JSC_SWIT forms_JSC-NWW-8i_3p_10i_19i.pdf

Jsc-NWW-8i (-00 "-/
I�
NC DWQ Stream Identification Form Verdan 4.11
Dam (�� (,� ,� p Project►alte: jam 4 Latitude:
Evaluator. ,� . i to," County: C.r+av{v� Longitude:
Total Points: "m DetersIrtaMn (clyde-anM Other /ti%N,
Sown Is ethwatlMormaent d
tFzfaorr-.:_p- nMdR 30* Ephemeral intermittent Perennial e.g. Qua Nance:
A.Goomorphology Subtotal = �`
Absent
Weak
Moderate
Strong
1' Continwy of channel bad and bank
! r
2
3
2. Sinuos of channel along thalwef.
_1
_ 1
2
9
3. In -channel structure: ex. ride -pool, step -pool,
rippie-poolspquence
0
1
3
4. Particle size of stream substrata
0
1
r 2
3
S. Avotm rellctf ood:,lain
C
1
2
3
6. Depositional bars or benches
0
1
3
7. Recent alluvial depaEits
0
1
3
8, Headcuts
0 .
1
2
3
9. Grade control
0
%z0.5
1
1.5
1Q Natural valltiv
a
0.5
1
1.5
11. Second or g reater order channel
No = 0
Yes = 3
artlydel dMes are not rated; see discussions in manual
S. Hvdroloav iSubtetal = '4 1
12 Presence of Basefibw
0
1
[V
3
13. Iron oxidizing bacteria
0
2
3
14, Leaf lifter
1 5
1
0.5
0
15. Sediment on plants or debris
16. Otganic debris lines or: Iles
0.6
1
1.6
'0
1 _
1.5
17. Soil -based evidence of high water table?
No = 0
Yes = 3
C. BloWv fSubbMal = I �-
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants In streambed
2
1
0
20. Macmbenthos (note dlv sNy and abundance)
4
1
2
3
21. Aquatic Mollusks
22. Fish
0
1
2
3
1.5 -
0
0.5
3.
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0.5
0.5
1
1
1.5
1.5
25. Algae
28. Wetland pliv in streambed
FACW= 0.75; OBL =1.5 Other
*pemnnlal streams may also be Identllled using other methods.
See p. 35 of manual.
Notes:
Sketch:

Characteristics Considered When Making an OHWM Determination
Dimensions JSC-NWW-8i
Width: Q' Site: —_��
Height: �(?o a�<
Depth water: Notes
Natural
Chan
Destruction
Pres
Vegetation matte
Leaf litter dis
Multip
Cha
impressed on bank
Shelving
ges in character of soil
ence
le
of terrestrial vegetation
of litter and debris
Wracking
d down, bent, or absent
Sediment sorting
turbed or washed away
t
Scour'
Deposition
observed flow events `
Bed and banks
Water staining
r
nge in plant community �f
Other:

JSC-NWW-10i
NC DWQ Stream Identification Form Version 4.11
Date: ,y2
ProjectJSite:
Latitude: 3 j t 1)1j3 5'
Evaluator. C�ye,�. 1 epy.1
County: yj
Longitude: -77-WIP
Total Points:
Strea
iperen least
Stream Dete nati cle one)
Other Npw p �
if
if >_ f 9 a' perennial if 2 30*
perennial if
Epheme Intermittent erennial
e.g. Quad Name:
A. Geomorphology (Subtotal = I
Absent
Weak
Moderate
Strong
1' Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalvreg
1
2
3
3, In -channel structure: ex. riffle -pool, steRpool,
ri le- ool sequence
1
2
3
4. Particle size of stream substrate
0
2
3
5. Activetrelict floodplain
1
2
3
6. Depositional bars or benches
1
2
3
7. Recent alluvial deposits
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
b
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No . 'Op
Yes = 3
dumadi unuias die na rdcea; see aisausss in manual
B. Hvdroloav (Subtotal = )) , Z> )
12. Presence of Baseflow
0
1
2
13. Iron oxidizing bacteria
0
1
2
14. Leaf litter
1.5
1
0
15. Sediment on plants or debris
0
0.5
16. Organic debris lines or piles
0
1
1 1.5
17. Soil -based evidence of high water table?
No = 0
Yes - 3
C. Biology (Subtotal = I )
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0
1
1.5
23. Crayfish
0
0
1
1.5
24. Amphibians
0
;0.5
1
1.5
25. Algae
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL � .5 - Other = 0
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch: �V -
i
+
�1 ) k Yam• .
p"'W'4
r
)0e,
Jl� mot,

