20071131 Ver 2_401 Application_20071007

EN G NGER~ING
2013 Van Buren Avenue
Indian Trail, NC 28079
[phone]
vwvw.eagleonline.net
Letter of Transmittal
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Attention: Ms. Cyndi Karoly EEI Job Number:
NCDENR-DWQ Re: Great Wolf Resorts
1650 Mail Sevice Center
Raleigh, NC 27699-1650
~ nip Qi~nm
•~•~n~~ nir-
37.0 Acres of Land
Concord, North Carolina
We are transmitting the following items:
r'" Prints r Plans r Specifications
r Copy of Letter (- Shop Drawings r Calculations
(` Application (` Report
(~ Check (~ Other
Copies Date No. Items to be Transmitted
1 1 Check #790178 for $570.00
7 2 401 Water Quality Certification
These are transmitted as checked below:
("- For Approval ~ For Review (- Approved as Submitted
r For Your Use I" Corrected Prints I- Approved as Noted
(~" As Requested I- Copies for Distribution I` Copies for Approval
Remarks: Please call if you should have any questions.
Note: Unless the revision block states "Released for Construction ", all plans enclosed are to be considered
"Pre/iminary" and "Not for Construction ", and are provided for permitting, information or bidding use only.
Cc: File
P. Pline (Great Wolf Resorts) Signed: John D. Barnard

~E A G L E
~` ENGIN EKING
i ~~
October 18, 2007
North Carolina Department of Environment and Natural Resources
Division of Water Quality - 401/Wetlands Unit
1650 Mail Service Center
Raleigh, NC 2'7699-1650
Attention: Ms. Cyndi Karoly
Re: 401 Welter Quality Certification
X37.0-~~cres of Land
Concord, Cabarrus County, North Carolina
Eagle 1=~,n ineering, Inc. Project No. 3297-E-NC
Dear Ms. Karoly:
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Eagle Engineering, Inc. (EEI) has conducted a jurisdictional wetland determination on two parcels of
land totaling approximately 37.0-acres located in an area to the north of Old Holland Road and to the
south of Weddington Road in Concord, Cabarrus County, North Carolina ("subject property"/"site"). A
Nationwide Permit 39, dated June 6, 2007 and modified on October 18, 2007, has been issued for the
site by the United States Army Corps of Engineers (USAGE). As required for the Pre-Construction
Notice (PCN), included herein are seven copies of the following documents:
• USAGE Nationwide Permit No. 39 -Modified;
• Letter t:o USAGE (Steve Lund) requesting additional impact on a perennial channel;
• Preliminary Sketch Plan for proposed site development;
• Site Boundary/Wetland Survey map; and
• Check No. 790178 in the amount of $570.00 (Client, Great Wolf Resorts Operating Partnership,
LLLP).
The subject property is identified as tax parcel numbers 458-991-1143 and 459-901-2280 are tentatively
scheduled for :proposed development as a recreational resort in late 2007/early 2008.
The modification was requested by our Client (Great Wolf Resorts Operating Partnership, LLLP) due to
engineering constraints and public safety. It should be noted that this area is to be impacted for a road
crossing. Furthermore, our client tried to preserve as much as the channel as possible; however with the
current permit the engineers have been forced to use a tall H-pile wall due to the onsite gas line which
runs through the area. The onsite gas line has limited the methods in which they could engineer the
onsite road; which has created the needed for the H-pile wall. However, it should be noted that the site
is going to be developed as a resort, more specifically afamily-friendly resort and the use of an H-pile
wall as tall as the one needed to engineer the road without exceeding the already permitted 100 linear
feet of channel is not a safe structure for a high traffic, family resort.
Atlanta www.eagleonline.iiet Charlotte
1-866-EAGLENC
1061 Cambridge Square, Suite B 2013 Van Buren Avenue
Alpharetta, GA 30004 Indian Trail, NC 28079
Ph 678.339.0640 Ph 704.882.4222
Fax [phone] Fax [phone]

„~ , ..

Therefore, our client respectfully requested an additional 49 linear feet and was granted so that a safer
alternative can be implemented for the pending road construction and resort. This request brings the
total onsite im~~act to a grand total of 0.24 acres of disturbed herbaceous wetland fill, 128 linear feet of
unimportant intermittent channel and 149 linear feet of perennial channel disturbance.
Thank you in advance for your assistance with our project. If you have any questions or require
additional information, please do not hesitate to call.
Sincerely,
EAGLE ENGINEERING, INC.
b 1~1~
John D. Barnal•d, P. E.
Director of Operations
Enclosed
cc: File
Mr. Pal;rick Pline, Great Wolf Resorts (client)
Atlanta
www. ea~leonline. net
1-866-EAGLENC
Charlotte
1061 Cambridge Squaze, Suite B
Alpharetta, GA 30004
Ph 678..339.0640
Fax [phone]
2013 Van Buren Avenue
Indian Trail, NC 28079
Ph 704.882.4222
Fax [phone]

~~ OCT. 18.2007 1~39PM
1 -
1 ^'
Action ID Number: SAW-2007-01753-313
N0.686 P.1
County: Cabarrns
Permittee: Great Wolf Resorts Yncorporated
Date Permit Issued: June 6, 2007 bate Permit Modie~.: Oc~oer 18, 2007
Project 1Vlanager: Lund
YJpon comple#on of the activity authorized by this permit and any mitigation required by the permit,
sig~t this certification au.d retarn it to the following address:
US ARMY CORpS OF ENGINEERS
WILMINGTON bISTRICT
ASHEVYLLE REGULATORY FIELD OFFICE
151 PATTON AVENUE, ROOM 208
.A.SFIEVILY.E, NORTR CAROY,YNA 2SS01~5006
Please note that your permitted activity is subject to a compliance inspection by a U. S. Army Corps of
Engineers representative. If you fail to comply with this permit you are subject to permit suspenSioa,
modification, or revocation.
I hereby certify that the work authorized by the above referenced permit has been completed in
accordance with the terms and condition of the said permit, and required mitigatioa was completed in
accordance with the permit conditions.
Signature of Y'ernuttee
Date
P6st-it® Fax Noto 7671 ~a~Q ~i ~ -~ pa~~- ~
70 ~.iC ATKxi3 $ From S7'~V~ ~~aD
Co./DaPt.~Cr~ t~G~CY Co. U ~hC~-
Phone~ Ph ~~-Z"]~~Z9~0
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OCT. 18.2007 1~39PM
YT.S. ARMY CORPS OF EN'GINEEItS
WILMINGTON DISTRICT
N0.686 P.2
Action ID. SAW-2007-01753-313 (1Vlodafication) County: Caltarrus USGS Quad: Harrisburg
GENERAL PE1tMTT (REGIONAL AND NATIONWIDE)'V~ERIFICATYON
Property Owner /Authorized Agent: Great Wolf Resorts Incoruorated
Address: l Z2 W.'W'ashinQton Avenue
Madison, Wisconsin 53703
Telephone No.: 605-661-A~78$
Size and location of property (water body, road name/number, town, etc.); 37-acre site betxeen Sneed~vvav Blvd. wad
Old Holland Road on unnamed tribnttrie4 of Rocky 1ltiver west of Concord.
Description ofprojec~ts area and activity: I+'ill 0.24 acres ol'diistarbed, herbaceous wetland,149 linear feet of
pereamial stream channel and 1281inear feet of uttimgortant, intermittent channel for Qeneral bite development.
Applicable Law: X Section 404 (Clean Water Act, 33 USC 1344)
^ Section 10 (Rivers and Harbors Act, 33 USC 403)
Authorization: Ttegional General Permit Number.
Nationwide Permit Number: 39
Your work is authorized by the above referenced permit provided it is accomplished in strict accordance with the attached
conditions and your submitted plans. Any violation of the attached conditions or deviation from your submitted plans may subject the
permittee to a stop work order, a restoration order and/or appropriate legal action.
This verification will remain valid unririil the expiration date identified below unless the nationwide authorization is modified,
suspended or revoked, If, prior to the expiration date identifted below, the nationwide permit authorization is reissued and/or
modified, this verification will remain valid uatil the expiration date identified below, provided it complies with all requirements of
the modified nationwide permit. If the nationwide permit authorization expires or is suspended, revoked, or is modified, such that the
activity would no longer comply with the terms and conditions of the nationwide permit, activities which have commenced (i.e., are
undez construction) or are under contract to commence in reliance upon the nationwide permit, ~wi11 remain authorized provided the
activity is completed within twelve months of the date of the nationwide peiznit's expiration, modification or revocation, unless
discretionary authority has been exercised on acase-by-case basis to modify, suspend or revoke the authorization.
Activities subj set to Section 404 (as indicated above) may also require an individual Section 401 Water Quality Certification. 'Y'ou
should contact the NC Division of'Water Quality (telephone [phone] to determine Section 401 requiremenrs,
For activities occunimg within the twenty Coastal counties subject to regulation under the Coastal Area Management Act (LAMA),
prior to beginning work you must contact the N.C. Division of Coastal Management .
This Department of'the Army verification does not relieve the permittee of the responsibility to obtain any other required Federal,
State or local approvals/pemiits.
If there are any questions regarding this verification, any of the conditions of the Permit, or the Corps of engineers regulatory
program, please contat-t Steven Lund at telephone [phone].
Corps Regulatory Official: Steven Lund ~~~~ ~ Modification Date: October 1S, 2007
expiration Date of V'erif cation: ,June 6, 2009
The Wilmington District is commitrgd to providing the highest level of support to the public. To help us ensure we continue to do so,
please complete the attached customer Satisfaction Su=vey or visit http://www.saw.usace.army.miUWETLANDS/index i~trnl to
compIcte the survey online.
page 1 of 2

OCT. 18.2807 1~39PM N0.686 P.3
lyetermination of Jurisdiction:
^ Based on preliminary information, there appear to ba waters of the US including wetlands within the above described project area.
This preliminary determination is not an appealable action under the Regulatory Program Administrative Appeal Process
( Reference 33 CFR Part 331),
[.~ There aro Navigable 'Waters of the United States within the above descn'bed project area subject to the permit roquirements of
Section 10 of the Rivers and Harbors Act sari Section 404 of the Clean Water Act. Unless there is a change in the lsa+ or our
published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
X There are waters of the U5 andlor wetlands within the above desenbed project area subject to the permit zequirements of Section
404 of rho Clean Water Act (CvVA)(33 CJSC § 1344). Unless there is a change in the Iaw or our published regulations, this
detezrniaation may $e relied upon for a period not to exceed five years from the date of this notification.
^ The jurisdictional areas within the above described project area have been identified under a previous action, please reference
jurisdictional determination issued . Action Ib
Basis of Jurisdictional :Determination: The unnamed tributaries t7ow direetl~to the Roelrv River that is a tributary to the
Yadkin River, a navigable wvater. Wetlands are directly abutting these channels
Corps Regulatory Offic;ial: Steven Lund Date June 6, 2007
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATrON FORMS, PROJECT PLANS, ETC., MiUST BE
ATTACKED TO TI~[E FILE COPY OF THIS FORM, IF REQUIRED Olt AVAILABLE.
Copy Furnished; Ms'.. Angelique Y.W.Crews, Eagle Engineering Inc,, 2013 Van Buren Avenue, Indian Trail, NC 28079
Page 2 of 2

o~-i-3tV2
E N G I N GE R'I N G
~' Al I
October 4, 2007
US Army Corps of Engineers
Asheville Regulatory Field Office
151 Patton Avenue, Room 208
Asheville, NC 28801-5006
Attention: Mr. Ste-ve Lund
Re: Re-Permitting for aPre-Construction Permit
X37.0-Acres of Land
Concord, C;abarrus County, North Carolina
Ea lg e En~ineerin~ Inc. ProLct No. 3297-E-NC
Dear Mr. Lund:
The purpose of this letter is to request a permit to allow additional impact on a perennial channel located on
tax parcel numbers 458-991-1143 and 459-901-2280, which are situated in an area to the north of Old Holland
Road and to the south of Weddington Road in Concord, Cabarrus County, North Carolina ("subject
property"/"site"). The subject property is and tentatively scheduled for proposed development as a
recreational resort in late 2007/early 2008.
As outlined in an U.S. Army Corps of Engineers (USAGE) permit, Action ID: SAW-2007-01753-313 (dated
June 6, 2007, Channel A and portions of Channel B were determined to be un-important intermittent channels
with the remainder of Channel B identified as perennial. The onsite wetlands were determined to be
disturbed, herbaceous wetlands. In the original, previously identified permit, no mitigation was required to
impact the channeas and wetlands and only 1001inear feet of the perennial portion of Channel B was proposed
to be disturbed during development activities. However, due to engineering constraints, which are outlined
below, an additional 49 linear feet is proposed to be impacted along Channel B; thereby changing the total
impact of Channel B from 100 linear feet to 149 linear feet.
Based upon information obtained from Kimley-Horn, the additional requested 491inear feet of impact is for a
road and gas line crossing that during initial site development considerations, did not appear to be warranted
for site development. However, current engineering studies indicate that without an additional 49 linear feet,
a tall H-pile wall will be required for the proposed crossing. According to Kimley-Horn, this type of crossing
is not considered a safe structure for the proposed high volume of traffic at afamily-friendly resort.
Please note that the proposed additional impact was not an initial consideration, therefore, our client
respectfully requests an additional 49 linear feet of impacted be granted so that a safer alternative can be
implemented for the proposed road crossing. If the additiona149 linear feet of impact is allowed, the total site
impact is as follows: (1) 0.24 acres of disturbed herbaceous wetland fill, (2) 128 linear feet of unimportant
intermittent channel, and (3) 1491inear feet of perennial channel disturbance.
Atlanta www.eagleonline.net Charlotte
1-866.EAGLENC
1601 Cambridge Square, Suite B 310 Indian Trail-Fairview Road
Alpharetta, GA 30004 Indian Trail, NC 28079
Ph 678 339 0640 Ph 704 882 4222
Fax [phone] Fax [phone]

Mr. Steve Lund
October 3, 2007
Page 2 of 2
It is EEI's opinio~i that the additional 49 linear feet is needed to preserve public safety. Enclosed are the
following documents/forms applicable to the subject site (1) applicable site figures; (2) wetland determination
forms; (3) JD forms; (4) a copy of the previously issued permit and, (5) a site Preliminary Jurisdictional
Wetland Survey rnap and proposed site plan.
Thank you in advance for your assistance with our project. If you have any questions or require additional
information, please do not hesitate to call.
Sincerely,
EAGLE ENGINEERING, INC.
..r-.~
Taran B. Beshers
Environmental Scientist
G ~_
hn D. Barnard, P.E.
Operations Manager
Attachments: Fi;;ure 1 - Site Location Map
Fi;;ure 2 - Soil Survey lvlap
Fi;;ure 3 - Wetland Map
Figure 4 - Topographic Map
Appendix A - Routine Wetland Assessment Data Form(s)
Appendix B - Jurisdictional Determination Form(s)
A~~pendix C - Site Photographs
Appendix D - Proposed Site Plan/Preliminary Jurisdictional Determination Survey

Sep. 17. 2007 3:57AM EAGLE ENGINEERING No, 4583 P, 2/2
Mr. Patrick Pline
September 6, 2007
Page 2
described herein, conditions require modifications to the work scope, we will contact you
for approval prior to proceeding with the modified scope. No change to the scope of
services will be conducted without your prior written and/or verbal authorization.
Furthermore, any variations to the schedule, scope of ~v'ork, or site description that will
require a modiScation of the project fees will be completed on a time and materials basis.
Additionally, it should be noted that Great Wolf Resorts must include a check made
payable, to NCDWQ for the amount of X570.00, which is anon-refundable review foe.
Please note the completion of the permitting process is dependent upon the time frame in
which the regulatory agencies are able to issue verification of requested permits (i.e.
USACE and NCD'CV'Q).
1/agle Engineering, Inc. will perfoxm the scope of wank presented herein in accordance
with the attached General CoxLditior~s. Your acceptance of the terms and conditions
referenced heroin and autborizadon for Eagle Engineering, Inc. to proceed with the scope
of work may be indicated by your signature below.
Than]r you in advance for the opportunity to assist you with this project. Ifyou have any
questions or require additional information, please feel Exec to call at your convenience. .
sincerely,
EAG~~ ExCINEERING, YNC.
..~Tarari $. Koshers
Environmental Scientist
,,,,
~' ~ ~ i ~ ;~
i
i
Sohn D. $arnard, P.E.
Director of Operations
Authorization to Proceed
The scope of work referenced in the attached Proposal No. 070901 dated September 6,
2007 is acceptable, and Eagle Engineering, Inc. is authorized, to prooeed.
Suture bate - Printed
Re: Additional Services -Wetland Permitting Activities
37.74-Acres of Land
Tax Parcel Identification Numbers: 4589911143 and 4599017039
Concord, Cabarrus County, North Carolina
Eagle Engineering Inc, proposal Number: 070901

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GREAT WOLF LODGE aENr: ~ 61 ~~~'
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~ ~ ~ OF THE CAROLINAS ORlAT WOLF RESORTS ~
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SHEET 1 OF 2) WED DINGTON ROAD AND MADISON, WI. 53703 f q
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N ( SPEEDWAY BLVD.
CASARRUS COUNTY
CONCORD Ry ^
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NORTH CAROLINA NO. DATE REVISIONS ~ C=i
Oc100r O1 1007 - T. ]]an BK C~YRabN
~a

Office Use Only' Form Version March OS
USACE Action ID No. DWQ No. ~ ~ - 1 ~ 31 ~/ 2,
(If any particular item is not applicable to this project, please enter "toot .~ppticanie" or ..tvia°.~
I. Processing
1. Chec;k all of the approval(s) requested for this project:
® Section 404 Permit ^ Riparian or Watershed Buffer Rules
^ Section 10 Permit ^ Isolated Wetland Permit from DWQ
® 401 Water Quality Certification ^ Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: Nationwide 39
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ^
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here: ^
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), rind the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), checl~ ~]~ ,:-~ ~ ~ {Y ~' : ;~~.
II. Applicant Information (~ (; 7 ~ ~~ 2007
pP C. ~. ,
Owner/A licant Information "'-"'~' - Vl'AT~R C1UA:LiT1'
Name: Great Wolf Resorts Incorporated
Mailing Address: 122 W. Washington Avenue
Madison. Wisconsin 53703
Telephone Number: 703-573-6800 Fax Number: 608-661-4701
E-mail Address: ppline(a~greatwolf com
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name: Angeligue Y.W. Crews
Company Affiliation: Eagle Engineering Incorporated
Mailing Address: 2013 Van Buren Avenue
Indian Trail. NC 28079
Telephone Number: 704-882-4222 Fax Number: 704-882-4232
E-mail Address: tmarion(a~eagleonline.net
Page 5 of 13

III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Great Wolf Resorts-Concord. North Carolina
2. T.LP. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 458-991-1143 and 459-901-2280
4. Location
Cowity: Cabarrus Nearest Town: Concord
Subdivision name (include phase/lot number):
Directions to site (include road numbers/names, landmarks, etc.): Interstate I-85 N to exit
49 toward Concord Mills Boulevard; turn right onto Speedway Boulevard; turn right
onta unnamed road at Arby's restaurant.
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Deciimal Degrees (6 digits minimum): 35.362636 °N 80.712381 °W
6. Prolerty size (acres): Approximately 37.0 acres
7. Name of nearest receiving body of water: An unnamed tributary of Rocky River.
8. River Basin: Yadkin
(Noxe -this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: The subiect property consists of f37.0-acres of
undeveloped, fallow land in _which the site has been severely altered due to former
clearing and grading activities as well as recent abutting commercial development. To
the north of the site are commercial properties (i.e. restaurants, strip-mall, gas station)
Page 6 of 13

with Speedway Boulevard bevond; to the south is Old Holland Road with residential
bevond; to the west is commercial development with Interstate 85 located bevond; and
to the east is undeveloped land with a pond located bevond.
10. Describe the overall project in detail, including the type of equipment to be used: The
project consists of clearing and grading activities with various types of earthmoving
machinery (heave equipment) for the construction of a recreational facility mentioned
in question 11.
11. Explain the purpose of the proposed work: The purpose of the proposed work is to
construct a recreational resort consisting of a recreation facility and water park totaling
400,1)00 square feet and a 20,000 sgft convention center known as Great Wolf Resort.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USA,CE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules. None known.
V. Future :Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
None known.
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the; applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanf;nt and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
Page 7 of 13

1. Provide a written description of the proposed impacts: The proiect consists of clearing
and grading activities with various types of earthmoving machinery (heave
equipment) for the construction of a recreational facility mentioned in question 11.
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
separately list impacts due to both structure and flooding.
Wetland Impact Type of Wetland Located within Distance to Area of
Site Number Type of Impact (e.g., forested, marsh, 100-year
Floodplain Nearest
Stream Impact
(acres)
(indicate on map 1 herbaceous, bog, etc.) ( es/no) (linear feet)
Wetland A Gradin and Fillip
g g Herbaceous (greatly
disturbed) No 0 0.21
Wetland C Gradin and Fillip
g g Herbaceous (greatly No 600 0.01
disturbed)
Wetland D Gradin and Fillip
g g Herbaceous (greatly No 200 0.02
disturbed)

Total Wetland Impact (acres) 0.24
3. List the total acreage (estimated) of all existing wetlands on the property: 0.24
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
must be included. To calculate acreage, multiply length X width, then divide by 43,560.
Stream Impact
Perennial or Average Impact Area of
Number Stream Name Type of Impact
Intermittent? Stream Width Length Impact
(indicate on ma) Before Im act (linear feet) (acres)
Channel A Unnamed Fill Unimportant
Intermittent f2 0 79 0.0036
Channel B Unnamed Fill Unimportant f 1.5 49 0.0017
Intermittent
Channel B Unnamed Fill Perennial f2.0 149 0.0068

Total Stream Impact (by length and acreage) 277 0.0099
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc.
Open Water Impact Type of Waterbody Area of
Site Number Name of Waterbody
(if applicable) Type of Impact (lake, pond, estuary, sound, bay, Impact
(indicate on ma) ocean, etc.) (acres)
Total Open Water Impact (acres) 0
Page8of13

6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): 0.0121
Wetland Impact (acres): 0.24
Open Water Impact (acres): N/A
Total Impact to Waters of the U.S. (acres) N/A
Total Stream Impact (linear feet): 277
7. Isolated Waters
Do any isolated waters exist on the properly? ^ Yes ®No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the :>ize of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
8. Poncl Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Poncl to be created in (check all that apply): ^ uplands ^ stream ^ wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
loca l stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts. As noted in the attached
proposed site plan 149 linear feet of a perennial channel (Channel B) will be disturbed.
Please note that this is a re-permitting activity in which the aforementioned unimportant
intermittent channels were determined by the USACE to be unimportant and not to be
counted as part of the 150 linear feet threshold. It should be noted that the client tried to
engineer the site in such a manor to only impact a small portion of the perennial channel,
however due to engineering constraints (i.e. a onsite gas line and the current engineering
which includes a large H-Pile wall which is not a safe alternative engineering method for a
high traffic family resort). The additional linear footage (491inear feet) is requested so that
a large H-Pile wall will not be implemented and a safer alternative can prevail, it should be
reiterated that the impact will entail a total of 1491inear feet of the perennial channel. The
additional impacts were approved prior due to the determination presented by the Army
Page 9 of 13

Corp of Engineers, in which Channel A and portions of Channel B were determined to be
unimportant intermittent channels and onsite wetlands were determined to be disturbed
herbaceous wetlands.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division. of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USAGE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o. enr.state.nc.us/ncwetlands/strm~ide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as rriuch information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
Duey to the previous USAGE determination of Channel A and portions of onsite
Channel B as unimportant intermittent channels and onsite wetlands Was disturbed,
herbaceous wetlands, which was created by onsite grading and filling activities, it is
anticipated that no mitigation should be required. Furthermore, it should be noted that
onsite impact to the perennial portion of the channel will remain under 1501inear feet.
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
Page 10 of 13

additional information regarding the application process for the NCEEP, check the NCEEP
website at http://h2o.enr.state.nc.us/wrp/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet):
~~nount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount ofNon-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (required by DWQ)
Doe:> the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ^ No
2. If ye;s, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note;: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ^ No ^
3. If yf;s, has the document review been finalized by the State Clearinghouse? If so, please
attach a copy of the NEPA or SEPA final approval letter. Yes ^ No ^
X. ProposE;d Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the: applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required. state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and mu:>t be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will. the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neese), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )? Yes ^ No
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
Zone* Impact
(s uare feet) Multiplier Required
Miti ation
1 3 (2 for Catawba)
Page 11 of 13

* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Gone 2 extends an
a~iditiona120 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration /Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
withiin 15A NCAC 2B .0242 or .0244, or .0260. N/A
XI. Stormwater (required by DWQ)
Describe: impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stormwa.ter controls proposed in order to protect surface waters and wetlands downstream from
the property. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level. The level of detail in respect to site
development activities has not been addressed as the issuance of said PCN.
XII. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
The level of detail in respect to site development activities has not been addressed as the
issuance of said PCN.
XIII. Violatians (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
'ides ^ No
Is this a~1 after-the-fact permit application? Yes ^ No
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ^ No
If yes, f-lease submit a qualitative or quantitative cumulative impact analysis in accordance with
the mo<.>t recent North Carolina Division of Water Quality policy posted on our website at
http://h~'.o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative description: The
proposed proiect will consist of a 400,000 sgft multi-level recreation facility and waterpark
as well as a 20,000 sgft convention center. Based on past proiects constructed by Great
Wolf Resort this proposed resort will be a single-phase development.
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
Page 12 of 13

choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
No known time constraints and/or composed limits on work schedules are known at this
time Proposed development is scheduled for commencement late 2007/early 2008.
an authorization letter from the applicant is provided.)
Page 13 of 13

~~-l~3tY2
Rpr 16 07 03s05p
A.pri! 13, 2007
~N, G~ 1 N~ E R i G
i7E: AG~.1tiT'~/O'VV~VEIt Ai7'I~ORIZA't ION
10.96 Acres ofLand
(Tax 1'arcal Idarti~aatic~n Number: 459-9012280)
(;t-ncOrtl, Cabanas Cotmry, North Caroliaa
7046330790
p.z
Per tfie rroguiranrerrtx of the L4-ettad Statas slurry Corp of ~,•ineers (f1S,~tCTs}, .Pre-Corrsmrctlo-r Notke
appllcatiprs, an owner aurfror~ntion mvrst be corrtplerrri a~ provfdad 1a the L/StlCTs preor to tssutrrg
Jurisc~lctftnral Defirreatiorts (JD) fora respective parcel bf lanaC
I, 3. B. Caldweii,lr., Manager of Caldwell Baal Eataro E~foldipgs, LLC, subjad. pmgerty ownes'(s}, of tax
pure) number 459-901.2280, located is- Concord; Caharrus Goanty, North Carolina, haralry swthorizs
~~ E{ _ _ _ , a raprasentaEive of C3Teat WaV ltasom Ina (otbeawis~c knavtn as
°agen~ c:lkrtilpoterstraf brryer'~ in canju»cEion with Eagic inearing Inc. (EfiI)~ agrntleonazdturet, to
aonduet ansfta Due 17iligence Aesessmcnt activities an ~e subject Cx~riparty as warrant+sd. '!"bees atarvices
nlay inclade (but not liQSited m): Phase 11'Snvirooomentat Site Assessment (I;>aA), soil/groundvaater
sampling invesCigatiotrs, stream and chs+nnot identificatiaty and/or wetland datenninationx on rho svbjoet
~F~S'~•
AG1~dV'1" A,O}ZIZATIOI~ - Wetland deteamination and stroan>/Chutr-el ldotttif~ttion activities an
tax parcc-! idattificatiau number 459 90l?280 in Coaoord, Cnbasrcus Cowtty, North Camlinx.
CAT.17'Q~'BLL REAI~ r~,STA'f'E I-iOLDINQ$, LI.C
~~ w . r ~ +r- ' ~..
P rly Qwnar(s) S tiaurm
l'ropexty QwnCr{d) Signature
Pro~rfy t7vmerlslSirasatan+
esontst#ive (Afoot)
Agetrt Represcutsttiva {Co~nlfani)
L+AGLE l~l`+TCINk~G,1NC.
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ENGIN~ER~ING
April 13, 2007
RE: AGENT/OWNER A[Ti'fIORIZATION
137.0 Acrcs of Land
(Tax Parcel ldentification Numbers: 458-991-1 l43 and 459-901-2280)
Concord, Cabatrus County, North Carolina
Per the requirsmsnts of the United States Army Corp of Engineers (USAGE), Pro-Construction Notice
application, an owner authorization must be completed and provided to the USAGE prior to issuing
Jurisdictional Delineations (JD) for a respective parcel of land
I, Richard Zulman, Manager for Ernie Irvan Properties, LLC, subject property owner{s), of tax parcel
number 458-991-1143; 458-990-6529; 458-990-6972; and 458-990-8377, located in Concord, Cabarrus
County, North Carolina, hereby authorize ~Pyr, ~ttG~~'n ___. a representative of
Great Wolf Resorts Ina (otherwise known as "agent, cliendpotentia! boyar") in conjunction with Eagle
Engineering, inc. (EEI), agent/consultant, to conduct onsite Due Diligence Assessment activities on the
subject property as warranted. Thcsc services may include (but not limited to): Phase 1 Environmental
Site Assessment {ESA}, soiVgroundwator sampling investigations, stream end channel identification,
and/or wetland determinations on the subject property.
AGENT AUTHORIZATION -Wetland determination and strtarrs/channel identification activities on
tax parcel identification numbers 458-991-1143 and 459-901-2280 in Concord, Cabstnrs County, North
Carolina. ~ $ ~ _ 9qp_ ~Sa. q
~ 55^$~ ~ aS'T'~
----~ u ~ -
Richard Zulman, Manager of Property Address/ Date
Ernie Irvan Properties, LLC Tax Parcel Identification No.
Propcriy Owner(s) Signature
Property Owner( ignsturo
Ag epresentative (Client)
Agent Represoritativa (Coasultaai)
EAGLE ENGINEERING. INC.

