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HomeMy WebLinkAbout20160015 Ver 1_USACE JD Request Package_20151229Jurisdictional Determination Request ;� ,� ., US Army Cvrps of Ertgineers �"eilriing9on h'r;iri;t This form is iniended for use by anyone requesting a jurisdictional determination (JD) from the U.S. Army Corps of Engineers, Wilmington District (Co�rps). Please include all supporting information, as described wiihin each category, with your request. You may submii your request to the appropriate Corps Field Office (or project manager, if known) via mail, electronic mail, or facsimile. A current list of county assignments by Field Office and project manager can be found on-line at: htt�p://www.saw.usace.army.mil/Missions/Re ug lator_yPermitPro _gra�px , by telephoning: 910-251-4633, or by contacting any of the field offices listed below: ASHEVILLE REGULATORY FIELD OFFICE US !\nny Coips of Engineers 151 Patton Avcnue, Room 208 Asheville, North Carolina 28801-5006 General Number: (828) 271-7980 Fax Number: (828) 281-8120 RALEIGH REGULATORY FIELD OFFICE US Anny Corps of Engincers 3331 Heritage Trade Drive, Suite 105 Wakc Forest, North Carolina 27587 General Number: (919) 554-4884 Fax Number: (919) 562-0421 WASHINGTON REGULATORY FIELD OFFICE US Army Corps of Engineers 2407 West Fifth Strect Washington, North Carolina 27889 Genexal Nuinber: (910) 251-4610 Fax Nuinber: (252) 975-1399 WILMINGTON REGULATORY FIELD OFFICE US Anny Corps of Enginecrs 69 Darlington Avenuc Wilmington, North Carolina 28403 General Number: 910-251-4633 Fax Number: (910) 251-4025 Version: December 2013 Page 1 Jurisdictional Determination Request INSTRUCTIONS: All requestors must complete Parts A, B, C, D, E and F. NOTE TO CONSULTANTS AND AGENCIES: If you are requesting a JD on behalf of a paying client or your agency, please note the specific submittal requirements in Part G. NOTE ON PART D— PROPERTY OWNER AUTHORIZATION: Please be aware that all JD requests must include the current property owner autharization for the Corps to proceed with the determination, which may include inspection of the property when necessary. This form must be signed by the current property owner to be considered a complete request. NOTE ON PART D- NCDOT REQUESTS: Property owner authorization/notification for JD requests associated with North Carolina Department of Transportation (NCDOT) projects will be conducted according to the current NCDOT/USACE protocols. NOTE TO USDA PROGRAM PARTICIPANTS: A Corps approved or preliminary JD may not be valid for the wetland conservation provisions of the Food Security Act of 1985. If you or your tenant are USDA Program participants, or anticipate participation in USDA programs, you should also request a certified wetland determination from the local office of the Natural Resources Conservation Service, prior to starting work. Version: December 2013 Page 2 A. �i C. Jurisdictional Determination Request PARCEL INFORMATION Street Address: City, State: County: Directions: Parcel Index Number(s) (PIN): REQUESTOR INFORMATION Name: Mailing Address: Telephone Number: Electronic Mail Address i : See attached Tax Parcel Cards NCDOT 1598 Mail Service Center, Raleigh, NC 27699-1598 to Attention: ECAP Select one: � I am the current property owner. ❑ I am an Autharized Agent or Environmental Consultant2 ❑ Interested Buyer or Under Contract to Purchase ❑✓ Other, please explain. NC Department of Transportation PROPERTY OWNER INFORMATION Name: Mailing Address: Telephone Number: Electronic Mail Address3: ❑ Proof of Ownership Attached (e.g. a copy of Deed, County GIS/Parcel/Tax Record data) 1 If available Z Must attach completed Agent Authorization Form 3 If available Version: December 2013 Page 3 Jurisdictional Determination Request D. PROPERTY OWNER CERTIFICATION4 I, the undersigned, a duly authorized owner of record of the property/properties identified herein, do authorize representatives of the Wilmington District, U.S. Army Corps of Engineers (Corps) to enter upon the property herein described for the purpose of conducting on-site investigations and issuing a determination associated with Waters of the U.S. subject to Federal jurisdiction under Section 404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. Property Owner (please print) Property Owner Signature E. JURISDICTIONAL DETERMINATION TYPE Select One: Date � I am requesting that the Corps provide a preliminarX JD for the property identiiied herein. This request does include a delineation. � I am requesting that the Corps provide a preliminarX JD for the property identified herein. This request does NOT include a delineation. � I am requesting that the Corps investigate the property/project area for the presence or absence of WoUSS and provide an a�roved JD for the property identified herein. This request does NOT include a request for a verified delineation. � I am requesting that the Corps delineate the boundaries of all WoUS on a property/project area and provide an approved JD (this may or may not include a survey plat). � I am requesting that the Corps evaluate and approve a delineation of WoUS (conducted by others) on a property/project area and provide an approved JD (may or may not include a survey plat). ' For NCDOT requests following the current NCDOT/USACE protocols, skip to Part E. 5 Waters of the United States Version: December 2013 Page 4 � � Jurisdictional Determination Request ALL REQUESTS Map of Property or Project Area (attached). This Map must clearly depict the boundaries of the area of evaluation. � Size of Property or Project Area 6.75 (Project Area) acres � G. I verify that the property (or project) boundaries have recently been surveyed and marked by a licensed land surveyor OR are otherwise clearly marked or distinguishable. JD REQUESTS FROM CONSULTANTS OR AGENCIES (1) Preliminary JD Requests: ❑✓ Completed and signed Preliminary Jurisdictional Determination Form�. �✓ Project Coordinates: 36.476928 Latitude 79•67516 Longitude Maps (no larger than llx17) with Project Boundary Overlay: ❑✓ u � � ❑✓ Large and small scale maps that depict, at minimum: streets, intersections, towns Aerial Photography of the project area USGS Topographic Map Soil Survey Map Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps) 6 See Appendix A of this Form. From Regulatory Guidance Letter No. 08-02, dated June 26, 2008 Version: December 2013 Page 5 Jurisdictional Determination Request Delineation Information (when applicable)�: Wetlands: � Wetland Data Sheets$ � ❑� � Upland Data Sheets Landscape Photos, if taken Tributaries: � USACE Assessment Forms ❑✓ Other Assessment Forms (when appropriate) Field Sketch overlain on legible Map that includes: ■ All aquatic resources (for sites with multiple resources, label and identify) ■ Locations of wetland data points and/or tributary assessment reaches ■ Locations of photo stations ■ Approximate acreage/linear footage of aquatic resources (2) Approved JDs including Verification of a Delineation: � Project Coordinates: Latitude Maps (no larger than llx17) with Project Boundary Overlay: u � �❑ � �I Longitude Large and small scale maps that depict, at minimum: streets, intersections, towns Aerial Photography of the project area USGS Topographic Map Soil Survey Map Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site Plan, previous delineation maps) ' 1987 Manual Regional Supplements and Data forms can be found at: http://www.usace.army.mil/Missions/CivilWorks/RegulatoryProgramandPermits/re� supp.aspx Wetland and Stream Assessment Methodologies can be found at: http://portal.ncdenr.org/c/document librarv/aet file?uuid=76f3c58b-dab8-4960-ba43-45b7faf06f4c&�roupld=38364 and, http://www.saw.usace.armv.mil/Portals/59/docs/regulatory/publicnotices/2013/NCSAM Draft User Manual 130318.pdf $ Delineation information must include, at minimum, one wetland data sheet for each wetland/community type. Version: December 2013 Page 6 Jurisdictional Determination Request Delineation Information (when applicable): Wetlands: � Wetland Data Sheets9 �❑ �❑ �❑ Upland Data Sheets Landscape Photos, if taken Tributaries: � USACE Assessment Forms � Other Assessment Forms (when appropriate) Field Sketch overlain on legible Map that includes: • All aquatic resources (for sites witih multiple resources, label and identify) • Locations of wetland data points and/or tributary assessment reaches • Locations of photo stations � Approximate acreage/linear footage of aquatic resources Supporting Jurisdictional Information (for Approved JDs only) � ❑� Approved Jurisdictional Determination Form(s) (also known as "Rapanos Form(s)") Map(s) depicting the potential (or lack of potential) hydrologic connection(s), adjacency, etc. to navigable waters. 9 Delineation information must include, at minimum, one wetland data sheet for each wetland/community type. Version: December 2013 Page 7 Jurisdictional Determination Request REQUESTS FOR CORPS APPROVAL OF SURVEY PLAT Prior to final production of a Plat, the Wilmington District recommends that the Land Surveyor electronically submit a draft of a Survey Plat to the Corps project manager for review. Due to storage limitations of our administrative records, the Corps requires that all hard- copy submittals include at least one ori inal Plat to scale) that is no lar�er than 11"x17" (the use of match lines for larger tracts acceptable). Additional copies of a plat, including those larger than 11"x17", may also be submitted for Corps signature as needed. The Corps also accepts electronic submittals of plats, such as those transmitted as a Portable Documeni Format (PDF) file. Upon verification, the Corps can electronically sign these plats and return them via e-mail to the requestor. (1) PLATS SUBMITTED FOR APPROVAL n u u n � � � ❑� Must be sealed and signed by a licensed professional land surveyor Must be to scale (all maps must include both a graphic scale and a verbal scale) Must be legible Must include a North Arrow, Scale(s), Title, Property Information Must include a legible WoUS Delineation Table of distances and bearings/metes and bounds/GPS coordinates of all surveyed delineation points Must clearly depict surveyed property or project boundaries Must clearly identify the known surveyed point(s) used as reference (e.g. property corner, USGS monument) When wetlands are depicted: • Must include acreage (or square footage) of wetland polygons • Must identify each wetland polygon using an alphanumeric system Version: December 2013 Page 8 Jurisdictional Determination Request � When tributaries are depicted: � Must include either a surveyed, approximate centerline of tributary with approximate width of tributary OR surveyed Ordinary High Water Marks (OHWM) of iributary � Must identify Each tributary using an alphanumeric system • Must include linear footage of tributaries and calculated area (using approximate widths or surveyed OHWM) • Must include name of tributary (based on the most recent USGS topographic map) or, when no USGS name exists, identiiy as "unnamed tributary" � all depicted WoUS (wetland polygons and tributary lines) must intersect or tie-to surveyed project/property boundaries � Must include the location of wetland data points and/ar tributary assessment reaches � Must include, label accordingly, and depict acreage of all waters not currently subject to the requirements of the CWA (e.g. "isolated wetlands", "non- jurisdictional waters"). NOTE: An approved JD must be conducted in order to make an official Corps determination that a particular waterbody or wetland is not jurisdictional. � Must include and survey all existing conveyances (pipes, culverts, ete.) that transport WoUS Version: December 2013 Page 9 Jurisdictional Determination Request (2) CERTIFICATION LANGUAGE � When the entire actual Jurisdictional Boundar. i�picted: include the following Corps Certification language: "This certifies that this copy of this plat accurately depicts the boundary of the jurisdiction of Section 404 of the Clean Water Act as determined by the undersigned on this date. Unless there is a change in the law or our published regulations, the determination of Section 404 jurisdiction may be relied upon for a period not to exceed five (5J years from this date. The undersigned completed this determination utilizing the appropriate Regional Supplement to the 1987 U.S. Army Corps of Engineers Wetlands Delineation Manual." Regulatory Official: Title: Date: USACE Action ID No.: � When uplands ma,y be present within a depicted Jurisdictional Boundar� include the following Corps Certification language: "This certifies that this copy of this plat identifies all areas of waters of the United States regulated pursuant to Section 404 of the Clean WaterAct as determined by the undersigned on this date. Unless there is change in the law or our published regulations, this determination of Section 404 jurisdiction may be relied upon for a period not to exceed five years from this date. The undersigned completed this determination utilizing the appropriate Regional5upplement to the 1987 U.S. Army Corps of Engineers Wetlands Delineation Manual." Regulatory Official: Title: Date: USACE Action ID No.: Version: December 2013 Page 10 Jurisdictional Determination Request (3) GPS SURVEYS For Surveys prepared using a Global Positioning System (GPS), the Survey must include all of the above, as well as: � be at sub-meter accuracy at each survey point. � include an accuracy verification: One or more known points (property corner, monument) shall be located with the GPS and cross-referenced with the existing traditional property survey (metes and bounds). � include a brief description of the GPS equipment utilized. Version: December 2013 Page 11 ATTACHMENT A PRELIMINARY JURISDICTIONAL DETERMINATION FORM BACKGROUND INFORMATION A. REPORT COMPLETION DATE FOR PRELIMINARY JURISDICTIONAL DETERMINATION (JD): B. NAME AND ADDRESS OF PERSON REQUESTING PRELIMINARY JD: Jim Mason NCDOT, 1598 Mail Service Center, Raleigh, NC 27699-1598 to Attention: ECAP C. DISTRICT OFFICE, FILE NAME, AND NUMBER: D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION: TIP B-5357: Replace Bridge No. 78 on SR 2715 (Hampton Road) over Rock Creek (USE THE ATTACHED TABLE TO DOCUMENT MULTIPLE WATERBODIES AT DIFFERENT SITES) State: NC County/parish/borough: Ro�k�n9nam City: Eaen Center coordinates of site (lat/long in degree decimal format): Lat. 36.476928 °N; LOng. 79•67516 °W. Universal Transverse Mercator: Name of nearest waterbody: Ro�k creek Identify (estimate) amount of waters in the review area: Non-wetland waters: 397 Illlear fGet: 1- 12 range width (ft) and/or acres. Cowardin Class: R��er�ne Strgarp F�OW: Perennial and Intermittent Wetlands: acres. Cowardin Class: Name of any water bodies on the site that have been identified as Section 10 waters: Tidal: Non-Tidal: 1 E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY): � Office (Desk) Determination. Date: � Field Determination. Date(s): SUPPORTING DATA. Data reviewed for preliminary JD (check all that apply - checked items should be included in case file and, where checked and requested, appropriately reference sources below): � Maps, plans, plots or plat submitted by or on behalf of the aj�p�ICall�✓COIISU�tallt: Amec Foster Wheeler ❑✓ Data sheets prepared/submitted by or on behalf of the appl�nt/consultant. Office concurs with data sheets/delineation report. � Office does not concur with data sheets/delineation report. ❑ Data sheets prepared by the Corps: ❑ Corps navigable waters' study: ❑ U.S. Geological Survey Hydrologic Atlas: � USGS NHD data � USGS 8 and 12 digit HUC maps ❑ U.S. Geological Survey map(s). Cite scale & quad name: ❑ USDA Natural Resources Conservation Service Soil Survey. Citation: ❑ National wetlands inventory map(s). Cite name: ❑ State/Local wetland inventory map(s): ❑ FEMA/FIRM maps: � 100-year Floodplain Elevation is: (National Geodectic Vertical Datum of 1929) ❑ Photographs: ❑ Aerial (Name & Date): or � Other (Name & Date): � Previous determination(s). File no. and date of response letter: � Other information (please specify): � 1. The Corps of Engineers believes that there may be jurisdictional waters of the United States on the subject site, and the permit applicant or other affected party who requested this preliminary JD is hereby advised of his or her option to request and obtain an approved jurisdictional determination (JD) for that site. Nevertheless, the permit applicant or other person who requested this preliminary JD has declined to exercise the option to obtain an approved JD in this instance and at this time. 2. In any circumstance where a permit applicant obtains an individual permit, or a Nationwide General Permit (NWP) or other general permit verification requiring "pre-construction notification" (PCN), or requests verification for a non-reporting NWP or other general permit, and the permit applicant has not requested an approved JD for the activity, the permit applicant is hereby made aware of the following: (1) the permit applicant has elected to seek a permit authorization based on a preliminary JD, which does not make an official determination of jurisdictional waters; (2) that the applicant has the option to request an approved JD before accepting the terms and conditions of the permit authorization, and that basing a permit authorization on an approved JD could possibly result in less compensatory mitigation being required or different special conditions; (3) that the applicant has the right to request an individual permit rather than accepting the terms and conditions of the NWP or other general permit authorization; (4) that the applicant can accept a permit authorization and thereby agree to comply with all the terms and conditions of that permit, including whatever mitigation requirements the Corps has determined to be necessary; (5) that undertaking any activity in reliance upon the subject permit authorization without requesting an approved JD constitutes the applicant's acceptance of the use of the preliminary JD, but that either form of JD will be processed as soon as is practicable; (6) accepting a permit authorization (e.g., signing a proffered individual permit) or undertaking any activity in reliance on any form of Corps permit authorization based on a preliminary JD constitutes agreement that all wetlands and other water bodies on the site affected in any way by that activity are jurisdictional waters of the United States, and precludes any challenge to such jurisdiction in any administrative or judicial compliance or enforcement action, or in any administrative appeal or in any Federal court; and (7) whether the applicant elects to use either an approved JD or a preliminary JD, that JD will be processed as soon as is practicable. Further, an approved JD, a proffered individual permit (and all terms and conditions contained therein), or individual permit denial can be administratively appealed pursuant to 33 C.F.R. Part 331, and that in any administrative appeal, jurisdictional issues can be raised (see 33 C.F.R. 331.5(a)(2)). If, during that administrative appeal, it becomes necessary to make an official determination whether CWA jurisdiction exists over a site, or to provide an official delineation of jurisdictional waters on the site, the Corps will provide an approved JD to accomplish that result, as soon as is practicable. TIP B-5357 This preliminary JD finds that there "may be"waters of the United States on the subject project site, and identifies all aquatic features on the site that could be affected by the proposed activity, based on the following information: IMPORTANT NOTE: The information recorded on this form has not necessarilv been verified bv the Corps and should not be relied upon for later iurisdictional determinations. : Signature and date of Regulatory Project Manager (REQUIRED) 0 � �ll�l�< ignatur�' d date of 1/ erson req esting preliminary JD (REQUiRE , unless obtaining the signature is impracticable) TIP B-5357 Waters of the U.S. Summary Table Estimated Amount Site Cowardin of Aquatic Class of Aquatic Number Latitude Longitude Class Resource in Resource Review Area Riverine, Rock 36.4769 79.6750 Perennial, 213 feet Non-section 10 Creek Unconsolidated stream Bottom Riverine, Non-section 10 SA 36.4774 79.6748 Intermittent, 184 feet stream Streambed �, � WF^MfUI'ih Wentworth Cascade / --N� -1� --- ROCKINGHAM COU � �' � �. �� ,, ,�r \� ,, �� �, � � 5 \ �� V�-' ' ` ��- -- 1 � �' . �' _ ry� , a. y �eids:ille 0 5,000 10,000 20,000 Reidsville � F t � � � � _ ScyJ� ;�Ti; � ;-�; �,R` � vG,��,'�-� _i i �; �, %���ti ��, ,�° % � i � r_ � `-� � ; �, �LJ=�,;^< j� ^ �' � � � ii�.l_f�_�_1� J/.S �, ,�c" N�, —� z ���� �. ) �'�L� �� `V-J �,_ `i✓ ��% � � ee � i ofNaflTp�q VICINITY MAP N County:ROCKINGHAM yp`` 90�9 NORTHCAROLINADEPARTMENT BRIDGE REPLACEMENT FI Ure , OF TRANSPORTATION BRIDGE NO 78 OVER Div: 7 TIP# B-5357 g � � DIVISION OF HIGHWAYS � ° PROJECT DEVELOPMENTAND A CREEK ON SR 2715 WBS: 46071.1.1 99? a�e ENVIRONMENTALANALYSISUNIT ROCKINGHAM COUNTY �FNTOFTFpH54O Date: DEC 2014 TIP PROJECT B-5357 � . - ; - = � . _ -- � f 1 � ; �" _ _ ; _ ' � ��,1' •�►' � ' ;�r- . � � ''1�.,� �, ,f ��- � � -.` . ,� _ _ ` ° _ _ f - � ` � � �' ,/ ` �. � ',� 1 , - • ' � . - - � � '�°�� � � �j r . i 1 .i� "�• .� e � , � � ' S� ����✓P.- A� _ 1r` ��j� � � « ., � . �_ �, � '.! • (�, , � 'Ij w-.�� �;r ( � � � %�-{`` � - � . �, � �� � r � �^ � � ^���� ` � / . ��/ �M '! 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Long PIN:890900130695 Parcel Number: 156523 Owner ID: 36125 Owner Name1: BROADNAX ROBERT JR Owner Name2: BROADNAX SARAH B Owner Address: 10285 NC HIGHWAY 87 Onwer City: REIDSVILLE Census Block Groups Block Group: 0411001 Townships Name: RUFFIN TOWNSHIP init: start init: done Parcels Owner State: NC Owner Zip: 27320-7376 Fire District: OREGON HILL FD Township: 8 Land Value: 52900 Improvment Value: 800 TotalValue:53700 Attributes at point: N: 993665, E: 1800991 Precincts Name: LINCOLN http://www.webqis.net Anderson & Associates, Inc. http://www.andassoc.com Deed Book: 775 Deed Page: 533 Deed Year: 0 Date SoId:19860701 Zoning: RA Year Built: 0 Soils DSL Name: PcD2 http://arcgis.webgis.net/nc/Rockingham/printable.asp 5/27/2015 Rockingham County, NC Print Map Page 1 of 1 Rockingham County, NC Disclaimer: The information contained on this page is taken from aerial mapping, tax mapping, and public records and is NOT to be construed or used as a survey or'legal description'. Only a licensed professional land surveyor can legally determine precise locations, elevations, length and direction of a line. and areas. Long PIN:890900125851 Parcel Number: 156518 Owner ID: 94367 Owner Name1: CANNON ERNEST L SR Owner Name2: CANNON MAE G OwnerAddress: 438 HAMPTON RD Onwer City: EDEN Census Block Groups Block Group: 0401001 Townships Name: RUFFIN TOWNSHIP init: start init: done Parcels Owner State: NC Owner Zip: 27288 Deed Acres: 4.8 Fire District: OREGON HILL FD Township: 8 Land Value: 23546 Total Value: 23546 Attributes at point: N: Precincts Name: LINCOLN E: 1801544 http://www.webqis.net Anderson & Associates, Inc. http://www.andassoc.com Deed Book: 878 Deed Page: 1154 Deed Year: 0 Date Sold: 19860701 Zoning: RA Year Built: 0 Soils DSL Name: PaE http://arcgis.webgis.net/nc/Rockingham/printable.asp 5/27/2015 Rockingham County, NC Print Map Page 1 of 1 p � � :4 - � � � ; ��� �i ' 1 � � : : � � '� � -� :+e ..� i . ,- -- � ��d,.; .' 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Long PIN:890900133103 Parcel Number: 156524 Owner ID: 36174 Owner Name1: CANNON ERNEST LEVI Owner Name2: CANNON MAE OwnerAddress: 438 HAMPTON RD Onwer City: EDEN Census Block Groups Block Group: 0411001 Townships Name: RUFFIN TOWNSHIP init: start init: done Parcels Owner State: NC Owner Zip: 27288 Deed Acres: 1.53 Fire District: OREGON HILL FD Township: 8 Land Value: 14587 Total Value: 14587 Attributes at point: N: 993108, E: 1801301 Precincts Name: LINCOLN http://www.webqis.net Anderson & Associates, Inc. http://www.andassoc.com Deed Year: 0 Date Sold: 19860701 Zoning: RP Year Built: 0 Soils DSL Name: Ck http://arcgis.webgis.net/nc/Rockingham/printable.asp 5/27/2015 Rockingham County, NC Print Map Page 1 of 1 }'��„��� „ ., , -� ��t _� ti:. � , �� .�• . ,�: ^ �. . � �. P ? ^,.?' � .. � t� ..ar. ''r +� d � .'�"� �� '�, .+�i � �. t ARr .� y�_ 1 � ,1 p� �. Qa� �+i.-'-'ti� � ,� r �: +l�.1 .V' . � � ,�^. •�� . ��. � 1` . . 'v . ;� .1 si. { � w� r. 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Parcels Long PIN:890900122902 Parcel Number: 174858 Owner ID: 1283554 Owner Name1: BURNS MAXINE W Owner Name2: BLACKSTOCK VIVIAN W OwnerAddress: 158 KINGWOOD RD Onwer City: REIDSVILLE Census Block Groups Block Group: 0411001 Townships Name: RUFFIN TOWNSHIP init: start init: done Owner State: NC Owner Zip: 27320-8378 Deed Acres: 1.15 Fire District: OREGON HILL FD Township: 8 Land Value: 24389 Improvment Value: 80434 Total Value: 104823 Attributes at oint: N: 992929, E: 1801209 Precincts Name: LINCOLN Associates, Inc. http://www.andassoc.com Deed Book: 1388 Deed Page: 1092 Deed Year: 2010 Date Sold: 20100107 Zoning: RP Year Built: 1970 Soils DSL Name: PaD http://arcgis.webgis.net/nc/Rockingham/printable.asp 5/27/2015 1'tiC D��'i�Stream Date: �, .�i � r, €valuatpr: �` .I : �'� �Y� Total PQints: Sfream is at least infe,�r�attten! if = i 9 ar,�er�rnrai ii 7 30' � S '� r, ?�- �� �j �-T`� G� ,�Ii��_ # ,,%�� ( �� � ' � �`�� �" -'"�1 �,�' .f � . � Identifacatint� Fortti �'�rsinn 4.11 � .� i' ! � Projeckl5ite: �"�; � ,� 4;" � Latitude: � �j f `� ��;�' _ rr CountY� i � � c �'1�t , , ,:��a� Lc�ngitude: �� �����'��e � ,�� ' Strearrt Determinativn {clr Other p� �� Ephemsral lnisrm`rttent eren�ial e.g. G�uad 1v�ame: j� ��[L�� f a. �eamar hflfo Sub#atal = ��} ansBn� w��� 1��Carat3nuity c�f channel bad and ban[c 4 � Z. alnuasiiy af channel alang thafweq � T 1 3. 'n-channei structure: ex, r�ffle-paol, step-pool, � � -ip�lempaol se uene.e 4. '�rtscle size of s#ream substrate G � 5..4ctive.�rel�ct flaadpluin � t 6. �epasi#ianal bars ar �enches � 1 7. �ece�t allu�ri81 depqsits u 1 8. He�d�uts • t} 1 9. �;�rade C�ntrad � p.5 1fl l��tural valley 4 t° 6.5 11 Second Qr grest�r c�rder Ghe�nef A�'o = D a�ti`icial �iteh�s arc not rated; s�e disc�ssions in ma;�ual B. Hydrolc t5ubtota� _ ) 1� Fresen�e af S�seflaw � 1 13 Ircn oxidizing b�cteria q,�+' 1 14 Leailitter �,� �( 15. Sedim�nt on p[ants or debr�s � f1.5 �6. Drganic debris lines ar piles C� Q.5 '17. S�il-t�ase� e�irJ€�n�e of high ��valer tabCe? Nv = El C- BiologY 15ub�otal = �, • 18. Fibr�ous roots ir� strEamhEd 3 2 19. R[�cte� upland plants in streambe� 3 2 2�, 14�acrob�ntPsos (note diuersity and �aundanr,ej l7 �1. Aqu�ti� h'fcllusks (] 1 �2. Fish Q 4.5 23. C�ayFsh 4 Q.5 �4. Amphibia�ts �" a.5 ` �5. AIg2e �� �.5 26. Wetland p€ants in streambed FRG4V = 'perennial streams may alsa �ie i�enS�ed using r.ther n•etho[fs. See p. 35 nf manual. �iiC�S' : n � a�i4�tGt1: `+•4�'�''" 1 �,� ���' � -� �-�_ �. ,��_� - " ���' �L� � �►! .�_- -� 2 2 Yes Yes i � 2 2 � 3 � 1 L = 1.5 �fh�r = f] 3 3 3 3 3 3 3 1.5 1.5 Q U 3 3 �.5 1.S 9.5 �.5 _.__ _--._._.__ . ._ . _..---_t ---_...__.._ . _ L�5�1,CC �'1ED!+ - 15'�1� _..._ Sitc � (indic��te c�n alt7t:�t}: ci map} ; . ........ _..._..._._ � _ _ _ _� ._�_ , _ _.._.�__. _._ --- __ ........_ . _ _..._ _........- --�_.�T_ . _._.._ _.., r �_ ���.... �.�,° STR��NT QUALI�`1` ASSES� ZE�1T �v��i�I�:SHEET ��`��,. �.�'j� � �, � ,� .�r Pro�•ide the fNln�r°inh intormtition t�r the stream re:+�h ur��14r xssrssiiie�lt: �, � d �� l. Ap�riicant°s n�rn�: .�� t� ��'� 2� k-:�al;rltor's nar,�c: _� -' ��'•�f'�C,f"' �, �BYC O� Cl'tII11ATlt]il: � ��lYi.`Id �: Y �, i� ��# 4. Tinac n;'c�,�alu:tii�iG: - �� _ 5. Natne of strear.�: �G' C_�}'�, ��'�,�" _- (7. F:14'CS E��f5E11.� �;'.;' /1�'�"�'' 7. th1�7�7LUY3FI1�1IL' LlFellllc�5�'C �F4cE:� �L�%C��4w `� S. Stream �rder: ��'_�-�r.��L� �1F" . r��ir'Y' 9. Len�tl� c�f reacl� evaluatic�:_ ,� L-'G� �',�� }° I0. Cu�:my: v"� ���'' �cr- _— ��� l I. Sif�_ l=Llt]CCliskile5 (ii �C[lUr��CEj; preter tn c:eui�ri.yl (l��r�i4. �Z. SliLlfliVlSiOY� ll&]77�. (11� an}'l; _-_ L�iilu�,.{�x.3�.�i7233�}: ��fJ� f I Lor,�i�iide [es.-77,;5Gfi11 i=�,_ r f���l•� R4�thnc iacats�� � d�ternyincd [ci�cf4i:� G'P� Copo She��t C3rE}5u {rlert.tlJ P1zUlu�{rf4 CJtli�i {iE� C7t3ter I3. Lu.atiun trl re�4l� uit�Ur �vai��rr Ii {alotr. ne�r�y rt:acis ai�c] landmarks und �zliach ma� scic:siti[;vii�� strea�ti(,s; lacatinn}. �._ `� {�f, `i {�C'd";�' --1-j � . �� —_ . '`_� �`�_ r � - 1�,�,67' : li �/ Gif �7 l�. Prupo�ed chaiinel wtrric (gl'ariy}: ___ _ _ s 15. E�c�cn# ,�•eail�ei' conditians: �}�;`�' �ri.,}' �: � � r�� ls'e �3'� ��:(`'rt�i ` 6:'��{ _.-- i 6. 5iEv canditians at zirz�c of visi�: �~IC��r -��'` .�:'� �1 17, [��entil'y ���y sptcia{ �+�tcr�v�V C�AS34FC1YlOi'!5 'sS17p'�'�']l: Sc'CLlClli 10 —_Ticfa! ''J�':ticrs �Ess�kttial Fisher�e� Hahitat �irout l�:�ters Outst�ndiatg E�esak�rcc Waiers s 1�lutrierzt 5cnsili��e 4V�tca-� �`�a.t�r Su�apiy'+�'atcrsl�ed {1-IV') ]$. [5 t�ere a�ond ar l��ke lc�cated u}�slre�cr� ot tl7c c.�aluatian �,oint? y'F;.S ND .�1Fv�:ti, estin3ate: the w�l�•t suE°Faec: �Tre��: /'' s a9. f.7ic� cl�ainr�c{ 3p�ca� ait [JSC'rS q�ia� �t�ap? ES�,f^�+'� 2(1, D[3�S C:�I�S1IlCI 8i7��Eif l7lF U�si)A Si7lI �L1C'Y�y^ �'�`L�j '1*iD t,r 21. F..sii�nale� w=acershecf laacl use. °�� Re;idet�tifel _''�� {.'n�nnlercia yr_si `,'•�. ltadustriaf °�� .�rict�4tw�af , �� � iu� �w ���"ro (3iher ( �.b ��`�'i:�� '� r?� ,� � 'l� °ia Fi]t'i'sied .�� °S,' .le� i �, h ,_ry � 4 � r , � �'J �'' Q,,' . '�C..�' 22. 13;�ikfull �a�icfth: �'� �`�-�' �'`�i� 23. �3azi3c hei4�hi i�frczr�9 hc�f [cr tt��7 s�t �artk): 24. Ch�rm�;l �lop� �icxwn ce;r�l�.r af strea�r�� Flat (0 xo 24=t,} C'renzEe {? ln =�"i,) ��futli'["eiC �4 tt7 1Q°�ul _StE�� �= I O�'iu) 25. L'hat�ncl sinrtn,it��� -------5rraight C]c;casiunai �e��cl.5 �Ftvquer�t iTicaiicier �I�ery �inuous Brait�cci cit<�nn�'-1 litstru�#iorzs far tumplefic�n uf' wurkslieet (lacated an pag� �}: F3i:�i�� by diter�nining tl�c: in�:�si �p��Roprinse ecq�r4�ion basi:d on loc�G�ticn, E::rr�it�. ��;�cte�lson. stri:{i:n Cl€��5ification. efc L�en° cf�ar.scl�riylic inu51 bc scurcc� i�sin� ihe sartte ivere�i�t�. Assi�n potnls ru Lach cfiaraeter�stie ���ikhin t}tis: r:tt���e Shu���rk l�?r tE�c ccc�r..�ivn. F's€�� .a prc5}ides a ioriel ci�scri�s€iun ul� ]at}H t� ��ei���� fi�e ch��racrcristi�;s ic�cojt�iiccl in thc ti�c�rkst�uc:l_ 5cores shn�.�9d refl�cs ;aii c»cr:�[1 asses�m.�:€ S}S lll�: ?+ltLFillY 2i'£1CI1 u���ice• e���ilu:LilC113. �I a i:�illl-t3.C[[;l'l5ili: :.i1t3RU1 �?L'- CVr7�UFif�f� i�[�4 til SI��� {?1' lG't�JIt1cF L:CIIICLIEI�F1�, t�iJl.[�C U:11 1�.1C SGi'��"ldly� �7i}Y r�tl:� �7CUVl{�C ili�i C�7i��c31'1�fLiUR SIl 1�1C cnrnme��t secsian. 1�'h�re tl�crc are• obvic�Ri� chan�wvs :r� :hc �:t3arn:;4:r nf :� 4tatiam i�rt�ler r:E�ic��� �e.r., th� si���tz�i il��vs fio�u a pastut-c i�1to a'�res[1. Ih� 5lrcarn inFty k+c u1��irJui iijto �3��<ill'�f' i��iCll�S LI3�s! diti�?a}� ���c�rL LC}t?IiRLE11y, and r� �c�aral� ennn u�;eci i€7 c�•�tluaie Ga�:h rc.��c1i. 'f l�c 1ot<31 s:.carc; ;js5i����:ci in �i �trcam r�aci� nlusi rr�al�e bc;ttitie�Fl � ati�l 1C1�], ��ith a sct�re �f I()�7 r�.pcc�cnling a�lr.�m uf lhc; hi�l7cst c�uality. ��` Total Scnre �froni rewerse): �f < +C'omrnents: � ��` � �''�"�`� - �' `-'� +�' �� -- d l E.•aivatar's Si�rtahire '`-�if�''y`r��� �- t'�.' � Tl:�te z" ��� 'i-his channei er•�fuatic�n forrrt is in#e�ded ta tte �[sti�l unlv �s a�i�i�le rrr �is�ist {uadowriers arzd en■ irurtin�eiatal �rntessio�r�is in gaxheeing tlte ci�ita reyuired 6y fhe Uuiced �t�ztcs .4r•rn�° (-.nr�s «f En�ineers t� nie�ke a prefimi��a�•y assessment +nf stream q��aliiti. 'I'he rofa! se�re resufrEr�� f�•a�n fhc cnFnpleteun s�f this furni is siFbject tn liS�C�E aNpro►�'af ar�tl does not izi�plti� a purtic�iAr mitigatinii rat1� ur require�zrixt. f��,nn suhjcct tc� ci��in��e -�.�e:rsiUi� UG�43, To C'a���i�rii, pl�rtsc call �Jl �3-�i7(i-�4�1 r 2fi. � ,�-���_?� ��,� STRF �]�`[ QU.�►LITY A�' SESS�r`[ENT VL� C)RI��HEET fi I:FC:CIT:T���Tt( k� P�9i�T I� i'_�aC,�� � : � � = c �i.�r� ��: r� ��r��rr:� �� _ -. �c�i��; :; <' I (;n�atital. �, �'�e�rnt�ui �" Jltrui�tatt� : ;. . � ,: , _._: T = - . �.,_ -- — ; � 1'rc�,crirr nT f7nz� ,' �iersisCei�t �-��7nls in st�-eana � � ., � — -- -- � � � M — �? ' ' — ti (i'1 ` � :'% Oi SuLIlY�€t�]C : � ..�f12 �CLS � I37311 p�Iil€�i ^ � . E� �r�citc� nf p�ist �unian alt�i°at��n . 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E�t;iL�k7i� ._ � 4i���act ls� a��-zt�lt��r�, iie e�f€���:, u� tzi�s�ac:r �ruciurtzvii` ' , ,, .t:' � "- ] :, _I .. _ i t7 . � . t1 � _ - . , ; . (s�tl�titarha] �ntp�s:t:-Q: i�� e•: rrierce -n�r�x p��rF-�ts' � , �. � ; l� � Pz ccenee rs!`r�tlle-�a�a�r tp�ic �oql co�t�pl��es j �. �� 33 ti ` �_� � , •n4 :�f� �'i-ip fe3 �- i �.�Is = 0, w..if-Lc�e.�.::�c? mFi� ��il3i ts} � - - �±; � Hah�fat ccrr�i�lcrtat� _ C f I ;: , ; E 't� b ! ' �s � Ce _ (ti I � i i.i€t�e t�. ific� Y���i ar = C). t, ec:i�cn., � Gr�ed i�a.,ita � n�r::c ��.i-�ts) r ' i ' S � 'C ATti1�3i ��s[ Ei R.�fl� t►vcr stre�mhcri I � � 1�s � t c] ; ;c•, p_j �,.a .,�;�a sh G�l��� � e�..ta.:t��. U; ec,�.inz�nT�� c�.n�w ..aa� rc�inT. ;_ I a. h., -� _ �. _ _� �� SuY�sti•ate e�nh�ddedne�s , , , 1:? : � \�.* �}—�l f1— i ��te� 1ti� er��bc�l�e�: � r,. EL.a�: �trii� :,�{� rr_i.k] i. -, `� ; I'� �`t.�t�e uf sCa et�tx� .irzrtrfelarate� �5ee pr+ . �'f) ^ �" fi ,� ri_ ; . ; � (y' , � � .�1..�TEi.z {�';•k:E.f'-Sii't's'1.TS.iiFsL'f{3,1� .,�a :TIdY'�,.k}Tf�..!.� i � . .. y . [IiD � � ; � •• : �. . . . . ,_ . . .�. . : � -, ; Presen�e uC arrcph�l�t�n� "' 1 �' _I .� _: , , �) � , . n � { �_ . (EI� �1�1:�Q17€..� = ii; Cf;i��3]"l'3�'.1, t� i11',eYn1ti Lj'�F�3 '1�7� j;C?fiZ��} . . . . :; �. j . �:. .:�:. -- - — . . � . :,, r-- . . ��r. ,� Presenrc �f fi;sh , ,�'i � '4 .µ �- �,` , raY� e�7�er:ce v; cotu� s�7, n ttt tr� i� �.,.s � a� `��n �_ � �� j F^s��cicneenfr��l.diif�u•e n a � r,_; . � �. y _ . . . .. : < (€':c� e•�ider.c�: = @; ab��actart c�•tc�_rcr - n�u�. p���ts1 ` `. `.: 'i.atal �'o�nts:Possible:. '` 1�]U �t+r� _; � i��' � I tl�`�.�, ��:U��. .{ �{ls� ��xter c�u izrst ?�����) ' ' . — '�- - � lhcse �r�ract�ristics are not a�scsscd in c��•usial �trrcn��. 2 � � � �������.�����-� ��� �� � N�C DW Stream rc3entific�tin� For�n ��ersio� 4.i1 ���� �.. Oate: �',�; ��..�.:F. �;, C �-�,1�� Prvj�ctlSitesli<"c �d� Latitude;�,;� � ��l � � Evaivator: � / Coun �u+c �r h..r Lan itude: • / � �� �{� 6� �' '� � �'� � � CI ���� Total Pafnfs: `' , Stream Qe#erminat��circ�e ane] Other Str�am is a[ leasf Intermittent 1� �,�' � r'f? 19 ar �rennia! if? 3�� jr G7� �� �' Ephe�ateial C�termittentj Perertnial e.g. Quad Name: C� �,� �K � , d��i��C `':^r ��t' A, Geamrr ho�o9Y (5ubtotaf ��----) �_ Abseni- Weak Moderate 1` Continuify of chsnn�l �ed a�id Y�ank � Q 1 �, Sinuosiy of channel aiong thalr,^reg Cl � 1. 3. In-ch�nne' strueture: ex. riffle-woal, step-poal, ��, � 1 ripple-�r�a� se�uence <�.� � �. Parti�i� siz� o` stream suhstrate 0 1` 5. ,�ct�veJrelsct ftcad plai n 0 6. Deposifianal bars or benches 0 '!F 7. R�C�nt �Iluviaf deposifs l] ? � ' $. Headcuts 0 � 1 9. Gracie cx�ntral 0 �„? ��. Natural �ailey 0 [3.5 '11. Secflnd or creater order chanat�i Nv �{] a ar.ificia; ditches are r�ot rated; see dis�ussions in manuai B. H droEo [5ubtatal = �� �2. Presence af 6a5etlnw 0 i' 13. lron nxidizing oa[;teria 4' i 14. L�eaf litter 1.5 1 15. 5ediment on plarsts or debris (l ��' �6. C}rganic debrls linec dr piles U 4.5 17. Snil-F�ased �:vidence of h[�h w�ter tahle? - t�o = D G. Biofo Subtata! _ ___a �. � 1$. F4�rvus roats in streambed 3 2�' 19. F�aateti uplar�d p€arks in str�amkred 3 � �D. Macrob�nthcs {nn€e divErsi:y and af�undance} � U'`� 9 29. Aquatic 1�9a1lusks j 0 1 �2. Fish � � G.5 �3. Cr�yfish � d.� �4. Amphibians 0 .� 25. ,41gae O.a 26. Wefland pEanfs in sireambed FAC1N "pereRnial sireams r�aay alsc� ba id�r�tified usin� ather me�vds. 5ee �. 3b of manuai. �0��5: ,J' •�.+ ...... � f� r►: ' ...'� --�'-, �� ��s ..� �. _. r'� ! � sk�t�h: ��,�� � �� , .����� ��' , ►� � '� ���` ,�� �������: � i 2 2 � 2 �_ � 2 2 i 1 Yes=3 S#ro n � 3 3 3 3 3 3 3 i.5 i.� 2 3 2 3 I.5 �'� 4 �` 1.5 �t 1.5 Yes r7 7t"l' ��! 7J�r�`G� us�e� .�m� �. ST12F; � Praride the i'nllotis�n� intormatZon to�' thc strcgm reach �ind 1. Applicant's namG:_ E�` G�°'` I r ,� �,�� 3_ Date of et+aluatiaz�: �_'���`�''u � �,�. —� � �. l+iarne of stream: .��" ,c �.: ,l �� �.�� ����� �y 7. Appraxi�ate c�rairaa�e area: � ���'{`� 4. Len�th t�f reaeh eaaluat�e�; /�'�' �e � Site:,4 {indicate o� atta�h�cl rziap} �SESSMEI`�iT W[3F.I�SHEET F.I �� �� �� � - .� er assessmcnt: , w ,�(�- ;�l�v. . E�•aluatc�r's nar;ze: �#. Timc pf cr�ali�ation: �� �� ��� fi. Riverhasin:. �G"s�f�f��'*�- � S. Strearn order: �f Y"S � lO.Gounty�: f��'���h�d��=''� 11. 5ile c��r�linates �if kna���n): ��refer in dee€�naE degr�es. 12_ Suhdivisi�n r�ame (if any}: '"'� Latitudc (cx. :,�.k?231?�_ -�� � � �� ! ! � Lorgi9iicle (ex. -77.i�G6l 11: � J.-(l � � � � ,� J^tethad location Cetem3inec f�"srcte): C�AS ETn�n Sheet (];thn (Aerial) P]tntc��CTIS C}tliee C'it5 ❑ther 13, L��aEiUn �f rc:a�h under evalua n�te nearby roads and landr:iarks and attach map identifying strcam(�l lcx:alion): v.��- �` �� r�.�` -� cr t�lr� 14. Prap�sed ehannel .yark {if l S, Rcccnt. w�caihcr co��rii[ions: 1�. 5ite canditions at time of visa ��Y, (.�FFLLL' Ir.r+`7 ��7L`�'— �G_'t�; :a+'t.' `-'-�� y�'_ / `�� ��t� _.,. -�-a G' `� °` ,�2�� N� 1 �t,' 7`�'''�G���/J �F� 17. I:�cntify any spe�ia! waten.vay �lassi�catio�s known: _Section 10 ,Tidal 4�'aters ��.sscnti�l ris}�eries l�iahitat Traut Waters �Quts�anding Resourcw 'v4`aters ,_ Nutrient �ensitive ;vl�'atery .,�Wa�er Supply ��'atershec� (I-IV) � lii. ls 4k�:;re a�oEid ar lake lvc;�tt�cl upslr�uarn of ihe evaluati�rn pUinl? YES�NO�,�,If y°es, esEimate tf��. water suc�taee arca:�� i9. Daes ehannel a�i��ar an lJ4CT� quad map? 1�'ES NCa M 20. I]t�es channel appear nn USDh Sail SurveW? �`i'E5 �IVt3,� Lry" �1. Estitnales� ��•aterstierl land u5e: °�n f�esideniial `��a Cc�mmerc:ial °% I�i�lusirial °u Agci�talhir�l �C�rZf'-:.! il,ri'�1M7�.�' G�r�T�; t,I A,,�° a Forested �4'o C;Ieared / Lag��d �:� °r�, dfher {__�'� � c yy� ) i �1 _� ��_, ��. s�«k�u�[ ti�ia�t�:_ `�a` rC -�-�. � 23. Baa�k hei�ht (i'rvm bed lo lr�p �f bank): � 7z' ��'� 2�. Channel sla�e dcar��n �ertter r�f strcam: �F`l�t {� to 2°Ia) _G�nt[c (� #o �° o} _lvinclerate (4� to E O�lr�) ",Steep (�li�°%a) 25. Channe[ sinu�sity°: 5crai�h# �Oecasiorral bends _Frequent meander �`L'ern' sinter�us _Braicled char�nei Instruc�ions for completion nf rrorks�Qet (iacated on page �): kic�iii by t�ctcm�ii�in� thc jnn;t appra�riate ecore�ion based an �i7CSL1OII, terraira, ve,�etaFinn, stream c1assificatian, ete. �ven,• characteristic must he sc�red usin,� the san�e ecvre.�ion. Assi�n points ka cach ciiaractea��sti� �4ithin the r�n�� shc�wn C�r the ecore�iun. Page 3 prvuicles a brieF descriptian af haw t� rcvi�w thc characteristi�s identifieci in the ���orksheet. 5cores should reflect an ❑r�•era@I assessanent c��' th� stream reach untier evalua#ion. If a c�iara�leristic �ann�t b� cvaluatec� due tn size nr ���eather cnnditions, enter D in the s��ring bax arad pro�i�le ssn �;x�l�naliun i�i lhc eauuagent scction. Whe�e iher� are �b<<i�us char�e> itt Et�e c3laras;iec uf a sl64aan uceaLr revie�+�' Ie.�., thL strcam f]aws franl a��ashare into � Farest), thc strean� ma}r be [1i�idecl intv sn�aller reaches ihat display i?�ore cnnrinuity, and a seParate form �t�ed t4 eaaluate each r�ach. 'Thc lotdl score assi�ned to a stream reac� must ran�e benveen 0 ant� l�i�, with a scare o" IO�J represenlin� a s�r�am of Ela: itkgk�est qu�€ity. Tatal Seore {from reverse�: ��' Comments: -'{ �` �`�` ���.�{Y�" "= ,%,'`�f't �':� ���--� ��'`+�� Gf �� c� � 1 s: �ii"� c� �� � _ �� � Evaluatnr's 5i�rrat-i�z'e '�i ?`''���y y�tl�i,��� 1}atc p'�--! �!�� ,-� This chs�nncl evsluatinn fnrm is intended tn I7� llSCd [}Ili�' 85 3�llld£ t1Y 9SRI:S� iStt{�fl►YSICCS f111 en ronmental grufessianal� an b�rhering the data requirerl b}� ihe United Sta#es Arrny Corps af �ngineers tQ make a prelzmin;�ry :�sses�mr.nl ol' slreann qtiiality. The tatAi score resull'urg fram k1�e caz�apleriuil vf ittis form is sul�,�eef #o US�4CE appravAl stad daes not imply fl particular mitigatir�n rsti� nr requirement. 1� nrm subject tn change — versann l7Fi,'{i3. Tn Cnmment, please cal� 91�-876-8441 x�6. T������ S'TREAIVI QUALXT�'' A�SESSMEl'�T' �w'V(]R�SHE�T -- t-�-- ' ' ` �f �;���+'���.�� � �'���,� �' ��.�.���____;� � ; � - ` �� �.���: �i�.�� ��'s�'��`� �- ' � � � _.__ .� --� � _ �.u�t�i �1 � `��ae��sssft s 1 ��c�i�n'tt€�r� ;�.+; ; ,,, .. . ..: � r,__, : 7 �'reaei.j�.� c,f:�'�n�� �:�,rsz�r���t �rr�iQ ix� s�r�:�ir.� ' •{�:_ ; s �j � � 4^ � = ' ` 3;i�c� ilati�x t�r. �aturaYic+a. �f,s�rcat�� :t,ak� - �n�x c�int� a ' ' ;F� , �:��dcn��: nf p;.ixt �tunza��:.alrcra�iun ; � - � t1-- 5 (� �5 � e'�i a�yiw� aiteraii,�n �- C}; i a aifei�aiicn ==intuc 1�s���a) ' � �' - �----- �-- , ; � � 12ig�rzs�n x.nne. `:; :�. ' _ _ - 'C� — � ; i1= � (1 ; 5 `� (it�: �ulT�r U �o�#��trrra�, w�cie %c�kkk� lrxax �nt�) , `;� � �+��dir�t� at; ���t��crnt; nr chem:�ral c��s�i��z-�es � ,� _ [►- � i i� --� �3 '� e:�#�r�t��`�i�sch�r�� �i; nc� tiis�:l�iiQes= r�ax :�z�af�� �: � : Graiz�sd.�kter €tz����rgc : : i {� - 3 � �; --� [� ' � � na;� is�i�ar 3u �}• 5 nt�e�, sc� ��. �vet3arrds, wtc. =:n�a:� nr3tt5� � � {. T'res��aee a# �cljaecnt f��cr€i.p��in �'--,� 0 �. ' � - 2 �'' ,: �fn�,f`�c�o l.�t'� - ti; e,c�,enci4e ��c�s�a_t��t� �,r� i� ;�ni��ts} �.,: . ` -- i �` - E�irench�ren� �' flaadplaKr� �cces� � _ } � � �, ` � : � : , ,. , " ��� ' �� � �1 = �.r�Yrenzhe� 0, irecLL��t :�_nrrl��a� � rrt�:� �:��t�) e_� - ,{E - - • "` b � ' ' Presence o#' :�d��eeeua �s �tl��ds ;' t7 = 6 � = �1 � � � _� {n� ,�etlar�ds 41; i�r� �,c�jxcent ��e�l,jrsc�s� ru����r,:nt,) ... . �F.:;.;: ...... . 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