20061671 Ver 1_Information Letter_20030328

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INTERMITTENT CHANNEL ~~ `~
EVALUATION FORM
;TION ID ~- ~ ~ ~ APPLICANT NAME ~`-~ C ` /U `' DATE ~- ~~~r~'
PROPOSED CHANNEL WORK f i.e., culvert. n:locauo`\n. etc.) `J ~ ~ ~ ~ - ~ ~`,p~r/_'.s-R°---~" (~ ,,
WATERBODYJRIVER BASIN • ~ ~ h C ICJ N ~ JS~-- COUNTY/CTIY ~~ ~` ~ '`-"~ ~''t' $~~' f °°~~.
RECENT WEATHER CONDI'i10NS G )n a nf1 ~' l' ~p ~"~-a/~ t3~?J ~ 'Sd
p sP ~1P Observation Cotttments or Description
Fish/Shellfuh/Cnuoceans Presrnt
Brnthic Macro invertebrates
Amphibians Prssestt/Bnxding
A-gae And/Or Fungus (water quality function)
Wildlife Chamtel Use (i.e. sacks. feces. shells. others)
Federally Protected Specter Ptne:tt (Disconnnue)
`~/
l~ RiftlelPool Structitre ~ ~ ~
W
Stable Seeambanks t
lr'~ ~k`4-lam t F~'C". G' ~,7`~4`~ `~
Channel Substrate
(i.e. gravel. cobble. rock. worse sand) F~
a v C O~ b ~ ~ ~bb ~E'- C.t.^ ~~
Itipatian Canopy Prtuatt (SP M SO% closun:)
Undercut Banltsllnsueam Habitat Strucwre
Flow In Chattnei
Wetlands Adjacatt TNCondg. With Channel (Disconttnue-
Persistent Pools/Satinated Botsom
!June through Seot.l
SeepslGroundwater Discharge (June through Sept.)
X Adjacent Floodplain Praent
' Wrack Morena) or Drift Lines ~ ~ G }.,
Hydrnphvnc Vegetanon miadjacent to channel
Important To Domestic Water Supply? Y / 1~ .
Does Channel Appear On A Qttad Or Soils Map? ~N Approz. Drainage Area:
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Determinarion:
Perennial Channel (s~P) Important Channel: LF PROJECT MGR Initials
Intermittent Channel () ~ Urtimportaat Channel: I.F
Ephemeral Chasse) (no jd) (attach map indicating -ocation of importandunimpottatttchsnnel)
Ditch Through Upland (no jd)
Eralwtor's Signature:
(if other than C.O.1= proJeet manager)
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P=Present SP=Stongly Present NP~Not Present 11/4/98

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(v~,L.. v vu caw vsa~sliua:auvu rvs w
Project Name: (~ - `~ ~. ~j
River Basin: N ~° U~
DWQ Project Numbce Nearest Named Stream:Gl~t~ Latitude: Signature: ~/~
Date: ~\~ ~rQ3 USGS QUAD: Sb (lc (~c'< ~Loagitude: Lacatiott/Dvectioas: ~ \ Cl S°t c
*PLEASE NOTE: IJewluaror owllawdotvner Dane thu the jeotyn it dw*w.wode ditdr, dray ate ojrlifr Jbras v wet oarssury. S "~
Also, ijiw W e best projtssiewal jwdament ojthe etw/wator, the jeomn u neon-mode ditch and wet w wodified natam/ sorawr-rku ~ () Ci,
rating sysretn should not be wsadt
Primary Field Indicators: (GrcbOneNun~brrPerlinrJ
91 Is A Continuous Bed & 8ardc Present? 0 1 ~ 3
PNOTE: IlBrd d Ban4 Cmurd By Oftrbnrr And IfTf1r0lIT Sieuonrv Torn Stvrr• B•1
l O) Is A 2't Order Or Greater Channel 1 As Indicated
_ the Tooo Mao Anti/Or In Field) Present? Yesa3 N~0
PRIMARY GEOMORPHOLOGYINDlOATOR POINTS:
Secondary Field Indicators:ICirelronelY„n~berre./~nr~
3) Does Topography Indicate A
Natraal Drainaee Wav? 0~ 1 1.5
SECONDARY GEOMORPHOLDGY INDICATOR POINTS:_,~ c~''
4) Is Water In Channel And >48 Hrs. Since 0 L.5 _ I 1 1 S
~ M
5) Is There Water in Channel Doting Dry 0 .S 1 1.5
SECONDARY NYDROLOGYINDICATOR
County: ~-J 4 ~ Evaluator. ~ T ~ ~1
81 Are Wetland Plants In Streambed'! SAV Mostly OBL Mostly FACW MosJty,~i`'AC Mostly FACU Mostly UPL
/• NOTE: ljTom! Abtena UfA(I Pbnn !n Snrambed 1 I .75 ~J 0 0
a Nord Abavr St' Thu S~ r/N S V Prrxnl• .
SECONDAR Y BIOLOGY INDICATOR POIN7J:
TOT,9 L PnINT.S i F`nmarv +.Secnndnry~= `\~ (If Greiner Than Or Equaf 70 14 Pnina The Scream Is At Least Atrermiaenq
I. Geomor hot Absent Wesk Moderate Stron
I) Is There A Rifle-Pool Sequence? 0 ~~T' 2 3
2) Is The USDA Texture In Sttttatnbed
il. Hvdrolonv Absent Weak Moderate Strone
! 1 Is There A Grotmdwater
Flow/Discharee Present? : ''tY"`> I 2 3
PRIMARYHYDROLOGYINDIt:ATOR POINTSr'
11. Hvdroloev Absent Weak Moderate Strone
I) Is This Year's (Or Last's) L.eaflitta ,~