1601 Cambriipe Sgaare. Seim 8
Alplwatta. GA 30004
Ph f7i 3390640
Fax [phone]
Property Address/ Date
Tax Parcel Identification No.
Property Address/ Date
Tax Parcel Identification No.
Company Date
Company Date
a}+. N.CJr ISf YtIlflv.IlY (~It:1~UlP
1-i:+++ FAC d l.lel
201.1 V.a Buna Awnun
Indian 7tail. NC 21079
!b T01 ail 4:22
Fnx 701 ii2 s232

JUN. 12.2007 ~3:56AM ~ ~ _ 1 1 3 l V ~ N0.418 P. 1
1 ^
^
iJ.S. ARMY CORPS OF ENGINEERS d
WILMINGTON DISTRICT ~ ~ p
Action ID. SAW-2007-01753-313 County: Cabarrus USCxS Quad: _ Harrisbnra
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner /Authorized Agent: Great Wolf Resorts Incorporated ~.~ ~i~~ 1, r
Address: 122 'W. V~''ashin~2ton Avenue V ~~
Madison, Wisconsin 53703 d/~~~ ,~
,,
Telephone No.: 608-661-4788
Size and location of property (water body, road name/number, town, etc.); 37-acre site betwveen Sneedwav $lvd. and
Old Holland Road on unnamed tributaries of Rocky River west of Concord.
Description of projects azea and activity: FiI10.24 acres of disturbed. herbaceous wetland,1001inear feet of
perennial stream channe! and 128 linear feet of nnitmAOrtant, intermittent channel for general site develenment
Applicable Y.aw: ~C Section 404 (Clean Water Act, 33 USC 1344)
^ Section 10 (Rivers and Harbors Act, 33 USC 403)
Authorization: Regional General Permit Number.
Na'ionwide Pemvt Number. 3~
Your work is authoiixed by the above referenced permit provided it is accomplished in strict accordance with the attached
conditions and your submitted plans. Any violation of the attached conditions or deviation from your submutted plans may subject the
permittee to a step work order, a restoration order and/or appropriate legal action.
This verification wall remain valid until the expiration date identified below unless the nationwide authorization is mgdified,
suspended or revoked. lf, prior to the expiration date identified below, the nationwide permit authorization is reissued and/or
modified, this verification will remain valid until the expiration date identified below, provided it complies with all requirements of
the modified nationwide permit. if the narionwide permit authorization expires or is suspended, revoked, or is uwdified, such that the
activity would no longer comply with the terms and conditions of the nationwide permit, activities which have commenced (i.e., are
under construction) or are under contract to commence in reliance upon the nationwide permit, will remain authori2ed provided the
activity is completed ~Nithin twelve months of the date of the nationwide permit's expiration, modification or revocation, unless
discretionary authority has been exercised on acase-by-case basis to modify, suspead or revoke the authorization.
Activities subject to Section 404 (as indicated above) may also require an individual Section 401 Water Quality Certi.fieation. You
should contact the NC :Division of Water Quality (telephone [phone]) to determine Section 401 requirements.
1~or activities occmzing within the twenty coastal counties subject to regulation under the Coastal Area Management Act (CAMA),
prior to beginning work you must contact the N.C. Division of Coastal Management ,
This Deparoment of the Army verification does not relieve the permittee of the responsibility to obtain any ocher required Federal,
State or local approvals/permits.
If there are any questions regardintg this verification, any of the conditions of the Permit, or the Corps of Engineers regulatory
PragrvS[l, please liorltal:t JtGvGrl Lund ar lelephaiue SLO L 7 1-79$3,
Corps Regulatory Official: Steven Lund ~ ~ ~,
Expiration Date of Verification: .rune b, 2009
Date: J"nne 6,, 2007
The Wilmington District is committed to providing the highest level of support to the public. To help us ensure ~uve cantinas to do so,
please complete the attached customer Satisfaction Survey or visit http://wvu~uv.saw. usaeo.armv.mil/WETL.0.NDS/index.html to
complete the survey online.
Pale 1 of 2

JUN. 12.2007 9~57AM
Determination of .)turisdirtion:
N0.418 P.2
COO PS7
^ Based on preliminary information, There appear to be waters of the US including wetlands within the above described project area.
This preliminary determination is not as appealable action under the Regulatory Progam Administrative Appeal Process
( Reference 33 CFR Part 331),
^ There are Navigable Waters of the United States wltbitt, the above descn'bed project area subject to rho permit zequirements of
Section 10 of the Rivers and Harbors Act and Section 404 of the Clean water Act, Unless there is a change in the law or our
published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
X There are waters of the US and/or wetlands within the above describedproject area subject to the permit requirements of Section
404 of the Clean Water Act (CWA)(33 USC § 1344), Unless there is a change in the law or our published regulations, this
determination maybe relied upon for a period not to exceed five goers from the date of this notification.
^ The jurisdictional areas within the above desen'bed project area have been identified under a grevious action. Please reference
jurisdictional detetminatioa issued .Action ID
Basis of rtuisdictional:Determination: The unnamed tributaries flow directly to the Rocky Ytiver that Ss a tributary to the
Yea kin Rivas. a naviQabCe v~vater. Wetlands are directly abatiina these channels.
Corps Regulatory Official: Steven Lund ~(~
Date rune 6, 2007
S~(.iRVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORMS, PROJECT FLANS, ETC., IvliJST SE
ATTACHED TO TIC FILE COPY OF THIS FORM, IF REQUIRED OR AVAILABLE,
Copy Famished: Ms., Angelique Y.W.Crews, Eagle Engineering Inc., 2013 Van Buren Avenue, Indian Trail, NC 28079
~ Posi`it® Fax Note 7g71 Date ~ ~ ~ ~~~ ~ ~
To K.A nl t~,£ t{ ~ R 5 F"D"' ~'~~~/~ l..,aN ¢~
~ Coroopt. Eq,yt-p ~rllr~. co~ t)SAG~
~ PhW1o # Phone i~2..~`-~.7 ~ ~ ~ 9 ~O
~ Fax # ~ p~1 - `d i~Z -~( ~3 L Fax # Z~
Page 2 of 2

o~ - 1~3 1 Y2
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Fi ure 1 Site Ma Date: 2005
g p Site Map: Cabarrus Count ,North Carolina GIS with Aerial
E ~ v L E
Site Name: ± 37.0 Acres of Land (Tax Parcel ID Numbers:
u~I~
458-991-1143 and 459-901-2280)
2013 Van Buren Avenue Concord, Cabarrus, North Carolina
Indian Trail, NC 28079
Ph 704.882.4222 Pro ect Number: 3297-CES-NC
www.eagleonline.net

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-� P of
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and
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g Iy p Site Map: USDA Soil Survey, "Cabarrus County, N.C."
EN A GERLNG +
t Site Name: ± 37.0 Acres of Land (Tax Parcel ID Numbers:
458-991-1143 and 459-901-2280)
2013 Van Buren Avenue Concord, Cabarrus, North Carolina
Indian Trail, NC 28079 t
Pneagleonline. Project Number: 3297 -CES -NC
www.eagleonline.net

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Fi ure 3 Wetland Ma Date: 1993
g p Site Map: NWI Map, "Harrisbur , N.C."
A ~ L E
1-,vGINEERlN~i
~J Site Name: ± 37.0 Acres of Land (Tax Parcel ID Numbers:
458-991-1143 and 459-901-2280)
2013 Van Buren Avenue Concord, Cabarrus, North Carolina
Indian Trail, NC 28079
Ph 704.882.4222 Pro ect Number: 3297-CES-NC
www.eagleonline.net

Approximate Site Location
and
Property Boundary{
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Fi
gp Site Map: USGS Topographic Map, "Harrisburg, N.C."
E ANGERLNE
i Site Name: ± 37.0 Acres of Land (Tax Parcel ID Numbers:
458-991-1143 and 459-901-2280)
2013 Van Buren Avenue Concord, Cabarrus, North Carolina
Indian Trail, NC 28079
Pheagleonline. Project Number: 3297 -CES -NC
www.eagleonline.net ��

o `1 - 113 I y2
APPROVED JURISDICTIONAL DETERMINATION FORM
U.S. Army Corps of Engineers
This form should be completed by following the instructions provided in Section IV of the JD Form Instructional Guidebook.
SECTION I: BACIs:GROUND INFORMATION
A. REPORT COMPLETION DATE FOR APPROVED JURISDICTIONAL DETERMINATION (JD):
B. DISTRICT OFFICE, FILE NAME, AND NUMBER:
C. PROJECT LOCATION AND BACKGROUND INFORMATION:
State: North Carolina County/parish borough: Cabatrus City: Concord
Center coordinates of site (lat/long in degree decimal format): Lat. 35.362636° N, Long. 80.712381 ° W.
Universal Transverse Mercator:
Name of nearest waterbody: unnamed pond and tributary
Name of nearest Traditional Navigable Water (TNW) Into which the aquatic resource flows: Rocky River
Name of watershed or Hydrologic Unit Code (HUC): 03040105
® Check if m;ap/diagram of review area and/or potential jurisdictional areas is/are available upon request.
Check if other sites (e.g., offsite mitigation sites, disposal sites, etc...) are associated with this action and are recorded on a
different JD form.
D. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
Office (Desk) Determination. Date:
Q Field Determination. Date(s):
SECTION II: SUMMARY OF FINDINGS
A. RHA SECTION 10 DETERMINATION OF JURISDICTION.
There Pick List "navigable waters of the U.S." within Rivers and Harbors Act (RHA) jurisdiction (as defined by 33 CFR part 329) in the
review area. [Required]
Waters subject to the ebb and flow of the tide.
Waters are presently used, or have been used in the past, or may be susceptible for use to transport interstate or foreign commerce.
Explain:
B. CWA SECTION 404 DETERMINATION OF JURISDICTION.
There Pick List "waters of the U.S." within Clean Water Act (CWA) jurisdiction (as defined by 33 CFR part 328) in the review area. [Required)
1. Waters of the U.S.
a. Indicate presence of waters of U.S. in review area (check all that apply): 1
"I'NWs, including territorial seas
Wetlands adjacent to TNWs
® F:elatively permanent watersZ (RPWs) that flow directly or indirectly into TNWs
^ Non-RPWs that flow directly or indirectly into TNWs
\Vetlands directly abutting RPWs that flow directly or indirectly into TNWs
\Vetlands adjacent to but not directly abutting RPWs that flow directly or indirectly into TNWs
Wetlands adjacent to non-RPWs that flow directly or indirectly into TNWs
Impoundments of jurisdictional waters
Isolated (interstate or intrastate) waters, including isolated wetlands
b. Identify (estimate) size of waters of the U.S. in the review area:
Non-wetland waters: 287 linear feet: 2-3 feet width (ft) and/or acres.
Wetlands: 0.24 acres.
c. Limits (boundaries) of jurisdiction based on: 1987 Delineation Manual
Elevation of established OHWM (if known):
2. Non-regulated waters/wetlands (check if applicable):3
Q Potentially jurisdictional waters and/or wetlands were assessed within the review area and determined to be not jurisdictional.
Explain:
Boxes checked below shall be supported by completing the appropriate sections in Section III below.
z For purposes of this form, an RPW is defined as a tributary that is not a TNW and that typically flows year-round or has continuous flow at least "seasonally"
(e.g., typically 3 months).
' Supporting documentation is presented in Section III.F.