Characteristics Considered When Making an OHWM Determination
JSC-NWW-10i
Dimensions '�'�''�' Site: S %
Width: 10,a
Height: 410 aei
Depth water: 1 �0 �� � Notes
Natural
Char
Destruction
Press
Vegetation matte
Leaf litter dis
Multipl
Cha
line impressed on bank
Shelving
V
ges in character of soil
Df terrestrial vegetation
ince of litter and debris
Wracking
✓
t down,, ht, ent
Sediment sorting
Curbed or washed away
Scour
Deposition
e observed flow events
Bed and banks
Water staining
nge in plant community
Other:

USACE AID#
DWQ#
Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
�4 5V-64 4;10-
Provide the following information for the stream reach under assessment: 1�
1. Applicant's name: / 'w 2. Evaluator's name: �'+ {r'� dlil•Ti TSC-NWW-10i
3. Date of evaluation: Ip _ _ . 4. Time of evaluation:- 71a 5
5. Name of stream:_ U'f y�- _ �lJ W i 6. River basin: AIMA7?-
7. Approximate drainage area: v 30 - Yo /4C4(,cS 8. Stream order:
9. Length of reach evaluated: 1 L7b #- 10. County: AV"
11. Site coordinates (if known):
prefer in decimal degrees. 12. Subdivision name (if any):
I1
Latitude (ex. 34.872312): 35 ! _ Longitude (ex.-77.556611): - 7 Die
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
5m}5Y�n4A��
14. Proposed channel work (if any):
15. Recent weather conditions: "' y m _ �ri
16. Site conditions at time of visit: !p+41t
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 NO
21. Estimated watershed land use: 1 D� % Residential _% Commercial % Industrial _% Agricultural
"/o Forested _% Cleared / Logged % Other [
22. Bankfull width: _ 23. Bank height (from bed to top of bank):_
24. Channel slope down center of stream: Aflat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>100/0)
25. Channel sinuosity: _-&Straight _Occasional bends Frequent meander Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): 31- Comments:
e
Evaluator's Signature ��2 Date /17
This channel evaluatiop Pt�ha€ended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.
1

STREAM QUALITY ASSESSMENT WORKSHEET JSC-Nww-10i
ECOREGION POINT
RANGE
#
CHARACTERISTICS
SCORE
Coastal
Piedmont
Mountain
1
Presence of flow / persistent pools in stream
0-5
0-4
0-5
3
no flow or saturation = 0; sqqns flow = maxpoints)
2
Evidence of past human alteration
0-6
0-5
0-5
extensive alteration = 0; no alteration = max Nints
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
2
(extensive discharges = 0• no discharges = maxpoints)
J
5
Groundwater discharge
0-3
0-4
0-4
V(no
disch e = 0; springs, seeps, wetlands, etc. = maxpoints)
6
Presence of adjacent floodplain
0-4
0-4
0-2
„
>
(no floodplain = 0; extensive floodplain = maxpoints)
0.
7
Entrenchment / floodplain access
0-5
0-4
0-2
(de ly entrenched = 0: frequent flooding, = maxpoints)
S
Presence of adjacent wetlands
0-6
0-4
0-2
(no wetlands = 0; large adjacent wetlands = maxpoints)
9
Channel sinuosity
0-5
0-4
0-3
( extensive channelization = 0; natural meander = maxpoints)
10
Sediment input
0-5
0-4
0-4
(extensive de osition= 0; little or no sediment = maxpoints)
11
F-
Size & diversity of channel bed substrate
NA*
0-4
0- 5
—�
[fine, homogenous = 0; large, diverse sizes = max po�inLs
12
Evidence of channel incision or widening
0-5
0-4
0-- 5
dee 1 incised = 0; stable bed & banks = max points)
13
Presence of major bank failures
0-5
0-5
0-5
t�
J
severe erosion = 0; no erosion, stable banks = max points
14
Root depth and density on banks
0-3
0-4
0-5
2
F
(no visible roots = 0; dense roots throughout = max pints)
15
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
y�
(substantial impact =0; no evidence = maxpoints)
_
16
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
F
(no riffles/ripples or pools = 0; well -developed = maxpoints)
Q
1
Habitat complexity
0-6
0-6
0-6
2
little or no habitat = 0; frequent, varied habitats = maxpoints)
QCanopy
18
coverage over streambed
0-5
0-5
0-5
2
no shading vegetation = 0; continuous canopy = maxpoints)
19
Substrate embeddedness
HA*
0-4
0-4
(deeply embedded = 0; loose structure = max
20
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
no evidence = 0: common. numerous types = maxpoints)
21
Presence of amphibians
0-4
0-4
0-4
O
no evidence = 0; common, numerous = max points)
04
O
22
Presence of fish
0-4
0-4
0-4
no evidence = 0; common, numerous y ems = maxpints)
23
Evidence of wildlife use
0-6
0-5
0-5
Z
(no evidence= 0: abundant evidence = maxpoints)
Total Points Possible
too
100
100
TOTAL SCORE (also enter on first page)
31
* These characteristics are not assessed in coastal streams.

