20200758 Ver 2_U-6010_PJD_Package_06102020_Signed_REDUCED_20220922

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
Roy COOPER
GOVERNOR
June 10, 2020
U.S. Army Corps of Engineers
Raleigh Regulatory Field Office
ATTN: David Bailey
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
J. ERIC BOYETTE
SECRETARY
SUBJECT: Preliminary Jurisdictional Determination Package (PJD) for the following North
Carolina Department of Transportation Project: STIP No. U-6010 — Intersection
improvements at US 70 (South Church Street) and SR 1311 (University Drive), including
widening South Church Street to a multi -lane roadway from west of University Drive to
SR 1309 (Westbrook Avenue) in Alamance County, North Carolina.
Mr. Bailey:
The North Carolina Department of Transportation (NCDOT) is proposing to make intersection
improvements at US 70 (South Church Street) and SR 1311 (University Drive), including widening
South Church Street to a multi -lane roadway from west of University Drive to SR 1309 (Westbrook
Avenue) in Alamance County, North Carolina. Below and attached are a brief description of the project,
figures depicting all potential jurisdictional features, and appropriate forms.
Field work was conducted on May 29, 2018. Three Oaks Engineering, Inc. (Three Oaks) staff members
Nathan Howell and Evan Morgan conducted the jurisdictional waters delineations on this site (Appendix
A; Figures 1-4). Nine potential jurisdictional features (five wetlands and four streams) were identified
within the study area. No potential surface waters (i.e., ponds, basins, or tributaries) were identified.
All potential features are within the Cape Fear River Basin (USGS Hydrologic Unit Code 03030002).
United States Army Corps of Engineers (USACE) Wetland Determination forms (wetland and upland)
are included for each potential jurisdictional wetland. North Carolina Wetland Assessment Method
(NCWAM) forms are also included. North Carolina Division of Water Resources (NCDWR) Stream
Identification forms are included for all streams, along with North Carolina Stream Assessment Method
(NCSAM) forms (Appendix B). Also attached are a USACE ORM Data Entry form, USACE
Jurisdictional Determination request form, USACE PJD form, Agent Authorization form, Waters
Upload spreadsheet (Appendix C), and site photographs (Appendix D).
Please see the following PJD Package:
Mailing Address:
NC DEPARTMENT OF TRANSPORTATION
HIGHWAY DIVISION 7
PO BOX 14996
GREENSBORO, NC 27415-4996
Telephone: [phone]
Customer Service: 1-877-368-4968
Website: www.nedot.gov
Physical Address:
1584 YANCEYVILLE STREET
GREENSBORO, NC 27415

Table 1. Potential jurisdictional streams in the study area
Bank
Bankfull
NCDWR Index
Best Usage
Depth
Stream Name
Map ID
Height
width
Number
Classification
(in.)
ft.
ft.
Ingle Creek
Ingle Creek
16-19-5-2
WS-V; NSW
4-6
30-35
0-12
Unnamed
Tributary (UT) to
SA
16-19-5-2
WS-V; NSW
2-3
6-10
0-12
Ingle Creek
UT to Ingle Creek
SC
16-19-5-2
WS-V; NSW
2-3
3-4
0-6
UT to Ingle Creek
SD
16-19-5-2
WS-V; NSW
1-1.5
2-3
0-6
Note: There is no Stream SB
Table 2. Characteristics of potential jurisdictional streams in the study area
Map ID
Length
ft.
Classification
NCSAM Rating
Compensatory
Mitigation Required
River Basin Buffer
Ingle Creek
403
Perennial
Medium
Yes
Subject
SA
240
Perennial
Medium
Yes
Subject
SC
47
Perennial
Medium
Yes
Sub'ect
SD
1 44
Intermittent
I Medium/Medium
Undetermined
Not Subject
Total
1 734
Table 5. Characteristics of potential jurisdictional wetlands in the study area
Map ID
NCWAM Classification
NCWAM
Rating
Hydrologic
Classification
Area (ac.) in Study
Area
WA
Headwater Forest
High
Riparian
0.05
WB
Flood lain Pool
High
Riparian
< 0.01
WC
Flood lain Pool
High
Riparian
< 0.01
WD
Headwater Forest
I High
Riparian
0.01
WE
Headwater Forest
High
Riparian
0.03
Total
0.10

If you have any questions, require additional information, or would like to schedule a site visit, please
contact me by phone at [phone] or by email at jparkergncdot.gov. Alternatively, you can also
contact James Mason at Three Oaks by phone at [phone], or by email at
james.masongthreeoaksen ing eering com. This is a request for concurrence with our assessment. We
appreciate your assistance on this project.
Sincerely,
James Digitally signed by
James Mason
Date:2020.06.10 For
Mason
15:35:29-04'00'
Jerry A. Parker
North Carolina Department of Transportation
Division 7 Environmental Supervisor
1584 Yanceyville Street
PO BOX 14996
Greensboro, NC 27415-4996
Cc: April Norton, NCDWR

Appendix A
Figures

ROCKINGHAM COUNTY;
GUILFORD COUNTY
I
ZIP
vl ", D I
Burlingtca �
;, b�► °�"'� ..th C;reen.k>oro W,I 0
�0
T '� •' z z
ti I Q
o
GUILFORCOUNTY j a
Ca/ RANDOLPH COUNT'o�FC�"s" ES Ft r= r i•r
Si; HERE, Garmm,
bnterrna �•:,• ..p�UNTY
t Q ► INCREMENT P, NRCan, Esri
Japan, METI, Esri China
• r
r 1t' S Church St
Ut
r'
uuffm an Cn ,
c
1 3" "ewLi'
a ►,q-� Ga
_ *Wit
a
.�' F ' i � 1 Z4 _ r• t 1.'
Cc
."7' 1. +' • •�j `��'F�q
Road �` 4: eeler St
Stream
L
U-6010 Study Area s,
County Boundary / \ Rural Retreat Rdw+--
N NCB GI
t`\g�\ EERI*e Prepared For:
- (J,� of NOHiN �Qg
W 1'PI
OF SApOceO
Intersection Improvements
US 70 (South Church Street) at
SR 1311 (University Drive)
Vicinity Map
Alamance County, North Carolina
Date: June 2018
Scale: 0 200 400 Feet
Job No.:
17-029
Drawn By:
Checked By:
I
NMS
NDH
Figure

�ttNV1£k_
cl�sycr
QJ? y
V
EEfte -
y
Prepared For:
of NONiq
r 490.
5
9 �Q.
e
0
OF TApaSe
N II
USGS The National Map: National Boundaries Dataset, National
Elevation Dataset, Geographic Names Information System, National
Hydrography Dataset, National Land Cover Database, National
Structures Dataset, and National Transportation Dataset; U.S. Census
Bureau - TIGER/Line; HERE Road Data. Data Refreshed July, 2017.
Intersection Improvements
US 70 (South Church Street) at
SR 1311 (University Drive)
USGS Topographic Map
Alamance County, North Carolina
Date: June 2018
Scale: 0 200 400 Feet
Job No.:
17-029
Drawn By
IChecked By:
NMS
I NDH
Figure
2

Prepared For:
of ryOHiN �
y�E 49o$v
OF SppOr'e0
Intersection Improvements
US 70 (South Church Street) at
SR 1311 (University Drive)
Jurisdictional Features Map
Alamance County, North Carolina
Date: June 2018
Scale: 0 200 400 Feet
Job No.:
17-029
Drawn By:
Checked By:
NMS
NDH
Figure

Prepared For:
OF ryOHiN �
y�E 49o$v
OF SppOr'e0
Intersection Improvements
US 70 (South Church Street) at
SR 1311 (University Drive)
LiDAR Map
Alamance County, North Carolina
Date: April2020
Scale: 0 200 400 Feet
Job No.:
17-029
Drawn By
IChecked By:
NMS
I JSM
Figure

Appendix B
Wetland and Stream Forms

SA
NC DWQ Stream Identification Form Version 4.11
Date: 5l2-G 2n i ProjectlSite: _ �' at 0 �q ?3 J
Evaluator: I Coup ,11 Longitude,
,�Vr.+' ii" hf C �— ._._ g....._..-_----
Total Points: T
stream is ar to as( inrermttrenr Stream Determination (circle one) C ther (� , y}=,�I1
!t a 99 or perennial it z 3D' r Ephemeral Intermittent erenni e.g Quad Name:
A. Geomor hola Subtotal = Z`-1
Ahsent
Weak
-Moderate
Strong
13 Continuity of channel bed and bank
0
0
- —'0 --
1
'A
2
�^
3
_
2. Sinuosity of channel along thalweg
3. In -channel structure: ex riffle -pool, step -pool,
ripple -pool sequence
1
2
3
4. Particle size of stream substrate
0
1
2
3
5, Active/relict floodpiain
0
1
2
- 3
6. Depositional bars or benches
0
1
r2
3
7. Recent alluvial deposits
0
1
2
3
8- Headcuts
0
2
3
9- Grade control
0
Q
1
1,5
10. Natural valley
0
0.5
1
�1-5
11. Second or greater order channel T
No = 0
Yeses 3--
- artificial dttches are not rated; see discussions in manual
B. Hydrology (Subtotal = J a ]
12. Presence of Baseflow _
p
1
2
13. Iron oxidizing bacteria
0 �
'�
2
3
14. Leaf litter
5 .�]
1
0.5
0
15. Sediment on plants or debris
0
0-5
1
1 5
16. Organic debris lines or piles
0
1 0.5
N
1.5
IT Soil -based evidence of high water table?
Nq MO —
�- Yes
U. B10100v (Su btota I = + 1
18. Fibrous roots in streambed
2
1
19. Rooted upland plants in streambed
; �3
2
1
0 —
_
20. Macrobenthos (note diversity and abundance)
0--)
1
2
3
21. Aquatic Mollusks
—0
1
2
3
22. Fish
0`'
0.5
1
1-5
23 Crayfish_
24- Amphibians --—._.-..---------------
--..70�
.�
_
1.5
15
-
0.5
1
1
25. Algae
05
26 Wetland plants in streambed
_ W
= 0.75; OHL = 1 5 Oth:=
FACW er0
_1.5
_
'perennial strea- s may also be ident}fed using other methods. Seep 35of manual
Notes: ,' rn l o °.n�P r .ce.--
-------•----�._._.._.__. ___ .�sr�,t-+r .
Sketch; iG a3
f V
`
— /
V.D
^"
vo G
1 Bank Height (ftl:�.9, 1
Bankfull width 0):6 - M
Water depth (in)- D
Chand nel substrate-Cfav Srlt. Gravel, Cohble,
Bedrock
Velocity fast,.moderate Inw
Clarity' ciea_ lightly tvrbid, turbid
I

.01
53/5-711
1�rP, �rGI' a
NC DWQ Stream Identification Form Version 4.11
❑ ate: J J d �� P rojeetl5ite: _ Q i Latitude: 36, `� a
Evaluator: r� I j county: ti���r �i Longitude:_--'-��]j
nCil I) r* r— �Fi '1 Jr�ri`r� �_....._ .. .__......_. J!T - ....—
Total Points:
Stream is a[ leas[ Intermittent e Stream Determination [circle one Other
�,1 l Ephemeral Intermitten Perennial e- WuadNorrre:
If? 18 or parennial if "2 30' G P 9
A. Geomor halo Subtotal = J
Absent
Weak
Moderate
Strong
1' Continuity of channel bed and bank
fl
- 0
1 _
2
2
3
2. Sinuosity of channel along thalweg
3. In -channel structure: ex riffle -pool, step�ool,
ripple -pool sequence
-
0
1
2
4
03
4, Particle size of stream substrate
0
1
2
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 -
p.5
1
1
--
1.5.
1d. NaturaI valley
0
0.5
_
11. Second or greater order channel
No = 0
Ye S& 3
- artiricial dttches are not rated; see discussions in manual
B. Hvdroloav (Subtotal = i:r.) 1
12, Presence of Baseflow
0
1
2
13- Iron oxidizing bacteria-
0
2
3
14. Leaf litter
`j.5
1
0.5
0
15. Sediment on plants or debris
0
0 5 .'
1
1 5
16- Organic debris lines or piles
0
17. Soil -based evidence of high water table?
No = 0
U, tdloloav !Subtotal = fi ]
18. Fibrous roots in streambed
�3 .:
2
2
1
1
—� Q
q
19. Rooter} upland plants in streambed
�-
%3
20- Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks -
--
/ 0
1
-
2
--
3 -
22. Fish
p
' fl.5
1_
1.5
_
23 crayfish _.._, .--------....._-•----____�._
_.0
___{-� ._._
__�
_
— 1.5 _
24. Amphibians
D
0.5 �..
_.._..._-..
1.5 • •---
25. Algae
0
_..-.._-.-
-- 1.5
T
05
26 Wetland plants in streambed
FACW = 0.75; OBL 1 5 Other;= 0
'perennial strea�:s may also be ldentified using ather
_
methods See p 35 of manual -
Nat55G
Nr
Sketch: was+�� �r •r 1
v �� i
Bank Height (ft}:
Sankfull width (ft):30 -- rP
Water depth (in). 6 - IZ /' __
_
Channel substrate rCix_y,_$jj, SandJGravel, Cobble
Bedrock _
law
velocity - (as moderate
Clarity cfea slightly turbid, turbid

J
r^CI
NC DWQ Stream Identification Form Version 4.11
Date: J�6 Z p } Prajectl5ite: _ Q `� Latitude: �� Q r� v
Evaluator: ]r� -� County: Longitude:,
Total Points: -' __.. r
Stream Determination (circleone
Other �—' �Sr, n J,` j �P+
Stream is at teas[ intermittent erm
Ephemeral Intittent Perennia e.g Quad Name:
!f a 19 or perennial if z 30' -_Y
A. Geomorphology Subtotal = �j r J
Absent
Weak
1s Continuity of channel bed and bank
D
0
1 _
1
VModerate5trvng
3
2. Sinuosity of channel along thaiweg
3- In -channel structure: ex riffle -{pool, step -pool,
ripple -pool sequence
03
(tiG
4. Particle size of stream substrate
0
3
5. Active/re Iict tloodpIain
0
1
2
3
6. Depositional bars or benches
0
2
3
7. Recent alluvial deposits
0
1 -
2
3
B. Headcuts
0
1
2
3
9. Grade control
_
p
0-5
1
1.5
10. Natural valley
0
0.5
1
_'-1. 5
_
11. Second or greater order channel
INv 0
Yes = 3
artinclal attcnes are not rates; see discussions in manual B. Hydrology (Subtotal = ]
12. Presence of Baseftow
0
1
2
13. Iron oxidizing bacteria W
fl
� 7
2
3
14. Leaf litter Y
1,5
1
0-5
0
15- Sediment on plants or debris
0
i,5
1
1 5
16- Organic debris lines or piles
0
0.5
1
1.5
17. Soli -based e)idence of high water table?
No W 0
Yeses= s
L. Bioloav (Subtotal =
18. Fibrous roots in streambed
3-
2
1
0
19. mooted upland plants in streambed _
3
2
1
0
20- Macrobenthos (note diversity and abundance)
D
2
3
21- Aquatic Mollusks
�p�
1
2
3
_
22- Fish
�;
0 ``
0-5
1
1.5
23 Crayfish
_
0.5
_ 1
1.5 --
T
24. Amphibians—____...._W_.
_'_���
0
0
5J _--•-•-.._ 1 _--_
05 1 _
_.__ 1.5 ---
1.5
_
25. Algae
_ _
26 Wetland plants in streambed
_
FACW = 0.75; OBL = 1 5 Other
'perennial streo-rs may also be dentified using other methods. See p. 35of manual
Notes: —�- r="—Y=a.-ram,°� .._; •�sr" "�_
U'}'__
— _
_ �..
Sketch; / � �
r f:
Bank Height (ft);�L-�
Bank%11 width (ft):
water depth (in).
Channel substrate •`Clay sit SSad rawiDrobbie,
Bedfock _....-.
Velocity - fast, moderate, � I�
Ciartty''c�le _ lightly turbid, turbid

.01
D
NC DWQ Stream Identification Form Version 4.11.
Date: '5-1Z6 1 Pro}ectl5ite:
Evaluator:
1 , 1Gd
Total Points: .
Stream is at feast intermittent
ff a 19 or perennial if z 30' J r
County:
Stream Determindpn (circle one)
Ephemeral_ Intert�perennial
Latitude:
'/ 0� lib__
Longitude:,_ r
Other �r boon y, Il�
e.g Quad Name:
A. Geomor hold Subtotal =
Absent
Weak
Moderate
Strong
V Continuity of channel bed and bank
0
p
1 -
;
2
3 -_
3
2- Sinuosity of channel along thalweg
3- In -channel structure: ex riffle -pool, step -pool,
ripple -pool sequence
0 _-
2
3
4. Particle size of strearn substrate
0
1
2
_ 3
5. Active/relict floodplain
-`p`�
- 1
2
3
5. Depositional bars or benches
0
1]
2
3
7. Recent alluvial deposits
0
2
3
S. Headcuts --
p
1
2 ��
_
W -_3_�
9. Grade control
'--0
1 _
1.5
10. Natural valley
;i}
0.5
1 1.5
Yes = 3
11. Seoond or greater order channel
No - 0
- artInctai ditches are not rated; see discussions in manual
B. Hvdroloav (subtotal =
12. Presence of Baseflow
p
2
3
13. Iron oxidizing bacteria
p
1
2
3
14. Leaf litter
t-5
1
0.5
0
15- sediment on plants or debris
0
5
1
1 5
16. Organic debris lines or piles
0
0,5
1
1.5
1 T. Soil -based evidence of high water table?
No = 0
Yes =r 3'.'
U. Sioloov (Subtotal = l2 ) --) 1
18. Fibrous roots in streamhed
3
t 2
1
0_
19. Rooted upland plants in streambed
%�3
2
-
1
17
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21- Aquatic Mollusks
0
1
Y
2
3
22. Fish --
—
0.5
1
1-5
23 Crayfish --
0.5
24 Amphibians
_._._...�._..._--
1-5
o"�
05�
1
25 Algae
..-_...�.
_ . __
...r
05
_.._._-----•-----
i
--
�1-5
_
25 Wetland plants in streamhed -�
F
_
FACW = 0-75; 08L = 1 5 Other�-
'perennial strec s may also be identified using other methocjs. See p. 35 of manual _
Notes: ��� •.f.?4=Ft��u 1�PJ1� :�Jtvl r,f. �� �2_ LI�r - �;",-�
-
.....
Sketch: lf� r n f j
�` +•sue
Bank Height (tt1, S
Sanktull width {ft).f-
Water depth (in).0
Chanel substrate CIj- l 'Sand, Graye obble.
Sedrock
Velocity fast, moderate,
Clarity - c�leaY+ lightly turbid, turbid
1

NC 5AM FIELD ASSESSMENT FORM
-companies user rvianuai version c. i
USACE AID #: NCDWR #:
INSTRUCTIONS: Attach a sketch of the assessment area and photographs. Attach a copy of the USGS 7.5-minute topographic
quadrangle, and circle the location of the stream reach under evaluation. If multiple stream reaches will be evaluated on the same
property, identify and number all reaches on the attached map, and include a separate form for each reach. See the NC SAM User
Manual for detailed descriptions and explanations of requested information. Record in the "Notes/Sketch" section if any 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-6010 2. Date of evaluation: 4/28/2020
3. Applicant/owner name: NCDOT 4. Assessor name/organization: J. Mason - Three Oaks Eng.
5. County: Alamance 6. Nearest named water body
7. River Basin: Cape Fear on USGS 7.5-minute quad: Ingle Creek
8. Site coordinates (decimal degrees, at lower end of assessment reach): 36.082541,-79.526542
STREAM INFORMATION: (depth and width can be approximations)
9. Site number (show on attached map): Ingle Creek 10. Length of assessment reach evaluated (feet): 400
11. Channel depth from bed (in riffle, if present) to top of bank (feet): 12 Unable to assess channel depth.
12. Channel width at top of bank (feet): 30-35 13. Is assessment reach a swamp stream? r Yes r No
14. Feature type: (i Perennial flow i Intermittent flow r Tidal Marsh Stream
STREAM RATING INFORMATION:
15. NC SAM Zone: i Mountains (M) 9 Piedmont (P) r Inner Coastal Plain (I) r Outer Coastal Plain (0)
16. Estimated geomorphic
j
valley shape (skip for
01 a ����'
b
Tidal Marsh Stream):
(more sinuous stream, flatter valley slope)
(less sinuous stream, steeper valley slope)
17. Watershed size: (skip
(` Size 1 (< 0.1 mi`) r' Size 2 (0.1 to < 0.5 mi`)
(` Size 3 (0.5 to < 5 mi`) (` Size 4 (>> 5 mi)
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
18. Were regulatory considerations evaluated? (i Yes r No If Yes, check all that appy to the assessment area.
r Section 10 water r Classified Trout Waters rv- Water Supply Watershed ( r I r II r III IV • V)
F_ Essential Fish Habitat F Primary Nursery Area F High Quality Waters/Outstanding Resource Waters
r Publicly owned property R NCDWR riparian buffer rule in effect Fv- Nutrient Sensitive Waters
r Anadromous fish r 303(d) List F CAMA Area of Environmental Concern (AEC)
r Documented presence of a federal and/or state listed protected species within the assessment area.
List species:
Designated Critical Habitat (list species):
19. Are additional stream information/supplementary measurements included in "Notes/Sketch" section or attached? Yes • No
1. Channel Water - assessment reach metric (skip for Size 1 streams and Tidal Marsh Streams)
A Water throughout assessment reach.
(' B No flow, water in pools only.
(� C No water in assessment reach.
2. Evidence of Flow Restriction - assessment reach metric
(' A At least 10 % of assessment reach in -stream habitat or riffle -pool sequence is adversely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impounded on flood or ebb within
the assessment reach (examples: undersized or perched culverts, causeways that constrict the channel, tidal gates).
(i B NotA
3. Feature Pattern - assessment reach metric
r A A majority of the assessment reach has altered pattern (examples: straightening, modification above or below culvert).
(i B Not A.
4. Feature Longitudinal Profile - assessment reach metric
(� A Majority of assessment reach has a substantially altered stream profile (examples: channel down -cutting, existing damming,
over widening, active aggradation, dredging, and excavation where appropriate channel profile has not reformed from any of
these disturbances).
(i B NotA
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
r A r A Little or no evidence of conditions that adversely affect reference interaction
B t? 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])
r C i 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

Water Quality Stressors — assessment reach/intertidal zone metric
Check all that apply.
F A Discolored water in stream or intertidal zone (milky white, blue, unnatural water discoloration, oil sheen, stream foam)
r 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
r D Odor (not including natural sulfide odors)
F E Current published or collected data indicating degraded water quality in the assessment reach. Cite source in the "Notes/Sketch"
section.
F F Livestock with access to stream or intertidal zone
F G Excessive algae in stream or intertidal zone
F_ H Degraded marsh vegetation in the intertidal zone (removal, burning, regular mowing, destruction, etc.)
F I Other: (explain in "Notes/Sketch" section)
ry J Little to no stressors
8. Recent Weather —watershed metric
For Size 1 or 2 streams, D1 drought or higher is considered a drought, for Size 3 or 4 streams, D2 drought or higher is considered a
drought.
" A Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
(" B Drought conditions and rainfall exceeding 1 inch within the last 48 hours
C No drought conditions
9 Large or Dangerous Stream — assessment reach metric
f` Yes 6 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. f- 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)
1- A Multiple aquatic macrophytes and aquatic mosses r F 5 % oysters or other natural hard bottoms
(include liverworts, lichens, and algal mats) F m r G Submerged aquatic vegetation
B Multiple sticks and/or leaf packs and/or emergent o H Low -tide refugia (pools)
vegetation r I Sand bottom
j C Multiple snags and logs (including lap trees) )v m r J 5 % vertical bank along the marsh
F_ D 5 % undercut banks and/or root mats and/or roots O ( K Little or no habitat
in banks extend to the normal wetted perimeter
r E Little or no habitat
*************************** —* REMAINING QUESTIONS ARE NOT APPLICABLE FOR TIDAL MARSH STREAMS **********************---
11. Bedform and Substrate —assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
11a. (' Yes a No Is assessment reach in a natural sand -bed stream? (skip for Coastal Plain streams)
11 b. Bedform evaluated. Check the appropriate box(es).
FA Riffle -run section (evaluate 11 c)
F B Pool -glide section (evaluate 11d)
F_ C Natural bedform absent (skip to Metric 12, Aquatic Life)
11c. In riffles sections, check all that occur below the normal wetted perimeter of the assessment reach — whether or not submerged.
Check at least one box in each row (skip for Size 4 Coastal Plain Streams and Tidal Marsh Streams). Not Present (NP) _
absent, Rare (R) = present but s 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
re i i r (" Bedrock/sa pro lite
• tre r r (' Boulder (256 — 4096 mm)
(' r to r r Cobble (64 — 256 mm)
r r tv C (' Gravel (2-64 mm)
r r (i r r Sand (.062 — 2 mm)
i r 9 r (- Silt/clay (< 0.062 mm)
r r r r r Detritus
(' (i r r r Artificial (rip -rap, concrete, etc.)
11d. r Yes (e 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 Size 4 Coastal Plain streams and Tidal Marsh Streams)
12a. re 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 r Other:
12b. {i 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.
F_ F_ Adult frogs
F F Aquatic reptiles
F_ r Aquatic macrophytes and aquatic mosses (include liverworts, lichens, and algal mats)
F F Beetles (including water pennies)
F_ F Caddisfly larvae (Trichoptera [T])
F_ r Asian clam (Corbicula )
Fw r Crustacean (iso pod/am phipod/crayfish/shrim p)
F_ r Damselfly and dragonfly larvae
F F Dipterans (true flies)
F_ r- Mayfly larvae (Ephemeroptera [E])
F F Megaloptera (alderfly, fishfly, dobsonfly larvae)
F_ F_ Midges/mosquito larvae
F_ r Mosquito fish (Gambusia) or mud minnows (Umbra pygmaea)
F_ r Mussels/Clams (not Corbicula )
F r Other fish
F F Salamanders/tadpoles
F r Snails
F F Stonefly larvae (Plecoptera [P])
F_ r Tipulid larvae
F_ r 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
f- A (e A Little or no alteration to water storage capacity over a majority of the streamside area
t: B (i B Moderate alteration to water storage capacity over a majority of the streamside area
r C r C Severe alteration to water storage capacity over a majority of the streamside area (examples include: ditches, fill,
soil, compaction, livestock disturbance, buildings, man-made levees, drainage pipes)
14. Streamside Area Water Storage - streamside area metric (skip for Size 1 streams, Tidal Marsh Streams, and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB) of the streamside area.
LB RB
(' A r A Majority of streamside area with depressions able to pond water_ 6 inches deep
B (i B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
(' C r 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
(e Y r Y Are wetlands present in the streamside area?
(-N (i 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.
F A Streams and/or springs Qurisdictional discharges)
F_ B Ponds (include wet detention basins, do not include sediment basins or dry detention basins)
r C Obstruction that passes some flow during low -flow periods within assessment area (beaver dam, bottom -release dam)
F D Evidence of bank seepage or sweating (iron oxidizing bacteria in water indicates seepage)
r,_1 E Stream bed or bank soil reduced (dig through deposited sediment if present)
r F None of the above
17. Baseflow Detractors -assessment area metric (skip for Tidal Marsh Streams)
Check all that apply.
r A Evidence of substantial water withdrawals from the assessment reach (includes areas excavated for pump installation)
F_ B Obstruction not passing flow during low flow periods affecting the assessment reach (ex: watertight dam, sediment deposit)
r C Urban stream (= 24% impervious surface for watershed)
r D Evidence that the stream -side area has been modified resulting in accelerated drainage into the assessment reach
F_ E Assessment reach relocated to valley edge
F F None of the above
18. Shading - assessment reach metric (skip for Tidal Marsh Streams)
Consider aspect. Consider "leaf -on" condition.
(e 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
r B r B (" B (' B From 50 to < 100-feet wide
(i C (i C (9 C (i C From 30 to < 50-feet wide
r D r D r D ( D From 10 to < 30-feet wide
(` E r E r 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
(i B B Non -mature woody vegetation or modified vegetation structure
(' C (' C Herbaceous vegetation with or without a strip of trees < 10 feet wide
i D ( D Maintained shrubs
i 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 r A (- A (" A r A r A Row crops
r B r B (" B C B (e B r B Maintained turf
(- C r C (' C (" C r C it C Pasture (no livestock)/commercial horticulture
r D r D r D r D r D r 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
(e A re A Medium to high stem density
(� B (' B Low stem density
(" C r 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 (i A The total length of buffer breaks is < 25 percent.
(` B (" B The total length of buffer breaks is between 25 and 50 percent.
r C (" C The total length of buffer breaks is > 50 percent.

24. Vegetative Composition -First 100 feet of streams ide 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
r 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.
(J B (i 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 (e No Was a conductivity measurement recorded?
If No, select one of the following reasons. (- No Water (" Other:
25b. Check the box corresponding to the conductivity measurement (units of microsiemens per centimeter).
(' A <46 (;S B 46 to < 67 (` C 67 to < 79 _(' D 79 to < 230 (' E > 230
Notes/Sketch:

NC SAM Stream Rating Sheet
Accompanies User Manual Version 2.1
Stream Site Name U-6010
Stream Category Pa2
Notes of Field Assessment Form (Y/N)
Presence of regulatory considerations (Y/N)
Additional stream information/supplementary measurements included (Y/N)
NC SAM feature type (perennial, intermittent, Tidal Marsh Stream)
Function Class Rating Summary
Date of Evaluation 4/28/2020
Assessor Name/Organization I. Mason - Three Oaks Eng
NO
YES
NO
Perennial
USACE/ NCDWR
All Streams Intermittent
(1) Hydrology MEDIUM
(2) Baseflow HIGH
(2) Flood Flow MEDIUM
(3) Streamside Area Attenuation MEDIUM
(4) Floodplain Access MEDIUM
(4) Wooded Riparian Buffer HIGH
(4) Microtopography LOW
(3) Stream Stability MEDIUM
(4) Channel Stability MEDIUM
(4) Sediment Transport MEDIUM
(4) Stream Geomorphology HIGH
(2) Stream/Intertidal Zone Interaction NA
(2) Longitudinal Tidal Flow NA
(2) Tidal Marsh Stream Stability NA
(3) Tidal Marsh Channel Stability NA
(3) Tidal Marsh Stream Geomorphology NA
(1) Water Quality HIGH
(2) Baseflow HIGH
(2) Streamside Area Vegetation HIGH
(3) Upland Pollutant Filtration HIGH
(3) Thermoregulation HIGH
(2) Indicators of Stressors NO
(2) Aquatic Life Tolerance MEDIUM
(2) Intertidal Zone Filtration NA
(1) Habitat LOW
(2) In -stream Habitat LOW
(3) Baseflow HIGH
(3) Substrate MEDIUM
(3) Stream Stability MEDIUM
(3) In -stream Habitat LOW
(2) Stream -side Habitat HIGH
(3) Stream -side Habitat MEDIUM
(3) Thermoregulation HIGH
(2) Tidal Marsh In -stream Habitat NA
(3) Flow Restriction NA
(3) Tidal Marsh Stream Stability NA
(4) Tidal Marsh Channel Stability NA
(4) Tidal Marsh Stream Geomorphology NA
(3) Tidal Marsh In -stream Habitat NA
(2) Intertidal Zone Habitat NA
Overall MEDIUM

NC 5AM FIELD ASSESSMENT FORM
-companies user rvianuai version c. i
USACE AID #: NCDWR #:
INSTRUCTIONS: Attach a sketch of the assessment area and photographs. Attach a copy of the USGS 7.5-minute topographic
quadrangle, and circle the location of the stream reach under evaluation. If multiple stream reaches will be evaluated on the same
property, identify and number all reaches on the attached map, and include a separate form for each reach. See the NC SAM User
Manual for detailed descriptions and explanations of requested information. Record in the "Notes/Sketch" section if any 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-6010 2. Date of evaluation: 4/28/2020
3. Applicant/owner name: NCDOT 4. Assessor name/organization: J. Mason - Three Oaks Eng.
5. County: Alamance 6. Nearest named water body
7. River Basin: Cape Fear on USGS 7.5-minute quad: Ingle Creek
8. Site coordinates (decimal degrees, at lower end of assessment reach): 36.079730,-79.527536
STREAM INFORMATION: (depth and width can be approximations)
9. Site number (show on attached map): SA 10. Length of assessment reach evaluated (feet): 240
11. Channel depth from bed (in riffle, if present) to top of bank (feet): 0-12 Unable to assess channel depth.
12. Channel width at top of bank (feet): 6-10 13. Is assessment reach a swamp stream? r Yes r No
14. Feature type: 0 Perennial flow i Intermittent flow r Tidal Marsh Stream
STREAM RATING INFORMATION:
15. NC SAM Zone: i Mountains (M) 9 Piedmont (P) r Inner Coastal Plain (I) r Outer Coastal Plain (0)
16. Estimated geomorphic
j
valley shape (skip for
01 a ����'
b
Tidal Marsh Stream):
(more sinuous stream, flatter valley slope)
(less sinuous stream, steeper valley slope)
17. Watershed size: (skip
%. Size 1 (< 0.1 mi`) (' Size 2 (0.1 to < 0.5 mi`)
(` Size 3 (0.5 to < 5 mi`) (` Size 4 (>> 5 mi)
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
18. Were regulatory considerations evaluated? % Yes r No If Yes, check all that appy to the assessment area.
r Section 10 water r Classified Trout Waters rv- Water Supply Watershed ( r I r II r III IV • V)
F_ Essential Fish Habitat F Primary Nursery Area F High Quality Waters/Outstanding Resource Waters
r Publicly owned property R NCDWR riparian buffer rule in effect Fv- Nutrient Sensitive Waters
r Anadromous fish r 303(d) List F CAMA Area of Environmental Concern (AEC)
r Documented presence of a federal and/or state listed protected species within the assessment area.
List species:
Designated Critical Habitat (list species):
19. Are additional stream information/supplementary measurements included in "Notes/Sketch" section or attached? Yes • No
1. Channel Water - assessment reach metric (skip for Size 1 streams and Tidal Marsh Streams)
A Water throughout assessment reach.
(' B No flow, water in pools only.
(� C No water in assessment reach.
2. Evidence of Flow Restriction - assessment reach metric
(' A At least 10 % of assessment reach in -stream habitat or riffle -pool sequence is adversely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impounded on flood or ebb within
the assessment reach (examples: undersized or perched culverts, causeways that constrict the channel, tidal gates).
(i B NotA
3. Feature Pattern - assessment reach metric
iii A A majority of the assessment reach has altered pattern (examples: straightening, modification above or below culvert).
`B Not A.
4. Feature Longitudinal Profile - assessment reach metric
{� A Majority of assessment reach has a substantially altered stream profile (examples: channel down -cutting, existing damming,
over widening, active aggradation, dredging, and excavation where appropriate channel profile has not reformed from any of
these disturbances).
(i B NotA
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 to A Little or no evidence of conditions that adversely affect reference interaction
i B r 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])
f 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

Water Quality Stressors - assessment reach/intertidal zone metric
Check all that apply.
F A Discolored water in stream or intertidal zone (milky white, blue, unnatural water discoloration, oil sheen, stream foam)
r 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
r D Odor (not including natural sulfide odors)
F E Current published or collected data indicating degraded water quality in the assessment reach. Cite source in the "Notes/Sketch"
section.
F F Livestock with access to stream or intertidal zone
F G Excessive algae in stream or intertidal zone
F_ H Degraded marsh vegetation in the intertidal zone (removal, burning, regular mowing, destruction, etc.)
F I Other: (explain in "Notes/Sketch" section)
ry J Little to no stressors
8. Recent Weather -watershed metric
For Size 1 or 2 streams, D1 drought or higher is considered a drought, for Size 3 or 4 streams, D2 drought or higher is considered a
drought.
" A Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
(" B Drought conditions and rainfall exceeding 1 inch within the last 48 hours
C No drought conditions
9 Large or Dangerous Stream - assessment reach metric
f` Yes 6 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. f- 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)
1- A Multiple aquatic macrophytes and aquatic mosses r F 5 % oysters or other natural hard bottoms
(include liverworts, lichens, and algal mats) F m r G Submerged aquatic vegetation
B Multiple sticks and/or leaf packs and/or emergent o H Low -tide refugia (pools)
vegetation r I Sand bottom
j C Multiple snags and logs (including lap trees) )v m r J 5 % vertical bank along the marsh
F_ D 5 % undercut banks and/or root mats and/or roots O ( K Little or no habitat
in banks extend to the normal wetted perimeter
r E Little or no habitat
*************************** —* REMAINING QUESTIONS ARE NOT APPLICABLE FOR TIDAL MARSH STREAMS **********************---
11. Bedform and Substrate -assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
11a. (' Yes a No Is assessment reach in a natural sand -bed stream? (skip for Coastal Plain streams)
11 b. Bedform evaluated. Check the appropriate box(es).
FA Riffle -run section (evaluate 11 c)
F B Pool -glide section (evaluate 11d)
F_ C Natural bedform absent (skip to Metric 12, Aquatic Life)
11c. In riffles sections, check all that occur below the normal wetted perimeter of the assessment reach - whether or not submerged.
Check at least one box in each row (skip for Size 4 Coastal Plain Streams and Tidal Marsh Streams). Not Present (NP) _
absent, Rare (R) = present but s 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
re r r ('" (- Bedrock/sa pro lite
re r (' r (' Boulder (256 - 4096 mm)
r r N r r Cobble (64 - 256 mm)
r r r (i (' Gravel (2-64 mm)
r r (' (i r Sand (.062 - 2 mm)
(' r ti i r Silt/clay (< 0.062 mm)
r r (i r r Detritus
(' r X i r Artificial (rip -rap, concrete, etc.)
11d. r Yes R 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 Size 4 Coastal Plain streams and Tidal Marsh Streams)
12a. re 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 r Other:
12b. {i 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.
F_ F_ Adult frogs
F F Aquatic reptiles
F_ r Aquatic macrophytes and aquatic mosses (include liverworts, lichens, and algal mats)
F F Beetles (including water pennies)
F_ F Caddisfly larvae (Trichoptera [T])
F_ r Asian clam (Corbicula )
Fw r Crustacean (iso pod/am phipod/crayfish/shrim p)
F_ r Damselfly and dragonfly larvae
F F Dipterans (true flies)
F_ r- Mayfly larvae (Ephemeroptera [E])
F F Megaloptera (alderfly, fishfly, dobsonfly larvae)
F_ F_ Midges/mosquito larvae
F_ r Mosquito fish (Gambusia) or mud minnows (Umbra pygmaea)
F_ r Mussels/Clams (not Corbicula )
F r Other fish
i F Salamanders/tadpoles
F r Snails
F F Stonefly larvae (Plecoptera [P])
F_ r Tipulid larvae
i r 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
f- A (' A Little or no alteration to water storage capacity over a majority of the streamside area
t: B (e B Moderate alteration to water storage capacity over a majority of the streamside area
(' C r C Severe alteration to water storage capacity over a majority of the streamside area (examples include: ditches, fill,
soil, compaction, livestock disturbance, buildings, man-made levees, drainage pipes)
14. Streamside Area Water Storage — streamside area metric (skip for Size 1 streams, Tidal Marsh Streams, and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB) of the streamside area.
LB RB
(' A (' A Majority of streamside area with depressions able to pond water_ 6 inches deep
re B (i 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 (i Y Are wetlands present in the streamside area?
re N r 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.
r A Streams and/or springs Qurisdictional discharges)
r B Ponds (include wet detention basins, do not include sediment basins or dry detention basins)
F'C Obstruction that passes some flow during low -flow periods within assessment area (beaver dam, bottom -release dam)
F D Evidence of bank seepage or sweating (iron oxidizing bacteria in water indicates seepage)
r7 E Stream bed or bank soil reduced (dig through deposited sediment if present)
r F None of the above
17. Baseflow Detractors —assessment area metric (skip for Tidal Marsh Streams)
Check all that apply.
r A Evidence of substantial water withdrawals from the assessment reach (includes areas excavated for pump installation)
F_ B Obstruction not passing flow during low flow periods affecting the assessment reach (ex: watertight dam, sediment deposit)
r C Urban stream (= 24% impervious surface for watershed)
r D Evidence that the stream -side area has been modified resulting in accelerated drainage into the assessment reach
F_ E Assessment reach relocated to valley edge
F 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)
(e 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
(i C (' C (' C ( C From 30 to < 50-feet wide
r D (J D (i D 6 D From 10 to < 30-feet wide
(` E r 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
(i B B Non -mature woody vegetation or modified vegetation structure
(' C (' C Herbaceous vegetation with or without a strip of trees < 10 feet wide
i D ( D Maintained shrubs
i 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 r A (` A (' A r A Row crops
(' B (i B (e B l: B (r B R B Maintained turf
(' C (' C r C (' C r C (' C Pasture (no livestock)/commercial horticulture
(' D (' D (' D (' D r D r 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 (i 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 (i A The total length of buffer breaks is < 25 percent.
(` B (" B The total length of buffer breaks is between 25 and 50 percent.
(' C (" C The total length of buffer breaks is > 50 percent.

24. Vegetative Composition -First 100 feet of streams ide 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 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 (e No Was a conductivity measurement recorded?
If No, select one of the following reasons. (- No Water (" Other:
25b. Check the box corresponding to the conductivity measurement (units of microsiemens per centimeter).
(' A <46 (;S B 46 to < 67 (` C 67 to < 79 _(' D 79 to < 230 (' E > 230
Notes/Sketch:

NC SAM Stream Rating Sheet
Accompanies User Manual Version 2.1
Stream Site Name U-6010
Stream Category Pal
Notes of Field Assessment Form (Y/N)
Presence of regulatory considerations (Y/N)
Additional stream information/supplementary measurements included (Y/N)
NC SAM feature type (perennial, intermittent, Tidal Marsh Stream)
Function Class Rating Summary
Date of Evaluation 4/28/2020
Assessor Name/Organization I. Mason - Three Oaks Eng
NO
YES
NO
Perennial
USACE/ NCDWR
All Streams Intermittent
(1) Hydrology MEDIUM
(2) Baseflow MEDIUM
(2) Flood Flow MEDIUM
(3) Streamside Area Attenuation MEDIUM
(4) Floodplain Access HIGH
(4) Wooded Riparian Buffer LOW
(4) Microtopography MEDIUM
(3) Stream Stability MEDIUM
(4) Channel Stability HIGH
(4) Sediment Transport MEDIUM
(4) Stream Geomorphology MEDIUM
(2) Stream/Intertidal Zone Interaction NA
(2) Longitudinal Tidal Flow NA
(2) Tidal Marsh Stream Stability NA
(3) Tidal Marsh Channel Stability NA
(3) Tidal Marsh Stream Geomorphology NA
(1) Water Quality MEDIUM
(2) Baseflow MEDIUM
(2) Streamside Area Vegetation LOW
(3) Upland Pollutant Filtration LOW
(3) Thermoregulation MEDIUM
(2) Indicators of Stressors NO
(2) Aquatic Life Tolerance MEDIUM
(2) Intertidal Zone Filtration NA
(1) Habitat LOW
(2) In -stream Habitat LOW
(3) Baseflow MEDIUM
(3) Substrate MEDIUM
(3) Stream Stability HIGH
(3) In -stream Habitat LOW
(2) Stream -side Habitat LOW
(3) Stream -side Habitat LOW
(3) Thermoregulation MEDIUM
(2) Tidal Marsh In -stream Habitat NA
(3) Flow Restriction NA
(3) Tidal Marsh Stream Stability NA
(4) Tidal Marsh Channel Stability NA
(4) Tidal Marsh Stream Geomorphology NA
(3) Tidal Marsh In -stream Habitat NA
(2) Intertidal Zone Habitat NA
Overall MEDIUM

NC 5AM FIELD ASSESSMENT FORM
-companies user rvianuai version c. i
USACE AID #: NCDWR #:
INSTRUCTIONS: Attach a sketch of the assessment area and photographs. Attach a copy of the USGS 7.5-minute topographic
quadrangle, and circle the location of the stream reach under evaluation. If multiple stream reaches will be evaluated on the same
property, identify and number all reaches on the attached map, and include a separate form for each reach. See the NC SAM User
Manual for detailed descriptions and explanations of requested information. Record in the "Notes/Sketch" section if any 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-6010 2. Date of evaluation: 4/28/2020
3. Applicant/owner name: NCDOT 4. Assessor name/organization: J. Mason - Three Oaks Eng.
5. County: Alamance 6. Nearest named water body
7. River Basin: Cape Fear on USGS 7.5-minute quad: Ingle Creek
8. Site coordinates (decimal degrees, at lower end of assessment reach): 36.080769,-79.528178
STREAM INFORMATION: (depth and width can be approximations)
9. Site number (show on attached map): SC 10. Length of assessment reach evaluated (feet): 50
11. Channel depth from bed (in riffle, if present) to top of bank (feet): 0-6 ja Unable to assess channel depth.
12. Channel width at top of bank (feet): 3-4 13. Is assessment reach a swamp stream? r Yes r No
14. Feature type: (i Perennial flow i Intermittent flow r Tidal Marsh Stream
STREAM RATING INFORMATION:
15. NC SAM Zone: i Mountains (M) 9 Piedmont (P) r Inner Coastal Plain (I) r Outer Coastal Plain (0)
16. Estimated geomorphic
j
valley shape (skip for
01 a ���
r b
Tidal Marsh Stream):
(more sinuous stream, flatter valley slope)
(less sinuous stream, steeper valley slope)
17. Watershed size: (skip
%. Size 1 (< 0.1 mi`) (' Size 2 (0.1 to < 0.5 mi`)
(` Size 3 (0.5 to < 5 mi`) (` Size 4 (>> 5 mi)
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
18. Were regulatory considerations evaluated? (i Yes r No If Yes, check all that appy to the assessment area.
r Section 10 water r Classified Trout Waters rv- Water Supply Watershed ( r I r II r III IV • V)
F_ Essential Fish Habitat F Primary Nursery Area F High Quality Waters/Outstanding Resource Waters
r Publicly owned property R NCDWR riparian buffer rule in effect Fv- Nutrient Sensitive Waters
r Anadromous fish r 303(d) List F CAMA Area of Environmental Concern (AEC)
r Documented presence of a federal and/or state listed protected species within the assessment area.
List species:
Designated Critical Habitat (list species):
19. Are additional stream information/supplementary measurements included in "Notes/Sketch" section or attached? Yes • No
1. Channel Water - assessment reach metric (skip for Size 1 streams and Tidal Marsh Streams)
A Water throughout assessment reach.
(' B No flow, water in pools only.
(� C No water in assessment reach.
2. Evidence of Flow Restriction - assessment reach metric
(' A At least 10 % of assessment reach in -stream habitat or riffle -pool sequence is adversely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impounded on flood or ebb within
the assessment reach (examples: undersized or perched culverts, causeways that constrict the channel, tidal gates).
(i B NotA
3. Feature Pattern - assessment reach metric
r A A majority of the assessment reach has altered pattern (examples: straightening, modification above or below culvert).
(i B Not A.
4. Feature Longitudinal Profile - assessment reach metric
(� A Majority of assessment reach has a substantially altered stream profile (examples: channel down -cutting, existing damming,
over widening, active aggradation, dredging, and excavation where appropriate channel profile has not reformed from any of
these disturbances).
(i B NotA
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).
6 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 to A Little or no evidence of conditions that adversely affect reference interaction
(` B r 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 i 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

Water Quality Stressors — assessment reach/intertidal zone metric
Check all that apply.
F A Discolored water in stream or intertidal zone (milky white, blue, unnatural water discoloration, oil sheen, stream foam)
r 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
r D Odor (not including natural sulfide odors)
F E Current published or collected data indicating degraded water quality in the assessment reach. Cite source in the "Notes/Sketch"
section.
F F Livestock with access to stream or intertidal zone
F G Excessive algae in stream or intertidal zone
F_ H Degraded marsh vegetation in the intertidal zone (removal, burning, regular mowing, destruction, etc.)
F I Other: (explain in "Notes/Sketch" section)
ry J Little to no stressors
8. Recent Weather —watershed metric
For Size 1 or 2 streams, D1 drought or higher is considered a drought, for Size 3 or 4 streams, D2 drought or higher is considered a
drought.
" A Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
(" B Drought conditions and rainfall exceeding 1 inch within the last 48 hours
C No drought conditions
9 Large or Dangerous Stream — assessment reach metric
f` Yes 6 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. i- 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 r F 5 % oysters or other natural hard bottoms
(include liverworts, lichens, and algal mats) F m r G Submerged aquatic vegetation
m
B Multiple sticks and/or leaf packs and/or emergent o � � � H Low -tide refugia (pools)
vegetation r I Sand bottom
r C Multiple snags and logs (including lap trees) )v m r J 5% vertical bank along the marsh
r' D 5 % undercut banks and/or root mats and/or roots O ( K Little or no habitat
in banks extend to the normal wetted perimeter
F E Little or no habitat
*************************** —* REMAINING QUESTIONS ARE NOT APPLICABLE FOR TIDAL MARSH STREAMS **********************---
11. Bedform and Substrate —assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
11a. (' Yes a No Is assessment reach in a natural sand -bed stream? (skip for Coastal Plain streams)
11 b. Bedform evaluated. Check the appropriate box(es).
FA Riffle -run section (evaluate 11 c)
r B Pool -glide section (evaluate 11d)
F_ C Natural bedform absent (skip to Metric 12, Aquatic Life)
11c. In riffles sections, check all that occur below the normal wetted perimeter of the assessment reach — whether or not submerged.
Check at least one box in each row (skip for Size 4 Coastal Plain Streams and Tidal Marsh Streams). Not Present (NP) _
absent, Rare (R) = present but s 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
re i r ('" (" Bedrock/sa pro lite
re r r r (' Boulder (256 — 4096 mm)
(0 r r r r Cobble (64 — 256 mm)
r r a r (' Gravel (2-64 mm)
r r r (i r Sand (.062 — 2 mm)
r r (^. r (- Silt/clay (< 0.062 mm)
r l: r r r Detritus
re r r r r Artificial (rip -rap, concrete, etc.)
11d. i 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 Size 4 Coastal Plain streams and Tidal Marsh Streams)
12a. ie 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 r Other:
12b. ie 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.
F_ FvAd uIt frogs
F_ F Aquatic reptiles
F_ r Aquatic macrophytes and aquatic mosses (include liverworts, lichens, and algal mats)
F F Beetles (including water pennies)
r F Caddisfly larvae (Trichoptera [T])
F_ r Asian clam (Corbicula )
F_ r Crustacean (iso pod/am phipod/crayfish/shrim p)
F_ r Damselfly and dragonfly larvae
F F Dipterans (true flies)
F_ r— Mayfly larvae (Ephemeroptera [E])
F F Megaloptera (alderfly, fishfly, dobsonfly larvae)
F_ F_ Midges/mosquito larvae
F_ r Mosquito fish (Gambusia) or mud minnows (Umbra pygmaea)
F_ r Mussels/Clams (not Corbicula )
F r Other fish
F F Salamanders/tadpoles
F r Snails
F F Stonefly larvae (Plecoptera [P])
F_ r Tipulid larvae
F_ r 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
r A r A Little or no alteration to water storage capacity over a majority of the streamside area
(' B (e B Moderate alteration to water storage capacity over a majority of the streamside area
(' C r C Severe alteration to water storage capacity over a majority of the streamside area (examples include: ditches, fill,
soil, compaction, livestock disturbance, buildings, man-made levees, drainage pipes)
14. Streamside Area Water Storage - streamside area metric (skip for Size 1 streams, Tidal Marsh Streams, and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB) of the streamside area.
LB RB
(' A (' A Majority of streamside area with depressions able to pond water_ 6 inches deep
re B (i 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?
re re
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.
r A Streams and/or springs Qurisdictional discharges)
F_ B Ponds (include wet detention basins, do not include sediment basins or dry detention basins)
r C Obstruction that passes some flow during low -flow periods within assessment area (beaver dam, bottom -release dam)
F D Evidence of bank seepage or sweating (iron oxidizing bacteria in water indicates seepage)
r,_1 E Stream bed or bank soil reduced (dig through deposited sediment if present)
r F None of the above
17. Baseflow Detractors -assessment area metric (skip for Tidal Marsh Streams)
Check all that apply.
r A Evidence of substantial water withdrawals from the assessment reach (includes areas excavated for pump installation)
r B Obstruction not passing flow during low flow periods affecting the assessment reach (ex: watertight dam, sediment deposit)
r C Urban stream (= 24% impervious surface forwatershed)
F_ D Evidence thatthe stream -side area has been modified resulting in accelerated drainage into the assessment reach
r- E Assessment reach relocated to valley edge
F 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)
(e 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
(i A (' A A (" A ? 100-feet wide or extends to the edge of the watershed
(' B (i B (' B (' B From 50 to < 100-feet wide
(� C r C (" C (" C From 30 to < 50-feet wide
(' D (' D (' D 6 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 r A (` A ( A r A t o Row crops
(' B (' B r B (' B (' B r B Maintained turf
C C C C (` C C C C C i C Pasture (no livestock)/commercial horticulture
(' D (' D (' D (' D (' D r 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
(e A (" A Medium to high stem density
(' B (i 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 (i A The total length of buffer breaks is < 25 percent.
(` B (" B The total length of buffer breaks is between 25 and 50 percent.
(' C (" C The total length of buffer breaks is > 50 percent.

24. Vegetative Composition -First 100 feet of streams ide 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 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 (e No Was a conductivity measurement recorded?
If No, select one of the following reasons. (- No Water (" Other:
25b. Check the box corresponding to the conductivity measurement (units of microsiemens per centimeter).
(' A <46 (;S B 46 to < 67 (` C 67 to < 79 _(' D 79 to < 230 (' E > 230
Notes/Sketch:

NC SAM Stream Rating Sheet
Accompanies User Manual Version 2.1
Stream Site Name U-6010
Stream Category Pal
Notes of Field Assessment Form (Y/N)
Presence of regulatory considerations (Y/N)
Additional stream information/supplementary measurements included (Y/N)
NC SAM feature type (perennial, intermittent, Tidal Marsh Stream)
Function Class Rating Summary
Date of Evaluation 4/28/2020
Assessor Name/Organization I. Mason - Three Oaks Eng
NO
YES
NO
Perennial
USACE/ NCDWR
All Streams Intermittent
(1) Hydrology HIGH
(2) Baseflow MEDIUM
(2) Flood Flow HIGH
(3) Streamside Area Attenuation HIGH
(4) Floodplain Access HIGH
(4) Wooded Riparian Buffer MEDIUM
(4) Microtopography MEDIUM
(3) Stream Stability HIGH
(4) Channel Stability HIGH
(4) Sediment Transport MEDIUM
(4) Stream Geomorphology HIGH
(2) Stream/Intertidal Zone Interaction NA
(2) Longitudinal Tidal Flow NA
(2) Tidal Marsh Stream Stability NA
(3) Tidal Marsh Channel Stability NA
(3) Tidal Marsh Stream Geomorphology NA
(1) Water Quality MEDIUM
(2) Baseflow MEDIUM
(2) Streamside Area Vegetation HIGH
(3) Upland Pollutant Filtration HIGH
(3) Thermoregulation MEDIUM
(2) Indicators of Stressors NO
(2) Aquatic Life Tolerance MEDIUM
(2) Intertidal Zone Filtration NA
(1) Habitat LOW
(2) In -stream Habitat LOW
(3) Baseflow MEDIUM
(3) Substrate MEDIUM
(3) Stream Stability HIGH
(3) In -stream Habitat LOW
(2) Stream -side Habitat HIGH
(3) Stream -side Habitat HIGH
(3) Thermoregulation HIGH
(2) Tidal Marsh In -stream Habitat NA
(3) Flow Restriction NA
(3) Tidal Marsh Stream Stability NA
(4) Tidal Marsh Channel Stability NA
(4) Tidal Marsh Stream Geomorphology NA
(3) Tidal Marsh In -stream Habitat NA
(2) Intertidal Zone Habitat NA
Overall MEDIUM