SECTION III: CWA ANALYSIS
A. TNWs AND WETLANDS ADJACENT TO TNWs
The agencies will assert jurisdiction over TNWs and wetlands adjacent to TNWs. If the aquatic resource is a TNW, complete
Section III.A.1 and Section III.D.1. only; if the aquatic resource is a wetland adjacent to a TNW, complete Sections III.A.1 and 2
and Section III.D.1.; otherwise, see Section III.B below.
1. TNW
Identify TNW:
Summarize rationale supporting determination:
2. Wetland adjacent to TNW
Summarize rationale supporting conclusion that wetland is "adjacent":
B. CHARACTER][STICS OF TRIBUTARY (THAT IS NOT A TNW) AND ITS ADJACENT WETLANDS (IF ANY):
This section summarizes information regarding characteristics of the tributary and its adjacent wetlands, if any, and it helps
determine whether or not the standards for jurisdiction established under Rapanos have been met.
The agencies will assert jurisdiction over non-navigable tributaries of TNWs where the tributaries are "relatively permanent
waters" (RPWs), i.e. tributaries that typically flow year-round or have continuous flow at least seasonally (e.g., typically 3
months). A wetland that directly abuts an RPW is also jurisdictional. If the aquatic resource is not a TNW, but has year-round
(perennial) flow, skip to Section III.D.2. If the aquatic resource is a wetland directly abutting a tributary with perennial flow,
skip to Section IILD.4.
A wetland that is adjacent to but that does not directly abut an RPW requires a significant nexus evaluation. Corps districts and
EPA regions will include in the record any available information that documents the existence of a significant nexus between a
relatively permanent tributary that is not perennial (and its adjacent wetlands if any) and a traditional navigable water, even
though a significant nexus finding is not required as a matter of law.
If the waterbody4 is not an RPW, or a wetland directly abutting an RPW, a JD will require additional data to determine if the
waterbody has a significant nexus with a TNW. If the tributary has adjacent wetlands, the significant nexus evaluation must
consider the tributary in combination with all of its adjacent wetlands. This significant nexus evaluation that combines, for
analytical purposes, the tributary and all of its adjacent wetlands is used whether the review area identified in the JD request is
the tributary, or its adjacent wetlands, or both. If the JD covers a tributary with adjacent wetlands, complete Section III.B.1 for
the tributary, Section III.B.2 for any onsite wetlands, and Section III.B.3 for all wetlands adjacent to that tributary, both onsite
and offsite. They determination whether a significant nexus exists is determined in Section III.C below.
1. Characteristics of non-TNWs that flow directly or indirectly into TNW
(i) General Area Conditions:
Watershed size: Pick List
Drainage area: 7,221 square miles
Average annual rainfall: 43.80 inches
Average annual snowfall: 8.0 inches
(ii) Physical Characteristics:
(a) Relationship with TNW:
[] Tributary flows directly into TNW.
~~ Tributary flows through 2 tributaries before entering TNW.
Project waters are 1 (or less) river miles from TNW.
Project waters are 1 (ar less) river miles from RPW.
Project waters are 1 (or less} aerial (straight) miles from TNW.
Project waters are 1 {or less) aerial (straight) miles from RPW.
Project waters cross or serve as state boundaries. Explain:
Identify flow route to TNWS: Onsite tributaries flow into offsite pond then into an unnamed tributary then into Rock
River.
' Note that the Instructional Guidebook contains additional information regazding swales, ditches, washes, and erosional features generally and in the and
West.
s Flow route can be described by identifying, e.g., tributary a, which flows through the review area, to flow into tributary b, which then flows into TNW.

Tributary stream order, if known: 1.
(b) General Tributary Characteristics (check all that apples
Tributary is: ®Natural
^ Artificial (man-made). Explain:
® Manipulated (man-altered). Explain: Channel B has a culvert.
Tributary properties with respect to top of bank (estimate):
Average width: 3 feet
Average depth: 3 feet
Average side slopes: 2z.
Primary tributary substrate composition (check all that apply):
® Silts ®Sands ^ Concrete
® Cobbles ^ Gravel ^ Muck
^ Bedrock ^ Vegetation. Type/% cover:
^ Other. Explain:
Tributary condition stability [e.g., highly eroding, sloughing banks]. Explain:
Presence of run/riffle/pool complexes. Explain:
Tributary geometry: Meandering
Tributary gradient (approximate average slope):
(c) Flow:
Tributary provides for: Seasonal flow
Estimate average number of flow events in review area/year: Pick List
Describe flow regime:
Other information on duration and volume:
Surface flow is: Pick List. Characteristics:
Subsurface flow: Pick List. Explain findings:
^ Dye (or other) test performed:
Tributary has (check all that apply):
® Bed and banks
® OHWM6 (check all indicators that apply):
® clear, natural line impressed on the bank ^
^ changes in the character of soil ^
® shelving ^
^ vegetation matted down, bent, or absent ^
^ leaf litter disturbed or washed away ^
^ sediment deposition ^
® water staining ^
^ other (list):
^ Discontinuous OHWM.~ Explain:
Lf factors other than the OHWM were used to determ
^ High Tide Line indicated by: ^
^ oil or scum line along shore objects
^ fine shell or debris deposits (foreshore)
^ physical markings/characteristics
^ tidal gauges
^ other (list):
the presence of litter and debris
destruction of terrestrial vegetation
the presence of wrack line
sediment sorting
scour
multiple observed or predicted flow events
abrupt change in plant community
ine lateral extent of CWA jurisdiction (check all that apply):
Mean High Water Mazk indicated by:
^ survey to available datum;
^ physical markings;
^ vegetation lines/changes in vegetation types.
(iii) Chemical Characteristics:
Characterize tributary (e.g., water color is clear, discolored, oily film; water quality; general watershed characteristics, etc.).
Explain:
Identify specific pollutants, if known:
6A natural or man-made discontinuity in the OHWM does not necessarily sever jurisdiction (e.g., where the stream temporazily flows underground, or where
the OHWM has been removed by development or agricultural practices). Where there is a break in the OHWM that is unrelated to the waterbody's flow
regime (e.g., flow over a rock outcrop or through a culvert), the agencies will look for indicators of flow above and below the break.
'Ibid.

(iv) Biological Characteristics. Channel supports (check all that apply):
^ Riparian corridor. Characteristics (type, average width):
^ Wetland fringe. Characteristics:
^ H"abitat for:
^ Federally Listed species. Explain findings:
[] Fish/spawn areas. Explain findings:
[] Other environmentally-sensitive species. Explain findings:
[] Aquatic/wildlife diversity. Explain findings:
2. Characteriistics of wetlands adjacent to non-TNW that flow directly or indirectly into TNW
(i) Physical Characteristics:
(a) General Wetland Characteristics:
Properties:
Wetland size:0.24 acres
Wetland type. Explain: Herbaceous.
Wetland quality. Explain:Poor quality, greatly disturbed.
Project wetlands cross or serve as state boundaries. Explain:
(b) General Flow Relationshin with Non-TNW:
Flow is: Intermittent flow. Explain:
Surface flow is: Overland sheetflow
Characteristics: As well as drirect flow due to channel running through wetland A. Wetland B and C are more
oveland.
Subsurface flow: Pick List. Explain findings:
^ Dye (or other) test performed:
(c) `Vetland Adjacency Determination with Non-TNW:
~~ Directly abutting
~~ Not directly abutting
^ Discrete wetland hydrologic connection. Explain:
^ Ecological connection. Explain:
^ Separated by berm/ban-ier. Explain:
(d) Proximity (Relationship) to TNW
Project wetlands are 1 (or Less) river miles from TNW.
Project waters are i (or less) ,irrial (straight) miles from TNW.
Flow is from: Wetland to navigable waters.
Estimate approximate location of wetland as within the Pick List floodplain.
(ii) Chemiical Characteristics:
Characterize wetland system (e.g., water color is clear, brown, oil film on surface; water quality; general watershed
characteristics; etc.). Explain:
Identify specific pollutants, if known:
(iii) Biological Characteristics. Wetland supports (check all that apply):
^ Riparian buffer. Characteristics (type, average width):
^ Vegetation type/percent cover. Explain:
^ Habitat for:
[] Federally Listed species. Explain findings:
[] Fish/spawn areas. Explain findings:
[] Other environmentally-sensitive species. Explain findings:
[] Aquatic/wildlife diversity. Explain findings:
3. Characteristics of all wetlands adjacent to the tributary (if any)
All wetland(s) being considered in the cumulative analysis:
Approximately (0.24) acres in total are being considered in the cumulative analysis.

For each wetland, specify the following:
Directly abuts? (Y/N) Size (in acresl Directly abuts? (Y/N) Size (in acres)
Wetland A (y) 0.21
Wetland C (n) 0.01
Wetland D (n) 0.02
Summarize overall biological, chemical and physical functions being performed:
C. SIGNIFICANT' NEXUS DETERMINATION
A significant ne+xus analysis will assess the flow characteristics and functions of the tributary itself and the functions performed
by any wetlands adjacent to the tributary to determine if they significantly affect the chemical, physical, and biological integrity
of a TNW. For each of the following situations, a significant nexus exists if the tributary, in combination with all of its adjacent
wetlands, has more than a speculative or insubstantial effect on the chemical, physical and/or biological integrity of a TNW.
Considerations when evaluating significant nexus include, but are not limited to the volume, duration, and frequency of the flow
of water in the tributary and its proximity to a TNW, and the functions performed by the tributary and all its adjacent
wetlands. It is not appropriate to determine significant nexus based solely on any specific threshold of distance (e.g. between a
tributary and its adjacent wetland or between a tributary and the TNW). Similarly, the fact an adjacent wetland lies within or
outside of a floodplain is not solely determinative of significant nexus.
Draw connections between the features documented and the effects on the TNW, as identified in the Rapanos Guidance and
discussed in thc~ Instructional Guidebook. Factors to consider include, for example:
• Does the tributary, in combination with its adjacent wetlands (if any), have the capacity to carry pollutants or flood waters to
TNWs, or to reduce the amount of pollutants or flood waters reaching a TNW?
• Does the tributary, in combination with its adjacent wetlands (if any), provide habitat and lifecycle support functions for fish and
other species, such as feeding, nesting, spawning, or rearing young for species that are present in the TNW?
• Does the tributary, in combination with its adjacent wetlands (if any), have the capacity to transfer nutrients and organic carbon that
support downstream foodwebs?
• Does the tributary, in combination with its adjacent wetlands (if any), have other relationships to the physical, chemical, or
biological integrity of the TNW?
Note: the above list of considerations is not inclusive and other functions observed or known to occur should be documented
below:
1. Significant: nexus findings for non-RPW that has no adjacent wetlands and flows directly or indirectly into TNWs. Explain
findings of presence or absence of significant nexus below, based on the tributary itself, then go to Section III.D:
2. Significant: nexus findings for non-RPW and its adjacent wetlands, where the non-RPW flows directly or indirectly into
TNWs. E~:plain findings of presence or absence of significant nexus below, based on the tributary in combination with all of its
adjacent wetlands, then go to Section III.D:
3. Significant: nexus findings for wetlands adjacent to an RPW but that do not directly abut the RPW. Explain findings of
presence or absence of significant nexus below, based on the tributary in combination with all of its adjacent wetlands, then go to
Section IILD: Adjacent wetlands B and C have overland flow to onsite tributaries.
D. DETERMINATIONS OF JURISDICTIONAL FINDINGS. THE SUBJECT WATERS/WETLANDS ARE (CHECK ALL
THAT APPLY):
1. TNWs and Adjacent Wetlands. Check all that apply and provide size estimates in review area:
^ TNWs: linear feet width (ft), Or, acres.
^ Wetlands adjacent to TNWs: acres.
2. RPWs that flow directly or indirectly into TNWs.
Tributaries of TNWs where tributaries typically flow year-round are jurisdictional. Provide data and rationale indicating that
tribut~uy is perennial: Portions of Channel B are perennial, groundwater flow if supporting the channel.
Tributaries of T'NW where tributaries have continuous flow "seasonally" (e.g., typically three months each year) are
jurisdictional. Data supporting this conclusion is provided at Section III.B. Provide rationale indicating that tributary flows
seasonally: Channel A and portions of Channel B are intermitternt (RPW).

Provide estimates for jurisdictional waters in the review area (check all that apply):
Tributary waters: 287 linear feet width (ft).
Other non-wetland waters: acres.
Identify type(s) of waters:
Non-RPWsg that flow directly or indirectly into TNWs.
Waterbody that is not a TNW or an RPW, but flows directly or indirectly into a TNW, and it has a significant nexus with a
TNW pis jurisdictional. Data supporting this conclusion is provided at Section IILC.
Provide estimates for jurisdictional waters within the review area (check all that apply):
^ Tributary waters: linear feet width (ft).
[^ Other non-wetland waters: acres.
Identify type(s) of waters:
Wetlands directly abutting an RPW that flow directly or indirectly into TNWs.
Wetlands directly abut RPW and thus are jurisdictional as adjacent wetlands.
Wetlands directly abutting an RPW where tributaries typically flow year-round. Provide data and rationale
indicating that tributary is perennial in Section III.D.2, above. Provide rationale indicating that wetland is
directly abutting an RPW:
Wetlands directly abutting an RPW where tributaries typically flow "seasonally." Provide data indicating that tributary i;
seasonal in Section III.B and rationale in Section III.D.2, above. Provide rationale indicating that wetland is directly
abutting an RPW: Wetland A (0.21 acres) has Channel A (intermittent) above and supplies water to connecting Channel
B, portions of B are perennial and portion are intermittent .
Provide acreage estimates for jurisdictional wetlands in the review area: 0.21acres.
Wetlands adjacent to but not directly abutting an RPW that flow directly or indirectly into TNWs.
Wetlands that do not directly abut an RPW, but when considered in combination with the tributary to which they are adjacent
and with similarly situated adjacent wetlands, have a significant nexus with a TNW are jurisidictional. Data supporting this
conclusion is provided at Section IILC.
Provide acreage estimates for jurisdictional wetlands in the review area: 0.03acres.
Wetlands adjacent to non-RPWs that flow directly or indirectly into TNWs.
^ Wetla~~ds adjacent to such waters, and have when considered in combination with the tributary to which they are adjacent and
with similarly situated adjacent wetlands, have a significant nexus with a TNW are jurisdictional. Data supporting this
conclusion is provided at Section IILC.
Provide estimates for jurisdictional wetlands in the review area: acres.
Impoundments of jurisdictional waters.9
As a general rule, the impoundment of a jurisdictional tributary remains jurisdictional.
^ Demonstrate that impoundment was created from "waters of the U.S.," or
^ Demonstrate that water meets the criteria for one of the categories presented above (1-6), or
^ Demonstrate that water is isolated with a nexus to commerce (see E below).
E. ISOLATED [INTERSTATE OR INTRA-STATE] WATERS, INCLUDING ISOLATED WETLANDS, THE USE,
DEGRADATION OR DESTRUCTION OF WHICH COULD AFFECT INTERSTATE COMMERCE, INCLUDING ANY
SUCH WATERS (CHECK ALL THAT APPLY):ro
^ which are or could be used by interstate or foreign travelers for recreational or other purposes.
^ from which fish or shellfish are or could be taken and sold in interstate or foreign commerce.
^ which are or could be used for industrial purposes by industries in interstate commerce.
^ Interstate isolated waters. Explain:
^ Other factors. Explain:
RSee Footnote # 3.
9 To complete the analysis refer to the key in Section IILD.6 of the Instructional Guidebook.
10 Prior to asserting or declining CWA jurisdiction based solely on this category, Corps Districts will elevate the action to Corps and EPA HQ for
review consistent with the process described in the Corps/EPA Memorandum Regarding CWA Act Jurisdiction Following Rapanos.