JSC-NWW-3p
NC DWQ Stream Identification Form Version 4.11 55�--b2 - 9y%)1i -320
Date: �1 f j
Project/Site.' J i Sy,�1j,� �
Latitude: �g2
Evaluator: Sid
County: ZVti
Longitude: . 7% rI6 ��
Total Points:
Stream is at least intermittent 41
2f y �,�
Stream Determination (cir
Ephemeral Intermitten erenn al
Other
e.g. Quad Name:
if>_ 19 or perennial if>_ 30*
A. Geomorphology (Subtotal =--- _)Z_j
Absent
Weak
Moderate
Strong
18Continuity of channel bed and bank a
0
1_
2
3
2. Sinuosity of channel along thalweg
0
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
1
2
3
8. Headcuts
1�0
2
3
9. Grade control
0
0.5
11
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No = 0
Yes
artificial ditches are not rated: see discussions in manual
B. Hydrology (Subtotal = 12 )
12. Presence of Baseflow
0
1
2
13. Iron oxidizing bacteria
0
1
2
14. Leaf litter
1.5
0.5
0
15. Sediment on plants or debris
0
0.
1
1.5
16. Organic debris lines or piles
0
0.5
1
17. Soil -based evidence of high water table?
No = 0
Yes; �
C. Biology (Subtotal = be, )
18. Fibrous roots in streambed
3
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
1
1.5
23. Crayfish
0
.5
1
1.5
24. Amphibians
0
1
1.5
25. Algae
5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Other:4-9
"perennial stream .,may also be identified using other methods. See p. 35 of manual.
Notes:0*-wjn
Sketch:
r'

Characteristics Considered When Making an OHWM Determination
JSC-NWW-3p
Dimensions ��"
Width: ,2 Site: Sdr►n�1 S�
_._........_.__._..._..__._.__....__.__.._.....
Height: 7i 4a0
Depth water: �� �� ��' Notes
Natural
Chan
Destruction i
Pres(
Vegetation mattes
Leaf litter dis
Multip
Cha
ine impressed on bank
ShelvingT
i
ges in character of soil
of terrestrial vegetation
E
once of litter and debris I
Wracking
d down, bent, or absent
_.._.........__..____________¢___
Sediment sorting
►�
turbed or washed away
E
E
Scour
Deposition
le observed flow events
Bed and banks
'-------
_ ..... ............ _._._..._.-.----._...._._ -- _
Water staining
_..._...._..._._
✓
............
I
nge in plant community
T
_l
Other:
E
�
,