NC 5AM FIELD ASSESSMENT FORM
-companies user rvianuai version c. i
USACE AID #: NCDWR #:
INSTRUCTIONS: Attach a sketch of the assessment area and photographs. Attach a copy of the USGS 7.5-minute topographic
quadrangle, and circle the location of the stream reach under evaluation. If multiple stream reaches will be evaluated on the same
property, identify and number all reaches on the attached map, and include a separate form for each reach. See the NC SAM User
Manual for detailed descriptions and explanations of requested information. Record in the "Notes/Sketch" section if any 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-6010 2. Date of evaluation: 4/28/2020
3. Applicant/owner name: NCDOT 4. Assessor name/organization: J. Mason - Three Oaks Eng.
5. County: Alamance 6. Nearest named water body
7. River Basin: Cape Fear on USGS 7.5-minute quad: Ingle Creek
8. Site coordinates (decimal degrees, at lower end of assessment reach): 36.080160,-79.520800
STREAM INFORMATION: (depth and width can be approximations)
9. Site number (show on attached map): SD 10. Length of assessment reach evaluated (feet): 45
11. Channel depth from bed (in riffle, if present) to top of bank (feet): 0-6 Unable to assess channel depth.
12. Channel width at top of bank (feet): 2-3 13. Is assessment reach a swamp stream? r Yes r No
14. Feature type: r Perennial flow it Intermittent flow r Tidal Marsh Stream
STREAM RATING INFORMATION:
15. NC SAM Zone: i Mountains (M) 9 Piedmont (P) r Inner Coastal Plain (I) r Outer Coastal Plain (0)
16. Estimated geomorphic
j
valley shape (skip for
01 a ����'
b
Tidal Marsh Stream):
(more sinuous stream, flatter valley slope)
(less sinuous stream, steeper valley slope)
17. Watershed size: (skip
%. Size 1 (< 0.1 mi`) (' Size 2 (0.1 to < 0.5 mi`)
(` Size 3 (0.5 to < 5 mi`) (` Size 4 (>> 5 mi)
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
18. Were regulatory considerations evaluated? (i Yes r No If Yes, check all that appy to the assessment area.
r Section 10 water r Classified Trout Waters rv- Water Supply Watershed ( r I r II r III IV • V)
F_ Essential Fish Habitat F Primary Nursery Area F High Quality Waters/Outstanding Resource Waters
r Publicly owned property R NCDWR riparian buffer rule in effect Fv- Nutrient Sensitive Waters
r Anadromous fish r 303(d) List F CAMA Area of Environmental Concern (AEC)
r Documented presence of a federal and/or state listed protected species within the assessment area.
List species:
Designated Critical Habitat (list species):
19. Are additional stream information/supplementary measurements included in "Notes/Sketch" section or attached? Yes • No
1. Channel Water - assessment reach metric (skip for Size 1 streams and Tidal Marsh Streams)
A Water throughout assessment reach.
(' B No flow, water in pools only.
(� C No water in assessment reach.
2. Evidence of Flow Restriction - assessment reach metric
(' A At least 10 % of assessment reach in -stream habitat or riffle -pool sequence is adversely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impounded on flood or ebb within
the assessment reach (examples: undersized or perched culverts, causeways that constrict the channel, tidal gates).
(i B NotA
3. Feature Pattern - assessment reach metric
r A A majority of the assessment reach has altered pattern (examples: straightening, modification above or below culvert).
(i B Not A.
4. Feature Longitudinal Profile - assessment reach metric
(e 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 NotA
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 to A Little or no evidence of conditions that adversely affect reference interaction
(` B r 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 i 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

Water Quality Stressors — assessment reach/intertidal zone metric
Check all that apply.
F A Discolored water in stream or intertidal zone (milky white, blue, unnatural water discoloration, oil sheen, stream foam)
r 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
r D Odor (not including natural sulfide odors)
F E Current published or collected data indicating degraded water quality in the assessment reach. Cite source in the "Notes/Sketch"
section.
F F Livestock with access to stream or intertidal zone
F G Excessive algae in stream or intertidal zone
F_ H Degraded marsh vegetation in the intertidal zone (removal, burning, regular mowing, destruction, etc.)
F I Other: (explain in "Notes/Sketch" section)
ry J Little to no stressors
8. Recent Weather —watershed metric
For Size 1 or 2 streams, D1 drought or higher is considered a drought, for Size 3 or 4 streams, D2 drought or higher is considered a
drought.
" A Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
(" B Drought conditions and rainfall exceeding 1 inch within the last 48 hours
C No drought conditions
9 Large or Dangerous Stream — assessment reach metric
f` Yes 6 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. f- 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)
1- A Multiple aquatic macrophytes and aquatic mosses r F 5% oysters or other natural hard bottoms
(include liverworts, lichens, and algal mats) F m r G Submerged aquatic vegetation
B Multiple sticks and/or leaf packs and/or emergent o H Low -tide refugia (pools)
vegetation r I Sand bottom
C Multiple snags and logs (including lap trees) )v m r J 5% vertical bank along the marsh
D 5% undercut banks and/or root mats and/or roots O ( K Little or no habitat
in banks extend to the normal wetted perimeter
F_ E Little or no habitat
*************************** —* REMAINING QUESTIONS ARE NOT APPLICABLE FOR TIDAL MARSH STREAMS **********************---
11. Bedform and Substrate —assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
11a. (' Yes a No Is assessment reach in a natural sand -bed stream? (skip for Coastal Plain streams)
11 b. Bedform evaluated. Check the appropriate box(es).
FA Riffle -run section (evaluate 11 c)
F B Pool -glide section (evaluate 11d)
F_ C Natural bedform absent (skip to Metric 12, Aquatic Life)
11c. In riffles sections, check all that occur below the normal wetted perimeter of the assessment reach — whether or not submerged.
Check at least one box in each row (skip for Size 4 Coastal Plain Streams and Tidal Marsh Streams). Not Present (NP) _
absent, Rare (R) = present but s 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
re i r ('" (" Bedrock/sa pro lite
re r r r r Boulder (256 — 4096 mm)
l: r r r (` Cobble (64 — 256 mm)
r• r r r r• Gravel (2 — 64 mm)
r r r (i r Sand (.062 — 2 mm)
r r r re c- Silt/clay (< 0.062 mm)
r r ri r r Detritus
(i r r r c- Artificial (rip -rap, concrete, etc.)
11d. (' Yes (i 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 Size 4 Coastal Plain streams and Tidal Marsh Streams)
12a. re 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 r Other:
12b. ie 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.
F_ FvAdult frogs
F F Aquatic reptiles
F_ r Aquatic macrophytes and aquatic mosses (include liverworts, lichens, and algal mats)
F F Beetles (including water pennies)
F_ F Caddisfly larvae (Trichoptera [T])
F_ r Asian clam (Corbicula )
F_ r Crustacean (iso pod/am phipod/crayfish/shrim p)
F_ r Damselfly and dragonfly larvae
F F Dipterans (true flies)
F_ r- Mayfly larvae (Ephemeroptera [E])
F F Megaloptera (alderfly, fishfly, dobsonfly larvae)
F_ F_ Midges/mosquito larvae
F_ r Mosquito fish (Gambusia) or mud minnows (Umbra pygmaea)
F_ r Mussels/Clams (not Corbicula )
F r Other fish
F F Salamanders/tadpoles
F r Snails
F F Stonefly larvae (Plecoptera [P])
F_ r Tipulid larvae
F_ r 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
r A r A Little or no alteration to water storage capacity over a majority of the streamside area
(' B (e B Moderate alteration to water storage capacity over a majority of the streamside area
(' C r C Severe alteration to water storage capacity over a majority of the streamside area (examples include: ditches, fill,
soil, compaction, livestock disturbance, buildings, man-made levees, drainage pipes)
14. Streamside Area Water Storage - streamside area metric (skip for Size 1 streams, Tidal Marsh Streams, and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB) of the streamside area.
LB RB
(' A (' A Majority of streamside area with depressions able to pond water_ 6 inches deep
re B (i 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
(e Y (' Y Are wetlands present in the streamside area?
(- N (e 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.
r A Streams and/or springs Qurisdictional discharges)
F_ B Ponds (include wet detention basins, do not include sediment basins or dry detention basins)
r C Obstruction that passes some flow during low -flow periods within assessment area (beaver dam, bottom -release dam)
F D Evidence of bank seepage or sweating (iron oxidizing bacteria in water indicates seepage)
r,_1 E Stream bed or bank soil reduced (dig through deposited sediment if present)
r F None of the above
17. Baseflow Detractors -assessment area metric (skip for Tidal Marsh Streams)
Check all that apply.
r A Evidence of substantial water withdrawals from the assessment reach (includes areas excavated for pump installation)
r B Obstruction not passing flow during low flow periods affecting the assessment reach (ex: watertight dam, sediment deposit)
r C Urban stream (= 24% impervious surface forwatershed)
F_ D Evidence thatthe stream -side area has been modified resulting in accelerated drainage into the assessment reach
r- E Assessment reach relocated to valley edge
F 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)
(e 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 (i A (' A (e A ? 100-feet wide or extends to the edge of the watershed
r B r B (' B (' B From 50 to < 100-feet wide
(" C (' C r C (" C From 30 to < 50-feet wide
r D (' D (' D ( D From 10 to < 30-feet wide
(` E r E r 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 (i A Mature forest
(i B (" B Non -mature woody vegetation or modified vegetation structure
(' C (' C Herbaceous vegetation with or without a strip of trees < 10 feet wide
i D ( D Maintained shrubs
i 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 r A Row crops
r B r B (i B C B (e B (' B Maintained turf
(- C r C i C (" C r C r 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
(e A a A Medium to high stem density
(' B (' B Low stem density
i C r 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 (i A The total length of buffer breaks is < 25 percent.
(` B r B The total length of buffer breaks is between 25 and 50 percent.
(' C (' C The total length of buffer breaks is > 50 percent.

24. Vegetative Composition -First 100 feet of streams ide 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
r A (i 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.
(J 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 (e No Was a conductivity measurement recorded?
If No, select one of the following reasons. (- No Water (" Other:
25b. Check the box corresponding to the conductivity measurement (units of microsiemens per centimeter).
(' A <46 (;S B 46 to < 67 (` C 67 to < 79 _(' D 79 to < 230 (' E > 230
Notes/Sketch:

NC SAM Stream Rating Sheet
Accompanies User Manual Version 2.1
Stream Site Name U-6010
Stream Category Pal
Notes of Field Assessment Form (Y/N)
Presence of regulatory considerations (Y/N)
Additional stream information/supplementary measurements included (Y/N)
NC SAM feature type (perennial, intermittent, Tidal Marsh Stream)
Function Class Rating Summary
Date of Evaluation 4/28/2020
Assessor Name/Organization I. Mason - Three Oaks Eng
NO
YES
NO
Intermittent
USACE/ NCDWR
All Streams Intermittent
(1) Hydrology
(2) Baseflow
(2) Flood Flow
(3) Streamside Area Attenuation
(4) Floodplain Access
(4) Wooded Riparian Buffer
(4) Microtopography
(3) Stream Stability
(4) Channel Stability
(4) Sediment Transport
(4) Stream Geomorphology
(2) Stream/Intertidal Zone Interaction
(2) Longitudinal Tidal Flow
(2) Tidal Marsh Stream Stability
(3) Tidal Marsh Channel Stability
(3) Tidal Marsh Stream Geomorphology
MEDIUM
MEDIUM
MEDIUM
HIGH
HIGH
HIGH
MEDIUM
LOW
MEDIUM
LOW
MEDIUM
NA
NA
NA
NA
NA
MEDIUM
MEDIUM
MEDIUM
HIGH
HIGH
HIGH
MEDIUM
LOW
MEDIUM
LOW
MEDIUM
NA
NA
NA
NA
NA
(1) Water Quality
(2) Baseflow
(2) Streamside Area Vegetation
(3) Upland Pollutant Filtration
(3) Thermoregulation
(2) Indicators of Stressors
(2) Aquatic Life Tolerance
(2) Intertidal Zone Filtration
MEDIUM
MEDIUM
HIGH
HIGH
MEDIUM
NO
LOW
NA
MEDIUM
MEDIUM
HIGH
HIGH
MEDIUM
NO
NA
NA
(1) Habitat
(2) In -stream Habitat
(3) Baseflow
(3) Substrate
(3) Stream Stability
(3) In -stream Habitat
(2) Stream -side Habitat
(3) Stream -side Habitat
(3) Thermoregulation
(2) Tidal Marsh In -stream Habitat
(3) Flow Restriction
(3) Tidal Marsh Stream Stability
(4) Tidal Marsh Channel Stability
(4) Tidal Marsh Stream Geomorphology
(3) Tidal Marsh In -stream Habitat
(2) Intertidal Zone Habitat
HIGH
MEDIUM
MEDIUM
LOW
MEDIUM
HIGH
HIGH
HIGH
HIGH
NA
NA
NA
NA
NA
NA
NA
HIGH
MEDIUM
MEDIUM
LOW
MEDIUM
HIGH
HIGH
HIGH
HIGH
NA
NA
NA
NA
NA
NA
NA
Overall
MEDIUM
MEDIUM

WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region
Project/Site: U-6010 US 70/University Drive City/County: Alamance Sampling Date: 5/29/2018
Applicant/Owner: NCDOT State: NC Sampling Point: WA-4 Wet
Investigator(s): Nathan Howell & Evan Morgan Section, Township, Range: Burlington
Landform (hillside, terrace, etc.): Floodplain Local relief (concave, convex, none): Convex Slope (%): 5
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 36.079645 Long:-79.526640 Datum: NAD 83
Soil Map Unit Name: Cullen clay loam, 6-10% slopes, moderately eroded NWI classification: None
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 any answers 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 X No
Wetland Hydrology Present? Yes X No
Remarks:
NCWAM: Headwater Forest (Disturbed). Wetland WD possesses similar edaphic, hydrologic, and floristic properties to this wetland and is therefore
included under this form. This wetland is located within a newly created mitigation site. Soils within the wetland are highly disturbed, but hydrology,
and vegetation are strong.
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required: check all that apply)
_Surface Soil Cracks (136)
_Surface Water (Al)
_True Aquatic Plants (1314)
_Sparsely Vegetated Concave Surface (138)
X High Water Table (A2)
—Hydrogen Sulfide Odor (Cl)
X Drainage Patterns (1310)
X Saturation (A3)
_Oxidized Rhizospheres on Living Roots (C3)
_Moss Trim Lines (1316)
—Water Marks (131)
—Presence of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
X Sediment Deposits (132)
—Recent Iron Reduction in Tilled Soils (C6)
—Crayfish Burrows (C8)
X Drift Deposits (133)
_Thin Muck Surface (C7)
_Saturation Visible on Aerial Imagery (C9)
_Algal Mat or Crust (134)
_Other (Explain in Remarks)
_Stunted or Stressed Plants (D1)
_ Iron Deposits (135)
X Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137)
—Shallow Aquitard (D3)
—Water-Stained Leaves (139)
_ Microtopographic Relief (D4)
Aquatic Fauna (1313)
L FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes
No X Depth (inches): 0
Water Table Present? Yes X
No Depth (inches): 0
Saturation Present? Yes X
No Depth (inches): 0
Wetland Hydrology Present? Yes X No
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
Eastern Mountains and Piedmont— Version .0
uo mimy k_,uipb ui r-ii muuiJ

VEGETATION (Four Strata) — Use scientific names of plants.
Sampling Point: WA-4 Wet
Absolute Dominant
Indicator
Tree Stratum (Plot size: 30' radius )
% Cover Species?
Status
Dominance Test worksheet:
1. Absent
Number of Dominant Species
2.
That Are OBL, FACW, or FAC: 6 (A)
3.
Total Number of Dominant
4.
Species Across All Strata: 6 (B)
5.
Percent of Dominant Species
6.
That Are OBL, FACW, or FAC: 100 (A/B;
7.
Prevalence Index worksheet:
0
=Total Cover
Total % Cover of: Multiply by:
50% of total cover: 0
20% of total cover:
0
OBL species x 1 =
Saolina/Shrub Stratum (Plot size: 15' radius )
FACW species x 2 =
1 Salix nigra
40
Yes
OBL
FAC species x 3 =
2, Alnus serrulata
20
Yes
OBL
FACU species x 4 =
3.
UPL species x 5 =
4.
Column Totals: (A) (B
5.
Prevalence Index = B/A =
6.
Hydrophytic Vegetation Indicators:
7.
_ 1 - Rapid Test for Hydrophytic Vegetation
8.
X 2 - Dominance Test is >50%
9.
- Prevalence Index is <_3.01
60
=Total Cover
—3
4 - Morphological Adaptations' (Provide supportin
50% of total cover: 30
20% of total cover:
12
data in Remarks or on a separate sheet)
Herb Stratum (Plot size: 5' radius )
Hydrophytic Vegetation' (Explain)
1 Pontederia cordata
30
Yes
OBL
—Problematic
Indicators of hydric soil and wetland hydrology must k
2. Impatiens capensis
30
Yes
FACW
present, unless disturbed or problematic.
3 Juncus effusus
30
Yes
FACW
Definitions of Four Vegetation Strata:
4 Carex spp.
Tree —Woody plants, excluding vines, 3 in. (7.6 cm) c
5.
more in diameter at breast height (DBH), regardless o
6
height.
7•
Sapling/Shrub —Woody plants, excluding vines, less
8.
than 3 in. DBH and greater than or equal to 3.28 ft
9
m) tall.
10.
Herb — All herbaceous (non -woody) plants, regardles_=
11
of size, and woody plants less than 3.28 ft tall.
90
=Total Cover
Woody Vine — All woody vines greater than 3.28 ft in
50% of total cover: 45
20% of total cover:
18
height.
Woody Vine Stratum (Plot size: 30' radius )
1 Mikania scandens
15
Yes
FACW
2.
3.
4.
5.
Hydrophytic
15
=Total Cover
Vegetation
50% of total cover: 7.5
20% of total cover:
3
Present? Yes X No
Remarks: (Include photo numbers here or on a separate sheet.)

SOIL
Sampling Point: WA-4 Wet
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type' Locz Texture Remarks
0-5 7.5YR 5/3 50 10YR 6/2 40 D M L
7.5YR 5/8 10 C PL
5-12
Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.
Hydric Soil Indicators:
_ Histosol (Al)
_ Histic Epipedon (A2)
—Black Histic (A3)
—Hydrogen Sulfide (A4)
_Stratified Layers (A5)
2 cm Muck (A10) (LRR N)
—Depleted Below Dark Surface (A11)
_Thick Dark Surface (Al2)
_Sandy Mucky Mineral (S1)
—Sandy Gleyed Matrix (S4)
_Sandy Redox (S5)
_Stripped Matrix (S6)
Dark Surface (S7)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_Thin Dark Surface (S9) (MLRA 147, 148)
—Loamy Mucky Mineral (F1) (MLRA 136)
_ Loamy Gleyed Matrix (F2)
X Depleted Matrix (F3)
_ Redox Dark Surface (F6)
_ Depleted Dark Surface (F7)
_ Redox Depressions (F8)
_Iron -Manganese Masses (F12) (LRR N,
MLRA 136)
_ Umbric Surface (F13) (MLRA 122, 136)
—Piedmont Floodplain Soils (F19) (MLRA 148)
Red Parent Material (F21) (MLRA 127, 147, 148)
rip -rap
2Location: PL=Pore Lining, M=Matrix.
Indicators for Problematic Hydric Soils':
2 cm Muck (A10) (MLRA 147)
—Coast Prairie Redox (A16)
(MLRA 147, 148)
—Piedmont Floodplain Soils (F19)
(MLRA 136, 147)
_Red Parent Material (F21)
(outside MLRA 127, 147, 148)
—Very Shallow Dark Surface (F22)
Other (Explain in Remarks)
31ndicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
X
Depth (inches): Hydric Soil Present? Yes No
Remarks:
This wetland is located within a recently created mitigation site. Soils within the site are highly disturbed. Geomorphic position, strongly
hydrology, and wetland plants present. Soils are forming, but not fully hydric yet.
US Army Corps of Engineers Eastern Mountains and Piedmont —Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: U-6010 US 70/University Drive City/County: Alamance Sampling Date: 5/29/2018
Applicant/Owner: NCDOT State: NC Sampling Point: W13-1 Wet
Investigator(s): Nathan Howell & Evan Morgan Section, Township, Range: Burlington
Landform (hillslope, terrace, etc.): Floodplaln Local relief (concave, convex, none): Concave Slope (%): 0
Subregion (LRR or MLRA): LRR-P Lat: 36.080645 Long:-79.527936 Datum: NAD 83
Soil Map Unit Name: Chewacla loam, 0-2% slopes, frequently flooded NWI classification: None
J v l
Are climatic / hydrologic conditions on the site typical for this time of year? Yes No ❑. (If no, explain in Remarks.)
Are Vegetation ❑ Soil .=, or Hydrology ❑ significantly disturbed? Are "Normal Circumstances" present? Yes = No ❑
Are Vegetation=, Soil 0, or Hydrology ❑ naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes 0 No = Is the Sampled Area
Hydric Soil Present? Yes _ ✓❑ Nowithin a Wetland? Yes 0✓ No 0
Wetland Hydrology Present? Yes .0✓ - No
Remarks:
Wetland WC possesses similar edaphic, floristic, and hydrologic properties. Therefore, it is included under this form.
Wetland B receives the bulk of its hydrologic input from roadside surfacewater runoff. Soils in the wetland are disturbed.
HYDROLOGY
Wetland Hydrology Indicators:
Indicators (minimum of two required)
Primary Indicators (minimum of one is required: check all that apply)
IS--e-condary
I_I Surface Soil Cracks (136)
✓❑ Surface Water (Al)
❑ True Aquatic Plants (1314)
—❑✓ Sparsely Vegetated Concave Surface (138)
❑✓ High Water Table (A2)
❑ Hydrogen Sulfide Odor (Cl)
❑✓ Drainage Patterns (1310)
❑✓ Saturation (A3)
❑ Oxidized Rhizospheres on Living Roots (C3)
.❑ Moss Trim Lines (1316)
❑ Water Marks (131)
❑ Presence of Reduced Iron (C4)
❑ Dry -Season Water Table (C2)
❑ Sediment Deposits (132)
❑ Recent Iron Reduction in Tilled Soils (C6)
❑ Crayfish Burrows (C8)
❑ Drift Deposits (B3)
❑ Thin Muck Surface (C7)
❑ Saturation Visible on Aerial Imagery (C9)
❑ Algal Mat or Crust (134)
❑ Other (Explain in Remarks)
❑ Stunted or Stressed Plants (D1)
❑ Iron Deposits (135)
❑✓ Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (137)
❑ Shallow Aquitard (D3)
❑ Water -Stained Leaves (139)
❑ Microtopographic Relief (D4)
L_I Aquatic Fauna (1313)
❑ FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes=
No ❑ Depth (inches): 1
Water Table Present? Yes =
No ❑ Depth (inches): 0
0
❑
Saturation Present? Yes=
No ❑ Depth (inches):
Wetland
Hydrology Present? Yes —ZJ No
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

VEGETATION (Five Strata) — Use scientific names of plants.
Sampling Point: WB-1 Wet
Absolute Dominant Indicator
Dominance Test worksheet:
Tree Stratum (Plot size:
10' X 10' ) % Cover Species? Status
Number of Dominant Species
1. Absent
That Are OBL, FACW, or FAC: 3 (A)
2.
Total Number of Dominant
3•
Species Across All Strata: 3 (B)
4.
Percent of Dominant Species
5.
That Are OBL, FACW, or FAC: 100 (A/B)
6.
Prevalence Index worksheet:
0 = Total Cover
50% of total cover: 0 20% of total cover: 0
Total % Cover of: Multiply by:
Sapling Stratum (Plot size: 10, x 10, )
OBL species x 1 =
1. Salix nigra
90 Yes OBL
FACW species x 2 =
FAC species x 3 =
2.
FACU species x 4 =
3.
UPL species x 5 =
4.
Column Totals: (A) (B)
5.
Prevalence Index = B/A =
6.
90 = Total Cover
Hydrophytic Vegetation Indicators:
50% of total cover: 45 20% of total cover: 18
❑ 1 - Rapid Test for Hydrophytic Vegetation
Shrub Stratum (Plat size:
10,X10, )
❑✓ 2 - Dominance Test is >50%
1 Fraxinus pennsylvanica
10 Yes FACW
_❑ 3 - Prevalence Index is :53.0'
2 Cornus amomum
10 Yes FACW
❑ 4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
3.
❑ Problematic Hydrophytic Vegetation' (Explain)
4
5.
Indicators of hydric soil and wetland hydrology must
6.
be present, unless disturbed or problematic.
20 = Total Cover
Definitions of Five Vegetation Strata:
50% of total cover: 10 20% of total cover: 4
10' X 10'
Tree - Woody plants, excluding woody vines,
Herb Stratum (Plot size:
)
approximately 20 ft (6 m) or more in height and 3 in.
1. Carex sp.
(7.6 cm) or larger in diameter at breast height (DBH).
2.
Sapling - Woody plants, excluding woody vines,
3.
approximately 20 ft (6 m) or more in height and less
than 3 in. (7.6 cm) DBH.
5. Shrub - Woody plants, excluding woody vines,
6 approximately 3 to 20 ft (1 to 6 m) in height.
7. Herb - All herbaceous (non -woody) plants, including
$ herbaceous vines, regardless of size, and woody
plants, except woody vines, less than approximately 3
9. ft (1 m) in height.
10.
11. Woody vine - All woody vines, regardless of height.
= Total Cover
50% of total cover: 20% of total cover:
Woody Vine Stratum (Plot size: 10' x 10' )
1. Absent
3.
4.
Hydrophytic
0
= Total Cover Vegetation
50% of total cover: 0 20% of total cover: 0 Present? Yes EZ:1 No_❑_
Remarks: (Include photo numbers here or on a separate sheet.)
Wetland plot size is indicative of wetland shape and size
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

SOIL
Sampling Point: WB-1 We
on: (Describe to the depth needed to
or confirm the a
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type Loc Texture Remarks
0-4 10YR 5/6 100 SiL
4-12 10YR 4/1 90 10YR 5/6 10 C M/PL SiL
'Type: C=Concentration, D=Depletion,
Hydric Soil Indicators:
❑ Histosol (Al)
❑ Histic Epipedon (A2)
❑ Black Histic (A3)
❑ Hydrogen Sulfide (A4)
❑ Stratified Layers (A5)
❑ 2 cm Muck (A10) (LRR N)
❑ Depleted Below Dark Surface (A11)
❑ Thick Dark Surface (Al 2)
❑ Sandy Mucky Mineral (S1) (LRR N,
MLRA 147, 148)
❑ Sandy Gleyed Matrix (S4)
❑ Sandy Redox (S5)
❑ Stripped Matrix (S6)
Restrictive Layer (if observed):
Type:
Depth (inches):
RM=Reduced
MS=Masked Sand Grains. 'Location: PL=Pore Lining, M=Matrix.
Indicators for Problematic Hydric Soi
❑ Dark Surface (S7)
❑ 2 cm Muck (A10) (MLRA 147)
Polyvalue Below Surface (S8) (MLRA 147, 148)
❑ Coast Prairie Redox (A16)
❑ Thin Dark Surface (S9) (MLRA 147, 148)
(MLRA 147, 148)
❑ Loamy Gleyed Matrix (F2)
❑ Piedmont Floodplain Soils (F19)
fv_ Depleted Matrix (F3)
(MLRA 136, 147)
❑ Redox Dark Surface (F6)
❑ Very Shallow Dark Surface (TF12)
❑ Depleted Dark Surface (F7)
❑ Other (Explain in Remarks)
❑ Redox Depressions (F8)
❑ Iron -Manganese Masses (F12) (LRR N,
MLRA 136)
❑ Umbric Surface (F13) (MLRA 136, 122) Indicators of hydrophytic vegetation and
❑ Piedmont Floodplain Soils (F19) (MLRA 148) wetland hydrology must be present,
❑ Red Parent Material (F21) (MLRA 127, 147) unless disturbed or problematic.
Hydric Soil Present? Yes ❑✓ No El
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont Region
Project/Site: U-6010 US 70/University Drive City/County: Alamance Sampling Date: 5/29/2018
Applicant/Owner: NCDOT State: NC Sampling Point: WE-1 Wet
Investigator(s): Nathan Howell & Evan Morgan Section, Township, Range: Burlington
Landform (hillslope, terrace, etc.): Hlllsope Local relief (concave, convex, none): Convex Slope (%): 5
Subregion (LRR or MLRA): LRR_P Lat: 36.080156 Long:-79.520393 Datum: NAD 83
Soil Map Unit Name: Enon-Urban land complex, 2-6% slopes NWI classification: None
Are climatic / hydrologic conditions on the site typical for this time of year? Yes J v l No ❑. (If no, explain in Remarks.)
Are Vegetation ❑ Soil .=, or Hydrology ❑ significantly disturbed? Are "Normal Circumstances" present? Yes = No ❑
Are Vegetation=, Soil 0, or Hydrology ❑ naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes 0 No = Is the Sampled Area
Hydric Soil Present? Yes _ ✓❑ Nowithin a Wetland? Yes 0✓ No 0
Wetland Hydrology Present? Yes .0✓ - No
Remarks:
NCWAM: Headwater Forest
HYDROLOGY
Wetland Hydrology Indicators:
Indicators (minimum of two required)
Primary Indicators (minimum of one is required: check all that apply)
IS--e-condary
I_I Surface Soil Cracks (136)
✓❑ Surface Water (Al)
❑ True Aquatic Plants (1314)
—❑✓ Sparsely Vegetated Concave Surface (138)
❑✓ High Water Table (A2)
❑ Hydrogen Sulfide Odor (Cl)
❑✓ Drainage Patterns (1310)
❑✓ Saturation (A3)
❑ Oxidized Rhizospheres on Living Roots (C3)
.❑ Moss Trim Lines (1316)
❑ Water Marks (131)
❑ Presence of Reduced Iron (C4)
❑ Dry -Season Water Table (C2)
❑ Sediment Deposits (132)
❑ Recent Iron Reduction in Tilled Soils (C6)
❑ Crayfish Burrows (C8)
❑ Drift Deposits (B3)
❑ Thin Muck Surface (C7)
❑ Saturation Visible on Aerial Imagery (C9)
❑ Algal Mat or Crust (134)
❑ Other (Explain in Remarks)
❑ Stunted or Stressed Plants (D1)
❑ Iron Deposits (135)
❑✓ Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (137)
❑ Shallow Aquitard (D3)
_❑✓ Water -Stained Leaves (139)
❑ Microtopographic Relief (D4)
L_I Aquatic Fauna (1313)
❑ FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes=
No ❑ Depth (inches): 1
Water Table Present? Yes =
No ❑ Depth (inches): 0
❑
Saturation Present? Yes=
No ❑ Depth (inches): 0
Wetland
Hydrology Present? Yes —ZJ No
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

VEGETATION (Five Strata) — Use scientific names of plants.
Sampling Point: WE-1 Wet
Absolute Dominant Indicator
Dominance Test worksheet:
Tree Stratum (Plot size: 30' X 10' )
% Cover Species? Status
Number of Dominant Species
1. Absent
That Are OBL, FACW, or FAC: 1 (A)
2.
Total Number of Dominant
3•
Species Across All Strata: 1 (B)
4.
Percent of Dominant Species
5.
That Are OBL, FACW, or FAC: 100 (A/B)
6.
Prevalence Index worksheet:
0 = Total Cover
50% of total cover: 0
20% of total cover: 0
Total % Cover of: Multiply by:
Sapling Stratum (Plot size: 30' X 10' )
OBL species x 1 =
1. Absent
FACW species x 2 =
FAC species x 3 =
2.
FACU species x 4 =
3.
UPL species x 5 =
4.
Column Totals: (A) (B)
5.
Prevalence Index = B/A =
6.
0 = Total Cover
Hydrophytic Vegetation Indicators:
50% of total cover: 0
20% of total cover: 0
❑ 1 - Rapid Test for Hydrophytic Vegetation
Shrub Stratum (Plot size: 30' x 10' )
❑✓ 2 - Dominance Test is >50%
1 Absent
_❑ 3 - Prevalence Index is :53.0'
2
❑ 4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
3.
❑ Problematic Hydrophytic Vegetation' (Explain)
4
5.
'Indicators of hydric soil and wetland hydrology must
6.
be present, unless disturbed or problematic.
0 = Total Cover
Definitions of Five Vegetation Strata:
50% of total cover: 0
20% of total cover: 0
30' x 10'
Tree -Woody plants, excluding woody vines,
Herb Stratum (Plot size: )
approximately 20 ft (6 m) or more in height and 3 in.
1. Boehmeria cylindrica
10 Yes FACW
(7.6 cm) or larger in diameter at breast height (DBH).
2. Unknown wetland grass
Sapling - Woody plants, excluding woody vines,
3. Perslcarla sp.
approximately 20 ft (6 m) or more in height and less
n Carex sD.
than 3 in. (7.6 cm) DBH.
5.
6.
7.
9.
10.
11.
50% of total cover: 5
Woody Vine Stratum (Plot size: 30' x 10' )
1. Absent
3.
4.
10 = Total Cover
20% of total cover: 2
Shrub - Woody plants, excluding woody vines,
approximately 3 to 20 ft (1 to 6 m) in height.
Herb - All herbaceous (non -woody) plants, including
herbaceous vines, regardless of size, and woody
plants, except woody vines, less than approximately 3
ft (1 m) in height.
Woody vine - All woody vines, regardless of height.
Hydrophytic
0
= Total Cover Vegetation
50% of total cover: 0 20% of total cover: 0 Present?
Remarks: (Include photo numbers here or on a separate sheet.)
Yes EZ:1 No_❑_
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

SOIL
Sampling Point: WE-1 We
on: (Describe to the depth needed to
or confirm the a
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type Loc Texture Remarks
0-3 10YR 5/1 90 10YR 5/6 10 C M SL
3-12 10YR 6/2 100 S
'Type: C=Concentration, D=Depletion,
Hydric Soil Indicators:
❑ Histosol (Al)
❑ Histic Epipedon (A2)
❑ Black Histic (A3)
❑ Hydrogen Sulfide (A4)
❑ Stratified Layers (A5)
❑ 2 cm Muck (A10) (LRR N)
❑ Depleted Below Dark Surface (A11)
❑ Thick Dark Surface (Al 2)
❑ Sandy Mucky Mineral (S1) (LRR N,
MLRA 147, 148)
❑ Sandy Gleyed Matrix (S4)
❑ Sandy Redox (S5)
❑ Stripped Matrix (S6)
Restrictive Layer (if observed):
Type:
Depth (inches):
RM=Reduced
MS=Masked Sand Grains. 'Location: PL=Pore Lining, M=Matrix.
Indicators for Problematic Hydric Soi
❑ Dark Surface (S7)
❑ 2 cm Muck (A10) (MLRA 147)
Polyvalue Below Surface (S8) (MLRA 147, 148)
❑ Coast Prairie Redox (A16)
❑ Thin Dark Surface (S9) (MLRA 147, 148)
(MLRA 147, 148)
❑ Loamy Gleyed Matrix (F2)
❑ Piedmont Floodplain Soils (F19)
fv_ Depleted Matrix (F3)
(MLRA 136, 147)
❑ Redox Dark Surface (F6)
❑ Very Shallow Dark Surface (TF12)
❑ Depleted Dark Surface (F7)
❑ Other (Explain in Remarks)
❑ Redox Depressions (F8)
❑ Iron -Manganese Masses (F12) (LRR N,
MLRA 136)
❑ Umbric Surface (F13) (MLRA 136, 122) Indicators of hydrophytic vegetation and
❑ Piedmont Floodplain Soils (F19) (MLRA 148) wetland hydrology must be present,
❑ Red Parent Material (F21) (MLRA 127, 147) unless disturbed or problematic.
Hydric Soil Present? Yes ❑✓ No El
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: U-6010 US 70/University Drive City/County: Alamance Sampling Date: 5/29/2018
Applicant/Owner: NCDOT State: NC Sampling Point: WA-4 Upl
Investigator(s): Nathan Howell & Evan Morgan Section, Township, Range: Burlington
Landform (hillslope, terrace, etc.): Hlllslope Local relief (concave, convex, none): Convex Slope (%): 15
Subregion (LRR or MLRA): LRR_P Lat: 36.080092 Long: -79.526277 Datum: NAD 83
Soil Map Unit Name: Cullen clay loam, 6-10% slopes, moderately eroded NWI classification: None
Are climatic / hydrologic conditions on the site typical for this time of year? Yes = No ❑. (If no, explain in Remarks.)
Are Vegetation ❑ Soil .=, or Hydrology ❑ significantly disturbed? Are "Normal Circumstances" present? Yes 0 No ❑
Are Vegetation=, Soil 0, or Hydrology ❑ naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes 0 No 0✓ Is the Sampled Area
Hydric Soil Present? Yes _❑ No within a Wetland? Yes 0 No 0
Wetland Hydrology Present? Yes .=- No
Remarks:
The upland pot for Wetlands WD and WE possess similar edaphic, floristic, and hydrologic properties. Therefore, they
are included under this form.
HYDROLOGY
Wetland Hydrology Indicators:
Indicators (minimum of two required)
Primary Indicators (minimum of one is required: check all that apply)
IS--e-condary
I_I Surface Soil Cracks (136)
0 Surface Water (Al) ❑ True Aquatic Plants (1314)
❑ Sparsely Vegetated Concave Surface (138)
❑ High Water Table (A2) ❑ Hydrogen Sulfide Odor (Cl)
❑ Drainage Patterns (1310)
❑ Saturation (A3) ❑ Oxidized Rhizospheres on Living Roots (C3)
.❑ Moss Trim Lines (1316)
❑ Water Marks (131) ❑ Presence of Reduced Iron (C4)
❑ Dry -Season Water Table (C2)
❑ Sediment Deposits (132) ❑ Recent Iron Reduction in Tilled Soils (C6)
❑ Crayfish Burrows (C8)
❑ Drift Deposits (B3) ❑ Thin Muck Surface (C7)
❑ Saturation Visible on Aerial Imagery (C9)
❑ Algal Mat or Crust (134) ❑ Other (Explain in Remarks)
❑ Stunted or Stressed Plants (D1)
❑ Iron Deposits (135)
❑ Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (137)
❑ Shallow Aquitard (D3)
❑ Water -Stained Leaves (139)
❑ Microtopographic Relief (D4)
L_I Aquatic Fauna (1313)
❑ FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes 0 No = Depth (inches): 0
Water Table Present? Yes ❑ No = Depth (inches): 0
❑ 0
=_
Saturation Present? Yes No= Depth (inches):
Wetland Hydrology Present? Yes No
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

VEGETATION (Five Strata) - Use scientific names of plants.
Sampling Point: WA-4 Upl
Absolute Dominant Indicator
Dominance Test worksheet:
Tree Stratum (Plot size: 30' radius )
% Cover Species? Status
Number of Dominant Species
1. Absent
That Are OBL, FACW, or FAC: 0 (A)
2.
Total Number of Dominant
3•
Species Across All Strata: 2 (B)
4.
Percent of Dominant Species
5.
That Are OBL, FACW, or FAC: 0 (AB)
6.
Prevalence Index worksheet:
0 = Total Cover
50% of total cover: 0
20% of total cover: 0
Total % Cover of: Multiply by:
Sapling Stratum (Plot size: 15' radius )
OBL species x 1 =
1. Absent
FACW species x 2 =
FAC species x 3 =
2.
FACU species x 4 =
3.
UPL species x 5 =
4.
Column Totals: (A) (B)
5.
Prevalence Index = B/A =
6.
0 = Total Cover
Hydrophytic Vegetation Indicators:
50% of total cover: 0
20% of total cover: 0
❑ 1 - Rapid Test for Hydrophytic Vegetation
Shrub Stratum (Plot size: 15' radius )
❑ 2 - Dominance Test is >50%
1 Absent
_❑ 3 - Prevalence Index is :53.0'
2
❑ 4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
3.
❑ Problematic Hydrophytic Vegetation' (Explain)
4
5.
'Indicators of hydric soil and wetland hydrology must
6.
be present, unless disturbed or problematic.
0 = Total Cover
Definitions of Five Vegetation Strata:
50% of total cover: 0
20% of total cover: 0
5' radius
Tree -Woody plants, excluding woody vines,
Herb Stratum (Plot size: )
approximately 20 ft (6 m) or more in height and 3 in.
1. Conyza canadensis
0 N/A NI
(7.6 cm) or larger in diameter at breast height (DBH).
2. Lespedeza cuneata
20 Yes FACU
Sapling - Woody plants, excluding woody vines,
3.
approximately 20 ft (6 m) or more in height and less
than 3 in. (7.6 cm) DBH.
5.
6.
7.
9.
10.
11.
50% of total cover: 10
Woody Vine Stratum (Plot size: 30' radius )
1. Lonicera japonica
3.
4.
20 = Total Cover
20% of total cover: 4
15 vac FArll
Shrub - Woody plants, excluding woody vines,
approximately 3 to 20 ft (1 to 6 m) in height.
Herb - All herbaceous (non -woody) plants, including
herbaceous vines, regardless of size, and woody
plants, except woody vines, less than approximately 3
ft (1 m) in height.
Woody vine - All woody vines, regardless of height.
Hydrophytic
15
= Total Cover Vegetation
50% of total cover: 7.5 20% of total cover: 3 Present?
Remarks: (Include photo numbers here or on a separate sheet.)
Yes ❑ No_�_
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

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

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: U-6010 US 70/University Drive City/County: Alamance Sampling Date: 5/29/2018
Applicant/Owner: NCDOT State: NC Sampling Point: WB-4 Upl
Investigator(s): Nathan Howell & Evan Morgan Section, Township, Range: Burlington
Landform (hillslope, terrace, etc.): Hlllslope Local relief (concave, convex, none): Convex Slope (%): 15
Subregion (LRR or MLRA): LRR_P Lat: 36.080710 Long:-79.527473 Datum: NAD 83
Soil Map Unit Name: Cullen -Urban land complex, 6-10% slopes, moderately eroded NWI classification: None
J v l
Are climatic / hydrologic conditions on the site typical for this time of year? Yes No ❑. (If no, explain in Remarks.)
Are Vegetation ❑ Soil .=, or Hydrology ❑ significantly disturbed? Are "Normal Circumstances" present? Yes = No ❑
Are Vegetation=, Soil 0, or Hydrology ❑ naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes 0 No 0✓ Is the Sampled Area
Hydric Soil Present? Yes _❑ No within a Wetland? Yes 0 No 0
Wetland Hydrology Present? Yes .=- No
Remarks:
The upland pot for Wetland WC possesses similar edaphic, floristic, and hydrologic properties. Therefore, it is included
under this form.
HYDROLOGY
Wetland Hydrology Indicators:
Indicators (minimum of two required)
Primary Indicators (minimum of one is required: check all that apply)
IS--e-condary
I_I Surface Soil Cracks (136)
0 Surface Water (Al) ❑ True Aquatic Plants (1314)
❑ Sparsely Vegetated Concave Surface (138)
❑ High Water Table (A2) ❑ Hydrogen Sulfide Odor (Cl)
❑ Drainage Patterns (1310)
❑ Saturation (A3) ❑ Oxidized Rhizospheres on Living Roots (C3)
.❑ Moss Trim Lines (1316)
❑ Water Marks (131) ❑ Presence of Reduced Iron (C4)
❑ Dry -Season Water Table (C2)
❑ Sediment Deposits (132) ❑ Recent Iron Reduction in Tilled Soils (C6)
❑ Crayfish Burrows (C8)
❑ Drift Deposits (B3) ❑ Thin Muck Surface (C7)
❑ Saturation Visible on Aerial Imagery (C9)
❑ Algal Mat or Crust (134) ❑ Other (Explain in Remarks)
❑ Stunted or Stressed Plants (D1)
❑ Iron Deposits (135)
❑ Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (137)
❑ Shallow Aquitard (D3)
❑ Water -Stained Leaves (139)
❑ Microtopographic Relief (D4)
L_I Aquatic Fauna (1313)
❑ FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes 0 No = Depth (inches): 0
Water Table Present? Yes ❑ No = Depth (inches): 0
❑ 0
=_
Saturation Present? Yes No= Depth (inches):
Wetland Hydrology Present? Yes No
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

VEGETATION (Five Strata) — Use scientific names of plants.
Sampling Point: WB-4 Upl
Absolute Dominant Indicator
Dominance Test worksheet:
Tree Stratum (Plot size: 30' raidus )
% Cover Species? Status
Number of Dominant Species
1. Absent
That Are OBL, FACW, or FAC: 0 (A)
2.
Total Number of Dominant
3•
Species Across All Strata: 1 (B)
4.
Percent of Dominant Species
5.
That Are OBL, FACW, or FAC: 0 (AB)
6.
Prevalence Index worksheet:
0 = Total Cover
50% of total cover: 0
20% of total cover: 0
Total % Cover of: Multiply by:
Sapling Stratum (Plot size: 15' radius )
OBL species x 1 =
1. Absent
FACW species x 2 =
FAC species x 3 =
2.
FACU species x 4 =
3.
UPL species x 5 =
4.
Column Totals: (A) (B)
5.
Prevalence Index = B/A =
6.
0 = Total Cover
Hydrophytic Vegetation Indicators:
50% of total cover: 0
20% of total cover: 0
❑ 1 - Rapid Test for Hydrophytic Vegetation
Shrub Stratum (Plot size: 15' radius )
❑ 2 - Dominance Test is >50%
1 Absent
_❑ 3 - Prevalence Index is :53.0'
2
❑ 4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
3.
❑ Problematic Hydrophytic Vegetation' (Explain)
4
5.
'Indicators of hydric soil and wetland hydrology must
6.
be present, unless disturbed or problematic.
0 = Total Cover
Definitions of Five Vegetation Strata:
50% of total cover: 0
20% of total cover: 0
5' radius
Tree -Woody plants, excluding woody vines,
Herb Stratum (Plot size: )
approximately 20 ft (6 m) or more in height and 3 in.
1. Taraxacum officinale
10 Yes FACU
(7.6 cm) or larger in diameter at breast height (DBH).
2.
Sapling - Woody plants, excluding woody vines,
3.
approximately 20 ft (6 m) or more in height and less
than 3 in. (7.6 cm) DBH.
5.
6.
7.
9.
10.
11.
50% of total cover: 5
Woody Vine Stratum (Plot size: 30' raidus )
1. Absent
3.
4.
10 = Total Cover
20% of total cover: 2
Shrub - Woody plants, excluding woody vines,
approximately 3 to 20 ft (1 to 6 m) in height.
Herb - All herbaceous (non -woody) plants, including
herbaceous vines, regardless of size, and woody
plants, except woody vines, less than approximately 3
ft (1 m) in height.
Woody vine - All woody vines, regardless of height.
Hydrophytic
0
= Total Cover Vegetation
50% of total cover: 0 20% of total cover: 0 Present?
Remarks: (Include photo numbers here or on a separate sheet.)
Yes ❑ No_�_
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

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

INC WAM WETLAND ASSESSMENT FORM
Accompanies User Manual Version 5
USACE AID#: NCDWR #:
Project Name U-6010 Date of Evaluation 4/28/2020
Applicant/Owner Name NCDOT Wetland Site Name WA
Wetland Type Headwater Forest Assessor Name/Organization J. Mason - Three Oaks Eng.
Level III Ecoregion Piedmont Nearest Named Water Body Ingle Creek
River Basin Cape Fear USGS 8-Digit Catalogue Unit 03030002
County Alamance NCDWR Region Raleigh
r Yes (W No Precipitation within 48 hrs? Latitude/Longitude (deci-degrees) 36.0796447,-79.526640
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? M Yes r No
Regulatory Considerations - Were regulatory considerations evaluated? (? Yes r No If Yes, check all that apply to the assessment area.
F Anadromous fish
F_ Federally protected species or State endangered or threatened species
F07 NCDWR 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)
F Abuts a stream with a NCDWQ classification of SA or supplemental classifications of HQW, ORW, or Trout
F_ Designated NCNHP reference community
F_ 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)
r Blackwater
Brownwater
r- Tidal (if tidal, check one of the following boxes) (" i Lunar Wind i ` 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 (Z No
Does the assessment area experience overbank flooding during normal rainfall conditions? (" Yes No
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
Ci A (' A Not severely altered
r B ii 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
0 A 0 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).
r C r C Water storage capacity or duration are substantially altered (typically, alteration sufficient to result in vegetation
change) (examples: draining, flooding, soil compaction, filling, excessive sedimentation, underground utility lines).
3. Water Storage/Surface Relief— assessment area/wetland type condition metric (skip for all marshes)
Check a box in each column for each group below. Select the appropriate storage for the assessment area (AA) and the wetland
type (WT).
AA WT
3a. (' A (- A Majority of wetland with depressions able to pond water > 1 foot deep
Ci B IR B Majority of wetland with depressions able to pond water 6 inches to 1 foot deep
r C r C Majority of wetland with depressions able to pond water 3 to 6 inches deep
r D (` D Depressions able to pond water < 3 inches deep
3b. r 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
re 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 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. ii A Soil ribbon < 1 inch
r B Soil ribbon >! 1 inch
4c. (i 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
6 A : A Little or no evidence of pollutants or discharges entering the assessment area
(` B (` B Noticeable evidence of pollutants or discharges entering the wetland and stressing, but not overwhelming the
treatment capacity of the assessment area
(` C (` C Noticeable evidence of pollutants or discharges (pathogen, particulate, or soluble) entering the assessment area and
potentially overwhelming the treatment capacity of the wetland (water discoloration, dead vegetation, excessive
sedimentation, odor)
6. Land Use — opportunity metric (skip for non -riparian wetlands)
Check all that apply (at least one box in each column). Evaluation involves a GIS effort with field adjustment. Consider sources
draining to assessment area within entire upstream watershed (WS), within 5 miles and within the watershed draining to the
assessment area (5M), and within 2 miles and within the watershed draining to the assessment area (2M). Effective riparian buffers
are considered to be 50 feet wide in the Coastal Plain and Piedmont ecoregions and 30 feet wide in the Blue Ridge Mountains ecoregion.
WS 5M 2M
P A F A r A >_ 10 % impervious surfaces
F B r- B F B Confined animal operations (or other local, concentrated source of pollutants)
r C r C r- C >_ 20 % coverage of pasture
F D r D r D >_ 20 % coverage of agricultural land (regularly plowed land)
F, E r E r E >_ 20 % coverage of maintained grass/herb
r F F F f- F >_ 20 % coverage of clear-cut land
r G r- G F G Little or no opportunity to improve water quality. Lack of opportunity may result from little or no disturbance in
the watershed or hydrologic alterations that prevent dainage and/or overbank flow from affectio the
assessment area.
7. Wetland Acting as Vegetated Buffer — assessment area/wetland complex condition metric (skip for non -riparian wetlands)
7a. Is assessment area within 50 feet of a tributary or other open water?
0 Yes (`No If Yes, continue to 7b. If No, skip to Metric 8.
7b. How much of the first 50 feet from the bank is weltand? (Wetland buffer need only be present on one side of the water body. Make
buffer judgment based on the average width of wetland. Record a note if a portion of the buffer has been removed or disturbed.)
r A >! 50 feet
r B From 30 to < 50 feet
(T C From 15 to < 30 feet
r D From 5 to < 15 feet
i 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.
(r <_ 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?
(? Yes (- No
7e. Is tributary or other open water sheltered or exposed?
(e Sheltered — adjacent open water with width < 2500 feet and no regular boat traffic.
i 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. 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 (9 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)
r A r A r A >_ 500 acres
r B r B r B From 100 to < 500 acres
r C r C r C From 50 to < 100 acres
r D r D r D From 25 to < 50 acres
r E r E r E From 10 to < 25 acres
r F r F (' F From 5 to < 10 acres
r G r G r G From 1 to < 5 acres
r H r H r H From 0.5 to < 1 acre
rI rI rI From 0.1 to < 0.5 acre
(i'i J fR. J r J From 0.01 to < 0.1 acre
(" K r K ro 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
r A r A >_ 500 acres
r B r B From 100 to < 500 acres
r C r C From 50 to < 100 acres
r D r D From 10 to < 50 acres
re E a E < 10 acres
r F r F Wetland type has a poor or no connection to other natural habitats
13b. Evaluate for marshes only.
r 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 and Estuarine Woody Wetland)
May involve a GIS effort with field adjustment. Estimate distance from wetland type boundary to artificial edges. Artificial edges include
non -forested areas >_ 40 feet wide such as fields, development, roads, regularly maintained utility line corridors and clear -cuts. Consider
the eight main points of the compass. Artificial edge occurs within 150 feet in how many directiions? If the assessment area is clear-cut,
select option "C."
r A 0
rB 1to4
tZ 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.
jS 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.
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?
{j Yes r 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
r 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
Q
r A
r A
Canopy closed, or nearly closed, with natural gaps associated with natural processes
°
r B
r B
Canopy present, but opened more than natural gaps
C
tT C
s � C
Canopy sparse or absent
o
r A
r A
Dense mid-story/sapling layer
C�
09 B
a B
Moderate density mid-story/sapling layer
-°
�
i C
C' C
Mid-story/saplingla er s arse or absent
Y p
-0 i A
r A
Dense shrub layer
2
B t B
a B
Moderate density shrub layer
co r C
r C
Shrub layer sparse or absent
-2 6 A
6 A
Dense herb layer
r B
r B
Moderate density herb layer
r C
r 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).
4 B Not A
19. Diameter Class Distribution — wetland type condition metric (skip for all marshes)
(" A Majority of canopy trees have stems > 6 inches in diameter at breast height (DBH), many large trees (> 12 inches DBH) are
present.
r B Majority of canopy trees have stems between 6 and 12 inches DBH, few are > 12-inch DBH.
tZ 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.
r A Large logs (more than one) are visible (> 12 inches in diameter, or large relative to species present and landscape stability).
('j. 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.
All
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.
(j. A Overbank and overland flow are not severely altered in the assessment area.
r B Overbank flow is severely altered in the assessment area.
r C Overland flow is severely altered in the assessment area.
r D Both overbank and overland flow are severely altered in the assessment area.
Notes
This wetland is located within a recently created mitigation site. Soils within the site are highly disturbed. Geomorphic position, strongly
hydrology, and wetland plants present. Soils are forming, but not fully hydric yet.

NC WAM Wetland Rating Sheet
Accompanies User Manual
Version 5.0
Wetland Site Name WA
Date
4/28/2020
Wetland Type Headwater Forest
Assessor Name/Organization
Mason - Three Oaks En(
Notes on Field Assessment Form (Y/N)
YES
Presence of regulatory considerations (Y/N)
YES
Wetland is intensively managed (Y/N)
YES
Assessment area is located within 50 feet of a natural tributary or other open
water (Y/N)
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
HIGH
Sub -Surface Storage and Retention
Condition
HIGH
Water Quality Pathogen Change
Condition
HIGH
Condition/Opportunity
HIGH
Opportunity Presence? (Y/N)
YES
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
HIGH
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
MEDIUM
Function Rating Summary
Function Metrics/Notes
Rating
Hydrology Condition
HIGH
Water Quality Condition
HIGH
Condition/Opportunity
HIGH
Opportunity Presence? (Y/N)
YES
Habitat Condition
LOW
Overall Wetland Rating HIGH

INC WAM WETLAND ASSESSMENT FORM
Accompanies User Manual Version 5
USACE AID#: NCDWR #:
Project Name U-6010 Date of Evaluation 4/28/2020
Applicant/Owner Name NCDOT Wetland Site Name WB/WC
Wetland Type Floodplain Pool Assessor Name/Organization J. Mason - Three Oaks Eng.
Level III Ecoregion Piedmont Nearest Named Water Body Ingle Creek
River Basin Cape Fear USGS 8-Digit Catalogue Unit 03030002
County Alamance NCDWR Region Raleigh
r Yes r No Precipitation within 48 hrs? Latitude/Longitude (deci-degrees) 36.080309,-79.527921
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? r Yes 11 No
Regulatory Considerations - Were regulatory considerations evaluated? 6 Yes r No If Yes, check all that apply to the assessment area.
Anadromous fish
I Federally protected species or State endangered or threatened species
r NCDWR riparian buffer rule in effect
r Abuts a Primary Nursery Area (PNA)
F_ Publicly owned property
r 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
r Designated NCNHP reference community
r 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)
r Blackwater
tl Brownwater
r Tidal (if tidal, check one of the following boxes) r Lunar r Wind C Both
Is the assessment area on a coastal island? r Yes • No
Is the assessment area's surface water storage capacity or duration substantially altered by beaver? r Yes tV, No
Does the assessment area experience overbank flooding during normal rainfall conditions? r Yes re No
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
(e, A (e, A Not severely altered
r B r 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
fi A fi A Water storage capacity and duration are not altered.
r B r B Water storage capacity or duration are altered, but not substantially (typically, not sufficient to change vegetation).
r C r C Water storage capacity or duration are substantially altered (typically, alteration sufficient to result in vegetation
change) (examples: draining, flooding, soil compaction, filling, excessive sedimentation, underground utility lines).
3. Water Storage/Surface Relief— assessment area/wetland type condition metric (skip for all marshes)
Check a box in each column for each group below. Select the appropriate storage for the assessment area (AA) and the wetland
type (WT).
AA WT
3a. r A r A Majority of wetland with depressions able to pond water > 1 foot deep
re B to B Majority of wetland with depressions able to pond water 6 inches to 1 foot deep
i C r C Majority of wetland with depressions able to pond water 3 to 6 inches deep
i D r 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
r 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 12 inches. Use most recent National Technical Committee for Hydric Soils guidance for
regional indicators.
4a. i A Sandy soil
to B Loamy or clayey soils exhibiting redoximorphic features (concentrations, depletions, or rhizospheres)
r C Loamy or clayey soils not exhibiting redoximorphic features
i D Loamy or clayey gleyed soil
r E Histosol or histic epipedon
4b. ii A Soil ribbon < 1 inch
i- B Soil ribbon >! 1 inch
4c. r A No peat or muck presence
i 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
to A (e A Little or no evidence of pollutants or discharges entering the assessment area
i B i B Noticeable evidence of pollutants or discharges entering the wetland and stressing, but not overwhelming the
treatment capacity of the assessment area
i C i C Noticeable evidence of pollutants or discharges (pathogen, particulate, or soluble) entering the assessment area and
potentially overwhelming the treatment capacity of the wetland (water discoloration, dead vegetation, excessive
sedimentation, odor)
6. Land Use — opportunity metric (skip for non -riparian wetlands)
Check all that apply (at least one box in each column). Evaluation involves a GIS effort with field adjustment. Consider sources
draining to assessment area within entire upstream watershed (WS), within 5 miles and within the watershed draining to the
assessment area (5M), and within 2 miles and within the watershed draining to the assessment area (2M). Effective riparian buffers
are considered to be 50 feet wide in the Coastal Plain and Piedmont ecoregions and 30 feet wide in the Blue Ridge Mountains ecoregion.
WS 5M 2M
r A r A r A >_ 10 % impervious surfaces
IF B r B r B Confined animal operations (or other local, concentrated source of pollutants)
IF C r C r C >_ 20 % coverage of pasture
r D r- D I-" D >_ 20 % coverage of agricultural land (regularly plowed land)
F E r E r E >_ 20 % coverage of maintained grass/herb
r F r- F r- F >_ 20 % coverage of clear-cut land
F G r G r G Little or no opportunity to improve water quality. Lack of opportunity may result from little or no disturbance in
the watershed or hydrologic alterations that prevent dainage and/or overbank flow from affectio the
assessment area.
7. Wetland Acting as Vegetated Buffer — assessment area/wetland complex condition metric (skip for non -riparian wetlands)
7a. Is assessment area within 50 feet of a tributary or other open water?
re Yes f No If Yes, continue to 7b. If No, skip to Metric 8.
7b. How much of the first 50 feet from the bank is weltand? (Wetland buffer need only be present on one side of the water body. Make
buffer judgment based on the average width of wetland. Record a note if a portion of the buffer has been removed or disturbed.)
C A >! 50 feet
r B From 30 to < 50 feet
(e C From 15 to < 30 feet
C D From 5 to < 15 feet
r 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.
r• <_ 15-feet wide C > 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?
tl Yes i No
7e. Is tributary or other open water sheltered or exposed?
is Sheltered — adjacent open water with width < 2500 feet and no regular boat traffic.
r 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. 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
i A i A >— 100 feet
i B i B From 80 to < 100 feet
i C i C From 50 to < 80 feet
i D i D From 40 to < 50 feet
r E i E From 30 to < 40 feet
i F i F From 15 to < 30 feet
ce G % G From 5 to < 15 feet
i H r H < 5 feet

9. Inundation Duration — assessment area condition metric (skip for non -riparian wetlands)
Answer for assessment area dominant landform.
ri A Evidence of short -duration inundation (< 7 consecutive days)
r B Evidence of saturation, without evidence of inundation
r 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).
ii A Sediment deposition is not excessive, but at approximately natural levels.
i B Sediment deposition is excessive, but not overwhelming the wetland.
r 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)
i A i A r A >_ 500 acres
i B i B r B From 100 to < 500 acres
i C i C r C From 50 to < 100 acres
i D i D r D From 25 to < 50 acres
i E i E r E From 10 to < 25 acres
i F i F r F From 5 to < 10 acres
i G i G ( G From 1 to < 5 acres
(' H (' H (' H From 0.5 to < 1 acre
i I r I ( I From 0.1 to < 0.5 acre
i J i J r J From 0.01 to < 0.1 acre
re K (e K 1W K < 0.01 acre or assessment area is clear-cut
12. Wetland Intactness — wetland type condition metric (evaluate for Pocosins only)
r 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 r A >_ 500 acres
r B r B From 100 to < 500 acres
r C r C From 50 to < 100 acres
r D r D From 10 to < 50 acres
(e E r E < 10 acres
i F r F Wetland type has a poor or no connection to other natural habitats
13b. Evaluate for marshes only.
r 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 and Estuarine Woody Wetland)
May involve a GIS effort with field adjustment. Estimate distance from wetland type boundary to artificial edges. Artificial edges include
non -forested areas >_ 40 feet wide such as fields, development, roads, regularly maintained utility line corridors and clear -cuts. Consider
the eight main points of the compass. Artificial edge occurs within 150 feet in how many directiions? If the assessment area is clear-cut,
select option "C."
rA 0
("B 1to4
t• C 5 to 8
15. Vegetative Composition — assessment area condition metric (skip for all marshes and Pine Flat)
i 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.
i 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).
;r 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?
re Yes r 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
Q
r A
r A
Canopy closed, or nearly closed, with natural gaps associated with natural processes
°
r B
r B
Canopy present, but opened more than natural gaps
C)
tT C
tT C
Canopy sparse or absent
o
T A
(i. A
Dense mid-story/sapling layer
C�
(^ B
(^ B
Moderate density mid-story/sapling layer
(^ C
(^ C
Mid-story/sapling layer sparse or absent
-0 r A
r A
Dense shrub layer
2
r r B
r B
Moderate density shrub layer
cO tV C
6 C
Shrub layer sparse or absent
-2 r A
r A
Dense herb layer
r B
r B
Moderate density herb layer
(i C
(i C
Herb layer sparse or absent
18. Snags — wetland type condition metric (skip for all marshes)
r' A Large snags (more than one) are visible (> 12-inches DBH, or large relative to species present and landscape stability).
B Not A
19. Diameter Class Distribution — wetland type condition metric (skip for all marshes)
r A Majority of canopy trees have stems > 6 inches in diameter at breast height (DBH), many large trees (> 12 inches DBH) are
present.
r 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.
r A Large logs (more than one) are visible (> 12 inches in diameter, or large relative to species present and landscape stability).
re 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.
All
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.
re A Overbank and overland flow are not severely altered in the assessment area.
r B Overbank flow is severely altered in the assessment area.
(" C Overland flow is severely altered in the assessment area.
r D Both overbank and overland flow are severely altered in the assessment area.
Notes
Wetland WC possesses similar edaphic, floristic, and hydrologic properties. Therefore, it is included under this form. Wetland B receives the bulk of its
hydrologic input from roadside surfacewater runoff. Soils in the wetland are disturbed.

NC WAM Wetland Rating Sheet
Accompanies User Manual
Version 5.0
Wetland Site Name WB/WC
Date
4/28/2020
Wetland Type Floodplain Pool
Assessor Name/Organization
Mason - Three Oaks En(
Notes on Field Assessment Form (Y/N)
YES
Presence of regulatory considerations (Y/N)
YES
Wetland is intensively managed (Y/N)
NO
Assessment area is located within 50 feet of a natural tributary or other open
water (Y/N)
YES
Assessment area is substantially altered by beaver (Y/N)
NO
Assessment area experiences overbank flooding during normal rainfall conditions (Y/N)
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
HIGH
Sub -Surface Storage and Retention
Condition
NA
Water Quality Pathogen Change
Condition
HIGH
Condition/Opportunity
HIGH
Opportunity Presence? (Y/N)
YES
Particulate Change
Condition
HIGH
Condition/Opportunity
HIGH
Opportunity Presence? (Y/N)
YES
Soluble Change
Condition
MEDIUM
Condition/Opportunity
HIGH
Opportunity Presence? (Y/N)
YES
Physical Change
Condition
NA
Condition/Opportunity
NA
Opportunity Presence? (Y/N)
NA
Pollution Change
Condition
NA
Condition/Opportunity
NA
Opportunity Presence? (Y/N)
NA
Habitat Physical Structure
Condition
HIGH
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 Condition
HIGH
Overall Wetland Rating HIGH

INC WAM WETLAND ASSESSMENT FORM
Accompanies User Manual Version 5
USACE AID#: NCDWR #:
Project Name U-6010 Date of Evaluation 4/28/2020
Applicant/Owner Name NCDOT Wetland Site Name WD/WE
Wetland Type Headwater Forest Assessor Name/Organization J. Mason - Three Oaks Eng.
Level III Ecoregion Piedmont Nearest Named Water Body Ingle Creek
River Basin Cape Fear USGS 8-Digit Catalogue Unit 03030002
County Alamance NCDWR Region Raleigh
r Yes r No Precipitation within 48 hrs? Latitude/Longitude (deci-degrees) 36.0801561-79.520393
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? r Yes 11 No
Regulatory Considerations - Were regulatory considerations evaluated? r Yes r No If Yes, check all that apply to the assessment area.
Anadromous fish
I Federally protected species or State endangered or threatened species
r NCDWR riparian buffer rule in effect
r Abuts a Primary Nursery Area (PNA)
F_ Publicly owned property
r 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
r Designated NCNHP reference community
r 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)
r Blackwater
tl Brownwater
r Tidal (if tidal, check one of the following boxes) r Lunar r Wind C Both
Is the assessment area on a coastal island? r Yes • No
Is the assessment area's surface water storage capacity or duration substantially altered by beaver? r Yes r No
Does the assessment area experience overbank flooding during normal rainfall conditions? r Yes r No
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
r A r A Not severely altered
r B r 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
r A r A Water storage capacity and duration are not altered.
r B r B Water storage capacity or duration are altered, but not substantially (typically, not sufficient to change vegetation).
r C r C Water storage capacity or duration are substantially altered (typically, alteration sufficient to result in vegetation
change) (examples: draining, flooding, soil compaction, filling, excessive sedimentation, underground utility lines).
3. Water Storage/Surface Relief— assessment area/wetland type condition metric (skip for all marshes)
Check a box in each column for each group below. Select the appropriate storage for the assessment area (AA) and the wetland
type (WT).
AA WT
3a. r A r A Majority of wetland with depressions able to pond water > 1 foot deep
r B r B Majority of wetland with depressions able to pond water 6 inches to 1 foot deep
r C r C Majority of wetland with depressions able to pond water 3 to 6 inches deep
r D r D Depressions able to pond water < 3 inches deep
3b. r A Evidence that maximum depth of inundation is greater than 2 feet
r B Evidence that maximum depth of inundation is between 1 and 2 feet
r 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 12 inches. Use most recent National Technical Committee for Hydric Soils guidance for
regional indicators.
4a. i A Sandy soil
to B Loamy or clayey soils exhibiting redoximorphic features (concentrations, depletions, or rhizospheres)
r C Loamy or clayey soils not exhibiting redoximorphic features
i D Loamy or clayey gleyed soil
r E Histosol or histic epipedon
4b. ii A Soil ribbon < 1 inch
i- B Soil ribbon >! 1 inch
4c. r A No peat or muck presence
i 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
to A (e A Little or no evidence of pollutants or discharges entering the assessment area
i B i B Noticeable evidence of pollutants or discharges entering the wetland and stressing, but not overwhelming the
treatment capacity of the assessment area
i C i C Noticeable evidence of pollutants or discharges (pathogen, particulate, or soluble) entering the assessment area and
potentially overwhelming the treatment capacity of the wetland (water discoloration, dead vegetation, excessive
sedimentation, odor)
6. Land Use — opportunity metric (skip for non -riparian wetlands)
Check all that apply (at least one box in each column). Evaluation involves a GIS effort with field adjustment. Consider sources
draining to assessment area within entire upstream watershed (WS), within 5 miles and within the watershed draining to the
assessment area (5M), and within 2 miles and within the watershed draining to the assessment area (2M). Effective riparian buffers
are considered to be 50 feet wide in the Coastal Plain and Piedmont ecoregions and 30 feet wide in the Blue Ridge Mountains ecoregion.
WS 5M 2M
r A r A r A >_ 10 % impervious surfaces
IF B r B r B Confined animal operations (or other local, concentrated source of pollutants)
IF C r C r C >_ 20 % coverage of pasture
r D r- D I-" D >_ 20 % coverage of agricultural land (regularly plowed land)
r E r E r E >_ 20 % coverage of maintained grass/herb
r F r- F r- F >_ 20 % coverage of clear-cut land
F G r G r G Little or no opportunity to improve water quality. Lack of opportunity may result from little or no disturbance in
the watershed or hydrologic alterations that prevent dainage and/or overbank flow from affectio the
assessment area.
7. Wetland Acting as Vegetated Buffer — assessment area/wetland complex condition metric (skip for non -riparian wetlands)
7a. Is assessment area within 50 feet of a tributary or other open water?
re Yes f No If Yes, continue to 7b. If No, skip to Metric 8.
7b. How much of the first 50 feet from the bank is weltand? (Wetland buffer need only be present on one side of the water body. Make
buffer judgment based on the average width of wetland. Record a note if a portion of the buffer has been removed or disturbed.)
C A >! 50 feet
r B From 30 to < 50 feet
(e C From 15 to < 30 feet
C D From 5 to < 15 feet
r 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.
r• <_ 15-feet wide C > 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?
tl Yes i No
7e. Is tributary or other open water sheltered or exposed?
is Sheltered — adjacent open water with width < 2500 feet and no regular boat traffic.
r 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. 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
i A i A >— 100 feet
i B i B From 80 to < 100 feet
i C i C From 50 to < 80 feet
i D i D From 40 to < 50 feet
r E i E From 30 to < 40 feet
to F to F From 15 to < 30 feet
i G i G From 5 to < 15 feet
r H i H < 5 feet

9. Inundation Duration — assessment area condition metric (skip for non -riparian wetlands)
Answer for assessment area dominant landform.
ri A Evidence of short -duration inundation (< 7 consecutive days)
r B Evidence of saturation, without evidence of inundation
r 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).
ii A Sediment deposition is not excessive, but at approximately natural levels.
i B Sediment deposition is excessive, but not overwhelming the wetland.
r 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)
i A i A r A >_ 500 acres
i B i B r B From 100 to < 500 acres
i C i C r C From 50 to < 100 acres
i D i D r D From 25 to < 50 acres
i E i E r E From 10 to < 25 acres
i F i F r F From 5 to < 10 acres
i G i G ( G From 1 to < 5 acres
(' H (' H (' H From 0.5 to < 1 acre
i I r I ( I From 0.1 to < 0.5 acre
i J (e J r J From 0.01 to < 0.1 acre
i K r K 1W K < 0.01 acre or assessment area is clear-cut
12. Wetland Intactness — wetland type condition metric (evaluate for Pocosins only)
r 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 r A >_ 500 acres
r B r B From 100 to < 500 acres
r C r C From 50 to < 100 acres
r D r D From 10 to < 50 acres
(e E r E < 10 acres
i F r F Wetland type has a poor or no connection to other natural habitats
13b. Evaluate for marshes only.
r 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 and Estuarine Woody Wetland)
May involve a GIS effort with field adjustment. Estimate distance from wetland type boundary to artificial edges. Artificial edges include
non -forested areas >_ 40 feet wide such as fields, development, roads, regularly maintained utility line corridors and clear -cuts. Consider
the eight main points of the compass. Artificial edge occurs within 150 feet in how many directiions? If the assessment area is clear-cut,
select option "C."
rA 0
(i.B 1to4
rC 5to8
15. Vegetative Composition — assessment area condition metric (skip for all marshes and Pine Flat)
i 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.
i 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).
;r 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?
re Yes r 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
ro 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
Q
r A
r A
Canopy closed, or nearly closed, with natural gaps associated with natural processes
°
(i B
(i. B
Canopy present, but opened more than natural gaps
8
r C
r C
Canopy sparse or absent
o
r A
r A
Dense mid-story/sapling layer
C�
(^ B
(^ B
Moderate density mid-story/sapling layer
C
C
Mid-story/sapling layer sparse or absent
-0 r A
r A
Dense shrub layer
2
r r B
r B
Moderate density shrub layer
cO tV C
a C
Shrub layer sparse or absent
-2 r A
r A
Dense herb layer
t . B
(i B
Moderate density herb layer
r C
r C
Herb layer sparse or absent
18. Snags — wetland type condition metric (skip for all marshes)
r' A Large snags (more than one) are visible (> 12-inches DBH, or large relative to species present and landscape stability).
B Not A
19. Diameter Class Distribution — wetland type condition metric (skip for all marshes)
r A Majority of canopy trees have stems > 6 inches in diameter at breast height (DBH), many large trees (> 12 inches DBH) are
present.
r B Majority of canopy trees have stems between 6 and 12 inches DBH, few are > 12-inch DBH.
r 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.
r A Large logs (more than one) are visible (> 12 inches in diameter, or large relative to species present and landscape stability).
re 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.
All
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.
re A Overbank and overland flow are not severely altered in the assessment area.
r B Overbank flow is severely altered in the assessment area.
(" C Overland flow is severely altered in the assessment area.
r D Both overbank and overland flow are severely altered in the assessment area.
Notes

NC WAM Wetland Rating Sheet
Accompanies User Manual
Version 5.0
Wetland Site Name WD/WE
Date
4/28/2020
Wetland Type Headwater Forest
Assessor Name/Organization
Mason - Three Oaks En(
Notes on Field Assessment Form (Y/N)
NO
Presence of regulatory considerations (Y/N)
YES
Wetland is intensively managed (Y/N)
NO
Assessment area is located within 50 feet of a natural tributary or other open
water (Y/N)
YES
Assessment area is substantially altered by beaver (Y/N)
NO
Assessment area experiences overbank flooding during normal rainfall conditions (Y/N)
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
HIGH
Sub -Surface Storage and Retention
Condition
HIGH
Water Quality Pathogen Change
Condition
HIGH
Condition/Opportunity
HIGH
Opportunity Presence? (Y/N)
YES
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
HIGH
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
MEDIUM
Function Rating Summary
Function Metrics/Notes
Rating
Hydrology Condition
HIGH
Water Quality Condition
HIGH
Condition/Opportunity
HIGH
Opportunity Presence? (Y/N)
YES
Habitat Condition
LOW
Overall Wetland Rating HIGH

Appendix C
Preliminary ORM Data Sheet
JD Request Form
PJD Form
Waters Upload Spreadsheet
Agency Authorization Form

Preliminary ORM Data Entry Fields for New Actions
SAW — 202 0 -
BEGIN DATE [Received Date]:
Prepare file folder ❑ ❑
1. Project Name [PCN Form A2a]: U-6010, Alamance Co., NC
2. Work Type: Private ❑ Institutional ❑ Government Commercial ❑
3. Project Description / Purpose [PCN Form 133d and 133e]:
Intersection Improvements at US 70 (South Church Street) and SR 1311 (University Drive), including widening South
Church Street to a multi -lane roadway from west of University Drive to SR 1309 (Westbrook Avenue)
4. Property Owner / Applicant [PCN Form A3 or A4]: NCDOT
5. Agent / Consultant [PCN Form A5 — or ORM Consultant ID Number]: James Mason, Three Oaks Eng., Inc.
6. Related Action ID Number(s) [PCN Form 135b]: N/A
7. Project Location - Coordinates, Street Address, and/or Location Description [PCN Form 131b]:
35.36.080588,-79.526561
8. Project Location - Tax Parcel ID [PCN Form 131a]: N/A; NCDOT ROW
9. Project Location —County [PCN Form A2b]: Alamance
10. Project Location — Nearest Municipality or Town [PCN Form A2c]: Burlington
11. Project Information — Nearest Waterbody [PCN Form 132a]: Ingle Creek
12. Watershed / 8-Digit Hydrologic Unit Code [PCN Form 132c]: 03030002
Authorization: Section 10 ❑ Section 404 FEW Section 10 & 404 ❑
Regulatory Action Type:
❑ Standard Permit
U Nationwide Permit # 14
❑ Regional General Permit #
Q Jurisdictional Determination Request
n Pre -Application Request
❑ Unauthorized Activity
❑ Compliance
❑ No Permit Required
Revised 20150602

urisdictional Determination Reauest
US Army Corps
of Engineers
Wilmington District
This form is intended for use by anyone requesting a jurisdictional determination (JD) from the
U.S. Army Corps of Engineers, Wilmington District (Corps). Please include all supporting
information, as described within each category, with your request. You may submit your request
via mail, electronic mail, or facsimile. Requests should be sent to the appropriate project
manager of the county in which the property is located. A current list of project managers by
assigned counties can be found on-line at:
http://www.saw.usace.army.mil/Missions/Re2ulatoEyPermitPro2ram/Contact/Coun!yLocator.aWx,
by calling 910-251-4633, or by contacting any of the field offices listed below. Once your
request is received you will be contacted by a Corps project manager.
ASHEVILLE &CHARLOTTE REGULATORY
FIELD OFFICES
US Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, North Carolina 28801-5006
General Number: [phone]
Fax Number: [phone]
RALEIGH REGULATORY FIELD OFFICE
US Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
General Number: [phone]
Fax Number: [phone]
INSTRUCTIONS:
WASHINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
2407 West Fifth Street
Washington, North Carolina 27889
General Number: [phone]
Fax Number: [phone]
WILMINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
69 Darlington Avenue
Wilmington, North Carolina 28403
General Number: 910-251-4633
Fax Number: [phone]
All requestors must complete Parts A, B, C, D, E, F and G.
NOTE TO CONSULTANTS AND AGENCIES: If you are requesting a JD on behalf of a
paying client or your agency, please note the specific submittal requirements in Part H.
NOTE ON PART D — PROPERTY OWNER AUTHORIZATION: Please be aware that
all JD requests must include the current property owner authorization for the Corps to
proceed with the determination, which may include inspection of the property when
necessary. This form must be signed by the current property owner(s) or the owner(s)
authorized agent to be considered a complete request.
NOTE ON PART D - NCDOT REQUESTS: Property owner authorization/notification for
JD requests associated with North Carolina Department of Transportation (NCDOT)
projects will be conducted according to the current NCDOT/USACE protocols.
NOTE TO USDA PROGRAM PARTICIPANTS: A Corps approved or preliminary JD
may not be valid for the wetland conservation provisions of the Food Security Act of
1985. If you or your tenant are USDA Program participants, or anticipate participation in
USDA programs, you should also request a certified wetland determination from the local
office of the Natural Resources Conservation Service, prior to starting work.
Version: May 2017 Page 1

Jurisdictional Determination Request
A. PARCEL INFORMATION
Street Address: Intersection of US 70/SR 1311 (Univ. Dr.)
City, State: Burlington, NC
County: Alamance
Parcel Index Number(s) (PIN): within NCDOT ROW
B. REQUESTOR INFORMATION
Name: James Mason
Mailing Address: 324 Blackwell St, Suite 1200
Durham, NC 27701
Telephone Number: 919-732-1300
Electronic Mail Address: [e-mail]
Select one:
I am the current property owner.
W] I am an Authorized Agent or Environmental Consultant'
Interested Buyer or Under Contract to Purchase
Other, please explain.
C. PROPERTY OWNER INFORMATION
Name: NCDOT Highway Division 7
Mailing Address: PO BOX 14996
Greensboro, NC 27415-4996
Telephone Number: [phone]
Electronic Mail Address: [e-mail]
i Must provide completed Agent Authorization Form/Letter.
z Documentation of ownership also needs to be provided with request (copy of Deed, County GIS/Parcel/Tax Record).
Version: May 2017 Page 2

Jurisdictional Determination Request
D. PROPERTY ACCESS CERTIFICATION3,4
By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of
Engineers (Corps) to enter upon the property herein described for the purpose of conducting on -
site investigations, if necessary, and issuing a jurisdictional determination pursuant to Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. 1, the
undersigned, am either a duly authorized owner of record of the property identified herein, or
acting as the duly authorized agent of the owner of record of the property.
James Mason
Print Name
Capacity: ❑ Owner
6/10/2020
Date
James Mason
Signature
❑✓ Authorized Agents
Digitally signed by James Mason
Date: 2020.06.10 15:25:23-04'00'
E. REASON FOR JD REQUEST: (Check as many as applicable)
❑ I intend to construct/develop a projector perform activities on this parcel which would be
designed to avoid all aquatic resources.
❑ I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all jurisdictional aquatic resources under Corps authority.
0 I intend to construct/develop a projector perform activities on this parcel which may
require authorization from the Corps, and the JD would be used to avoid and minimize
impacts to jurisdictional aquatic resources and as an initial step in a future permitting
process.
❑ I intend to construct/develop a projector perform activities on this parcel which may
require authorization from the Corps; this request is accompanied by my permit application
and the JD is to be used in the permitting process.
❑ I intend to construct/develop a project or perform activities in a navigable water of the
U.S. which is included on the district Section 10 list and/or is subject to the ebb and flow of
the tide.
❑ A Corps JD is required in order obtain my local/state authorization.
❑ I intend to contest jurisdiction over a particular aquatic resource and request the Corps
confirm that jurisdiction does/does not exist over the aquatic resource on the parcel.
❑ I believe that the site may be comprised entirely of dry land.
❑ Other:
3 For NCDOT requests following the current NCDOT/USACE protocols, skip to Part E.
4 If there are multiple parcels owned by different parties, please provide the following for each additional parcel on a
continuation sheet.
s Must provide agent authorization form/letter signed by owner(s).
Version: May 2017 Page 3

Jurisdictional Determination Request
F. JURISDICTIONAL DETERMINATION (JD) TYPE (Select One)
❑� I am requesting that the Corps provide a preliminary JD for the property identified herein.
A Preliminary Jurisdictional Determination (PJD) provides an indication that there may
be '*waters of the United States" or *'navigable waters of the United States"on a property.
PJDs are sufficient as the basis for permit decisions. For the purposes of permitting, all
waters and wetlands on the property will be treated as if they are jurisdictional `'waters of
the United States". PJDs cannot be appealed (33 C.F.R. 331.2); however, a PJD is
"preliminary" in the sense that an approved JD can be requested at any time. PJDs do
not expire.
I am requesting that the Corps provide an approved JD for the property identified herein.
An Approved Jurisdictional Determination (AJD) is a determination that
jurisdictional "waters of the United States" or "navigable waters of the United
States" are either present or absent on a site. An approved JD identifies the limits of
waters on a site determined to be jurisdictional under the Clean Water Act and/or
Rivers and Harbors Act. Approved JDs are sufficient as the basis for permit
decisions. AJDs are appealable (33 C.F.R. 331.2). The results of the AJD will be
posted on the Corps website. A landowner, permit applicant, or other `'affected
party" (33 C.F.R. 331.2) who receives an AJD may rely upon the AJD for five years
(subject to certain limited exceptions explained in Regulatory Guidance Letter 05-
02).
I am unclear as to which JD I would like to request and require additional information
to inform my decision.
G. ALL REQUESTS
W1Map of Property or Project Area. This Map must clearly depict the boundaries of the
review area.
14 Size of Property or Review Area 34 acres.
❑ The property boundary (or review area boundary) is clearly physically marked on the site.
Version: May 2017 Page 4

Jurisdictional Determination Request
H. REQUESTS FROM CONSULTANTS
Project Coordinates (Decimal Degrees): Latitude: 36.080588
Longitude:-79.526561
W1A legible delineation map depicting the aquatic resources and the property/review area.
Delineation maps must be no larger than I Ix17 and should contain the following: (Corps
signature of submitted survey plats will occur after the submitted delineation map has been
reviewed and approved).
■ North Arrow
■ Graphical Scale
■ Boundary of Review Area
■ Date
■ Location of data points for each Wetland Determination Data Form or tributary
assessment reach.
For Approved Jurisdictional Determinations:
Jurisdictional wetland features should be labeled as Wetland Waters of the US, 404
wetlands, etc. Please include the acreage of these features.
Jurisdictional non -wetland features (i.e. tidal/navigable waters, tributaries,
impoundments) should be labeled as Non -Wetland Waters of the US, stream, tributary,
open water, relatively permanent water, pond, etc. Please include the acreage or linear
length of each of these features as appropriate.
Isolated waters, waters that lack a significant nexus to navigable waters, or non -
jurisdictional upland features should be identified as Non -Jurisdictional. Please
include a justification in the label regarding why the feature is non jurisdictional (i.e.
"Isolated", "No Significant Nexus", or "Upland Feature"). Please include the acreage
or linear length of these features as appropriate.
For Preliminary Jurisdictional Determinations:
Wetland and non -wetland features should not be identified as Jurisdictional, 404,
Waters of the United States, or anything that implies jurisdiction. These features can be
identified as Potential Waters of the United States, Potential Non -wetland Waters of
the United States, wetland, stream, open water, etc. Please include the acreage and
linear length of these features as appropriate.
Completed Wetland Determination Data Forms for appropriate region
ul (at least one wetland and one upland form needs to be completed for each wetland type)
6 Please refer to the guidance document titled "Survey Standards for Jurisdictional Determinations" to ensure that the
supplied map meets the necessary mapping standards. http://www.saw.usace.army.mil/Missions/Re ug latory-Permit-
Pro gram/Jurisdiction/
Version: May 2017 Page 5

Jurisdictional Determination Request
7Completed appropriate Jurisdictional Determination form
• PJDs, please complete a Preliminary Jurisdictional Determination Form- and include the
Aquatic Resource Table
• AJDs, please complete an Approved Jurisdictional Determination Form'
L7 Vicinity Map
L/1 Aerial Photograph
a USGS Topographic Map
Soil Survey Map
n Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps)
Landscape Photos (if taken)
NCSAM and/or NCWAM Assessment Forms and Rating Sheets
NC Division of Water Resources Stream Identification Forms
Other Assessment Forms
' www.saw.usace.army.mil/Portals/59/docs/rep-ulatoLy/readoes/JD/RGL_08-02 Apn A Prelim JD_ Form_fillable.pdf
' Please see http://www.saw.usace.army.mii/Missions/Re ua latoa-Permit-Program/Jurisdiction/
Principal Purpose: The information thatyou provide will be used in evaluating your request to determine
whether there are any aquatic resources within the project area subj ect to federalj urisdiction under the regulatory
authorities referenced above.
Routine Uses: This information may be shared with the Department of Justice and other federal, state, and local
government agencies, and the public, and may be made available as part of a public notice as required by federal
law. Your name and property location where federal j urisdiction is to be determined will be included in the
approvedjurisdictional determination (AJD), which will be made available to the public on the District's website
and on the Headquarters USAGE website.
Disclosure: Submission of requested information isvoluntary; however, if information is not provided, the
request for an AJD cannot be evaluated nor can an AJD be issued.
Version: May 2017 Page 6

Appendix 2 - PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PJD:
B. NAME AND ADDRESS OF PERSON REQUESTING PJD: .lames Mason, 324 Blackwell St, Suite 1200, Durham, NC 27701
C. DISTRICT OFFICE, FILE NAME, AND NUMBER:
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES AND/OR
AQUATIC RESOURCES AT DIFFERENT SITES)
State. NC County/parish/borough: AlarnanCe City: Burlington
Center coordinates of site (lat/long in degree decimal format):
Lat.: 35.36.080588 Long.:-79.526561
Universal Transverse Mercator: 17
Name of nearest waterbody: Ingle Creek
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
❑ Office (Desk) Determination. Date:
❑ Field Determination. Date(s):
TABLE OF AQUATIC RESOURCES IN REVIEW AREA WHICH "MAY BE" SUBJECT TO REGULATORY
JURISDICTION.
Site
number
Latitude
(decimal
degrees)
Longitude
(decimal
degrees)
Estimated amount
of aquatic resource
in review area
(acreage and linear
feet, if applicable)
Type of aquatic
resource (i.e., wetland
vs. non -wetland
waters)
Geographic authority
to which the aquatic
resource "may be"
subject (i.e., Section
404 or Section 10/404)
SEE
ATTACHED
Table

1) The Corps of Engineers believes that there may be jurisdictional aquatic resources in
the review area, and the requestor of this PJD is hereby advised of his or her option
to request and obtain an approved JD (AJD) for that review area based on an
informed decision after having discussed the various types of JDs and their
characteristics and circumstances when they may be appropriate.
2) In any circumstance where a permit applicant obtains an individual permit, or a
Nationwide General Permit (NWP) or other general permit verification requiring "pre -
construction notification" (PCN), or requests verification for a non -reporting NWP or
other general permit, and the permit applicant has not requested an AJD for the
activity, the permit applicant is hereby made aware that: (1) the permit applicant has
elected to seek a permit authorization based on a PJD, which does not make an
official determination of jurisdictional aquatic resources; (2) the applicant has the
option to request an AJD before accepting the terms and conditions of the permit
authorization, and that basing a permit authorization on an AJD could possibly result
in less compensatory mitigation being required or different special conditions; (3) the
applicant has the right to request an individual permit rather than accepting the terms
and conditions of the NWP or other general permit authorization; (4) the applicant can
accept a permit authorization and thereby agree to comply with all the terms and
conditions of that permit, including whatever mitigation requirements the Corps has
determined to be necessary; (5) undertaking any activity in reliance upon the subject
permit authorization without requesting an AJD constitutes the applicant's acceptance
of the use of the PJD; (6) accepting a permit authorization (e.g., signing a proffered
individual permit) or undertaking any activity in reliance on any form of Corps permit
authorization based on a PJD constitutes agreement that all aquatic resources in the
review area affected in any way by that activity will be treated as jurisdictional, and
waives any challenge to such jurisdiction in any administrative or judicial compliance
or enforcement action, or in any administrative appeal or in any Federal court; and (7)
whether the applicant elects to use either an AJD or a PJD, the JD will be processed
as soon as practicable. Further, an AJD, a proffered individual permit (and all terms
and conditions contained therein), or individual permit denial can be administratively
appealed pursuant to 33 C.F.R. Part 331. If, during an administrative appeal, it
becomes appropriate to make an official determination whether geographic
jurisdiction exists over aquatic resources in the review area, or to provide an official
delineation of jurisdictional aquatic resources in the review area, the Corps will
provide an AJD to accomplish that result, as soon as is practicable. This PJD finds
that there "may be"waters of the U.S. and/or that there "may be" navigable waters of
the U.S. on the subject review area, and identifies all aquatic features in the review
area that could be affected by the proposed activity, based on the following
information:

SUPPORTING DATA. Data reviewed for PJD (check all that apply)
Checked items should be included in subject file. Appropriately reference sources
below where indicated for all checked items:
❑■ Maps, plans, plots or plat submitted by or on behalf of the PJD requestor:
Map: Vicinity Map, Topo Map, Jurisdictional Features Map, LiDAR Map
0 Data sheets prepared/submitted by or on behalf of the PJD requestor.
❑ Office concurs with data sheets/delineation report.
❑ Office does not concur with data sheets/delineation report. Rationale:
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
❑ U.S. Geological Survey Hydrologic Atlas:
❑ USGS NHD data.
❑ USGS 8 and 12 digit HUC maps.
0 U.S. Geological Survey map(s). Cite scale & quad name: 1:24,000 2019 Gibsonville, NC
0 Natural Resources Conservation Service Soil Survey. Citation: 1960 Alamance County Soil Survey
❑ National wetlands inventory map(s). Cite name:
❑ State/local wetland inventory map(s):
❑ FEMA/FIRM maps:
❑ 100-year Floodplain Elevation is: .(National Geodetic 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):
IMPORTANT NOTE: The information recorded on this form has not necessarily
been verified by the Corps and should not be relied upon for later jurisdictional
determinations.
Signature and date of
Regulatory staff member
completing PJD
James Mason DDa'ea202i0n061015a2410 0400' 6/10/2020
Signature and date of
person requesting PJD
(REQUIRED, unless obtaining
the signature is impracticable)'
' Districts may establish timeframes for requestor to return signed PJD forms. If the requestor does not respond
within the established time frame, the district may presume concurrence and no additional follow up is
necessary prior to finalizing an action.

Aquatic resources in the review area which "may be" subject to regulatory _jurisdiction
Geographic
Estimated amount
Type of
authority to
Site
Latitude
Longitude
of aquatic resource
aquatic
which the aquatic
Number
in review area (lin.
ft. or ac.)
resource
resource "may
be" subject
Non -wetland
SA
36.079731
-79.527536
240
WOUS (Per.
Section 404
Str.
Non -wetland
Ingle Creek
36.080181
-79.527904
403
WOUS (Per.
Section 404
Str.
Non -wetland
SC
36.080769
-79.528178
47
WOUS (Per.
Section 404
Str.
Non -wetland
SD
36.08016
-79.5208
44
WOUS (Int.
Section 404
Str.
WA
36.079645
-79.52664
0.05
Wetland
Section 404
WB
36.080645
-79.527936
< 0.01
Wetland
Section 404
WC
36.079992
-79.527891
< 0.01
Wetland
Section 404
WD
36.080251
-79.520821
0.01
Wetland
Section 404
WE
36.080156
-79.520393
0.03
Wetland
Section 404
Note: There is no Stream SB

in —Cod
s_Type
SA
North Carolina
R3UB
RIVERINE
Linear
Ingle Creek
North Carolina
R3UB
RIVERINE
Linear
SC
North Carolina
R3UB
RIVERINE
Linear
SD
North Carolina
R4SB
RIVERINE
Linear
WA
North Carolina
PFO
RIVERINE
Area
WB
North Carolina
PFO
RIVERINE
Area
WC
North Carolina
PFO
RIVERINE
Area
WD
North Carolina
PFO
RIVERINE
Area
WE
North Carolina
PFO
RIVERINE
Area
A
aters_Type
240
FOOT
DELINEATE
403
FOOT
DELINEATE
47
FOOT
DELINEATE
44
FOOT
DELINEATE
0.05
ACRE
DELINEATE
0.01
ACRE
DELINEATE
0.01
ACRE
DELINEATE
0.01
ACRE
DELINEATE
0.03
ACRE
DELINEATE
Local Waterway
36.079731
-79.527536
Ingle
Creek
36.080181
-79.527904
Ingle
Creek
36.080769
-79.528178
Ingle
Creek
36.08016
-79.5208
Ingle
Creek
36.079645
-79.52664
Ingle
Creek
36.080645
-79.527936
Ingle
Creek
36.079992
-79.527891
Ingle
Creek
36.080251
-79.520821
Ingle
Creek
36.080156
-79.520393
Ingle
Creek

NCDOT Project No. U-6010, Alamance Co.
Intersection Improvements at US 70 (South Church Street) and SR 1311
(University Drive), including widening South Church Street to a multi -lane
roadway from west of University Drive to SR 1309 (Westbrook Avenue)
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO.
N/A; Within
PARCEL ID: N C DOT ROW
STREET ADDRESS: Intersection of US 70 (South Church Street) and SR 1311 (University Drive);
South Church Street from west of University Drive to SR 1309 (Westbrook Avenue)
Please print: NCDOT Highway Division 7
Property Owner:
Property Owner: ATTN : Jerry Parker
The undersigned, registered property owners of the above noted property, do hereby authorize
James Mason/Nancy Scott of
(Contractor / Agent)
Three Oaks Engineering, Inc.
(Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
NCDOT Highway Division 7, PO Box 14996, Greensboro, INC 27415-4996
Telephone:
[phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Digitally signed by Jan
Jerry Parker D.t.
Date: 2020.06.10
15:00:37-04'00'
Authorized Signature
Date: 6-10-2020
James
Mason Three Oaks Engineering, Inc.
Authorized Signature
Date: 4/27/2020
Nancy
Scott Three Oaks Engineering, Inc.
4/27/2020

Appendix D
Site Photographs

v
v
U
v
tv0
t

U
N
E
ca
v
N

r a f
++!Y Y
1.
r}
T
J ,r
r 1'

d
1 '
A
EJk 1 y
4
S
1
�
i •�
� RI ♦q
)