Identify water t~ody and summarize rationale supporting determination:
Provide estimates for jurisdictional waters in the review area (check all that apply):
^ Tributary waters: linear feet width (ft).
^ Other non-wetland waters: acres.
Identify type(s) of waters:
^' Wetlands: acres.
F. NON-JURISDICTIONAL WATERS, INCLUDING WETLANDS (CHECK ALL THAT APPLY):
If potential wetlands were assessed within the review area, these areas did not meet the criteria in the 1987 Corps of Engineers
Wetland Df;lineation Manual and/or appropriate Regional Supplements.
Review are;t included isolated waters with no substantial nexus to interstate (or foreign) commerce.
^ Prior to the Jan 2001 Supreme Court decision in "SWANCC," the review area would have been regulated based solely on the
"Migratory Bird Rule" (MBR).
^ Waters do riot meet the "Significant Nexus" standard, where such a finding is required for jurisdiction. Explain:
^ Other: (explain, if not covered above):
Provide acreage estimates for non jurisdictional waters in the review area, where the sole potential basis of jurisdiction is the MBR
factors (i.e., presence of migratory birds, presence of endangered species, use of water for irrigated agriculture), using best professional
judgment (check: all that apply):
^ Non-wetland waters (i.e., rivers, streams): linear feet width (ft).
^ Lakes/ponds: acres.
^ Other non=,vetland waters: acres. List type of aquatic resource:
^ Wetlands: acres.
Provide acreage estimates for non jurisdictional waters in the review area that do not meet the "Significant Nexus" standard, where such
a finding is required for jurisdiction (check all that apply):
^' Non-wetland waters (i.e., rivers, streams): linear feet, width (ft).
^ Lakes/ponds: acres.
^ Other non-wetland waters: acres. List type of aquatic resource:
^ Wetlands: acres.
SECTION IV: DATA SOURCES.
A. SUPPORTING DATA. Data reviewed for JD (check all that apply -checked items shall 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 applicantlconsultant:
Data sheets prepared/submitted by or on behalf of the applicant/consultant.
^ Office c;oncurs 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 I~IHD 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:Cabarnts County, NC 1988.
® National wetlands inventory map(s). Cite name:Harrisburg, NC 1993.
^ State/Loca! wetland inventory map(s):
^ FEMA/FIF'.M maps:
^ 100-year Floodplain Elevation is: (National Geodectic Vertical Datum of 1929)
® Photographs: ®Aerial (Name & Date):Cabarrus County, 2005.
or ®Other (Name & Date):Site photos March 7 and 20, 2007.
® Previous determination(s). File no. and date of response letter: SAW-2007-01753-313 dated June 6, 2007.
^ Applicable/supporting case law:
^ Applicable/supporting scientific literature:
^ Other information (please specify):
B. ADDITIONAL COMMENTS TO SUPPORT JD: It should be noted that as depicted on the wetlands survy, Channel A is an
unimportant intermittent channel which connects into Wetland A. Wetland A is upstream and connected to Channel B which has portions of
unimportant intermittent channel as well as perennial. Furthermore, Wetlands C and D are very small wetlands which are connect to onsite

channels and Wetland A be means of overlan flow. All features on the subject property are connected indirectly to a TNW by means of
water flow through Channel B in an offiste pond, which water flows into another unnamed tributary which is connected to Rocky River
(TNW). Therefore, all onsite water features are Jurisidictional. Aditionally, this site has been permitted before in 2007 in which all features
were determined to b;; Jurisdictional by the USACE.

~~ --13~ V2.
North Carolina Division of Water Quality -Stream Identification Form; Version 3.1
Date: ~ -..~•.-,~ ~~ Project: I`i~ ~f..~~ ~ ~. Latitude: Y,r.~,~J~Pv~'~P31G
>-
,.
Evaluator: ~, (,~ ~~ ""~ i .~ Site: , . - - ~ Longitude: ~ ~ ~ G ~ .
Total Points: Other
Stream is at least intermittent ~ , ~ County ~~ ? ~ ~ ,~ g ,:-~
if ? 19 or erennial if >_ 30 ~ L~ ~'~ ' ~ ~ ~ ~~~> e. g. Quad /Nay`me: ~s~~- ~ 1,~I ~; a.~ 'e ~~ ~,
G ~RJ l" 4 L~•~m
A. Geomor holo (Subtotal = ~: , ~ ) Absent Weak Moderate Strong
1 a. Continuous bed and bank 0 1 2 ~ -~- 3 -~`
2. Sinuosity 0 r"1`'° --• - -•- ~. 2 3
3. In-channel structure: riffle-pool sequence 0 ,~ 1 ~ 2 3
4. Soil texture or stream substrate sorting 0 T . 2 3
5. Active/relicfloodplain ;'0,% 1~ 2 3
6. Depositional bars or benches -•0 j,,. ~> 2 3
7. Braided channel i"~ OM,,% 1 2 3
8. Recent alluvial deposits 'm~l;l 1 2 3
9a Natural levees ,` 0,'~ 1 2 3
10. Headcuts `0' ~' 1 2 3
11. Grade controls 0 r~b.5~ 1 1.5
12. Natural valley or drainageway 0 0.5 1.5
13. Second or greater order channel on existing
USGS or NRCS map or other documented
evidern:e. ----
No = O~ti
Yes = 3
"Man-made ditches are not rated; se~~eqq discussions in manual
B. Hvdrolcav (Subtotal = l ~~°.3 1
14. Groundwater flow/discharge ~ 0 1 2 3
15. Water in channel and > 48 hrs since rain, or
Water in channel -- d or rowin season ""0 '
~.. 1 2 3
16. Leaflitter 1.5 1 0.5 (0 ,)
17. Sediment on plants or debris ! ;' 0;.' 0.5 1 1.5
18. Organic: debris lines or piles (Wrack lines) 0 0.5 1 1.5
19. Hydric ;;oils (redoximorphic features) present? tifo = 0~ Yes = 1.5
'~._~ J
C. BioloQV (Subtotal = ~ ~~ )
20b. Fibrous roots in channel 3 2 1 0
21 b. Rooted plants in channel 3 2 1 ~0 ,
22. Crayfish 0 0.5 1 1.5
23. Bivalves ``~0 1 2 3
24. Fish ~;'0~ 0.5 1 1.5
25 4mnhihianc
~..._ =0
# .. Q.5_ 1 1.5
26. Macrobenthos (note diversity and abundance) ,~ -' 0.5 1 1.5
27. Filamentous algae; periphyton '~4.~ 1 2 3
28. Iron oxidizing bacteria/fungus. 0 0.5 1 1~a...
29 b. Wetland plants in streambed FAC = 0.5; FACW = 0.75; OBL = 1.5 SAV = 2.0; ther =,0.
"Items 20 and 21 focus on the presence of upland plants, Item 29 focuses on the presence of aquatic or wetland plants.
Sketch:
Notes: (use back side of this form for additional notes.)
,~'.

North Carolina Division of Water Quality -Stream Identification Form; Version 3.1
Date: ProjectG~~~ Y~~~~ Latitude: ~, 'J~r~;3~
Evaluator:~~~ ~ ~ Site: Co~~~~~ Longitude: ~ , ' I ~~ ?;~*~
Total Points: ,,, Other
Stream is at least intermittentf~ ~ ~ County: i°~t~r ~ ~, ~, ~~ E~ e. g. Quad Name: ~f f 1 ~~,~...~ ~~~
if ? 19 or erennial if ? 30 (Jt f
r ~l YAP k (-? - i ~ t ~;~~ v~_..
A. Geomor holo (Subtotal = ~ S Absent Weak Moderate Strong
1a. Continuous bed and bank 0 1 j 2 3
2. Sinuosity 0 1 2 3
3. In-channel structure: riffle-pool sequence 0 1 2 3
4. Soil texture or stream substrate sorting 0 1 2 3
5. Active/rE;lic floodplain 0 1 2 3
6. Depositional bars or benches 1 2 3
7. Braided channel 0 1 2 3
8. Recent alluvial deposits 0 , 1 2 3
9a Natural `evees ~ 0 1 2 3
10. Headcuts 0 1 2 3
11. Grade controls 0 0.5 1 1.5
12. Natural valley or drainageway 0 0.5 1 1 5
13. Second or greater order channel on existin
USGS or NRCS map or other documented
evidence.
No = 0
Yes = 3
a Man-made ditches are not rated;)-see rd~iscussions in manual
~_____
14. Groundwater flow/discharge
0
1
3
15. Water in channel and > 48 hrs since rain, or
Water inchannel -- d or rowin season 0 1 2
16. Leaflitte;r 1.5 1 0.5 0
17. Sediment on plants or debris 0 0. 1 1.5
18. Organic; debris lines or piles (Wrack lines) 0 0.5 1 1.5
19. Hydric soils (redoximorphic features) present? No = 0 Yes = 1.5

-~~
20b. Fibrous roots in channel
3
2
1
0
21b. Rooted plants in channel 3 1 0
22. Crayfish 0 0.5 1 1.5
23. Bivalves 0 1 2 3
24. Fish 0 0.5 1 1.5
i%. llmnhinianc ti i1 ~ ' ~ c
26. Macrot~enthos (note diversity and abundance) 0 0.5 1 1.5
27. Filamentous algae; periphyton 0 1 2 3
28. Iron oxidizing bacteria/fungus. 0 0.5 1 1 5
29 b. Wetland plants in streambed FAC = 0.5; FACW = 0.75; OBL = 1.5 SAV = 2.0; ther = 0
"Items 20 and 21 focus on the presence of upland plants, Item za focuses on me presence or aquauc vi wCUai.u N~d~ ~~~.
Sketch:
Notes: (use back side of this form for additional notes.)

North Carolina Division of Water Quality -Stream Identification Form; Version 3.1
Date:~-~~~~--~~ Project:C,r~~~ ~-~ Latitude:2~.~ ~~~~~,",:;
Evaluator: '~~,'~ ~\~ ~ Site: f+ Of~-~ Longitude: ~o , ~ ~ ~3~ a
A
Total Points: i Other ~-~ ~,,Y-r• ~~~,tiy~
Stream is at!east intermittent ~ , County: ~1 ~ ~ ~ ~, e. g. Quad Name:
if ? 19 or er=nnial if ? 30 ~ ~ (~ ~ ~ ~~ ~t "i°~' .~
hit j1!.'1~`` ~ 1``,
A. Geomor holo (Subtotal = l_) Absent Weak Moderate Str ng
1a. Contini,ous bed and bank 0 1 3 .
2. Sinuosity 0 1 2 3
3. In-channel structure: riffle-pool sequence 0 1 ~ 2 3
4. Soil texture or stream substrate sorting 0 1 ~ 2 3
5. Active/re>lic floodplain 1 2 3
6. Depositional bars or benches 0 1 2 ~ ~ ~ ~%
7. Braided channel 1 2 3
8. Recent alluvial deposits 0 1 2 3
9 a Natural levees 1 2 3
10. Headcuts 0 1 3
11. Grade controls 0 0.5 ~1 1.5
12. Natural valley or drainageway 0 0.5 1 :.~~ 1.5
13. Second or greater order channel on existin
USGS or NRCS map or other documented
evidence. ,,--~
/ N„ o = 0
~''~...-~
Yes = 3
Man-made ditches are not rated;//see discussions in manual
14. Groundwater flow/discharge 0 1 2 ~% 3
15. Water in channel and > 48 hrs since rain, or
Water inchannel -- d or rowin season 0 1 2
16. Leaflitte;r 1.5 0.5 0
17. Sediment on plants or debris 0 0. 1 1.5
18. Organic; debris lines or piles (Wrack lines)
19. Hydric soils (redoximorphic features) present? 0 0.5
No = 0 1 1.5
~ Yes = 1.5
s
~-~_~
20b. Fibrous roots in channel 3 ;.j2, 1 0
21b. Rooted plants in channel 3 2 1 0
22. Crayfis~n ~'•0_) 0.5 1 1.5
23. Bivalves ;; 0 1 2 3
24. Fish ;` .0 0.5 1 1.5
~F Amnhihianc ` i~ i7.5 1 i.5
26. Macrot~enthos (note diversity and abundance) 0 0. 1 1.5
27. Filamentous algae; periphyton 0 1 2 3
28. Iron oxidizing bacteria/fungus. 0 0.5 1 1
29 b. Wetland plants in streambed FAC = 0.5; FACW = 0.75; OBL = 1.5 SAV = 2.0; ('Other = 0 i
.~
"Items 20 and 21 focus on the presence or upiano plants, item zy rocuses on use p~C~r~ ~~C ~~ ay~a~~~ ~~ ~~~.~a~ ~~ N~a~ •~~•
Sketch:
Notes: (use back side of this form for additional notes.)
~---`

North Carolina Division of Water Quality -Stream Identification Form; Version 3.1
Date: a"~ ~ Project: `,~ ~„~ Latitude:3~ ~~~
Evaluators Site: Longitude: °~~.,
Total Points: Other ~-~'cfflS~~~'~f
Stream is at least intermittent O ~ County: ~~(~ ~,~Cj
if ? 19 or erennial if ? 30 1 e.g. Quad Name:
A. Geomor holo (Subtotal =~} Absent Weak Moderate Str ng
1a. Continuous bed and bank 0 1 2
2. Sinuosity 1 2 3
3. In-channel structure: rifFle-pool sequence ~_ 0 ~ 1 2 3
4. Soil texture or stream substrate sorting ('~ 0 , 1 2 3
5. Active/rE;lic floodplain {`~0 ,. F' 1 2 3
6. Depositional bars or benches ~~ 0 `` 1 2 3
7. Braided channel ~,,,Q_='
_ .. . 1 2 3
8. Recent alluvial deposits '.._4...._~ 1 2 3
9a Natural levees 0,_._ 1 2 3
10. Headcuts 4 0 1. 2 3
11. Grade controls 0 1 1r5 _
12. Natural valley or drainageway 0 0.5 1 1.5
13. Second or greater order channel on existin
USGS or NRCS map or other documented
evidence.
No = 0
Yes = 3
e Man-made ditches are not rated; see discussions in manual
.`f ~
14. Groundwater flow/discharge 0 1 2 3
15. Water in channel and > 48 hrs since rain, or
Water in channel -- d or rowin season ,'` ~"-'~,
`~...~~' 1 2 3
16. Leaflitter 1.5 ~•._'L_-~ 0.5 0
17. Sediment on plants or debris ,; 0 ,J 0.5 1 1.5
18. Organic debris lines or piles (Wrack lines) C"_0-`;5 0.5 1 ,~._ . _ 1.5
19. Hydric soils (redoximorphic features) present? No = 0 <,Yes = 1.5

...77 \~~____~.
20b. Fibrous roots in channel
3
2
1
0
21b. Rooted plants in channel 3 2 1 0
22. Crayfish 0.5 1 1.5
23. Bivalves 0 1 2 3
24. Fish 0 0.5 1 1.5
~~%, Amnhiiiianc i
~..._ Q n.~ ~ 1 1.a
26. Macrot>enthos (note diversity and abundance) 0 0.5 1 1.5
27. Filamentous algae; periphyton 0 1 2 3
28. Iron oxidizing bacteria/fungus.
29 b. Wetland plants in streambed < 0 ~ 0.5 1 ~--1:5---
FAC = 0.5; FACW = 0.75; OBL = 1.5 SAV = 2.d`,~Other = 0
"Items 20 and 21 focus on the presence of upiana pianrs, item ca rocus~s ui ~ u.C N~ G~c~ ~~~ ~~ ay~a~~~ ~~ ..~~~o~ ~~ ~~u, ~~~•
Sketch:
Notes: (use back side of this form for additional notes.)
n

USACE AID# DWQ # Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the follo`ving information for the stream reach under assessment:
1. Applicant's name: ~~' ~~a`°~~"' (~~,r-t~ f~'r_~ 2. Evaluator's name:~~~ ~'~~,'~
3. Date of evaluation: ~ - ~ - D ~ 4. Time of evaluation: ~ 2.' (.~ Q
5. Name of stream: CY~n r l~ ~ /=~ 6. River basin: ~(a~ I~ s , ~ _ ~~~ ~~
7. Approximate dr,3inage area:'`] a~/ Sv ~.~r,~-~~' 8. Stream order: I
L
9. Length of reach evaluated: ~ p p' - 10. County: Cp,~ rr`~ S
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): ~ , 3(,p ~1,p~~ ___ ___ Longitude (ex. -77.556611): ~U , r]!o~ 2~ l
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 streatn(s) location):
/may ~ (- ~7 ,}~/~ (~ ~ ,
~C fl~~`~?C~1'~~~'~~' ~ ~ _`" ~7~~ TAY "~" ~l7'~~"~ ~ I iLJ~J"~~~~ 1~`ri o~ f /t _lr~ ~!~`~"' ~"'L°C^°~j1.~+,C ~^F'~C~yl~ ~+_.~ ~X_, k,~.,'14~f S r
14. Proposed channel work (if any): ~ 1' ~ i ~ YL~
J _ ~;
15. Recent weather conditions: j ~~i i f~ ~°~z ~ ~ C'_-t,+~ l ~ ~G~.J`` ~ ~ ~ ~~ ~f ~ {'' ~` ~~ `~ '~ '~
.~ 1 by ~
16. Site conditions at time of visit: S~Y~tY~.~~ '-v ~ ~ ~V`~..(~ , ^' ~r `~ `' b=
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:
19. Does channel appear on USGS quad map? YES NO 20. Does channel appear on USDA Soil Survey YES O
21. Estimated watershed land use: 3; lp % Residential 3,~U ,% Commercial ,3 ~Ci % Industrial ~~% Agricultural
,>D,'~% Forested = % Cleared ~,,;~% Other (~(~r~Qo"~~~~€~;' , fYl i Y'~or I czrcl , P~"C )
22. Bankfull width: Z' 23. Bank height (from bed to top of bank): ~
24. Channel slope down center of stream: _ Flat (0 to 20%) -Gentle (2 to 4%) Moderate (4 to 10%) -Steep (>10%)
25. Channel sinuosi~y: _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 chazacteristic 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 chazacteristic 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 aze obvious changes in the chazacter 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 sepazate 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): 3~ , Comments:
Evaluator's Signature:~~°-°~,,. /~°-°;}~~._._., _.. Date: ,3 -' I`J-O rj
This channel evaluation. form is iyyte7ide~ fo ~e-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 ca11919-876-8441 x 26.
1 of 2

STREAM QUALITY ASSESSMENT WORKSHEET
# CHARACTERISTICS ECOREGION POINT RANGE

Coastal
Piedmont
Mountain SCORE
1 Presence of flow /persistent pools in stream 0 - 5 0 - 4 0 - 5
(no flow or saturation = 0; strong flow = max oints)
2 Evidence of past human alteration 0- 6 0- 5 0- 5
(extensive alteration = 0; no alteration= max points)
3 Riparian zone 0- 6 0- 4 0- 5 !~
(no buffer = 0; contiguous, wide buffer = max points) V
4 Evidence of nutrient or chemical discharges 0 - 5 0 - 4 0 - 4
(extensive discharges = 0; no discharges = max points) I

5 Groundwater discharge
0 - 3
0 - 4
0 - 4
O
U (no discharge = 0; springs, see s, wetlands, etc. = max points)
..,
v~
6 Presence of adjacent floodplain
0-5
0-4
0-2
y, (no floodplain = 0; extensive floodplain = max points)
a 7 Entrenchment /floodplain access
0 - 5
0 - 4
0 - 2 Il
(dee ly entrenched = 0; fre uent floodin = max oints) V
8 Presence of adjacent wetlands 0- 6 0- 4 0- 2
(no wetlands = 0; large adjacent wetlands = max points)
9 Channel sinuosity 0- 5 0- 4 0- 3
(extensive channelization = 0; natural meander = max oints) I
10 Sediment input 0 - 5 0 - 4 0 - 4 ! ~ .
(extensive deposition = 0; little or no sediment = max points) .
11 Size & diversity of channel bed substrate NA* 0 - 4 0 - 5
(fine, homogenous = 0; large, diverse sizes = max points)
12 ~ Evidence of channel incision or widening 0 - 5 0 - 4 0 - 5
~ (deeply incised = 0; stable bed & banks = max points)
E-~
13 Presence of major bank failures
0-5
0-5
0-5 ~ ~,
'

(severe erosion = 0; no erosion, stable banks = max points) T
~
~
14 Root depth and density on banks
0-3
0-4
0-5 I
~ (no visible roots = 0; dense roots throughout = max points)
15 Impact by agriculture, livestock, or timber production 0 - 5 0 - 4 0 - 5 L~ .
(substantial impact = 0; no evidence = max points)
16 Presence of riffle-pool/ripple-pool complexes 0 - 3 0 - 5 0 - 6
(no riffles/ripples or pools = 0; well-developed = max points)

~
17 Habitat complexity
0-6
0-6
0-6 _
~ (little or no habitat = 0; frequent, varied habitats = max oints)
~
18 Canopy coverage over streambed
0 - 5
0 - 5
0 - 5
I
(no shading vegetation = 0; continuous canopy = max oints) _
j 4 i Substrate embeddedness ~A.T i ii - d ~~ - 4 ~
i
(deeply embedded = 0; loose structure = max oints) -

20 Presence of stream invertebrates (see page 4)
0 - 4
0 - 5
0 - 5 O
(no evidence = 0; common, numerous types = max points)
~"'
~
21 Presence of amphibians
0-4
0-4
0-4 ~'

p
(no evidence = 0; common, numerous ty es = max oints) ~1
Oa 22 Presence of fish 0 - 4 ' 0 - 4 0 - 4
pa (no evidence = 0; common, numerous es = max oints)
23 Evidence of wildlife use 0 - 6 0 - 5 0 - 5
(no evidence = 0; abundant evidence = max points) l
Total Points Possible 100 100 100
TOTAL SCORE (also enter on first page)
* These characteristics are not assessed in coastal streams.
2 of 2

USACE AID#_ DWQ # Site # (indicate on attached map)
~'1'IZLAM QUALITY ASSESSMENT WORKSHEET
Provide the followin information for the stream reach under assessment:
1. A licant's name: ~ 1 ~ ~ ice, ~y~ 2. Evaluator's name: ~ ~,~ ~ ~~~,
pp ~~~ C7(~~c '~,
3. Date of evaluation: J _ ~ ,~ i,
5. Name of stream: h~~~i~,~:.E~ A~~~.~ ~ ~~~r C,~r`4~tG3'a_ ,.~
7. Approxnnate drainage area: ``~l ~;=~_; =-Y;i., . ~;~1= ~_,~.^.
- ~ _..;
9. Length ofreacb evaluated: ice'
4. Tune of evaluation:
6. River basin: `I~1l~ l ~ } _ ~~„~, ~~ ~
8. Stream order:
10. County: ~- U~`,~tT C ~ (,~ ~,~
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): ~,~ , ~~~~ 3 Longitude (ex. -77.556611): ~~ .~ ~ ~~~ )
Method locatio~a determined (circle): GPS 'hobo Sheet) Ortho (Aerial) Photo/GIS Other GIS Other:
13. Location of reach under evaluation
14. Proposed channel work (if any):
roads and landmarks and attach map identifying stream(s) location):
1,:~ ~ ~1~~ ~t ~~ Cold E~ut l~.~G ~c~ (-~-~~t.r~ ~t a~~xl ~cc~e t~
C~ ~,r'~~l~`f!' ~"-~~.l~g ~'r s {'yf';t~.~ t J!'-4"(1 it .,s
15. Recent weather conditions: '~~ 1~ ~ '; ;~~~ ~ ~~'~ ~;, ~''~~~~{ Y -~~ ~ jL~ ~~~ ~ .•... t ~'~ .~
16. Site conditions at tune of visit: S~~Y iy'~ ~~ t~~P tV ~~~~ j-
17. Identify any spf;cial 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:
19. Does channel appear on USGS quad map? YES ~O, 20. Does channel appear on USDA Soil Survey ~1 NO
21. Estimated watershed land use: 3~ lA % Residentia13,10 % Commercial .~~ ~% Industrial ~~% Agricultural 1
.JJ,' i % Forested _ % Cleared ~~% Other (~Q(~~p~-fir{lam m(~1pt(Q!~' )
0 ~
22. Bankfull width: ~ ~ ~a ~ 23. Bank height (from bed to top of bank): ~ ~~2 ~
24. Channel slope down center of stream: _ Flat (0 to 20%) Gentle (2 to 4%) -Moderate (4 to 10%) -Steep (>10%)
Z5. 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 chazacteristic 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 continent section. Where there aze obvious changes in the chazacter of a stream under review (e.g. the stream flows from a pasture into a
forest), the stream may b~s divided into smaller reaches that display more continuity, and a separate form used to evaluate each reach. The total score assigned
to a streani reach must ra~rge between 0 and 100, with a score of 100 representing a stream of the highest quality.
Total Score (from reverse): ~~ Comments:
Evaluator's Signature: Date•
This channel evaluation form is i~rte ed to be y a ~ guide to assist owners and environmental professionals in gathering the data
required by the United States Arr 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 ca11919-876-8441 x 26.
1 of 2

STREAM QUALITY ASSESSMENT WORKSHEET
# CHARACTERISTICS ECOREGION POINT RANGE SC
R

Coastal
Piedmont
Mountain E
O
1 Presence of flow /persistent pools in stream 0 - 5 0 - 4 0 - 5
(no flow or saturation = 0; strong flow = max points)

2 Evidence of past human alteration
0 - 6
0 - 5
0 - 5 ~
(extensive alteration = 0; no alteration= max points)

3 Riparian zone
(no buffer = 0; contiguous, wide buffer = max points}
0 - 6
0 - 4
0 - 5
4 Evidence of nutrient or chemical discharges

(extensive discharges = 0; no discharges = max points) 0 - 5 0 - 4 0 - 4
a 5 Groundwater discharge 0- 3 0- 4 0- 4
U (no discharge = 0; springs, see s, wetlands, etc. = max oints)
~,
am
6 Presence of adjacent floodplain
0 - 5
0 - 4
0 - 2
,y
.,
x (no floodplain = 0; extensive floodplain = max points)
a ~ Entrenchment /floodplain access 0- 5 0- 4 0- 2 ~
(deeply entrenched = 0; fre uent flooding = max oints) U
8 Presence of adjacent wetlands 0- 6 0- 4 0- 2
(no wetlands = 0; large adjacent wetlands = max points)

9 Channel sinuosity
0 - 5
0 - 4
0 - 3
(extensive channelization = 0; natural meander = max points) I .
10 Sediment input 0- 5 0- 4 0- 4
`
(extensive deposition = 0; little or no sediment = max points) ~

11 Size & diversity of channel bed substrate
NA
0 - 4
0 - 5
(fine, homogenous = 0; large, diverse sizes = max points) i
12 Evidence of channel incision or widening 0 - 5 0 - 4 0 - 5
~ (deeply incised = 0; stable bed & banks = max points)
F
13 Presence of ma'or bank failures
0 - 5
0 - 5
0 - 5
~
(severe erosion = 0; no erosion, stable banks = max points) .

F
14 Root depth and density on banks 0 - 3 0 - 4 0 - 5
•
(no visible roots = 0; dense roots throughout = max points) `

15 Impact by agriculture, livestock, or timber production
0
(substantial unpact = 0; no evidence = max points) 0 - 5 - 4 0 - 5
16 Presence of riffle-pooUripple-pool complexes 0 - 3 0 - 5 0 - 6 (

(no riffles/ripples or pools = 0; well-developed = max points) .