USACE AID#_ DWQ # Site # (indicate on attached map)
31 STREAM QUALITY ASSESSMENT WORKSHEET
SS6' -AQP
Provide the following information for the stream reach under assessment:
1. Applicant's name: NM4 )!eivn 2. Evaluator's name: /'*A^'\ JSC-NWW-3p
3. Date of evaluation: r7+ `lA _ 4. Time of evaluation: 042
5. Name of stream: 6. River basin: `PAiii
7. Approximate drainage area:
9. Length of reach evaluated: )1*
11. Site coordinates (if known): prefer in decimal degrees.
Latitude (ex. 34.872312):
Method location determined (circle):nin
opo Sheet rtho ((
13. Location of reach under evaluroads an;
14. Proposed channel work (if any):
15. Recent weather
16. Site conditions i
8. Stream order: ?
10. County:46A W-i1
12. Subdivision name (if any): 1�W' L A
Longitude (ex.—77.55661
anda Other
and i entifying stream(s) location):-_
17.1dentity 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 valuation point? YES NO If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? S NO 20. Does channel appear on USDA Soil Survey?�9 NO
21. Estimated watershed land use: 319% Residential JP % Commercial _% Industrial _% Agricultural
_% Forested _% Cleared / Logged _% Other t
22. Bankfull width: 1,4 __ 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 sinuosity: Straight Occasional bends -Frequent meander _Very sinuous Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): Q7 Comments:,_ P I ?- 0�- )A;O C-
Evaluator's Signature Date
This channel evaluatiog form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET JSC-NWW-3p
--
F.CO F
N POUVT
RANGE
#
CHARACTERISTICS
SCORE
Presence of flow / persistent pools in stream
Coastal
Piedmont
Mountain
1
0-5
0-4
0 - 5
d
(no flow or saturation = 0• strongflow = max points)
2
Evidence of past human alteration
0-6
0-5
0-5
(extensive alteration = 0• no alteration = max pDints]
Riparian zone
0-6
0-4
0-5
(no buffer = 0• contiguous, wide buffer = max pints)
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
extensive discharges = 0; no discharges = maxpoints)
,S
5
Groundwater discharge
0-3
0-4
0-4
(no discharge = 0; s rin gs. seeps. wetlands. etc. = max Dints)
6
Presence of adjacent floodplain
0- 4
0- 4
0- 2
y
(no floodplain = 0• extensive floodplain = max Points)
G0,
7
Entrenchment / floodplain access
0-5
0-4
0-2
3
(deePlY entrenched = 0• frequent flooding = max Points)
8
Presence of adjacent wetlands
0- 6
0-4
0-2
no wetlands = 0; largg adlacent wetlands = maxPoints)
9
Channel sinuosity
0-5
0-4
0-3
(extensive channelization = 0• natural meander = max oints)
10
Sediment input
0-5
0-4
0-4
(extensive de osition= 0; little or no sediment = max oints)
11
Size & diversity of channel bed substrate
NA*
0-4
0-5
-
(fine, homogenous = 0; lar e, diverse sizes = max oints
12
Evidence of channel incision or widening
0-5
0-4
0-5
)
(deeply incised = 0; stable bed & banks = maxPoints)
13
Presence of major bank failures
0-5
0-5
0-5
-5
2
(severe erosion = 0; no erosion- stable banks = maxPoints)
J
14
Root depth and density on banks
0-3
0-4
0-5
3
{no visible roots = 0; dense roots throe out = max is
15
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
(substantial impact =0• no evidence = maxpoints)
16
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
no riffles/ripples or = 0; well -developed = maxpoints)
Q
17
-Pools
Habitat complexity
0-6
0-6
0-6
little or no habitat = 0; frequent, varied habitats = max points)
M
18
Canopy coverage over streambed
0-5
0-5
0-5
(no shading vegetation = 0; continuous canoPY = maxpoints)
x
19
Substrate embeddedness
NA*
0-4
0-4
(dee l� embedded = 0• loose structure = max)
20
Presence of stream invertebrates (see page 4)
0-4
0-5EO-
0-5
l
no evidence = 0• common. numerous types = max Points)
21
Presence of amphibians
0-4
0-4
O
(no evidence = 0; common, numerous types = maxPoints)
O
22
Presence of fish
0-4
0-4
0-4
no evidence = 0; common, numerous types = maxpoints)
23
Evidence of wildlife use
0-6
0-5
0-5
no evidence = 0• abundant evidence = maxpoints)
Total Points Possible
100
100
100
TOTAL SCORE (also enter on first page)
* These characteristics are not assessed in coastal streams.

JSC-NWW-19i fttj� 12
NC DWQ Stream Identification Form Version 4.11 AS D
Date: -202p
ProjectfSite: n/{� �r ✓�
42
Latitude: 35 107Z `I J
Evaluator. L . Gt I -
County: G �Q �
Longitude: - 3:1 - nlos
Total Points:
Stream term inationicircleone)
Other ffem, r
Stream isatleast intermitfenf
if a 19 or perennial if a 30" v
Epheme Intermitter'Perennial
e.g.4uadName:
A. Geomorphology (Subtotal = t �> )
Absent
Weak
Moderate'
Strong
1e Continuity of channel bed and bank
0
1
2
2. Sinuosity of channel along thalweg
0
2
3J
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
2
3
5. Active/relictfloodplain
2.2
1
2
3
6. Depositional bars or benches
0
2
3
7. Recent alluvial deposits
0
`:
2
3
8. Headcuts
�1_0 .
1
2
3
9. Grade control
0
D 5'
1
1.5
10. Natural valley
(a--
0.5
1
1.5
11. Second or greater order channel
No = 0
Yes = 3
anmciai dncnes are na raved; see discussions in man
B. Hvdrolopy (Subtotal = ]
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
=1_7
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0
5
1
1.5
17. Soil -based evidence of high water table?
No = 0
Yes = 3
C. Biology (Subtotal = ' �.. } L
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
D
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5
Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch: T-2c-1 ka )In.
I

Characteristics Considered When Making an OHWM Determination
Dimensions
Width: Site: /-$ _
Z
Height: I_— g 0
Depth water: 3°Qi
X Notes
Natural line impressed on bank
Changes in character of soil
Destruction of terrestrial vegetation
Presence of litter and debris
Wracking
Vegetation matted down, bent, or absent
Sediment sorting
Leaf litter disturbed or washed away
Multiple observed flow events
Bed and hanks
Water staining
Change in plant community
Other: