U-5899 Updated PJD packet_final_12092021.pdf

Jurisdictional Determination Request
A. PARCEL INFORMATION
Street Address: Forum Parkway(SR 3955)
City, State: Rural Hall, NC
County: Forsyth Co.
Directions: Take 1-40 to exit 206 for 1-40 Bus/US 421;take exit 6B onto US 52 N and go
to exit 118(NC 65)and go right off ramp;take a right on Forum Parkway
Parcel Index Number(s) (PIN): N/A
B. REQUESTOR INFORMATION
Name: Amy Euliss
Mailing Address: 375 Silas Creek Parkway,Winston-Salem NC,27127
Telephone Number: 336-747-7800
Electronic Mail Addressi: [e-mail]
Select one:
❑ I am the current property owner.
❑ I am an Authorized Agent or Environmental Consultant
❑ Interested Buyer or Under Contract to Purchase
❑✓ Other, please explain.
This JD request is for a NCDOT road extension project; landowners have been
contacted for access and permission to have USACE regulatory personnel on their
property.
C. PROPERTY OWNER INFORMATION
Name: N/A
Mailing Address:
Telephone Number:
Electronic Mail Addressi:
❑Proof of Ownership Attached (e.g. a copy of Deed, County GIS/Parcel/Tax Record data)
i If available
Z Must attach completed Agent Authorization Form
3 If available
Version: December 2013 Page 3

Jurisdictional Determination Request
D. PROPERTY OWNER CERTIFICATION'
I,the undersigned, a duly authorized owner of record of the property/properties identified herein,
do 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
and issuing a determination associated with Waters of the U.S. subject to Federal jurisdiction
under Section 404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of
1899.
NCDOT Division 9 November 5, 2021
Property Owner(please print) Date
Prope Owner Signature
E. JURISDICTIONAL DETERMINATION TYPE
Select One:
❑✓ I am requesting that the Corps provide a preliminarX JD for the property identified herein.
This request does include a delineation.
❑ I am requesting that the Corps provide a preliminarX JD for the property identified herein.
This request does NOT include a delineation.
❑ I am requesting that the Corps investigate the property/project area for the presence or
absence of WOUS5 and provide an approved JD for the property identified herein. This
request does NOT include a request for a verified delineation.
❑ I am requesting that the Corps delineate the boundaries of all WoUS on a property/project
area and provide an approved JD (this may or may not include a survey plat).
❑ I am requesting that the Corps evaluate and approve a delineation of WoUS (conducted
by others) on a property/project area and provide an approved JD (may or may not
include a survey plat).
4 For NCDOT requests following the current NCDOT/USACE protocols,skip to Part E.
5 Waters of the United States
Version: December 2013 Page 4

Jurisdictional Determination Request
F. ALL REQUESTS
❑ Map of Property or Project Area(attached). This Map must clearly depict the boundaries
of the area of evaluation.
Size of Property or Project Area 210.E acres
nI verify that the property (or project)boundaries have recently been surveyed and marked
by a licensed land surveyor OR are otherwise clearly marked or distinguishable.
G. JD REQUESTS FROM CONSULTANTS OR AGENCIES
(1) Preliminary JD Requests:
❑✓ Completed and signed Preliminary Jurisdictional Determination Form6.
❑� Project Coordinates: 36.212443 Latitude -80.288348 Longitude
Maps (no larger than I Ix17)with Project Boundary Overlay:
❑✓ Large and small scale maps that depict, at minimum: streets, intersections, towns
❑✓ Aerial Photography of the project area
❑✓ USGS Topographic Map
❑✓ Soil Survey Map
❑ Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan,previous delineation maps, LIDAR maps, FEMA floodplain maps)
6 See Appendix A of this Form. From Regulatory Guidance Letter No.08-02, dated June 26, 2008
Version: December 2013 Page 5

Jurisdictional Determination Request
Delineation Information(when applicable):
Wetlands: Tributaries:
❑✓ Wetland Data Sheets USACE Assessment Forms
❑✓ Upland Data Sheets Other Assessment Forms
(when appropriate)
❑ Landscape Photos, if taken
❑ Field Sketch overlain on legible Map that includes:
■ All aquatic resources (for sites with multiple resources, label and identify)
■ Locations of wetland data points and/or tributary assessment reaches
■ Locations of photo stations
■ Approximate acreage/linear footage of aquatic resources
(2) Approved JDs including Verification of a Delineation:
❑ Project Coordinates: Latitude Longitude
Maps (no larger than I Ix17)with Project Boundary Overlay:
❑ Large and small scale maps that depict, at minimum: streets, intersections, towns
❑ Aerial Photography of the project area
❑ USGS Topographic Map
❑ Soil Survey Map
❑ Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site Plan,
previous delineation maps)
1987 Manual Regional Supplements and Data forms can be found at:
http://www.usace.army.miI/Missions/CivilWorks/RegulatoryProgramandPermits/reg supp.aspx
Wetland and Stream Assessment Methodologies can be found at:
http://Portal.ncdenr.org/c/document library/get file?uuid=76f3c58b-dab8-4960-ba43-45b7faf06f4c&groupld=38364 and,
http://www.saw.usace.army.mil/Portals/59/docs/regulatory/publicnotices/2013/NCSAM Draft User Manual 130318.pdf
6 Delineation information must include,at minimum,one wetland data sheet for each wetland/community type.
Version: December 2013 Page 6

Jurisdictional Determination Request
Delineation Information(when applicable):
Wetlands: Tributaries:
❑ Wetland Data Sheets ❑ USACE Assessment Forms
❑ Upland Data Sheets ❑ Other Assessment Forms
(when appropriate)
❑ Landscape Photos, if taken
❑ Field Sketch overlain on legible Map that includes:
• All aquatic resources (for sites with multiple resources, label and identify)
• Locations of wetland data points and/or tributary assessment reaches
• Locations of photo stations
• Approximate acreage/linear footage of aquatic resources
Supporting Jurisdictional Information(for Approved JDs only)
❑ Approved Jurisdictional Determination Form(s) (also known as "Rapanos
Form(s)")
❑ Map(s) depicting the potential (or lack of potential) hydrologic connection(s),
adjacency, etc. to navigable waters.
9 Delineation information must include, at minimum,one wetland data sheet for each wetland/community type.
Version: December 2013 Page 7

Jurisdictional Determination Request
I. REQUESTS FOR CORPS APPROVAL OF SURVEY PLAT
Prior to final production of a Plat, the Wilmington District recommends that the Land
Surveyor electronically submit a draft of a Survey Plat to the Corps project manager for
review.
Due to storage limitations of our administrative records,the Corps requires that all hard-
copy submittals include at least one original Plat(to scale)that is no larger than 11"x17"
(the use of match lines for larger tracts acceptable). Additional copies of a plat, including
those larger than 11"x17", may also be submitted for Corps signature as needed. The
Corps also accepts electronic submittals of plats, such as those transmitted as a Portable
Document Format(PDF) file. Upon verification, the Corps can electronically sign these
plats and return them via e-mail to the requestor.
(1) PLATS SUBMITTED FOR APPROVAL
❑ Must be sealed and signed by a licensed professional land surveyor
❑ Must be to scale (all maps must include both a graphic scale and a verbal scale)
❑ Must be legible
❑ Must include a North Arrow, Scale(s), Title, Property Information
❑ Must include a legible WoUS Delineation Table of distances and bearings/metes
and bounds/GPS coordinates of all surveyed delineation points
❑ Must clearly depict surveyed property or project boundaries
❑ Must clearly identify the known surveyed point(s) used as reference (e.g. property
corner, USGS monument)
❑ When wetlands are depicted:
• Must include acreage(or square footage)of wetland polygons
• Must identify each wetland polygon using an alphanumeric system
Version: December 2013 Page 8

Jurisdictional Determination Request
❑ When tributaries are depicted:
• Must include either a surveyed, approximate centerline of tributary with
approximate width of tributary OR surveyed Ordinary High Water Marks
(OHWM)of tributary
• Must identify each tributary using an alphanumeric system
• Must include linear footage of tributaries and calculated area(using approximate
widths or surveyed OHWM)
• Must include name of tributary(based on the most recent USGS topographic
map)or,when no USGS name exists, identify as"unnamed tributary"
❑ all depicted WoUS (wetland polygons and tributary lines)must intersect or tie-to
surveyed project/property boundaries
❑ Must include the location of wetland data points and/or tributary assessment
reaches
❑ Must include, label accordingly, and depict acreage of all waters not currently
subject to the requirements of the CWA(e.g. "isolated wetlands", "non-
jurisdictional waters"). NOTE: An approved JD must be conducted in order to
make an official Corps determination that a particular waterbody or wetland is not
jurisdictional.
❑ Must include and survey all existing conveyances (pipes, culverts, etc.)that
transport WoUS
Version: December 2013 Page 9

Jurisdictional Determination Request
(2) CERTIFICATION LANGUAGE
❑ When the entire actual Jurisdictional Boundary is depicted:
include the following Corps Certification language:
"This certifies that this copy of this plat accurately depicts the boundary of the jurisdiction
of Section 404 of the Clean Water Act as determined by the undersigned on this date.
Unless there is a change in the law or our published regulations, the determination of
Section 404 jurisdiction may be relied upon for a period not to exceed five(5)years from
this date. The undersigned completed this determination utilizing the appropriate Regional
Supplement to the 1987 U.S.Army Corps of Engineers Wetlands Delineation Manual."
Regulatory Official:
Title:
Date:
USACE Action ID No.:
❑ When uplands may be present within a depicted Jurisdictional Boundary
include the following Corps Certification language:
"This certifies that this copy of this plat identifies all areas of waters of the United States
regulated pursuant to Section 404 of the Clean Water Act as determined by the
undersigned on this date. Unless there is change in the law or our published regulations,
this determination of Section 404 jurisdiction may be relied upon for a period not to exceed
five years from this date. The undersigned completed this determination utilizing the
appropriate Regional Supplement to the 1987 U.S.Army Corps of Engineers Wetlands
Delineation Manual."
Regulatory Official:
Title:
Date:
USACE Action ID No.:
Version: December 2013 Page 10

Jurisdictional Determination Request
(3) GPS SURVEYS
For Surveys prepared using a Global Positioning System(GPS),the Survey must include
all of the above, as well as:
❑ be at sub-meter accuracy at each survey point.
❑ include an accuracy verification:
One or more known points (property corner, monument) shall be located with the
GPS and cross-referenced with the existing traditional property survey(metes and
bounds).
❑ include a brief description of the GPS equipment utilized.
Version: December 2013 Page 11

ATTACHMENT A
PRELIMINARY JURISDICTIONAL DETERMINATION FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PRELIMINARY JURISDICTIONAL
DETERMINATION (JD):
B. NAME AND ADDRESS OF PERSON REQUESTING PRELIMINARY JD:
Amy Euliss,375 Silas Creek Parkway,Winston-Salem NC,27127
C. DISTRICT OFFICE, FILE NAME, AND NUMBER:
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
U-5899;Forum Parkway Connector from SR 3955(Forum Parkway)to NC 66(University Parkway)
(USE THE ATTACHED TABLE TO DOCUMENT MULTIPLE WATERBODIES AT DIFFERENT
SITES)
State: NC County/parish/borough: Forsyth City: Rural Hall
Center coordinates of site (lat/long in degree decimal format):
Lat. 36.212443 ON; Long. -80.288348 OW.
Universal Transverse Mercator: 17S
Name of nearest waterbody: Grassy Creek
Identify (estimate) amount of waters in the review area:
Non-wetland waters:
3,586 linear feet: width (ft) and/or acres.
Cowardin Class: R3SB and R4SB
Stream Flow: Perennial and intermittent
Wetlands: 0.66 acres.
Cowardin Class: PEM, PSS,PFO
Name of any water bodies on the site that have been identified as Section 10
waters:
Tidal:
Non-Tidal:
1

E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT
APPLY):
❑ Office (Desk) Determination. Date:
❑ Field Determination. Date(s):
SUPPORTING DATA. Data reviewed for preliminary JD
(check all that apply - checked items should be included in case file and,
where checked and requested, appropriately reference sources below):
✓❑ Maps, plans, plots or plat submitted by or on behalf of the
applicant/consultant:
❑✓ Data sheets prepared/submitted by or on behalf of the
applicant/consultant.
❑ Office concurs with data sheets/delineation report.
❑ Office does not concur with data sheets/delineation report.
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
❑ U.S. Geological Survey Hydrologic Atlas:
❑ USGS NHD data
❑ USGS 8 and 12 digit HUC maps
❑✓ U.S. Geological Survey map(s). Cite scale & quad name: 1:24,000; Rural Hall
✓❑ USDA Natural Resources Conservation Service Soil Survey.
Citation:Web Soil Survey
❑ National wetlands inventory map(s). Cite name:
❑ State/Local wetland inventory map(s):
❑ FEMA/FIRM maps:
❑ 100-year Floodplain Elevation is:
(National Geodectic Vertical Datum of 1929)
❑ Photographs: ❑ Aerial (Name & Date): or
❑ Other (Name & Date):❑
Previous determination(s). File no. and date of response letter:
❑ Other information (please specify):
2

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

This preliminary JD finds that there "maybe"waters of the United States on the
subject project site, and identifies all aquatic features on the site that could be
affected by the proposed activity, based on the following information:
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.
November 5, 2021
Signature and date of Signai6re and date of
Regulatory Project Manager person requesting preliminary JD
(REQUIRED) (REQUIRED, unless obtaining
the signature is impracticable)
4

Site Latitude Longitude Class Estimated Class of aquatic
amount of resource
aquatic resource
in review area
SA (Grassy 36.213396 -80.288875 R3SB1/3 3,153 linear ft. Non-section 10;
Creek) non-wetland
SB 36.213422 -80.287707 R4SB4 386 linear ft. Non-section 10;
non-wetland
SC 36.211211 -80.288271 R4SB3 47 linear ft. Non-section 10;
non-wetland
WA 36.213323 -80.288114 PEM1A 0.15 acre Non-section 10;
wetland
WB 36.215754 -80.288537 PSS1A 0.06 acre Non-section 10;
wetland
WC 36.211181 -80.288497 PFO1A 0.04 acre Non-section 10;
wetland
WD 36.211501 -80.288563 PF01A 0.12 acre Non-section 10;
wetland
WE 36.212827 -80.288946 PF01A 0.11 acre Non-section 10;
wetland
WF 36.213825 -80.289303 PF01A 0.13 acre Non-section 10;
wetland
WG 36.211491 -80.288375 PF01A 0.05 acre Non-section 10;
wetland

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FIGURE 5 FORSYTH COUNTY, NC E osrITEM OCTOBER
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NC Division of Water Quality-Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWQ Stream Identification Form Version 4.11
Date: I2.(tq r/(P ProjectiSite: 4CA ()-5SjCj Latitude: "Mo. 2(33y(P
Evaluator:�„ ZtcJ r a._S County: T 411 Longitude: �S{d,2z�;4-6
Total Points:
Stream is at least intermittent (�. Stream Determination(ci one) Other
St r 19 of erleast i it 2 30' •0'cJ Ephemeral Intermitten Perennla e.g.Quad Nameluo l }471(
if A. Geomorphology Subtotal 2-,4 'j Absent Weak Moderate Strong
12 Continuity of channel bed and bank 0 1 2 3
2.Sinuosity of channel along thalweg 0 1 2 3
3. In-channel structure:ex. riffle-pool,step-pool, 0 1 2 O ripple-pool sequence
4. Particle size of stream substrate 0 1 2 3
5.Active/relict floodplain 0 1 2 3
6. Depositional bars or benches 0 1 2 3
7. Recent alluvial deposits 0 1 2 3
8. Headcuts 0 1 2 3
9. Grade control 0 0.5 1 1.5 ,
10.Natural valley 0 0.5 1 1.5
11.Second or greater order channel No=0 Yes=3
a artificial ditches are not rated;see discussions in manual
B. Hydrology Subtotal =
12. Presence of Baseflow io
1 2
13. Iron oxidizing bacteria 1 2 3
14.Leaf litter 1 0.5 0
15.Sediment on plants or debris 0.5 1 1.5
16. Organic debris lines or piles 0.5 1 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 3 2 1 0
20. Macrobenthos(note diversity and abundance) 0 1 2 3
21.Aquatic Mollusks 1 2 3
22. Fish 0 0 1 1.5
23. Crayfish 0 0.5 1 1.5
24.Amphibians 0 0.5 1 1.5
25.Algae 0 0.5 - 1 1.5
26.Wetland plants in streambed FACW=6.75; OBL=1.5 her=
'perennial streams may also be identified using other methods.See p.35 of manual.
Notes: ( a 5 I
Sketch:
41

USACE AID# DWQ# Site# (indicate on attached map)
L . -
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: NCDOT 2.Evaluator's time: my James, EPR
3. Date of evaluation: 1/3/2017 4.Time of evaluation: l l am
5.Name of stream: Grassy Creek b/} 6.River basin: adkin-Pee Dee
7.Approximate drainage area: 1.5 sq. miles 8.Stream order: 2nd
9.Length of reach evaluated: 3153 10.County: I Forsyth
11.Site coordinates(if known): refer in decimal degrees. 12.Subdivision time(if any):
Latitude(ex.34.872312): 36.213396 Longitude(ex.-77.556611): -80.288875
Method location determined: OZ GPS r Topo Sheet PC Ortho(Aerial)Photo/GIS r Other GIS Other:
13.Location of reach under evaluation(Note nearby roads and landmarks and attach map identifying stream(s)location):
Between Forum Parkway and railroad corridor,from Angus St.south to end of Northstar Dr.
14.Proposed channel work(if any): Road crossing
15.Recent weather conditions: Mostly dry,40-50's;some rain the night before(approximately 0.1 inch)
16.Site conditions at time of visit: Overcast to partly sunny,windy;high 30's to low 40's
17.Identify any special waterway classifications known:
r Section 10 r Tidal Waters r Essential Fisheries Habitat
r Trout Waters r Outstanding Resource Waters r Nutrient Sensitive Waters r Water Supply Watershed (I IV)
18.Is there a pond or lake located upstream of the evaluation point? r YES 9 NOIf yes,estimate the water surface area:
19.Does channel appear on USGS uad map? rR YES r NO 20.Does channel appear on USDA Soil Surve v V YES r NO
21.Estimated watershed land use: 40 %Residential I 5 %Commercial 25 %Industrial 5 %Agricultural
25 %Forested F %Cleared/Logged F__%Other
22.Bmkfull width: 8-10 it 23.Bank height(from bed to top of bank): 4-20 ft.
24.Channel slope down center of stream: r Flat(0 to 290 PZ Gentle(2 to 4%) r Moderate(4 to 10%) r Steep(>10%)
25.Channel sinuosity: F Straight r Occasional bends r Frequent meander r Very sinuous r Braided channel
Instructions for completion of worksheet(located on page 2):Begin by determining the most appropriate ecoregion based on
location,terrain,vegetation,stream classification,etc.Every characteristic must be scored using the same ecoregion.Assign points
to each characteristic within the range shown for the ecoregion.Page 3 provides a brief description of how to review the
characteristics identified in the workshect.Scores should reflect an overall assessment of the stream reach under evaluation.If a
characteristic cannot be evaluated due to site or weather conditions,enter 0 in the scoring box and provide an explanation in the
comment section.Where there are obvious changes in the character of a stream under review(e.g.,the stream flows from a pasture
into a forest),the stream may be divided into smaller reaches that display more continuity,and a separate form used to evaluate each
reach.The total score assigned to a stream reach must range between 0 and 100,with a score of 100 representing a stream of the
highest quality.
��
Total Score(from reverse):i " Comments:
Numerous stormwater outfalls from industrial park to west.
Evaluator's Signature: Date: 1/3/2017
This channel evaluation form is intende to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality.The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement.Form subject to change-version 06/03.To Comment,please call 919-876-WI x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
ECOREGION POINT RANGE
# CHARACTERISTICS SCORE
Coastal Piedmont Mountain
I Presence of flow/persistent pools in stream 0-5 0-4 0-5 4
(no flow or saturation=0;strong flow=max points)
Evidence of past human alteration
2 (extensive alteration=0;no alteration=max points) 0-6 0-5 0-5 2
3 Riparian zone 0-6 0-4 0-5 1
(no buffer=0;contiguous,wide buffer=max points)
4 Evidence of nutrient or chemical discharges 0-5 0-4 0-4 1
(extensive discharges=0;no discharges=max points)
Groundwater discharge
.a 5 (no discharge=0;springs,seeps,wetlands,etc.=max points) 0-3 0-4 0-4 1
C
Presence of adjacent floodplain 6 (no floodplain=0;extensive floodplain=max points) 0-4 0-4 0-2 1
y7 Entrenchment/floodplain access 0-5 0-4 0-2 0
(deeply entrenched=0;frequent flooding=max points)
8 Presence of adjacent wetlands 0-6 0-4 0-2 1
(no wetlands=0;large adjacent wetlands=max points)
9 Channel sinuosity 0-5 0-4 0-3 1
(extensive channelization=0;natural meander=max points)
10 Sediment input 0-5 0-4 0-4 2
(extensive deposition=0;little or no sediment=max points)
11
Size&diversity of channel bed substrate N/A* 0-4 0-5 3
(fine,homogenous=0;large,diverse sizes=max points)
12 Evidence of channel incision or widening 0-5 04 0-5 1
(deeply incised=0;stable bed&banks=max points)
F Presence of major bank failures
a 13 (severe erosion=0;no erosion,stable banks=max points) 0-5 0-5 0-5 2
14 Root depth and density on banks 0-3 0 4 0-5
(no visible roots=0;dense roots throughout=max points) 2
15 Impact by agriculture,livestock,or timber production 0-5 0-4 0-5 4
(substantial impact=0;no evidence=max points)
16 Presence of riffle-pool/ripple-pool complexes 0-3 0-5 0-6 4
(no riffles/ripples or pools=0;well-developed=max points)
E Habitat complexity
e. 17 (little or no habitat=0;frequent,varied habitats=max points) 0-6 0-6 0-6 4
Canopy coverage over streambed
18 0-5 0-5 0-5 3
(no shading vegetation=0;continuous canopy=max points)
19 Substrate embeddedness N/A* 0-4 0-4 2
(deeply embedded=0;loose structure=max)
20 Presence of stream invertebrates(see page 4) 04 0-5 0-5 2
(no evidence=0;common,numerous types=max points)
C�9 21 Presence of amphibians 0-4 0-4 0-4 e
C (no evidence=0;common,numerous Types=max points)
pPresence of fish 0
22 (no evidence=0;common,numerous types=max points) 0-4 0-4 0-4
23 Evidence of wildlife use 0-6 0-5 0-5 3
(no evidence=0;abundant evidence=max points)
Total Points Possible 100 100 100
TOTAL SCORE (Also enter on first page) 44
*These characteristics are not assessed in coastal streams.

NC Division of Water Quality-Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DW Stream Identification Form Version 4.11
Date: j2 �q r((� Projectlsite: 5Q()-SF)j j Latitude: ;jb .2(,3` 2-2-
Evaluator: �_ '� �-_5o,tttt h County: ToY Longitude: . 'f�a
Total Points: Stream Determination (circle one) Other I�,r
Stream is at least intermittent Ephemera Intermitter Perennial e.g.Quad Name:'�r fry7.1
if z 19 or perennial if a 30'
A. Geomorphology Subtotal= ) Absent Weak Moderate Strong
1 a.Continuity of channel bed and bank 0 1 2 3
2.Sinuosity of channel along thalweg 0 1 2 3
3. In-channel structure:ex. riffle-pool,step-pool, 1 2 3
ripple-pool sequence
4. Particle size of stream substrate 0 1 2 3
5.Active/relict floodplain 0 1 L2y 3
6. Depositional bars or benches 1 2 3
7. Recent alluvial deposits 0 1 2 1 3
8. Headcuts 0 1 2 3
9. Grade control 0 0.5 1 1.5
10. Natural valley 0 0.5 1 1.5
11.Second or greater order channel No=0 Yes=3
a artificial ditches are not rated;see discussions in manual
B. Hydrology Subtotal =
12. Presence of Baseflow 0 1 2 3
13. Iron oxidizing bacteria 0 1 2 3
14.Leaf litter 1.5 0.5 0
15.Sediment on plants or debris 0 0.5 1 1.5
16. Organic debris lines or piles 0 0.5 1 1.5
17. Soil-based evidence of high water table? No=0 Yes=3
C. Blolo Subtotal =
,18. Fibrous roots in streambed 3 2 1 0
19. Rooted upland plants in streambed 3 9 2 1 0
20. Macrobenthos(note diversity and abundance) 0 1 2 3
21.Aquatic Mollusks 1 2 3
22. Fish 0 0.5 1 1.5
23. Crayfish 0.5 1 1.5
24.Amphibians 0 0 1 1.5
25.Algae 0.5 - 1 1.5
26.Wetland plants in streambed FAC =0.75; OBL=1.5 Other=0
'perennial streams may also be identified using other methods.See p.35 of manual.
Notes:
Sketch:
41

USAGE AID# DWQ# Site# (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: NCDOT 2.Evaluator's time: my James, EPR
3. Date of evaluation: 1/3/2017 4.Time of evaluation: 12 pm
5.Name of stream: SB(UT to Grassy Creek) 6.River basin: adkin-Pee Dee
7.Approximate drainage area: 5 acres 8.Stream order: Zero
9.Length of reach evaluated: 190 10.County: I Forsyth
11.Site coordinates(if known): efer in decimal de es. 12.Subdivision name(if any):
Latitude(ex.34.872312): 36.213422 Longitude(ex.—77.556611); -80.287707
Method location determined: IX CPS r Topo Sheet PZ Ortho(Aerial)Photo/CIS r Other GIS Other:F
13.Location of reach under evaluation(Note nearby roads and landmarks and attach inap identifying stream(s)location):
At the end of Sunset Dr.(off NC 66),east of railroad corridor
14.Proposed channel work(if any): Road crossing
15.Recent weather conditions: Mostly dry,40-50's;some rain the night before(approximately 0.1 inch)
16.Site conditions at time of visit: Overcast to partly sunny,windy;high 30's to low 40's
17.Identify any special waterway classifications known:
r Section 10 r Tidal Waters r Essential Fisheries Habitat
r Trout Waters r Outstanding Resource Waters r Nutrient Sensitive Waters r Water Supply Watershed
(I-IV)
18.Is there a pond or lake located upstream YES V NOeam of the evaluation point? If yes,estimate the water surface area:
19.Does channel appear on USGS quad�ma ? r YES OZ NO 20 Does channel appear on USDA Soil Starve,,, 9 JZ YES r NO
21.Estimated watershed land use: 1 80 %Residential 10 %Commercial F-%Industrial I ` %Agricultural
t 8 %Forested F%Cleared/Logged %Other
22.Bankfull width: 1-2 23.Bank height(from bed to top of bank): 1-3
24.Channel slope down center of stream: r Flat(0 to 2%) OZ Gentle(2 to 4%) r Moderate(4 to 10%) r Steep(>10%)
25.Channel sinuosity: r Straight r Occasional bends R Frequent meander r Very sinuous r Braided channel
Instructions for completion of worksheet(located on page 2):Begin by determining the most appropriate ecoregion based on
location,terrain,vegetation,stream classification,etc.Every characteristic must be scored using the same ecoregion.Assign points
to each characteristic within the range shown for the ecoregion.Page 3 provides a brief description of how to review the
characteristics identified in the worksheet.Scores should reflect an overall assessment of the stream reach under evaluation.If a
characteristic cannot be evaluated due to site or weather conditions,enter 0 in the scoring box and provide an explanation in the
comment section.Where there are obvious changes in the character of a stream under review(e.g.,the stream flows from a pasture
into a forest),the stream may be divided into smaller reaches that display more continuity,and a separate form used to evaluate each
reach.The total score assigned to a stream reach must range between 0 and 100,with a score of 100 representing a stream of the
highest quality.
Total Score(from reverse): 43 Comments:
Evaluator's Signature: Date: F1/3/2017
This channel evaluation form is intend be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality.The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement.Form subject to change—version 06/03.To Comment,please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
ECOREGION POINT RANGE
# CHARACTERISTICS SCORE
Coastal Piedmont Mountain
I Presence of flow/persistent pools in stream 0-5 0 4 0-5
(no flow or saturation=0;strong flow=max points)
Evidence of past human alteration
2 (extensive alteration=0;no alteration=max points) 0-6 0-5 0-5 2
Riparian zone
3 (no buffer=0;contiguous,wide buffer=max points) 0-6 0-4 0-5 l
Evidence of nutrient or chemical discharges
4 (extensive discharges=0;no discharges=max points) 0-5 0-4 0-4 3
5 Groundwater discharge 0-3 0-4 0-4
C (no discharge=0;springs,seeps,wetlands,etc.=max points) 3
6 Presence of adjacent floodplain 0-4 0-4 0-2 1
y, (no floodplain=0;extensive floodplain=max points)
yy Entrenchment/floodplain access 0-5 04 0-2 2
(deeply entrenched=0;frequent flooding=max points)
8 Presence of adjacent wetlands 0-6 0-4 0-2 2
(no wetlands=0;large adjacent wetlands=max points)
9 Channel sinuosity 0-5 0-4 0-3 3
(extensive channelization=0;natural meander=max points)
10 Sediment input 0-5 0-4 0-4 3
(extensive deposition=0;little or no sediment=max points)
I I Size&diversity of channel bed substrate N/A* 0-4 0-5 1
(fine,homogenous=0;large,diverse sizes=max points)
12 Evidence of channel incision or widening 0-5 0-4 0-5 3
(deeply incised=0;stable bed&banks=max points)
13 Presence of major bank failures 0-5 0-5 0-5 3
(severe erosion=0;no erosion,stable banks=max points)
14 Root depth and density on banks 0-3 0 4 0-5
(no visible roots=0;dense roots throughout=max points) 3
Impact by agriculture,livestock,or timber production
I5 (substantial impact--0;no evidence=max points) 0-5 0-4 0-5 4
16 Presence of riffle-pooVripple-pool complexes 0-3 0-5 0-6 1
(no riffles/ripples or pools=0;well-developed=max points)
Habitat complexity Q 17 0 6 0-6 0-6
tr (little or no habitat=0;frequent,varied habitats=max points) 2
Canopy coverage over streambed
18 (no shading vegetation=0;continuous canopy=max points) 0-5 0-5 0-5 2
19 Substrate embeddedness N/A* 0-4 0-4 3
(deeply embedded=0;loose structure=max)
20 Presence of stream invertebrates(see page 4) 04 0-5 0-5 0
(no evidence=0;common,numerous types=max points)
C 21 Presence of amphibians 0-4 0-4 0-4 0
(no evidence=0;common,numerous types=max points)
C22 Presence of fish 0-4 0-4 0-4 0
fq (no evidence=0;common,numerous types=max points)
23 Evidence of wildlife use 0-6 0-5 0-5 0
(no evidence=0;abundant evidence=max points)
Total Points Possible 100 100 100
TOTAL SCORE (Also enter on first page) 43
*These characteristics are not assessed in coastal streams.

NC DWQ Stream Identification Form Version 4.11
Date: �D Z I ProjectfSite: Latitude: '.4p, 2 12.15
Evaluator: A,fgryt,e County: -pyec. Longitude: -gO
Total Points: Stream Determ' ircle one) Other
Stream is at least intermittent Ephemera ntermrttent erennial e.g. Quad Name:
i1 a 19 or perennial lh_30•
A. Geomorphology( Subtotal = fl, 5 ) Absent Weak Moderate Strong
la.Continuity of channel bed and bank 0 1 2 3
2. Sinuosity of channel along thalweg 0 2 3
3. In-channel structure:ex. riffle-pool,step-pool, 0 2 3
ripple-pool sequence �•�
4. Particle size of stream substrate 0 1 2 3
5.Active/relict floodplain 6 1 3
6. Depositional bars or benches 6 2 1 3
7. Recent alluvial deposits 0 1 2 3
8. Headcuts 1 2
9. Grade control 0 0.5 1 1.5
10. Natural valley 0 0.5 1 1.5
11. Second or greater order channel rNo= Yes=3
artificial ditches are not rated;see discussions in manual
B. Hydrology Subtotal=
12. Presence of Baseflow 0 1 2 3
13. Iron oxidizing bacteria 0 1 2 3
14. Leaf litter 1 0.5 0
15. Sediment on plants or debris 0 0.5 1 1.5
.5
16. Organic debris lines or piles 0 1 1.5
17. Soil-based evidence of high water table? No=0 CYes=3
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) 1 2 3
21.Aquatic Mollusks 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 0 0.5 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: I- Eroc(!e4 &.91 v%p0<_,j-von, WG I m751!�_ Ye, lk�t-�t e-&,"f�C t j5+raY4-
Y l�`/' m1U{�-r(� �{!vr►!U/t✓) 't�'1�YI.Ur1 `W'lI'[-Pi iU�

NC SAM FIELD ASSESSMENT FORM
Accompanies User Manual Version 2.1
USACE AID#: 2021-01324 NCDWR#:
INSTRUCTIONS: Attach a sketch of the assessment area and photographs. Attach a copy of the USGS 7.5-minute topographic quadrangle,
and circle the location of the stream reach under evaluation. If multiple stream reaches will be evaluated on the same property, identify and
number all reaches on the attached map,and include a separate form for each reach. See the NC SAM User Manual for detailed descriptions
and explanations of requested information. Record in the "Notes/Sketch"section if supplementary measurements were performed. See the
NC SAM User Manual for examples of additional measurements that may be relevant.
NOTE EVIDENCE OF STRESSORS AFFECTING THE ASSESSMENT AREA(do not need to be within the assessment area).
PROJECT/SITE INFORMATION:
1. Project name(if any): U-5899 2. Date of evaluation: 10/7/2021
3.Applicant/owner name: NCDOT 4.Assessor name/organization: A. James, EPR
5. County: Forsyth 6. Nearest named water body
7. River basin: Yadkin-PeeDee on USGS 7.5-minute quad: Grassy Creek
8. Site coordinates(decimal degrees,at lower end of assessment reach): 36.211211,-80.288271
STREAM INFORMATION: (depth and width can be approximations)
9. Site number(show on attached map): SC 10. Length of assessment reach evaluated (feet): 47
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 (1) ❑ Outer Coastal Plain (0)
16. Estimated geomorphic ❑A.
valley shape(skip for ®B
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 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
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 F, 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 YC ❑I 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)
1la. ❑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/tadpoles
❑ ❑Snails
❑ ❑Stonefly larvae(P)
❑ ❑Tipulid larvae
❑ ❑Worms/leeches
13. Streamside Area Ground Surface Condition—streamside area metric(skip for Tidal Marsh Streams and B valley types)
Consider for the Left Bank(LB)and the Right Bank(RB). Consider storage capacity with regard to both overbank flow and upland runoff.
LB RB
®A ®A Little or no alteration to water storage capacity over a majority of the streamside area
❑B ❑B Moderate alteration to water storage capacity over a majority of the streamside area
❑C ❑C Severe alteration to water storage capacity over a majority of the streamside area(examples: ditches,fill,soil compaction,
livestock disturbance, buildings, man-made levees,drainage pipes)
14. Streamside Area Water Storage—streamside area metric(skip for Size 1 streams,Tidal Marsh Streams,and B valley types)
Consider for the Left Bank(LB)and the Right Bank(RB)of the streamside area.
LB RB
❑A ❑A Majority of streamside area with depressions able to pond water>_6 inches deep
❑B ❑B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
®C ®C Majority of streamside area with depressions able to pond water<3 inches deep
15. Wetland Presence—streamside area metric(skip for Tidal Marsh Streams)
Consider for the Left Bank(LB)and the Right Bank(RB). Do not consider wetlands outside of the streamside area or within the normal
wetted perimeter of assessment reach.
LB RB
❑Y ❑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: no conductivity measurement device was available.
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 U-5899 Date of Assessment 10/7/2021
Stream Category Pb1 Assessor Name/Organization A. James, EPR
Notes of Field Assessment Form (Y/N) NO
Presence of regulatory considerations(Y/N) NO
Additional stream information/supplementary measurements included (Y/N)
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 HIGH HIGH
(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 LOW LOW
(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 HIGH HIGH
(2)Streamside Area Vegetation HIGH HIGH
(3)Upland Pollutant Filtration HIGH HIGH
(3)Thermoregulation HIGH HIGH
(2) Indicators of Stressors NO NO
(2)Aquatic Life Tolerance LOW NA
(2)Intertidal Zone Filtration NA NA
(1) Habitat LOW LOW
(2) In-stream Habitat LOW LOW
(3)Baseflow HIGH HIGH
(3)Substrate LOW LOW
(3)Stream Stability LOW LOW
(3) In-stream Habitat LOW LOW
(2)Stream-side Habitat MEDIUM MEDIUM
(3)Stream-side Habitat LOW LOW
(3)Thermoregulation HIGH HIGH
(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

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: U-5899 City/County: Forsyth Sampling Date: 10/7/2021
Applicant/Owner: NCDOT State: NC Sampling Point: WA wet
Investigator(s): Amy James, EPR Section,Township, Range: Rural Hall
Landform: drainageway Local Relief: concave Slope(%): 0-1%
Subregion: LRR P Lat: 36.213323 Long: -80.288114 Datum NAD83
Soil Map Unit Name: Tomlin clay loam, 10-15%slopes NWI classification: PEM
Are climatic/hydrologic conditions on the site typical for this time of year? Yes X No (if no,explain in Remarks)
Are Vegetation X Soil ,or Hydrology significantly disturbed? Are"Normal Circumstances"present? Yes X No
Are Vegetation Soil or Hydrology naturally problematic? (if needed,explain in remarks)
SUMMARY OF FINDINGS-Attach site map showing sampling point locations,transects, important features,etc.
Hydrophytic Vegetation Present? Yes X No
Is the Sampled Area
Hydric Soil Present? Yes X No within a Wetland? Yes X No
Wetland Hydrology Present? Yes X No
Remarks:
NCWAM headwater forest type wetland.
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators(minimum of 2 required)
Primary Indicators minimum of one is required:check all that apply) Surface Soil Cracks(136)
Surface Water(Al) Aquatic Fauna(B13) Sparsley Vegetated Concave Surface(B8)
X High Water Table(A2) True Aquatic Plants(B14) X Drainage Patterns(B10)
X Saturation(A3) Hydrogen Sulfide Odor(Cl) Moss trim Lines(B16)
Water Marks(B1) X Oxidized Rhizospheres on Living Roots(C3) Dry-Season Water Table(C2)
Sediment Deposits(B2) Presence of Reduced Iron(C4) Crayfish Burrows(C8)
Drift Deposits(133) Recent Iron Reduction in Tilled Soils(C6) Saturation Visble on Aerial Imagery(C9)
Algal Mat or Crust(134) Thin Muck Surface(C7) Stunted or Stressed Plants(D1)
Iron Deposits(135) Other(Explain in Remarks) X Geomorphic Position(D2)
Inundation on Aerial Imagery(B7) Shallow Aquitard(D3)
Water Stained Leaves(B9) FAC-Neutral Test(D5)
Field Observation:
Surface Water Present? Yes No X Depth(inches) Wetland Hydrology Present?
Water Table Present? Yes X No Depth(inches) 0
Saturation Present? Yes X No Depth(inches) 0 Yes X No
(includes capillary fringe)
Describe Recorded Data(stream guage, monitoring well,aerial photos,previous inspections). If available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont-Version 2.0

VEGETATION - Use Scientific Names of Plants Sampling Point: WA wet
Absolute% Dominant Indicator
Tree Stratum (Plot Size 30 feet) Cover Species? Status Number of Dominant Speices
That Are
1. None observed OBL,FACW,or FAC: 3 (A)
2. Total Number of Dominant
3 Speicies Across All Strata: 3 (B)
4 Percent of Dominant Speices
That Are
5. OBL,FACW,or FAC: 100% (A/B)
6.
0% =Total cover Prevalence Index Worksheet:
50%of total cover: 0% 20%total cover: 0% Total%Cover of: Multiply by:
OBL species x 1 =
Absolute% Dominant Indicator
Sapling/Shrub Stratum: (Plot Size 30 feet) Cover Species? Status FACW species x 2=
1. None observed 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=
0% =Total cover
50%of total cover: 0% 20%total cover: 0% Hydrophytic Vegetation Indicators:
Rapid Test for Hydrophytic Vegetation
Absolute% Dominant Indicator
Herb Stratum: (Plot Size 30 feet) Cover Species? Status Yes Dominance Test is>50%
1. Microstegium vimineum 50% Yes FAC Prevalence Index is<_3.0'
2. Boehmeria cylindrica 35% Yes FACW Problematic Hydrophytic
3. Persicaria pensylvanica 25% Yes FACW Vegetation'(Explain)
4. Sagittaria latifolia 5% No OBL ' Indicators of hydric soil and wetland hydrology
5. must be present unless disturbed
6. Definitions of Five Vegetation Strata:
115% =Total cover Tree-Woody Plants,excluding vines
50%of total cover: 58% 20%total cover: 23% approximately 20 ft or more and 3 in.or larger
diameter at breast height(DBH).
Absolute o Dominant I n Tica or
Vine Stratum: (Plot Size 30 feet) Cover Species? Status
1. None observed
Sapling-Woody plant,excluding woody vines
2. approximatley 20 ft or more in height and less
3. than 3 in. DBH.
4.
5. Shrub-Woody plants,excluding woody vines,
6. approximately 3 to 20 ft in height.
0% =Total cover
50%of total cover: 0% 20%total cover: 0% Herb-All herbaceous plants including
herbaceous vines and woody plants,except
Remarks: (If observed. List morphological adaptations below). woody vines, less than 3 ft in height.
Woody Vine-All woody vines,regardless of
height.
Hydrophytic
Vegetation
Present?
Yes X No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain-Version 2.0

SOIL Sampling Point: WA wet
Profile Description:(Describe to the depth needed to document the indicator or confirm the absence of incators
Depth Matrix Redox Features
(inches) Color(moist) % Color(moist) % Type' Location Texture Remarks
0-3 7.5YR 3/3 100% clay loam
3-8 10YR 4/2 70% 7.5YR 4/4 30% C M clay loam
8-12+ 10YR 3/2 70% 7.5YR 4/2 20% C M clay loam
10YR 3/3 10% C PL clay loam Manganese concretions present
Type:C=Concentration,D=Depletion,RM=Reduced Matrix,MS=Masked Sand Grains 2 Location:PL=Pore Lining,M=Matrix
Hydric Soil Indicators: Indicators for Problematic Hydric Soils3
Histosol(At) _Dark Surface(S7) 2 cm Muck(A10)(MLRA 147)
Histic Epipedon(A2) Polyvalue Below Surface(S8)(MLRA 147,148) _Coast Prarie Redox(A16)(MLRA 147,148)
Hydrogen Sulfide(A4) Thin Dark Surface(S9)(MLRA 147,148) _Piedmont Floodplain Soils(F19)(MLRA 136,147)
—Stratified Layers(A5) Loamy Gleyed Matrix(F2) Red Parent Material(TF2)
2 cm Muck(A10)(LRR N) X Depleted Matrix(F3) _Very Shallow Dark Surface(TF12)
Depleted Below Dark Surface(A11) Redox Dark Surface(F6) _Other(Explain in Remarks)
Thick Dark Surface(Al2) Depleted Dark Surface(F7)
Sandy Mucky Mineral(S1)(LRR N, Redox Depressions(F8) 31ndicators of hydrophytic vegetation
MLRA 147,148) Iron-Manganese Masses(F12)(LRR N,MLRA 136) and wetland hydrology must be present,
—Sandy Gleyed Matrix(S4) Umbric Surface(F13)(MLRA 136,122) unless disturbed or problematic.
—Sandy Redox(S5) Piedmont Floodplain Soils(F19)(MLRA 148)
Stripped Matrix(S6)
Restrictive Layer(if observed):
Type: Hydric Soil Present?
Depth(inches): Yes X No
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain-Version 2.0

WETLAND DETERMINATION DATA FORM —Eastern Mountains and Piedmont Region
Project/Site: U-5899 City/County: Forsyth Sampling Date: 12/19/2016
Applicant/Owner: NCDOT State: NC Sampling Point: WA upland
Investigator(s): Robert Lepsic, EPR Section,Township, Range: Rural Hall
Landform: drainageway Local Relief: Slope(%): 0-1%
Subregion: LRR P Lat: 36.213444 Long: -80.288166 Datum NAD83
Soil Map Unit Name: Tomlin clay loam, 10-15%slopes NWI classification:
Are climatic/hydrologic conditions on the site typical for this time of year? Yes X No (if no,explain in Remarks)
Are Vegetation X Soil ,or Hydrology significantly disturbed? Are"Normal Circumstances"present? Yes No X
Are Vegetation Soil or Hydrology naturally problematic? (if needed,explain in remarks)
SUMMARY OF FINDINGS -Attach site map showing sampling point locations,transects, important features,etc.
Hydrophytic Vegetation Present? Yes No X
Is the Sampled Area
Hydric Soil Present? Yes No X within a Wetland? Yes No X
Wetland Hydrology Present? Yes No X
Remarks:
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators(minimum of 2 required)
Primary Indicators minimum of one is required:check all that apply) Surface Soil Cracks(136)
Surface Water(Al) Aquatic Fauna(B13) Sparsley Vegetated Concave Surface(138)
High Water Table(A2) True Aquatic Plants(1314) Drainge Patterns(B10)
Saturation(A3) Hydrogen Sulfide Odor(C1) Moss trim Lines(616)
Water Marks(131) Oxidized Rhizospheres on Living Roots(C3) Dry-Season Water Table(C2)
Sediment Deposits(62) Presence of Reduced Iron(C4) Crayfish Burrows(C8)
Drift Deposits(133) Recent Iron Reduction in Tilled Soils(C6) Saturation Visible on Aerial Imagery(C9)
Algal Mat or Crust(134) Thin Muck Surface(C7) Stunted or Stressed Plants(D1)
Iron Deposits(135) Other(Explain in Remarks) Geomorphic Position(D2)
Inundation on Aerial Imagery(67) Shallow Aquitard(D3)
Water Stained Leaves(139) FAC-Neutral Test(D5)
Field Observation:
Surface Water Present? Yes No X Depth(inches) Wetland Hydrology Present?
Water Table Present? Yes No X Depth(inches)
Saturation Present? Yes No X Depth(inches) Yes No X
(includes capillary fringe)
Describe Recorded Data(stream guage, monitoring well,aerial photos, previous inspections). If available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont-Version 2.0

VEGETATION - Use Scientific Names of Plants Sampling Point: WA upland
Absolute% Dominant Indicator
Tree Stratum (Plot Size 30 feet) Cover Species? Status Number of Dominant Speices
That Are
1. OBL,FACW,or FAC: 0 (A)
2. Total Number of Dominant
3 Speicies Across All Strata: 1 (B)
4 Percent of Dominant Speices
That Are
5. OBL,FACW,or FAC: 0% (A/B)
6.
0% =Total cover Prevalence Index Worksheet:
50%of total cover: 0% 20%total cover: 0% Total%Cover of: Multiply by:
OBL species x 1 = 0
Absolute% Dominant Indicator
Sapling/Shrub Stratum: (Plot Size 30 feet) Cover Species? Status FACW species x 2= 0
1. FAC species x 3= 0
2. FACU species x 4= 0
3. UPL species x 5= 0
4. Column totals (A) 0 (B)
5.
6. Prevalence Index=B/A=
0% =Total cover
50%of total cover: 0% 20%total cover: 0% Hydrophytic Vegetation Indicators:
Rapid Test for Hydrophytic Vegetation
Absolute% Dominant Indicator
Herb Stratum: (Plot Size 30 feet) Cover Species? Status No Dominance Test is>50%
1. Glechoma hederacea 50% Yes FACU Prevalence Index is:53.0'
2 Problematic Hydrophytic
3. Vegetation'(Explain)
4. ' Indicators of hydric soil and wetland hydrology
5. must be present unless disturbed
6. Definitions of Five Vegetation Strata:
50% =Total cover Tree-Woody Plants,excluding vines
50%of total cover: 25% 20%total cover: 10% approximately 20 ft or more and 3 in.or larger
diameter at breast height(DBH).
Absolute o Dominant I n 3ca or
Vine Stratum: (Plot Size 30 feet) Cover Species? Status
1.
Sapling-Woody plant,excluding woody vines
2. approximatley 20 ft or more in height and less
3. than 3 in. DBH.
4.
5• Shrub-Woody plants,excluding woody vines,
6. approximately 3 to 20 ft in height.
0% =Total cover
50%of total cover: 0% 20%total cover: 0% Herb-All herbaceous plants including
herbaceous vines and woody plants,except
Remarks: (If observed. List morphological adaptations below). woody vines, less than 3 ft in height.
Mowed herbs only;ornamental species could not be identified.
Woody Vine-All woody vines, regardless of
height.
Hydrophytic
Vegetation
Present?
Yes No X
US Army Corps of Engineers Atlantic and Gulf Coastal Plain-Version 2.0

SOIL Sampling Point: WA upland
Profile Description:(Describe to the depth needed to document the indicator or confirm the absence of incators
Depth Matrix Redox Features
(inches) Color(moist) % Color(moist) % Type' Location Texture Remarks
0-12+ 10YR 3/3 100% clay loam
Type:C=Concentration,D=Depletion,RM=Reduced Matrix,MS=Masked Sand Grains z Location: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 Prarie Redox(A16)(MLRA 147,148)
Hydrogen Sulfide(A4) Thin Dark Surface(S9)(MLRA 147,148) Piedmont Floodplain Soils(F19)(MLRA 136,147)
—Stratified Layers(A5) Loamy Gleyed Matrix(F2) _Red Parent Material(TF2)
2 cm Muck(A10)(LRR N) Depleted Matrix(F3) Very Shallow Dark Surface(TF12)
_Depleted Below Dark Surface(A11) Redox Dark Surface(F6) _Other(Explain in Remarks)
Thick Dark Surface(Al 2) Depleted Dark Surface(F7)
Sandy Mucky Mineral(S1)(LRR N, Redox Depressions(F8) 3Indicators of hydrophytic vegetation
MLRA 147,148) Iron-Manganese Masses(F12)(LRR N,MLRA 136) and wetland hydrology must be present,
—Sandy Gleyed Matrix(S4) Umbric Surface(F13)(MLRA 136,122) unless disturbed or problematic.
Sandy Redox(S5) Piedmont Floodplain Soils(F19)(MLRA 148)
Stripped Matrix(S6)
Restrictive Layer(if observed):
Type: Hydric Soil Present?
Depth(inches): Yes No X
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain-Version 2.0

WETLAND DETERMINATION DATA FORM —Eastern Mountains and Piedmont Region
Project/Site: U-5899 City/County: Forsyth Sampling Date: 12/19/2016
Applicant/Owner: NCDOT State: NC Sampling Point: WB wet
Investigator(s): Robert Lepsic, EPR Section,Township, Range: Rural Hall
Landform: drainageway Local Relief: Concave Slope(%): 24%
Subregion: LRR P Lat: 36.215754 Long: -80.288537 Datum NAD 83
Soil Map Unit Name: Codorus loam,0-2%slopes NWI classification: PEM/PSS
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 X No
Are Vegetation Soil or Hydrology naturally problematic? (if needed,explain in remarks)
SUMMARY OF FINDINGS -Attach site map showing sampling point locations,transects, important features,etc.
Hydrophytic Vegetation Present? Yes X No
Is the Sampled Area
Hydric Soil Present? Yes X No within a Wetland? Yes X No
Wetland Hydrology Present? Yes X No
Remarks:
In a slight depression within a topographic crenulation/drainageway. Ephemeral channel runs south of wetland to pipe
under railroad (no water or flow present). NCWAM headwater forest type wetland.
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators(minimum of 2 required)
Primary Indicators minimum of one is required:check all that apply) Surface Soil Cracks(136)
Surface Water(Al) Aquatic Fauna(B13) Sparsley Vegetated Concave Surface(138)
High Water Table(A2) True Aquatic Plants(1314) Drainge Patterns(B10)
Saturation(A3) Hydrogen Sulfide Odor(C1) Moss trim Lines(616)
Water Marks(131) X Oxidized Rhizospheres on Living Roots(C3) Dry-Season Water Table(C2)
Sediment Deposits(62) Presence of Reduced Iron(C4) X Crayfish Burrows(C8)
Drift Deposits(B3) Recent Iron Reduction in Tilled Soils(C6) Saturation Visible on Aerial Imagery(C9)
Algal Mat or Crust(134) Thin Muck Surface(C7) Stunted or Stressed Plants(D1)
Iron Deposits(135) Other(Explain in Remarks) X Geomorphic Position(D2)
Inundation on Aerial Imagery(67) Shallow Aquitard(D3)
Water Stained Leaves(139) FAC-Neutral Test(D5)
Field Observation:
Surface Water Present? Yes No X Depth(inches) Wetland Hydrology Present?
Water Table Present? Yes No X Depth(inches)
Saturation Present? Yes No X Depth(inches) Yes X No
(includes capillary fringe)
Describe Recorded Data(stream guage, monitoring well,aerial photos, previous inspections). If available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont-Version 2.0

VEGETATION - Use Scientific Names of Plants Sampling Point: WB wet
Absolute% Dominant Indicator
Tree Stratum (Plot Size 30 feet) Cover Species? Status Number of Dominant Speices
That Are
1. None observed OBL,FACW,or FAC: 3 (A)
2. Total Number of Dominant
3 Speicies Across All Strata: 5 (B)
4 Percent of Dominant Speices
That Are
5. OBL,FACW,or FAC: 60% (A/B)
6.
0% =Total cover Prevalence Index Worksheet:
50%of total cover: 0% 20%total cover: 0% Total%Cover of: Multiply by:
OBL species x 1 =
Absolute% Dominant Indicator
Sapling/Shrub Stratum: (Plot Size 30 feet) Cover Species? Status FACW species x 2=
1. Liquidambar styraciflua 5% Yes FAC FAC species x 3=
2. Salix nigra 5% Yes OBL FACU species x 4=
3. Liriodendron tulipifera 5% Yes FACU UPL species x 5=
4. Column totals (A) (B)
5.
6. Prevalence Index=B/A=
15% =Total cover
50%of total cover: g% 20%total cover: 3% Hydrophytic Vegetation Indicators:
Rapid Test for Hydrophytic Vegetation
Absolute% Dominant Indicator
Herb Stratum: (Plot Size 30 feet) Cover Species? Status Yes Dominance Test is>50%
1. Vernonia noveboracensis 40% Yes FACW Prevalence Index is:53.0'
2. Solidago spp. 35% Yes N/A Problematic Hydrophytic
3. Rubus argutus 15% No FACU Vegetation'(Explain)
4. Juncus effusus 15% No FACW 1 Indicators of hydric soil and wetland hydrology
5. Carex spp. 15% No FAC must be present unless disturbed
6. Definitions of Five Vegetation Strata:
120% =Total cover Tree-Woody Plants,excluding vines
50%of total cover: 60% 20%total cover: 24% approximately 20 ft or more and 3 in.or larger
diameter at breast height(DBH).
Absolute o Dominant I n 3ca or
Vine Stratum: (Plot Size 30 feet) Cover Species? Status
1. Lonicera japonica 5% Yes FACU
Sapling-Woody plant,excluding woody vines
2 approximatley 20 ft or more in height and less
3. than 3 in. DBH.
4.
5• Shrub-Woody plants,excluding woody vines,
6. approximately 3 to 20 ft in height.
5% =Total cover
50%of total cover: 3% 20%total cover: 1% Herb-All herbaceous plants including
herbaceous vines and woody plants,except
Remarks: (If observed. List morphological adaptations below). woody vines, less than 3 ft in height.
Woody Vine-All woody vines, regardless of
height.
Hydrophytic
Vegetation
Present?
Yes X No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain-Version 2.0

SOIL Sampling Point: WB wet
Profile Description:(Describe to the depth needed to document the indicator or confirm the absence of incators
Depth Matrix Redox Features
(inches) Color(moist) % Color(moist) % Type' Location Texture Remarks
0-6 10YR 3/2 80% 7.5YR 4/6 20% C PL loam
6-12+ 10YR 4/4 100% loam
Type:C=Concentration,D=Depletion,RM=Reduced Matrix,MS=Masked Sand Grains z Location: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 Prarie Redox(A16)(MLRA 147,148)
Hydrogen Sulfide(A4) Thin Dark Surface(S9)(MLRA 147,148) Piedmont Floodplain Soils(F19)(MLRA 136,147)
—Stratified Layers(A5) Loamy Gleyed Matrix(F2) _Red Parent Material(TF2)
2 cm Muck(A10)(LRR N) Depleted Matrix(F3) Very Shallow Dark Surface(TF12)
_Depleted Below Dark Surface(A11) X Redox Dark Surface(F6) _Other(Explain in Remarks)
Thick Dark Surface(Al 2) Depleted Dark Surface(F7)
Sandy Mucky Mineral(S1)(LRR N, Redox Depressions(F8) 3Indicators of hydrophytic vegetation
MLRA 147,148) Iron-Manganese Masses(F12)(LRR N,MLRA 136) and wetland hydrology must be present,
—Sandy Gleyed Matrix(S4) Umbric Surface(F13)(MLRA 136,122) unless disturbed or problematic.
Sandy Redox(S5) Piedmont Floodplain Soils(F19)(MLRA 148)
Stripped Matrix(S6)
Restrictive Layer(if observed):
Type: Hydric Soil Present?
Depth(inches): Yes X No
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain-Version 2.0

WETLAND DETERMINATION DATA FORM —Eastern Mountains and Piedmont Region
Project/Site: U-5899 City/County: Forsyth Sampling Date: 12/19/2016
Applicant/Owner: NCDOT State: NC Sampling Point: WB upland
Investigator(s): Robert Lepsic, EPR Section,Township, Range: Rural Hall
Landform: hillside Local Relief: Slope(%): 2-4%
Subregion: LRR P Lat: 36.215862 Long: -80.288589 Datum NAD 83
Soil Map Unit Name: Tomlin clay loam,2-6%slopes NWI classification:
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 X No
Are Vegetation Soil or Hydrology naturally problematic? (if needed,explain in remarks)
SUMMARY OF FINDINGS -Attach site map showing sampling point locations,transects, important features,etc.
Hydrophytic Vegetation Present? Yes No X
Is the Sampled Area
Hydric Soil Present? Yes No X within a Wetland? Yes No X
Wetland Hydrology Present? Yes No X
Remarks:
Upslope of WB, in narrow strip between WB and mature woods
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators(minimum of 2 required)
Primary Indicators minimum of one is required:check all that apply) Surface Soil Cracks(136)
Surface Water(Al) Aquatic Fauna(B13) Sparsley Vegetated Concave Surface(138)
High Water Table(A2) True Aquatic Plants(1314) Drainge Patterns(B10)
Saturation(A3) Hydrogen Sulfide Odor(C1) Moss trim Lines(616)
Water Marks(131) Oxidized Rhizospheres on Living Roots(C3) Dry-Season Water Table(C2)
Sediment Deposits(62) Presence of Reduced Iron(C4) Crayfish Burrows(C8)
Drift Deposits(133) Recent Iron Reduction in Tilled Soils(C6) Saturation Visible on Aerial Imagery(C9)
Algal Mat or Crust(134) Thin Muck Surface(C7) Stunted or Stressed Plants(D1)
Iron Deposits(135) Other(Explain in Remarks) Geomorphic Position(D2)
Inundation on Aerial Imagery(67) Shallow Aquitard(D3)
Water Stained Leaves(139) FAC-Neutral Test(D5)
Field Observation:
Surface Water Present? Yes No X Depth(inches) Wetland Hydrology Present?
Water Table Present? Yes No X Depth(inches)
Saturation Present? Yes No X Depth(inches) Yes No X
(includes capillary fringe)
Describe Recorded Data(stream guage, monitoring well,aerial photos, previous inspections). If available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont-Version 2.0

VEGETATION - Use Scientific Names of Plants Sampling Point: WB upland
Absolute% Dominant Indicator
Tree Stratum (Plot Size 30 feet) Cover Species? Status Number of Dominant Speices
That Are
1. None observed OBL,FACW,or FAC: 3 (A)
2. Total Number of Dominant
3 Speicies Across All Strata: 6 (B)
4 Percent of Dominant Speices
That Are
5. OBL,FACW,or FAC: 50% (A/B)
6.
0% =Total cover Prevalence Index Worksheet:
50%of total cover: 0% 20%total cover: 0% Total%Cover of: Multiply by:
OBL species 0 x 1 = 0
Absolute% Dominant Indicator
Sapling/Shrub Stratum: (Plot Size 30 feet) Cover Species? Status FACW species 0 x 2= 0
1. Liriodendron tulipifera 10% Yes FACU FAC species 35 x 3= 105
2. Liquidambar styraciflua 5% Yes FAC FACU species 40 x 4= 160
3. UPL species 0 x 5= 0
4. Column totals 75 (A) 265 (B)
5.
6. Prevalence Index=B/A= 3.5
15% =Total cover
50%of total cover: 8% 20%total cover: 3% Hydrophytic Vegetation Indicators:
Rapid Test for Hydrophytic Vegetation
Absolute% Dominant Indicator
Herb Stratum: (Plot Size 30 feet) Cover Species? Status No Dominance Test is>50%
1. Microstegium vimineum 25% Yes FAC No Prevalence Index is:53.0'
2. Allium canadense 10% Yes FACU Problematic Hydrophytic
3. Rubus argutus 5% No FACU Vegetation'(Explain)
4. ' Indicators of hydric soil and wetland hydrology
5. must be present unless disturbed
6. Definitions of Five Vegetation Strata:
40% =Total cover Tree-Woody Plants,excluding vines
50%of total cover: 20% 20%total cover: 8% approximately 20 ft or more and 3 in.or larger
diameter at breast height(DBH).
Absolute o Dominant In3_ca7or_
Vine Stratum: (Plot Size 30 feet) Cover Species? Status
1. Lonicera japonica 15% Yes FACU
Sapling-Woody plant,excluding woody vines
2. Smilax rotundifolia 5% Yes FAC approximatley 20 ft or more in height and less
3. than 3 in. DBH.
4.
5• Shrub-Woody plants,excluding woody vines,
6. approximately 3 to 20 ft in height.
20% =Total cover
50%of total cover: 10% 20%total cover: 4% Herb-All herbaceous plants including
herbaceous vines and woody plants,except
Remarks: (If observed. List morphological adaptations below). woody vines, less than 3 ft in height.
Woody Vine-All woody vines, regardless of
height.
Hydrophytic
Vegetation
Present?
Yes No X
US Army Corps of Engineers Atlantic and Gulf Coastal Plain-Version 2.0

SOIL Sampling Point: WB upland
Profile Description:(Describe to the depth needed to document the indicator or confirm the absence of incators
Depth Matrix Redox Features
(inches) Color(moist) % Color(moist) % Type' Location Texture Remarks
0-4 10YR 4/4 100% loam
4-12+ 10YR 4/6 100% clay loam
Type:C=Concentration,D=Depletion,RM=Reduced Matrix,MS=Masked Sand Grains z Location: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 Prarie Redox(A16)(MLRA 147,148)
Hydrogen Sulfide(A4) Thin Dark Surface(S9)(MLRA 147,148) Piedmont Floodplain Soils(F19)(MLRA 136,147)
—Stratified Layers(A5) Loamy Gleyed Matrix(F2) _Red Parent Material(TF2)
2 cm Muck(A10)(LRR N) Depleted Matrix(F3) Very Shallow Dark Surface(TF12)
_Depleted Below Dark Surface(A11) Redox Dark Surface(F6) _Other(Explain in Remarks)
Thick Dark Surface(Al 2) Depleted Dark Surface(F7)
Sandy Mucky Mineral(S1)(LRR N, Redox Depressions(F8) 3Indicators of hydrophytic vegetation
MLRA 147,148) Iron-Manganese Masses(F12)(LRR N,MLRA 136) and wetland hydrology must be present,
—Sandy Gleyed Matrix(S4) Umbric Surface(F13)(MLRA 136,122) unless disturbed or problematic.
Sandy Redox(S5) Piedmont Floodplain Soils(F19)(MLRA 148)
Stripped Matrix(S6)
Restrictive Layer(if observed):
Type: Hydric Soil Present?
Depth(inches): Yes No X
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain-Version 2.0

WETLAND DETERMINATION DATA FORM —Eastern Mountains and Piedmont Region
Project/Site: U-5899 City/County: Forsyth Sampling Date: 12/19/2016
Applicant/Owner: NCDOT State: NC Sampling Point: WC wetland
Investigator(s): Robert Lepsic, EPR Section,Township, Range: Rural Hall
Landform: drainageway Local Relief: Concave Slope(%): 0-1%
Subregion: LRR P Lat: 36.211181 Long: -80.288497 Datum NAD83
Soil Map Unit Name: Codurus loam,0-2%slopes NWI classification: PFO
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 X No
Are Vegetation Soil or Hydrology naturally problematic? (if needed,explain in remarks)
SUMMARY OF FINDINGS -Attach site map showing sampling point locations,transects, important features,etc.
Hydrophytic Vegetation Present? Yes X No
Is the Sampled Area
Hydric Soil Present? Yes X No within a Wetland? Yes X No
Wetland Hydrology Present? Yes X No
Remarks:
Outlet of culvert from roadside ditch. NCWAM basin wetland type.
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators(minimum of 2 required)
Primary Indicators minimum of one is required:check all that apply) Surface Soil Cracks(136)
X Surface Water(Al) Aquatic Fauna(B13) Sparsley Vegetated Concave Surface(138)
X High Water Table(A2) True Aquatic Plants(1314) X Drainage Patterns(B10)
X Saturation(A3) Hydrogen Sulfide Odor(C1) Moss trim Lines(616)
Water Marks(131) X Oxidized Rhizospheres on Living Roots(C3) Dry-Season Water Table(C2)
Sediment Deposits(62) Presence of Reduced Iron(C4) Crayfish Burrows(C8)
Drift Deposits(133) Recent Iron Reduction in Tilled Soils(C6) Saturation Visible on Aerial Imagery(C9)
Algal Mat or Crust(134) Thin Muck Surface(C7) Stunted or Stressed Plants(D1)
Iron Deposits(135) Other(Explain in Remarks) Geomorphic Position(D2)
Inundation on Aerial Imagery(67) Shallow Aquitard(D3)
Water Stained Leaves(139) FAC-Neutral Test(D5)
Field Observation:
Surface Water Present? Yes X No Depth(inches) Wetland Hydrology Present?
Water Table Present? Yes X No Depth(inches) 10
Saturation Present? Yes X No Depth(inches) 6 Yes X No
(includes capillary fringe)
Describe Recorded Data(stream guage, monitoring well,aerial photos, previous inspections). If available:
Remarks:
*Surface water present adjacent to soil plug;0.5 to 1 inch deep.
US Army Corps of Engineers Eastern Mountains and Piedmont-Version 2.0

VEGETATION - Use Scientific Names of Plants Sampling Point: WC wetland
Absolute% Dominant Indicator
Tree Stratum (Plot Size 30 feet) Cover Species? Status Number of Dominant Speices
That Are
1. Liquidambar styraciflua 40% Yes FAC OBL,FACW,or FAC: 5 (A)
2. Salix nigra 20% Yes OBL Total Number of Dominant
3. Acer rubrum 10% No FAC Speicies Across All Strata: 7 (B)
4. Liriodendron tulipifera 10% No FACU Percent of Dominant Speices
That Are
5. OBL,FACW,or FAC: 71% (A/B)
6.
80% =Total cover Prevalence Index Worksheet:
50%of total cover: 40% 20%total cover: 16% Total%Cover of: Multiply by:
OBL species x 1 =
Absolute% Dominant Indicator
Sapling/Shrub Stratum: (Plot Size 30 feet) Cover Species? Status FACW species x 2=
1. Liquidambar styraciflua 10% Yes FAC FAC species x 3=
2. Acer rubrum 10% Yes FAC FACU species x 4=
3. UPL species x 5=
4. Column totals (A) (B)
5.
6. Prevalence Index=B/A=
20% =Total cover
50%of total cover: 10% 20%total cover: 4% Hydrophytic Vegetation Indicators:
Rapid Test for Hydrophytic Vegetation
Absolute% Dominant Indicator
Herb Stratum: (Plot Size 30 feet) Cover Species? Status Yes Dominance Test is>50%
1. Rubus argutus 10% Yes FACU Prevalence Index is:53.0'
2. Dichanthelium clandestinum 5% Yes FAC Problematic Hydrophytic
3. Solidago spp. 5% Yes FACU Vegetation'(Explain)
4. ' Indicators of hydric soil and wetland hydrology
5. must be present unless disturbed
6. Definitions of Five Vegetation Strata:
20% =Total cover Tree-Woody Plants,excluding vines
50%of total cover: 10% 20%total cover: 4% approximately 20 ft or more and 3 in.or larger
diameter at breast height(DBH).
Absolute o Dominant I n 3ca or
Vine Stratum: (Plot Size 30 feet) Cover Species? Status
1. Lonicera japonica 10% Yes FACU
Sapling-Woody plant,excluding woody vines
2 approximatley 20 ft or more in height and less
3. than 3 in. DBH.
4.
5• Shrub-Woody plants,excluding woody vines,
6. approximately 3 to 20 ft in height.
10% =Total cover
50%of total cover: 5% 20%total cover: 2% Herb-All herbaceous plants including
herbaceous vines and woody plants,except
Remarks: (If observed. List morphological adaptations below). woody vines, less than 3 ft in height.
Solidago could not be identified to species,so was left out of the dominant species total.
Woody Vine-All woody vines, regardless of
height.
Hydrophytic
Vegetation
Present?
Yes X No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain-Version 2.0

SOIL Sampling Point: WC wetland
Profile Description:(Describe to the depth needed to document the indicator or confirm the absence of incators
Depth Matrix Redox Features
(inches) Color(moist) % Color(moist) % Type' Location Texture Remarks
0-8 10YR 4/2 80% 10YR 4/4 20% C PL Silt
8-12+ 10YR 4/2 60% 10YR 4/4 40% C M Silty Clay
Type:C=Concentration,D=Depletion,RM=Reduced Matrix,MS=Masked Sand Grains z Location: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 Prarie Redox(A16)(MLRA 147,148)
Hydrogen Sulfide(A4) Thin Dark Surface(S9)(MLRA 147,148) Piedmont Floodplain Soils(F19)(MLRA 136,147)
—Stratified Layers(A5) Loamy Gleyed Matrix(F2) _Red Parent Material(TF2)
2 cm Muck(A10)(LRR N) X Depleted Matrix(F3) Very Shallow Dark Surface(TF12)
_Depleted Below Dark Surface(A11) Redox Dark Surface(F6) _Other(Explain in Remarks)
Thick Dark Surface(Al 2) Depleted Dark Surface(F7)
Sandy Mucky Mineral(S1)(LRR N, Redox Depressions(F8) 3Indicators of hydrophytic vegetation
MLRA 147,148) Iron-Manganese Masses(F12)(LRR N,MLRA 136) and wetland hydrology must be present,
—Sandy Gleyed Matrix(S4) Umbric Surface(F13)(MLRA 136,122) unless disturbed or problematic.
Sandy Redox(S5) Piedmont Floodplain Soils(F19)(MLRA 148)
Stripped Matrix(S6)
Restrictive Layer(if observed):
Type: Hydric Soil Present?
Depth(inches): Yes X No
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain-Version 2.0

WETLAND DETERMINATION DATA FORM —Eastern Mountains and Piedmont Region
Project/Site: U-5899 City/County: Forsyth Sampling Date: 12/19/2016
Applicant/Owner: NCDOT State: NC Sampling Point: WC/WD/WG upl
Investigator(s): Robert Lepsic, EPR Section,Township, Range: Rural Hall
Landform: hillside Local Relief: Slope(%): 2-4%
Subregion: LRR P Lat: 36.211289 Long: -80.288541 Datum NAD83
Soil Map Unit Name: Codorus loam,0-2%slopes NWI classification:
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 X No
Are Vegetation Soil or Hydrology naturally problematic? (if needed,explain in remarks)
SUMMARY OF FINDINGS -Attach site map showing sampling point locations,transects, important features,etc.
Hydrophytic Vegetation Present? Yes No X
Is the Sampled Area
Hydric Soil Present? Yes No X within a Wetland? Yes No X
Wetland Hydrology Present? Yes No X
Remarks:
Representative of upland around WC, WD, and WG
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators(minimum of 2 required)
Primary Indicators minimum of one is required:check all that apply) Surface Soil Cracks(136)
Surface Water(Al) Aquatic Fauna(B13) Sparsley Vegetated Concave Surface(138)
High Water Table(A2) True Aquatic Plants(1314) Drainge Patterns(B10)
Saturation(A3) Hydrogen Sulfide Odor(C1) Moss trim Lines(616)
Water Marks(131) Oxidized Rhizospheres on Living Roots(C3) Dry-Season Water Table(C2)
Sediment Deposits(62) Presence of Reduced Iron(C4) Crayfish Burrows(C8)
Drift Deposits(133) Recent Iron Reduction in Tilled Soils(C6) Saturation Visible on Aerial Imagery(C9)
Algal Mat or Crust(134) Thin Muck Surface(C7) Stunted or Stressed Plants(D1)
Iron Deposits(135) Other(Explain in Remarks) Geomorphic Position(D2)
Inundation on Aerial Imagery(67) Shallow Aquitard(D3)
Water Stained Leaves(139) FAC-Neutral Test(D5)
Field Observation:
Surface Water Present? Yes No X Depth(inches) Wetland Hydrology Present?
Water Table Present? Yes No X Depth(inches)
Saturation Present? Yes No X Depth(inches) Yes No X
(includes capillary fringe)
Describe Recorded Data(stream guage, monitoring well,aerial photos, previous inspections). If available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont-Version 2.0

VEGETATION - Use Scientific Names of Plants Sampling Point: WC/WD/WG upl
Absolute% Dominant Indicator
Tree Stratum (Plot Size 30 feet) Cover Species? Status Number of Dominant Speices
That Are
1. Juniperus virginiana 60% Yes FACU OBL,FACW,or FAC: 3 (A)
2. Acer rubrum 10% No FAC Total Number of Dominant
3. Liquidambar styraciflua 10% No FAC Speicies Across All Strata: 6 (B)
4 Percent of Dominant Speices
That Are
5. OBL,FACW,or FAC: 50% (A/B)
6.
80% =Total cover Prevalence Index Worksheet:
50%of total cover: 40% 20%total cover: 16% Total%Cover of: Multiply by:
OBL species 0 x 1 = 0
Absolute% Dominant Indicator
Sapling/Shrub Stratum: (Plot Size 30 feet) Cover Species? Status FACW species 0 x 2= 0
1. Acer rubrum 10% Yes FAC FAC species 60 x 3= 180
2. Liquidambar styraciflua 10% Yes FAC FACU species 95 x 4= 380
3. UPL species 0 x 5= 0
4. Column totals 155 (A) 560 (B)
5.
6. Prevalence Index=B/A= 3.6
20% =Total cover
50%of total cover: 10% 20%total cover: 4% Hydrophytic Vegetation Indicators:
Rapid Test for Hydrophytic Vegetation
Absolute% Dominant Indicator
Herb Stratum: (Plot Size 30 feet) Cover Species? Status No Dominance Test is>50%
1. Microstegium vimineum 15% Yes FAC No Prevalence Index is:53.0'
2. Rubus argutus 15% Yes FACU Problematic Hydrophytic
3. Eupatorium purpureum 5% No FAC Vegetation'(Explain)
4. ' Indicators of hydric soil and wetland hydrology
5. must be present unless disturbed
6. Definitions of Five Vegetation Strata:
35% =Total cover Tree-Woody Plants,excluding vines
50%of total cover: 18% 20%total cover: 7% approximately 20 ft or more and 3 in.or larger
diameter at breast height(DBH).
Absolute o Dominant I n 3ca or
Vine Stratum: (Plot Size 30 feet) Cover Species? Status
1. Lonicera japonica 20% Yes FACU
Sapling-Woody plant,excluding woody vines
2 approximatley 20 ft or more in height and less
3. than 3 in. DBH.
4.
5• Shrub-Woody plants,excluding woody vines,
6. approximately 3 to 20 ft in height.
20% =Total cover
50%of total cover: 10% 20%total cover: 4% Herb-All herbaceous plants including
herbaceous vines and woody plants,except
Remarks: (If observed. List morphological adaptations below). woody vines, less than 3 ft in height.
Woody Vine-All woody vines, regardless of
height.
Hydrophytic
Vegetation
Present?
Yes No X
US Army Corps of Engineers Atlantic and Gulf Coastal Plain-Version 2.0

SOIL Sampling Point: WC/WD/WG upl
Profile Description:(Describe to the depth needed to document the indicator or confirm the absence of incators
Depth Matrix Redox Features
(inches) Color(moist) % Color(moist) % Type' Location Texture Remarks
Sandy Clay
0-12 10YR 4/6 100% Loam
Type:C=Concentration,D=Depletion,RM=Reduced Matrix,MS=Masked Sand Grains 2 Location.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 Prarie Redox(A16)(MLRA 147,148)
Hydrogen Sulfide(A4) Thin Dark Surface(S9)(MLRA 147,148) _Piedmont Floodplain Soils(F19)(MLRA 136,147)
Stratified Layers(A5) Loamy Gleyed Matrix(F2) Red Parent Material(TF2)
2 cm Muck(A10)(LRR N) _Depleted Matrix(F3) _Very Shallow Dark Surface(TF12)
Depleted Below Dark Surface(A11) Redox Dark Surface(F6) Other(Explain in Remarks)
Thick Dark Surface(Al2) Depleted Dark Surface(F7)
Sandy Mucky Mineral(S1)(LRR N, Redox Depressions(F8) 3Indicators of hydrophytic vegetation
MLRA 147,148) Iron-Manganese Masses(F12)(LRR N,MLRA 136) and wetland hydrology must be present,
Sandy Gleyed Matrix(S4) Umbric Surface(F13)(MLRA 136,122) unless disturbed or problematic.
_Sandy Redox(S5) Piedmont Floodplain Soils(F19)(MLRA 148)
Stripped Matrix(S6)
Restrictive Layer(if observed):
Type: Hydric Soil Present?
Depth(inches): Yes No X
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain-Version 2.0

WETLAND DETERMINATION DATA FORM —Eastern Mountains and Piedmont Region
Project/Site: U-5899 City/County: Forsyth Sampling Date: 12/7/2021
Applicant/Owner: NCDOT State: NC Sampling Point: WD/WE/WF wet
Investigator(s): Amy James, EPR Section,Township, Range: Rural Hall
Landform: depression Local Relief: Slope(%):
Subregion: LRR P Lat: 36.213825 Long: -80.289303 Datum NAD83
Soil Map Unit Name: Codorus loam NWI classification: None
Are climatic/hydrologic conditions on the site typical for this time of year? Yes No X (if no,explain in Remarks)
Are Vegetation Soil ,or Hydrology significantly disturbed? Are"Normal Circumstances"present? Yes X No
Are Vegetation Soil or Hydrology naturally problematic? (if needed,explain in remarks)
SUMMARY OF FINDINGS -Attach site map showing sampling point locations,transects, important features,etc.
Hydrophytic Vegetation Present? Yes X No
Is the Sampled Area
Hydric Soil Present? Yes X No within a Wetland? Yes X No
Wetland Hydrology Present? Yes X No
Remarks:
Forsyth County in moderate drought as of 11/30/2021. Point taken in WF; these wetlands may be old sediment or
stormwater features from when the office park was built and are surrounded by man-made berms. However, they have
been allowed to naturalize and are being claimed as potentially jurisdictional features absent any confirmation of their
original purpose.
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators(minimum of 2 required)
Primary Indicators minimum of one is required:check all that apply) Surface Soil Cracks(136)
Surface Water(Al) Aquatic Fauna(B13) Sparsley Vegetated Concave Surface(138)
High Water Table(A2) True Aquatic Plants(1314) Drainge Patterns(B10)
X Saturation(A3) Hydrogen Sulfide Odor(C1) Moss trim Lines(616)
Water Marks(131) X Oxidized Rhizospheres on Living Roots(C3) Dry-Season Water Table(C2)
Sediment Deposits(62) Presence of Reduced Iron(C4) Crayfish Burrows(C8)
Drift Deposits(133) Recent Iron Reduction in Tilled Soils(C6) Saturation Visible on Aerial Imagery(C9)
Algal Mat or Crust(134) Thin Muck Surface(C7) Stunted or Stressed Plants(D1)
Iron Deposits(135) Other(Explain in Remarks) Geomorphic Position(D2)
Inundation on Aerial Imagery(67) Shallow Aquitard(D3)
X Water Stained Leaves(139) FAC-Neutral Test(D5)
Field Observation:
Surface Water Present? Yes No X Depth(inches) Wetland Hydrology Present?
Water Table Present? Yes X No Depth(inches) 11
Saturation Present? Yes X No Depth(inches) 0 Yes X No
(includes capillary fringe)
Describe Recorded Data(stream guage, monitoring well,aerial photos, previous inspections). If available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont-Version 2.0

VEGETATION - Use Scientific Names of Plants Sampling Point: WD/WE/WF wet
Absolute% Dominant Indicator
Tree Stratum (Plot Size 30 feet) Cover Species? Status Number of Dominant Speices
That Are
1. Salix nigra 25% Yes OBL OBL,FACW,or FAC: 5 (A)
2. Total Number of Dominant
3 Speicies Across All Strata: 6 (B)
4 Percent of Dominant Speices
That Are
5. OBL,FACW,or FAC: 83% (A/B)
6.
25% =Total cover Prevalence Index Worksheet:
50%of total cover: 13% 20%total cover: 5% Total%Cover of: Multiply by:
OBL species x 1 = 0
Absolute% Dominant Indicator
Sapling/Shrub Stratum: (Plot Size 30 feet) Cover Species? Status FACW species x 2= 0
1. Acer rubrum 15% Yes FAC FAC species x 3= 0
2. Salix nigra 10% Yes OBL FACU species x 4= 0
3. Liquidambar styracilflua 5% No FAC UPL species x 5= 0
4. Column totals (A) 0 (B)
5.
6. Prevalence Index=B/A=
30% =Total cover
50%of total cover: 15% 20%total cover: 6% Hydrophytic Vegetation Indicators:
Rapid Test for Hydrophytic Vegetation
Absolute% Dominant Indicator
Herb Stratum: (Plot Size 30 feet) Cover Species? Status Yes Dominance Test is>50%
1. Scirpus cyperinus 5% Yes FACW Prevalence Index is:53.0'
2. Juncus effusus 5% Yes FACW Problematic Hydrophytic
3. Vegetation'(Explain)
4. ' Indicators of hydric soil and wetland hydrology
5. must be present unless disturbed
6. Definitions of Five Vegetation Strata:
10% =Total cover Tree-Woody Plants,excluding vines
50%of total cover: 5% 20%total cover: 2% approximately 20 ft or more and 3 in.or larger
diameter at breast height(DBH).
Absolute o Dominant I n 3ca or
Vine Stratum: (Plot Size 30 feet) Cover Species? Status
1. Lonicera japonica 5% Yes FACU
Sapling-Woody plant,excluding woody vines
2 approximatley 20 ft or more in height and less
3. than 3 in. DBH.
4.
5• Shrub-Woody plants,excluding woody vines,
6. approximately 3 to 20 ft in height.
5% =Total cover
50%of total cover: 3% 20%total cover: 1% Herb-All herbaceous plants including
herbaceous vines and woody plants,except
Remarks: (If observed. List morphological adaptations below). woody vines, less than 3 ft in height.
Woody Vine-All woody vines, regardless of
height.
Hydrophytic
Vegetation
Present?
Yes X No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain-Version 2.0

SOIL Sampling Point: WD/WE/WF wet
Profile Description:(Describe to the depth needed to document the indicator or confirm the absence of incators
Depth Matrix Redox Features
(inches) Color(moist) % Color(moist) % Type' Location Texture Remarks
0-1 10YR 2/1 100% Sandy Clay Loam
1-8 10YR 4/2 60% 7.5YR 5/8 40% C PL, M Sandy Clay Loam
8-12 10YR 4/1 90% 7.5YR 5/8 10% C M clay
Type:C=Concentration,D=Depletion,RM=Reduced Matrix,MS=Masked Sand Grains z Location: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 Prarie Redox(A16)(MLRA 147,148)
Hydrogen Sulfide(A4) Thin Dark Surface(S9)(MLRA 147,148) Piedmont Floodplain Soils(F19)(MLRA 136,147)
—Stratified Layers(A5) Loamy Gleyed Matrix(F2) _Red Parent Material(TF2)
2 cm Muck(A10)(LRR N) X Depleted Matrix(F3) Very Shallow Dark Surface(TF12)
_Depleted Below Dark Surface(A11) Redox Dark Surface(F6) _Other(Explain in Remarks)
Thick Dark Surface(Al 2) Depleted Dark Surface(F7)
Sandy Mucky Mineral(S1)(LRR N, Redox Depressions(F8) 31ndicators of hydrophytic vegetation
MLRA 147,148) Iron-Manganese Masses(F12)(LRR N,MLRA 136) and wetland hydrology must be present,
—Sandy Gleyed Matrix(S4) Umbric Surface(F13)(MLRA 136,122) unless disturbed or problematic.
Sandy Redox(S5) Piedmont Floodplain Soils(F19)(MLRA 148)
Stripped Matrix(S6)
Restrictive Layer(if observed):
Type: Hydric Soil Present?
Depth(inches): Yes X No
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain-Version 2.0

WETLAND DETERMINATION DATA FORM —Eastern Mountains and Piedmont Region
Project/Site: U-5899 City/County: Forsyth Sampling Date: 12/7/2021
Applicant/Owner: NCDOT State: NC Sampling Point: WE/WF upl
Investigator(s): Amy James, EPR Section,Township, Range: Rural Hall
Landform: flat Local Relief: Slope(%):
Subregion: LRR P Lat: 36.213303 Long: -80.289089 Datum NAD83
Soil Map Unit Name: Codorus loam NWI classification: None
Are climatic/hydrologic conditions on the site typical for this time of year? Yes No X (if no,explain in Remarks)
Are Vegetation Soil ,or Hydrology significantly disturbed? Are"Normal Circumstances"present? Yes X No
Are Vegetation Soil or Hydrology naturally problematic? (if needed,explain in remarks)
SUMMARY OF FINDINGS -Attach site map showing sampling point locations,transects, important features,etc.
Hydrophytic Vegetation Present? Yes X No
Is the Sampled Area
Hydric Soil Present? Yes No X within a Wetland? Yes No X
Wetland Hydrology Present? Yes No X
Remarks:
Forsyth County in moderate drought as of 11/30/2021. Point taken between WE and WF.
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators(minimum of 2 required)
Primary Indicators minimum of one is required:check all that apply) Surface Soil Cracks(136)
Surface Water(Al) Aquatic Fauna(B13) Sparsley Vegetated Concave Surface(138)
High Water Table(A2) True Aquatic Plants(1314) Drainge Patterns(B10)
Saturation(A3) Hydrogen Sulfide Odor(C1) Moss trim Lines(616)
Water Marks(131) Oxidized Rhizospheres on Living Roots(C3) Dry-Season Water Table(C2)
Sediment Deposits(62) Presence of Reduced Iron(C4) Crayfish Burrows(C8)
Drift Deposits(133) Recent Iron Reduction in Tilled Soils(C6) Saturation Visible on Aerial Imagery(C9)
Algal Mat or Crust(134) Thin Muck Surface(C7) Stunted or Stressed Plants(D1)
Iron Deposits(135) Other(Explain in Remarks) Geomorphic Position(D2)
Inundation on Aerial Imagery(67) Shallow Aquitard(D3)
Water Stained Leaves(139) FAC-Neutral Test(D5)
Field Observation:
Surface Water Present? Yes No X Depth(inches) Wetland Hydrology Present?
Water Table Present? Yes No X Depth(inches)
Saturation Present? Yes No X Depth(inches) Yes No X
(includes capillary fringe)
Describe Recorded Data(stream guage, monitoring well,aerial photos, previous inspections). If available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont-Version 2.0

VEGETATION - Use Scientific Names of Plants Sampling Point: WE/WF upl
Absolute% Dominant Indicator
Tree Stratum (Plot Size 30 feet) Cover Species? Status Number of Dominant Speices
That Are
1. Acer rubrum 45% Yes FAC OBL,FACW,or FAC: 4 (A)
2. Liquidambar styrac/flua 25% Yes FAC Total Number of Dominant
3. Salix nigra 10% No OBL Speicies Across All Strata: 5 (B)
4. Liriodendron tulipifera 10% No FACU Percent of Dominant Speices
That Are
5. OBL,FACW,or FAC: 80% (A/B)
6.
90% =Total cover Prevalence Index Worksheet:
50%of total cover: 45% 20%total cover: 18% Total%Cover of: Multiply by:
OBL species x 1 = 0
Absolute% Dominant Indicator
Sapling/Shrub Stratum: (Plot Size 30 feet) Cover Species? Status FACW species x 2= 0
1. Acer rubrum 25% Yes FAC FAC species x 3= 0
2. Liquidambar styracilflua 15% Yes FAC FACU species x 4= 0
3. UPL species x 5= 0
4. Column totals (A) 0 (B)
5.
6. Prevalence Index=B/A=
40% =Total cover
50%of total cover: 20% 20%total cover: 8% Hydrophytic Vegetation Indicators:
Rapid Test for Hydrophytic Vegetation
Absolute% Dominant Indicator
Herb Stratum: (Plot Size 30 feet) Cover Species? Status Yes Dominance Test is>50%
1. None observed Prevalence Index is:53.0'
2. Problematic Hydrophytic
3. Vegetation'(Explain)
4. ' Indicators of hydric soil and wetland hydrology
5. must be present unless disturbed
6. Definitions of Five Vegetation Strata:
0% =Total cover Tree-Woody Plants,excluding vines
50%of total cover: 0% 20%total cover: 0% approximately 20 ft or more and 3 in.or larger
diameter at breast height(DBH).
Absolute o Dominant I n 3ca or
Vine Stratum: (Plot Size 30 feet) Cover Species? Status
1. Lonicera japonica 25% Yes FACU
Sapling-Woody plant,excluding woody vines
2 approximatley 20 ft or more in height and less
3. than 3 in. DBH.
4.
5• Shrub-Woody plants,excluding woody vines,
6. approximately 3 to 20 ft in height.
25% =Total cover
50%of total cover: 13% 20%total cover: 5% Herb-All herbaceous plants including
herbaceous vines and woody plants,except
Remarks: (If observed. List morphological adaptations below). woody vines, less than 3 ft in height.
Woody Vine-All woody vines, regardless of
height.
Hydrophytic
Vegetation
Present?
Yes X No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain-Version 2.0

SOIL Sampling Point: WE/WF upl
Profile Description:(Describe to the depth needed to document the indicator or confirm the absence of incators
Depth Matrix Redox Features
(inches) Color(moist) % Color(moist) % Type' Location Texture Remarks
0-12 7.5Y 4/6 100% sandy Clay Loam
Type:C=Concentration,D=Depletion,RM=Reduced Matrix,MS=Masked Sand Grains 2 Location: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 Prarie Redox(At 6)(MLRA 147,148)
Hydrogen Sulfide(A4) Thin Dark Surface(S9)(MLRA 147,148) Piedmont Floodplain Soils(F19)(MLRA 136,147)
_Stratified Layers(A5) Loamy Gleyed Matrix(F2) _Red Parent Material(TF2)
2 cm Muck(A10)(LRR N) Depleted Matrix(F3) Very Shallow Dark Surface(TF12)
_Depleted Below Dark Surface(A11) Redox Dark Surface(F6) _Other(Explain in Remarks)
Thick Dark Surface(Al2) Depleted Dark Surface(F7)
Sandy Mucky Mineral(S1)(LRR N, Redox Depressions(F8) 3Indicators of hydrophytic vegetation
MLRA 147,148) Iron-Manganese Masses(F12)(LRR N,MLRA 136) and wetland hydrology must be present,
_Sandy Gleyed Matrix(S4) Umbric Surface(F13)(MLRA 136,122) unless disturbed or problematic.
_Sandy Redox(S5) Piedmont Floodplain Soils(F19)(MLRA 148)
Stripped Matrix(S6)
Restrictive Layer(if observed):
Type: Hydric Soil Present?
Depth(inches): Yes No X
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain-Version 2.0

WETLAND DETERMINATION DATA FORM —Eastern Mountains and Piedmont Region
Project/Site: U-5899 City/County: Forsyth Sampling Date: 12/7/2021
Applicant/Owner: NCDOT State: NC Sampling Point: WG wet
Investigator(s): Amy James, EPR Section,Township, Range: Rural Hall
Landform: depression Local Relief: Slope(%):
Subregion: LRR P Lat: 36.211491 Long: -80.288375 Datum NAD83
Soil Map Unit Name: Codorus loam NWI classification: None
Are climatic/hydrologic conditions on the site typical for this time of year? Yes No X (if no,explain in Remarks)
Are Vegetation Soil ,or Hydrology significantly disturbed? Are"Normal Circumstances"present? Yes X No
Are Vegetation Soil or Hydrology naturally problematic? (if needed,explain in remarks)
SUMMARY OF FINDINGS -Attach site map showing sampling point locations,transects, important features,etc.
Hydrophytic Vegetation Present? Yes X No
Is the Sampled Area
Hydric Soil Present? Yes X No within a Wetland? Yes X No
Wetland Hydrology Present? Yes X No
Remarks:
Forsyth County in moderate drought as of 11/30/2021. Wetland in sewer-line easement; surface ruts present and likely
sub-surface manipulation (placement of rip-rap or gravel fill).
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators(minimum of 2 required)
Primary Indicators minimum of one is required:check all that apply) Surface Soil Cracks(136)
Surface Water(Al) Aquatic Fauna(B13) Sparsley Vegetated Concave Surface(138)
High Water Table(A2) True Aquatic Plants(1314) Drainge Patterns(B10)
X Saturation(A3) Hydrogen Sulfide Odor(C1) Moss trim Lines(616)
Water Marks(131) X Oxidized Rhizospheres on Living Roots(C3) Dry-Season Water Table(C2)
Sediment Deposits(62) Presence of Reduced Iron(C4) Crayfish Burrows(C8)
Drift Deposits(133) Recent Iron Reduction in Tilled Soils(C6) Saturation Visible on Aerial Imagery(C9)
Algal Mat or Crust(134) Thin Muck Surface(C7) Stunted or Stressed Plants(D1)
Iron Deposits(135) Other(Explain in Remarks) Geomorphic Position(D2)
Inundation on Aerial Imagery(67) Shallow Aquitard(D3)
Water Stained Leaves(139) FAC-Neutral Test(D5)
Field Observation:
Surface Water Present? Yes No X Depth(inches) Wetland Hydrology Present?
Water Table Present? Yes No X Depth(inches)
Saturation Present? Yes X No Depth(inches) 0-10 Yes X No
(includes capillary fringe)
Describe Recorded Data(stream guage, monitoring well,aerial photos, previous inspections). If available:
Remarks:
Saturation is present in top layers;a significant rip-rap or gravel layer encountered during augering may be perching water.
US Army Corps of Engineers Eastern Mountains and Piedmont-Version 2.0

VEGETATION - Use Scientific Names of Plants Sampling Point: WG wet
Absolute% Dominant Indicator
Tree Stratum (Plot Size 30 feet) Cover Species? Status Number of Dominant Speices
That Are
1. None observed OBL,FACW,or FAC: 2 (A)
2. Total Number of Dominant
3 Speicies Across All Strata: 2 (B)
4 Percent of Dominant Speices
That Are
5. OBL,FACW,or FAC: 100% (A/B)
6.
0% =Total cover Prevalence Index Worksheet:
50%of total cover: 0% 20%total cover: 0% Total%Cover of: Multiply by:
OBL species x 1 = 0
Absolute% Dominant Indicator
Sapling/Shrub Stratum: (Plot Size 30 feet) Cover Species? Status FACW species x 2= 0
1. None observed FAC species x 3= 0
2. FACU species x 4= 0
3. UPL species x 5= 0
4. Column totals (A) 0 (B)
5.
6. Prevalence Index=B/A=
0% =Total cover
50%of total cover: 0% 20%total cover: 0% Hydrophytic Vegetation Indicators:
Rapid Test for Hydrophytic Vegetation
Absolute% Dominant Indicator
Herb Stratum: (Plot Size 30 feet) Cover Species? Status Yes Dominance Test is>50%
1. Persicaria sagittata 70% Yes OBL Prevalence Index is:53.0'
2. Vernonia noveborecensis 25% Yes FACW Problematic Hydrophytic
3. Carex spp. 10% No FAC Vegetation'(Explain)
4. Juncus efffusus 5% No FACW 1 Indicators of hydric soil and wetland hydrology
5. must be present unless disturbed
6. Definitions of Five Vegetation Strata:
110% =Total cover Tree-Woody Plants,excluding vines
50%of total cover: 55% 20%total cover: 22% approximately 20 ft or more and 3 in.or larger
diameter at breast height(DBH).
Absolute o Dominant I n 3ca or
Vine Stratum: (Plot Size 30 feet) Cover Species? Status
1. None observed
Sapling-Woody plant,excluding woody vines
2. approximatley 20 ft or more in height and less
3. than 3 in. DBH.
4.
5. Shrub-Woody plants,excluding woody vines,
6. approximately 3 to 20 ft in height.
0% =Total cover
50%of total cover: 0% 20%total cover: 0% Herb-All herbaceous plants including
herbaceous vines and woody plants,except
Remarks: (If observed. List morphological adaptations below). woody vines, less than 3 ft in height.
Woody Vine-All woody vines, regardless of
height.
Hydrophytic
Vegetation
Present?
Yes X No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain-Version 2.0

SOIL Sampling Point: WG wet
Profile Description:(Describe to the depth needed to document the indicator or confirm the absence of incators
Depth Matrix Redox Features
(inches) Color(moist) % Color(moist) % Type' Location Texture Remarks
0-5 10YR 5/2 60% 7.5YR 5/8 40% C PL, M Clay Loam
0-10 10YR 5/2 60% 7.5YR 5/8 40% C PL, M Sandy Clay Loam
Type:C=Concentration,D=Depletion,RM=Reduced Matrix,MS=Masked Sand Grains z Location: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 Prarie Redox(A16)(MLRA 147,148)
Hydrogen Sulfide(A4) Thin Dark Surface(S9)(MLRA 147,148) Piedmont Floodplain Soils(F19)(MLRA 136,147)
—Stratified Layers(A5) Loamy Gleyed Matrix(F2) _Red Parent Material(TF2)
2 cm Muck(A10)(LRR N) X Depleted Matrix(F3) Very Shallow Dark Surface(TF12)
_Depleted Below Dark Surface(A11) Redox Dark Surface(F6) _Other(Explain in Remarks)
Thick Dark Surface(Al 2) Depleted Dark Surface(F7)
Sandy Mucky Mineral(S1)(LRR N, Redox Depressions(F8) 31ndicators of hydrophytic vegetation
MLRA 147,148) Iron-Manganese Masses(F12)(LRR N,MLRA 136) and wetland hydrology must be present,
—Sandy Gleyed Matrix(S4) Umbric Surface(F13)(MLRA 136,122) unless disturbed or problematic.
Sandy Redox(S5) Piedmont Floodplain Soils(F19)(MLRA 148)
Stripped Matrix(S6)
Restrictive Layer(if observed):
Type: Rip-rap or Gravel Hydric Soil Present?
Depth(inches): 10 Yes X No
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain-Version 2.0

NC WAM WETLAND ASSESSMENT FORM
Accompanies User Manual Version 4.1
Rating Calculator Version 4.1
Wetland Site Name WA/U-5899 Date 12/19/2016
Wetland Type Headwater Forest Assessor Name/Organization Amy James/EPR
Level III Ecoregionj Piedmont Nearest Named Water Body Grassy Creek
River Basin Yadkin-PeeDee USGS 8-Digit Catalogue Unit 03040101
Yes __No Precipitation within 48 hrs? Latitude/Longitude(deci-degrees)
Evidence of stressors affecting the assessment area(may not be within the assessment area)
Please circle and/or make note on last page if evidence of stressors is apparent. Consider departure from reference,if
appropriate,in recent past(for instance,approximately within 10 years). Noteworthy stressors include,but are not limited
to the following.
• 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(select all that apply to the assessment area)
r Anadromous fish
F_ Federally protected species or State endangered or threatened species
F_ NCDWQ riparian buffer rule in effect
F_ Abuts a Primary Nursery Area(PNA)
F- Publicly owned property
F_ N.C.Division of Coastal Management Area of Environmental Concern(AEC)(including buffer)
r 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)
i Blackwater
is Brownwater
F_ Tidal(if tidal,check one of the following boxes) Lunar i Wind Both
Is the assessment area on a coastal island? Yes is No
Is the assessment area's surface water storage capacity or duration substantially altered by beaver? r Yes No
Does the assessment area experience overbank flooding during normal rainfall conditions? Yes r:No
1. Ground Surface Condition/Vegetation Condition-assessment area condition metric
Check a box in each column. Consider alteration to the ground surface(GS)in the assessment area and vegetation structure
(VS)in the assessment area. Compare to reference wetland if applicable(see User Manual). If a reference is not applicable,
then rate the assessment area based on evidence of an effect.
GS VS
is A A Not severely altered
i B is 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. Refer to the current NRCS lateral effect of ditching guidance for
North Carolina hydric soils(see USACE Wilmington District website)for the zone of influence of ditches in hydric soils. 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 ditch
sub-surface water.Consider tidal flooding regime,if applicable.
Surf Sub
i A :A Water storage capacity and duration are not altered.
is B B Water storage capacity or duration are altered,but not substantially(typically,not sufficient to change vegetation).
i 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(answer for non-marsh wetlands only)
Check a box in each column for each group below. Select the appropriate storage for the assessment area(AA)and the wetland
type(WT).
AA WT
3a. i-A i` A Majority of wetland with depressions able to pond water>1 foot deep
C 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 is D Depressions able to pond water<3 inches deep
3b. (-'A Evidence that maximum depth of inundation is greater than 2 feet
C 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
Check a box from each of the three soil property groups below. Dig soil profile in the dominant assessment area landscape
feature. Make soil observations within the 12 inches. Use most recent National Technical Committee for Hydric Soils guidance for
regional indicators.
4a. C A Sandy soil
f:B Loamy or clayey soils exhibiting redoximorphic features(concentrations,depletions,or rhizospheres)
C C Loamy or clayey soils not exhibiting redoximorphic features
C D Loamy or clayey gleyed soil
C E Histosol or histic epipedon
4b. C A Soil ribbon<1 inch
f*'B Soil ribbon>-1 inch
4c. Ca A No peat or muck presence
C 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
f:A is 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
i 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
Check all that apply(at least one box in each column). Evaluation involves a GIS effort with field adjustment. Consider sources
draining to assessment area within entire upstream watershed(WS),within 5 miles and within the watershed draining to the
assessment area(5M),and within 2 miles and within the watershed draining to the assessment area(2M). Effective riparian buffers
are considered to be 50 feet wide in the Coastal Plain and Piedmont ecoregions and 30 feet wide in the Blue Ridge Mountains ecoregion.
WS 5M 2M
F A F_ A F_ A >_10%impervious surfaces
r B F-0 B 157 B <10%impervious surfaces
r C r C F_ C Confined animal operations(or other local,concentrated source of pollutants)
r D F, D F_ D >_20%coverage of pasture
r E r E F_ E >_20%coverage of agricultural land(regularly plowed land)
r F F, F F7 F >_20%coverage of maintained grass/herb
r G r G F_ G >_20%coverage of clear-cut land
r H F H F_ H Little or no opportunity to improve water quality. Lack of opportunity may result from hydrologic alterations
that prevent drainage or overbank flow from affecting the assessment area.
7. Wetland Acting as Vegetated Buffer-assessment area/wetland complex condition metric
7a. Is assessment area within 50 feet of a tributary or other open water?
is 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 the 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 weltand? Descriptor E should be selected if ditches effectively bypass the buffer.
f A >_50 feet
C' B From 30 to<50 feet
C From 15 to<30 feet
G 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.
t:' <_15-feet wide (- >15-feet wide r- Other open water(no tributary present)
7d. Do roots of assessment area vegetation extend into the bank of the tributary/open water?
f: Yes '� No
7e. Is tributary or other open water sheltered or exposed?
Sheltered-adjacent open water with width<2500 feet and no regular boat traffic.
` Exposed-adjacent open water with width>-2500 feet or regular boat traffic.
8. Wetland Width at the Assessment Area-wetland type/wetland complex metric(evaluate for riparian wetlands only)
Check a box in each column. Select the average width for the wetland type at the assessment area(WT)
and the wetland complex at the assessment areas(WC). See User Manual for WT and WC boundaries.
WT WC
C`A C•'A >-100 feet
C` B C'B From 80 to<100 feet
C`C C'C From 50 to<80 feet
C` D C'D From 40 to<50 feet
C: E C:E From 30 to<40 feet
C` F C'F From 15 to<30 feet
C`G C'G From 5 to<15 feet
C` H C'H <5 feet

9. Inundation Duration—assessment area condition metric
Answer for assessment area dominant landform.
{—A Evidence of short-duration inundation(<7 consecutive days)
t:B Evidence of saturation,without evidence of inundation
C'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
Consider recent deposition only(no plant growth since deposition).
(:A Sediment deposition is not excessive,but at approximately natural levels.
r 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)
r A {- A r A >_500 acres
B { B C'B From 100 to<500 acres
( C {"C r C From 50 to<100 acres
( D { D C'D From 25 to<50 acres
( E {- E r E From 10 to<25 acres
( F { F (—F From 5 to<10 acres
( G {- G r G From 1 to<5 acres
( H { H (—H From 0.5 to<1 acre
C+ 1 (i 1 r I From 0.1 to<0.5 acre
C'J {'J (—J From 0.01 to<0.1 acre
C` K {- K t: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.
r B Pocosin is<90%of the full extent of its natural landscape size.
13. Connectivity to Other Natural Areas—landscape condition metric
13a. Check appropriate box(es)(a box may be checked in each column). Involves a GIS effort with field adjustment. This
evaluates whether the wetland is well connected(Well)and/or loosely connected(Loosely)to the landscape patch,the contiguous
metric naturally vegetated area and open water(if appropriate). Boundaries are formed by four-lane roads,regularly maintained utility
line corridors the width of a four-lane road or wider,urban landscapes,fields(pasture open and agriculture),or water>300 feet wide.
Well Loosely
C`A {- A z 500 acres
{- B {'B From 100 to<500 acres
C`C {'C From 50 to<100 acres
{- D {:D From 10 to<50 acres
C:E {- E <10 acres
{- F {'F Wetland type has a poor or no connection to other natural habitats
13b. Evaluate for marshes only.
C'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)
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.
(- A No artificial edge within 150 feet in all directions
('B No artificial edge within 150 feet in four(4)to seven(7)directions
Co—C An artificial edge occurs within 150 feet in more than four(4)directions or assessment area is clear-cut
15. Vegetative Composition—assessment area condition metric(skip for all marshes and Pine Flat)
C`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.
C`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.
Co—C Vegetation severely altered from reference in composition. Expected species are unnaturally absent(planted stands of non-
characteristic species or at least one stratum inappropriately composed of a single species). Exotic species are dominant in
at least one stratum.
16. Vegetative Diversity—assessment area condition metric(evaluate for Non-tidal Freshwater Marsh only)
C`A Vegetation diversity is high and is composed primarily of native species(<10%cover of exotics).
Co—B Vegetation diversity is low or has>10%to 50%cover of exotics.
C`C Vegetation is dominated by exotic species(>50%cover of exotics).

17. Vegetative Structure—assessment area/wetland type condition metric
17a. Is vegetation present?
is Yes i-- 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.
i A >_25%coverage of vegetation
i— 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
L iu"A {'A Canopy closed,or nearly closed,with natural gaps associated with natural processes
m
fi- B C B Canopy present,but opened more than natural gaps
U ( C f:C Canopy sparse or absent
o C'A C A Dense mid-story/sapling layer
{ B B Moderate density mid-story/sapling layer
is C :C Mid-story/sapling layer sparse or absent
("A C A Dense shrub layer
C B C B Moderate density shrub layer
C f:C Shrub layer sparse or absent
C A C A Dense herb layer
a� C B (i B Moderate density herb layer
_ '—C C C Herb layer sparse or absent
18. Snags—wetland type condition metric
i—A Large snags(more than one)are visible(>12-inches DBH,or large relative to species present and landscape stability).
is B Not A
19. Diameter Class Distribution—wetland type condition metric
i 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.
i+C Majority of canopy trees are<6 inches DBH or no trees.
20. Large Woody Debris—wetland type condition metric
Include both natural debris and man-placed natural debris.
i` 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.
i` A CB {'C D
22. Hydrologic Connectivity—assessment area condition metric (evaluate for riparian wetlands 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.
is A Overbank and overland flow are not severely altered in the assessment area.
C B Overbank flow is severely altered in the assessment area.
C`C Overland flow is severely altered in the assessment area.
{ D Both overbank and overland flow are severely altered in the assessment area.
Notes
Wetland is intensively managed in a maintained yard,and has a significant amount of invasive exotic vegetation. There is no evidence of ground
disturbance.

NC WAM Wetland Rating Sheet
Accompanies User Manual Version 4.1
Rating Calculator Version 4.1
Wetland Site Name WA/U-5899 Date 12/19/2016
Wetland Type Headwater Forest Assessor Name/Organization Amy James/EPR
Notes on Field Assessment Form (Y/N) NO
Presence of regulatory considerations(Y/N) NO
Wetland is intensively managed(Y/N) YES
Assessment area is located within 50 feet of a natural tributary or other open water (Y/N) YES
Assessment area is substantially altered by beaver(Y/N) NO
Assessment area experiences overbank flooding during normal rainfall conditions (Y/N) NO
Assessment area is on a coastal island (Y/N) NO
Sub-function Rating Summary
Function Sub-function Metrics Rating
Hydrology Surface Storage and Retention Condition MEDIUM
Sub-Surface Storage and Retention Condition MEDIUM
Water Quality Pathogen Change Condition HIGH
Condition/Opportunity HIGH
Opportunity Presence?(Y/N) NO
Particulate Change Condition HIGH
Condition/Opportunity NA
Opportunity Presence?(Y/N) NA
Soluble Change Condition HIGH
Condition/Opportunity HIGH
Opportunity Presence?(Y/N) YES
Physical Change Condition MEDIUM
Condition/Opportunity HIGH
Opportunity Presence?(Y/N) YES
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/Notes Rating
Hydrology Condition MEDIUM
Water Quality Condition HIGH
Condition/Opportunity HIGH
Opportunity Presence?(Y/N) YES
Habitat Conditon LOW
Overall Wetland Rating MEDIUM

NC WAM WETLAND ASSESSMENT FORM
Accompanies User Manual Version 4.1
Rating Calculator Version 4.1
Wetland Site Name WB/U-5899 Date 12/19/2016
Wetland Type Headwater Forest Assessor Name/Organization Amy James/EPR
Level III Ecoregionj Piedmont Nearest Named Water Body Grassy Creek
River Basin Yadkin-PeeDee USGS 8-Digit Catalogue Unit 03040101
Yes __No Precipitation within 48 hrs? Latitude/Longitude(deci-degrees)
Evidence of stressors affecting the assessment area(may not be within the assessment area)
Please circle and/or make note on last page if evidence of stressors is apparent. Consider departure from reference,if
appropriate,in recent past(for instance,approximately within 10 years). Noteworthy stressors include,but are not limited
to the following.
• 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(select all that apply to the assessment area)
f- Anadromous fish
F_ Federally protected species or State endangered or threatened species
F_ NCDWQ riparian buffer rule in effect
Abuts a Primary Nursery Area(PNA)
r Publicly owned property
N.C.Division of Coastal Management Area of Environmental Concern(AEC)(including buffer)
r 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)
i Blackwater
i Brownwater
F_ Tidal(if tidal,check one of the following boxes) Lunar i Wind Both
Is the assessment area on a coastal island? Yes No
Is the assessment area's surface water storage capacity or duration substantially altered by beaver? Yes No
Does the assessment area experience overbank flooding during normal rainfall conditions? Yes :No
1. Ground Surface Condition/Vegetation Condition-assessment area condition metric
Check a box in each column. Consider alteration to the ground surface(GS)in the assessment area and vegetation structure
(VS)in the assessment area. Compare to reference wetland if applicable(see User Manual). If a reference is not applicable,
then rate the assessment area based on evidence of an effect.
GS VS
t: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. Refer to the current NRCS lateral effect of ditching guidance for
North Carolina hydric soils(see USACE Wilmington District website)for the zone of influence of ditches in hydric soils. 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 ditch
sub-surface water.Consider tidal flooding regime,if applicable.
Surf Sub
{:A r-'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(answer for non-marsh wetlands only)
Check a box in each column for each group below. Select the appropriate storage for the assessment area(AA)and the wetland
type(WT).
AA WT
3a. r A �-A Majority of wetland with depressions able to pond water>1 foot deep
B C- 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
is D D Depressions able to pond water<3 inches deep
3b. i-A Evidence that maximum depth of inundation is greater than 2 feet
i- B Evidence that maximum depth of inundation is between 1 and 2 feet
is C Evidence that maximum depth of inundation is less than 1 foot

4. Soil Texture/Structure-assessment area condition metric
Check a box from each of the three soil property groups below. Dig soil profile in the dominant assessment area landscape
feature. Make soil observations within the 12 inches. Use most recent National Technical Committee for Hydric Soils guidance for
regional indicators.
4a. A Sandy soil
i�B Loamy or clayey soils exhibiting redoximorphic features(concentrations,depletions,or rhizospheres)
f C Loamy or clayey soils not exhibiting redoximorphic features
(- D Loamy or clayey gleyed soil
C E Histosol or histic epipedon
4b. (--A Soil ribbon<1 inch
C 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
f:A i':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
i 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
Check all that apply(at least one box in each column). Evaluation involves a GIS effort with field adjustment. Consider sources
draining to assessment area within entire upstream watershed(WS),within 5 miles and within the watershed draining to the
assessment area(5M),and within 2 miles and within the watershed draining to the assessment area(2M). Effective riparian buffers
are considered to be 50 feet wide in the Coastal Plain and Piedmont ecoregions and 30 feet wide in the Blue Ridge Mountains ecoregion.
WS 5M 2M
F A F_ A F A >_10%impervious surfaces
r B F-1 B r B <10%impervious surfaces
F C r C r C Confined animal operations(or other local,concentrated source of pollutants)
r D r D r D >_20%coverage of pasture
F E r E r E >_20%coverage of agricultural land(regularly plowed land)
r F F, F r F >_20%coverage of maintained grass/herb
r G r G r G >_20%coverage of clear-cut land
r H F H r H Little or no opportunity to improve water quality. Lack of opportunity may result from hydrologic alterations
that prevent drainage or overbank flow from affecting the assessment area.
7. Wetland Acting as Vegetated Buffer-assessment area/wetland complex condition metric
7a. Is assessment area within 50 feet of a tributary or other open water?
, Yes is 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 the 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 weltand? Descriptor E should be selected if ditches effectively bypass the buffer.
C A >_50 feet
C B From 30 to<50 feet
C C From 15 to<30 feet
C D From 5 to<15 feet
C 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.
C <_15-feet wide (>15-feet wide f Other open water(no tributary present)
7d. Do roots of assessment area vegetation extend into the bank of the tributary/open water?
(- Yes (No
7e. Is tributary or other open water sheltered or exposed?
Sheltered-adjacent open water with width<2500 feet and no regular boat traffic.
Exposed-adjacent open water with width>-2500 feet or regular boat traffic.
8. Wetland Width at the Assessment Area-wetland type/wetland complex metric(evaluate for riparian wetlands only)
Check a box in each column. Select the average width for the wetland type at the assessment area(WT)
and the wetland complex at the assessment areas(WC). See User Manual for WT and WC boundaries.
WT WC
i-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 {i F From 15 to<30 feet
( G { G From 5 to<15 feet
H {- H <5 feet

9. Inundation Duration—assessment area condition metric
Answer for assessment area dominant landform.
i—A Evidence of short-duration inundation(<7 consecutive days)
is B Evidence of saturation,without evidence of inundation
i—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
Consider recent deposition only(no plant growth since deposition).
Co A Sediment deposition is not excessive,but at approximately natural levels.
C 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)
C A C A ('A >_500 acres
(' B ("B ("B From 100 to<500 acres
C C C C ( C From 50 to<100 acres
(' D ("D ( D From 25 to<50 acres
C E C E ( E From 10 to<25 acres
F (" F ( F From 5 to<10 acres
G C G ( G From 1 to<5 acres
H ("H ( H From 0.5 to<1 acre
I C I ( I From 0.1 to<0.5 acre
G J (:J ("J From 0.01 to<0.1 acre
f K (`K C K <0.01 acre or assessment area is clear-cut
12. Wetland Intactness—wetland type condition metric(evaluate for Pocosins only)
i` A Pocosin is the full extent(>_90%)of its natural landscape size.
i— B Pocosin is<90%of the full extent of its natural landscape size.
13. Connectivity to Other Natural Areas—landscape condition metric
13a. Check appropriate box(es)(a box may be checked in each column). Involves a GIS effort with field adjustment. This
evaluates whether the wetland is well connected(Well)and/or loosely connected(Loosely)to the landscape patch,the contiguous
metric naturally vegetated area and open water(if appropriate). Boundaries are formed by four-lane roads,regularly maintained utility
line corridors the width of a four-lane road or wider,urban landscapes,fields(pasture open and agriculture),or water>300 feet wide.
Well Loosely
i—A C A >_500 acres
C- B C B From 100 to<500 acres
(`C C C From 50 to<100 acres
( D C D From 10 to<50 acres
is E +E <10 acres
i— F C F Wetland type has a poor or no connection to other natural habitats
13b. Evaluate for marshes only.
i=Yes >r'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)
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.
('A No artificial edge within 150 feet in all directions
G B No artificial edge within 150 feet in four(4)to seven(7)directions
(—C An artificial edge occurs within 150 feet in more than four(4)directions or assessment area is clear-cut
15. Vegetative Composition—assessment area condition metric(skip for all marshes and Pine Flat)
C 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.
G 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.
t C Vegetation severely altered from reference in composition. Expected species are unnaturally absent(planted stands of non-
characteristic species or at least one stratum inappropriately composed of a single species). Exotic species are dominant in
at least one stratum.
16. Vegetative Diversity—assessment area condition metric(evaluate for Non-tidal Freshwater Marsh only)
C A Vegetation diversity is high and is composed primarily of native species(<10%cover of exotics).
G B Vegetation diversity is low or has>10%to 50%cover of exotics.
r C Vegetation is dominated by exotic species(>50%cover of exotics).

17. Vegetative Structure—assessment area/wetland type condition metric
17a. Is vegetation present?
f: 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.
r 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
oC'A C A Canopy closed,or nearly closed,with natural gaps associated with natural processes
@ C:B C B Canopy present,but opened more than natural gaps
U r C (*—C Canopy sparse or absent
o C'A C A Dense mid-story/sapling layer
{i B C B Moderate density mid-story/sapling layer
(-C G—C Mid-story/sapling layer sparse or absent
r A C A Dense shrub layer
t C+B C B Moderate density shrub layer
0 r C f:C Shrub layer sparse or absent
lo C'A t:A Dense herb layer
a) f+B C B Moderate density herb layer
= r C r C Herb layer sparse or absent
18. Snags—wetland type condition metric
A Large snags(more than one)are visible(>12-inches DBH,or large relative to species present and landscape stability).
t: B Not A
19. Diameter Class Distribution—wetland type condition metric
i 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.
t:C Majority of canopy trees are<6 inches DBH or no trees.
20. Large Woody Debris—wetland type condition metric
Include both natural debris and man-placed natural debris.
i—A Large logs(more than one)are visible(>12 inches in diameter,or large relative to species present and landscape stability).
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.
r A B i—C { D
22. Hydrologic Connectivity—assessment area condition metric (evaluate for riparian wetlands 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.
C A Overbank and overland flow are not severely altered in the assessment area.
C B Overbank flow is severely altered in the assessment area.
G C Overland flow is severely altered in the assessment area.
C D Both overbank and overland flow are severely altered in the assessment area.
Notes
Very small successional wetland in a drainageway connected to an ephemeral channel. Overland flow may be altered by an old berm adjacent to
the wetland.

NC WAM Wetland Rating Sheet
Accompanies User Manual Version 4.1
Rating Calculator Version 4.1
Wetland Site Name WB/U-5899 Date 12/19/2016
Wetland Type Headwater Forest Assessor Name/Organization Amy James/EPR
Notes on Field Assessment Form (Y/N) YES
Presence of regulatory considerations(Y/N) NO
Wetland is intensively managed(Y/N) NO
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 MEDIUM
Sub-Surface Storage and Retention Condition HIGH
Water Quality Pathogen Change Condition HIGH
Condition/Opportunity HIGH
Opportunity Presence?(Y/N) NO
Particulate Change Condition HIGH
Condition/Opportunity NA
Opportunity Presence?(Y/N) NA
Soluble Change Condition MEDIUM
Condition/Opportunity HIGH
Opportunity Presence?(Y/N) YES
Physical Change Condition LOW
Condition/Opportunity LOW
Opportunity Presence?(Y/N) YES
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/Notes Rating
Hydrology Condition HIGH
Water Quality Condition HIGH
Condition/Opportunity HIGH
Opportunity Presence?(Y/N) YES
Habitat Conditon LOW
Overall Wetland Rating HIGH

NC WAM WETLAND ASSESSMENT FORM
Accompanies User Manual Version 4.1
Rating Calculator Version 4.1
Wetland Site Name WC/U-5899 Date 12/19/2016
Wetland Type Basin Wetland Assessor Name/Organization Amy James/EPR
Level III Ecoregionj Piedmont Nearest Named Water Body Grassy Creek
River Basin Yadkin-PeeDee USGS 8-Digit Catalogue Unit 03040101
Yes __No Precipitation within 48 hrs? Latitude/Longitude(deci-degrees)
Evidence of stressors affecting the assessment area(may not be within the assessment area)
Please circle and/or make note on last page if evidence of stressors is apparent. Consider departure from reference,if
appropriate,in recent past(for instance,approximately within 10 years). Noteworthy stressors include,but are not limited
to the following.
• 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(select all that apply to the assessment area)
f- Anadromous fish
F_ Federally protected species or State endangered or threatened species
F_ NCDWQ riparian buffer rule in effect
Abuts a Primary Nursery Area(PNA)
r Publicly owned property
N.C.Division of Coastal Management Area of Environmental Concern(AEC)(including buffer)
r 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)
i Blackwater
i Brownwater
F_ Tidal(if tidal,check one of the following boxes) Lunar i Wind Both
Is the assessment area on a coastal island? Yes No
Is the assessment area's surface water storage capacity or duration substantially altered by beaver? Yes No
Does the assessment area experience overbank flooding during normal rainfall conditions? Yes :No
1. Ground Surface Condition/Vegetation Condition-assessment area condition metric
Check a box in each column. Consider alteration to the ground surface(GS)in the assessment area and vegetation structure
(VS)in the assessment area. Compare to reference wetland if applicable(see User Manual). If a reference is not applicable,
then rate the assessment area based on evidence of an effect.
GS VS
i-A is A Not severely altered
is 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. Refer to the current NRCS lateral effect of ditching guidance for
North Carolina hydric soils(see USACE Wilmington District website)for the zone of influence of ditches in hydric soils. 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 ditch
sub-surface water.Consider tidal flooding regime,if applicable.
Surf Sub
C A r-'A Water storage capacity and duration are not altered.
G 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(answer for non-marsh wetlands only)
Check a box in each column for each group below. Select the appropriate storage for the assessment area(AA)and the wetland
type(WT).
AA WT
3a. r A �-A Majority of wetland with depressions able to pond water>1 foot deep
B C- 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
is D D Depressions able to pond water<3 inches deep
3b. i-A Evidence that maximum depth of inundation is greater than 2 feet
i- B Evidence that maximum depth of inundation is between 1 and 2 feet
is C Evidence that maximum depth of inundation is less than 1 foot

4. Soil Texture/Structure-assessment area condition metric
Check a box from each of the three soil property groups below. Dig soil profile in the dominant assessment area landscape
feature. Make soil observations within the 12 inches. Use most recent National Technical Committee for Hydric Soils guidance for
regional indicators.
4a. A Sandy soil
i�B Loamy or clayey soils exhibiting redoximorphic features(concentrations,depletions,or rhizospheres)
f C Loamy or clayey soils not exhibiting redoximorphic features
C" D Loamy or clayey gleyed soil
C"E Histosol or histic epipedon
4b. (--A Soil ribbon<1 inch
C"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
i-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
is 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
Check all that apply(at least one box in each column). Evaluation involves a GIS effort with field adjustment. Consider sources
draining to assessment area within entire upstream watershed(WS),within 5 miles and within the watershed draining to the
assessment area(5M),and within 2 miles and within the watershed draining to the assessment area(2M). Effective riparian buffers
are considered to be 50 feet wide in the Coastal Plain and Piedmont ecoregions and 30 feet wide in the Blue Ridge Mountains ecoregion.
WS 5M 2M
F A F_ A F A >_10%impervious surfaces
r B F-1 B r B <10%impervious surfaces
F C r C r C Confined animal operations(or other local,concentrated source of pollutants)
r D r D r D >_20%coverage of pasture
r E r E r E >_20%coverage of agricultural land(regularly plowed land)
r F F, F r F >_20%coverage of maintained grass/herb
r G r G r G >_20%coverage of clear-cut land
r H F H r H Little or no opportunity to improve water quality. Lack of opportunity may result from hydrologic alterations
that prevent drainage or overbank flow from affecting the assessment area.
7. Wetland Acting as Vegetated Buffer-assessment area/wetland complex condition metric
7a. Is assessment area within 50 feet of a tributary or other open water?
, Yes is 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 the 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 weltand? Descriptor E should be selected if ditches effectively bypass the buffer.
C A >_50 feet
C B From 30 to<50 feet
C C From 15 to<30 feet
C D From 5 to<15 feet
C 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.
C <_15-feet wide (>15-feet wide f Other open water(no tributary present)
7d. Do roots of assessment area vegetation extend into the bank of the tributary/open water?
(- Yes (No
7e. Is tributary or other open water sheltered or exposed?
Sheltered-adjacent open water with width<2500 feet and no regular boat traffic.
Exposed-adjacent open water with width>-2500 feet or regular boat traffic.
8. Wetland Width at the Assessment Area-wetland type/wetland complex metric(evaluate for riparian wetlands only)
Check a box in each column. Select the average width for the wetland type at the assessment area(WT)
and the wetland complex at the assessment areas(WC). See User Manual for WT and WC boundaries.
WT WC
C A (-A >-100 feet
C•' B C B From 80 to<100 feet
C"C C'C From 50 to<80 feet
C•' D C D From 40 to<50 feet
G E C:E From 30 to<40 feet
C F C F From 15 to<30 feet
G C'G From 5 to<15 feet
H C'H <5 feet

9. Inundation Duration—assessment area condition metric
Answer for assessment area dominant landform.
is A Evidence of short-duration inundation(<7 consecutive days)
i— B Evidence of saturation,without evidence of inundation
i—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
Consider recent deposition only(no plant growth since deposition).
('A Sediment deposition is not excessive,but at approximately natural levels.
G 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)
C A C A ('A >_500 acres
(— B ("B ("B From 100 to<500 acres
C C C C ( C From 50 to<100 acres
(— D ("D ( D From 25 to<50 acres
C E C E ( E From 10 to<25 acres
F (" F ( F From 5 to<10 acres
G C G ( G From 1 to<5 acres
H ("H ( H From 0.5 to<1 acre
I C I ( I From 0.1 to<0.5 acre
G J (:J (:J From 0.01 to<0.1 acre
f K (`K r K <0.01 acre or assessment area is clear-cut
12. Wetland Intactness—wetland type condition metric(evaluate for Pocosins only)
i` A Pocosin is the full extent(>_90%)of its natural landscape size.
i— B Pocosin is<90%of the full extent of its natural landscape size.
13. Connectivity to Other Natural Areas—landscape condition metric
13a. Check appropriate box(es)(a box may be checked in each column). Involves a GIS effort with field adjustment. This
evaluates whether the wetland is well connected(Well)and/or loosely connected(Loosely)to the landscape patch,the contiguous
metric naturally vegetated area and open water(if appropriate). Boundaries are formed by four-lane roads,regularly maintained utility
line corridors the width of a four-lane road or wider,urban landscapes,fields(pasture open and agriculture),or water>300 feet wide.
Well Loosely
i—A C A >_500 acres
C- B C B From 100 to<500 acres
(`C C C From 50 to<100 acres
( D C D From 10 to<50 acres
i— E +E <10 acres
is F F Wetland type has a poor or no connection to other natural habitats
13b. Evaluate for marshes only.
i=Yes >r'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)
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.
('A No artificial edge within 150 feet in all directions
C B No artificial edge within 150 feet in four(4)to seven(7)directions
(*—C An artificial edge occurs within 150 feet in more than four(4)directions or assessment area is clear-cut
15. Vegetative Composition—assessment area condition metric(skip for all marshes and Pine Flat)
C 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.
G 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.
t C Vegetation severely altered from reference in composition. Expected species are unnaturally absent(planted stands of non-
characteristic species or at least one stratum inappropriately composed of a single species). Exotic species are dominant in
at least one stratum.
16. Vegetative Diversity—assessment area condition metric(evaluate for Non-tidal Freshwater Marsh only)
C A Vegetation diversity is high and is composed primarily of native species(<10%cover of exotics).
G B Vegetation diversity is low or has>10%to 50%cover of exotics.
r C Vegetation is dominated by exotic species(>50%cover of exotics).

17. Vegetative Structure—assessment area/wetland type condition metric
17a. Is vegetation present?
f: 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.
r 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
oC'A C A Canopy closed,or nearly closed,with natural gaps associated with natural processes
@ C:B (:B Canopy present,but opened more than natural gaps
U r C C C Canopy sparse or absent
o C'A C A Dense mid-story/sapling layer
{i B C B Moderate density mid-story/sapling layer
(-C 4:C Mid-story/sapling layer sparse or absent
r A C A Dense shrub layer
t C'B C B Moderate density shrub layer
0 (+C 6—C Shrub layer sparse or absent
lo C'A (—,A Dense herb layer
a) r B r B Moderate density herb layer
= f:C (*—C Herb layer sparse or absent
18. Snags—wetland type condition metric
A Large snags(more than one)are visible(>12-inches DBH,or large relative to species present and landscape stability).
t: B Not A
19. Diameter Class Distribution—wetland type condition metric
i 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.
t C Majority of canopy trees are<6 inches DBH or no trees.
20. Large Woody Debris—wetland type condition metric
Include both natural debris and man-placed natural debris.
i—A Large logs(more than one)are visible(>12 inches in diameter,or large relative to species present and landscape stability).
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.
r A B i—C { D
22. Hydrologic Connectivity—assessment area condition metric (evaluate for riparian wetlands 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.
C A Overbank and overland flow are not severely altered in the assessment area.
C B Overbank flow is severely altered in the assessment area.
G C Overland flow is severely altered in the assessment area.
C D Both overbank and overland flow are severely altered in the assessment area.
Notes
Wetland funneling stormwater runoff from a roadside ditch;bordered on two sides by impervious surfaces.

NC WAM Wetland Rating Sheet
Accompanies User Manual Version 4.1
Rating Calculator Version 4.1
Wetland Site Name WC/U-5899 Date 12/19/2016
Wetland Type Basin Wetland Assessor Name/Organization Amy James/EPR
Notes on Field Assessment Form (Y/N) YES
Presence of regulatory considerations(Y/N) NO
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 NA
Sub-Surface Storage and Retention Condition NA
Water Quality Pathogen Change Condition NA
Condition/Opportunity NA
Opportunity Presence?(Y/N) NA
Particulate Change Condition NA
Condition/Opportunity NA
Opportunity Presence?(Y/N) NA
Soluble Change Condition NA
Condition/Opportunity NA
Opportunity Presence?(Y/N) NA
Physical Change Condition NA
Condition/Opportunity NA
Opportunity Presence?(Y/N) NA
Pollution Change Condition LOW
Condition/Opportunity LOW
Opportunity Presence?(Y/N) NO
Habitat Physical Structure Condition MEDIUM
Landscape Patch Structure Condition LOW
Vegetation Composition Condition MEDIUM
Function Rating Summary
Function Metrics/Notes Rating
Hydrology Condition MEDIUM
Water Quality Condition LOW
Condition/Opportunity LOW
Opportunity Presence?(Y/N) NO
Habitat Conditon LOW
Overall Wetland Rating MEDIUM

NC WAM FIELD ASSESSMENT FORM
Accompanies User Manual Version 5.0
USACE AID# NCDWR#
Project Name U-5899 Date of Evaluation 12/7/2021
Applicant/Owner Name NCDOT Wetland Site Name WD,WE,WF
Wetland Type Basin Wetland Assessor Name/Organization Amy James/EPR
Level III Ecoregion Piedmont Nearest Named Water Body Grassy Creek
River Basin Yadkin-PeeDee USGS 8-Digit Catalogue Unit 03040101
County Forsyth NCDWR Region Winston-Salem
❑ Yes ® No Precipitation within 48 hrs? Latitude/Longitude(deci-degrees) 36.211491,-80.288375
Evidence of stressors affecting the assessment area(may not be within the assessment area)
Please circle and/or make note on the last page if evidence of stressors is apparent. Consider departure from reference, if appropriate, in
recent past(for instance,within 10 years). Noteworthy stressors include, but are not limited to the following.
• Hydrological modifications(examples: ditches,dams, beaver dams,dikes, berms, ponds, etc.)
• Surface and sub-surface discharges into the wetland(examples:discharges containing obvious pollutants,presence of nearby septic
tanks, underground storage tanks(USTs), hog lagoons, etc.)
• Signs of vegetation stress(examples: vegetation mortality, insect damage,disease,storm damage,salt intrusion,etc.)
• Habitat/plant community alteration(examples: mowing,clear-cutting,exotics,etc.)
Is the assessment area intensively managed? ❑ Yes ® No
Regulatory Considerations-Were regulatory considerations evaluated? ®Yes ❑No If Yes, check all that apply to the assessment area.
❑ Anadromous fish
❑ Federally protected species or State endangered or threatened species
❑ NCDWR riparian buffer rule in effect
❑ Abuts a Primary Nursery Area(PNA)
❑ Publicly owned property
❑ N.C. Division of Coastal Management Area of Environmental Concern(AEC)(including buffer)
❑ Abuts a stream with a NCDWQ classification of SA or supplemental classifications of HOW, ORW,or Trout
❑ Designated NCNHP reference community
❑ Abuts a 303(d)-listed stream or a tributary to a 303(d)-listed stream
What type of natural stream is associated with the wetland, if any?(check all that apply)
❑ Blackwater
❑ Brownwater
❑ Tidal(if tidal,check one of the following boxes) ❑ Lunar ❑ Wind ❑ Both
Is the assessment area on a coastal island? ❑ Yes ® No
Is the assessment area's surface water storage capacity or duration substantially altered by beaver? ❑ Yes ® No
Does the assessment area experience overbank flooding during normal rainfall conditions? ❑ Yes ® No
1. Ground Surface Condition/Vegetation Condition—assessment area condition metric
Check a box in each column. Consider alteration to the ground surface(GS)in the assessment area and vegetation structure(VS)in the
assessment area. Compare to reference wetland if applicable(see User Manual). If a reference is not applicable,then rate the assessment
area based on evidence an effect.
GS VS
®A ®A Not severely altered
❑B ❑B Severely altered over a majority of the assessment area(ground surface alteration examples: vehicle tracks, excessive
sedimentation, fire-plow lanes, skidder tracks, bedding, fill, soil compaction, obvious pollutants) (vegetation structure
alteration examples: mechanical disturbance, herbicides,salt intrusion[where appropriate],exotic species,grazing,less
diversity[if appropriate], hydrologic alteration)
2. Surface and Sub-Surface Storage Capacity and Duration—assessment area condition metric
Check a box in each column. Consider surface storage capacity and duration(Surf)and sub-surface storage capacity and duration(Sub).
Consider both increase and decrease in hydrology. A ditch <_ 1 foot deep is considered to affect surface water only,while a ditch > 1 foot
deep is expected to affect both surface and sub-surface water. Consider tidal flooding regime, if applicable.
Surf Sub
❑A ®A Water storage capacity and duration are not altered.
❑B ❑B Water storage capacity or duration are altered, but not substantially(typically, not sufficient to change vegetation).
®C ❑C Water storage capacity or duration are substantially altered(typically,alteration sufficient to result in vegetation change)
(examples:draining,flooding,soil compaction,filling,excessive sedimentation, underground utility lines).
3. Water Storage/Surface Relief—assessment area/wetland type condition metric(skip for all marshes)
Check a box in each column. Select the appropriate storage for the assessment area (AA)and the wetland type(WT).
AA WT
3a. ❑A ❑A Majority of wetland with depressions able to pond water> 1 deep
❑B ❑B Majority of wetland with depressions able to pond water 6 inches to 1 foot deep
❑C ❑C Majority of wetland with depressions able to pond water 3 to 6 inches deep
®D ®D Depressions able to pond water<3 inches deep
3b. ❑A Evidence that maximum depth of inundation is greater than 2 feet
❑B Evidence that maximum depth of inundation is between 1 and 2 feet
®C Evidence that maximum depth of inundation is less than 1 foot

4. Soil Texture/Structure-assessment area condition metric(skip for all marshes)
Check a box from each of the three soil property groups below. Dig soil profile in the dominant assessment area landscape feature.
Make soil observations within the top 12 inches. Use most recent National Technical Committee for Hydric Soils guidance for regional
indicators.
4a. ❑A Sandy soil
®B Loamy or clayey soils exhibiting redoximorphic features(concentrations,depletions,or rhizospheres)
❑C Loamy or clayey soils not exhibiting redoximorphic features
❑D Loamy or clayey gleyed soil
❑E Histosol or histic epipedon
4b. ®A Soil ribbon< 1 inch
❑B Soil ribbon>- 1 inch
4c. ®A No peat or muck presence
❑B A peat or muck presence
5. Discharge into Wetland-opportunity metric
Check a box in each column. Consider surface pollutants or discharges(Surf)and sub-surface pollutants or discharges(Sub). Examples
of sub-surface discharges include presence of nearby septic tank,underground storage tank(UST), etc.
Surf Sub
®A ®A Little or no evidence of pollutants or discharges entering the assessment area
❑B ❑B Noticeable evidence of pollutants or discharges entering the wetland and stressing, but not overwhelming the
treatment capacity of the assessment area
❑C ❑C Noticeable evidence of pollutants or discharges(pathogen, particulate,or soluble)entering the assessment area and
potentially overwhelming the treatment capacity of the wetland(water discoloration,dead vegetation,excessive
sedimentation,odor)
6. Land Use-opportunity metric(skip for non-riparian wetlands)
Check all that apply(at least one box in each column). Evaluation involves a GIS effort with field adjustment. Consider sources draining
to assessment area within entire upstream watershed(WS),within 5 miles and within the watershed draining to the assessment area(5M),
and within 2 miles and within the watershed draining to the assessment area (2M).
WS 5M 2M
®A ❑A ❑A > 10%impervious surfaces
❑B ❑B ❑B Confined animal operations(or other local,concentrated source of pollutants
❑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.
❑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 OF ❑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
OF OF Wetland type has a poor or no connection to other natural habitats
13b. Evaluate for marshes only.
❑Yes ❑No Wetland type has a surface hydrology connection to open waters/stream or tidal wetlands.
14. Edge Effect—wetland type condition metric(skip for all marshes and Estuarine Woody Wetland)
May involve a GIS effort with field adjustment. Estimate distance from wetland type boundary to artificial edges. Artificial edges include
non-forested areas>_40 feet wide such as fields, development, roads, regularly maintained utility line corridors, and clear-cuts. Consider
the eight main points of the compass. Artificial edge occurs within 150 feet in how many directions? If the assessment area is clear cut,
select option"C."
❑A 0
FIB 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
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
T
o❑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
1= ®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
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
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
Wetlands are surrounded by berm systems.

NC WAM Wetland Rating Sheet
Accompanies User Manual Version 5.0
Wetland Site Name WD, WE,WF Date of Assessment 12/7/2021
Wetland Type Basin Wetland Assessor Name/Organization Amy James/EPR
Notes on Field Assessment Form (Y/N) YES
Presence of regulatory considerations (Y/N) NO
Wetland is intensively managed (Y/N) NO
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 NA
Sub-surface Storage and
Retention Condition NA
Water Quality Pathogen Change Condition NA
Condition/Opportunity NA
Opportunity Presence (Y/N) NA
Particulate Change Condition NA
Condition/Opportunity NA
Opportunity Presence (Y/N) NA
Soluble Change Condition NA
Condition/Opportunity NA
Opportunity Presence (Y/N) NA
Physical Change Condition NA
Condition/Opportunity NA
Opportunity Presence (Y/N) NA
Pollution Change Condition LOW
Condition/Opportunity LOW
Opportunity Presence (Y/N) NO
Habitat Physical Structure Condition LOW
Landscape Patch Structure Condition LOW
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 U-5899 Date of Evaluation 12/7/2021
Applicant/Owner Name NCDOT Wetland Site Name WG
Wetland Type Basin Wetland Assessor Name/Organization Amy James/EPR
Level III Ecoregion Piedmont Nearest Named Water Body Grassy Creek
River Basin Yadkin-PeeDee USGS 8-Digit Catalogue Unit 03040101
County Forsyth NCDWR Region Winston-Salem
❑ Yes ® No Precipitation within 48 hrs? Latitude/Longitude(deci-degrees) 36.211491,-80.288375
Evidence of stressors affecting the assessment area(may not be within the assessment area)
Please circle and/or make note on the last page if evidence of stressors is apparent. Consider departure from reference, if appropriate, in
recent past(for instance,within 10 years). Noteworthy stressors include, but are not limited to the following.
• Hydrological modifications(examples: ditches,dams, beaver dams,dikes, berms, ponds, etc.)
• Surface and sub-surface discharges into the wetland(examples:discharges containing obvious pollutants,presence of nearby septic
tanks, underground storage tanks(USTs), hog lagoons, etc.)
• Signs of vegetation stress(examples: vegetation mortality, insect damage,disease,storm damage,salt intrusion,etc.)
• Habitat/plant community alteration(examples: mowing,clear-cutting,exotics,etc.)
Is the assessment area intensively managed? ® Yes ❑ No
Regulatory Considerations-Were regulatory considerations evaluated? ®Yes ❑No If Yes, check all that apply to the assessment area.
❑ Anadromous fish
❑ Federally protected species or State endangered or threatened species
❑ NCDWR riparian buffer rule in effect
❑ Abuts a Primary Nursery Area(PNA)
❑ Publicly owned property
❑ N.C. Division of Coastal Management Area of Environmental Concern(AEC)(including buffer)
❑ Abuts a stream with a NCDWQ classification of SA or supplemental classifications of HOW, ORW,or Trout
❑ Designated NCNHP reference community
❑ Abuts a 303(d)-listed stream or a tributary to a 303(d)-listed stream
What type of natural stream is associated with the wetland, if any?(check all that apply)
❑ Blackwater
® Brownwater
❑ Tidal(if tidal,check one of the following boxes) ❑ Lunar ❑ Wind ❑ Both
Is the assessment area on a coastal island? ❑ Yes ® No
Is the assessment area's surface water storage capacity or duration substantially altered by beaver? ❑ Yes ® No
Does the assessment area experience overbank flooding during normal rainfall conditions? ❑ Yes ® No
1. Ground Surface Condition/Vegetation Condition—assessment area condition metric
Check a box in each column. Consider alteration to the ground surface(GS)in the assessment area and vegetation structure(VS)in the
assessment area. Compare to reference wetland if applicable(see User Manual). If a reference is not applicable,then rate the assessment
area based on evidence an effect.
GS VS
❑A ❑A Not severely altered
®B ®B Severely altered over a majority of the assessment area(ground surface alteration examples: vehicle tracks, excessive
sedimentation, fire-plow lanes, skidder tracks, bedding, fill, soil compaction, obvious pollutants) (vegetation structure
alteration examples: mechanical disturbance, herbicides,salt intrusion[where appropriate],exotic species,grazing,less
diversity[if appropriate], hydrologic alteration)
2. Surface and Sub-Surface Storage Capacity and Duration—assessment area condition metric
Check a box in each column. Consider surface storage capacity and duration(Surf)and sub-surface storage capacity and duration(Sub).
Consider both increase and decrease in hydrology. A ditch <_ 1 foot deep is considered to affect surface water only,while a ditch > 1 foot
deep is expected to affect both surface and sub-surface water. Consider tidal flooding regime, if applicable.
Surf Sub
®A ®A Water storage capacity and duration are not altered.
❑B ❑B Water storage capacity or duration are altered, but not substantially(typically, not sufficient to change vegetation).
❑C ❑C Water storage capacity or duration are substantially altered(typically,alteration sufficient to result in vegetation change)
(examples:draining,flooding,soil compaction,filling,excessive sedimentation, underground utility lines).
3. Water Storage/Surface Relief—assessment area/wetland type condition metric(skip for all marshes)
Check a box in each column. Select the appropriate storage for the assessment area (AA)and the wetland type(WT).
AA WT
3a. ❑A ❑A Majority of wetland with depressions able to pond water> 1 deep
❑B ❑B Majority of wetland with depressions able to pond water 6 inches to 1 foot deep
❑C ❑C Majority of wetland with depressions able to pond water 3 to 6 inches deep
®D ®D Depressions able to pond water<3 inches deep
3b. ❑A Evidence that maximum depth of inundation is greater than 2 feet
❑B Evidence that maximum depth of inundation is between 1 and 2 feet
®C Evidence that maximum depth of inundation is less than 1 foot

4. Soil Texture/Structure-assessment area condition metric(skip for all marshes)
Check a box from each of the three soil property groups below. Dig soil profile in the dominant assessment area landscape feature.
Make soil observations within the top 12 inches. Use most recent National Technical Committee for Hydric Soils guidance for regional
indicators.
4a. ❑A Sandy soil
®B Loamy or clayey soils exhibiting redoximorphic features(concentrations,depletions,or rhizospheres)
❑C Loamy or clayey soils not exhibiting redoximorphic features
❑D Loamy or clayey gleyed soil
❑E Histosol or histic epipedon
4b. ®A Soil ribbon< 1 inch
❑B Soil ribbon>- 1 inch
4c. ®A No peat or muck presence
❑B A peat or muck presence
5. Discharge into Wetland-opportunity metric
Check a box in each column. Consider surface pollutants or discharges(Surf)and sub-surface pollutants or discharges(Sub). Examples
of sub-surface discharges include presence of nearby septic tank,underground storage tank(UST), etc.
Surf Sub
®A ®A Little or no evidence of pollutants or discharges entering the assessment area
❑B ❑B Noticeable evidence of pollutants or discharges entering the wetland and stressing, but not overwhelming the
treatment capacity of the assessment area
❑C ❑C Noticeable evidence of pollutants or discharges(pathogen, particulate,or soluble)entering the assessment area and
potentially overwhelming the treatment capacity of the wetland(water discoloration,dead vegetation,excessive
sedimentation,odor)
6. Land Use-opportunity metric(skip for non-riparian wetlands)
Check all that apply(at least one box in each column). Evaluation involves a GIS effort with field adjustment. Consider sources draining
to assessment area within entire upstream watershed(WS),within 5 miles and within the watershed draining to the assessment area(5M),
and within 2 miles and within the watershed draining to the assessment area (2M).
WS 5M 2M
®A ❑A ❑A > 10%impervious surfaces
❑B ❑B ❑B Confined animal operations(or other local,concentrated source of pollutants
❑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.
❑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 OF ❑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
OF OF Wetland type has a poor or no connection to other natural habitats
13b. Evaluate for marshes only.
❑Yes ❑No Wetland type has a surface hydrology connection to open waters/stream or tidal wetlands.
14. Edge Effect—wetland type condition metric(skip for all marshes and Estuarine Woody Wetland)
May involve a GIS effort with field adjustment. Estimate distance from wetland type boundary to artificial edges. Artificial edges include
non-forested areas>_40 feet wide such as fields, development, roads, regularly maintained utility line corridors, and clear-cuts. Consider
the eight main points of the compass. Artificial edge occurs within 150 feet in how many directions? If the assessment area is clear cut,
select option"C."
❑A 0
FIB 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
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
>,
o❑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
1= ❑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
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
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 12/7/2021
Wetland Type Basin Wetland Assessor Name/Organization Amy James/EPR
Notes on Field Assessment Form (Y/N) NO
Presence of regulatory considerations (Y/N) NO
Wetland is intensively managed (Y/N) YES
Assessment area is located within 50 feet of a natural tributary or other open water (Y/N) YES
Assessment area is substantially altered by beaver (Y/N) NO
Assessment area experiences overbank flooding during normal rainfall conditions (Y/N) NO
Assessment area is on a coastal island (Y/N) NO
Sub-function Rating Summary
Function Sub-function Metrics Rating
Hydrology Surface Storage and Retention Condition NA
Sub-surface Storage and
Retention Condition NA
Water Quality Pathogen Change Condition NA
Condition/Opportunity NA
Opportunity Presence (Y/N) NA
Particulate Change Condition NA
Condition/Opportunity NA
Opportunity Presence (Y/N) NA
Soluble Change Condition NA
Condition/Opportunity NA
Opportunity Presence (Y/N) NA
Physical Change Condition NA
Condition/Opportunity NA
Opportunity Presence (Y/N) NA
Pollution Change Condition MEDIUM
Condition/Opportunity MEDIUM
Opportunity Presence (Y/N) NO
Habitat Physical Structure Condition LOW
Landscape Patch Structure Condition LOW
Vegetation Composition Condition LOW
Function Rating Summary
Function Metrics Rating
Hydrology Condition HIGH
Water Quality Condition MEDIUM
Condition/Opportunity MEDIUM
Opportunity Presence (Y/N) NO
Habitat Condition LOW
Overall Wetland Rating MEDIUM