1 ~ Habitat complexity 0- 6 0- 6 0- 6
(little or no habitat = 0; fre uent, varied habitats = max points)
~
18 Canopy coverage over streambed
0 - 5
0 - 5
0 - 5
a
(no shading vegetation = 0; continuous canopy = max points)
19 Suhctr?te embeddedness i ETA ~ i 0- 4 i it - 4 i ~ i
(deeply embedded = 0; loose structure = max points)
20 Presence of stream invertebrates (see page 4) 0 - 4 0 - 5 0 - 5
(no evidence = 0; cormnon, numerous types = max points)

~
21 Presence of amphibians
0-4
r 0-4
0-4
p (no evidence = 0; common, numerous types = max points)

22 Presence of fish
0 - 4
0 - 4
0 - 4
~ (no evidence = 0; common, numerous es = max points)
23 Evidence of wildlife use 0 - 6 0 - 5 0 - 5
(no evidence = 0; abundant evidence = max points) -
Total Points Possible 100 100 100
TOTAL SCORE (also enter on first page)
ltlese characteristics are not assessed in coastal streams.
2 of 2

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: ~feq-{- Ir'~l~V~ -~~=~~~-L-t'1~.. 2. Evaluator's name: f~yL IT~I~
3. Date of evaluation: 3 _ ~ -p ~_l
5. Name of stream: ChLtr1 C~lf`
7. Approximate drainage area: ~, Z ~ ~ SG~> 1"Y~; t ({~~
9. Length of reach evaluated: ((~f~ ` ----
4. Tune of evaluation: ~I ~ 3C~ Ckt~-1
6. River basin: ~Q;~~+~~-°~~~? " ~.
S. Stream order: I
10. County: Ct~~~~~.t.'i ~.,1. `~;.
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): ~j , ?j~~(o ~~ Longitude (ex. -77.556611): `~(~ .''~ i~ ~~
Method location determined (circle): GPSiTopo Sheet i9rtho (Aerial) Photo/GIS Other GIS Other:
L__~__ -
13. Location of reach under evaluation~(note nearby roads and
~~t~Yf~XI:'~-t~`;°?tom 4~1'7~'`~~;~-'.P-i- V~flf`3~"`1Ji`'f('~t!

14. Proposed channel work (if any):
15. Recent weather conditions: ~~1''i''~~.~ I -~i~ ~~~ ~/`~`1G,~j y%Lr.~ .~~;~Gi"i~ i ~ ~
16. Site conditions at time of visit: S 1.,t Y ; i..! ~ .~~ ~~~,~ ~'~" ' ~~ ~ ~
17. Identify any spf;cial 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?~'Y1JS\ NO If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES NO 20. ~D--o--e-s~channel appear on USDA Soil Survey YES NO
21. Estimated watershed land use: ~ ~ ~%% Residential 3~Lp% Commercial 3.4~% Industrial 30,3% Agricultural
~_`I % Forested = % Cleared $~~% Other (-~Ycc ot~, tyl~~t~ iranr};,~'~C, )
22. Bankfull width: /-~'
23. Bank height (from bed to top of bank): , j `
24. Channel slope down center of stream: _ Flat (0 to 20%) -Gentle (2 to 4%) 7~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 chazacteristic 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. ff a characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide
an explanation in the continent section. Where there aze obvious changes in the character of a stream under review (e.g. the stream flows from a pasture into a
forest), the stream maybe 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): ~ f~' Comments:
Evaluator's Signature: _ _ Date: ~- o~t~' ~? `
This channel evaluation folan~~~ntended ~b only as a guide to assist landowners and environmental professionals in gathering the data
required by the United S~afes..Axm orps 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 ca11919-876-8441 x 26.
1 of 2

STREAM QUALITY ASSESSMENT WORKSHEET
# CHARACTERISTICS ECOREGION POINT RANGE SCORE
Coastal Piedmont Mountain

1 Presence of flow /persistent pools in stream
0 - 5
0 - 4
0 - 5
l-t
(no flow or saturation = 0; strong flow = max points)

2 Evidence of past human alteration
0 - 6
0 - 5
0 - 5
(extensive alteration = 0; no alteration= max points)
3 Riparian zone 0- 6 0- 4 0- 5
(no buffer = 0; contiguous, wide buffer = max points)
4 Evidence of nutrient or chemical discharges 0 - 5 0 - 4 0 - 4 !
~
(extensive discharges = 0; no discharges = max points) .

~
5 Groundwater discharge
0 - 3
0 - 4
0 - 4
(no discharge = 0; springs, seeps, wetlands, etc. = max oints)
6 Presence of adjacent floodplain 0- 5 0- 4 0- 2
(no floodplain = 0; extensive floodplain = max points)
~ ~ Entrenchment /floodplain access 0- 5 0- 4 0- 2
(dee ly entrenched = 0; fre uent flooding = max oints)
8 Presence of adjacent wetlands 0- 6 0- 4 0- 2 a
(no wetlands = 0; large adjacent wetlands = max points)
9 Channel sinuosity 0- 5 0- 4 0- 3
(extensive channelization = 0; natural meander = max oints) ,j
10 Sediment input 0- 5 0- 4 0- 4 a
(extensive deposition = 0; little or no sediment = max points)
11 Size & diversity of channel bed substrate NA* 0 = 4 0 - 5
(fine, homogenous = 0; large, diverse sizes = max points)
12 Evidence of channel incision or widening 0 - 5 0 - 4 0 - ~
~ (deeply incised = 0; stable bed & banks = max points)
H
13 Presence of major bank failures
0-5
' 0-~
0-5
~ (severe erosion = 0; no erosion, stable banks = max points)

d
14 Root depth and density on banks
0-3
0-4
0-5
~ (no visible roots = 0; dense roots throughout = max points)

15 Impact by agriculture, livestock, or timber production
0 - 5
0 - 4
0 - 5
(substantial im act = 0; no evidence = max points)
16 Presence of riffle-pooUripple-pool complexes 0 - 3 0 - 5 0 - 6
(no riffles/rip les or pools = 0; well-developed = max oints)

~
17 Habitat complexity
0-6
0-6
0-6
~ (little or no habitat = 0; frequent, varied habitats = max points)

~
18 Canopy coverage over streambed
0-5
0-5
0-5
x (no shading vegetation = 0; continuous canopy = max points) ~(
i y ~ Substrate embeddedness ~ ;JA* , ;, - 4 , 0- 4
(deeply embedded = 0; loose structure = max oints)
20 Presence of stream invertebrates (see page 4) 0 - 4 0 - 5 0 - 5
(no evidence = 0; common, numerous types = max oints)

~
21 Presence of amphibians
0-4
0-4
0-4
p (no evidence = 0; common, numerous types = max oints)
a0 22 Presence offish 0 - 4 ' 0 - 4 0 - 4
~q (no evidence = 0; common, numerous types = max points)
23 Evidence of wildlife use 0 - 6 0 - 5 0 - 5
(no evidence = 0; abundant evidence = max oints)
Total Points Possible 100 100 100
TOTAL SCORE (also enter on first page)
* These characteristics are not assessed in coastal streams.
2of2

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: ~~~ y~l~ Regis ~~f',~, 2. Evaluator's name: ~~~~~~~-~" ,~
3. Date of evaluation: c}-~-U ~ k
5. Name of stream: Clltccn~e ~ D
7. Approximate drainage area: 1~0 ---
9. Length of reach evaluated:
4. Time of evaluation: ~ 1 ~~ ~1 C~
6. River basin: laC~ ~s11 _ '~~~ ~,~
8. Stream order:
10. County: ~1:~tr t' ~S
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): ~ , ~ a~3~ Longitude (ex. -77.556611): ~.'l 1~~~' .V
Method location determined (circle): GPS ~T'-6p heed Ortho (Aerial) Photo/GIS Other GIS Other:
{
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying siream~s) location),
~,
14. Proposed channel work (if any): ~1 ~ ` G1 YG~~~.
15. Recent weather conditions: S(.c l'1 i'~.c.~ ~~ -~ (v1~
16. Site conditions at time of visit: ~G+-Y ~ ~ ~};.; `~1~~..U~
3
~./~
17. Identify any special waterway classifications laiown:
Trout Waters _Outstanding Resource Waters
Section 10 Tidal Waters -Essential Fisheries Habitat
Nutrient Sensitive Waters _ Water Supply Watershed (I-IV)
~\
18. Is there a pond or lake located upstream of the evaluation point? YES ~O I~f yes, estimate the water surface area: ~~
19. Does channel appear on USGS quad map? YES ~ 20. Does channel appear on USDA Soil Survey? YES `~IU ,~',
~~ `~_
21. Estimated watershed land use: 3;40% Residential 3,u~% Commercial j,~% Industrial ?U;~y/o Agricultural
~,? % Forested . = % Cleared ~,~!'/° Other (~~ct~in , Cl~~k~'[n~icl .~dr)
22. Bankfull width: 3 ~ 23. Bank height (from bed to top of bank): (~ ~
24. Channel slope clown center of stream: _ Flat (0 to 20%) -Gentle (2 to 4%) -Moderate (4 to 10%) ~( Steep (>10%)
25. Channel sinuos ity: X Straight Occasional bends -Frequent meander Very sinuous Braided channel
Instrucfions 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 chazacteristic within the range
shown for the ecoregion. Page 3 provides a brief description of how to review the chazacteristics identiSed 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 aze obvious changes in the chazacter 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 Signatui e! Date: ~ ~ `1 ~U' /
This channel evaluation for intended to be us only as a guide to assist landowners and environmental profe oss gals in gath ring the data
required by the United St es Army Corps gineers to make a preliminary assessment of stream quality. The total score resulting from the
completion of this form is slrbj CE 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.
1 of 2

STREAM QUALITY ASSESSMENT WORKSHEET
# CHARACTERISTICS ECOREGION POINT RANGE

Coastal
Piedmont
Mountain SCORE

1 Presence of flow /persistent pools in stream
0 - 5
0 - 4
0 - 5
(no flow or saturation = 0; strong flow = max oints)
2 Evidence of past human alteration 0- 6 0- 5 0- 5 ' f
(extensive alteration = 0; no alteration= max points) `i '
3 Riparian zone
(no buffer = 0; contiguous, wide buffer = max points) 0- 6 0- 4 0- 5

4 Evidence of nutrient or chemical discharges
0 - 5
0 - 4
0 - 4
`--
~'
(extensive discharges = 0; no discharges = max points) (
a
~ 5 Groundwater discharge
(no discharge = 0; springs, seeps, wetlands, etc. = max points) 0- 3 0- 4 0- 4
~
~
6 Presence of adjacent floodplain
fl
d
=
0 - 5
0 - 4
0 - 2 ,,_.,
~
., (no
oo
plain
0; extensive floodplain = max points)
~ 7 Entrenchment / floodplain access
0 - 5
0 - 4
0 - 2
(dee ly entrenched = 0; fre uent flooding = max oints)
8 Presence of adjacent wetlands 0- 6 0- 4 0- 2
(no wetlands = 0; large adjacent wetlands = max points)

9 Channel sinuosity
0 - 5
0 - 4
0 - 3
C
(extensive channelization = 0; natural meander = max points)
10 Sediment input 0- 5 0- 4 0- 4
(extensive deposition = 0; little or no sediment = max points)
11 Size & diversity of channel bed substrate NA* 0 = 4 0 - 5
(fine, homogenous = 0; large, diverse sizes = max points)

12 Evidence of channel incision or widening
0 - 5
0 - 4
0 - 5
(deeply incised = 0; stable bed & banks = max points)
~ 13 Presence of major bank failures 0 - 5 0 - S 0 - 5
(severe erosion = 0; no erosion, stable banks = max oints)

~
14 Root depth and density on banks
0-3
'0-4
0-5
~ (no visible roots = 0; dense roots throughout = max oints)
15 Impact by agriculture, livestock, or timber production

(substantial im act = 0; no evidence = max points) 0 - 5 0 - 4 0 - 5
16 Presence of riffle-pool/ripple-pool complexes 0 - 3 0 - 5 0 - 6
(no riffles/ripples or pools = 0; well-develo ed = max points)

~
17 Habitat complexity
0-6
0-6
0-6
~ (little or no habitat = 0; frequent, varied habitats = max points)

~
18 Canopy coverage over streambed
0-5
0-5
0-5
x (no shading vegetation = 0; continuous canopy = max oints)

I
14 Substrate embeddedness
I
I~TA* I
I1-4
II-4
(dee ly embedded = 0; loose structure = max points)
20 Presence of stream invertebrates (see page 4) 0 - 4 0 - 5 0 - 5
(no evidence = 0; common, numerous types = max oints)
C~,7 21 Presence of amphibians 0 - 4 0 - 4 0 - 4
O (no evidence = 0; common, numerous types = max points)
O 22 Presence of fish 0- 4 0- 4 0- 4
pq (no evidence = 0; common, numerous es = max points)

23 Evidence of wildlife use
0-6
0=5
0-5
(no evidence = 0; abundant evidence = max points)
Total Points Possible 100 100 100
TOTAL SCORE (also enter on first page) ,~'
"l hese characteristics are not assessed in coastal streams.
2 of 2

DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site:(_p~~~-~~ Date: ;~°7--~t"~"
Applicant/Owner:C--~~'~- iy4~,~1 County~i(,,~`~',-.t~
Investigator(s,): ~ ~- L
• State:
~~
Do Normal Circumstances exist on the site? Yes ~ Community ID: ~~..~~.
d`!`~~s'S~-
Is the site si~uficantly disturbed (Atypical Situation)? ~~ No ~
Transect ID:
Is the area a potential Problem Area? es ~ Plot ID:
VEGETATION
Dominant Plant S ecies Stratum Indicator Dominant Plant S ecies Stratum Indicator

~
3. hu ~ ~. ~G~.- 7ti'iY't~ N 11.
-t.:' .
~-- lz.
5. 13.
6. 14.
~- 15.
8• 16.
Percent of Dominant Species that are OBL, FACW, or FAC
'QD o ° it' Gc(~ ~Pt~ t - ~ I W' ~ o 't i ~ .~ ar2 vt tx! c! ICu
Remaarks: L 1 '
{Qf"~aiS^ ~CS 4 ~a C~'a~ `~~ V ~ ~~ - l.J•~.-~~G1.(r`~ .
HYDROLOGY
RecordE;d Data (Describe in remarks):
Stream, Lake or Tide
Gauge
Aerial Photographs
n Other
No :Kecorded Data Available Wetland Hydrology Indicators:
Primary Indicators:
Inundated
Saturated ;u rJpper 12 inches ~
Water Marks
_
Drift Lines
Field Observations: Sediment Deposits
_Drainage Patterns in Wetlands
De th of Surface Water: ? E (in.) Secondary Indicators:
De th of Free Water in Pit: ;,fi 1~ (in.) Oxidized Root channels in Upper 12 inches
De th to Saturated Soil: 1,.. (in.) Water-Stained Leaves
_Local Soil Survey Data
_FAC-Neutral Test
Other (Explain in Remarks)
Remarks:
1 of 2

SOILS
Map Unit Name~Q~p{~.~- ~_t-~d`~ p~~py-~. e `I~ ~v ir~~~~~ ~{,,,,.~.~
(Series and Phase): C~~ r) "-'l
Taxonomy (Subgroup):~GtJ~~`~ ~ iLG4CY~lYII ~lC. 1T ham'` ~ tC- Ty ~1 ~-
MGt (I,Af~6.1,1~"~ Drainage Class: J~~l~ ~ fAi(i~C~
Field Observations

Confirm Mapped Type? Ye NO
Profile Description:
Depth Matrix Color Mottle Colors Mottle Abundance/ Texture, Concretions,
Inches Horizon (Mansell Moistl (Mansell Moist) Size/Contrast Structure, etc.
o-- ~ ~7,5Y~ 5 ~, -Y2 ~+1~

Hydric Soil Indicators:
Histol Concretions
Histic Epipedon -High Organic Content in Surface Layer in Sandy Soils
_Sulfidic Odor -Organic Streaking in Sandy Soils
Aquic Moisture Regime Listed on Local Hydric Soils List
Reducing Conditions -Listed on National Hydric Soils List
_Gleyed or Low-Chroma Colors -Other (Explain in Remarks
Remarks:
1 1 ` ~ i_f ....w~ ~ !~. ~, ~ r~r ~ q "~, ~x j f ~`!~ ~~~~~`4 r ~ ..,i+/` 5 EG., e 1 ~- ~ E ~V `V"wte~. i ~ "~ k F4.''~E.
4 ~' ~ ~~ IMF ~'~ V ~~ - ~ .~+ ~! ! 1 l I t~ ~'' P I N~ {t F
~4 1S "lc.~s ~ i'~TT'"~i\E "v4~; \~`~~ ~ w.j3Wf P-'c ~~.,k'"~C".}~ ~ # ~ ~` ~ {
WETLAND DETERNIINATION
Hydrophytic Vegetation Present? Yes ~~` (Circle)
~Netiand Hydrology Present! Yes ~ ~ ~
Hyaric Soils Present'? Yes No Is this Sampling Point Within a v~etiand'! Yes No
Remarks:
~``~~~ L c`S ~~~T `^ :...J~<~~3`F~r°.~ "~ C.7~A' ~`~..79... \~~ y~~a:_i~.1~;,1t t~-sS"'~-~ L.4~..~"'~..~.Y" .
v~ Approved by HQUSACE ?l92
2 of 2

DATA FORM
ROUTINE WETLAND DETERNIINATION
(1987 COE Wetlands Delineation Manual)
Proj ect/Site: Can Ccsrc~ Dater -~ "] --~
Applicantl0•wner:~r-~ .~~1~ County:~~$``.~~a,e~a~~
Investigator(s): (~ State: ~ ~.
Do Normal Circumstances exist on the site? Yes No Community ID: l
Is the site sit~ificantly disturbed (Atypical Situation)? ('Yep' No Transect ID:
Is the area a potential Problem Area? des ~1 }o Plot ID: a~l~.,.~.'~,~~ # ~~,
VEGETATION
Dominant Plant S ecies Stratum Indicator Dominant Plant S ecies Stratum Indicator
1: ;-' ~ , Lam" S'W c~'v°`~ ~ 9.

a
3~' `~` t~'«r~ a~f l
K' Cl~
11.
4.~ t :aCF1'F~: ~i~c'tih~~~T"'~aYtl~a~a. f ~^J 12.

6. J 14.
~• _ 15.
8• 16.
Percent of Dominant Species that are OBL, FACW, or FAC
'15°/Q ~".~.~~c,e:~ rs v~'~. , p/arts w~~ no inl~'~Cl2~or CN-~~a~~na~ip-tctu~~d in ~~~c~c~~~.fa~r
Remarks:
HYDROLOGY
Recorded Data (Describe in remarks):
Stream, Lake or Tide Wetland Hydrology Indicators:
Gauge Primary Indicators:
Aerial Photographs Inundated
ether X Qafiyrateri ,~ TTintner 12 ;~~he3
No Recorded Data Available Water Marks
Drift Lines
Field Observations: _Sediment Deposits
~,~ Drainage Patterns in Wetlands
De th of Surface Water: (in.) Se ondary Indicators:
De th of Free Water in Pit: (in.) `Oxidized Root channels in Upper 12 inches
Depth to Saturated Soil: (in,) _Water-Stained Leaves
_Local Soil Survey Data
FAC-Neutral Test
Other (Ex lain in Remarks)
Remarks:
~t 'CC~I~U ~U~~~' lYlG1iCG..~C~~ 1~1C~~1~~ ~~G.. ~~~.c~,v^ ,
1 of 2

SOILS
Map Unit Name
(Series and Phase):~Q~D~°~ ~" ~~~ EDCs:t"I~ j ~ JG }17~~jtj~/c~ Sjp~S
Cp~~ )
Taxonomy {Subgroup): C~~~` 1 ~p ~(~11'~- lC i 'fit`°i(~Y P'PyiE. ~~ ~1 G
`-~ (,'( ~ Ud (.~ f~5 J Drainage Class: ~ l l ~.~Gt l Yt~fG{
Field Observations

Confum Mapped Type? Yes O
Profile Description:
Depth Matrix Color
~nsell Moist)
ches Horizon (M
Mottle Colors Mottle Abundance/ Texture, Concretions,
(Mansell Moistl Size/Contrast Structure, etc.
(n~
i

Hydric Soil Indicators:
Histol
Histic Epipedon
_Sulfidic Odor
Aquic Moisture Regime
Reducing Conditions
~Gleyed ox I;ow-Chroma Colors'
Concretions
High Organic Content in Surface Layer in Sandy Soils
-Organic Streaking in Sandy Soils
-Listed on Local Hydric Soils List
Listed on National Hydric Soils List
-Other (Explain in Remarks
Remarks: ~ ~ ~ (~ rE ~
WETLAND DETERNIINATION
Hydrophytic Vegetation Present? Yes
YY etl[LL1d RyILL VIU~'y r1 GJGllt: ~( I
Hydric Soils Present'? Yes
Remarks:
~~~~-- '~ ~ ~. S >tCG~~i.e`~.i~. cam.
No (Circle)
1V V
No is this Sampling Point W itten a Wetland'! Yes No

2 of 2

DATA FORM
ROUTINE WETLAND DETERIVIIPTATION
(1987 COE Wetlands Delineation Manual)
Project/Site:,~y~~~r~,~ Date: ~-"~-C?--C~'`7'
Applicant/Owner: ~('~~~ °ya'v~p~1-- Q~~-~ S County: ~`~~i~x f f;,~ ~'
Investigator(s):-~Ij }~ ~, State: Pv
Do Normal Circumstances exist on the site? Yes o Community ID: tN~{-~,~~~
Is the site significantly disturbed (Atypical Situation)? ('e No Transect ID:
Is the area a :potential Problem Area? es Plot ID:
VEGETATION
C~~/- W - C 1 #'o ~
Dominant Plait S ecies Stratum Indicator Dominant Plant S ecies Stratum Indicator
1• ~A. P~ ~ Dlli~- ~~fr~ U~L 9.
2. U..s 5 I C ~~'J ~ ~-- 10.
3. 11.
4. 12.
5. 13.
6. 14.
~• 15.
g• 16.
Percent of Dominant Species that are OBL, FACW, or FAC
~~o~o <~-~ ~C. i S ~-~~ ~ .
Remarks:
}~I~~~a ir~~iCA.~7 Ue. c~~ ~~ ,~.~`~+ .
HYDROLOGY
Recorded Data (Describe in remarks):
Stream, Lake or Tide
Gauge
Aerial Photographs
~~ Other
No Recorded Data Available Wetland Hydrology Indicators:
Primary Indicators:
~ Inundated
i ~Sat':rated in rJFper 12 inches ~
Water Marks
Drift Lines
Field Observations: Sediment Deposits
_Drainage Patterns in Wetlands
De th of Surface Water: (in.) Secondary Indicators:
De th of Free Water in Pit: ~ (in.) Oxidized Root channels in Upper 12 inches
De th to Saturated Soil: (in.) Water-Stained Leaves
Local Soil Survey Data
_FAC-Neutral Test
Other (Explain in Remarks)
Remarks:
~~~G~~i~QI~~~ ~~iC~~(~f S ~C~_ t~~lcct."~l~/~ v ~ CC 1~.2~"c~" `mil
1 of 2

solLs
Map Unit Name ~,(,J4~t~ C1~ `gym, ~ td ~So~~ SI(.'~X`~
(Series and Phase): ~~~~ ~GllD2~ 1
Taxonomy (Subgroup): C ~~./,~,~ . Iryl ~ y!~a e +hef rl~ is T~ ~~ G
~~Gt~~u~~fs Drainage Class: ~t~ dl"~~f'Y
Field Observations

Confirm Mapped Type? Yes o
Profile Description:
Depth Matrix Color Mottle Colors Mottle Abundance/ Textwe, Concretions,
Inches Horizon (Mansell Moistl (Mansell Moist) Size/Contrast Structure, etc.
~ -- ~a G f 3 of

Hydric Soil Indicators:
Histol Concretions
Histic Epipedon -High Organic Content in Surface Layer in Sandy Soils
_SuLfidic Odor -Organic Streaking in Sandy Soils
Aquic Moisture Regime -Listed on Local Hydric Soils List
Reducing Conditions -Listed on National Hydric Soils List
~Gleyed or Low-Chroma Colors -Other (Explain in Remarks
Remarks:
._ C~~~~~ ~ 3~ N .
poi I~.~ c+~e i ~~~IiC~-~1~.. o~ '~. ~,~ ~-~t~.l.a~~~~, ..
WETLAND DETERMINATION
?Hl ~ydrophytic Vegetation Present? es N77o (Circle)
VV CUall(1 nyUl V1GT~'y Pr eJellt? (( 1GJ 1VV .y..--~
Hydric Soils Present? es No is ilus Sampling Point vVithin a v~etiand'! ~Y es No
Remarks:
Avoroved by HOUSACE ?J92
2 of 2

DATA FORM
ROUTINE WETLAND DETERD'IINATION
(1987 COE Wetlands Delineation Manual)
ProjectlSite: (b~eDr'Ca Date: '-~ - ~-O ~
Applicant/O~;~vner: (-~f~'C~-~ ~"~.1~1'~ County: ~~-y~~,~
Investigator(s): -[ g,~ (~~ State: C
Do Normal Circumstances exist on the site? Yes o Community ID: V~.}~,$'~'j V"~
Is the site significantly disturbed (Atypical Situation)? Ye No Transect ID:
Is the area a~potential Problem Area? Yes ~~ Plot ID:
VEGETATION
Dominant Plant S ecies Stratum Indicator Dominant Plant S ecies Stratum Indicator
1.'~'' o! 'G_ ~ O 9.
2~:1i nic~r~ ~P E~~- lo.
3• nC rF ex i -'r1t Y~ T 11.
4. Y f~ J~'l YU t' 12.
5. ~ ~ 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC
L 1 -
`j'j. a ~~S=ice a~2 C~ ~, ~~1{:S wrl-h r~a.ir~l~~~..f~
Id/~~ja~~ ~b~ 1Y1Gt~Qd iY`~ Catcaa.~a~ic~,
_
Remarks:
~~a~n~5 ~t'~~iCc,~~~VE. cam` Cam. w~.`. ~
HYDROLOGY
Recorded Data (Describe in remarks):
Stream, Lake or Tide Wetland Hydrology Indicators:
Gauge Primacy Indicators:
Aerial Photographs X Inundated
ether ~. cafis-aced ;m TTnTPY 17 inrheu
No Recorded Data Available _Water Marks
Drift Lines
Field Observations: Sediment Deposits
Drainage Patterns in Wetlands
De th of Surface Water: O (in.) Secondary Indicators:
De th of Free Water in Pit: d (in.) _Oxidized Root channels in Upper 12 inches
Depth to Saturated Soil: (in.) _Water-Stained Leaves
_Local Soil Survey Data
_FAC-Neutral Test
Other (Explain in Remarks)
Remarks:
~~clrnlcxt~~ tr~iccx-~c~s i-'~d~Ca~iv~ ©~ ~. ~~~~~
1 of 2

soit.s
Map Unit Name~o~~c~1~2~- ~cc~'t~~t,f, 6(tli.~ ~ I~-fo35~o 5(O(~~
(Series and Phase): (pn~'~ J
Taxonomy (Subgroup):~`~~ a ~[-A.pf~l7tf{G 1-~l~l~(yS~^ (YPI~
'~1.t1t5 Drainage Class: ~t~~, t~~~l ~l~a,,~~
Field Observations

Confirm Mapped Type? Y No `
Profile Description:
Depth Matrix Color Mottle Colors Mottle Abundance/ Texture, Concretions,
Inches Horizon (Mansell Moistl (Mansell Moist) Size/Contrast Structure, etc.
_,Z„ ~ a, ~ ~~ ~ ~ . ~.Y ~ ~
y 5~

Hydric Soil Indicators:
Histol -Concretions
Histic Epipedon -High Organic Content in Surface Layer in Sandy Soils
Sulfidic Odor -Organic Streaking in Sandy Soils
Aquic Moisture Regime -Listed on Local Hydric Soils List
-Reducing Conditions -Listed on National Hydric Soils List
~Gleyed or Low-Chroma Colors -Other (Explain in Remarks
Remarks:
~- L lS i nc~icc~~i ~G v~ a.. t f .
WETT,AND DETERNIINATION
Hydrophytic Vegetation Present? No (Circle}
Wetland Hydrology Present-! r es i3o II
Hytiric Soils Present? es No Is tf]ls 5ampiing Point Within a Wetland'! Ye No
Remarks:
P~~ r. S `~.ic~ 1 i~ e~~ ~~ ~~.,r~ t.d:ef~~~.a,~ ~~~. ,
Approved by HQUSACE 2/92
2 of 2