20140335 Ver 1_Stream Call Letter_20140617

NC©ENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
John E. Skvarla, III
Secretary
June 17, 2014
Mr. Scott Davis
Axiom Environmental Inc.
218 Snow Ave
Raleigh, NC 27603
Subject Property: Aycock Springs Stream and Wetland Restoration Site, Alamance County
On -Site Determination for Applicability to the Mitigation Rules (15A NCAC 2H .0500)
On -Site Determination for Applicability to the Jordan Buffer Rules (15A NCAC 2B .0267)
Dear Mr. Davis:
On May 29, 2014, at your request and in your attendance, Sue Homewood conducted an on -site
determination to review features located on the subject project for stream determinations with regards to
the above noted state regulations. David Bailey with the US Army Corps of Engineers (USACE) was also
present at the site visit.
The Division acknowledges the areas and boundaries identified as jurisdictional wetlands by the USACE. The
attached map accurately depicts all stream determinations conducted during the site visit.
Please note that at the time of this letter, all intermittent and perennial stream channels and jurisdictional
wetlands found on the property are subject to the mitigation rules cited above. These regulations are subject
to change in the future.
The owner (or future owners) should notify the Division (and other relevant agencies) of this decision in any
future correspondences concerning this property. This on -site determination shall expire five (5) years from
the date of this letter.
Winston -Salem Regional Office
Location: 585 Waughtown St. Winston - Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1- 877 - 623 -6748
Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
N�orthCarolina
Natlmal f

Scott Davis
Aycock Springs Stream & Wetland Mitigation Site
June 17, 2014
Page 2 of 2
Landowners or affected parties that dispute a determination made by the Division or Delegated Local
Authority that a surface water exists and that it is subject to the buffer rule may request a determination by
the Director. A request for a determination by the Director shall be referred to the Director in writing c/o
Wetlands and Buffers Permitting and Compliance Unit, 1650 Mail Service Center, Raleigh, NC 27699 -1650.
Individuals that dispute a determination by the Division or Delegated Local Authority that "exempts" surface
water from the buffer rule may ask for an adjudicatory hearing. You must act within 60 days of the date that
you receive this letter. Applicants are hereby notified that the 60 -day statutory appeal time does not start
until the affected party (including downstream and adjacent landowners) is notified of this decision. The
Division recommends that the applicant conduct this notification in order to be certain that third party
appeals are made in a timely manner. To ask for a hearing, send a written petition, which conforms to
Chapter 150B of the North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail
Service Center, Raleigh, N.C. 27699 -6714. This determination is final and binding unless you ask for a hearing
within 60 days.
This letter only addresses the applicability to the mitigation rules and the buffer rules and does not approve
any activity within Waters of the United States or Waters of the State or their associated buffers. If you have
any additional questions or require additional information please contact me at 336 - 771 -4964 or
sue.homewood @ncdenr.gov.
Sincerely,
Sue Homewood
Winston -Salem Regional Office
Enclosures: USGS Topo Map
ECS Map
cc: Gary & Pam Oakley, 3016 Amick Rd, Elon NC 27244
David Bailey, USACE Raleigh Regulatory Field Office (via email)
DWR, Winston -Salem Regional Office

Jurisdictional Determination Request
aaa
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
to the appropriate Corps Field Office (or project manager, if known) via mail, electronic mail, or
facsimile. A current list of county assignments by Field Office and project manager can be
found on -line at: http:// www .saw.usace.army.mil /Missions/Re ug latoDPermitPro r�px , by
telephoning: 910- 251 -4633, or by contacting any of the field offices listed below:
ASHEVILLE REGULATORY FIELD OFFICE
US Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, North Carolina 28801 -5006
General Number: (828) 271 -7980
Fax Number: (828) 281 -8120
RALEIGH REGULATORY FIELD OFFICE
US Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
General Number: (919) 554 -4884
Fax Number: (919) 562 -0421
WASHINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
2407 West Fifth Street
Washington, North Carolina 27889
General Number: (910) 251 -4610
Fax Number: (252) 975 -1399
WILMINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
69 Darlington Avenue
Wilmington, North Carolina 28403
General Number: 910 - 251 -4633
Fax Number: (910) 251 -4025
Version: December 2013 Page 1

Jurisdictional Determination Request
INSTRUCTIONS:
All requestors must complete Parts A, B, C, D, E and F.
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 G.
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 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: December 2013 Page 2

Jurisdictional Determination Request
A. PARCEL INFORMATION
Street Address: 3016 Amick Road
City, State: Elon, NC 27244
County: Alamance
Directions. From 1 -40 (exit 140), travel north toward Elon on University Drive for 2.8 miles and merge with NC100. Travel 0.5 mile and turn left
onto Manning Street. Travel for 0.8 mile and turn right onto Oibsonville- Ossippee Road. Travel for 0.7 mile and the site is on the right.
Parcel Index Number(s) (PIN): 170380, 110136, 110189, 110190, 110223
B. REQUESTOR INFORMATION
Name: Grant Lewis - Axiom Environmental, Inc.
Mailing Address: 218 Snow Avenue, Raleigh, NC, 27603
Telephone Number: 919 - 215 -1693
Electronic Mail Addresst: glewis @axiomenvironmental.org
Select one:
❑ I am the current property owner.
✓❑ I am an Authorized Agent or Environmental Consultant
❑ Interested Buyer or Under Contract to Purchase
❑ Other, please explain.
C. PROPERTY OWNER INFORMATION
Name: Gary B. and Pam M. Oakley
Mailing Address: 3016 Amick Road
Elon, NC 27244
Telephone Number: 336- 516 -0758
Electronic Mail Address 3: gmoakley1 @hotmail.com
❑✓ Proof of Ownership Attached (e.g. a copy of Deed, County GIS /Parcel /Tax Record data)
1 If available
2 Must attach completed Agent Authorization Form
3 If available
Version: December 2013 Page 3

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

F.
❑
✓
❑✓
0
G.
Jurisdictional Determination Request
ALL REQUESTS
Map of Property or Project Area (attached). This Map must clearly depict the boundaries
of the area of evaluation.
Size of Property or Project Area 15.9
acres
I verify that the property (or project) boundaries have recently been surveyed and marked
by a licensed land surveyor OR are otherwise clearly marked or distinguishable.
JD REQUESTS FROM CONSULTANTS OR AGENCIES
(1) Preliminary JD Requests:
❑✓ Completed and signed Preliminary Jurisdictional Determination Form6.
P✓ Project Coordinates: 36.127148
Latitude - 79.525245
Maps (no larger than 11x17) with Project Boundary Overlay:
Longitude
❑1 Large and small scale maps that depict, at minimum: streets, intersections, towns
❑✓ Aerial Photography of the project area
W✓ USGS Topographic Map
❑✓ Soil Survey Map
Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps)
6 See Appendix A of this Form. From Regulatory Guidance Letter No. 08 -02, dated June 26, 2008
Version: December 2013 Page 5

Jurisdictional Determination Request
Delineation Information (when applicable):
Wetlands:
7 Wetland Data Sheets
a
■
1
Upland Data Sheets
Landscape Photos, if taken
Tributaries:
W-1 USACE Assessment Forms
❑ Other Assessment Forms
(when appropriate)
Field Sketch overlain on legible Map that includes:
• All aquatic resources (for sites with multiple resources, label and identify)
• Locations of wetland data points and/or tributary assessment reaches
• Locations of photo stations
• Approximate acreage /linear footage of aquatic resources
(2) Approved JDs including Verification of a Delineation:
❑ Project Coordinates:
Latitude
Longitude
Maps (no larger than 11x17) with Project Boundary Overlay:
❑ Large and small scale maps that depict, at minimum: streets, intersections, towns
❑ Aerial Photography of the project area
❑ USGS Topographic Map
❑ Soil Survey Map
❑ Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site Plan,
previous delineation maps)
1987 Manual Regional Supplements and Data forms can be found at:
http: /Iwww.usace.army.mil/ Missions/ CivilWorks/ RegulatoryProgramandPermits /reg supp.aspx
Wetland and Stream Assessment Methodologies can be found at:
http: / /portal.ncdenr.org /c /document library /get file ?uuid= 76f3c58b -dab8- 4960- ba43- 45b7faf06f4c &groupld =38364 and,
http: / /www.saw.usace.army.mil/ Portals /59 /docs /regulatory /publicnotices /2013 /NCSAM Draft User Manual 130318.pdf
8 Delineation information must include, at minimum, one wetland data sheet for each wetland /community type.
Version: December 2013 Page 6

Jurisdictional Determination Request
Delineation Information (when applicable):
Wetlands:
❑ Wetland Data Sheets9
Tributaries:
❑ USACE Assessment Forms
❑ Upland Data Sheets ❑ Other Assessment Forms
(when appropriate)
❑ Landscape Photos, if taken
❑ Field Sketch overlain on legible Map that includes:
• All aquatic resources (for sites with multiple resources, label and identify)
• Locations of wetland data points and/or tributary assessment reaches
• Locations of photo stations
• Approximate acreage /linear footage of aquatic resources
Supporting Jurisdictional Information (for Approved JDs only)
❑ Approved Jurisdictional Determination Form(s) (also known as "Rapanos
Form(s)")
❑ Map(s) depicting the potential (or lack of potential) hydrologic connection(s),
adjacency, etc. to navigable waters.
9 Delineation information must include, at minimum, one wetland data sheet for each wetland /community type.
Version: December 2013 Page 7

Jurisdictional Determination Request
I. REQUESTS FOR CORPS APPROVAL OF SURVEY PLAT
Prior to final production of a Plat, the Wilmington District recommends that the Land
Surveyor electronically submit a draft of a Survey Plat to the Corps project manager for
review.
Due to storage limitations of our administrative records, the Corps requires that all hard -
copy submittals include at least one original Plat to scale) that is no larger than 11 "x17"
(the use of match lines for larger tracts acceptable). Additional copies of a plat, including
those larger than 11 "xl7 ", may also be submitted for Corps signature as needed. The
Corps also accepts electronic submittals of plats, such as those transmitted as a Portable
Document Format (PDF) file. Upon verification, the Corps can electronically sign these
plats and return them via e -mail to the requestor.
(1) PLATS SUBMITTED FOR APPROVAL
❑ Must be sealed and signed by a licensed professional land surveyor
❑ Must be to scale (all maps must include both a graphic scale and a verbal scale)
❑ Must be legible
❑ Must include a North Arrow, Scale(s), Title, Property Information
❑ Must include a legible WoUS Delineation Table of distances and bearings /metes
and bounds /GPS coordinates of all surveyed delineation points
❑ Must clearly depict surveyed property or project boundaries
❑ Must clearly identify the known surveyed point(s) used as reference (e.g. property
corner, USGS monument)
❑ When wetlands are depicted:
• Must include acreage (or square footage) of wetland polygons
• Must identify each wetland polygon using an alphanumeric system
Version: December 2013 Page 8

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

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

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

NORTH CAROLINA ECOSYSTEM ENHANCEMENT PROGRAM
LANDOWNER AUTHORIZATION FORM
Property Legal Description
Alamance County, North Carolina
Parcel ID Number
Deed Book
Deed Page
170380
2832
0522
110136
1632
729
110189
2468
268
110190,110223
935
328
Street Address: 3016 Amick Road, Elon, NC 27244
Property Owner (please print: Ga M. Oakle
Property Owner (please print): Pamela B. Oakley_
The undersigned, registered property owner(s) of the above property, do hereby authorize
Restoration Systems, LLC Full Delivery Provider, the NC Department of Environment
and Natural Resources, and the US Army Corps of Engineers, their employees, agents or assigns to
have reasonable access to the above referenced property for the evaluation of the property as a
potential stream, wetland and /or riparian buffer mitigation project, including conducting stream
and /or wetland determinations and delineations, as well as issuance and acceptance of any required
permit(s) or certification(s).
Property Owners(s) Address:
(if different from above)
Property Owner Telephone Number: 336 -516 -0758
I/We hereby certify the above information to be true and accurate to the best of my /our knowledge.
Owner Authorized Signature
'o /ayl�3
(Date)
�" _ __ 16.1 -f-/ 3 _
(Property Owner Authorized Signature) (Date)

A TTA CHMENT A
PRELIMINARY JURISDICTIONAL DETERMINATION FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PRELIMINARY JURISDICTIONAL
DETERMINATION (JD):
B. NAME AND ADDRESS OF PERSON REQUESTING PRELIMINARY JD:
C. DISTRICT OFFICE, FILE NAME, AND NUMBER:
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
(USE THE ATTACHED TABLE TO DOCUMENT MULTIPLE WATERBODIES AT DIFFERENT
SITES)
State: NC County /parish /borough: Alamance County City: near
Center coordinates of site (lat /long in degree decimal format):
Lat. 36.127148 °N; Long. - 79.525245 OW.
Universal Transverse Mercator:
Name of nearest waterbody: Travis creek
Identify (estimate) amount of waters in the review area:
Non - wetland waters:
-5226 linear feet: `9 ft avg, 3 ft mean width (ft) and /or 1.10 acres.
COwardln Class: R31-162, R31-1132/3, R4SB4/5
Stream Flow: Perennial ( -5087 linear feet), Intermittent ( -139 linear feet)
Wetlands: 1.71 acres.
Cowardln Class: PSS1A, PSS1C, PEM2C, PF01C
Name of any water bodies on the site that have been identified as Section 10
waters:
Tidal: n/a
Non - Tidal: n/a
1

E
REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT
APPLY):
❑ Office (Desk) Determination. Date:
❑ Field Determination. Date(s):
SUPPORTING DATA. Data reviewed for preliminary JD
(check all that apply - checked items should be included in case file and,
where checked and requested, appropriately reference sources below):
❑ Maps, plans, plots or plat submitted by or on behalf of the
applicant /consultant: Ossippee, NC (1970) and Gibsonville, NC (1970) 7.5- minute quadrangles
❑✓ Data sheets prepared /submitted by or on behalf of the
applicant/consultant.
❑Office concurs with data sheets /delineation report.
❑ Office does not concur with data sheets /delineation report.
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
❑ U.S. Geological Survey Hydrologic Atlas:
❑ USGS NHD data
❑ USGS 8 and 12 digit HUC maps
❑ U.S. Geological Survey map(s). Cite scale & quad name:
✓❑ USDA Natural Resources Conservation Service Soil Survey.
Citation: Soil Survey of Alamance County
❑ National wetlands inventory map(s). Cite name:
❑ State /Local wetland inventory map(s):
❑ FEMA /FIRM maps:
■
100 -year Floodplain Elevation is:
(National Geodectic Vertical Datum of 1929)
❑ Photographs: ❑ Aerial (Name & Date):
❑ Other (Name & Date):
❑ Previous determination(s). File no. and date of response letter:
❑ Other information (please specify):
2
or

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

This preliminary JD finds that there "maybe" waters of the United States on the
subject project site, and identifies all aquatic features on the site that could be
affected by the proposed activity, based on the following information:
IMPORTANT NOTE: The information recorded on this form has not
necessarily been verified by the Corps and should not be relied upon for
later jurisdictional determinations.
Signature and date of
Regulatory Project Manager
(REQUIRED)
E
Signature and date of
person requesting preliminary JD
(REQUIRED, unless obtaining
the signature is impracticable)

SAMPLE
Estimated
Site
number
Latitude
Longitude
Cowardin
Class
amount of
aquatic
Class of
aquatic
resource in
resource
review area
1
0.1 acre
Non - section 10
— non - wetland
2
100 linear feet
Non- section10
— wetland
3
15 square feet
Non - section 10
— wetland
4
0.01 acre
Non - section 10
— non - wetland

A TTA CHMENT A
PRELIMINARY JURISDICTIONAL DETERMINATION FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PRELIMINARY JURISDICTIONAL
DETERMINATION (JD):
B. NAME AND ADDRESS OF PERSON REQUESTING PRELIMINARY JD:
C. DISTRICT OFFICE, FILE NAME, AND NUMBER:
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
(USE THE ATTACHED TABLE TO DOCUMENT MULTIPLE WATERBODIES AT DIFFERENT
SITES)
State: NC County /parish /borough: Alamance County City: near Elon
Center coordinates of site (lat /long in degree decimal format):
Lat. 36.127148 °N; Long. - 79.525245 OW.
Universal Transverse Mercator:
Name of nearest waterbody: Travis creek
Identify (estimate) amount of waters in the review area:
Non - wetland waters:
--5270 linear feet: -9 ft avg, 3 ft mean width (ft) and /or 1.10 acres.
COwardln Class: R31-162, R31-1132/3, R4SB4/5
Stream Flow: Perennial ( -5132 linear feet), Intermittent ( -139 linear feet)
Wetlands: 1.79 acres.
COwardln Class: PSS1A, PSS1C, PEM2C, PF01C
Name of any water bodies on the site that have been identified as Section 10
waters:
Tidal: n/a
Non - Tidal: n/a
1

E
REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT
APPLY):
❑ Office (Desk) Determination. Date:
❑ Field Determination. Date(s):
SUPPORTING DATA. Data reviewed for preliminary JD
(check all that apply - checked items should be included in case file and,
where checked and requested, appropriately reference sources below):
❑ Maps, plans, plots or plat submitted by or on behalf of the
applicant /consultant: Ossippee, NC (1970) and Gibsonville, NC (1970) 7.5- minute quadrangles
❑✓ Data sheets prepared /submitted by or on behalf of the
applicant/consultant.
❑Office concurs with data sheets /delineation report.
❑ Office does not concur with data sheets /delineation report.
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
❑ U.S. Geological Survey Hydrologic Atlas:
❑ USGS NHD data
❑ USGS 8 and 12 digit HUC maps
❑ U.S. Geological Survey map(s). Cite scale & quad name:
✓❑ USDA Natural Resources Conservation Service Soil Survey.
Citation: Soil Survey of Alamance County
❑ National wetlands inventory map(s). Cite name:
❑ State /Local wetland inventory map(s):
❑ FEMA /FIRM maps:
■
100 -year Floodplain Elevation is:
(National Geodectic Vertical Datum of 1929)
❑ Photographs: ❑ Aerial (Name & Date):
❑ Other (Name & Date):
❑ Previous determination(s). File no. and date of response letter:
❑ Other information (please specify):
2
or

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

This preliminary JD finds that there "maybe" waters of the United States on the
subject project site, and identifies all aquatic features on the site that could be
affected by the proposed activity, based on the following information:
IMPORTANT NOTE: The information recorded on this form has not
necessarily been verified by the Corps and should not be relied upon for
later jurisdictional determinations.
Signature and date of
Regulatory Project Manager
(REQUIRED)
E
Signature and date of
person requesting preliminary JD
(REQUIRED, unless obtaining
the signature is impracticable)

SAMPLE
Estimated
Site
number
Latitude
Longitude
Cowardin
Class
amount of
aquatic
Class of
aquatic
resource in
resource
review area
1
0.1 acre
Non - section 10
— non - wetland
2
100 linear feet
Non- section10
— wetland
3
15 square feet
Non - section 10
— wetland
4
0.01 acre
Non - section 10
— non - wetland

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Estimated amount of
Site Number/ Feature
Cowardin
aquatic resource in
Class of aquatic
Name
Latitude
Longitude
Class
review area
resource
Non - Section 10,
Travis Creek
36.127128
- 79.525233
R3UB2
2519 linear feet
Non - wetland
B4/5
R4S4SB2
Non - Section 10,
UT1 to Travis Creek
36.127385
- 79.521151
1179 linear feet
R /3
Non - wetland
Non - Section 10,
UT2 to Travis Creek
36.127743
- 79.521715
R3UB2 /3
723 linear feet
Non - wetland
Non - Section 10,
UT3 to Travis Creek
36.128554
- 79.525881
R4SB4/5
164 linear feet
Non - wetland
Non - Section 10,
UT4 to Travis Creek
36.129647
- 79.527292
R3UB2 /3
426 linear feet
Non - wetland
Non - Section 10,
UT5 to Travis Creek
36.128414
- 79.526411
R4SB4/5
105 linear feet
Non - wetland
Non - Section 10,
UT6 to Travis Creek
36.125048
- 79.524221
R3UB2
110 linear feet
Non - wetland
Non - Section 10,
Wetland W1
36.129654
- 79.527251
PSS1A
0.352 acre
Wetland
Non - Section 10,
Wetland W2
36.128678
- 79.526154
PSS1C
0.434 acre
Wetland
Non - Section 10,
Wetland W3
36.128647
- 79.526790
PEM2C
0.004 acre
Wetland
Non - Section 10,
Wetland W4
36.128495
- 79.526662
PEM2C
0.010 acre
Wetland
Non - Section 10,
Wetland W5
36.128302
- 79.526128
PEM2C
0.031 acre
Wetland
Non - Section 10,
Wetland W6
36.128022
- 79.525551
PEM2C
0.006 acre
Wetland
Non - Section 10,
Wetland W7
36.127299
- 79.525118
PSS1C
0.079 acre
Wetland
Non - Section 10,
Wetland W8
36.125981
- 79.524687
PFO1C
0.069 acre
Wetland
Non - Section 10,
Wetland W9
36.125290
- 79.524213
PSS1C
0.101 acre
Wetland
Non - Section 10,
Wetland W10
36.128370
- 79.521933
PSS1A
0.022 acre
Wetland
Non - Section 10,
Wetland W11
36.128375
- 79.521007
PSS1A
0.004 acre
Wetland
Non - Section 10,
Wetland W12
36.128253
- 79.521057
PSS1A
0.002 acre
Wetland
Non - Section 10,
Wetland W13
36.127418
- 79.521352
PSS1A
0.609 acre
Wetland
Non - Section 10,
Wetland W14
36.126961
- 79.521422
PSS1A
0.066 acre
Wetland

Estimated amount of
Site Number/ Feature
Cowardin
aquatic resource in
Class of aquatic
Name
Latitude
Longitude
Class
review area
resource
Non - Section 10,
Travis Creek
36.127128
- 79.525233
R3UB2
2519 linear feet
Non - wetland
R4S4SB2
B4/5
Non - Section 10,
UT1 to Travis Creek
36.127385
- 79.521151
1179 linear feet
R /3
Non - wetland
Non - Section 10,
UT2 to Travis Creek
36.127743
- 79.521715
R3UB2 /3
723 linear feet
Non - wetland
Non - Section 10,
UT3 to Travis Creek
36.128554
- 79.525881
R4SB4/5
164 linear feet
Non - wetland
Non - Section 10,
UT4 to Travis Creek
36.129647
- 79.527292
R3UB2 /3
426 linear feet
Non - wetland
Non - Section 10,
UT5 to Travis Creek
36.128414
- 79.526411
R4SB4/5
105 linear feet
Non - wetland
Non - Section 10,
UT6 to Travis Creek
36.125048
- 79.524221
R3UB2
110 linear feet
Non - wetland
Non - Section 10,
Wetland W1
36.129654
- 79.527251
PSS1A
0.352 acre
Wetland
Non - Section 10,
Wetland W2
36.128678
- 79.526154
PSS1C
0.434 acre
Wetland
Non - Section 10,
Wetland W3
36.128647
- 79.526790
PEM2C
0.004 acre
Wetland
Non - Section 10,
Wetland W4
36.128495
- 79.526662
PEM2C
0.010 acre
Wetland
Non - Section 10,
Wetland W5
36.128302
- 79.526128
PEM2C
0.031 acre
Wetland
Non - Section 10,
Wetland W6
36.128022
- 79.525551
PEM2C
0.006 acre
Wetland
Non - Section 10,
Wetland W7
36.127299
- 79.525118
PSS1C
0.079 acre
Wetland
Non - Section 10,
Wetland W8
36.125981
- 79.524687
PFO1C
0.069 acre
Wetland
Non - Section 10,
Wetland W9
36.125290
- 79.524213
PSS1C
0.101 acre
Wetland
Non - Section 10,
Wetland W10
36.128370
- 79.521933
PSS1A
0.008 acre
Wetland
Non - Section 10,
Wetland W11
36.128375
- 79.521007
PSS1A
0.004 acre
Wetland
Non - Section 10,
Wetland W12
36.128253
- 79.521057
PSS1A
0.002 acre
Wetland
Non - Section 10,
Wetland W13
36.127418
- 79.521352
PSS1A
0.609 acre
Wetland

N
S
w o' ; ' I. Project:
Howerton Roadl� .. y 4ohe "PhibbS,Road' * ` _
nv
rt i Mountain Sediment Poo! i -- � ROaq i\ O i- r, -
1 Aycock Springs
I a �> Arni R Stream and
ck
Attamahaw �. E _ r, . Oad'• .
I I r � Wetland
I
87
I .Lakeview I
- a
_
4-
L.7 L.
j , -, •
Pitt R
o �,
- Mitigation
a
'C% Site
O
Morgantown Aycock Springs
nsv r Ile I
,_ ib orn,ie ' O •VtY I .. _ . Stream and Wetland dekane EI)n Co. llege Haw ' aver O Mitigation Site ai FQ Graham
�\,� , ^` ✓
. .
f x
�
Alamance County, NC tsett •
arlingtonAlirmanceA, �..
Flagional A;lamance 8' i I 36.127271 N .-, '� �(' y < ' 1 i ' Title:
,Swepsonvdle I _ - - 79.525214 W �./
I 54 I ower, Line Road r ; J r^
,, r• s �' LT - Pro ect
l- I Cane Creek I Caro�1`- al `,Z; a rF•,� �, °1 ` �j;
�ireen;toilr •Mountains •Saxapal'avv n Road •; �y �• .:" NO ) (- 7 ,_^� � ', • #: .. - -- _ - Location
l O
Snow Camp Y J �I \ LG ` i� ��� t,� ltd _ i , PJe �• , ) v; r
--
li__ —' � '�`•., �I� t ;,,' •���` � \� +1 Vie; �' rF, � �, y • �,�
t, LL ` j < < y �' �f '! 1 I !}. Notes:
-- ---------------- - - - - - -- /, Background Imagery sources
o GIBSONVILLE r '1_ i - t (provided by ESRI Data and
r ' 100 _ ' r ri Maps):
��cv` Physical Map o • 1 P ical t United
C`? States (2009) created by the
e1 r: :: �I, ',1�� l on'� ' j U.S. Park Service upper inset).
2. Delorme World Basema p
digital mapping (2010, lower
BURLINGT.ONj ; K inset).
<.
- _ , .f 3� �)` cr-;.r � i � ••. ••:. •r: \, M rr 3. Burlington, NC (1980),
` `; 1-; 1` i. Lake Burlington, NC (1969),
16 Kivette House Road Gibsonville, NC (1970), and
EernwaY Road r `. .'. ` •,�- K % Ossipee, NC (197 0) 7.5-
i = minute topographic
ELON, quadrangles provided by the
,. a: j -} t :, U.S. Geological Survey.
v r• .
WHIT.SETT
®" I Church S _
_ treet• r, t
70 -t` i.I112LS1 FU�� : �'9
/ - tj! • � Drawn b SGD
( Date: Apr 2014
Legend �• �, i /` / ( \ f % Scale: As Shown
Aycock Springs Stream and Wetland Mitigation Site I r �' ; ` 1 `, ` o -, \ Project No.: 14 -006
— —� County lines
r :Wnitse t park i f - I. =� \ (��� FIGURE
�.
Miles - °-
I Directions to the Site from Interstates 40/85 in Burlington /Eton, NC:
- Exit onto University Drive (1 -40/85 Exit 140) and travel north (toward Elon)
i 3 - Travel north for 2.8 miles and merge with NC 100
?
O ' - Continue on University Drive (NC 100) for 0.5 mile and turn left onto Manning Street (SR 1503)
Iy
- Travel northwest for 0.8 mile and turn right onto Gibsonville - Ossipee Road (SR 1500)
Axiom EwFonmentat.iw.
Oz i rn - Travel north for 0.7 mile and Site is on the right
O o j
C7 ea p� r"
Prepared for:
L L. O r. o - J
- J C y Y Barb �' d tom•. w s
<, er R J ,� J
r
Q 0�`q
rN
•CO
w o' ; ' I. Project:
Howerton Roadl� .. y 4ohe "PhibbS,Road' * ` _
nv
rt i Mountain Sediment Poo! i -- � ROaq i\ O i- r, -
1 Aycock Springs
I a �> Arni R Stream and
ck
Attamahaw �. E _ r, . Oad'• .
I I r � Wetland
I
87
I .Lakeview I
- a
_
4-
L.7 L.
j , -, •
Pitt R
o �,
- Mitigation
a
'C% Site
O
Morgantown Aycock Springs
nsv r Ile I
,_ ib orn,ie ' O •VtY I .. _ . Stream and Wetland dekane EI)n Co. llege Haw ' aver O Mitigation Site ai FQ Graham
�\,� , ^` ✓
. .
f x
�
Alamance County, NC tsett •
arlingtonAlirmanceA, �..
Flagional A;lamance 8' i I 36.127271 N .-, '� �(' y < ' 1 i ' Title:
,Swepsonvdle I _ - - 79.525214 W �./
I 54 I ower, Line Road r ; J r^
,, r• s �' LT - Pro ect
l- I Cane Creek I Caro�1`- al `,Z; a rF•,� �, °1 ` �j;
�ireen;toilr •Mountains •Saxapal'avv n Road •; �y �• .:" NO ) (- 7 ,_^� � ', • #: .. - -- _ - Location
l O
Snow Camp Y J �I \ LG ` i� ��� t,� ltd _ i , PJe �• , ) v; r
--
li__ —' � '�`•., �I� t ;,,' •���` � \� +1 Vie; �' rF, � �, y • �,�
t, LL ` j < < y �' �f '! 1 I !}. Notes:
-- ---------------- - - - - - -- /, Background Imagery sources
o GIBSONVILLE r '1_ i - t (provided by ESRI Data and
r ' 100 _ ' r ri Maps):
��cv` Physical Map o • 1 P ical t United
C`? States (2009) created by the
e1 r: :: �I, ',1�� l on'� ' j U.S. Park Service upper inset).
2. Delorme World Basema p
digital mapping (2010, lower
BURLINGT.ONj ; K inset).
<.
- _ , .f 3� �)` cr-;.r � i � ••. ••:. •r: \, M rr 3. Burlington, NC (1980),
` `; 1-; 1` i. Lake Burlington, NC (1969),
16 Kivette House Road Gibsonville, NC (1970), and
EernwaY Road r `. .'. ` •,�- K % Ossipee, NC (197 0) 7.5-
i = minute topographic
ELON, quadrangles provided by the
,. a: j -} t :, U.S. Geological Survey.
v r• .
WHIT.SETT
®" I Church S _
_ treet• r, t
70 -t` i.I112LS1 FU�� : �'9
/ - tj! • � Drawn b SGD
( Date: Apr 2014
Legend �• �, i /` / ( \ f % Scale: As Shown
Aycock Springs Stream and Wetland Mitigation Site I r �' ; ` 1 `, ` o -, \ Project No.: 14 -006
— —� County lines
r :Wnitse t park i f - I. =� \ (��� FIGURE
�.
Miles - °-

M • ` , N 1
i
0
Will
a�
I
6,17
� e
•
V
r
i
r'
.d
A
k
L _ 7�/ I
1�1�
r
N
Legend
Project area
OL
200 100 0 200 400 600
Feet
Axiom
Prepared for:
Project:
Aycock Springs
Stream and
Wetland
Mitigation
Site
Alamance County, NC
u°
Title:
Jq
Project Area
Mapping
Notes:
g
Background Imagery source:
1. Ossippee, NC (1970), and
'
Gibsonville, NC (1970) 7.5-
minute topographic quadrangles
provided by the US Geological
Survey (left window).
2. Soil Survey ofAlamance
County (page 9), provided
by the Natural Resources
Conservation Service, US
'
Department of Agriculture
(right window).
Drawn by: SGD
' Date: APR 2014
Scale: 1:4800
Project No.: 14 -006
FIGURE
2

Wt-7LA,>,o 1✓l ois��l
WETLAND DETERMINATION DATA FORM - Eastern Q 'Mountains and Piedmont
Project/Site: /( GD 5f— City/County: /Count Y: Sam lin g Date:
Applicant/Owner . fi�dL�l, �- �Sirf�I F� Stale: C Sampling Point: GZ1 3
Investigator(s): /�a �a^ �%�.4L �!; G. L�.- i Section, wns ' , Range: &"'f- S�r�O'w✓ ��
Landform (hillslope, terrace, etc.): H/u i F Local relief (concave, convex, none): Slope ( %): -3
Subregion (LRR or MLRA): 36 Lat: 2 Long: —77 S Z7NCiC Datum: L '1Fs
Soil Map Unit Name: WOr wyfwA, NWI classification: f p <rM
Are climatic / hydrolo is condition on the site typical for this lime of year? Yes J No (If no, explain in Remarks.)
Are Vegetation, Soil or Hydrology significantly disturbed? Are 'Normal Circumstances' present? Yes No
Are Vegetation . Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present?
Hydric Soil Present?
Welland Hydrology Present?
Remarks
OOEI �/
FEN s�a.� c
HYDROLOGY
Yes No
Is the Sampled Area
Yes No within a Wetland? Yes No
Yes No _Z
�.�,,T j' '`�� c,���> c��rS2�,p� /��`�SP 7ii>•f ,Q� llat
Wetland Hydrology Indicators:
Primary Indicators (minimum of one is required:
check all that apply)
Surface Water (Al)
_ True Aquatic Plants (1314)
_ High Water Table (A2)
_ Hydrogen Sulfide Odor (C1)
Saturation (A3)
_ Oxidized Rhizospheres on Living Roots (C3)
Water Marks (131)
_ Presence of Reduced Iron (C4)
_ Sediment Deposits (132)
_ Recent Iron Reduction in Tilled Soils (C6)
Drift Deposits (133)
_ Thin Muck Surface (C7)
_ Algal Mat or Crust (134)
_ Other (Explain in Remarks)
Iron Deposits (85)
Inundation Visible on Aerial Imagery (137)
_ Water- Stained Leaves (B9)
Aquatic Fauna (813)
Field Observations
Surface Soil Cracks (136)
_ Sparsely Vegetated Concave Surface (138)
_ Drainage Patterns (1310)
_ Moss Trim Lines (816)
_ Dry- Season Water Table (C2)
_ Crayfish Burrows (C8)
_ Saturation Visible on Aerial Imagery (C9)
Stunted or Stressed Plants (131)
Geomorphic Position (D2)
Shallow Aquitard (D3)
Microtopographic Relief (D4)
FAC- Neutral Test (D5)
Surface Water Present) Yes No Depth (inches).
Water Table Present? Yes No Depth (inches): / L t
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 - Interim Version

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point
Remarks: (Include photo numbers here or on a separate sheet.)
JGc /f" v41 Cti CAr ""06K ✓S ✓G �AL t G
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version
Absolute
Dominant Indicator
Dominance Test worksheet:
Tree Stratum (Plot size )
° Cover
Species? -mss
Number of Dominant Species
�'1
1
That Are OBL, FACW, or FAC: (A)
2.
Total Number of Dominant
2
3.
Species Across All Strata: (B)
4.
Percent of Dominant Species
-��
5.
That Are OBL, FACW, or FAC: (A/B)
6.
Prevalence Index worksheet:
7.
Total % Cover of. Multiply by:
8
OBL species x 1 =
Saolina
/Shrub Stratum (Plot size
)
= Total Cover
FACW species r r x2= ;� o
1
FAC species .'fl x 3 = 440 -
2
FACU species x 4 = -
3
,/
UPL species 4 Z 142- x 5= 210 3r
4
Column Totals: (A) 29' (B)
5'
',
Prevalence Index = B!A = a 2 � v
6.
Hydrophytic Vegetation Indicators:
7.
_ 1 -Rapid Test for Hydrophytic Vegetation
8.
_ 2 - Dominance Test is >50%
9.
_ 3 - Prevalence Index is 53.0'
10.
4 - Morphological Adaptations' (Provide supporting
= Total Cover
_
data in Remarks or on a separate sheet)
Herb Stratum (Plot size: )
W(
_Problematic Hydrophytic Vegetation' (Explain)
2.
el
���� s�
(O
'Indicators of hydric soil and wetland hydrology must
3
be present, unless disturbed or problematic.
4•
�J
Definitions of Four Vegetation Strata:
5
4 / ✓z t/ /r F ��
2
CA
6
J ✓�Gy j l�y J
��
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
7
height.
9
Sapling/Shrub -Woody plants, excluding vines, less
9
than 3 in. DBH and greater than 3.28 R (1 m) tall
10.
Herb -All herbaceous (non - woody) plants, regardless
11.
of size, and woody plants less than 3.28 R tall.
12.
72-
=Total Cover
Woody vine - All woody vines greater than 3.28 R in
Woody Vine Stratum (Plot size
)
height.
1
2.
�1
3.
4.
Hydrophytic
5
Vegetation
6.
Present? Yes No
= Total Cover
Remarks: (Include photo numbers here or on a separate sheet.)
JGc /f" v41 Cti CAr ""06K ✓S ✓G �AL t G
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version

SOIL
Sampling Point G2? �-r-7
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) % TYDe Loc` Toxture Remarks
7 'Z /o
7 / 2 �j1 2 / 7 /
t' r/jt sue( 2 C c
/2 -/-, -7 Syc 147 C c
Ct
'Type: C= Concentration. D= Depletion,
Hydric Soil Indicators:
_ Histosol(A1)
_ Histic Epipedon (A2)
_ Black Histic (A3)
Hydrogen Sulfide (A4)
_ Stratified Layers (A5)
_ 2 cm Muck (A10) (LRR N)
Depleted Below Dark Surface (Al 1
Thick Dark Surface (Al2)
_ 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):
Remarks
0 -3
RM= Reduced Matrix
'Location PL =Pore Lining, M =Matnx
Indicators for Problematic Hydric Soils':
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)
_ Red Parent Material (TF2)
Depleted Dark Surface (F7)
_ Very Shallow Dark Surface (TF12)
Redox Depressions (F8)
_ Other (Explain in Remarks)
_ Iron- Manganese Masses (F12) (LRR N,
MLRA 136)
_ Umbric Surface (F13) (MLRA 136, 122) 'Indicators of hydrophyt c vegetation and
_ Piedmont Floodplain Soils (F19) (MLRA 148) wetland hydrology must be present,
unless disturbed or problematic
Hydric Soil Present? Yes / No
q ,OP�.,�� `/c1_
%r c /„�i v►7e✓1 J E ✓,f c v,dirE,O %c�Go✓ 7N /l r�1.✓
US Army Corps of Engineers Eastern Mountains and Piedmont — Interim Version

we —/",v Z//
WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont
Project/Site: ' " ��/ 6S
City /County:
���.�►r/��c Sampling Date: "/-2
Applicant/Owner: F nonn fT�f
/ EF%
State: fc Sampling Point: �z2�hc1
Investigator(s): ��� SQ/d✓7!
�* �J Sectio ,Tow,
ip, Range: l��`1'F S��o�✓
Landfonn (hillslope, terrace, etc.): %a2( fL_,0(f
Local relief (concave. convex, none): Slope
Subregion (LRR or ML'RA /�
t
Lat: 3� 2 % /�
u�u�`-
Long: 9 �Z 7, 7 7 2 Datum:
/):
Soil Map Unit Name: �07t5� 'y fe„� ��
NWI classification:
Are climatic / hydrologic conditions on the site typical for this time of year? Yes
No (If no, explain in Remarks )
_ Sediment Deposits (B2)
_ Recent Iron Reduction in Tilled Soils (C6)
/
Are Vegetation Soil or Hydrology
significantly disturbed?
Are 'Normal Circumstances' present? Yes No
Are Vegetation Soil or Hydrology
naturally problematic?
(If needed. explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes ' No Is the Sampled Area
Hydric Soil Present? Yes No within a Wetland? Yes No
Welland Hydrology Present? Yes No
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required'
check all that apply)
_ Surface Soil Cracks (136)
Surface Water (Al)
_ True Aquatic Plants (814)
_ Sparsely Vegetated Concave Surface (B8)
LLJigh Water Table (A2)
_ Hydrogen Sulfide Odor (Cl)
_ Drainage Patterns (1310)
_Saturation (A3)
_ Oxidized Rhizospheres on Living Roots (C3)
_ Moss Trim Lines (816)
Water Marks (B1)
_ Presence of Reduced Iron (C4)
_ Dry- Season Water Table (C2)
_ Sediment Deposits (B2)
_ 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 (84)
_ Other (Explain in Remarks)
_ Stunted or Stressed Plants (01)
Iron Deposits (B5)
_ Geomorphic Position (132)
Inundation Visible on Aerial Imagery (B7)
_ Shallow Aquitard (D3)
Water- Stained Leaves (B9)
_ Microtopographic Relief (D4)
Aquatic Fauna (B13)
_FAC- Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
Depth (inches):
Water Table Present? Yes Z" No
Depth (inches): �2
Saturation Present? Yes No
Depth (inches):
Wetland Hydrology Present? Yes _Z No
includes capillary fringe)
Descnbe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont — Interim Version

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: Z711&J
5.
6.
7.
8
9
10.
2-0 Total Cover
Herb Stratum (Plot size: )
2.
3. S�
4.
5.
6.
7.
8. �.
9.
10.
11.
12.
6TH = Total Cover
Woody Vine Stratum (Plot size )
1.
2. _
3. _
4.
5.
6.
Total Cover
Remarks: (Include photo numbers here or on a separate sheet )
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
1 - Rapid Test for Hydrophytic Vegetation
_ 2 - Dominance Test is >50%
_ 3 - Prevalence Index is 53.0'
_ 4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation' (Explain)
Est 'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic
Definitions of Four Vegetation Strata:
Tree - Woody plants. excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height
Sapling(Shrub - Woody plants, excluding vines, less
than 3 ib DBH and greater than 3.28 It (1 m) tall.
Herb - All herbaceous (non - woody) plants, regardless
of size, and woody plants less than 3 28 ft tall
Woody vine - All woody vines greater than 3.28 ft in
height.
Hydrophytic
Vegetation
Present? Yes No
US Army Corps of Engineers Eastem Mountains and Piedmont - Interim Version
Absolute
Dominant Indicator
Domjnance Test worksheet:
Tree Stratum (Plot size:
° Cover
Species? Status
Number of Dominant Species
y
1.
That Are OBL, FACW, or FAC:
/
(A)
2.
Total Number of Dominant
3.
Species Across All Strata:
(B)
4.
Percent of Dominant Species
/ 01!'
5,
That Are OBL, FACW, or FAC
(A/$)
6
Prevalence Index worksheet:
7.
Total % Cover of.
MulhDly by
8
OBL species
x 1 =
= Total Cover
Saolina
/Shrub Stratum (Plot size:
)
FACW species
x 2 =
1.
i1 /l9G /i2r.�4
FAC species
x 3 =
2
t`rt NE<00%�1j�
��
F G
FACU species
x 4=
3. y!�'ry
f i4.h die pia
i 0
UPL species
x 5 =
4
Column Totals: (A)
(B)
5.
6.
7.
8
9
10.
2-0 Total Cover
Herb Stratum (Plot size: )
2.
3. S�
4.
5.
6.
7.
8. �.
9.
10.
11.
12.
6TH = Total Cover
Woody Vine Stratum (Plot size )
1.
2. _
3. _
4.
5.
6.
Total Cover
Remarks: (Include photo numbers here or on a separate sheet )
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
1 - Rapid Test for Hydrophytic Vegetation
_ 2 - Dominance Test is >50%
_ 3 - Prevalence Index is 53.0'
_ 4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation' (Explain)
Est 'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic
Definitions of Four Vegetation Strata:
Tree - Woody plants. excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height
Sapling(Shrub - Woody plants, excluding vines, less
than 3 ib DBH and greater than 3.28 It (1 m) tall.
Herb - All herbaceous (non - woody) plants, regardless
of size, and woody plants less than 3 28 ft tall
Woody vine - All woody vines greater than 3.28 ft in
height.
Hydrophytic
Vegetation
Present? Yes No
US Army Corps of Engineers Eastem Mountains and Piedmont - Interim Version

SOIL
Sampling Point. (JL
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) %_ Tvoe oc,' Texture Remarks
RM= Reduced Matrix. MS=
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 (Al 1)
_ Thick Dark Surface (Al2)
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):
Remarks
Dark Surface (S7)
Polyvalue Below Surface (S8) (MLRA 147, 148)
Thin Dark Surface (S9) (MLRA 147, 148)
Loamy Gleyed Matrix (F2)
Depleted Matrix (F3)
_ Redox Dark Surface (176)
Depleted Dark Surface (F7)
Redox Depressions (F8)
Iron- Manganese Masses (F12) (LRR N.
MLRA 136)
_ Umbric Surface (F13) (11 136, 122)
_ Piedmont Floodplain Soils (F19) (MLRA 148)
m PL =Pore Lininq, 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 (TF2)
Very Shallow Dark Surface (TF12)
_ Other (Explain in Remarks)
'Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Hydric Soil Present? Yes No —
I
US Army Corps of Engineers Eastern Mountains and Piedmont — Interim Version
C
75-
RM= Reduced Matrix. MS=
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 (Al 1)
_ Thick Dark Surface (Al2)
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):
Remarks
Dark Surface (S7)
Polyvalue Below Surface (S8) (MLRA 147, 148)
Thin Dark Surface (S9) (MLRA 147, 148)
Loamy Gleyed Matrix (F2)
Depleted Matrix (F3)
_ Redox Dark Surface (176)
Depleted Dark Surface (F7)
Redox Depressions (F8)
Iron- Manganese Masses (F12) (LRR N.
MLRA 136)
_ Umbric Surface (F13) (11 136, 122)
_ Piedmont Floodplain Soils (F19) (MLRA 148)
m PL =Pore Lininq, 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 (TF2)
Very Shallow Dark Surface (TF12)
_ Other (Explain in Remarks)
'Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Hydric Soil Present? Yes No —
I
US Army Corps of Engineers Eastern Mountains and Piedmont — Interim Version

b✓�—(",v w / 4
WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont
" G'� ��/.� J City/County: /Count �� `��� Sampling Date: V- 2 S / 1�
Project/Site: y � y y: 9
Applicant/Owner: cy( o✓ T I SStttate: 111C Sampling Point: �Z z 7 •P
Investigator(s): &/o/p? > v%I ti/" Section, T wn i Range: 4J° ,, C` _��
Landfonm (hillslope, terrace, etc.): Local relief (concave, convex, none): Slope
Subregion (LRR or MLRA): Lat: 36 129 7K5'— Long: _27f Long: — / G� Datum: 44 5
Soil Map Unit Name: 1,41q NWI classification:
Are climatic / hydrologic conditions on the site typical for this time of year? Yes _Z No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes / No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No Is the Sampled Area
Hydric Soil Present? Yes No within a Wetland? Yes No
Wetland Hydrology Present? Yes No
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is
required check all that apply)
_ Surface Soil Cracks (B6)
_ Surface Water (Al)
_ True Aquatic Plants (1314)
_ Sparsely Vegetated Concave Surface (138)
_ High Water Table (A2)
_ Hydrogen Sulfide Odor (Cl)
_ Drainage Pattems (610)
_ Saturation (A3)
_ Oxidized Rhizospheres on Living Roots (C3)
_ Moss Trim Lines (B16)
_ Water Marks (B1)
_ Presence of Reduced Iron (C4)
_ Dry- Season Water Table (C2)
Sediment Deposits (82)
_ 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 (B4)
_ Other (Explain in Remarks)
_ Stunted or Stressed Plants (D1)
_ Iron Deposits (85)
_ Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137)
_ Shallow Aquitard (D3)
_ Water- Stained Leaves (89)
_ Microtopographic Relief (D4)
_ Aquatic Fauna (1313)
_ FAC- Neutral Test (D5)
Field Observations:
Surface Water Present? Yes
No Depth (inches):
Water Table Present? Yes
No Depth (inches):
T
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 - Interim Version

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point
Absolute Dominant Indicator Dominance Test worksheet:
Tree �tratum (Plot size: ) % Cover Species? Status Number of Dominant Species
1 rGR Lys f�a¢jo � � r `-i That Are OBL. FACW, or FAC
2.
3.
4.
5.
6.
7.
8.
Sapling/Shrub Stratum (Plot size
2.
3.
4.
5.
Total % Cover of:
= Total Cover
6.
x 1 =
FACW species
7.
FAC species
x 3 =
8
x4--
UPL species
9.
Column Totals
(A) (B)
10.
= Total Cover
Her i jurri (Plot size: )
7J
/
2.
3. A[& ,, i1,412 %Lit`
S
C✓
4.
5.
6.
7
8.
9.
10.
11.
12.
IT-
= Total Cover
Woody Vine_ Stratum (Plot size:
)
�.�'GtYdn
2. ✓' d!/�.✓1 !/4
3.
4.
5.
6.
r
�
=Total Cover
Remarks: (Include photo numbers here or on a
separate sheet.)
US Army Corps of Engineers
Total Number of Dominant
Species Across All Strata:
Percent of Dominant Species
That Are OBL. FACW, or FAC:
1-2 (A)
7 (B)
�p - y01(A/B)
Prevalence Index worksheet:
Total % Cover of:
Multiply by:
OBL species
x 1 =
FACW species
x 2 =
FAC species
x 3 =
FACU species
x4--
UPL species
x 5
Column Totals
(A) (B)
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
1 - Rapid Test for Hydrophytic Vegetation
_ 2 - Dominance Test is >50%
_ 3 - Prevalence Index is 53.0'
_ 4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling /Shrub - Woody plants, excluding vines, less
than 3 in DBH and greater than 3.28 ft (1 m) tall.
Herb - All herbaceous (non - woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody vine - All woody vines greater than 3.28 ft in
height.
Hydrophytic
Vegetation
Present? Yes No
Eastern Mountains and Piedmont - Interim Version

SOIL
Sampling Point: N Z -2,
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) % TvceLLoc -, Texture Remarks
'Type C =Con cent ration. D= Depletion, RM= Reduced Matrix MS= Masked Sand Grains. `Location. PL =Pore Lining. M= Matrix.
Hydric Soil Indicators:
Indicators for Problematic Hydric Soils':
_ Hislosol (Al)
_ Dark Surface (S7)
_ 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_ Coast Prairie Redox (A16)
_ Black Histic (A3)
_ Thin Dark Surface (S9) (MLRA 147, 148)
(MLRA 147, 148)
_ Hydrogen Sulfide (A4)
_ Loamy Gleyed Matrix (F2)
_ Piedmont Floodplain Soils (F19)
_ Stratified Layers (A5)
_ Depleted Matrix (F3)
(MLRA 136, 147)
_ 2 cm Muck (A10) (LRR N)
_ Redox Dark Surface (F6)
_ Red Parent Material (TF2)
_ Depleted Below Dark Surface (A11)
_ Depleted Dark Surface (F7)
_ Very Shallow Dark Surface (TF12)
_ Thick Dark Surface (Al2)
_ Redox Depressions (F8)
_ Other (Explain in Remarks)
_ Sandy Mucky Mineral (S1) (LRR N,
_ Iron- Manganese Masses (F12) (LRR N,
MLRA 147, 148)
MLRA 136)
_ Sandy Gleyed Matrix (S4)
_ Umbric Surface (F13) (MLRA 136, 122)
'Indicators of hydrophylic vegetation and
Sandy Redox (S5)
_ Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present.
Stripped Matrix (S6)
unless disturbed or problematic.
Restrictive Layer (if observed):
Type
Depth (inches).
Remarks.
Hydric Soil Present? Yes No
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version

WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont
Project/Site: �� (�C City /County: �� Sampling Date:
ApplicanUOwner. FS�s29'1i�i✓ rf���I State: 1�C Sampling Point: 13 Nfl
Investigator(s): ���Jr ���4v1� ��"�f Section, wnship, ange:
Landform (hillslope, terrace, etc...): t"" �A�p Local relief relief (concave, convex, none):: ��✓�/� `� Slope p�
Subregion (LRR or MLRA)): 0 3 Lat: 6. 12 o b g7 Long: 77 �2` 1 s3 Datum: W! S V
Soil Map Unit Name: 4LCV ✓i*1 L/ -V PcWV 641-4`-� NWI classification:
Are climatic / hydrologic conditions on the site typical for this time of year? Yes No (If no, explain in Remarks )
Are Vegetation Soil or Hydrology significantly disturbed? Are 'Normal Circumstances" present? Yes / No
Are Vegetation Soil or Hydrology naturally problematic) (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No
Is the Sampled Area
Hydric Soil Present? Yes No within a Wetland? Yes No
Wetland Hydrology Present? Yes =No
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required
check all that apply)
Surface Soil Cracks (B6)
_ Surface Water (A1)
_ True Aquatic Plants (614)
_ Sparsely Vegetated Concave Surface (B8)
High Water Table (A2)
_ Hydrogen Sulfide Odor (Cl)
_ Drainage Patterns (B10)
_
Saturation (A3)
Oxidized Rhizospheres on Living Roots (C3)
_ Moss Trim Lines (B16)
_ Water Marks (61)
_ Presence of Reduced Iron (C4)
_ Dry- Season Water Table (C2)
_ Sediment Deposits (B2)
_ 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 (B4)
_ Other (Explain in Remarks)
_ Stunted or Stressed Plants (D1)
Iron Deposits (85)
_ Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery
(B7)
_ Shallow Aquitard (D3)
Water - Stained Leaves (B9)
Microtopographic Relief (D4)
Aquatic Fauna (1313)
FAC- Neutral Test (D5)
Field Observations:
Surface Water Present? Yes
No Depth (inches): D
Water Table Present? Yes
No Depth (inches): '6'I'
Saturation Present? Yes
No Depth (inches): 4f'
Wetland Hydrology Present? Yes /o
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 - Interim Version

VEGETATION (Four Strata) - Use scientific names of plants.
Tree Stratum (Plot size )
1
2.
3.
4.
5.
6.
7.
8 _
Sampling Point: r 5 `may
Absolute Dominant Indicator Dominance Test worksheet:
Cover Species? -- Number of Dominant Species %
That Are OBL, FACW, or FAC: (A)
Total Number of Dominant Z
Species Across All Strata (8)
Percent of Dominant Species
That Are OBL, FACW, or FAC: (A/B)
Prevalence Index worksheet:
Total % Cover of: Multiply by
= Total Cover OBL species ' x 1 = '
Saplina/Shrub
Stratum (Plot size:
)
FACW species x 2 -
7
1
FAC species tJ L` x3= I
2
FACU species x 4 =
3
UPL species Z 1 x5= 7 -1 ?'
4
Column Totals 2 (A) ''_ (B)
5'
Prevalence Index = B/A = 2.7
6.
Hydrophytic Vegetation Indicators:
7.
_ 1 -Rapid Test for Hydrophytic Vegetation
8.
2 • Dominance Test is >50%
9.
_ 3 - Prevalence Index is 53.0'
10.
4 - Morphological Adaptations' (Provide supporting
= Total Cover
_
data in Remarks or on a separate sheet)
Herb tratum (Plot size: )
°f'S
/ � �
_ Problematic Hydrophytic Vegetation' (Explain)
1
J✓�'C,, f E/f
2.
At ltk.,141 tAl
`,4C
'Indicators of hydric soil and wetland hydrology must
3,
�' �c+ � Sws
-7
be present, unless disturbed or problematic.
4.
% i ,� l <' ✓., r r�i�, , yam,
fAc
Definitions of Four Vegetation Strata:
5.
��sp
GAC •aol
7� 'A %�l��A
Z
647t
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
6-
tLc/,V
��f7 ✓C�/° fl
/O
Ao!AC✓
more in diameter at breast height (081-1), regardless of
7
height.
8.
Sapling /Shrub -Woody plants, excluding vines, less
9.
than 3 in DBH and greater than 3.28 R (1 m) tall
10
Herb -All herbaceous (non-woody) plants, regardless
11
of size, and woody plants less than 3.28 H tall.
12.
SZ
Woody vine - All woody vines greater than 3.28 ft in
=Total Cover
height.
Woody Vine Stratum (Plot size:
)
1
2.
3.
4.
Hydrophytic /
5
Vegetation
g
Present? Yes No
= Total Cover
I
Remarks: (Include photo numbers here or on a separate sheet )
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version

SOIL
Sampling Point 4C
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) % Tvoer Loci Texture Remarks
0, 7 /(.),//z 12 lQ l 2'1;' ( 17
f- c 77-
T
'Type C= Concentration, D= Depletion, I
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 (Al 1)
_ Thick Dark Surface (All 2)
_ Sandy Mucky Mineral (S1) (LRR N,
MLRA 147, 148)
_ Sandy Gleyed Matrix (S4)
Sandy Redox (S5)
_ Stripped Matnx (S6)
Restrictive Layer (if observed):
Type
Depth (inches)
educed Matrix MS= Masked Sand Grains. 2Location PL =Pore Lining, M =Matnx
Indicators for Problematic Hydric Soils':
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)
_ Red Parent Material (TF2)
_ Depleted Dark Surface (F7)
_ Very Shallow Dark Surface (TF12)
Redox Depressions (F8)
_ Other (Explain in Remarks)
_ 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,
unless disturbed or problematic.
Hydric Soil Present? Yes l No
US Army Corps of Engineers Eastern Mountains and Piedmont — Interim Version

SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No
/ Is the Sampled Area j
Hydric Soil Present? Yes No within a Wetland? Yes No
Welland Hydrology Present? Yes No
Remarks
HYDROLOGY
Wetland Hydrology Indicators:
✓,F> l.,,Y71
w2, l,/ %✓
WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont
check all that aooly)
! "x C 5rxi,CS
/ • G°6 Sampling Date:
2 /
Projecl/Site
City /County:
_ Hydrogen Sulfide Odor (Cl)
Applicant/Owner: F�07W'21 S S�fyf
_ State: 41C Sampling Point:
_ Oxidized Rhizospheres on Living Roots (C3)
Investigator(s). A(/ /S
6. �f" /f Secti Township 2ange:
_ Presence of Reduced Iron (C4)
Landform (hillslope, terrace, etc.): LfVFr
Local relief cave, convex, none): Slope
( %): D
Subregion (LRR or MLRA): %�� / 3C Lat:
34, / 28C F/ Long: "7 Datum:
Soil Map Unit Name: OLL 1114W. C 4,VV , &Lot /- NWI classification:
_ Saturation Visible on Aerial Imagery (C9)
Are climatic / hydrologic conditions on the site typical for this time of year? Yes Z No (If no, explain in Remarks.)
'Normal
/
Are Vegetation Soil or Hydrology
significantly disturbed? Are Circumstances- present) Yes
No
Are Vegetation . Soil or Hydrology
naturally problematic'? (if needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No
/ Is the Sampled Area j
Hydric Soil Present? Yes No within a Wetland? Yes No
Welland Hydrology Present? Yes No
Remarks
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is reauired
check all that aooly)
_ Surface Soil Cracks (B6)
Surface Water (Al)
_ True Aquatic Plants (1314)
_ Sparsely Vegetated Concave Surface (138)
_ High Water Table (A2)
_ Hydrogen Sulfide Odor (Cl)
_ Drainage Patterns (1510)
_ Saturation (A3)
_ Oxidized Rhizospheres on Living Roots (C3)
_ Moss Trim Lines (816)
_ Water Marks (131)
_ Presence of Reduced Iron (C4)
_ Dry- Season Water Table (C2)
_ Sediment Deposits (B2)
_ 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)
_ Aquatic Fauna (1313)
_ FAC- Neutral Test (DS)
Field Observations:
Surface Water Present? Yes No
epth (inches):
Water Table Present? Yes No
— pth (inches):
/
Saturation Present? Yes No
Depth (inches):
Wetland Hydrology Present? Yes No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks
US Army Corps of Engineers Eastern Mountains and Piedmont — Interim Version

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: 3
Absolute Dominant Indicator Dominance Test worksheet:
Tree Stratum (Plot size: 7 % Cover Soec!es? Status - Number of Dominant Species
1 That Are OBL. FACW, or FAC:
2
3.
4.
5.
6.
7.
8.
= Total Cover
SaDlino/Shrub Stratum (Plot size: )
)
1.
2.
3.
4.
5.
6.
7
8.
9.
10.
= Total Cover
Herb Stratum (Plot size: )
5 0?
1 i 5
� -
-
TjEu.,�/r A 117 i /�� -
2. T
Remarks (Include photo numbers here or on a separate sheet )
Total Number of Dominant
Species Across All Strata:
Percent of Dominant Species
That Are OBL, FACW, or FAC.
(A)
L (B)
5 -p (A/B)
Prevalence Index worksheet:
Total % Cover of Multioly bv:
OBL species x 1 =
FACW species x 2 =
FAC species SZ x 3 = �G
FACU species x 4 =
UPL species 7 x 5 =
Column Totals: '? (A) 7 q / (B)
Prevalence Index = B/A = 3 q 7
Hydrophytic Vegetation Indicators:
1 - Rapid Test for Hydrophytic Vegetation
_ 2 - Dominance Test s > 0%
_ 3 - Prevalence Index is 53.0'
_ 4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
_ Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
Tree - Woody plants, excluding vines, 3 in (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling /Shrub - Woody plants, excluding vines, less
than 3 in DBH and greater than 3.28 It (1 m) tall.
Herb - All herbaceous (non woody) plants, regardless
of size, and woody plants less than 3.28 It tall.
Woody vine - All woody vines greater than 3.28 tt in
height,
Hydrophytic /
Vegetation
Present? Yes No _
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version
Hydrophytic Vegetation Indicators:
1 - Rapid Test for Hydrophytic Vegetation
_ 2 - Dominance Test s > 0%
_ 3 - Prevalence Index is 53.0'
_ 4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
_ Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
Tree - Woody plants, excluding vines, 3 in (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling /Shrub - Woody plants, excluding vines, less
than 3 in DBH and greater than 3.28 It (1 m) tall.
Herb - All herbaceous (non woody) plants, regardless
of size, and woody plants less than 3.28 It tall.
Woody vine - All woody vines greater than 3.28 tt in
height,
Hydrophytic /
Vegetation
Present? Yes No _
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version

SOIL
Sampling Point:
3 '�
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) % Tvoe _Foc'' Texture Remarks
2 O
RM= Reduced Matrix. MS= Masked Sand Grains
Hydric Soil Indicators:
_ Histosol (At)
_ H stic 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) (LRR N,
MLRA 147, 148)
_ Sandy Gleyed Matrix (S4)
_ Sandy Redox (S5)
_ Stripped Matrix (S6)
Restrictive Layer (if observed):
TVDe
Depth (inches).
Location: PL =Pore Lining, M= Matrix
Indicators for Problematic Hydric Soi
Dark Surface (S7)
Polyvalue Below Surface (S8) (MLRA 147, 148)
Thin Dark Surface (S9) (MLRA 147, 148)
_ Loamy Gleyed Matrix (F2)
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 136, 122)
Piedmont Floodplain Soils (1719) (MLRA 148)
2 cm Muck (A 10) (MLRA 147)
Coast Prairie Redox (A16)
(MLRA 147, 148)
Piedmont Floodplain Soils (F19)
(MLRA 136, 147)
_ Red Parent Material (TF2)
Very Shallow Dark Surface (TF12)
_ Other (Explain in Remarks)
'Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Hydric Soil Present? Yes No /
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version

(,✓��a,•�S Gtr, i:✓ S� w 6
WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont`'
Project/Site: /evcjz > /lfll_f City /County: �l� Sampling Dale: r 2r-l/
Applicant/Owner: 1�a,Gs -1 a. ��IT�f Stale. 141C Sampling Point: G� a
Investigator(s) 41k - �' �i4 ✓/l , �' e�c -1 f Section. T ns ' , Range:
Landform (hillslope, terrace, etc.): 7� Local relief (concave, convex, none): C-Z"F Slope
Subregion (LRR or MLRRAl)� / 73 ( Lat. 3.1, 12 7Z2 / Long: - 79. 5-2 40, ?v / Datum: wGsd
Soil Map Unit Name: 2 - QC/( `/^ F S n � `� S ' � f� NWI classification: r6', 2 e
Are climatic / hydrologic conditions on the site typical for this time of year? Yes No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are 'Normal Circumstances' present? Yes No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No
Is the Sampled Area
Hydric Soil Present? Yes ��tV0 within a Wetland? Yes No
Wetland Hydrology Present? Yes No
Remarks
HYDROLOGY
Wetland Hydrology Indicators:
Primary Indicators (minimum of one is reouired:
check all that apply)
Surface Water (At)
_ True Aquatic Plants (B14)
_ High Water Table (A2)
_ Hydrogen Sulfide Odor (Cl)
Saturation (A3)
- Oxidized Rhizospheres on Living Roots (C3)
_ Water Marks (B1)
_ Presence of Reduced Iron (C4)
_ Sediment Deposits (B2)
_ Recent Iron Reduction in Tilled Soils (C6)
Drift Deposits (B3)
_ Thin Muck Surface (C7)
Algal Mat or Crust (84)
_ Other (Explain in Remarks)
_ Iron Deposits (135)
_ Inundation Visible on Aerial Imagery (87)
_ Water - Stained Leaves (B9)
Aquatic Fauna (1313)
_ Surface Soil Cracks (B6)
_ Sparsely Vegetated Concave Surface (88)
Drainage Pattems (1310)
_ Moss Trim Lines (B16)
_ Dry- Season Water Table (C2)
Crayfish Burrows (C8)
_ Saturation Visible on Aerial Imagery (C9)
_ Stunted or Stressed Plants (D 1)
_ Geomorphic Position (D2)
Shallow Aquitard (D3)
_ Microtopographic Relief (D4)
FAC- Neutral Test (D5)
Surface Water Present? Yes No / Depth (inches):
Water Table Present? Yes No Depth (inches):
Saturation Present? Yes No Depth (inches): f Wetland Hydrology Present? Yes / No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point:\ o �-
Absolute Dominant Indicator Dominance Test worksheet:
Tree Stratum (Plot size: ) % Cover Species' Status Number of Dominant Species
1. That Are OBL. FACW, or FAC:
2
Total % Cover of:
Multioly by.
OBL species
3.
FACW species
x 2 =
FAC species
4.
FACU species
x 4 =
UPL species
5.
Column Totals
(A) (B)
6.
7.
8.
= Total Cover
Saollno/Shrub
Stratum (Plot size:
)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
= Total Cover
H r rAtum ` (Plot size: )
2.
3.
`� fOr
lD
Al r/(
4.
/ /NA ��
0
��3t
5.
6.
7
8.
9.
10.
11.
12.
0
= Total Cover
Woody Vine Stratum (Plot size
1
2
3
4
5
6
= Total Cover
Remarks (Include photo numbers here or on a separate sheet.)
Total Number of Dominant
Species Across All Strata:
Percent of Dominant Species
That Are OBL, FACW, or FAC:
2 (A)
2
(B)
/ oO (A/B)
Prevalence Index worksheet:
Total % Cover of:
Multioly by.
OBL species
x 1 =
FACW species
x 2 =
FAC species
x 3 =
FACU species
x 4 =
UPL species
x 5 =
Column Totals
(A) (B)
Prevalence Index = B/A =
Hycjrophytic Vegetation Indicators:
_� t - Rapid Test for Hydrophytic Vegetation
/2 - Dominance Test is >50%
_ 3 - Prevalence Index is 53.0'
_ 4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
Tree - Woody plants, excluding vines, 3 in (7 6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling /Shrub - Woody plants, excluding vines, less
than 3 in DBH and greater than 3.28 ft (1 m) tall
Herb - All herbaceous (non - woody) plants, regardless
of size, and woody plants less than 3.28 ft (all
Woody vine - All woody vines greater than 3.28 ft in
height.
Hydrophytic /
Vegetation
Present? Yes No
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version

SOIL
Sampling Point: V � / ,.I-
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) �� Tvae� —Loc, Texture Remarks
0-3 of S
To
2
S/A
O 74rlA y /S
7) 2
RM= Reduced
Hydric Soil Indicators:
_ Hislosol (Al)
_ Histic Epipedon (A2)
_ Black Histic (A3)
_ Hydrogen Sulfide (A4)
Stratified Layers (A5)
_ 2 cm Muck (A10) (LRR N)
Depleted Below Dark Surface (All 1)
Thick Dark Surface (Al2)
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),
marks:
C /`i GC
D
7—
Dark Surface (S7)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_ Thin Dark Surface (S9) (MLRA 147, 148)
_ Loamy Gleyed Matrix (F2)
_ 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 136, 122)
_ Piedmont Floodplain Soils (F19) (MLRA 148)
cc
C1(
m: PL =Pore Lininq, 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 (TF2)
Very Shallow Dark Surface (TF12)
_ Other (Explain in Remarks)
'Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic
Hydric Soil Present? Yes No
US Army Corps of Engineers Eastern Mountains and Piedmont – Interim Version

SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophylic Vegetation Present? Yes No
Is the Sampled Area
Hydric Soil Present? Yes NoT within a Wetland? Yes No
Welland Hydrology Present? Yes No /
Remarks
HYDROLOGY
Wetland Hydrology Indicators:
wt,(4,A,ev $ w3, wy ws W
v�
,
WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont
/%
• cocK ���^'� f
[c
� ��
Project/Site: /
City /County: �"��` Sampling Date:
Applicant/Owner:
State: A,'1C Sampling Point: 6 �1 4' 09
Investigator(s). iu > 4 C "IS Section, T n tv Range:
Gx2 �✓'�1
Landform (hillslope, terrace, etc.): �°a' 0� �✓
Local relief (concave, convex, none): /�" S Slope ( %): d
Subregion (LRR or MLRA): � � S � Lat:
3l � � 2�G O 7 Long: %9 S2�O � / Datum G/G S ry
Soil Map Unit Name: Cb� 2 ' Crr f`^'� s��?y
eg'_ , (_C .a'v fLof;4 piNA' NWI classification:
Are climatic / hydrologic conditions on the site typical for this Ume of year? Yes 1_11' No (If no, explain in Remarks.)
_ Dry- Season Water Table (C2)
-
Are Vegetation , Soil or Hydrology
significantly disturbed? Are Normal Circumstances' present? Yes No
Are Vegetation , Soil or Hydrology
naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophylic Vegetation Present? Yes No
Is the Sampled Area
Hydric Soil Present? Yes NoT within a Wetland? Yes No
Welland Hydrology Present? Yes No /
Remarks
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of dne is reauired
check all that apply)
_ Surface Soil Cracks (B6)
_ Surface Water (Al)
_ True Aquatic Plants (B14)
_ Sparsely Vegetated Concave Surface (88)
_ High Water Table (A2)
_ Hydrogen Sulfide Odor (Cl)
_ Drainage Patterns (B10)
_ Saturation (A3)
_ Oxidized Rhizospheres on Living Roots (C3)
_ Moss Trim Lines (B16)
Water Marks (81)
_ Presence of Reduced Iron (C4)
_ Dry- Season Water Table (C2)
_ Sediment Deposits (B2)
_ Recent Iron Reduction in Tilled Soils (C6)
_ Crayfish Burrows (C8)
_ Drift Deposits (83)
_ Thin Muck Surface (C7)
_ Saturation Visible on Aerial Imagery (C9)
_ Algal Mop, or Crust (B4)
_ Other (Explain in Remarks)
_ Stunted or Stressed Plants (D1)
Iron l�posits (B5)
_ Geomorphic Position (D2)
_ In dation Visible on Aerial Imagery (B7)
_ Shallow Aquilard (D3)
_ Water- Stained Leaves (B9)
icrotopographic Relief (D4)
Aquatic Fauna (B13)
_ FAC- Neutral Test (D5)
Field Observations:
/
Surface Water Present? Yes
Water Table Present? Yes
No Depth (inches):
No Depth (inches): le4
Saturation Present? Yes
No Depth (inches): ffe
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 — Interim Version

VEGETATION (Four Strata) — Use scientific names of plants. Sampling Point: 9
Remarks: (Include photo numbers here or on a separate sheet )
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version
Absolute Dominant Indicator
Dominance Test worksheet:
Tree Stratum (Plot size: )
% Cover Soedes? Status
Number of Dominant Species '
1.
That Are OBL, FACW, or FAC: (A)
2.
Total Number of Dominant
3.
Species Across All Strata: (B)
4.
Percent of Dominant Species
/ QD
5.
That Are OBL, FACW, or FAC: (A!B)
6.
Prevalence Index worksheet:
7.
Total % Cover of: Multiply by:
8.
= Total Cover
OBL species x 1 =
SaDIInQIShrub
Stratum (Plot size
)
FACW species x 2 =
1
FAC species x 3 =
2
FACU species x 4 =
g
UPL species x 5 =
4
Column Totals. (A) (B)
5
Prevalence Index = B!A =
6.
Hydrophytic Vegetation Indicators:
7.
— 1 -Rapid Test for Hydrophylic Vegetation
8.
2 - Dominance Test is >50%
9.
_
3 - Prevalence Index is 53.0'
10.
_
4 - Morphological Adaptations' (Provide supporting
= Total Cover
_
data in Remarks or on a separate sheet)
Herb Stratum (Plot size: )
Problematic Hydrophytic Vegetation' (Explain)
2
/������5 f
Indicators of hydric soil and wetland hydrology must
3
be present, unless disturbed or problematic.
4•i%Blt
r , Nn /LL ✓'
X77
�
Definitions of Four Vegetation Strata:
5.
Tree - Woody plants, excluding vines. 3 in. (7.6 cm) or
6
more in diameter at breast height (DBH), regardless of
7.
height
8
Sapling/Shrub -Woody plants, excluding vines, Tess
9.
than 3 in DBH and greater than 3.28 ft (1 m) tall.
10.
Herb - All herbaceous (non - woody) plants, regardless
11.
of size, and woody plants less than 3.28 ft (all
12.
=Total Cover
Woody vine - All woody vines greater than 3.28 ft in
Woody
Vine Stratum (Plot size: )
height
1
2,
3
4.
Hydrophytic
5
Vegetation
/No
6.
Present? Yes
= Total Cover
Remarks: (Include photo numbers here or on a separate sheet )
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version

SOIL
Sampling Point:
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) % Tvne L Locr Texture Remarks
0 2 raj {i3 7, �- ,4
.9-12 7, s s ,�_
2 -�
'Type: C= Concentration, D= Depletion,
Hydric Soil Indicators:
Hislosol (A1)
_ Histic Epipedon (A2)
_ Black Histic (A3)
_ Hydrogen Sulfide (A4)
_ Stratified Layers (A5)
2 cm Muck (A10) (LRR N)
Depleted Below Dark Surface (Al 1)
Thick Dark Surface (Al2)
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):
Remarks-
RM= Reduced Matrix. MS= Masked Sand Grains.
_ Dark Surface (S7)
Polyvalue Below Surface (S8) (MLRA 147, 148)
Thin Dark Surface (S9) (MLRA 147, 148)
Loamy Gleyed Matrix (F2)
Depleted Matrix (F3)
Redox Dark Surface (F6)
Depleted Dark Surface (F7)
Redox Depressions (F8)
Iron- Manganese Masses (F12) (LRR N,
MLRA 136)
_ Umbric Surface (1713) (MLRA 136, 122)
_ Piedmont Floodplain Soils (F19) (MLRA 148)
in- PL =Pore Lininq. 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 (TF2)
_ Very Shallow Dark Surface (TF12)
Other (Explain in Remarks)
'Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic
Hydric Soil Present? Yes No /
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version

L,1r/L, AO l,,/ U W6 r
WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont
Project/Site. X Sc� ^rf City /County: / rL,4^Aw« Sampling Date:
ApplicanlfOwner. rLO -4—L ✓ f fT� 5 State: N Sampling Point: ^1197 40C
Investigator(s): 142KIA1 -' ' D.0 ✓�f �F�'I Section, Township, Range: /t-ip"'r Y o
Landfonn (hillslope, terrace, etc.): "�� F,'r SUS �7 Local relief (concave, convex, none): � � Slope ( %): 0
Subregion (LRR or MLRA)!: � �/ 3 Let: S 6 / . / Z F S/ / Long: 72. 52�� / pDatum: f ry
Soil Map Unit Name: NWI classification-
Are climatic / hydrologic conditions on the site typical for this time of year? Yes _,"' No (If no, explain in Remarks )
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances' present? Yes No
Are Vegetation . Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks )
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes — 7---No
Is the Sampled Area
Hydric Soil Present? Yes �No /
within a Wetland? Yes No
Wetland Hydrology Present') Yes No
Remarks
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required: check
all that apply)
_ Surface Soil Cracks (B6)
_Surface Water (Al) _
True Aquatic Plants (1314)
_ Sparsely Vegetated Concave Surface (138)
_ "High Water Table (A2) _
Hydrogen Sulfide Odor (C1)
Drainage Patterns (1310)
Saturation (A3) _
Oxidized Rhizospheres on Living Roots (C3)
_ Moss Trim Lines (816)
_ Water Marks (131) _
Presence of Reduced Iron (C4)
_ Dry- Season Water Table (C2)
Sediment Deposits (62) _
Recent Iron Reduction in Tilled Soils (C6)
_ Crayfish Burrows (C8)
Drift Deposits (B3) _
Thin Muck Surface (C7)
_ Saturation Visible on Aerial Imagery (C9)
_ Algal Mal or Crust (134) _
Other (Explain in Remarks)
_ Stunted or Stressed Plants (D1)
_ Iron Deposits (65)
_ Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137)
_ Shallow Aquitard (D3)
_ Water- Stained Leaves (139)
_ Microtopographic Relief (D4)
Aquatic Fauna (1313)
-'PAC- Neutral Test (D5)
Field Observations:
/
Z
Surface Water Present? Yes No
Depth (inches):
7
Water Table Present? Yes No
Depth (inches):
/
Saturation Present? Yes � No
Depth (inches): a
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 - Interim Version

VEGETATION (Four Strata) — Use scientific names of plants.
Absolute Dominant Indicator
Tree Stratum (Plot size: v r ecies? Status
1.
2.
3,
4
5
6
7
7.
8
Saolina
/Shrub Stratum (Plot size:
)
1.
2.
3,
4
5.
6.
7
8.
9.
10.
Herb
Stratum (Plot size: )
1 s�f
gZ2
2.
3.
Af /a
4
?��if�0� Ce Q
)
5.
1A
6.
7
8
9.
10.
11
12,
Woody Vine Stratum (Plot size
1.
2.
3.
4.
5.
6.
Remarks: (Include photo numbers here or on a separate sheet.)
Sampling Point:
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC (A)
Total Number of Dominant n
Species Across All Strata: (B)
Percent of Dominant Species /
0,0 Are OBL, FACW, or FAC: 837 G (A/B)
Prevalence Index worksheet:
Total % Cover of Multiply by
= Total Cover OBL species x 1 =
FACW species x 2 =
FAC species x 3 =
FACU species x 4 =
UPL species x 5 =
Column Totals: (A) (B)
= Total Cover
-erg
OYSC
1P� [
=Total Cover
= Total Cover
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
1 - Rapid Test for Hydrophytic Vegetation
_ 2 - Dominance Test is >50%
_ 3 - Prevalence Index is 53.0'
_ 4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
Tree - Woody plants, excluding vines, 3 in (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height
Sapling /Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than 3.28 ft (1 m) tall.
Herb - All herbaceous (non - woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody vine - All woody vines greater than 3.28 ft in
height
Hydrophytic
Vegetation
Present? Yes _ No
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version

SOIL
Sampling Point. 6 2 / a7
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) % Tvoer Loc,_ Texture Remarks
D= Deolelion. RM= Reduced Matrix. MS= Masked
Hydric Soil Indicators:
_ Histosol (A1)
Hislic Epipedon (A2)
Black Hislic (A3)
_ Hydrogen Sulfide (A4)
_ Stratified Layers (A5)
2 cm Muck (A10) (LRR N)
_ Depleted Below Dark Surface (Al 1)
Thick Dark Surface (Al2)
_ Sandy Mucky Mineral (S1) (LRR N.
MLRA 147, 148)
_ Sandy Gleyed Matrix (S4)
Sandy Redox (S5)
_ Stripped Matrix (S6)
Restrictive Layer (if observed):
Tvoe.
Depth (inches):
Remarks.
_ Dark Surface (S7)
Polyvalue Below Surface (S8) (MLRA 147, 148)
_ Thin Dark Surface (S9) (MLRA 147, 148)
_ Loamy Gleyed Matrix (F2)
1 Depleted Matrix (173)
_ Redox Dark Surface (F6)
Depleted Dark Surface (F7)
_ Redox Depressions (F8)
Iron- Manganese Masses (F12) (LRR N,
MLRA 136)
_ Umbric Surface (F13) (MLRA 136, 122)
_ Piedmont Floodplain Soils (F19) (MLRA 148)
m: PL =Pore Lininq, M= Matnx.
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 (TF2)
_ Very Shallow Dark Surface (TF12)
Other (Explain in Remarks)
3Indicators of hydrophytic vegetation and
wetland hydrology must be present.
unless disturbed or problematic.
Hydric Soil Present? Yes / No
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version
s/-7
D= Deolelion. RM= Reduced Matrix. MS= Masked
Hydric Soil Indicators:
_ Histosol (A1)
Hislic Epipedon (A2)
Black Hislic (A3)
_ Hydrogen Sulfide (A4)
_ Stratified Layers (A5)
2 cm Muck (A10) (LRR N)
_ Depleted Below Dark Surface (Al 1)
Thick Dark Surface (Al2)
_ Sandy Mucky Mineral (S1) (LRR N.
MLRA 147, 148)
_ Sandy Gleyed Matrix (S4)
Sandy Redox (S5)
_ Stripped Matrix (S6)
Restrictive Layer (if observed):
Tvoe.
Depth (inches):
Remarks.
_ Dark Surface (S7)
Polyvalue Below Surface (S8) (MLRA 147, 148)
_ Thin Dark Surface (S9) (MLRA 147, 148)
_ Loamy Gleyed Matrix (F2)
1 Depleted Matrix (173)
_ Redox Dark Surface (F6)
Depleted Dark Surface (F7)
_ Redox Depressions (F8)
Iron- Manganese Masses (F12) (LRR N,
MLRA 136)
_ Umbric Surface (F13) (MLRA 136, 122)
_ Piedmont Floodplain Soils (F19) (MLRA 148)
m: PL =Pore Lininq, M= Matnx.
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 (TF2)
_ Very Shallow Dark Surface (TF12)
Other (Explain in Remarks)
3Indicators of hydrophytic vegetation and
wetland hydrology must be present.
unless disturbed or problematic.
Hydric Soil Present? Yes / No
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version

SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No
Is the Sampled Area
Hydric Soil Present? Yes �— No within a Wetland? Yes No
Welland Hydrology Present? Yes No
Remarks.
HYDROLOGY
Wetland Hydrology Indicators:
bl/ -(iA 1'109 G/7 14/f7
WETLAND DETERMINATION DATA FORM
- Eastern Mountains and Piedmont
/C?CK w�^ "f
_ Surface Water (Al)
Sampling Date: C / ^2���y
Project/Site
City /County:
_ Hydrogen Sulfide Odor (C1)
Applicant/Owner: /,o ��+ j
Stale: /" C Sampling Point:
Investigator (s). �` /a^� S O ✓/i '
. i; � � ,..c` S`G -� "a
{ Section. Township, Range:
/
Landform (hillslope, terrace, etc.): r �`����
Local relief (concave, convex, none): (A� � Slope ( %):
Subregion (LRR or MLRyA�),: to Z Lail-
j C r2G/ 3 G
,,(
Long: - % % - �XY S3,� Datum: �� f �Y
Soil Map Unit Name: r /iUr/r //!L
_ Drift Deposits (133)
NWI classification
Are climatic / hydrologic conditions on the site typical for
this time of year? Yes
No (If no, explain in Remarks.)
Are Vegetation . Soil or Hydrology
significantly disturbed?
Are 'Normal Circumstances" present? Yes �_ No
Are Vegetation Soil or Hydrology
naturally problematic?
(If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No
Is the Sampled Area
Hydric Soil Present? Yes �— No within a Wetland? Yes No
Welland Hydrology Present? Yes No
Remarks.
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two reouired)
Primary Indicators (minimum of one is reouired
check all that apply)
_ Surface Soil Cracks (B6)
_ Surface Water (Al)
_ True Aquatic Plants (B14)
_ Sparsely Vegetated Concave Surface (68)
_ High Water Table (A2)
_ Hydrogen Sulfide Odor (C1)
_ Drainage Patterns (B10)
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 (B2)
_ Recent Iron Reduction in Tilled Soils (C6)
_ Crayfish Burrows (C8)
_ Drift Deposits (133)
_ Thin Muck Surface (C7)
_ Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (B4)
_ Other (Explain in Remarks)
_ Stunted or Stressed Plants (D1)
_ Iron Deposits (85)
_ Geomorphic Position (132)
_ Inundation Visible on Aerial Imagery (B7)
_ Shallow Aquitard (D3)
Water- Stained Leaves (B9)
_ Microtopographic Relief (D4)
_ Aquatic Fauna (813)
_ FAC- Neutral Test (D5)
Field Observations:
/Depth
Surface Water Present? Yes No
(inches):
Water Table Present? Yes No
/ Depth (inches):
Saturation Present? Yes _� No
Depth (inches):
Wetland Hydrology Present? Yes / No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitonng well, aerial photos, previous inspections), if available
Remarks
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: Otv v w
Remarks: (Include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version
Absolute Dominant Indicator
Dominance Test worksheet:
Tree Stratum (Plot size:
°' Cover Species? Status_
Number of Dominant Species
1.
That Are OBL, FACW, or FAC: 7 (A)
2.
Total Number of Dominant L
(
3.
Species Across All Strata: (B)
4.
Percent of Dominant Species
5•
That Are OBL, FACW, or FAC: (A/B)
6.
Prevalence Index worksheet:
7.
Total % Cover of Multiply by
8
= Total Cover
OBL species x 1 =
Sagling/Shrub Stratum (Plot size. )
FACW species x 2 =
1 �� ,vE/✓rYJ
PC-
FAC species x 3 =
2
FACU species x 4 =
3
UPL species x 5 =
4
Column Totals: (A) (B)
5.
Prevalence Index = BlA =
6.
Hydrophytic Vegetation Indicators:
7.
1 - Rapid Test for Hydrophytic Vegetation
8
72
- Dominance Test is >50%
9.
3 - Prevalence Index is 53.0'
10
_
4 - Morphological Adaptations' (Provide supporting
= Total Cover
_
data in Remarks or on a separate sheet)
Herb m (Plot size: )
1 /�✓f ��frf/
14
_,q�
_ Problematic Hydrophytic Vegetation' (Explain)
2 )l fB
/1" 1"4C "'+5[
'Indicators
of hydric soil and wetland hydrology must
3,
be present, unless disturbed or problematic.
4.
Definitions of Four Vegetation Strata:
5.
Tree - Woody plants, excluding vines. 3 in (7.6 cm) or
6
more in diameter at breast height (DBH). regardless of
7.
height.
8.
Sapling /Shrub -Woody plants, excluding vines, less
9.
than 3 in. DBH and greater than 3.28 R (1 m) tall.
10
Herb - All herbaceous (non - woody) plants, regardless
11.
of size, and woody plants less than 3.28 ft tall.
12.
Total Cover
Woody vine - All woody vines greater than 3.28 ft in
Woody Vine Stratum (Plot size. )
_�/O
height.
2.
3.
4.
Hydrophytic
5.
Vegetation
/
6,
Present? Yes No
Total Cover
Remarks: (Include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version

SOIL
Sampling Point
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Tvoe ocLocL Texture Remarks
'Type C= Concentration, D= Depletion, RM= Reduced Matrix, MS= Masked Sa
Hydric Soil Indicators:
Hislosol (Al)
_ Hislic Epipedon (A2)
Black Histic (A3)
Hydrogen Sulfide (A4)
Stratified Layers (A5)
2 cm Muck (A10) (LRR N)
Depleted Below Dark Surface (A1 1)
Thick Dark Surface (Al2)
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):
Remarks
Dark Surface (S7)
Polyvalue Below Surface (S8) (MLRA 147, 148)
_ Thin Dark Surface (S9) (MLRA 147, 148)
_ Loamy Gleyed Matrix (F2)
Depleted Matrix (F3)
_ Redox Dark Surface (176)
_ Depleted Dark Surface (F7)
Redox Depressions (F8)
Iron-Manganese Masses (1712) (LRR N,
MLRA 136)
Umbric Surface (F13) (MLRA 136, 122)
_ Piedmont Floodplain Soils (F19) (MLRA 148)
)n: PL =Pore Lining, M= Matrix._
Indicators for Problematic Hydric Soils':
2 cm Muck (A10) (MLRA 147)
Coast Praine Redox (A16)
(MLRA 147, 148)
Piedmont Floodplain Soils (F19)
(MLRA 136, 147)
_ Red Parent Material (TF2)
Very Shallow Dark Surface (TF12)
Other (Explain in Remarks)
'Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Hydric Soil Present? Yes No
US Army Corps of Engineers Eastern Mountains and Piedmont — Interim Version

Wt-(Uo-NO3 14, W 9
WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont
Project/Site: ��� �< �U NG S City /County: � � Sampling Date: LO J
Applicant/Owner o f�E/M� State; IrIC Sampling Point:
Investigator(s) Y °'' �.I ✓iJ �c�''r� Section, Township, Range:
Landform (hillslope. terrace, etcc...) �/ Local relief (concave, convex, none): Slope ( %):
Subregion (LRR or MLRA) p /�� Lai moo. �2� Long: f%i�3� Datum.
Soil Map Unit Name: C - If Cl ✓/ ,-V troy' /r✓f'� NWI classification:
Are climatic / hydrologic conditions on the site typical for this time of year) 4s No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are 'Normal Circumstances' present? Yes "" No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes /No
Is the Sampled Area
Hydric Soil Present? Yes No I within a Wetland? Yes No /
Wetland Hydrology Present? Yes No
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two reouiredl
Primary Indicators (minimum of one is required:
check all that apply)
_ Surface Soil Cracks (B6)
Surface Water (Al)
_ True Aquatic Plants (B14)
_ Sparsely Vegetated Concave Surface (68)
_ High Water Table (A2)
_ Hydrogen Sulfide Odor (Cl)
_ Drainage Patterns (B10)
Saturation (A3)
_ Oxidized Rhizospheres on Living Roots (C3)
_ Moss Trim Lines (B16)
_ Water Marks (Bi)
_ Presence of Reduced Iron (C4)
_ Dry- Season Water Table (C2)
Sediment Deposits (B2)
_ 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 (B5)
_ Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (B7)
_ Shallow Aquitard (D3)
Water - Stained Leaves (139)
icrotopographic Relief (D4)
_ Aquatic Fauna (B13)
/ FAC- Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
" Dpppepth (inches):
Water Table Present? Yes No
epth (inches): 164
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 - Interim Version

VEGETATION (Four Strata) — Use scientific names of plants.
Sampling Point: 0C1_-Kr
Remarks: (Include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version
Absolute
Dominant Indicator
Dominance Test worksheet:
Tree (Plot size. )
% Cover 7 Status
Number of Dominant Species
1
/t'f�t't�3,%
G
That Are OBL. FACW, or FAC: (A)
2.
Total Number of Dominant
3.
Species Across All Strata: (B)
4.
q
Percent of Dominant Species C
5.
That Are OBL, FACW, or FAC: (A/B)
6.
Prevalence Index worksheet:
7
8
Total % Cover of Multioly by.
Total Cover
OBL species x 1 =
tin / hr Stratum (Plot size:
)
FACW species x 2 =
1.
Lt`jt N 'c"Tb
I-W
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.
Hydrophytic Vegetation Indicators:
7
_ 1 - Rapid Test for Hydrophytic Vegetation
8
2 - Dominance Test is >50%
9.
3 - Prevalence Index is 53.0'
10.
_
4 - Morphological Adaptations' (Provide supporting
i p
= Total Cover
_
data in Remarks or on a separate sheet)
He
1
bStrallim (Pot size: )
14,11e-10-1 Gw
1_;4e_
_ Problematic Hydrophytic Vegetation' (Explain)
2
1 .2
Indicators of hydnc soil and wetland hydrology must
be present, unless disturbed or problematic.
4.
2
` ^r ✓
Definitions of Four Vegetation Strata:
5.
Y f/?
/n
FAc - ,,!K
Tree - Woody plants. excluding vines, 3 in. (7.6 cm) or
6. 0/j&V �/I�f A�6 5' VP(
`
more in diameter at breast height (DBH), regardless of
7.
height
8.
Sapling /Shrub -Woody plants, excluding vines, less
9.
than 3 in DBH and greater than 3.28 It (1 m) tall.
10
Herb - All herbaceous (non - woody) plants, regardless
11
of size, and woody plants less than 3 28 ft tall.
12.
Total Cover
Woody vine - All woody vines greater than 3.28 It in
Woody Vine Stratum (Plot size
1
)
height.
2
3
5
/
Hydrophytic
Vegetation
6
Present? Yes No
= Total Cover
Remarks: (Include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version

SOIL
Sampling Point:
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' Loc' Texture Remarks
'Type: C= Concentration. D= Depletion,
Hydric Soil Indicators:
_ Histosol (All
Histic Epipedon (A2)
_ Black Histic (A3)
Hydrogen Sulfide (A4)
Stratified Layers (A5)
2 cm Muck (A10) (LRR N)
Depleted Below Dark Surface (Al 1)
Thick Dark Surface (Al2)
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)
marks
RM= Reduced
MS= Masked Sand Grains. ILocation. PL =Pore Lining, M= Matrix.
Indicators for Problematic Hydric Soils':
_ 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 Matnx (F2)
_ Piedmont Floodplain Soils (F19)
Depleted Matrix (F3)
(MLRA 136, 147)
_ Redox Dark Surface (F6)
_ Red Parent Material (TF2)
_ Depleted Dark Surface (F7)
_ Very Shallow Dark Surface (TF12)
_ Redox Depressions (F8)
_ Other (Explain in Remarks)
Iron- Manganese Masses (F12) (LRR N,
MLRA 136)
Umbric Surface (F13) (MLRA 136, 122)
Piedmont Floodplain Soils (F19) (MLRA 148)
Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Hydric Soil Present? Yes No
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version

�✓er"'10 wq
WETLAND DETERMINATION DATA FORM - East(errn Mountains and Piedmont
Project/Site: /�i�i�t , f Rf City /County: Sampling Date:
Applicant/Owner. (CFy o �I %f"f State: "/C Sampling Point:
Investigator(s): /a S �'4"'� G �6"' Section, wns ' , Ranger
Landform (hillslope, terrace, etc.): LOw Local relief (concave, convex, none): G+7 ✓5 Slope
Subregion (LRR or MLRA). 3 Lat. l2 5-yy 9 Long 77 5 -2 'IW `3 Datum: WG s
Soil Map Unit Name: ef' Xct filOt (-4110 - aa-xy Obi -cam NWI classification:
Are climatic / hydrologic conditions on the site typical for this time of year? Yes No (If no, explain in Remarks.)
Are Vegetation . Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes No
Are Vegetation . Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks )
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes / No
Is the Sampled Area
Hydric Soil Present? Yes No within a Wetland? Yes No
Welland Hydrology Present? Yes 7' No
Remarks
HYDROLOGY
Wetland Hydrology Indicators:
Primary Indicators (minimum of one is reguired
check all that apply)
1 Surface Water (Al)
_ True Aquatic Plants (614)
_,�-'High Water Table (A2)
_ Hydrogen Sulfide Odor (Cl)
maturation (A3)
— Oxidized Rhizospheres on Living Roots (C3)
_ Water Marks (131)
_ Presence of Reduced Iron (C4)
Sediment Deposits (132)
— Recent Iron Reduction in Tilled Soils (C6)
_ Drift Deposits (B3)
— Thin Muck Surface (C7)
— Algal Mal or Crust (134)
_ Other (Explain in Remarks)
— Iron Deposits (135)
— Inundation Visible on Aerial Imagery (137)
— Water- Stained Leaves (139)
Aquatic Fauna (613)
Hera uoservanons:
Surface Water Present? Yes No Depth (inches):
Water Table Present? Yes No Depth (inches): L
Saturation Present? Yes --�`No Depth (inches):
Surface Soil Cracks (86)
_ Sparsely Vegetated Concave Surface (B8)
_ Drainage Patterns (810)
— Moss Trim Lines (1316)
— Dry- Season Water Table (C2)
— Crayfish Burrows (C8)
— Saturation Visible on Aerial Imagery (C9)
_ Stunted or Stressed Plants (D1)
— Geomorphic Position (D2)
Shallow Aquitard (D3)
/fylicrotopographic Relief (D4)
FAC- Neutral Test (D5)
Wetland Hydrology Present? Yes �No
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version

VEGETATION (Four Strata) — Use scientific names of plants.
Sampling Point:
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version
Absolute Dominant Indicator
Dominance Test worksheet:
Tree Stratum (Plot size )
Cover Species? Status
Number of Dominant Species
1.
That Are OBL, FACW, or FAC: (A)
2.
Total Number of Dominant
3.
Z
Species Across All Strata: (B)
4.
Percent of Dominant Species 4�
/
5
�/
That Are OBL, FACW, or FAC: (A/B)
6.
/
Prevalence Index worksheet:
7
8
Total % Cover of Multiply bv:
= Total Cover
OBL species x 1 =
1 / v rat m (Plot size.
)
FACW species x 2=
1
1.Q�1Ni/i �rrlrL c/ir%��0
/ ,46t -1
FAC species x3=
2,
GEi? a1�
4aC
FACU species x 4 =
3
iA,i0� /ifAc� <<�Q
i r�4C
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
2 - Dominance Test is >50%
9
_
3 - Prevalence Index is 53.0'
10.
U�
_
— 4 - Morphological Adaptations' (Provide supporting
= Total Cover
data in Remarks or on a separate sheet)
r r m ((Plot size: )
/ G
Problematic Hydrophytic Vegetation' (Explain)
2.
/�yO/1 -�c p�f� E sd'
� j�c�r -o b�
s�
�� j� orb
Indicators of hydric soil and wetland hydrology must
3
be present, unless disturbed or problematic.
4
Definitions of Four Vegetation Strata:
5.
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
6
more in diameter at breast height (DBH), regardless of
7.
height.
8.
Sapling /Shrub -Woody plants, excluding vines. less
9.
than 3 in DBH and greater than 3.28 ft (1 m) tall.
10.
Herb - All herbaceous (non - woody) plants, regardless
11.
of size, and woody plants less than 3.28 ft tall.
12,
= Total Cover
Woody vine - All woody vines greater than 3.28 ft in
Woody Vine Stratum (Plot size
)
height
1.
2.
i
3.
4,
Hydrophytic
5.
Vegetation
6.
Present? Yes No
= Total Cover
Remarks: (Include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version

SOIL
Sampling Point: GvP/ w
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) % TvDer-Loc• Texture Remarks
2-10 0 W / 6/0 t/� 4Z>
c
'Type C= Concentration, D= Depletion, RM
Hydric Soil Indicators:
Histosoi(Al)
_ Hislic 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) (LRR N,
MLRA 147, 148)
Sandy Gleyed Matrix (S4)
_ Sandy Redox (S5)
_ Stripped Matrix (S6)
Restrictive Layer (if observed):
Type
Depth (inches)
Remarks.
Matrix. MS= Masked Sand
_ Dark Surface (S7)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_ Thin Dark Surface (S9) (MLRA 147, 148)
_ Loamy Gleyed Matrix (F2)
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 136, 122)
_ Piedmont Fioodplam Soils (F19) (MLRA 148)
in: PL =Pore Lining, M =Matnx
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 (TF2)
Very Shallow Dark Surface (TF12)
Other (Explain in Remarks)
'Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Hydric Soil Present? Yes No
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version

Wffr .vOf k1 v wJ ; w l2 wi7'
WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont /
Project/Site: .VCW 5�,��"�s City /County: / yr �r �" �t� ,,/�//'' Sampling Dale:
Applicant/Owner: FY�Tc,�. �r'1 j "v �y
/ /� State: Sampling Point: c�'7
Investigators) 4Y/o" - 5 0,4ff Section, Township, Range:
Landform (hillslope, terrace, etc.). Ct .fT /`01 V" Local relief (concave, convex, none). VlWa Slope
Subregion (LRR or MLRA): ^ rT / / 3� Lat: 2 / 120 U0 Long. - ;7% S2/ -9 Datum: wGS
Soil Map Unit Name: l'�4 ` 'J �✓•4 Cl � � rim �� NWI classification: P0114
Are climatic / hydrologic conditions on the site typical for this time of year? Yes __,�No (If no, explain in Remarks.)
Are Vegetation /Soil �, or Hydrology significantly disturbed? Are 'Normal Circumstances' present? Yes / No
Are Vegetation Soil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present?
Hydric Soil Present?
Wetland Hydrology Present?
Remarks:
VC(. GwR O -o
HYDROLOGY
i
Yeses No
Yes No
Yes _ No
Is the Sampled Area
within a Wetland? Yes No
Solt Go.n/r.Oc 7 11� Goc,,f
Wetland Hydrology Indicators:
Primary Indicators (minimum of one is reouired
check all that apply)
Surface Water (Al)
_ True Aquatic Plants (814)
_,L--High Water Table (A2)
_ Hydrogen Sulfide Odor (C1)
ZSaluration (A3)
_ Oxidized Rhizospheres on Living Roots (C3)
_ Water Marks (B1)
_ Presence of Reduced Iron (C4)
_ Sediment Deposits (B2)
_ Recent Iron Reduction in Tilled Soils (C6)
_ Drift Deposits (83)
_ Thin Muck Surface (C7)
_ Algal Mat or Crust (84)
_ Other (Explain in Remarks)
_ Iron Deposits (B5)
Inundation Visible on Aerial Imagery (87)
Water- Stained Leaves (89)
_ Aquatic Fauna (B13)
Field Observations:
Surface Water Present? Yes No
Depth (inches):
Water Table Present? Yes No
Depth (inches):
_ Surface Soil Cracks (86)
_ Sparsely Vegetated Concave Surface (88)
_ Drainage Patterns (810)
Moss Trim Lines (B16)
Dry- Season Water Table (C2)
Crayfish Burrows (C8)
_ Saturation Visible on Aerial Imagery (C9)
Stunted or Stressed Plants (D1)
Geomorphic Position (D2)
Shallow Aquitard (133)
_ Microtopographic Relief (D4)
"'FAC- Neutral Test (D5)
Saturation Present? Yes No Depth (inches): Wetland Hydrology Present? Yes
(stream gauge, monitoring well, aerial photos, previous inspections), if available
rks
/No
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: Off~ .,�
Absolute Dominant Indicator Dominance Test worksheet:
Tree Stratum (Plot size: ) Cover s Number of Dominant Species
2
1, That Are OBL, FACW, or FAC:
2.
Total % Cover of.
Multiply by:
3.
x 1 =
FACW species
4.
FAC species
x 3 =
5.
x 4 =
UPL species
6
Column Totals:
(A) (B)
7
8
= Total Cover
Saplino/Shrub Stratum (Plot size:
)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
= Total Cover
Herb Stratum (Plot size. )
�.k
�E''�cA sP
Sfl
roc
2. ��,�ws dii S
qv
" F,QC ✓
3. S?
/0
(xk - 9,b
4.
5
6.
7.
8.
9.
10.
11,
12.
Total Cover
Woody Vine Stratum (Plot size:
1.
2.
3.
4.
5.
6.
Remarks: (Include photo numbers here or on a separate sheet.)
= Total Cover
Total Number of Dominant
Species Across All Strata:
Percent of Dominant Species
That Are OBL. FACW, or FAC
Z
(A)
(8)
(A/B)
Prevalence Index worksheet:
Total % Cover of.
Multiply by:
OBL species
x 1 =
FACW species
x 2 =
FAC species
x 3 =
FACU species
x 4 =
UPL species
x 5 =
Column Totals:
(A) (B)
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
1 - Rapid Test for Hydrophytic Vegetation
_ 2 - Dominance Test is >50%
_ 3 - Prevalence Index is 53.0'
_ 4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
_ Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
Tree - Woody plants, excluding vines. 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height
Sapling /Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than 3.28 ft (1 m) tall.
Herb - All herbaceous (non - woody) plants, regardless
of size, and woody plants less than 3 28 ft tall.
Woody vine - All woody vines greater than 3.28 ft in
height.
Hydrophytic
Vegetation
Present? Yes No
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version

SOIL
Sampling Point. 1196_ f.�dT
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) % T� oc* Texture Remarks
'Type: C= Concentration, D= Depletion, I
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 (All 1)
Thick Dark Surface (Al2)
_ Sandy Mucky Mineral (S1) (LRR N,
MLRA 147, 148)
Sandy Gleyed Matrix (S4)
_ Sandy Redox (S5)
_ Stnpped Matrix (S6)
Restrictive Laver (if observed):
Type
Depth (inches).
Remarks:
_ Dark Surface (S7)
Polyvalue Below Surface (S8) (MLRA 147, 148)
_ Thin Dark Surface (S9) (MLRA 147, 148)
Loamy Gleyed Matrix (F2)
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 136, 122)
Piedmont Floodplain Soils (F19) (MLRA 148)
)n: 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 (TF2)
_ Very Shallow Dark Surface (TF12)
Other (Explain in Remarks)
'Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Hydric Soil Present? Yes No
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version
/-7
Cc
�x 3/
Loo
cL
'Type: C= Concentration, D= Depletion, I
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 (All 1)
Thick Dark Surface (Al2)
_ Sandy Mucky Mineral (S1) (LRR N,
MLRA 147, 148)
Sandy Gleyed Matrix (S4)
_ Sandy Redox (S5)
_ Stnpped Matrix (S6)
Restrictive Laver (if observed):
Type
Depth (inches).
Remarks:
_ Dark Surface (S7)
Polyvalue Below Surface (S8) (MLRA 147, 148)
_ Thin Dark Surface (S9) (MLRA 147, 148)
Loamy Gleyed Matrix (F2)
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 136, 122)
Piedmont Floodplain Soils (F19) (MLRA 148)
)n: 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 (TF2)
_ Very Shallow Dark Surface (TF12)
Other (Explain in Remarks)
'Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Hydric Soil Present? Yes No
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version

WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont wl2, Wl3 dP
Project/Site: 4ZCif ct, `t City /County: Sampling Date yam'+ 2/5� "�
Applicant/Owner: . �.� fYk� ' 1 State: �=— Sampling Point: y r�
Investigator(s), /V> /.�. • S �O✓�f_ G Y S Section, Township. Range 0S one �� /��. t/V
Landform (hillslope, terrace. etc.): SIApF Local relief (concave, convex, none): ��` Slope ( %) �! /
Subregion (LRR or MLRA). !' " Lat. 3. 127130 Long —79- S?/ 5-2 Datum. 7"GS
Soil Map Unit Name IA Nf�^' -° Cc.e Lo, , t±� L`410W SI-PW A 3e NWI classification
Are climatic / hydrologic conditions on the site typical for this time of year? Yes "�, No (If no, explain in Remarks )
Are Vegetation , Soil or Hydrology significantly disturbed? Are 'Normal Circumstances' present? Yes No
Are Vegetation . Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophylic Vegetation Present? Yes No
Is the Sampled Area /
Hydric Soil Present? Yes No within a Wetland? Yes ! No
Wetland Hydrology Present? Yes No
Remarks
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required:
check all that apply)
_ Surface Soil Cracks (B6)
Surface Water (Al)
_ True Aquatic Plants (B14)
_ Sparsely Vegetated Concave Surface (68)
_ High Water Table (A2)
_ Hydrogen Sulfide Odor (Cl)
_ Drainage Patterns (B10)
Saturation (A3)
_ Oxidized Rhizospheres on Living Roots (C3)
_ Moss Trim Lines (B16)
Water Marks (B1)
_ Presence of Reduced Iron (C4)
_ Dry- Season Water Table (C2)
Sediment Deposits (B2)
_ 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 (B4)
_ Other (Explain in Remarks)
_ Stunted or Stressed Plants (D1)
_ Iron Deposits (65)
_ Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (B7)
_ Shallow Aquitard (D3)
_ Water- Stained Leaves (B9)
_ Micro topographic Relief (134)
Aquatic Fauna (B13)
_ FAC- Neutral Test (D5)
Field Observations:
Water Present? Yes No
/Depth
Surface
Water Table Present? Yes No
(inches):
_ Depth (inches):
/
Saturation Present? Yes No
Depth (inches):
Wetland Hydrology Present? Yes No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections). if available:
Remarks
US Army Corps of Engineers Eastern Mountains and Piedmont — Interim Version

VEGETATION (Four Strata) — Use scientific names of plants.
Sampling Point: G/
Remarks (Include photo numbers here or on a separate sheet )
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version
Absolute Dominant Indicator
Dominance Test worksheet:
Tree Stralum (Plot size )
r Soecies? Status
Number of Dominant Species
O
1
That Are OBL. FACW, or FAC: (A)
2•
Total Number of Dominant
1
3_
Species Across All Strata (B)
4.
OPercent of Dominant Species
5.
That Are OBL, FACW, or FAC (AB)
6.
Prevalence Index worksheet:
7.
Total °r'o Cover of Multiply by:
8.
OBL species x 1 =
= Total Cover
Saolina /Shrub Stratum (Plot size.
)
FACW species x 2 =
1
FAC species x 3 =
2
FACU species x 4 =
3
UPL species x 5 =
4
Column Totals: (A) (B)
5.
Prevalence Index = B/A =
6.
Hydrophytic Vegetation Indicators:
7.
— 1 -Rapid Test for Hydrophytic Vegetation
8.
_ 2 - Dominance Test is >50%
g.
_ 3 - Prevalence Index is 53.0'
10
_ 4 - Morphological Adaptations' (Provide supporting
= Total Cover
data in Remarks or on a separate sheet)
Herb Stratum (Plot size. )
� fAC -%v
— Problematic Hydrophytic Vegetation' (Explain)
1 �(�S4dGA �•
2. �c�/I,� iv s al flt-I L41 e" -IE
Aw
'Indicators
'� �r/M k,�G�NI
of hydric soil and wetland hydrology must
3 /�L
be present, unless disturbed or problematic.
4
Definitions of Four Vegetation Strata:
5.
Tree -Woody plants, excluding vines, 3 in. (7.6 cm) or
6.
more in diameter at breast height (DBH), regardless of
7
height.
8.
Sapling/Shrub -Woody plants, excluding vines, less
g
than 3 in. DBH and greater than 3.28 fl (1 m) tall.
10
Herb -All herbaceous (non woody) plants, regardless
11
of size, and woody plants less than 3.28 ft tall
12
it
—7�
70
Woody vine - All woody vines greater than 3.28 It in
= Total Cover
height.
Woody Vine Stratum (Plot size:
)
1.
2.
3.
4.
Hydrophytic
5.
Vegetation
6
Present? Yes No
= Total Cover
Remarks (Include photo numbers here or on a separate sheet )
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version

SOIL Sampling Point. ^r��
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) % Tvoe� —Loci
Texture Remarks
0-124
'Type: C= Concentration, D =De letion, RM= Reduced Matrix MS= Masked Sand Grains
2Location: PL =Pore Lining M =Matrix
Hydric Soil Indicators:
Indicators for Problematic Hydric Soils':
_ Hislosol (Al)
_ Dark Surface (S7)
_ 2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2)
_ Polyvalue Below Surface (S8) (MLRA 147,
148) _ Coast Prairie Redox (A16)
_ Black Histic (A3)
_ Thin Dark Surface (S9) (MLRA 147, 148)
(MLRA 147, 148)
Hydrogen Sulfide (A4)
_ Loamy Gleyed Matrix (F2)
_ Piedmont Floodplain Soils (F19)
_ Stratified Layers (A5)
_ Depleted Matrix (F3)
(MLRA 136, 147)
_ 2 cm Muck (A10) (LRR N)
_ Redox Dark Surface (F6)
_ Red Parent Material (TF2)
_ Depleted Below Dark Surface (A11)
_ Depleted Dark Surface (F7)
_ Very Shallow Dark Surface (TF12)
_ Thick Dark Surface (Al2)
_ Redox Depressions (F8)
_ Other (Explain in Remarks)
Sandy Mucky Mineral (S1) (LRR N,
_ Iron - Manganese Masses (F12) (LRR N,
MLRA 147, 148)
MLRA 136)
Sandy Gleyed Matrix (S4)
_ Umbric Surface (F13) (MLRA 136, 122)
'Indicators of hydrophytic vegetation and
Sandy Redox (S5)
_ Piedmont Floodplain Soils (F19) (MLRA 148) wetland hydrology must be present,
_ Stnpped Matrix (S6)
unless disturbed or problematic.
Restrictive Layer (if observed):
Type.
Depth (inches):
Hydric Soil Present? Yes No
Remarks'
US Army Corps of Engineers Eastern Mountains and Piedmont – Interim Version

Hydrophytic Vegetation Present? Yes No
� Is the Sampled Area /
Hydric Soil Present? Yes �_ No within a Wetland? Yes No
Wetland Hydrology Present? Yes No
Remarks.
HYDROLOGY
Wetland Hydrology Indicators:
V&-;,,t4W c✓I 3 1.,t,.
WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont
Project/Site, /r� f
t�
City /County. / � �" L''� Sampling Dale: 7 "/1� S -� Y
Applicant/Owner. �L� .v j�F'+
State: 4<f Sampling Point G
Investigator(s): / 3 �-Ov /1 6
�`' f Section, Township, Range: �r, fivIr �"tT
Landform (hillslope, terrace, etc.). v-f---KW ftOff
Local relief (concave, convex, none): C-o.,c*v£ Slope
Subregion (LRR or MLRA) / 39 Lat:
Long: Datum::
Soil Map Unit Name: a t(✓.0 CL40L
404., Sc 0,145ir' NWI classification:
Are climatic / hydrologic conditions on the site typical for this time of year? Yes No (If no, explain in Remarks.)
/
Are Vegetation Soil or Hydrology
significantly disturbed? Are 'Normal Circumstances" present? Yes No
Are Vegetation Soil or Hydrology
naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No
� Is the Sampled Area /
Hydric Soil Present? Yes �_ No within a Wetland? Yes No
Wetland Hydrology Present? Yes No
Remarks.
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is
required
check all that apply)
_ Surface Soil Cracks (136)
.1urface Water (Al)
_ True Aquatic Plants (1314)
_ Sparsely Vegetated Concave Surface (138)
High Water Table (A2)
_ Hydrogen Sulfide Odor (C1)
_ Drainage Patterns (610)
_ 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 (82)
_ Recent Iron Reduction in Tilled Soils (C6)
_ Crayfish Burrows (C8)
Drift Deposits (133)
_ Thin Muck Surface (C7)
_ Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (64)
_ Other (Explain in Remarks)
_ Stunted or Stressed Plants (D1)
_ Iron Deposits (135)
_ Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (B7)
_ Shallow Aquitard (D3)
_ Water- Stained Leaves (139)
/t�licrotopographic Relief (D4)
Aquatic Fauna (1313)
I FAC- Neutral Test (D5)
Field Observations:
Surface Water Present? Yes
No
Depth (inches):
Water Table Present? Yes
7 No
Depth (inches). D
/
Saturation Present? Yes
/No-
Depth (inches) 0
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 - Interim Version

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point
Remarks (Include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version
Absolute Dominant Indicator
Dominance Test worksheet:
Tree Stratum (Plot size. )
° Cover Species? - Status-
Number of Dominant Species
1.
That Are OBL, FACW, or FAC: (A)
2.
Total Number of Dominant 2
3.
Species Across All Strata: (B)
4.
Percent of Dominant Species / Oq
5
That Are OBL FACW, FAC: (AB)
6.
Prevalence Index worksheet:
Total % Cover of. Multiply by
8.
OBL species x 1 =
= Total Cover
,Saolina
/$hrub Stratum (Plot size:
)
FACW species x 2 =
1
FAC species x 3 =
2
FACU species x 4 =
g
UPL species x 5 =
q
Column Totals (A) (B)
5.
Prevalence Index = B/A =
6.
Hydrophytic Vegetation Indicators:
7.
1 •Rapid Test for Hydrophylic Vegetation
8.
_ 2 - Dominance Test is >50%
9
3 - Prevalence Index is 53.0'
10.
_
4 - Morphological Adaptations' (Provide supporting
= Total Cover
_
data in Remarks or on a separate sheet)
Herb Stratum (Plot size. )
2�O f,4�i,,
_Problematic Hydrophylic Vegetation (Explain)
1.
J /,.�GL•f cr�/s'�l
2.
� 1.e1p��ra
T /N�
�-
��Q.t /vc✓�.S
/D
Indicators of hydric soil and wetland hydrology must
3.
be present, unless disturbed or problematic.
4.
Pte. SP.
10 toy- ast
Definitions of Four Vegetation Strata:
5.
Tree - Woody plants, excluding vines. 3 in. (7.6 cm) or
6
more in diameter at breast height (DBH), regardless of
7.
height.
B.
Sapling /Shrub -Woody plants, excluding vines. less
9.
than 3 in DBH and greater than 3.28 fl (1 m) tall.
10.
Herb -All herbaceous (non - woody) plants, regardless
11.
of size, and woody plants less than 3.28 ft tall
12.
Woody vine - All woody vines greater than 3.28 ft in
7v = Total Cover
height.
Woody
Vine Stratum (Plot size:
)
1.
2.
3.
Hyd is
/
5
Vegetation
6
Present? Yes No
= Total Cover
Remarks (Include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version

SOIL
i
Sampling Point: Ad ui i
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 �Loc- Texture Remarks
y/1 16,0
q-10 ��� 0 729
o
'Type. C= Concentration
Hydric Soil Indicators:
Hislosol (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) (LRR N,
MLRA 147, 148)
Sandy Gleyed Matrix (S4)
_ Sandy Redox (S5)
_ Stripped Matrix (S6)
Restrictive Layer (if observed):
Type.
Depth (inches)
Remarks:
L
CC
CC
Dark Surface (S7)
Polyvalue Below Surface (S8) (MLRA 147, 148)
_ Thin Dark Surface (S9) (MLRA 147, 148)
— }eaamy Gleyed Matrix (F2)
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 136, 122)
Piedmont Floodplain Soils (F19) (MLRA 148)
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 (TF2)
Very Shallow Dark Surface (TF12)
Other (Explain in Remarks)
'Indicators of hydrophytic vegetation and
wetland hydrology must be present.
unless disturbed or problematic
Hydric Soil Present? Yes / No
US Army Corps of Engineers Eastern Mountains and Piedmont – Interim Version

iraoiS CcKk
USACE AID# DWQ # Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: /1 -' ­<'/ 2. Evaluator's name: �X� �" 6,P,,f �.41 �l
3. Date of evaluation: ` 7 �� /� 4. Time of evaluation:
I 4.1
5. Name of stream: 6. River basin:
7. Approximate drainage area: y / INi Z 8. Stream order: 3 {
9. length of reach evaluated: 2bgD 10. County:
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): 34 1 7-21129 Lon itudc ( ex. - 77.55661 ): - 79 f 2 5 �3
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo /GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
fc,oL s j� G1c ✓rsc % v,-Ve W 44165 ­016C / vsliG�,'f�f Qp �rl
14. Proposed channel work (if any): Oe FS�°04 iio,i
15. Recent weather conditions: Gc �.a( "i�'" L
16. Site conditions at time of visit:
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _ Nutrient ensitive Waters _Water Supply Watershed (1 -IV)
18. Is there a pond or lake located upstream of the evaluation point NO If yes, estimate the water surface area�J Ac.•E�
19. Does channel appear on USGS quad mmaap9 YES NO 20. Does channel appear on USDA Soil Surveys ES NO
21. Estimated watershed land use: /7 % Residential _% Commercial _% Industrial 6�% Agricultural
27 % Forested _% Cleared / Logged % Other ( )
22. Bankfull width: Ir -"2,0 23. Bank height (from bed to top of bank): y ` 6/
24. Channel slope down center of stream: Flat (0 to 2 %) L-Gentle (2 to 4 %) _Moderate (4 to 10 %) _Steep (>I 0%)
25. Channel sinuosity: Straight /Occasional bends _Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): -� Comments:
`�o ✓Of ,,, t /�i`/t+� ,Q: t( O,i %Ri �' t/1�6�/� c`S ! v 7181 +��% G1P� f�!
Evaluator's Signature �7�� Date
This channel evaluationlorm is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919- 876 -8441 x 26.

STREAM QUALITY ASSESSMI':NT WORKSHEET
-TOTAL SCORE: (also enter tin lira rago ; 6
i Ilr�i :IIal ;lill'rlSlll'� .!1'e ItUI d5StS5ed ttl eo:lst.11 arcamz.
F'
-_—
-- — CHARAC "1'f:Rlti'I'I('S
ECOREGION PO_INT_RANGE
C012
Coas tal
Piedmonts
Mountain JS
I
Presence or now / persistent pools in stream
0 . S
0 _
(no tl_oc + or saturation U; strong flrnv max points)
Evidence of past human alteration
(extensive alteration - 0; no alteration - max points) _
-
- -
-- -- -- — Riparian cone
0 - 6
11 - .)
tl -
Z
(no bulfer U: contiguous, wide buffer -• max paints)
Evidence of nutrient or chemical discharges
(extensive discharges 0: no discharges - max points)
_
Groundwater discharge
3
(no discharge 0: sprin�gs. sccps. wetlands. etc. may points)
Presence of adjacent floodpfain
0-4
0 - 4
} I
h
ino tlocxiplain - 0; emensive Iloodplain max pnutts)
_
0. frequent tno.in poit1ntrenchment r foodplain access
(deeply entrenchec
0.5
_
U A
- --
U'
— _ -
3
i
-
Presence of adjacent wetlands
0-6
0-4
0
(no \%etlands -- 0: large adjacent wetlands - max points)
-
--
--
Channcl sinuosih'
o -4
0.3
,
(extensive channelizution 0; natural meander max - points)
�0
--
_
0 • -i
sediment input
_ 5
0 - 4
IU
(extcn.i.,c depositi+nl t): little or no srdinlcnt man prnnts) _
NA,
-
- --
0.4
-
3
Size & diversih of channel bed substrate
0- ,
I I
(line, homogenous 0; large, diverse sires max points)_
0 . d
0 -
Evidence of channel incision or widening
I I2
0 - ;
j
(deeply incited = 0: stable bed_ & banks - max points)
- -__
Presence of major bank failures
(severe erosion = 0; no erosion. stable banks max points)
_
-Ront depth and densih on banks
0 _ i
(no ►isible roofs (t. dense roots throughout : max points)
Impact by agriculture, livestock, or timber production
�
tsuUst:ultial impact ►►. nr cviJcn�e nla.� puurls)
Presence of riffle- puul'rtipple -pool cortlplc%cs
l)
U - 5
0-o
G�
Ir,
(.no rif)lcs ripple or pools U. Hell- dcvclopccf ntus perints)
0 -6
I
1
_—
0 -6
�-
U -6
- Flabital complexity
I
F.
(little or no habitat U; frequent, varied habitats ntax points)
M
I H
Canopy coverage over slreambed
0 - ;
o-5
0 _ 5
3
(no shading vegetation = U: continuous canopy - max points)
_
_
U- d
0-4
3
Substrate embeddeduess
NA'
l)
(de -ply embedded = 0; loose structure max)
0.4
--
,(1 Presence of stream invertebrates (see page 1) -
(no evidence 0: conunon. numerous types - max points)
-
r
'I
Presence of amphibians
0-4
0 - d
0-4
c
(no evidence = 0: urnuuon, numerous types -max points)
o -a
i
�
o�a
—
-3
-- - -� - -
Ot Presence of fish
,_
t ► -�
I
�-
(no evidence 0. wremun. numerous types '- max points)
_-
- _
- Evidence of wildlife use
0 -(i
0 -S
0 -t
�
�t
(nor evidence 0, abundant evidence - max pointxl
L ^i
- -
--
_
'rota) Points Possible
j 100
IUO
I 1W
`
-TOTAL SCORE: (also enter tin lira rago ; 6
i Ilr�i :IIal ;lill'rlSlll'� .!1'e ItUI d5StS5ed ttl eo:lst.11 arcamz.
F'

USACE All
DWQ#
LIrr
Site # / (indicate on attached map)
rl-T-11 STREAM QUALITY ASSESSMENT WORKSHEET Ad*
Provide the following information for the stream reach under assessment:
1. Applicant's name: t`— �ts�7rcw �ST�+t 2. Evaluator's name: / 11 0/1
3. Date of evaluation: y�zC� /� 4. Time of evaluation: IX /11
5. Name of stream: To �/� ✓lj '�h`t K 6. River basin: C-mF A*
7. Approximate drainage area: ""S-0 ASS 8. Stream order:
9. Length of reach evaluated: "' � 10. County: Ot
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): q r 7
Latitude (cx. 34.872312): 3 6 / 2 7 3 a < Longitude (cx. -77.556611): — 7 / • 7
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo /GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
5av N i`e-",S of A, Qp Z00 10,11 11'11&5-1V111(-
14. Proposed channel work (if any):S��i�% ofsG��
15. Recent weather conditions: �CEVa/1 �✓��'' N'' fir'
16. Site conditions at time of visit: C 6%5vj e111a1 ^
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters _Water Supply Watershed (I -IV)
18. Is there a pond or lake located upstream of the evaluation pointt�>NO If yes, estimate the water surface area: O, 2 A;�
19. Does channel appear on USGS quad map? ES NO 20. Does channel appear on USDA Soil Survey? ES NO
21. Estimated watershed land use: °%, Residential _% Commercial _% Industrial _/o Agricultural
% Forested _% Cleared / Logged _% Other ( )
22. Bankfull width
2—
24. Channel slope down center of stream: _Flat (0 to 2 %)
i
23. Bank height (from bed to top of bank): O
�ntle (2 to 4 %) _Moderate (4 to 10 %) _Steep ( >10 %)
25. Channel sinuosity: Straight _Occasional bends _Frequent meander _Very sinuous
_Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain. vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): 2 Comments:
c/, 2
Evaluator's Signature l �'�— Date
'This channel evaluat orm is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change — version 06/03. To Comment, please call 919- 876 - 8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET Lr7 */
- - C HAtLAC LRISTICS E
ECOREGION POINT R
RANGE SCORE
Coastal P
Piedmont M
Mountain
Presence or flow / persistent pools in stream
� 1 3
0 -5 0
0 -4 o
3
(n 0
y Evidence 4if past human ti teradon 0
0-6 0
0 - 5 0
0 - 5
(extensive alteration - 0; no alteration - max points)
- - - — Riparian zone 0
0 - 6 0
0-4 0
0 - ; I
(no butler = 0: contiguous, wide buffer = max points)
t r•.vidence of nutrient or chemical discharges 0
0 S 0
0-4 (
() a
3
(extensive discharges °= 0: no discharges - max points) 3
_ (
0_; 0-4 0
0.4
(no discharge - 0: springs. seeps. wetlands. etc. :z max points)
Presence of adjacent floodplain 0
0 _ a 0 - 4 0
0 -
(no tloodplain = 0: extensive tloodplain -max points)
� (
0 ' q• i 0.4 0
0 • ? I
I
- (deepl } entrenched 0: frequent fit -KAing max points)
-� 0
Presence of adjacent wetlands 0
0-6 -
0. 2 6
6)
(nu wetlands - 0: large adjacent ketlands - max points)
Channel sinuosity U
U- 4 U
U 3
textemivc channeliurtion 0; natural meander -
_ _ _
-max p
I he dcharactertstic� .ue nut assessed in coastal streams

_ to z _
USACE AID# DWQ # Site # 2 (indicate on attached map)
0 STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
I. Applicant's name: �ES7o �yS'lS 2. Evaluator's name:�Tiv'� � �% ~�� St?/�1 ✓7
3. Date of evaluation: �� Y 4. Time of evaluation:
5. Name of stream: �- � ✓'f G�fC 6. River basin:
7. Approximate drainage area: 8. Stream order: /
9. Length of reach evaluated: '® 10. County: ,4,",tE
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): 3(.1 / 2 S0'-(8 Longitude (ex. - 77.556611): - 79, SZ y 2Z I
Method location determined (circle): GP Topo Sheet Ortho (Aerial) Ph GI Other GIS Other
13. Location of reach under evaalu ton ((nnote nearby roads and landmark tach map identifying stream(s) location):
/✓`r 70' �/,/ O/r A ew A "i701�' ;-rbrK' 0 16S0.✓vlue- d J "elow A 1'1-1( f,-C-7 ",- w(S-f
14. Proposed channel work (if any): PAge oil V71-1
IS. Recent weather conditions: C�C,4,z � /�. ���✓
16. Site conditions at time of visit: CurgA gat, A­V+L/L %ioti
17. Identify any special waterway classifications known: — Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters _Water Supply Watershed (I -IV)
18. Is there a pond or lake located upstream of the evaluation point? YES<10 If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES 20. Does channel appear on USDA Soil Survey. YE NO
21. Estimated watershed land use: _% Residential _% Commercial _% Industrial /0'° % Agricultural
22. Bankfull width
2
% Forested _% Cleared / Logged % Other
24. Channel slope down cente r f stream: _Flat (0 to 2 %)
25. Channel sinuosity: / Straight _Occasional bends _Frequent meander _Very sinuous _Braided channel
23. Bank height (from bed to top of bank): 01 !�—
/ entee (2 to 4 %) _Moderate (4 to 10 %) _Steep (> 10 %)
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): Comments:
lr/ A C -/t/t P,,d S ✓I2F
Evaluator's Signature G Date �" 2 y
This channel evaluationfafin is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919 -876 -8441 x 26.

STREAM Qt ALITY ASSESSMENT WORKSHEET
0 -i 0 -4 0 a
Q i (no discharge _ U: springs. seeps, wetlands. etc. = max points) Z
Presence of adjacent fioodplain 0 - 4 ! U - 4 0- ,
f'
(nn tloodplain = 0: extensive fioodplain_= max points)
_ Entrenchment / tloodplain access 0_5 5 0 - a 0 •
a" 7 (declik entrenched = 0. frequent flooding = max points) - - - - - `- - - -- 3
Presence of adjacent wetlands 0. 6 0- 4 0 2
(no wctlanda - 0; lar =e adjacent wetlands -- max points)
I- -'�- Channel sinuosity U _ 4
(extensive channelizatiun - 0; natural meander max points)
- Sediment iinput 0-5 0-4 U- a
W (extensive deposition 0; little or no sediment max points)
Site & diversity 13 of channel bed substrate NA' 0-4 0 ;
I I line, homo gt: ' e.nnus U; large, diverse sizes = max points)
� 1 � -
Evidence of channel incision or widening 0-5 0 - 4 0- 5
I' 2
I (deeply incised = 0; stable bed & banks = max points)
oints)
_ Presence of major bank failures
E~ 1Z 0.i 0 -S o-5 y
(severe erosion - 0: no erosion, stable banks = max points) _-
sn la I Root depth and density on hanks 0 - 3 U - 4 ; 0 - 5 2
Q (no visible roots = 0; dense: roots throughout = max points)
t o 1 5 Impact by agriculture, livestock. or timber production 0 - 5 U J I U 5 Q
(substantial impact -0: no evidence - max points) ..__
16 Presence of riffle - pool /r Hipple -pool complexes 0 - ; � 0_ 5 0.6
(no rilllcs'ripples or pools 0: ill- dcvclrp.d ntux paints}
Q 17 i
Habitat complexity 0- 6 U- 6 0_0
(little or no habitat - U; frequent, varied habitats max points) _
pq 18 Canopy coverage over streambed y 0 - -
i Z _i (no shading vegetation - 0: continuous canopy = max points) _ Z_
l a -' Substrate cmbeddedncss NA* 0 - 4 U - 4
(dccph embedded 0: loose structure ntax) -- - -- -- __ -- 3
20 I Presence of stream invertebrates (see page 4) - 0-4 0 - 5 U - 5
(no evidence - 0. common, numerous types _ max points) __ _ _ O
2_1 Presence of amphibians
0_4 0-4 0 -4 I
I O I (no evidence = 0: common. numerous types - max points)
-� - Presence of fish
U a 0 -4 U-a
m (no evidence - 0. common. numerous types - max points)
Evidence of wildlife use
�; 0-6 Q -S 0 -5
(no evidence= 0: abundant evidence max points) - _ _ Z,
Total Points Possible 100 100 100
I _ _ TOTAL SCORE (also enter on (irtia page) 3 S
I'hrse characteristics are not assessed in coastal streams
2
ECORE,GION POLNT
RANGE
CIIARAC "1'ERISTICS
SCORE
Coastal Piedmont
Mountain
Presence of now I persistent pools in stream
0 - ;
0-4
U _ 5
i (no now or saturation_0; strong flow ,:: max points)
_4
Evidence of past htunan alteration
0 _ b
0 _ ;
0 - S
Q
(extensive alteration - 0: no alteration - max points)
—
- _
0 -6
Riparian zone
;
0 -4
0 -5
f
(no buffer - -= U; contiguous, wide buffer - max points)
Evidence of nutrient or chemical discharges
0 - 5
0_4
0 • a
t
(extensive discharges = 0; no discharges max points)
_
Groundwater discharge
0 -i 0 -4 0 a
Q i (no discharge _ U: springs. seeps, wetlands. etc. = max points) Z
Presence of adjacent fioodplain 0 - 4 ! U - 4 0- ,
f'
(nn tloodplain = 0: extensive fioodplain_= max points)
_ Entrenchment / tloodplain access 0_5 5 0 - a 0 •
a" 7 (declik entrenched = 0. frequent flooding = max points) - - - - - `- - - -- 3
Presence of adjacent wetlands 0. 6 0- 4 0 2
(no wctlanda - 0; lar =e adjacent wetlands -- max points)
I- -'�- Channel sinuosity U _ 4
(extensive channelizatiun - 0; natural meander max points)
- Sediment iinput 0-5 0-4 U- a
W (extensive deposition 0; little or no sediment max points)
Site & diversity 13 of channel bed substrate NA' 0-4 0 ;
I I line, homo gt: ' e.nnus U; large, diverse sizes = max points)
� 1 � -
Evidence of channel incision or widening 0-5 0 - 4 0- 5
I' 2
I (deeply incised = 0; stable bed & banks = max points)
oints)
_ Presence of major bank failures
E~ 1Z 0.i 0 -S o-5 y
(severe erosion - 0: no erosion, stable banks = max points) _-
sn la I Root depth and density on hanks 0 - 3 U - 4 ; 0 - 5 2
Q (no visible roots = 0; dense: roots throughout = max points)
t o 1 5 Impact by agriculture, livestock. or timber production 0 - 5 U J I U 5 Q
(substantial impact -0: no evidence - max points) ..__
16 Presence of riffle - pool /r Hipple -pool complexes 0 - ; � 0_ 5 0.6
(no rilllcs'ripples or pools 0: ill- dcvclrp.d ntux paints}
Q 17 i
Habitat complexity 0- 6 U- 6 0_0
(little or no habitat - U; frequent, varied habitats max points) _
pq 18 Canopy coverage over streambed y 0 - -
i Z _i (no shading vegetation - 0: continuous canopy = max points) _ Z_
l a -' Substrate cmbeddedncss NA* 0 - 4 U - 4
(dccph embedded 0: loose structure ntax) -- - -- -- __ -- 3
20 I Presence of stream invertebrates (see page 4) - 0-4 0 - 5 U - 5
(no evidence - 0. common, numerous types _ max points) __ _ _ O
2_1 Presence of amphibians
0_4 0-4 0 -4 I
I O I (no evidence = 0: common. numerous types - max points)
-� - Presence of fish
U a 0 -4 U-a
m (no evidence - 0. common. numerous types - max points)
Evidence of wildlife use
�; 0-6 Q -S 0 -5
(no evidence= 0: abundant evidence max points) - _ _ Z,
Total Points Possible 100 100 100
I _ _ TOTAL SCORE (also enter on (irtia page) 3 S
I'hrse characteristics are not assessed in coastal streams
2

USACE AID# DWQ # Site #_2_ (indicate on attached map)
FE-11 STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
I. Applicant's name: (�'�c�y1•�t�'1�o� S�!S'ff --�f 2. Evaluator's name:
3. Date of evaluation: �- y" H 4. Time of evaluation:
5. Name of stream: C17�3 - -r, cozy",
7. Approximate drainage area: Z G AeA-- ;
9. Length of reach evaluated:
6. River basin: "f rte`
8. Stream order:
10. County:
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): o Q
Latitude (ex. 34.872312): 34• / 2 ,F55Y Longitude (ex. - 77.556611): --79, O O
Method location determined (circle): Zoya) Topo Sheet Ortho (Aerial) P q o/GI Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
^- SSD � E�f7 or G�l�s.� ✓ic�.��- ossii/'�F aQ0 � /o�' �ovria o�' ,0 -�,c� �.ro
14. Proposed channel work (if any): f47
15. Recent weather conditions: G cC-Ail - /,t J 12V�~
16. Site conditions at time of visit: `rQrf, <ftf -lx � V&V-424i ELO✓
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters _Water Supply Watershed (I -IV)
18. Is there a pond or lake located upstream of the evaluation point? YES NO If yes, estimate the water surface area: 4.2 4GePr-
19. Does channel appear on USGS quad map NO 20. Does channel appear on USDA Soil Survey ?�NO
21. Estimated watershed land use: �� % Residential _% Commercial % Industrial `�% Agricultural
30 % Forested _% Cleared / Logged % Other (
22. Bankfull width: 2/ 23. Bank height (from bed to top of bank): /- 2 t'
24. Channel slope down center of stream: _Flat (0 to 2 %) _�ntle (2 to 4 %) _Moderate (4 to 10 %) _Steep (> 10 %)
25. Channel sinuosity: <,aight _Occasional bends _Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a foreso, the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): L Comments:
Evaluator's Signature � �� U G — Date y,Z C �/ y
This channel evaluation -f6rm is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form Is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919 -876 -8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET t>l?>
;1 CHAItA( ERISTICS
ECOREGION POINT
RANGE
I SCO14E
Coastal Piedmont
mountain
' — Presence of now r persistent pools In stream
0 -:
0-4
0 -5
I
no Ilo,c or saturation 0; strong flow -- max points,
I Z,
_ Evidence of pact human alteration -
(1 -6
X1-5
;
(extensive alteration - 0: no alteration - max points)
-
-
Riparian cone
0 fi
tt A
0 ;
I d
(no butter -- U: contiguous, wide buffer max points)
_
t Evidence of nutrient or chemical discharges
0 S
0-4
l)
(extensive discharges = 0: no discharges = max pointo
Ll -_
-,�
i ,) i s Groundwater discharge
- =
0- 3 I 0-4
U- -1
(n(, discharge 0. splings. seeps. wetlands, etc. max points)
U { 6 Presence of adjacent floodplain
f '`
0 - 4
0 - 4
0- ,
2
(no noodplain = 0: extensive floodplain = max points)
=
+ Entrenchment / floodplain access
7
4
0 5
0 - 4
0 _'
1 (deeply entrenched -. 0_ frequent flooding _ max points)
0.6
+ 0 -4
0 -3
+ Presence of adjacent wetlands
8
!
1 n wetlands 0: large adjacent wetlands - max points)
t Channel sinuosity
0 - ;
0 - 4
0.3,
(extellsivc channeliattion 0: natural meander - max points)
I(1 Sediment input
0-5
0.4
0-4
i
(extensive .Icpasition (1: little or no sediment max points)
I + Size & diversity of channel bed substrate
0 - 5
NA*
0 - 4
( line, homogenous , 0: large, diverse sizes ° max points)
I , Evidence of channel incision or widening
0-5
0 - 4
0
!
(deeply incised -= 0: stable heed & banks _ max points)
i.,
Presence of major bank failures
I z
0.;
0_ S p.
(severe erosion 0: no erosion. stable banks max points)
_
- ` �✓
U •
m
Root depth and density on banks
0 -•1
I -t (nu visible root% 0: dense roots throughout = max points)
Fa-
Z
Impact b� agriculture, livestock, or timber production
U-5
0 - 4 0_5
v
j
I 5
(substantial impact- 0: no evidence - max points)
of riffle- pool /ripple -pool complexes
16
0 - 3
0_5 0 - 6
LI)
(no rifllWripplcs or pools 0: wcll•dcveloped ntax points)
(no
j a17
E.,
Habitat complexet%
(IitUc or no habitat 0. frequent, varied habitats max points)
0-6
0-6
O. 6
d _
ap
I B Canopy coverage over streambed
U-5
0-5
U- 5
Q
(no shading vegetation _ 0: continuous canopy = max points)
_
Z
()-4
Z
Substrate cntbeddeciness
I ,t ,
N A''
0-4
(deeply embedded - 0; loose stnicture - max)
_- --
- --
0-3
-
O
,0 Presence of stream invertebrates (see page 41 -
0-4
" (no evidence -- 0; common. numerous types = max points)
- - - -- -
•
I -' - __ -- Presence of amphibians
0 - -1
0 -4
0 -4
O
_
evidence - 0: common. numerous types - max points)
-
--
-- —(no
- Presence of fish
_,
n -�
-�
O
0 -a
0 -•1
�
00
(no evidence 0. coufmon, numerous types ° max pointsl
Evidence of wildlife use 0 6 0 5 0- S
' tnu evidence 0; abundant evidence max points)
Tnial Points Possible 100 I 100 1(N)
- - -� — -- - -- - - -� -- -TOTAL SCORE (also enter on first page)
2 g
I hose characteristics are not assessed in coastal streams.
n
a

USACE AID#
DWQ # Site #,'L (indicate on attached map)
FE-3 STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment: �J
1. Applicant's name: (� CdI �y�T�f 2. Evaluator's name: �x�°�, L��r , �' D' ✓J
3. Date of evaluation: y" / Y 4. Time of evaluation:
5. Name of stream: C/7'� ?° 7/Z9 &41 4��
7. Approximate drainage area: 7 4cy�s
9. Length of reach evaluated: ^' /S V/
6. River basin
01 �
8. Stream order: /-
10. County:
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): 7 / C� y� Longitude (ex. -77.556611): 7/ q
S'? 7 ,2
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo /GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
ru's IA9^ grow^ A-641l /,✓1htj6c7 /0.✓ of GjgSo,. ✓ /U� oSS�!'/ 4-0 ,,, 7 4dwf
14. Proposed channel work (if any):
15. Recent weather conditions: Cr 644 /--a 14w
16. Site conditions at time of visit: CC EA r W yoiP,n�l Fz.D►�
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters _Water Supply Watershed (I -IV)
18. Is there a pond or lake located upstream of the evaluation point? YE NO If yes, estimate the water surface area: / 2 -46E f
19. Does channel appear on USGS quad ma YE NO 20. Does channel appear on USDA Soil Survey ?t�- NO
21. Estimated watershed land use: —�C% Residential _% Commercial _% Industrial 7 % Agricultural
,�20% Forested _% Cleared / Logged % Other ( )
22. Bankfull width: 13 23. Bank height (from bed to top of bank): / -2
24. Channel slope down center of stream: _Flat (0 to 2 %) Gentle (2 to 4 %) _Moderate (4 to 10 %) _Steep ( >10 %)
25. Channel sinuosity: Straight —Z(5�ccas ion aI bends _Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
2
Total Score (from reverse): J& Comments:
Evaluator's Signature �Gr'� v Date y 2-/- /eK
This channel evaluation rm is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919 -876 -8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET V-I*
Fhc%c characteristics are not assessed in coastal streams
I
ECOREGION
POINT
RANGE
'
CHARACTERISTICS
1
Is C0 RF
Coastal
Piedmont
Mountain
Presence or now / persistent pool% in stream
0 -5
0-4
0 -i
(no flow or saturation 0; strong flow max points)-
---
Evidence of past human alteration
0-6
0-5
0-5
(extensive alteration - 0: no alteration - max points)
Riparian zone
0 - 6
0 - 4
0 - 5
(no buffer = 0: contiguous. wide buffer °- num points)
Evidence of nutrient or chemical discharges
0 5
0- 4
o•-1
(extensive discharges - 0. no discharges - max points)
Groundwater discharge
0-
0-4
0-4
(no discharge - 0: sp rings, sec ps. wetlands. etc. = max points)
Presence of adjacent floodplain
0-4
0•a
0 -
(no floodplain = 0: extensive floodplain max points)
0-4
0 -'
Entrenchment/ noodplain access
7
0-5
(deepl• entrenched � 0, frequent flooding -= max points)
0.6
0.4
Presence of adjacent wetlands
0•'
(no w0latids - 0. large adjacent wetlands - max pints)
Channel sinuosity
0-5
0-4
(extensi%echWineliZaLioll 0. natural meander max points)
--T
- -
10
-Sediment input
0-5
() -4
0-4
kiensi%c deposition 0-, little or no sediment niax point - s)
NA•
I U-4
Size & diversity of channel bed substrate
(line, homogenous - 0; large, diverse sixes max points)
- --
0-5
- _-
0-4
Evidence of channel incision or widening
(deeply incised = 0-, .table bed & banks = max points)
Presence of major bank failures
0
0 - 5
(severe erosion = 0: no erosion, stable banks - max points)
0-
0 - :1
pp
Root depth and density on banks
14 1
0- 5
visible roots = 0. dense roots throughout �- max points)
en
i I
.(no
--
Impact by agriculture. livestock. or timber production
0-5
0-4
0-3
(substantial impact =0. no evidence = max points)
Presence of riffle- pool /ripple -pool complexes
0-
0 - 1%
0-('
16
(no riffles,'ripplesorp(vis O:N%cU-dc\-t:loped max points)
0. 6
-
0 6 0
Habitat complexity
17 i
(little or no habitat 0: frequent, v. aried habitat~ magic points)
Ix
Canopy coverage over streambed
:
0-.)
0-
0- 5
(no shading vegetation - 0: continuou% canopy max points)
NA •
0-4
0-4
Substrate embeddednes%
I
(deeply embedded -- 0: loose structure max)
0-4
0.5
0.5
Presence of stream Invertebrates (see page 4)
20
(no evidence - 0. common. numerous types max pnint,)
1) t 0-4
0-4
Presence or amphibians
0
(m) evidence - 0: common. numerous tvpc,, m_ ax points)
Presence of fish
22
(no evidence m 0. comintii. numerous types max points)
3
Evidence of wildlife use
0-6
0-5
0- 5
(no evidence � 0. abundant evidence max points)
-
Total Points Possible
100
100
100
TOTAL SCORF, (also enter on first
rvagc)
Fhc%c characteristics are not assessed in coastal streams
I

USACE AID# DWQ #
sl-
Site # f (indicate on attached map)
F121 STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
�J
�
1. Applicant's name: Y'�(LO'l. ��/ ��51``" J 2. Evaluator's name: XXiO^1 > 9�U
3. Date of evaluation: y - 2
4. Time of evaluatioou:
5. Name of stream: VI 5 1 / V/f C-40Fc(x
6. River basin:
7. Approximate drainage area: ^��'OG1
8. Stream order:
9. Length of reach evaluated:
10. County: "Ire -15e
11. Site coordinates (if known): prefer in decimal degrees.
12. Subdivision name (if any):
Latitude (ex. 34.872312): y4 12Wq 1 ( /
9 J { ,l
Longitude (ex. - 77.556611): - /- 2, 7 �/
Method location determined (circle): � Topo Shect Ortho (Aerial) Ph GI Other GiS Other
13. Location of reach under evaluation (note nearby roads and
landmarks and attach map identifying stream(s) location):
5 Jl� .411991r 1571 /LA f�f
� � rr` S7 of �i,3�.�yiccE_ o11iP/Ec` Q�
D��E�i
SAO✓
14. Proposed channel work (if any): /`"c
15. Recent weather conditions:
16. Site conditions at time of visit: Cc, 64w wA 4444teJ
A-P`'
17. Identify any special waterway classifications known:
_Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters —
Nutrient Sensitive Waters _Water Supply Watershed (I -1V)
18. Is there a pond or lake located upstream of the evaluation
point? YES- If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES
20. Does channel appear on USDA Soil Survey? YESc2iD
21. Estimated watershed land use: /0% Residential
_% Commercial _% Industrial _% Agricultural
6�% Forested
% Cleared / Logged _% Other (,
22. Bankfull width: 2
23. Bank height (from bed to top of bank): 3
24. Channel slope down center stream: _Flat (0 to 2 %) _Gentle (2 to 4 %) _Moderate (4 to 10 %) _Steep (> 10 %)
25. Channel sinuosity _Occasional bends _Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): Comments
p R �✓ �-1 S i+to. , c�£T OEP Ffli
0— / JQneyo
Evaluator's Signature Date
-2
This channel evaluation is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919 - 876 -8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET c/7- 3
- - --
ECOREGION POINT
RANGE
,
rr CHARAC "CERlS1'1C5
SCORE
Coastal
Piedmont
Mountain
—~
Presence or now i persistent pools in stream
0-5
q • 4
0 _ S
Z
(no Clow or saturation 0; strong i1m rnax points l
- --
Evidence of past human alteration
0-6
0 _ ;
0 • S
(extesive altdration - 0: no alteration - max points)
- - -- -- - -- Riparian zone
0 - r.
t) - 4
1► . i
/
(no butler U: conugjuous. %vide buffer max points)
Evidence of nutrient or chemical discharges
(� ; 0 a
0 •1
tJ f
(cmenime discharges - 0, no discharges max points)
7
_
t '— Groundwater ditcharge
0. 0. A
0-4
!�
i(no discharge - 0: spnng!s. seeps, wetlands, etc. max points)
Presence of adjacent floodplain
0. 4
0 4
0,
r n (no floodplain = U: extensive floodplain =max points)
y;
_
0-4
0 -,
2 Entrenchment 1 floodplain access
0-5
(deeply entrenched - frequent flooding - max points) -
-
- - --
/ -4
--
0.6
-0.
P r n c e of adjacent wetlands
ete
0 - 4
(no wetlands -- 0: large adjacent wetlands - max points)
�� -- Channel sinuosity
0.5
0 -4
0 -;
l 1
j (extensive channehLatiun 0. natural meander max points)
0- 5
0 4
` Se(liment input
0- 4
1S1
(extensor,Ieposition o little or no sediment max points)
NA'
0 -4
Sire & diversity of channel bed substrate
11
0 ?
D
(fine, homogenous = 0; large, diverse sizes max_p_onus)
0 _ ;
-
2
Evidence of channel incision or widening
0-4
0 • s
( depph, incised = 0; stable bed & banks = max points►
_
0 -5
0 -:
il
t Presence of major bank failures
F. 1;
0 -i
2
(.c%ery erosion 0. no erosion. aahle banks max points)
I {font depth and densih on hanks
0--1
O.
• (nr %isthfr roots 0. dense root, throughout max paints)
--
0 • ; t 0 - 4
0 - i
2
t
Impact by agriculture, livestock, or timber production
l {
(substantial impact U: no evidence unux paints)
Presence of riffle - pool /ripple -poot complexes
0: I 0-5
0-6
2
I(;
(no ritlles!ripples or pools U: +tell- dcvelopcd max points)
17 Habitat complc %ity
0-6
U - G
0-0
et i..
(little or no habitat - U: rrcquentv:•tried habitats max points)
Canopy coverage over streambed
U _ 0 _ i
( U -
2
_(
I K
} (no shading vegetation _ 0: continuous canopy - max points)
- -� --
NA U•4
0 -4
1
/ l
1 Substrate embeddedncss
ly
(deeply embedded - 0: loose structure max)
- - - -- -
0-4 I 0 - 5
- --
0- i
O
,tt Presence of stream inverichrates (see page 4) -
(no evidence -• 0: common. numerous types = mix points)
_ } ---
0-4 1 0 _4
0-4
t...- .I_,__ Presence of amphibians
(no evidence = 0: common. numerous types -max points)
j _
-
r 0• J
O - ,_ , Presence of fish
1 -pes
0.4 � n• 4
v
- !no c%idence (►: coutAnon. numerous q max points)
_ --
Evidence of wildlife use
0 , (, 0 - � � 0 - S
t no 0 rdencc 0. ahundam evidence nrt\ points)
- � - - - - --
'Total Points Possible
! 100
! 100 100
TOTAL SCORE (also enter tin first
_
page)
3
• l here characteristics are not assessed in coastal streams.
0

