SAM User Manual for detailed descriptions
and explanations of requested information. Record in the "Notes/Sketch"section if supplementary measurements were performed. See the
NC SAM User Manual for examples of additional measurements that may be relevant.
NOTE EVIDENCE OF STRESSORS AFFECTING THE ASSESSMENT AREA(do not need to be within the assessment area).
PROJECT/SITE INFORMATION:
US 501 (Madison Blvd.)STIP Project
1. Project name(if any): U-5969 2. Date of evaluation: 5-3-2018
3.Applicant/owner name: NCDOT 4.Assessor name/organization: B. Cogdell/R. Gresham
5. County: Person 6. Nearest named water body
7. River basin: Neuse on USGS 7.5-minute quad: Tanyard Branch
8. Site coordinates(decimal degrees, at lower end of assessment reach): 36.373527,-78.983135
STREAM INFORMATION: (depth and width can be approximations)
9. Site number(show on attached map): SA 10. Length of assessment reach evaluated(feet): 120
11. Channel depth from bed(in riffle, if present)to top of bank(feet): 2 ❑Unable to assess channel depth.
12. Channel width at top of bank(feet): 2 13. Is assessment reach a swamp steam? ❑Yes ❑No
14. Feature type: ❑Perennial flow ®Intermittent flow ❑Tidal Marsh Stream
STREAM CATEGORY INFORMATION:
15. NC SAM Zone: ❑ Mountains(M) ® Piedmont(P) ❑ Inner Coastal Plain (I) ❑ Outer Coastal Plain (0)
16. Estimated geomorphic ❑A ®B
valley shape(skip for
Tidal Marsh Stream): (more sinuous stream,flatter valley slope) (less sinuous stream,steeper valley slope)
17.Watershed size: (skip ®Size 1 (<0.1 mi2) ❑Size 2(0.1 to<0.5 mil) ❑Size 3(0.5 to<5 mil) ❑Size 4(>-5 mi2)
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
18.Were regulatory considerations evaluated? ®Yes ❑No If Yes, check all that apply to the assessment area.
❑Section 10 water ❑Classified Trout Waters ❑Water Supply Watershed (❑I ❑II ❑III ❑IV ❑V)
❑Essential Fish Habitat ❑Primary Nursery Area ❑ High Quality Waters/Outstanding Resource Waters
❑Publicly owned property ®NCDWR Riparian buffer rule in effect ❑Nutrient Sensitive Waters
❑Anadromous fish ❑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 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 severely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impoundment on flood or ebb within
the assessment reach(examples: undersized or perched culverts,causeways that constrict the channel,tidal gates,debris jams,
beaver dams).
❑B Not
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)
❑C Noticeable evidence of pollutant discharges entering the assessment reach and causing a water quality problem
❑D Odor(not including natural sulfide odors)
❑E Current published or collected data indicating degraded water quality in the assessment reach. Cite source in "Notes/Sketch"
section.
❑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(skip for Tidal Marsh Streams)
For Size 1 or 2 streams, D1 drought or higher is considered a drought;for Size 3 or 4 streams, D2 drought or higher is considered a drought.
❑A Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
❑B Drought conditions and rainfall exceeding 1 inch within the last 48 hours
®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 N ❑F 5%oysters or other natural hard bottoms
(include liverworts, lichens, and algal mats) m ❑G Submerged aquatic vegetation
®B Multiple sticks and/or leaf packs and/or emergent o ❑H Low-tide refugia(pools)
vegetation Y ❑1 Sand bottom
❑C Multiple snags and logs(including lap trees) r m ❑J 5%vertical bank along the marsh
❑D 5% undercut banks and/or root mats and/or roots ❑K Little or no habitat
in banks extend to the normal wetted perimeter
❑E Little or no habitat
*********************************REMAINING QUESTIONS ARE NOT APPLICABLE FOR TIDAL MARSH STREAMS****************************
11. Bedform and Substrate—assessment reach metric(skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
11a. ❑Yes ®No Is assessment reach in a natural sand-bed stream?(skip for Coastal Plain streams)
11 b. Bedform evaluated. Check the appropriate box(es).
®A Riffle-run section(evaluate 11c)
®B Pool-glide section(evaluate 11d)
❑C Natural bedform absent(skip to Metric 12,Aquatic Life)
11 c. In riffle sections,check all that occur below the normal wetted perimeter of the assessment reach—whether or not submerged. Check
at least one box in each row(skip for Size 4 Coastal Plain streams and Tidal Marsh Streams). Not Present(NP)=absent, Rare
(R)= present but < 10%, Common (C)_ > 10-40%, Abundant(A) _ >40-70%, Predominant(P)_ > 70%. Cumulative percentages
should not exceed 100%for each assessment reach.
NP R C A P
® ❑ ❑ ❑ ❑ Bedrock/saprolite
® ❑ ❑ ❑ ❑ Boulder(256—4096 mm)
® ❑ ❑ ❑ ❑ Cobble(64—256 mm)
® ❑ ❑ ❑ ❑ Gravel (2—64 mm)
❑ ❑ ❑ ❑ ® Sand (.062—2 mm)
❑ ❑ ❑ ® ❑ Silt/clay(<0.062 mm)
❑ ❑ ® ❑ ❑ Detritus
® ❑ ❑ ❑ ❑ Artificial (rip-rap, concrete,etc.)
11d. ®Yes ❑No Are pools filled with sediment?(skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)

12. Aquatic Life—assessment reach metric(skip for Tidal Marsh Streams)
12a. ®Yes ❑No Was an in-stream aquatic life assessment performed as described in the User Manual?
If No,select one of the following reasons and skip to Metric 13. ❑No Water ❑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
❑ ❑Caddisfly larvae(T)
❑ ❑Asian clam (Corbicula)
❑ ❑Crustacean(isopod/amphipod/crayfish/shrimp)
❑ ❑Damselfly and dragonfly larvae
❑ ❑Dipterans
❑ ❑Mayfly larvae(E)
❑ ❑Megaloptera(alderfly,fishfly, dobsonfly larvae)
❑ ❑Midges/mosquito larvae
❑ ❑Mosquito fish(Gambusia)or mud minnows(Umbra pygmaea)
❑ ❑Mussels/Clams(not Corbicula)
❑ ❑Other fish
❑ ❑Salamanders/tad poles
❑ ❑Snails
❑ ❑Stonefly larvae(P)
❑ ❑Tipulid larvae
❑ ❑Worms/leeches
13. Streamside Area Ground Surface Condition—streamside area metric(skip for Tidal Marsh Streams and B valley types)
Consider for the Left Bank(LB)and the Right Bank(RB). Consider storage capacity with regard to both overbank flow and upland runoff.
LB RB
❑A ❑A Little or no alteration to water storage capacity over a majority of the streamside area
❑B ❑B Moderate alteration to water storage capacity over a majority of the streamside area
❑C ❑C Severe alteration to water storage capacity over a majority of the streamside area(examples: ditches,fill,soil compaction,
livestock disturbance, buildings, man-made levees,drainage pipes)
14. Streamside Area Water Storage—streamside area metric(skip for Size 1 streams,Tidal Marsh Streams,and B valley types)
Consider for the Left Bank(LB)and the Right Bank(RB)of the streamside area.
LB RB
❑A ❑A Majority of streamside area with depressions able to pond water>6 inches deep
❑B ❑B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
❑C ❑C Majority of streamside area with depressions able to pond water<3 inches deep
15. Wetland Presence—streamside area metric(skip for Tidal Marsh Streams)
Consider for the Left Bank(LB)and the Right Bank(RB). Do not consider wetlands outside of the streamside area or within the normal
wetted perimeter of assessment reach.
LB RB
®Y ®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 passing flow during low-flow periods within the assessment area(beaver dam, leaky dam, bottom-release dam,weir)
❑D Evidence of bank seepage or sweating(iron in water indicates seepage)
❑E Stream bed or bank soil reduced (dig through deposited sediment if present)
❑F None of the above
17. Baseflow Detractors—assessment area metric(skip for Tidal Marsh Streams)
Check all that apply.
❑A Evidence of substantial water withdrawals from the assessment reach(includes areas excavated for pump installation)
❑B Obstruction not passing flow during low-flow periods affecting the assessment reach (ex:watertight dam,sediment deposit)
❑C Urban stream(>_24%impervious surface for watershed)
®D Evidence that the streamside area has been modified resulting in accelerated drainage into the assessment reach
❑E Assessment reach relocated to valley edge
❑F None of the above
18. Shading—assessment reach metric(skip for Tidal Marsh Streams)
Consider aspect. Consider"leaf-on"condition.
❑A Stream shading is appropriate for stream category(may include gaps associated with natural processes)
®B Degraded (example: scattered trees)
❑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-streamside area metric(skip for Tidal Marsh Streams)
Evaluate the dominant vegetation within 100 feet of each bank or to the edge of the watershed (whichever comes first)as it contributes to
assessment reach habitat.
LB RB
❑A ❑A Vegetation is close to undisturbed in species present and their proportions. Lower strata composed of native species,
with non-native invasive species absent or sparse.
®B ®B Vegetation indicates disturbance in terms of species diversity or proportions, but is still largely composed of native
species. This may include communities of weedy native species that develop after clear-cutting or clearing or
communities with non-native invasive species present, but not dominant, over a large portion of the expected strata or
communities missing understory but retaining canopy trees.
❑C ❑C Vegetation is severely disturbed in terms of species diversity or proportions. Mature canopy is absent or communities
with non-native invasive species dominant over a large portion of expected strata or communities composed of planted
stands of non-characteristic species or communities inappropriately composed of a single species or no vegetation.
25. Conductivity-assessment reach metric(skip for all Coastal Plain streams)
25a. ❑Yes ®No Was conductivity measurement recorded?
If No,select one of the following reasons. ❑No Water ®Other:
25b. Check the box corresponding to the conductivity measurement(units of microsiemens per centimeter).
❑A <46 FIB 46 to<67 ❑C 67 to<79 ❑D 79 to<230 ❑E >-230
Notes/Sketch:

Draft NC SAM Stream Rating Sheet
Accompanies User Manual Version 2.1
Stream Site Name US 501 (Madison Blvd.) Date of Assessment 5-3-2018
STIP Project U-5969
Stream Category Pb1 Assessor Name/Organization B. Cogdell/R. Gresham
Notes of Field Assessment Form (Y/N) NO
Presence of regulatory considerations(Y/N) YES
Additional stream information/supplementary measurements included (Y/N) NO
NC SAM feature type(perennial, intermittent, Tidal Marsh Stream) Intermittent
USACE/ NCDWR
Function Class Rating Summary All Streams Intermittent
(1) Hydrology MEDIUM MEDIUM
(2)Baseflow MEDIUM MEDIUM
(2) Flood Flow MEDIUM MEDIUM
(3)Streamside Area Attenuation MEDIUM MEDIUM
(4) Floodplain Access MEDIUM MEDIUM
(4)Wooded Riparian Buffer MEDIUM MEDIUM
(4)Microtopography NA NA
(3)Stream Stability MEDIUM MEDIUM
(4)Channel Stability HIGH HIGH
(4)Sediment Transport LOW LOW
(4)Stream Geomorphology MEDIUM MEDIUM
(2)Stream/Intertidal Zone Interaction NA NA
(2)Longitudinal Tidal Flow NA NA
(2)Tidal Marsh Stream Stability NA NA
(3)Tidal Marsh Channel Stability NA NA
(3)Tidal Marsh Stream Geomorphology NA NA
(1)Water Quality MEDIUM MEDIUM
(2)Baseflow MEDIUM MEDIUM
(2)Streamside Area Vegetation HIGH HIGH
(3) Upland Pollutant Filtration HIGH HIGH
(3)Thermoregulation MEDIUM MEDIUM
(2) Indicators of Stressors NO NO
(2)Aquatic Life Tolerance LOW NA
(2) Intertidal Zone Filtration NA NA
(1) Habitat MEDIUM MEDIUM
(2) In-stream Habitat LOW LOW
(3)Baseflow MEDIUM MEDIUM
(3)Substrate LOW LOW
(3)Stream Stability HIGH HIGH
(3) In-stream Habitat LOW MEDIUM
(2)Stream-side Habitat HIGH HIGH
(3)Stream-side Habitat HIGH HIGH
(3)Thermoregulation MEDIUM MEDIUM
(2)Tidal Marsh In-stream Habitat NA NA
(3)Flow Restriction NA NA
(3)Tidal Marsh Stream Stability NA NA
(4)Tidal Marsh Channel Stability NA NA
(4)Tidal Marsh Stream Geomorphology NA NA
(3)Tidal Marsh In-stream Habitat NA NA
(2) Intertidal Zone NA NA
Overall MEDIUM MEDIUM

NC SAM FIELD ASSESSMENT RESULTS
Accompanies User Manual Version 2.1
USACE AID#: NCDWR#:
INSTRUCTIONS: Attach a sketch of the assessment area and photographs. Attach a copy of the USGS 7.5-minute topographic quadrangle,
and circle the location of the stream reach under evaluation. If multiple stream reaches will be evaluated on the same property, identify and
number all reaches on the attached map,and include a separate form for each reach. See the NC SAM User Manual for detailed descriptions
and explanations of requested information. Record in the "Notes/Sketch"section if supplementary measurements were performed. See the
NC SAM User Manual for examples of additional measurements that may be relevant.
NOTE EVIDENCE OF STRESSORS AFFECTING THE ASSESSMENT AREA(do not need to be within the assessment area).
PROJECT/SITE INFORMATION:
US 501(Madison Blvd)STIP Project
1. Project name(if any): U-5969 2. Date of evaluation: 5-3-2018
3.Applicant/owner name: NCDOT 4.Assessor name/organization: B. Cogdell/R. Gresham
5. County: Person 6. Nearest named water body
7. River basin: Neuse on USGS 7.5-minute quad: Tanyard Branch
8. Site coordinates(decimal degrees, at lower end of assessment reach): 36.373748,-78.983177
STREAM INFORMATION: (depth and width can be approximations)
9. Site number(show on attached map): SB 10. Length of assessment reach evaluated(feet): 74
11. Channel depth from bed(in riffle, if present)to top of bank(feet): 2 ❑Unable to assess channel depth.
12. Channel width at top of bank(feet): 4 13. Is assessment reach a swamp steam? ❑Yes ❑No
14. Feature type: ®Perennial flow ❑Intermittent flow ❑Tidal Marsh Stream
STREAM CATEGORY INFORMATION:
15. NC SAM Zone: ❑ Mountains(M) ® Piedmont(P) ❑ Inner Coastal Plain (I) ❑ Outer Coastal Plain (0)
16. Estimated geomorphic ❑A ®B
valley shape(skip for
Tidal Marsh Stream): (more sinuous stream,flatter valley slope) (less sinuous stream,steeper valley slope)
17.Watershed size: (skip ®Size 1 (<0.1 mi2) ❑Size 2(0.1 to<0.5 mil) ❑Size 3(0.5 to<5 mil) ❑Size 4(>-5 mi2)
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
18.Were regulatory considerations evaluated? ®Yes ❑No If Yes, check all that apply to the assessment area.
❑Section 10 water ❑Classified Trout Waters ❑Water Supply Watershed (❑I ❑II ❑III ❑IV ❑V)
❑Essential Fish Habitat ❑Primary Nursery Area ❑ High Quality Waters/Outstanding Resource Waters
❑Publicly owned property ®NCDWR Riparian buffer rule in effect ❑Nutrient Sensitive Waters
❑Anadromous fish ❑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 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 severely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impoundment on flood or ebb within
the assessment reach(examples: undersized or perched culverts,causeways that constrict the channel,tidal gates,debris jams,
beaver dams).
❑B Not
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
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)
❑C Noticeable evidence of pollutant discharges entering the assessment reach and causing a water quality problem
❑D Odor(not including natural sulfide odors)
❑E Current published or collected data indicating degraded water quality in the assessment reach. Cite source in "Notes/Sketch"
section.
❑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(skip for Tidal Marsh Streams)
For Size 1 or 2 streams, D1 drought or higher is considered a drought;for Size 3 or 4 streams, D2 drought or higher is considered a drought.
❑A Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
❑B Drought conditions and rainfall exceeding 1 inch within the last 48 hours
®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 N ❑F 5%oysters or other natural hard bottoms
(include liverworts, lichens, and algal mats) m ❑G Submerged aquatic vegetation
®B Multiple sticks and/or leaf packs and/or emergent o ❑H Low-tide refugia(pools)
vegetation Y ❑1 Sand bottom
❑C Multiple snags and logs(including lap trees) r m ❑J 5%vertical bank along the marsh
®D 5% undercut banks and/or root mats and/or roots ❑K Little or no habitat
in banks extend to the normal wetted perimeter
❑E Little or no habitat
*********************************REMAINING QUESTIONS ARE NOT APPLICABLE FOR TIDAL MARSH STREAMS****************************
11. Bedform and Substrate—assessment reach metric(skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
11a. ❑Yes ®No Is assessment reach in a natural sand-bed stream?(skip for Coastal Plain streams)
11 b. Bedform evaluated. Check the appropriate box(es).
®A Riffle-run section(evaluate 11c)
®B Pool-glide section(evaluate 11d)
❑C Natural bedform absent(skip to Metric 12,Aquatic Life)
11 c. In riffle sections,check all that occur below the normal wetted perimeter of the assessment reach—whether or not submerged. Check
at least one box in each row(skip for Size 4 Coastal Plain streams and Tidal Marsh Streams). Not Present(NP)=absent, Rare
(R)= present but < 10%, Common (C)_ > 10-40%, Abundant(A) _ >40-70%, Predominant(P)_ > 70%. Cumulative percentages
should not exceed 100%for each assessment reach.
NP R C A P
® ❑ ❑ ❑ ❑ Bedrock/saprolite
® ❑ ❑ ❑ ❑ Boulder(256—4096 mm)
® ❑ ❑ ❑ ❑ Cobble(64—256 mm)
® ❑ ❑ ❑ ❑ Gravel (2—64 mm)
❑ ❑ ❑ ❑ ® Sand (.062—2 mm)
❑ ❑ ❑ ® ❑ Silt/clay(<0.062 mm)
❑ ❑ ® ❑ ❑ Detritus
® ❑ ❑ ❑ ❑ Artificial (rip-rap, concrete,etc.)
11d. ®Yes ❑No Are pools filled with sediment?(skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)

12. Aquatic Life—assessment reach metric(skip for Tidal Marsh Streams)
12a. ®Yes ❑No Was an in-stream aquatic life assessment performed as described in the User Manual?
If No,select one of the following reasons and skip to Metric 13. ❑No Water ❑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
❑ ❑Caddisfly larvae(T)
❑ ❑Asian clam (Corbicula)
❑ ❑Crustacean(isopod/amphipod/crayfish/shrimp)
❑ ❑Damselfly and dragonfly larvae
❑ ❑Dipterans
❑ ❑Mayfly larvae(E)
❑ ❑Megaloptera(alderfly,fishfly, dobsonfly larvae)
❑ ❑Midges/mosquito larvae
❑ ❑Mosquito fish(Gambusia)or mud minnows(Umbra pygmaea)
❑ ❑Mussels/Clams(not Corbicula)
❑ ❑Other fish
❑ ❑Salamanders/tad poles
❑ ❑Snails
❑ ❑Stonefly larvae(P)
❑ ❑Tipulid larvae
❑ ❑Worms/leeches
13. Streamside Area Ground Surface Condition—streamside area metric(skip for Tidal Marsh Streams and B valley types)
Consider for the Left Bank(LB)and the Right Bank(RB). Consider storage capacity with regard to both overbank flow and upland runoff.
LB RB
❑A ❑A Little or no alteration to water storage capacity over a majority of the streamside area
❑B ❑B Moderate alteration to water storage capacity over a majority of the streamside area
❑C ❑C Severe alteration to water storage capacity over a majority of the streamside area(examples: ditches,fill,soil compaction,
livestock disturbance, buildings, man-made levees,drainage pipes)
14. Streamside Area Water Storage—streamside area metric(skip for Size 1 streams,Tidal Marsh Streams,and B valley types)
Consider for the Left Bank(LB)and the Right Bank(RB)of the streamside area.
LB RB
❑A ❑A Majority of streamside area with depressions able to pond water>6 inches deep
❑B ❑B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
❑C ❑C Majority of streamside area with depressions able to pond water<3 inches deep
15. Wetland Presence—streamside area metric(skip for Tidal Marsh Streams)
Consider for the Left Bank(LB)and the Right Bank(RB). Do not consider wetlands outside of the streamside area or within the normal
wetted perimeter of assessment reach.
LB RB
®Y ®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 passing flow during low-flow periods within the assessment area(beaver dam, leaky dam, bottom-release dam,weir)
❑D Evidence of bank seepage or sweating(iron in water indicates seepage)
❑E Stream bed or bank soil reduced (dig through deposited sediment if present)
❑F None of the above
17. Baseflow Detractors—assessment area metric(skip for Tidal Marsh Streams)
Check all that apply.
❑A Evidence of substantial water withdrawals from the assessment reach(includes areas excavated for pump installation)
❑B Obstruction not passing flow during low-flow periods affecting the assessment reach (ex:watertight dam,sediment deposit)
❑C Urban stream(>_24%impervious surface for watershed)
®D Evidence that the streamside area has been modified resulting in accelerated drainage into the assessment reach
❑E Assessment reach relocated to valley edge
❑F None of the above
18. Shading—assessment reach metric(skip for Tidal Marsh Streams)
Consider aspect. Consider"leaf-on"condition.
❑A Stream shading is appropriate for stream category(may include gaps associated with natural processes)
®B Degraded (example: scattered trees)
❑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-streamside area metric(skip for Tidal Marsh Streams)
Evaluate the dominant vegetation within 100 feet of each bank or to the edge of the watershed (whichever comes first)as it contributes to
assessment reach habitat.
LB RB
❑A ❑A Vegetation is close to undisturbed in species present and their proportions. Lower strata composed of native species,
with non-native invasive species absent or sparse.
®B ®B Vegetation indicates disturbance in terms of species diversity or proportions, but is still largely composed of native
species. This may include communities of weedy native species that develop after clear-cutting or clearing or
communities with non-native invasive species present, but not dominant, over a large portion of the expected strata or
communities missing understory but retaining canopy trees.
❑C ❑C Vegetation is severely disturbed in terms of species diversity or proportions. Mature canopy is absent or communities
with non-native invasive species dominant over a large portion of expected strata or communities composed of planted
stands of non-characteristic species or communities inappropriately composed of a single species or no vegetation.
25. Conductivity-assessment reach metric(skip for all Coastal Plain streams)
25a. ❑Yes ®No Was conductivity measurement recorded?
If No,select one of the following reasons. ❑No Water ®Other:
25b. Check the box corresponding to the conductivity measurement(units of microsiemens per centimeter).
❑A <46 FIB 46 to<67 ❑C 67 to<79 ❑D 79 to<230 ❑E >-230
Notes/Sketch:

Draft NC SAM Stream Rating Sheet
Accompanies User Manual Version 2.1
Stream Site Name US 501(Madison Blvd)STIP Date of Assessment 5-3-2018
Project U-5969
Stream Category Pb1 Assessor Name/Organization B. Cogdell/R. Gresham
Notes of Field Assessment Form (Y/N) NO
Presence of regulatory considerations(Y/N) YES
Additional stream information/supplementary measurements included (Y/N) NO
NC SAM feature type(perennial, intermittent, Tidal Marsh Stream) Perennial
USACE/ NCDWR
Function Class Rating Summary All Streams Intermittent
(1) Hydrology MEDIUM
(2)Baseflow MEDIUM
(2) Flood Flow MEDIUM
(3)Streamside Area Attenuation MEDIUM
(4) Floodplain Access MEDIUM
(4)Wooded Riparian Buffer MEDIUM
(4)Microtopography NA
(3)Stream Stability MEDIUM
(4)Channel Stability MEDIUM
(4)Sediment Transport LOW
(4)Stream Geomorphology HIGH
(2)Stream/Intertidal Zone Interaction NA
(2)Longitudinal Tidal Flow NA
(2)Tidal Marsh Stream Stability NA
(3)Tidal Marsh Channel Stability NA
(3)Tidal Marsh Stream Geomorphology NA
(1)Water Quality LOW
(2)Baseflow MEDIUM
(2)Streamside Area Vegetation MEDIUM
(3) Upland Pollutant Filtration MEDIUM
(3)Thermoregulation MEDIUM
(2) Indicators of Stressors YES
(2)Aquatic Life Tolerance LOW
(2) Intertidal Zone Filtration NA
(1) Habitat MEDIUM
(2) In-stream Habitat LOW
(3)Baseflow MEDIUM
(3)Substrate LOW
(3)Stream Stability MEDIUM
(3) In-stream Habitat MEDIUM
(2)Stream-side Habitat HIGH
(3)Stream-side Habitat HIGH
(3)Thermoregulation MEDIUM
(2)Tidal Marsh In-stream Habitat NA
(3)Flow Restriction NA
(3)Tidal Marsh Stream Stability NA
(4)Tidal Marsh Channel Stability NA
(4)Tidal Marsh Stream Geomorphology NA
(3)Tidal Marsh In-stream Habitat NA
(2) Intertidal Zone NA
Overall MEDIUM

NC SAM FIELD ASSESSMENT RESULTS
Accompanies User Manual Version 2.1
USACE AID#: NCDWR#:
INSTRUCTIONS: Attach a sketch of the assessment area and photographs. Attach a copy of the USGS 7.5-minute topographic quadrangle,
and circle the location of the stream reach under evaluation. If multiple stream reaches will be evaluated on the same property, identify and
number all reaches on the attached map,and include a separate form for each reach. See the NC SAM User Manual for detailed descriptions
and explanations of requested information. Record in the "Notes/Sketch"section if supplementary measurements were performed. See the
NC SAM User Manual for examples of additional measurements that may be relevant.
NOTE EVIDENCE OF STRESSORS AFFECTING THE ASSESSMENT AREA(do not need to be within the assessment area).
PROJECT/SITE INFORMATION:
US 501(Madison Blvd)STIP Project
1. Project name(if any): U-5969 2. Date of evaluation: 5-3-2018
3.Applicant/owner name: NCDOT 4.Assessor name/organization: B. Cogdell/R. Gresham
5. County: Person 6. Nearest named water body
7. River basin: Neuse on USGS 7.5-minute quad: Tanyard Branch
8. Site coordinates(decimal degrees, at lower end of assessment reach): 36.374793,-78.983114
STREAM INFORMATION: (depth and width can be approximations)
9. Site number(show on attached map): Sc 10. Length of assessment reach evaluated(feet): 52
11. Channel depth from bed(in riffle, if present)to top of bank(feet): 2 ❑Unable to assess channel depth.
12. Channel width at top of bank(feet): 2 13. Is assessment reach a swamp steam? ❑Yes ❑No
14. Feature type: ❑Perennial flow ®Intermittent flow ❑Tidal Marsh Stream
STREAM CATEGORY INFORMATION:
15. NC SAM Zone: ❑ Mountains(M) ® Piedmont(P) ❑ Inner Coastal Plain (I) ❑ Outer Coastal Plain (0)
16. Estimated geomorphic ❑A ®B
valley shape(skip for
Tidal Marsh Stream): (more sinuous stream,flatter valley slope) (less sinuous stream,steeper valley slope)
17.Watershed size: (skip ®Size 1 (<0.1 mi2) ❑Size 2(0.1 to<0.5 mil) ❑Size 3(0.5 to<5 mil) ❑Size 4(>-5 mi2)
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
18.Were regulatory considerations evaluated? ®Yes ❑No If Yes, check all that apply to the assessment area.
❑Section 10 water ❑Classified Trout Waters ❑Water Supply Watershed (❑I ❑II ❑III ❑IV ❑V)
❑Essential Fish Habitat ❑Primary Nursery Area ❑ High Quality Waters/Outstanding Resource Waters
❑Publicly owned property ®NCDWR Riparian buffer rule in effect ❑Nutrient Sensitive Waters
❑Anadromous fish ❑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 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 severely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impoundment on flood or ebb within
the assessment reach(examples: undersized or perched culverts,causeways that constrict the channel,tidal gates,debris jams,
beaver dams).
❑B Not
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)
❑C Noticeable evidence of pollutant discharges entering the assessment reach and causing a water quality problem
®D Odor(not including natural sulfide odors)
❑E Current published or collected data indicating degraded water quality in the assessment reach. Cite source in "Notes/Sketch"
section.
❑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(skip for Tidal Marsh Streams)
For Size 1 or 2 streams, D1 drought or higher is considered a drought;for Size 3 or 4 streams, D2 drought or higher is considered a drought.
❑A Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
❑B Drought conditions and rainfall exceeding 1 inch within the last 48 hours
®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 N ❑F 5%oysters or other natural hard bottoms
(include liverworts, lichens, and algal mats) m ❑G Submerged aquatic vegetation
❑B Multiple sticks and/or leaf packs and/or emergent o ❑H Low-tide refugia(pools)
vegetation Y ❑1 Sand bottom
❑C Multiple snags and logs(including lap trees) r Co ❑J 5%vertical bank along the marsh
❑D 5% undercut banks and/or root mats and/or roots ❑K Little or no habitat
in banks extend to the normal wetted perimeter
®E Little or no habitat
*********************************REMAINING QUESTIONS ARE NOT APPLICABLE FOR TIDAL MARSH STREAMS****************************
11. Bedform and Substrate—assessment reach metric(skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
11a. ❑Yes ®No Is assessment reach in a natural sand-bed stream?(skip for Coastal Plain streams)
11 b. Bedform evaluated. Check the appropriate box(es).
❑A Riffle-run section(evaluate 11c)
❑B Pool-glide section(evaluate 11d)
®C Natural bedform absent(skip to Metric 12,Aquatic Life)
11 c. In riffle sections,check all that occur below the normal wetted perimeter of the assessment reach—whether or not submerged. Check
at least one box in each row(skip for Size 4 Coastal Plain streams and Tidal Marsh Streams). Not Present(NP)=absent, Rare
(R)= present but < 10%, Common (C)_ > 10-40%, Abundant(A) _ >40-70%, Predominant(P)_ > 70%. Cumulative percentages
should not exceed 100%for each assessment reach.
NP R C A P
❑ ❑ ❑ ❑ ❑ Bedrock/saprolite
❑ ❑ ❑ ❑ ❑ Boulder(256—4096 mm)
❑ ❑ ❑ ❑ ❑ Cobble(64—256 mm)
❑ ❑ ❑ ❑ ❑ Gravel (2—64 mm)
❑ ❑ ❑ ❑ ❑ Sand (.062—2 mm)
❑ ❑ ❑ ❑ ❑ Silt/clay(<0.062 mm)
❑ ❑ ❑ ❑ ❑ Detritus
❑ ❑ ❑ ❑ ❑ Artificial (rip-rap, concrete,etc.)
11d. ❑Yes ❑No Are pools filled with sediment?(skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)

12. Aquatic Life—assessment reach metric(skip for Tidal Marsh Streams)
12a. ®Yes ❑No Was an in-stream aquatic life assessment performed as described in the User Manual?
If No,select one of the following reasons and skip to Metric 13. ❑No Water ❑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
❑ ❑Caddisfly larvae(T)
❑ ❑Asian clam (Corbicula)
❑ ❑Crustacean(isopod/amphipod/crayfish/shrimp)
❑ ❑Damselfly and dragonfly larvae
❑ ❑Dipterans
❑ ❑Mayfly larvae(E)
❑ ❑Megaloptera(alderfly,fishfly, dobsonfly larvae)
❑ ❑Midges/mosquito larvae
❑ ❑Mosquito fish(Gambusia)or mud minnows(Umbra pygmaea)
❑ ❑Mussels/Clams(not Corbicula)
❑ ❑Other fish
❑ ❑Salamanders/tad poles
❑ ❑Snails
❑ ❑Stonefly larvae(P)
❑ ❑Tipulid larvae
❑ ❑Worms/leeches
13. Streamside Area Ground Surface Condition—streamside area metric(skip for Tidal Marsh Streams and B valley types)
Consider for the Left Bank(LB)and the Right Bank(RB). Consider storage capacity with regard to both overbank flow and upland runoff.
LB RB
❑A ❑A Little or no alteration to water storage capacity over a majority of the streamside area
❑B ❑B Moderate alteration to water storage capacity over a majority of the streamside area
❑C ❑C Severe alteration to water storage capacity over a majority of the streamside area(examples: ditches,fill,soil compaction,
livestock disturbance, buildings, man-made levees,drainage pipes)
14. Streamside Area Water Storage—streamside area metric(skip for Size 1 streams,Tidal Marsh Streams,and B valley types)
Consider for the Left Bank(LB)and the Right Bank(RB)of the streamside area.
LB RB
❑A ❑A Majority of streamside area with depressions able to pond water>6 inches deep
❑B ❑B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
❑C ❑C Majority of streamside area with depressions able to pond water<3 inches deep
15. Wetland Presence—streamside area metric(skip for Tidal Marsh Streams)
Consider for the Left Bank(LB)and the Right Bank(RB). Do not consider wetlands outside of the streamside area or within the normal
wetted perimeter of assessment reach.
LB RB
❑Y ❑Y Are wetlands present in the streamside area?
CAN ®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 passing flow during low-flow periods within the assessment area(beaver dam, leaky dam, bottom-release dam,weir)
❑D Evidence of bank seepage or sweating(iron in water indicates seepage)
❑E Stream bed or bank soil reduced (dig through deposited sediment if present)
®F None of the above
17. Baseflow Detractors—assessment area metric(skip for Tidal Marsh Streams)
Check all that apply.
❑A Evidence of substantial water withdrawals from the assessment reach(includes areas excavated for pump installation)
®B Obstruction not passing flow during low-flow periods affecting the assessment reach (ex:watertight dam,sediment deposit)
®C Urban stream(>_24%impervious surface for watershed)
❑D Evidence that the streamside area has been modified resulting in accelerated drainage into the assessment reach
❑E Assessment reach relocated to valley edge
❑F None of the above
18. Shading—assessment reach metric(skip for Tidal Marsh Streams)
Consider aspect. Consider"leaf-on"condition.
❑A Stream shading is appropriate for stream category(may include gaps associated with natural processes)
❑B Degraded (example: scattered trees)
®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-streamside area metric(skip for Tidal Marsh Streams)
Evaluate the dominant vegetation within 100 feet of each bank or to the edge of the watershed (whichever comes first)as it contributes to
assessment reach habitat.
LB RB
❑A ❑A Vegetation is close to undisturbed in species present and their proportions. Lower strata composed of native species,
with non-native invasive species absent or sparse.
❑B ❑B Vegetation indicates disturbance in terms of species diversity or proportions, but is still largely composed of native
species. This may include communities of weedy native species that develop after clear-cutting or clearing or
communities with non-native invasive species present, but not dominant, over a large portion of the expected strata or
communities missing understory but retaining canopy trees.
®C ®C Vegetation is severely disturbed in terms of species diversity or proportions. Mature canopy is absent or communities
with non-native invasive species dominant over a large portion of expected strata or communities composed of planted
stands of non-characteristic species or communities inappropriately composed of a single species or no vegetation.
25. Conductivity-assessment reach metric(skip for all Coastal Plain streams)
25a. ❑Yes ®No Was conductivity measurement recorded?
If No,select one of the following reasons. ®No Water ❑Other:
25b. Check the box corresponding to the conductivity measurement(units of microsiemens per centimeter).
❑A <46 ❑B 46 to<67 ❑C 67 to<79 ❑D 79 to<230 ❑E >-230
Notes/Sketch:

Draft NC SAM Stream Rating Sheet
Accompanies User Manual Version 2.1
Stream Site Name US 501(Madison Blvd)STIP Date of Assessment 5-3-2018
Project U-5969
Stream Category Pb1 Assessor Name/Organization B. Cogdell/R. Gresham
Notes of Field Assessment Form (Y/N) NO
Presence of regulatory considerations(Y/N) YES
Additional stream information/supplementary measurements included (Y/N) NO
NC SAM feature type(perennial, intermittent, Tidal Marsh Stream) Intermittent
USACE/ NCDWR
Function Class Rating Summary All Streams Intermittent
(1) Hydrology LOW LOW
(2)Baseflow LOW LOW
(2) Flood Flow LOW LOW
(3)Streamside Area Attenuation LOW LOW
(4) Floodplain Access LOW LOW
(4)Wooded Riparian Buffer LOW LOW
(4)Microtopography NA NA
(3)Stream Stability LOW LOW
(4)Channel Stability MEDIUM MEDIUM
(4)Sediment Transport LOW LOW
(4)Stream Geomorphology LOW LOW
(2)Stream/Intertidal Zone Interaction NA NA
(2)Longitudinal Tidal Flow NA NA
(2)Tidal Marsh Stream Stability NA NA
(3)Tidal Marsh Channel Stability NA NA
(3)Tidal Marsh Stream Geomorphology NA NA
(1)Water Quality LOW LOW
(2)Baseflow LOW LOW
(2)Streamside Area Vegetation LOW LOW
(3) Upland Pollutant Filtration LOW LOW
(3)Thermoregulation LOW LOW
(2) Indicators of Stressors YES YES
(2)Aquatic Life Tolerance HIGH NA
(2) Intertidal Zone Filtration NA NA
(1) Habitat LOW LOW
(2) In-stream Habitat LOW LOW
(3)Baseflow LOW LOW
(3)Substrate LOW LOW
(3)Stream Stability MEDIUM MEDIUM
(3) In-stream Habitat LOW LOW
(2)Stream-side Habitat LOW LOW
(3)Stream-side Habitat LOW LOW
(3)Thermoregulation LOW LOW
(2)Tidal Marsh In-stream Habitat NA NA
(3)Flow Restriction NA NA
(3)Tidal Marsh Stream Stability NA NA
(4)Tidal Marsh Channel Stability NA NA
(4)Tidal Marsh Stream Geomorphology NA NA
(3)Tidal Marsh In-stream Habitat NA NA
(2) Intertidal Zone NA NA
Overall LOW LOW

NC SAM FIELD ASSESSMENT RESULTS
Accompanies User Manual Version 2.1
USACE AID#: NCDWR#:
INSTRUCTIONS: Attach a sketch of the assessment area and photographs. Attach a copy of the USGS 7.5-minute topographic quadrangle,
and circle the location of the stream reach under evaluation. If multiple stream reaches will be evaluated on the same property, identify and
number all reaches on the attached map,and include a separate form for each reach. See the NC SAM User Manual for detailed descriptions
and explanations of requested information. Record in the "Notes/Sketch"section if supplementary measurements were performed. See the
NC SAM User Manual for examples of additional measurements that may be relevant.
NOTE EVIDENCE OF STRESSORS AFFECTING THE ASSESSMENT AREA(do not need to be within the assessment area).
PROJECT/SITE INFORMATION:
US 501 (Madison Blvd)STIP Project
1. Project name(if any): U-5969 2. Date of evaluation: 5-8-2018
3.Applicant/owner name: NCDOT 4.Assessor name/organization: B. Cogdell/R. Gresham
5. County: Person 6. Nearest named water body
7. River basin: Roanoke on USGS 7.5-minute quad: Tanyard Branch
8. Site coordinates(decimal degrees, at lower end of assessment reach): 36.403546,-78.980296
STREAM INFORMATION: (depth and width can be approximations)
SD-Tanyard
9. Site number(show on attached map): Branch 10. Length of assessment reach evaluated(feet): 100
11. Channel depth from bed(in riffle, if present)to top of bank(feet): 8 ❑Unable to assess channel depth.
12. Channel width at top of bank(feet): 15 13. Is assessment reach a swamp steam? ❑Yes ❑No
14. Feature type: ®Perennial flow ❑Intermittent flow ❑Tidal Marsh Stream
STREAM CATEGORY INFORMATION:
15. NC SAM Zone: ❑ Mountains(M) ® Piedmont(P) ❑ Inner Coastal Plain (I) ❑ Outer Coastal Plain (0)
16. Estimated geomorphic ❑A\1� ®B
valley shape(skip for
Tidal Marsh Stream): (more sinuous stream,flatter valley slope) (less sinuous stream,steeper valley slope)
17.Watershed size: (skip ❑Size 1 (<0.1 mil) ❑Size 2(0.1 to<0.5 mil) ®Size 3(0.5 to<5 mil) ❑Size 4(>_5 mil)
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
18.Were regulatory considerations evaluated? ®Yes ❑No If Yes, check all that apply to the assessment area.
❑Section 10 water ❑Classified Trout Waters ❑Water Supply Watershed (❑I ❑II ❑III ❑IV ❑V)
❑Essential Fish Habitat ❑Primary Nursery Area ❑ High Quality Waters/Outstanding Resource Waters
❑Publicly owned property ❑NCDWR Riparian buffer rule in effect ❑Nutrient Sensitive Waters
❑Anadromous fish ❑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 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 severely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impoundment on flood or ebb within
the assessment reach(examples: undersized or perched culverts,causeways that constrict the channel,tidal gates,debris jams,
beaver dams).
❑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
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)
❑C Noticeable evidence of pollutant discharges entering the assessment reach and causing a water quality problem
❑D Odor(not including natural sulfide odors)
❑E Current published or collected data indicating degraded water quality in the assessment reach. Cite source in "Notes/Sketch"
section.
❑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(skip for Tidal Marsh Streams)
For Size 1 or 2 streams, D1 drought or higher is considered a drought;for Size 3 or 4 streams, D2 drought or higher is considered a drought.
❑A Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
❑B Drought conditions and rainfall exceeding 1 inch within the last 48 hours
®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 N ❑F 5%oysters or other natural hard bottoms
(include liverworts, lichens, and algal mats) m ❑G Submerged aquatic vegetation
❑B Multiple sticks and/or leaf packs and/or emergent o ❑H Low-tide refugia(pools)
vegetation Y ❑1 Sand bottom
❑C Multiple snags and logs(including lap trees) r Co ❑J 5%vertical bank along the marsh
❑D 5% undercut banks and/or root mats and/or roots ❑K Little or no habitat
in banks extend to the normal wetted perimeter
®E Little or no habitat
*********************************REMAINING QUESTIONS ARE NOT APPLICABLE FOR TIDAL MARSH STREAMS****************************
11. Bedform and Substrate—assessment reach metric(skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
11a. ❑Yes ®No Is assessment reach in a natural sand-bed stream?(skip for Coastal Plain streams)
11 b. Bedform evaluated. Check the appropriate box(es).
®A Riffle-run section(evaluate 11c)
®B Pool-glide section(evaluate 11d)
❑C Natural bedform absent(skip to Metric 12,Aquatic Life)
11 c. In riffle sections,check all that occur below the normal wetted perimeter of the assessment reach—whether or not submerged. Check
at least one box in each row(skip for Size 4 Coastal Plain streams and Tidal Marsh Streams). Not Present(NP)=absent, Rare
(R)= present but < 10%, Common (C)_ > 10-40%, Abundant(A) _ >40-70%, Predominant(P)_ > 70%. Cumulative percentages
should not exceed 100%for each assessment reach.
NP R C A P
® ❑ ❑ ❑ ❑ Bedrock/saprolite
® ❑ ❑ ❑ ❑ Boulder(256—4096 mm)
® ❑ ❑ ❑ ❑ Cobble(64—256 mm)
® ❑ ❑ ❑ ❑ Gravel (2—64 mm)
❑ ❑ ❑ ® ❑ Sand (.062—2 mm)
❑ ❑ ® ❑ ❑ Silt/clay(<0.062 mm)
❑ ❑ ® ❑ ❑ Detritus
❑ ❑ ❑ ® ❑ Artificial (rip-rap, concrete,etc.)
11d. ®Yes ❑No Are pools filled with sediment?(skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)

12. Aquatic Life—assessment reach metric(skip for Tidal Marsh Streams)
12a. ®Yes ❑No Was an in-stream aquatic life assessment performed as described in the User Manual?
If No,select one of the following reasons and skip to Metric 13. ❑No Water ❑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
❑ ❑Caddisfly larvae(T)
❑ ❑Asian clam (Corbicula)
❑ ❑Crustacean(isopod/amphipod/crayfish/shrimp)
❑ ❑Damselfly and dragonfly larvae
❑ ❑Dipterans
❑ ❑Mayfly larvae(E)
❑ ❑Megaloptera(alderfly,fishfly, dobsonfly larvae)
❑ ❑Midges/mosquito larvae
❑ ❑Mosquito fish(Gambusia)or mud minnows(Umbra pygmaea)
❑ ❑Mussels/Clams(not Corbicula)
❑ ❑Other fish
❑ ❑Salamanders/tad poles
❑ ❑Snails
❑ ❑Stonefly larvae(P)
❑ ❑Tipulid larvae
❑ ❑Worms/leeches
13. Streamside Area Ground Surface Condition—streamside area metric(skip for Tidal Marsh Streams and B valley types)
Consider for the Left Bank(LB)and the Right Bank(RB). Consider storage capacity with regard to both overbank flow and upland runoff.
LB RB
❑A ❑A Little or no alteration to water storage capacity over a majority of the streamside area
❑B ❑B Moderate alteration to water storage capacity over a majority of the streamside area
❑C ❑C Severe alteration to water storage capacity over a majority of the streamside area(examples: ditches,fill,soil compaction,
livestock disturbance, buildings, man-made levees,drainage pipes)
14. Streamside Area Water Storage—streamside area metric(skip for Size 1 streams,Tidal Marsh Streams,and B valley types)
Consider for the Left Bank(LB)and the Right Bank(RB)of the streamside area.
LB RB
❑A ❑A Majority of streamside area with depressions able to pond water>6 inches deep
❑B ❑B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
❑C ❑C Majority of streamside area with depressions able to pond water<3 inches deep
15. Wetland Presence—streamside area metric(skip for Tidal Marsh Streams)
Consider for the Left Bank(LB)and the Right Bank(RB). Do not consider wetlands outside of the streamside area or within the normal
wetted perimeter of assessment reach.
LB RB
❑Y ❑Y Are wetlands present in the streamside area?
CAN ®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 passing flow during low-flow periods within the assessment area(beaver dam, leaky dam, bottom-release dam,weir)
❑D Evidence of bank seepage or sweating(iron in water indicates seepage)
❑E Stream bed or bank soil reduced (dig through deposited sediment if present)
®F None of the above
17. Baseflow Detractors—assessment area metric(skip for Tidal Marsh Streams)
Check all that apply.
❑A Evidence of substantial water withdrawals from the assessment reach(includes areas excavated for pump installation)
❑B Obstruction not passing flow during low-flow periods affecting the assessment reach (ex:watertight dam,sediment deposit)
❑C Urban stream(>_24%impervious surface for watershed)
®D Evidence that the streamside area has been modified resulting in accelerated drainage into the assessment reach
❑E Assessment reach relocated to valley edge
❑F None of the above
18. Shading—assessment reach metric(skip for Tidal Marsh Streams)
Consider aspect. Consider"leaf-on"condition.
❑A Stream shading is appropriate for stream category(may include gaps associated with natural processes)
®B Degraded (example: scattered trees)
❑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-streamside area metric(skip for Tidal Marsh Streams)
Evaluate the dominant vegetation within 100 feet of each bank or to the edge of the watershed (whichever comes first)as it contributes to
assessment reach habitat.
LB RB
❑A ❑A Vegetation is close to undisturbed in species present and their proportions. Lower strata composed of native species,
with non-native invasive species absent or sparse.
❑B ❑B Vegetation indicates disturbance in terms of species diversity or proportions, but is still largely composed of native
species. This may include communities of weedy native species that develop after clear-cutting or clearing or
communities with non-native invasive species present, but not dominant, over a large portion of the expected strata or
communities missing understory but retaining canopy trees.
®C ®C Vegetation is severely disturbed in terms of species diversity or proportions. Mature canopy is absent or communities
with non-native invasive species dominant over a large portion of expected strata or communities composed of planted
stands of non-characteristic species or communities inappropriately composed of a single species or no vegetation.
25. Conductivity-assessment reach metric(skip for all Coastal Plain streams)
25a. ❑Yes ®No Was conductivity measurement recorded?
If No,select one of the following reasons. ❑No Water ®Other:
25b. Check the box corresponding to the conductivity measurement(units of microsiemens per centimeter).
❑A <46 FIB 46 to<67 ❑C 67 to<79 ❑D 79 to<230 ❑E >-230
Notes/Sketch:

Draft NC SAM Stream Rating Sheet
Accompanies User Manual Version 2.1
Stream Site Name US 501 (Madison Blvd)STIP Date of Assessment 5-8-2018
Project U-5969
Stream Category Pb3 Assessor Name/Organization B. Cogdell/R. Gresham
Notes of Field Assessment Form (Y/N) NO
Presence of regulatory considerations(Y/N) NO
Additional stream information/supplementary measurements included (Y/N) NO
NC SAM feature type(perennial, intermittent, Tidal Marsh Stream) Perennial
USACE/ NCDWR
Function Class Rating Summary All Streams Intermittent
(1) Hydrology LOW
(2)Baseflow MEDIUM
(2) Flood Flow LOW
(3)Streamside Area Attenuation LOW
(4) Floodplain Access LOW
(4)Wooded Riparian Buffer LOW
(4)Microtopography NA
(3)Stream Stability LOW
(4)Channel Stability MEDIUM
(4)Sediment Transport LOW
(4)Stream Geomorphology LOW
(2)Stream/Intertidal Zone Interaction NA
(2)Longitudinal Tidal Flow NA
(2)Tidal Marsh Stream Stability NA
(3)Tidal Marsh Channel Stability NA
(3)Tidal Marsh Stream Geomorphology NA
(1)Water Quality MEDIUM
(2)Baseflow MEDIUM
(2)Streamside Area Vegetation LOW
(3) Upland Pollutant Filtration LOW
(3)Thermoregulation MEDIUM
(2) Indicators of Stressors NO
(2)Aquatic Life Tolerance HIGH
(2) Intertidal Zone Filtration NA
(1) Habitat LOW
(2) In-stream Habitat LOW
(3)Baseflow MEDIUM
(3)Substrate LOW
(3)Stream Stability MEDIUM
(3) In-stream Habitat LOW
(2)Stream-side Habitat LOW
(3)Stream-side Habitat LOW
(3)Thermoregulation MEDIUM
(2)Tidal Marsh In-stream Habitat NA
(3)Flow Restriction NA
(3)Tidal Marsh Stream Stability NA
(4)Tidal Marsh Channel Stability NA
(4)Tidal Marsh Stream Geomorphology NA
(3)Tidal Marsh In-stream Habitat NA
(2) Intertidal Zone NA
Overall LOW