USACE AID#.
DWQ #,
Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
A*
Provide the following information for the stream reach under assessment: /J
1. Applicant's name: 2. Evaluator's name:
3. Date of evaluation: y' �� �`� 4. Time of evaluation: �� 2
5. Name of stream: (-, �// 6' -7- -//Z4 VI) (!if %fl< 6. River basin: < F6
7. Approximate drainage area: '-�20c) 4c-41F,( 8. Stream order:
9. Length of reach evaluated: 50, 10. County:
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312). 3V / 2,x' yO Longitude (ex. - 77.556611): - 7/9 • S21� 221
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo /GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
;w�f,'Ea� C.�i2�vt`� o� SiTE /��'F�LvXi.•,� -f�i, / /sd � s�tii`es7 of �''lSs a,�viuF- ysr�/�c��' GQo�P�'a
14. Proposed channel work (if any): ���✓f ��''rSEC �iO�
15. Recent weather conditions: �� GL6/� yD ��'✓
16. Site conditions at time of visit: G L�(� w>97�1 %Zp✓
17. Identify any special waterway classifications known: — Section 10 —Tidal Waters _Essential Fisheries habitat
Trout Waters — Outstanding Resource Waters — Nutrient Sensitive Waters _Water Supply Watershed (I -IV)
911- 4Xe4" 1*,e1
18. Is there a pond or lake located upstream of the evaluation point'? NO If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? C 0 NO 20. Does channel appear on USDA Soil Survey't:-S�E NO
21. Estimated watershed land use: �% Residential _% Commercial _% Industrial Ga% Agricultural
Forested —% Cleared / Logged % Other ( I
22. Bankfull width
23. B�rtk height (from bed to top of bank): ?' 3
24. Channel slope down center of stream: _Flat (0 to 2 %) e Gentle (2 to 4 %) _Moderate (4 to 10 %) —Steep (> 10 %)
25. Channel sinuosity: Straight _Occasional bends /-'Frequent meander _Very sinuous — Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. if a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): Comments:
Evaluator's Signature G� Date a l y
This channel evaluationlorm is inten ed to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919- 876 -8441 x 26

STREAM QUALITY ASSESSMENT WORKSHEET urr
- — — CIIARA('1'I;R1S "GIGS — —��
- ECOREGION POINT
RANGE
y( ()RI:
Coastal
Piedmont
Mountain
-
I pools t
1 Presence of flaw persistent post. to stream
0-5
0 _4
0 .
(no flow or saturation 0; strong flow :: max points )
Evidence of past human alteration
0-6
u -
I ( -
(cxtcnsive eltelution - 0: no alteration - max points)
Riparian cone
0-6
(1-4
n- S
G�
(no buffer 0: contiguous. wide buffer - max polntsi
l Evidence of nutrient or chemical discharges
U : Q•-J
ll• -1
U
(extensive discharges 0, no discharges max points)
1
Groundwater discharge
0- 31 0-4
0-4
2
(no discharge - 0: springs. seeps. %%etlands. etc. max points)
Presence of adjacent floodplain
0 0 4
0 - ,
r r
(no_floodplain = 0: extensive floodplain _ max points)
2 _ Entrenchment ; floodplain access
0 - , 0-4
0 - 2
(deeply entrenched 0: frequent flooding =max points)___
-�
_�
0 ,
Presence of adjacent wetlands
e s
0 -6 0 - 4
2
F (no wetlands - 0: large adjacent wetlands = max points)
► Channel sinuosity
0- -
0 - 4
0 - 3
(cxtcnsive channelization 0; natural meander max points)
_
Sediment input
-_-
0 -5
0 -4
0 -•t
I
2
( extensive deposition - 0; little or no sediment max points)
_ - ---
I I Size & diversity of channel bed substrate
0.4 0
NA.
(line, homogenous - 0; large, diverse sires - max points) -
_ --
0 -�
_ -
Z
i
Evidence of channel incision or widening
12
_
o.a ct :
(deeply incised = 0; stable bed L� hanks : max points) -
-_ --
1_ - - - -_ -_ _
--
}
Presence of major bank failures
Z
(severe erosion - 0: no erosion. stable banks max points)
- --
-
0
'p
-- Ront depth and density on banks
_
-
14
(nu visible roots 0: dense roots throughout - max points)
_
Impact by agriculture. livestock, or timber production
o -s
u -4
0 -:
Is
(substantial impact_0. no evidence _- max points)
T x;, _ Presence of riMe- pool /apple -pouf complexes
0-3
0 - 5
0-6
)�' '(no ritTles'ripplcs or pools 0. %tell - developed mux points)
_
Habitat complexity
0 -6
0 -6
0 G
�%
1,
(little or no habitat - 0; frequent, varied habitats max points)
_
-
0 - 5
0 - ;
`7
S Canopy coverage over streambed
0. S
Q
(no shading vegetation = 0: continuous canopy = max points)
Substrate embcddedness
1y
NA*
0-4
0-4
2
(deeply embedded = O; loose structure _ max)
--
- --
-. --
,0 Presence of stream invertebrates (see page 4) - 0-4 0-5 0 - 5
- (no evidence - 0: crnnmon, numerous types = max paints)
- -t -- - —
y' - -� -- - Presence of amphibians n -, a -a o -a
I ,
D
_t
p { (no evidence 0. conunon, numerous types = max points)
__ - - - -- Presence of fish t! - 0 - a
wt, c%idence u, cotianun. numerous ropes - max paints)
Evidence or wildlife use '
n 1. a s u
2
lllo e%ldence 0: abundant eyadcncce met. pomit-0 I _ _
-
- - --
Total Paints Possible f 100 1.00 t IN
- — - -- - TOTAL SCORE (also enter on first page)
`(7 I
I hew characteristics are not assessed in coastal streams
2

(4T T 5
NC Division of Water Quality - Methodology for Identification of Intermi ent and
Perennial Streams and Their Origins v. 4.11
NC DWQ Stream Identification Form Version 4.11
Date: / 0 2)
Project/Site:
0a ! S 5
Latitude: C 1 11
3� a N-65
Evaluator: A X
County: ) A eo o ri cjk-
�I
Longitude: 31' /4.0
Total Points:
Stream Det 1:1294kircle one)
Other
Stream is at least Intermittent
2 Z
Ephemera ntermitte Perennial
e.g Quad Name:
it ? 19 or perennial if z 30'
2
3
A. Geomorphology (Subtotal = 1 . 5
Absent
Weak
Moderate
Strong
1' Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In- channel structure: ex. riffle -pool, step -pool,
ripple-pool se uence
0
1
®
3
4 Particle size of stream substrate
0
0.5
2
3
5. Active /relict floodplain
0
S_
2
3
6. Depositional bars or benches
0
0.5
2
3
7. Recent alluvial deposits
1
2
3
8 Headcuts
1
2
3
9. Grade control
0
0.5
1.5
10. Natural valley
0
0.5
1
11. Second or greater order channel
-
Yes = 3
' artificial ditches are not rated, see discussions in manual
R Hvrirnlnnv tSuhtntal = (. . 'c" )
12. Presence of Baseflow
0
1
1
3
11 Iron oxidizing bacteria
677
1
2
3
14. Leaf litter
0
1
0.5
0
15. Sediment on plants or debris
r d
P
0.5
1
1.5
16. Organic debris lines or piles
0
0.5
1 1
1.5
17. Soil -based evidence of high water table?
No = 0
S_
C. Biolo Subtotal =
18. Fibrous roots in streambed
3
2
1
0
19 Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
r d
P
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
6*5>
0.5
1
1.5
24. Amphibians
6D
0.5
1
1.5
25. Algae
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75: OBL = 1.5 Other =
'perennial streams may also be identified using other methods. See p 35 of manual
Notes
Sketch:
41

vI T-
NC Division of Water Quality - Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWO Stream Identification Form Version 4.11
Date: /O 2 3
Project/Site: G
Latitude: 36° �' y 'I
1113
Evaluator:
County:
-
Stream Determination (circle one )
Longitude: r
I J'T 31 16"- 71
Total Points:
Other >� •
Stream is at least intermittent
it z 19 or perennial if ? 30' `J
Ephemeral Intermittent erenrn
e.g. Quad Name:
-A`. Geomorphology (Subtotal = j
Absent
Weak
Moderate
Strong
13 Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
®
3
3 In- channel structure ex. riffle -pool, step -pool,
ripple-pool sequence
0
1
1
3
4. Particle size of stream substrate
0
1
1
3
5. Active /relict floodplain
0
CYef =_3
2
3
6. Depositional bars or benches
0
0.5
2
3
7. Recent alluvial deposits
OV
1
2
3
8. Headcuts
0
1
2
9. Grade control
0
0.5
1
10. Natural valley
0
0.5
1
1.
11. Second or greater order channel
-
Yes = 3
artificial ditches are not rated, see discussions in manual
B_ Hvdroloav (Subtotal = 17 )
12. Presence of Baseflow
0
1
2
0
13. Iron oxidizing bacteria
0
1
®
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0.5
1
1.5
16. Organic debris lines or piles
0.5
1
1 1.5
17 Soil -based evidence of high water table?
No = 0
CYef =_3
C Bioloov (Subtotal = U. `7 S )
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
3
2
<f3>
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae
OV
0.5
1
1.5
26. Wetland plants in streambed
FAC , OBL = 1.5 Other = 0
'perennial streams may also be identified using other methods See p. 35 of manual
Notes:
Sketch.
41

(,IT - Z %G ;i-, ,-"I `
NC Division of Water Quality - Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWn Stream identification Form Versinn 4.11
Date:
Evaluator:
o
ProjecVSite:
Latitude: p
Count:
a s
0
r r
Longitude:
�S
Total Points:
Stream is at least intermittent %
Stream Determination (circle one)
Other
d 2: 19 or perennial if z 30' �/
Ephemeral Intermittent Perennia
e.g. Quad Name:
A. Geomorphology (Subtotal = 9. 5 )
Absent
Weak
Moderate
Strong
1A Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
0.5
3
3 In- channel structure: ex. riffle -pool, step -pool,
ripple-pool sequence
v
0.5
2
3
4. Particle size of stream substrate
0
0.5
2
3
5 Active /relict floodplain
0
1
<�ZD
3
6 Depositional bars or benches
C4
1
2
3
7. Recent alluvial deposits
24. Amphibians
1
2
3
8. Headcuts
1.5
1
2
3
9 Grade control
0.5
1
1.5
10 Natural valley
0
0.5
1
11. Second or greater order channel
-
Yes = 3
"artificial ditches are not rated, see discussions in manual
B. Hvdroloav (Subtotal = rS 1
12. Presence of Baseflow
0
1
2
1
13. Iron oxidizing bacteria
0
3
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
2
0.5
21. Aquatic Mollusks
1.5
16 Organic debris lines or piles
(7077
0.5
1
1.5
17 Soil -based evidence of high water table?
No = 0
Yes = 3
C. Bioloav (Subtotal = C7 )
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
3
2
(T:>
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
1
2
3
22 Fish
0
0.5
1
1.
23. Crayfish
0
0.5
1.5
24. Amphibians
<�:T>
0.5
1
1.5
25. Algae
0
0.5
1.5
26. Wetland plants in strearbed
FACW = 0.75; 6BL =
Other = 0
'perennial streams may also be identified using other methods See p 35 of manual
Notes
Sketch:
41

LA T 3 /� j S '.J�T Fe r M '
NC Division of Water Quality - Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWQ Stream Identification Form Version 4.11
Date: ) e /Z 1/
Absent
Project/Site: 00 K c Fe Al
Latitude: 360
Strong
Evaluator: R X o '-ki
0
County: or P" u
- - --
Longitude:
31 .21ti
Total Points:
Steam is at leas! intermittent
ry
S eam Determination (circle one)
Other
3
d _ 19 or perennial it z 30'
0
Ephemera termittent Perennial
e. Quad Name:
9
3
A. Geomor holo (Subtotal=-
Absent
Weak
Moderate
Strong
13 Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
ry
1
2
3
1 In- channel structure ex. riffle -pool, step -pool,
ripple-pool sequence
0
0.5
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active /relict floodplain
0
1
2
3
6. Depositional bars or benches
C7>
1
2
3
7. Recent alluvial deposits
1
2
3
8. Headcuts
1
2
3
9. Grade control
0.5
1
1.5
10. Natural valley
0
0.5
1
1.
11. Second or greater order channel
o =
Yes = 3
anmciai aitcnes are not ratea. see aiscuSSionS in manual
B. Hvdroloov (Subtotal = 3 • 2�;_ )
12 Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
3
1
2
3
14. Leaf litter
1.5
1
0.
0
15 Sediment on plants or debris
0.5
1
1.5
16. Organic debris lines or piles
®
0.5
1
1.5
17. Soil -based evidence of high water table?
No = 0
Cyes = 3
C. bioloav (Subtotal = -S. � -P )
18 Fibrous roots in streambed
3
1
0
19. Rooted upland plants in streambed
3
2
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
®
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
C7>
0.5
1
1.5
25. Algae
0.5
1
1 5
26. Wetland plants in streambed
-
BL = 1.5 Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual
Notes:
Sketch.
41

NC Division of Water Quality - Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWQ Stream Identification Form Version 4 -11
Date: p L I
Project/Site: pRkl 5 i,: 2
'
Latitude:
Evaluator:
County: A Q Ma n
Longitude:
0
1
3,1 y
Total Points:
3. In- channel structure: ex. riffle -pool, step -pool,
ripple-pool sequence
0
Stream is at least intermittent
Stream Determ' circle one
Other
it 2! 19 of perennial it z 30' u
Ephemeral Qntermitten Perennial
e.g. Quad Name:
A. Geomorphology (Subtotal = t y "7
la Continuity of channel bed and bank
Absent
0
Weak
1
Moderate
2
Strong
2. Sinuosity of channel along thalweg
0
1
2
3
3. In- channel structure: ex. riffle -pool, step -pool,
ripple-pool sequence
0
1
0.5
3
4. Particle size of stream substrate
0
0.5
2
3
5. Active /relict floodplain
0
1
1 1
3
6. Depositional bars or benches
0
Yes = 3
2
3
7 Recent alluvial deposits
0
0.5
2
3
8. Headcuts
0
0.5 1
2
3
9. Grade control 1
0
0.5
Notes:
1.5
10. Natural valley
0 1
0.5
1
1.5
11 Second or greater order channel
= 0
Yes = 3
aiunuai urccnes ale noc raced, see discussions in manual
B. Hvdroloov lSuhtntal = '�- 1
12. Presence of Baseflow
0
2
2
3
13. Iron oxidizing bacteria
CE>
1
2
3
14. Leaf litter
1
0.5
0
15. Sediment on plants or debris
C
0.5
1
1-5
16. Organic debris lines or piles
0.5
1 1
1.5
17 Soil -based evidence of high water table?
No = 0
Yes = 3
L, ninlnov rsunrnrai = /"_ -rte, i
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
C
1
2
3
22. Fish
0.5
1
1.5
23, Crayfish
0.5
1
1,5
24. Amphibians
0.5
1
1.5
25 Algae
0.5 1
1 1
1.5
26 Wetland plants in streambed FACW 0. 5
'perennial streams may also be identified using other methods See p 35 of manual.
BL = 1.5 Other = 0
Notes:
Sketch:
41

uT L[ -�
NC Division of Water Quality - Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWO Stream Identification Form Vercinn 4.11
Date: /0 r 1.21 7
Project/Site: Oa VI 5 ,'k 3
t "
Latitude: 360
Evaluator: ,. -4.1
County: 4
AI •vtancsZ
Longitude: ' ' I
�5 3f �B.Zti
Total Points:
1
2
Stream least intermittent
Stream Determination (circle one
Other
r e
it ? 19 or perennial i1 > 30' .. �
Ephemeral Intermittent ten
e g Quad Name:
A. Geomorphology (Subtotal=
1' Continuity of channel bed and bank
Absent
0
Weak
1
Moderate
2
Strong
cm
2. Sinuosity of channel along thalweg
0
1
2
3
3 In- channel structure: ex. riffle -pool, step -pool,
ripple-pool sequence
0
1
2
3
4. Particle size of stream substrate
0
m
2
3
5. Active /relict floodplain
0
1
2
1.5
6. Depositional bars or benches
0
es =
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
1
2
3
9. Grade control
0.5
1 1
1.5
10. Natural valley
0
0.5
1
11. Second or greater order channel
o = 0
Yes = 3
artificial ditches are not rated; see discussions in manual
B. Hydroloqv (Subtotal = :7_z�- )
12. Presence of Baseflow
0
1
2
0
13. Iron oxidizing bacteria
1
2
3
14. Leaf litter
1
0.5
0
15. Sediment on plants or debris
0.5
1
1.5
16 Organic debris lines or piles
0
0.5
1
1.5
17 Soil -based evidence of high water table?
No = 0
es =
C. Biology (Subtotal = (9 _Z_ )
18 Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0
0.5
1
23. Crayfish
0.5
1
1.5
24. Amphibians
0
0.5
1.5
25. Algae
0.5
1
1,5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Other = 0
'perennial streams may also be identified using other methods. See p 35 of manual.
Notes:
Sketch:
41

tJ7 �
NC DWQ Stream Identification Form Version 4.11
Date: y _ 2 S ,7y
Pro)ectiSite: (/7 5�_ r,, j�_MO CA
Latitude: 3,,
Evaluator: /4./a, - . 04, If
County: X�4j(6
Longitude:
Total Points:
Stream is at least intermittent 2 3
Stream Determination (circle one)
Ephemeral Intermittent Perennial
Other
e.g Quad Name:
it a 19 or perennial if a 30'
2. Sinuosity of channel along thalweg
0
A. Geomorphology (Subtotal= . S
Absent
Weak
Moderate
Strong
1° Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In- channel structure: ex. riffle -pool, step -pool,
ripple-pool sequence
0
1
2
3
4. Particle size of stream substrate
0
0.5
2
3
5. Active /relict floodplain
No = 0
1
2
3
6. Depositional bars or benches
1
2
3
7. Recent alluvial deposits
0
1
1
3
8. Headcuts
1
2
3
9. Grade control
757-
0.5
1
1.5
10. Natural valley
0
.5
1
1.5
11. Second or greater order channel
No 0
Yes = 3
a artificial ditches are not rated: see discussions in manual
B. Hydrology (Subtotal = 1 )
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0 _
1
1
3
14. Leaf litter
71117-1
1
0.5
0
15. Sediment on plants or debris
0
1
1
1.5
16. Organic debris lines or piles
1
0.5
1 1
1.5
17 Soil -based evidence of high water table?
No = 0
Ye =
C. Bioloav (Subtotal = -7, 75-- )
18. Fibrous roots in streambed
3
6V
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0.5
1
1.5
23 Crayfish
0
0.5
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0: OBL = 1.5 Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch: