20140957 Ver 1_U-03_Appendix B_Wilmington_Halifax NC waterbodies_Part1_20170227

Open Waterbody Data Sheet
Survey Description
Project Name:
Waterbody Name:
Waterbody ID:
Date:
Atlantic Coast Pipeline
Mush Island Gut
OHLCO01
11/19/2014
State:
County:
Company:
Crew Member Initials:
Photos:
North Carolina
Halifax
NRG
CR, AS
OHLCO01_001-003
Tract Number(s):
Nearest Milepost:
Associated Wetland ID(s):
17-004
306.5
None
Survey Type:
(check one) ❑Centerline ®Re -Route ❑Access Road ❑Other:
Physical Attributes
Waterbody Type:
(check one) ❑Stock Pond ❑ Natural Pond ❑ Lake ❑ Reservoir O Impoundment ❑ Oxbow ❑ Other:
Hydrologic Regime:
❑x Permanently Flooded ❑ Semipermanently Flooded ❑ Seasonally Flooded ❑ Temporarily Flooded
OHWM
OHWM Indicator:
(check all that apply) ❑ Clear line ❑Shelving ❑Wrested ❑Scouring ❑x Water
Height:
on bank vegetation staining
4.5 ft.
El Bent, matted, or missing ❑Wrack El Litter and ❑Abrupt plant ❑Soil characteristic change
vegetation line debris community change
Depth of Water:
Bank height (average):
Bank slope (average):
4 ft.
30 ft.
50 degrees
N/A ❑
Qualitative Attributes
Water Appearance:
(check one) El No water ❑Clear ❑Turbid ❑Sheen ❑Surface ❑Algal DOther: Tannic water
on surface scum mats
Substrate: ❑ Bedrock ❑ Boulder ❑ Cobble ❑ Gravel O Sand ❑x Silt/ clay ❑x Organic ❑ Other:
(check all that apply)
% of Substrate: % % % % 10 % 70 % 20 % %
Width of Riparian Zone:
Vegetative Layers:
(check all that apply) ®Trees: ❑x Saplings/Shrubs: ❑ Herbs
ft.
Avg. DBH of Dominants: gin. 2 in.
N/A®
(approx.)
Dominant Bank Vegetation (list):
Red Maple, American Beech, Red Oak, Pin Oak, Christmas Fern, American Holly
Aquatic Habitats (ex: submerged or emerged aquatic vegetation, overhanging banks/roots, leaf packs, large submerged wood, riffles, deep pools, etc.):
Submerged logs (4 — 10 inch diameter)
Aquatic Organisms Observed (list):
None
T&E Species Observed (list):
None
Disturbances (ex: livestock access, manure in waterbody, waste discharge pipes):
Three foot diameter culvert located at the southern extent of the waterbody outside the corridor.
Waterbody is:
(check one) ❑ Natural ❑ Artificial, man-made ❑x Manipulated
Waterbody Quality a:
(check one) ❑ High ® Moderate ❑ Low
Form Rev. 07/09/2014

r.
Form Rev. 07/09/2014
Waterbody ID:
OHLCO01
a High Quality: Natural, natural bank vegetation around entire waterbody; banks stable and protected by roots; water color is clear to tea -colored; no
barriers to fish movement; many fish cover types available; diverse and stable aquatic habitat; no disturbance by livestock or man.
Moderate Quality. Altered by rip -rap; natural vegetation extends 1/3-1/2 of the active channel width on each side; filtering function or bank vegetation
only moderately compromised; banks moderately unstable; water color is cloudy, submerged objects covered with greenish film; moderate odor; minor
barriers to fish movement; fair aquatic habitat; minimum disturbance by livestock or man.
Low Quality: Rip rap and channelization excessive; natural vegetation less than 1/3 of the active channel width on each side; lack of regeneration;
filtering function severely compromised; banks unstable (eroding); water color is muddy and turbid; obvious pollutants (algal mats, surface scum,
surface sheen); heavy odor; severe barriers to fish movement; little to no aquatic habitat; severe disturbance from livestock or man.
Notes:
Beaver signs were observed within the waterbody.
Waterbody Sketch (Include north arrow, centerline, distance from teHine, data point locations, survey boundary, and IDs of associated features)
CI;
P10011,
d
�o
Form Rev. 07/09/2014

Air.
i 414,
17
.44t

l T+IF
j�j7

USACE AID# - DWQ # Site # (indicate on attached map)
MSTREAM QUALITY ASSESSMENT WORKSHEET
i Ct�U
Provide the following information for the stream reach under assessment:
1. Applicant's name:_ y1, (-,); rl _x1
3. Date of evaluation: R / 17 / 14 _
5. Name of stream: LINT to Mush Island Gut
a
2. Evaluator's name:
4. Time of evaluation: ` ) 1 0 V
6. River basun: Roanoke
7. Approximate drainage area:
c) 8. Stream order:
9. Length of reach evaluated: » ��- 10. County:
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): qWj
Latitude (ex. 34.972312): -3G v�67
'f , 0()• 1 rJ fV Longitude (ex. --77556611): 7/ D'35 ' 0q • 90 F,
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):
14. Proposed channel work (if any): N 0(-' e-
I5. Recent weather conditions: 1'^ vhf o
16. Site conditions at time of visit: No[ rnc%
17. Identify any special waterway classifications known: ection LD Nidal Waters PJAEssential Fisheries Habitat
Trout Waters Nhoutstanding Resource Waters 114— Nutrient Sensitive Waters , 1j - Later 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 2Q. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: %u Residential _ %u Commercial %u Industrial % Agricultural
KO % Forested % Cleared 1 Logged �% Other (
22. Bankfull width: 7 � t / 23. Bank height (from bed to top of bank): 1, 5 �-t
24. Channel slope down center of stream: /Flat (fl to 2%) /Gentle (2 to 4%) Moderate (4 to 10%) ,Steep (314%)
J
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 g 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 strewn reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): b8 Comments:
Evaluator's Signature K "t
Date M IT IL/
This channel evaluation form is intended he used only as a guide to assist landowners and environmental professionals in
gathering the data required by the Uited 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 IJSACE 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
* These characteristics are not assessed in coastal streams.
.. ..
..... .. ....,
.
... .,.a ... ,.. —:
ora...: x'e.'i6
:¢y
1
Presence of flow f persistent pools in stream
0--5
0--4
0...5
(no flour or saturation = 0; strong flow = max points)
Evidence of past human alteration
_
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 paints)
4
Evidence of uutirient or chemical discharges
0-5
0-4
0-4
(extermive dischar es _ 0; no discharges = max points)
J
5
_ GroundWater discharge
0-3
0-4
0-4
(no discharge = 0; springs, seeps wetlands etc. = max points)
Presence of adjacent floodplain
0-4
.0-4
0-2
no floodplain = 0; extensive floodplain ---- max points)
tz
i 7
Entrenchment i floodplain access
0-5
0-4
0-2
(deeply entrenched = 0; frequent flooding = max points)
�
i g
r
Presence of adjacent wetlands
j
(no wetlands 0; large adjacent wetlands = max paints) .
0-6
G-4Q�-2
£�
Channel sinuosity
0-5
0-d
0-3
3.
F
^(extensive channeiization = 0; natural meander max points)
E
llt�
Sediment input
0-5
0-4
0-4
__.
(extensive deposition= 0; little or no sediment ` max points)
l l
Size g diversity of channel bed substrate
(fine, homogenous = 0; large, diverse sizes= max points)A
0-4
0-5
WA
12
�
Evidence of channel incision or Widening
(deeply incised = 0;- stable bed & banks =max pcitnts)
0-5
0-4
0-5
t3
Presence of major bank failures
0-5
0-5
0-5
(severe erosion = 0; no erosion, stable banks = max points)
14
Root depth and density on banks
0 - 3
0-4
0 ^ .5
(no visible roots = 0; dense roots throughout = max points)
115
Impact by agriculture, livestock, or tuber production
0 S
0-4
0 -5
(substantial iiaCt -O; no evidence_=_max ointfi)
ifi
Presence of riffle-poollripple-pool colexes
mp
4-30--5
p -C
(no riffles/ripples or pools = 0; well-developed = max points)
l7
Habitat complexity
(little or habitat 0; frequent, habitats
0-6
0-_6
U--6
f
l8
no varied max points)
Canopy coverage over streamtbed
0- 5
0-5
0-5
�_
(nn -L, ve<,etation = (l cortin+aoLis canoyy — Max points)
�►
- 4
0-4
19
Substrate embeddeduess
(deeply0
embedded = 0; loose structure = max)
20
Presence of stream invertebrates (see page 4}
0--4
0-5
4-5
t
(PID evidence = 0; common, numerous types "- max, paints)
21
0 4
0.-- 4
0-4
Presence of amphibians
p
(inti evidence - 0; common, numerous types - max points)
�J
Presenceofflsh
22 0-4 0 .4 0-4
_(no evidence = 0; eonunon, numerous types = max paints)
13 Evidence of wildlife use
-evidence0_ abundant evidence max pointy)
--
Y'�'Y5S$ Nfii.tr 3Y ��M ,9yg# g
Ii30
bo
* These characteristics are not assessed in coastal streams.

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWQ Stream identification Form Version 4.11 S,1 CC03
Date: 19,1171
ProjectlSite: 5'G ?,,?
Latitude: 36` Z q'00' (If
Evaluator: NRG
County: H, I' F".x
Longitude: 71 c 3�'Oq.W 3
Total Points: r�
Stream is at least intermittent dr
Stream Dot�at'ion (circle one)
Other
if z 19 or Perennial if z 30"
Ephemera interni' Perennial
e.g. Quad Name:
A. Geomorphology {Subtotal = 16. }
Absent
Weak
Moderate
Strong
1"- Continuity of channel bed and bank
0
1
2
1.5
2. Sinuosity of channel along thalweg
0
1
M
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
,"
0
3
4. Particle size of stream substrate
0
®
2
3
5. Active/relict floodplain
0
1
1
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
0.5
2
3
B. Headcuts
0
1
0
3
9. Grade control
0
0.5
0 1
1.5
10. Natural valley
0
0.5
1
11. Second or greater order channel
-
Yes = 3
Sketch: [\N Xe
I b re
artificial ditches are not rated; see discussions in manual
B. Hydrology Subtotal =
12. Presence of Baseflow
0
1
2D 3
13. Iron oxidizing bacteria
0
2 3
14. Leaf litter
1.5
20. Nlacrobenthos (note diversity and abundance)
0.5 0
15. Sediment on plants or debris
0
0.5
1
16. Organic debris lines or piles
0
2
1 1.5
17. Soil -based evidence of high water table?
p =
Yes = 3
C. Biology (Subtotal= S: 'rG
18. Fibrous roots in streambed
3
M1
0
19. Footed upland plants in strearnbed
2
1
0
20. Nlacrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
{
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
00.5
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae
0>
0.5
1
1.5
26. Wetland plants in streambed
AC =
BL = 1.5 Other = 0
"'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch: [\N Xe
I b re
'06
Uch
41
1)
kW1-i
b

S
ar
''r"t'YY>.t \�' � � r�r nr - •..ter - � j -
yam. S
ti ly
a ^9,

Waterbody SHLCO03 facing across

USACE AID# DWQ # Site # (indicate on attached map) J
M
STREAM QUALITY ASSESSMENT WORKSHEET
5 �►1C cx �,
Provide the fallowing information for the stream reach under assessment:
L Applicant's name: o ra pry 2. Evaluator's nane:_(`1 6-
3. Date of evaluation. kt ./lO [ `l
5. Name of stream: UN t v� M-61% Cyo-i
7. Approximate drainage area: _9 5 C[-
4. Time of evaluation: at oV
6. River basin: Roanoke
8. Stream order: 1 51
9. Length of reach evaluated: 0 �4- 10. County: Wwi.'Vo,�
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): n/a
��}}
Latitude (ex. 34.872312): 3e o R 3, 3 y .6 +t-7 5h Longitude (ex. -77.5566[1): 77'35 )65-:? i q i r
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 reap identifying stream(s) location):
14. Proposed channel work (if any): NO,A
15. Recent weather conditions: Sarny- v,,:r, k-Oi o;ot lou+ may* dr^
16. Site conditions at time of visit: Norm G l
17. Identify any special waterway classifications known. Nft_ Section 10 0 "Tidal Waters n44 Essential Fisheries Habitat
t,1A Trout Waters ah Outstanding Resource Waters 4h Nutrient Sensitive Waters Nim Water Supply Watershed 1ih (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES `0) If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? 'YES ED
21. Estimated watershed land use: % residential
I (2%n Forested
22. Bankfull width:
20. Does channel appear on USDA Soil Survey? YES CJ
�% Commercial % Industrial % Agricultural
�% Cleared/ Logged �i% Other
23. Bank height (from iced to top of bank): 5"
24. Channel slope down center of stream: X Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 14%) Steep (> 10%)
25. Channel sinuosity: Straight _occasional bends X 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): q'� Comments:
Evaluator's Signature Date 1lb si it
This channel evaluation form is-iritended 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
S ki C 009,
TOTAL SCORE (also enter on first page) � 1'
- ilese characteristics are not assessed in coastal streams.
CHARACTERISTICS
ECOREGION POINT RANGE
—'
SCORE
Coastal
Piedmont
Mountain
1
Presence of flow f 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 1
0-6
0-5
0-5
l
(extensive alteration = 0; no alteration = max points)
3
Riparian zone
(no buffer = 0; contiguous, wide buffer =max Dints}
0 -
0 4
0-5
4
Evidence of nutrient or chemical discharges
(extensive discharges = 0; no discharges = max points)
0-5
0-4
0--4
5
Groundwater discharge
0-3
0 4
0-4
(no.discharge = 0; springs, seeps, wetlands, etc. = max points)
Presence of adjacent floodplain
0-4
0-4
0-2
>
(no floodplain = 0; extensive floodplain = max points)
:9
7
Entrenchment 1 floodplain access
(deeply entrenched = 0; frequent flooding = max points)
- 5
0-4
0 2
8
Presence of adjacent wetlands
0-6
0 - 4
0-2
—
(no wetlands = 0, large adjacent wetlands = max points)
9
Channel sinuosity
(extensive channeliaation = 0; natural meander = max points)
0--5
0_4
0--3
''
10
Sediment input
{extensive deposition= 0; little or no sediment = max paints}
0_ 5
0 -- 4
0- 4
��
11
Size & diversity of channel bed substrate
{fine, homo mous = 0; Earns, diverse sizes max points)
NA*
0-4
0 - 5
NA
1
Evidence of channel incision or widening
0-5
(deeply incised = 0; stable bed & banks = max points)
0 - €
0 - 5
a
13
Presence of major bank failures
0
{severe erosion = 0; no erosion, stable Franks =max amts}
- 5
0 - 5
0-5
0Z
14
Root depth and density on banks
H(no
visible roots = 0; dense roots throughout = max points)
0-3
[} 4
0-5
15
Impact by agriculture, livestock, or timber production
�y
{substantial irtrpact =0; no evidence = max paints}
0-5
0-4
0-5
c{
1.6
Presence of rift'te-poollripple-pool complexes
(no riffles/ripples or pools = 0; well-developed =max points)
0-3
0 y 5
0-6
et;
17
Habitat complexity
(little or nohabitat = 0; frequent, varied habitats � max
0 G
0-6
4 - 5
18
,points)
Canopy coverage over streambed
(no shading vegetation = 0; continuous canopy = max points)
0-5
0-5
0-5
tf
19
Substrate embeddedness
(deeply embedded = 0; loose structure = max)
*
0 -
0 - 4
NA
20
Presence of stream invertebrates (see page 4)
m
(no evidence = 0; common, numerous types = max points}
0 - 4
0 5
0 - 5
2 l
Presence of amphibians
(no evidence = 0; common, numerous= max paints)
0 -
0 4
0-4
0
' 4
v
22
_types
Presence of fish
(no evidence = 0; common, numerous types = max points)
Q-
0-4
Q� 4
0
23
Evidence of wildlife use
0-6
0 - 5
0 - 5
no evidence - 0; abundant evidence = max points)—
^^—Total
1
Points Possible -_
100
----------------- 7—=
Too
100
TOTAL SCORE (also enter on first page) � 1'
- ilese characteristics are not assessed in coastal streams.

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v, 4.11
-SWc
NC DWQ Stream Identification Form Version 4.11
Date: /�j `d' � �'
Project/Site: 5 E RP
Latitude: 36' Q 3 3 Y.'0 TJ O
Evaluator:
County: i-ia.l; fiwK
Longitude: 77"35' 65, 7U"
Total Points: n
Stream is at feast intermittent i' 7 75
Stream Deter ati circle one)
Other
o
ff? 19 or ererantal if? 3p'
Ephemeral ntermittent Perennial
p
e. Quad Name:
g'
A. Geomorphology (Subtotal = I l i
Absent
Weak
Moderate
Strong
1a' Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
,;�
V
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1Z
25. Algae
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Neadcuts
0
2
3
9. Grade control
0
0.5
1
1.5
10, Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No = 0
Yes = 3
artificial ditcnes are not rated; see discussions in manual
B. Hydrology (Subtotal = LL-)
12. Presence of Basedow
0
1
2
19. Rooted upland plants in streambed 3
13. Iron oxidizing bacteria
0
1
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
0.5
1
1.5
17. Soil -based evidence of high water table?
1
No = 0
25. Algae
es = 3
C. Biology (Subtotal w & 73 )
18. Fibrous roots in streambed 3
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 0
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
0,5
1
1.5
25. Algae
0.5
1
1.5
26. Wetland plants in streambedACW
= 0.7 - OBL = 1.5
Other = 0
"perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: No a,(-%zr i o►15 at o1 a oP% 0 SL ��ed
S ketch:
� �
') rte'
,0

Stream SHLCO02 facing across

USAGE AID# DWQ # Site # (indicate on attached map)
MSTREAM QUALITY ASSESSMENT WORKSHEET
ShICv4l
Provide the following information for the stream reach under assessment:
1. Applicant's name_DD(y),- A., C t-
3. Date of evaluation. 11/10/11
5. Name of stream: i.)M,15h lsl i"A 6A
7. Approximate drainage area: 95 of rtf2
9. Length of reach evaluated: 117 F�
2. Evaluator's name: SE
4. Time of evaluation: Val• 5 0 _
6. River basin: Roanoke
S. Stream order:
1
10. County: NcAl,Fes, X
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision naive (if any):
Latitude (ex. 34.872312): 36 F Z 31 .41 " Longitude (ex. -77.556611): 7 7 i 35 r o5. 75?3
Method location determined (circle): (@D 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):
14. Proposed channel work (if any): Nb()Q-
15. Recent weather conditions: Same (�a.(► laS} r�igt,l' 60 ma5+)y o rye
16. Site conditions at time of visit:_ 00(cr)a
17. Identify any special waterway classifications known: rJh Section 14 Nidal Waters 1g Essential Fisheries Habitat
1dkTrout Waters N_(httstanding Resource Waters O Nutrient Sensitive Waters tJ A- Water Supply Watershed 4A (1 -IV)
18. Is there a pond or lake located upstream of the evaluation point? YES If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES` 20. Does channel appear on USDA Soil Survey? YES 9)
21. Estimated watershed land use: ,% Residential �% Commercial % Industrial 50 % Agricultural
I Y) % Forested % Cleared 1 Logged _% Other
22. Bankfuli width: 6 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: Flat (0 to 2°/n) Gentle (2 to 4%) Moderate (4 to 10%) --Steep (> I0%)
25. Channel sinuosity: Straight A Occasional bends _Frequent meander _Very sinuous Braided channel
Instruftions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Ever 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): 44 —Comments: c 5 to vu"—t,, ti5 cl `a; oaf
4Cot-bn C,6 -A d-1 r .y >tg✓� been 5tc�;a l n&1 sn +fie P�S�:
l -
Evaluator's Signature Date1 V�
This channel evaluation form isin a ed to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by a 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 46103. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
S'W c o 1
Geese characteristics are not assessed in coastal streams.
ECQREGION POINT
RANGEE
CHARACTERISTICS
SCORE
Coastal
Piedmont
Mountain
1
Presence of flow f persistent pools in stream
0-5
0-4
0-5
03
(no flow or saturation = 0; strong flow = max points)
2
Evidence of past human alteration
0-6
0-5
0-5
f
(extensive alteration = 0; no alteration = max points)
i
3
Riparian zone
0-6
0-4
5
(no buffer = 0; contiguous, wide buffer = max paints)
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
extensive discharges = 0; no dishes = max points)
5
Groundwater discharge
0-3
0-4
0— 4
��}}
(no dischar e = 0; springs seeps; wetlands etc. = max points)
t74
Li
ti
Presence of adjacent floodplain
0-4
0-4
0-2
(na floodplain = 0; extensive flava lain = maxpoints)
7
Entrenchment 1 floodplain access
.0-5,
0-4
0-2
}
(deeply entrenched = 0; frequent flooding. = max points)!
Presence of adjacent wetlands
0-6
0-4
0-2
(no wetlands = 0; large adjacent wetlands = max points)
9
Channel sinuosity
d— 5
0-4
0-3
(extensive channelization = 0; natural meander = max points)
10
Sediment input
0-5
0-4
0-4
(extensive d osition= 0; little or no sediment = max points)
11
Size & diversity of channel bed substrate
NA*
0-4
0 — 5
OA
(fine, homogenous = 0; lame, 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
0-5
0-5
2
(severe erosion = 0; no erosion, stable banks = max points)
l4
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 impact =0; no evidence = max points)
1
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
(no rifflesirip les or pools = ©' well-developed = max points)
=
17
Habitat complexity
0-6
0-6
0-6
�
�"
(little ar no habitat = 0; frequent, varied habitats= rnax oints)
E�
18
Canopy coverage over streambed
0-5
0-5
0-5
f
1
(no shading vegetation= 0; continuous canopy = max paints)
19
Substrate embeddedness
NA*
0-4
0-4
(deeply embedded = 0; loose structure = max)
20
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
0
(no evidence = 0; common, numerous types= max points)
21
Presence of amphibians
0-4
0-4
0-4
o
Q
(no evidence — 0; common, numerous types = max points)
22
Presence of fish
0-4
0-4
0-4
no evidence = 0; common, numerouspes = max points)
23
Evidence of wildlife use
0-6
o--5
0 - 5
(no evidence = 0; abundant evidence = max points)
Total Points Possible
100
100
100
TOTAL.SCORE (also enter on first page)
44
Geese characteristics are not assessed in coastal streams.

ND Division of Wafter Quality-Methodolofjy for Identification of Intermittent and
Perennial Streams am..'Their Origins v. 4.11
NC DWQ Stream Identification Form Version 4.11 S�'lc(Do I
Date: 1 ] �) I ��
Project/Site: jW 1
Latitude. S �a 3`5 LN �S
Evaluator: N
County: )-��1; v. }i
Longitude:77 353Oj.7y5
Total Points: 24.25
at least i
Strf!:
Stream Determination circle one)
Other
fe 30tent
Igor
if _ 9� or erennial if _ 30"
l
Ephemeral ntennittent Perennial
e, 9, Quad Name:
A. Geomorphology (Subtotal = d -)
Absent
Weak
Moderate
Strong
V Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ri le- ool se uence
0
0 0.5
2
3
4. Particle size of stream substrate
0
1
2
?
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
26. Wetland plants in streambed
2
3
7. Recent alluvial deposits
0
1
2
3
S. Headcuts
1
2
3
9. Grade control
0
0.5
CD
1.5
10. Natural valley
0.5
1 1
1.5
11. Second or greater order channel
o = 0
Yes = 3
artificial ditches are not rated: see discussions in manual
B. Hydrology Subtotal = L
12. Presence of Baseflow
0 1
2
4 �"
13. Iron oxidizing bacteria
0 1
2
1 0
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
1.5
17. Soil -based evidence of high water table?
No = 0
es =
1 1,5
C. Biology (Subtotal = '#. 7c _)
18. Fibrous roots in streambed
3
2
1 0
19. Rooted upland plants in streambed
3
2
1 0
20. Macrobenthos (note diversity and abundance)
0
1
2 3
21_ Aquatic Mollusks
0
1
2 3
22. Fish
0,5
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
ACW = 0.75
BL = 1.5 Other = 0
'`perennial streams may also be identified using other methods. See p, 35 of manual.
Notes: 00 ;rnc.1 ( 6-,k34,e c. eN ofoSefved
Sketch:
41

}
Zi
M
u
F
Ys
r
� -
s
' _ '•a" �•a,. - ,t,,k
,rte. .�

ty � 'Nc,,: = 40. A •! r .
F1
SR y
h IR:',g+i a i '�'tiLyy

l_ISACE AIDH
D\\:Q .e Site # (indicate on attached map)
FM STREAM QUALITY ASSESSMENT NVORKSHEET
Pro► ide the following infnrtnalion for the stream reach under assessment: 5)1a
I. Applicant's name: 't t'l t'0 n
3. Date of e. aluation: 1 G.J.Z 61 P5- --
5. Name of stream:
7. Approximate drainage area: > r.> GtL
9. Length of reach evaluated:
2. Evaluator's name: /-I
4. Time of evaluation: 10 CLv'e1
6. Riverbasin: lzou-no s'1 >
S. Stream order: 1
10.County: st`a(ifcaA
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): 1'1 n
Latitude (ex. 34.872312): U. 3B-1�6 Longitude (ex. -77.556611): " � -11
Method location determined (circle):GWS Topo Shce1 Ortho (Aerial) Photo1GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and
4landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if
Recent weather conditions
16. Site conditions at time of v
17. ldentify, any special watenvay classifications known: _Section 10 „_,-Tidal Waters —Essential Fisheries Habitat
_Trout Waters ,Outstanding Resource Waters ____ Nutrient Sensitive Waters _Water Supply Watershed (]-IV)
I S. Is there a pond or lake located upstream ofthe evaluation point? YES O 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
21. Estimated watershed land use: 10 qa Residential —°o Commercial % Industrial 76 4 o Aaricultural
zo "0 Forested _° o Cleared J Logged �% Other ..
22. Bankfull width: 23. Bank height (from bed to top of bank): -Z
24. Channel slope down center of stream: ZFlat (0 to 2%) __Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>I0%)
25. Channel sinuosity: Straight Occasional bends iFrequent meander Very sinuous Braided channel
Instructions for completion of worksheet (Ideated on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain. vegetation, stream classification, etc. Even 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 Stow to review the
characteristics identified in the worksheet. Scares 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. 1Vltere there are obvious changes in the character of a strearn under review (e.g., the stream flog s 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 beween 0 and 100, vvitlt a score of 100 representing a stream of the
highest quality'.
Tolal Score (from reverse): S-5 Commen
Ev alumur's Signatu re Date
l 4I zS��
This channel evaluation r t is nded t)c u it only as a guide to assist landowners and to iro mental professionals in
gathering, the data requ r d by the Unite Sta s Army Corps of Engineers to make a preliminary assessment of stream
duality. 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 x26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
ECOREGION POINT
RANGE.,
l{
CHAR-ACTERISTICS
SCORE
Coastal
Piedmont ,.
. Mountain
I
Presence of flow l Persistent pools in stream
0-5
0-4
0-5
' !
(no flow or saturation = 0, strong flow = maxpoints)
Evidence of past human alteration
0-6
0-5
0-5
�1
[.
(extensive alteration = 0; no alteration = ntaxpoints)
3
Riparian zone
0-6
0-4
0-5
(no buffer = 0; contiguous. wide buffer = maxPoints)
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
(extensive discharges = 0; no discharges = maxpoints)
5
Groundwater discharge
0— 3
0— 4
0. 4
(no discharge = 0 springs, see s, wetlands, ctc. = maxpoints)
b
Presence of adjacent floodplain
0-4
0-4
0-2
(no flood lain = 0; extensive floodplain = maxpoints)
7
Entrenchment l floodplain access
0-5
0_ 4
0— 2
lv entrenched = 0; frequent flooding; = max points)
8
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 channelizatian = 0; natural meander maxpoints)
10
Sediment input
0-5
0-4
0-4
(extensive deposition= 0; little or no sediment = max rots)
{ P
f I
Size & diversity of channel bed substrate
NA*
0-4
0-5
— —
(fine, homogenous = 0; laree, diverse sizes = maxpoints)
1
Evidence of channel incision or ►widening
0-5
0 —
0 — 5
{dee 1v incised = 0; stable bed &: banks = max points)
3
Presence of major bunk failures
0-5
0-5
0-5
severe erosion = 0; no erosion, stable banks = max points)
14
Root depth and density on banks
0-3
0_4
0-5
(no visible roots = 0; dense roots throughout = maxpoints)
rA
15
Impact by agriculture, INcstock, or timber production
0-5
0-4
0-5
(substantial impact act =0; no evidence = maxpoints)
16
of riffle-poollripple-pool complexes
0-3
0 _ 5
0-6
V
0; eli-develo ed = max points)
(no riffles/ri les or pools = vv
(no
17
Habitat complexity
0-6
0-6
0-6
+/
F
(little or no habitat = 0; frequent, varied habitats = maxpoints)
1$
Canopy coverage over streambed
0-5
0-5
0-5
(no shading vegetation = 0; continuous canopy = tnaxpoints)
19
Substrate embeddedness
,. �A* -
0-4
0 —4
-•
(dee lv 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)
1
Presence of amphibians
0-4
o-4
0-4
,
C
(no evidence = 0. common. numerous t es = maxpoints)
')7(}-4
Presence offish
0-4
0-4
{no evidence = 0; common, numerous types = max. oints)
q
73
Evidence of wildlife use
0-6
0-5
0-5
(no evidence = 0; abundant evidence = maxpoints)
Total Points Possible
100
100
It70.
TOTAL SCORE (-also `titer on Firk pat
* These characteristics are not assessed in coastal streams.

NC DWO Stream Idcntiiication Farm Version 4.11 S'VV U
Date; 10 17-6/ i r
Project!Site: Iq
Latitude: 3 to 3 8 !q (,
Evaluator: L r, - EST
County; 4' _'
Longitude: - 7%. Eq L-)-)
Total Points:
Stream is at least intermittent 1
�
Stream Determonat n circle one)
+
Ephemeral ermine Perennial
Other
e.g. Quad Name;
e
if a19 or perennial if a 30" ` ��...++
2. Sinuosity of channel along thalweg
4
A. Geomorphology {Subtotal = ]
Absent
Weak
Moderate
Strong
18" Continuity of channel bed and bank
D
1
14. Leaf litter
15. Sediment on plants or debris
3
2. Sinuosity of channel along thalweg
4
1
(22
3
3. In -channel structure: ex, riffle -pool, step -pool,
ripple -pool sequence
17. Soil -based evidence of high water table?
1
2
3
4. Particte size of stream substrate
1
2
3
5. Active/relict floodplain
D
V
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
1
2
3
8. hieadcuts
1
2
3
9. Grade control
D
5
1
1.5
10. Natural valley
0
1
1.5
11. Second or greater order channel
CNo = 0
Yes= 3
f
a arlificiat ditches are not ratedl see discussions In manual
B. Hvdrolociv (Subtotal = % l
12. Presence of Baseflow
0
1
2 0
13. Iron oxidizing bacteria
t3--)
1
2 3
14. Leaf litter
15. Sediment on plants or debris
1.5
0
1
0.
6V 0
1 1.5
16. Organic debris lines or piles
0
0.5
1 1.5
17. Soil -based evidence of high water table?
1
No = 0
Yes =
G. Bioloav (Subtotal = Lo LTi )
18. Fibrous roots in streambed
3
1
0
19. Rooted upland plants In streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
0
1 0.5
0
1.5
25, Algae
0.5
1
1.5
26. Wetland plants in streambed
ACW = 0 75,5
CBL = 1.5 Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: `{
-
Sketch:
f
DDI
003
�1
TvP
t] 4 i 1N Iv - -r "

Environmental Field Surveys
Waterbody Photo Page
Waterbody shlo003 facing south upstream.
Waterbody shlo003 facing north downstream.
Photo Sheet 1 of 2

NC Division of Water duality --Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWO Stream Identification Farm Version 4.11
Date: 11
ProjectfSite: A c p
Latitude:
Evaluator: 4-11
T
County: l�ax
Longitude: _1 1 9131
Total Points:
Stream is at least intermittent 7
Stream Determination (cir e)�
Other (�{
if? 99 orperennial if? 30'
Ephemeral Intermittent erennia
e.g. Quad Name:
A. GeomQr holo (Subtotal =
)
Absent
Weak
Moderate
Strong
1 a' Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
1 1.5
3
3. In -channel structure: ex, riffle -pool, step -pool,
ripple -pool sequence
0
1
3
3
4. Particle size of stream substrate
0
1
2
3
S. Active/relict floodplain
0
1
2
3
F. Depositional bars or benches
0
CV2
1,5
3
7. Recent alluvial deposits
0
C2
2
3
B. Headcuts
FACW = 0,75; OBL = 1.5
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1
11. Second or greater order channel
No
= 0
es = 3'
artificial ditches are not rated; see discussionsin manual t} P3 °7 'r,S' R. Hvdroloav (Subtotal = 'T `3 )
12. Presence of Baseflow
0 1
2
13. Iron oxidizing bacteria
0 1
2 3
14. Leaf litter
1.5 1
0.5 0
15. Sediment on plants or debris
0 .5
_
1 1.5
16. -Organic debris lines or piles
0
1 1.5
17. Soil -based evidence of high water table?
No = 0
es= 3
C. Biology (subtotal= "" s
18. Fibrous roots in streambed
3
1
0
19. Rooted upland plants in streambed
3
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
0
1
1,5
25. Algae
0
1
1.5
26. Wetland plants in streambed
FACW = 0,75; OBL = 1.5
ef `= 0
"perennial streams may also be identified using other methods. See p, 35 of manual.
Notes:
Sketch: 4�
1.
vjo'61
41

USACE AID# DWQ # Site # (indicate on attached map)
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: f _ 2. Evaluator's name: _�k onen,-
3. Date of evaluation: 1 j y 4. Tun� �Ve of evaluation:
5. Name of stream: ( A) rw4.'%e'.C7� 6. River basin: +fl 9 A-Ao
7. Approximate drainage area: 8. Stream order:
n
9. Length of reach evaluated: 30o 10. County: �kl ttS°14, -
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.972312): 'bG ' 7D"(0 l coLongitude (ex. -77.556611): -- 11-7. "
Method location determined (circle): GPS Popo Sheet Ortho (Aerial) PhotolGIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying streams) location):
0, 36
14. Proposed channel work (if any):�t
15. Recent weather conditions: G.i n'SG ` r1
16. Site conditions at time of visit. IV t"r-G
17. Identify any special waterway classifications known: Section 10Tidal Waters Essential Fisheries Habitat
Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters _Water Supply Watershed (l -IV)
18. Is there a pond or lake located upstream of the evaluation point? YES 4, f yes, estimate the water surface area:
19. Does channel appear on USGS quad map? N© 20. Does channel appear on USDA Sail Survey? YES NO
21. Estimated watershed land use: 10 % Residential % Commercial �% Industrial % Agricultural
:31-11/o Forested �% Cleared f Logged % Other
22. Bankfull width: 23. Bank height (from bed to top of bank):,
24. Channel slope down center of stream: Flat (0 to 2%) _Gentle (2 to 4%) Moderate (4 to 10%) _____Steep (>10%)
25. Channel sinuosity: Straight 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 arc 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): -5 / Comments:
Evaluator's Signature - &M/11 Date L�
This channel evaluation for sir n ed to 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 06103. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams,
ECOREGION POINT
RANGE
i
CHARACTERIS'T'ICS
SCORE
Coastal
Piedmont
Mountain
1
Presence of flow 1 persistent pools in stream
0-5
0-4
0-5
(no flow or saturation = 0; strong flow = maxpoints)
2
Evidence of past human alteration
0-6
0-5
0-5
(extensive alteration - 0; no alteration = max potnts
3
Riparian zone
0-6
0-4
0-5
no buffer � 0; conn uous, wide buffer= max points)
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
(extensive discharges = 0; no discharges = maxpoints)
j
5
Groundwater discharge
0-3
0-4
0-4
l(no
discharge = 0; springs, seeps, wetlands, etc. = maxpoints)
..t
6(no
Presence of adjacent floodplain
0-4
0-4
0-2
floodplain = 0• extensive floodplain = max points)
7
Entrenchment 1 floodplain access 110-5
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; large ad'acent wetlands = max vitas
9
Channel sinuosity
0-5
O--.4
0-3
extensive channelization = 0; natural meander = maxpoints)
10
Sediment input
0-5
0— 4
0-4
extensive deposition= 0; little or no sediment = maxpoints)
l 1
Size & diversity of channel lied substrate
NA*
0-4
0-5
-
fine, liomo enous = 0; lar e, diverse sizes= maxpoints)
Evidence of channel incision or widening12
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
(severe erosion = l]; no erosion, stable banks = max points)
►
.�
14-
Root depth and density on batiks
0-3
0-4
a-5
(no visible roots = 0; dense roots throughout = max points
15
Impact by agriculture, livestock, or timber production
0^5
t1-4
a-5
(substantial int act =0; no evidence = max amts)
16
Presence of riffle-pootlripple-pool complexes
0-3
0-5
0-6
no riffles/ripples or pools = 0; well-developed = maxpoints)
17
I-labitat 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
no shadingvegetation = 0; continuous canopy = max points)
19
Substrate embeddedness
IIIA*
0-4
0-4
(deeply embedded = 0; loose structure = max)
20
Presence of stream invertebrates (see page 4)
0-4
0 5
0-5
410 evidence 0; comnnon, ninnerom types = maxpoints)
21
Presence of amphibians
0-4
0-4
0— 4
0
(ilp evidence = 0; common, numerous types = max points)
22
Presence of fish
0-4
0--4
0-4
(no evidence = 0; common, numerous types = max oints
23
Evidence of wildlife use
0-6
0-5
0-5
no evidence = 0; abundant evidence = max points)
Total Points Passible
100
100
loo
TOTAL SCORE. (also enter on first page)
-53
* These characteristics are not assessed in coastal streams,

�.e �:.. ^' .:yam ,S/r �'� �.t. �" _���c /_•la�l�
i
1

41 i

NC Division of Water Quality --Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWQ Stream Identification Form Version 4,.1.1.
Date:
Project/Site: Ac?
Latitude:{p�
Evaluator:
County:{
Longitude:,''
Total Points:
Stream is at least lntefmittent ��
Stream Determination circle one)
Ephemeral termitte
Other Is
e.g. Quad Name:
if i? 19 orperennial if ? 34'
erennial
0
A. Geomor halo (Subtotal = 9 1
Absent
Weak
Moderate
Strong
1a' Continuity of channel bed and bank
0
1
2
1.5 1
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
01 0.5
.2
3
4. Particle size of stream substrate
0
-1
2
3
5. Activelrelict floodplain
0
0.5
2
3
6. depositional bars or benches
(l
1
2
3
T Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
1
1.5
10. Natural valley
0
1
1.5
11. Second or greater order channel
L C50177
0
Yes = 3
artificial ditches are not rated; see discussions in manual
B. Hvdrologv (Subtotal= 1t•5 )
12, Presence of Baseflow
0
2
3
13. Iron oxidizing bacteria
fl 1
2
3
14. Leaf litter
1.5 1
0:5
0
15. Sediment on plants or debris
0.5
1
1.5
16. Organic debris lines or piles
01 0.5
1
1.5
17. Soil -based evidence of high water table?
No = 0
0.5
0
C. Biology Subtotal = q-2
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
3f
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0
0.5
0
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0.5
11
1.5
25. Algae
M
1
1.5
26. Wetland plants in streambed
-
FACVV = 0.75,. OBL = 1.5
Other = 0
`perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: 'n"'ged
X ...
Sketch:
Viz' 41

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 narne:
3. Date of evaluation: �I-
5. Name of stream:
7. Approximate drainage area:
9. Length of reach evaluated:
2. Evaluator's name: V b VI -10r,
4. Time of evaluation: 1 3oU
6. River basin: #fz,-O�AO I -C
I
8. Stream order:zwr
I
10. County: 16A(�UZ, -
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): p fir~
Latitude (ex. 34.872312): �+ ( s Longitude (ex- -77.556611): "� rl � 1 b
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) PhotolGIS Other GIS Other_
13. Location of reach under evalua 'n (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any):'
15. Recent weather conditions: i nP
16. Site conditions at time of visit: Vorp^"k
17. Identify any special waterway classifications known.: Section 10 Tidal Waters �1ssential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters Nutrient Sensitive Waters _Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstrearn of the evaluation point? YESNO If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES NO, 20. Does channel appear on USDA Soil Surve//y9` YES
21. Estimated watershed land use: % Residential % Commercial ®% Industrial 'TJ % Agricultural
Forested % Cleared I Logged _____%a Other ( L
22. Bankfull width: l 23. Bank height (from bed to top of bank):
N6
24. Channel slope down center of stream: _Flat (0 to 2%), Gentle (2 to 4%) _Moderate (4 to 10%) Steep (>10%)
'�✓
25. Channel sinuosity: Straight Occasional bends Frequent meander _Very sinuous Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
"Total Score (from reverse): Comments:
Evaluator's Signature Date
This channel evaluation form is intended o N 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
duality. The total score resulting from the completion of this form is subject to USAGE approval and (foes not imply a
particular mitigation ratio or requirement. Form subject to change -version 06103. To Comment, please call 919-876-8441 x 25.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
E+COREGION POINT
RANGE
#
CHARACTERISTICSSCORE
Coastal
Piedmont
Mountain
1
Presence of flow f persistent pools in stream
(no flow or saturation = 0; stron 7 flow = maxpoints)
0-5
0_4
0-5
2
Evidence of past human alteration
0-6
0-5
0-5
(extensive alteration = 0; no alteration= max points)
3
Riparian zone
0 �'
0-4
0-5
no buffer = 0; contiguous, wide buffer = max oints
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
extensive discharges = 0, no discharges = maxpoints)
5
Groundwater discharge
0-3
0-4
0-4
(no dischar e — 0; springs, seeps, wetlands, etc. = max points)
Presence of adjacent floodplain
0-4
0-4
0-2
k
no floodplain = 0; extensive floodplain =max points)
1
Entrenchment I floodplain access
0_ 5
0 —4
0 2
{deeply entrenched a0; frequent flooding = max points)
8
Presence of adjacent wetlands
0-6
0-4
0-2
do wetlands = 0; large adjacent wetlands = maxpoints)
V
Channel sinuosity
0-5
0-4
0-3
(extensive channelization = 0; natural meander= max dints)
�7
10
Sediment input
0-5
0-4
0-4
(extensive deposition= 0; little or no sediment = maxpoints)
11
Size & diversityof channel bed substrate
:NA*
0-4
0 — 5
fine homogenous = 0; lar e, diverse sizes = max points)
12
Evidence of channel incision or widening
0-5
0-4
0-5
d eply incised = 0; stable bed & banks = maxpoints)
l3
Presence of major bank failures
0-5
0--5
0-5
(severe erosion = 0; no erosion, stable.banks = max points)
14
Root depth and density on banks
0-3
0-4.
0-5
r
(110 visible roots = 0; dense roots throughout = max points
15
Impact by agriculture, livestock,.or timber production
0-5
0-4
0-5
(substantial impact =0• no evidence = max points}
16
Presence of riffle-poollripple-pool complexes
0-3
0-5
0-6
&0
(noriffles/ripples or pools = 0; well-developed = maxpoints)
et.
11
Habitat Complexity
0-6
0-
0-6
(little or no habitat = 0; frequent, varied habitats =maxpoints)
90Canopy
18
coverage over streambed
0-5
0-5
0-5
no shading vegetation = 0; continuous canopy = maxpoints)
19
Substrate embeddeduess
�*
0-4
0-4
�-
(deeplyembedded = 0; Ioose structure = max)
20
Presence of stream invertebrates (see page 4)
0 — S
0-5
no evidence = 0• common, numerous. es = maxPoints)0-4
2i
Presence of amphibians
0-4
0-4
0-4
C?(no
evidence = 0; common, mirnerous types = maxpoints)
Q
22
Presence of fish
0-4
0-4
0-4
{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.

� I
Y
1 j
10
or
0 r7 7t
.101- W7. wr

Waterbody shIf002 facing west across

NC Division of Water Qttality -Methodology for Identification of Intermittent and
Perennial Streams and Their Orielins v. 4.11
NC DWO Stream identification Form Version 4.11
Date: O
Project/Site: A0
Latitude:
Evaluator: -
County: iGl
Longitude: 11-1
Total Points:
Stream Determination (circle one)
Other 5W 003
Stream is at least intermittent
if ? 19 orperennial ff z 30'
pheinera Intermittent Perennial
e.g. Quad Name:
A. Geomorphology (Subtotal =A.
Absent
Weak
Moderate
Strong
1 a' Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
1
2
3
5, Active/relict Floodplain
1
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
M
1
2
3
8. Headcuts
❑
1
2
3
9. Grade control
❑
0.5
1
1.5
10. Natural valley
0
;M0
0.5
;0
1.5
11. Second or greater order channel
Yes
= 3
a anifieial ditches are not rated: see discussions in manual
B_ Hvdroloav (Subtotal= a-
12. Presence of Baseflow
12.
0
1
2
3
13. Iron oxidizing bacteria
❑
1
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
0.5
1
1-5
17. Soil -based evidence of high water table?
1
v"n
Yes = 3
0.5
C. B oloav (Subtotal = }
18. Fibrous roots in streambed 3
Q
1
0
19. Rooted upland plants in streambed 3
2
1
0
20. Macrobenthos (note diversity and abundance) 0
1
2
3
21, Aquatic Mollusks
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians Ob
0.5
1
1.5
25, Algae 0
0.5
1
M
26. Wetland plants in streambed
FACW = 0.75: OBL = 1.5 er L02
Verennial streams may also be identified using other methods. See p. 35 of manual.
tt
Notes: 1 &,jrv,(, tM1 ialr'v['
Sketch:
9 � 4
41

USAC1 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: Dominion
3. Date of evaluation:
S. Name of stream: c "' to Roanoke River
7. Approximate drainage area:
9. Length of reach evaluated: -'50 f
2. Evaluator's name: t4ev;�. KJ441--arl-11
4. Time of evaluation: 10 l
6. River basin: 9,0-
8. Stream order: 1.4,
10. County:�4 sA(,
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): 3( - 3 -7 W- Longitude (ex. -77.556611): — 1-1 .
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):
14. Proposed channel work (if any): i1 0c, { ne
15. Recent weather conditions: Rv), r& [ I 4q kvi Po -Gr T° ` 0r\1(�L. - _ m , S"R", to
16. Site conditions at time of visit: Narpe,c
17. Identify any special waterway classifications known: Section 14 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 0
If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES .INC 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: % Residential �% Commercial % Industrial 4` °/a ,Agricultural
V % Forested % Cleared 1 Logged _% Other {
22. Bankfull width:
24. Channel slope down center of stream: _Flat (0 to 2%)
23. Sank height (from bed to tog of bank): 1 • J
_Gentle (2 to 4%) ]Moderate (4 to 10%)
__Steep (>10%)
25. Channel sinuosity: Straight Occasional bends V Frequent meander Very sinuous Braided channel
Instructions for completion of worksheet (located oat 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 lot} representing a stream of the
highest quality.
Total Score (from reverse): Comments:
Evaluator's Signature 4AXi .. Date
W1 16
This channel evaluation farm is i tended to he 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 06103. To Comment, please call 919-876-8441 x 26,

STREAM QUALITY ASSESSMENT WORKSHEET
These characteristics are not assessed in coastal streams.
V
#
ECOREGION POINT
RANGE
CHARACTERISTICS
SCORE
Coastal
Piedmont
Mountain
1
Presence of flow 1 persistent pools in stream
0 S
0-4
0 — 5
(no flow or satttration = 0; strongflow = max points)
2
Evidence of past human alteratioIi
0-6
0-5
0-5
(extensive alteration = 0; no alteration = maxpoints)
3
Riparian zone
0-6
0-4
0— 5
no buffer = 0; contiguous, wide buffer = maxpoints)
4
Evidence of nutrient or Chemical discharges
0-5
extensive discharges = 0; no discharges = max points)
0 — 4
0-4
a
5
Groundwater discharge
0-3
0-4
0-4
1�
(no discharge = 0; s rin s, seeps, wetlands, etc. = max points)
G
Presence of adjacent floodplain
0-4
0-4
0-2
ff
r�
(no floodplain = 0• extensive floodplain = maxpoints)
1
x
Entrenchment f floodplain access
0— 5
0— 4
0— 2
P''
(deeply entrenched = 0; frequent flood ing = inax points)
S
Presence of adjacent wetlands
0 6
0-4
0— 2
(tic) wetlands = 0; large adjacent wetlands = max points)
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 deposition= 0; little or no sediment = maxpoints)
11
Size & diversity of channel bed substrate*
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
•r''
(deeply incised - 0; stable bed & banks = max points)
l3
Presence of major bank failures
0,5
0-5
(severe erosion = 0; no erosion, stable banks = max Dints
.0-5
€ 14
Root depth and density on banks
0-3
0-4
0-5
(no visible roots = 0; dense roots throw hoot = max pints)
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 nnnfz = 0; well-develo ed = maxpoints)
t7
Habitat complexity
0-5
0-6
0-6
(little or no habitat = 0 fre cent, varied habitats = maxpoints)
I8
Canopy coverage over streambed
0-5
0-5
0-5
(no shading vegetation = 0; continuous canopy = max oints
19
Substrate embeddedness .
NA*
0-4
0 — 4A
A
(deeply embedded = 0; loose structure = max}
20
Presence of stream invertebrates (see page 4)
0 — 5
0-5
no evidence = 0; common numerous es = marcpoints)0-4
21
Presence of amphibians
0-4
0-4
0-4
0?
no evidence = 0; common, aunlerotis types = max points)
0
22
Presence of fish
0-4
0-4
0--4
p
(no evidence = 0; common, numerous types =nzax points
23
Evidence of wildlife use
0-6
0--5
0-5
(no evidence = 0; abundant evidence =max poJnts)
'notal Points Possible
100
100
100
TOTAL SCORE (also enter on first page)
These characteristics are not assessed in coastal streams.
V

[USACE AID4
D WQ # Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: t 2. Evaluator's name:
3. Date of evaluation: L 4. Time of evaluation:_`(
5. Name of stream:— ��' .:, . t-f� , ,
l(_4.l"It~u�rlb?�r basin: }S, �'_ _
7. Approximate drainage area;!
PP g �z � ��++ ,1�,A LLC S 8. Stream order:
9. Length of reach evaluated: ? ~') fi 10. County:
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 31.872312): t ) Longitude (ex. —77.556611): �� 10
Method location detemimed (circle): (Z601
Topo Sheet Ortho (Aerial) PhotolGIS Other GIS Other
13. Location of reach tinder evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any): t
IS. Decent weather conditions:.,.
16. Site conditions at time of visit: b_J .
17. Identify any special waterway classifications known: JLAection 10 d'idal Waters PjAEssential Fisheries Habitat
Trout Waters Outstanding Resource Waters Mutrient Sensitive Waters f Water Supply Watershed/(1r6(I-IV}
18. Is there a pond or lake located upstream of the evaluation point? YES )If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? 6S NO 20. Does channel appear on USDA Soil Survey? S NO
21. Estimated watershed land use: Residential % Commercial �% Industrial°fo Agricultural
�4�1% Forested
22. Bankfull width: W
24. Channel slope down center of stream: Flat (0 to 2%)
25. Channel sinuosity: Straight $_Occasional bends
% Cleared 1 Logged _% Other
23. Bank height (from bed to top of bank); c
Gentle (2 to 4%) —Moderate (4 to 10%) _Steep (310%)
—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, strearn 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 (lie 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 flaws 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 SignatureZ Date ,T ] ` _2_'C I c.
This channel evaluation2v"
nce ded to be used only as a guide to assist landowners and environmental pro essionals in
gathering the data reqzed he 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 06103. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
CHARACTERISTICS
ECOREGION POINT RANGE
.Coastal
Piedmont
Mountain
SCORE
1
Presence of flow 1 persistent pools in stream
no flow or saturation = 0; strong flow = maxpoints
0-5
0 4
0-5)
2
Evidence of past human alteration
0-6
' .}
extensive alteration = 0• no alteration = maxpoints)
0-5
0-5
3
Riparian zone
Y,
no buffer = 0; contiguous, wide buffer = max oints
0-6
0-4
0-5
4
Evidence of nutrient or chemical discharges
extettsive discharges = 0; no discharges = max oints
0-5
0-4
0-4
i.]
5
Groundwater discharge
�C
no discharge = 0, s rin s, see s, wetlands, etc. = maxpoints)
0-3
0 -4
0-4
)
)
Presence of adjacent floodplain
no flood lain = 0; extensive €lood lain = maxpoints)
0-4
0-4
0-2
Entrenchment f floodplain access
dee l entrenched = 0• frequent flooding = maxpoints)
0-5
0-4
0-2
8
Presence of adjacent wetlands
no wetlands = 0° lar2e adjacent wetlands = maxpoints)0
`
0-4
0 - 2
]
9
Channel sinuosity
extensive channelization = 0; natural meander = maxpoints)
0-5
0-4
0-3
10
Sediment input
(extensive deposition= 0• little or no sediment = inaxpoints)
0-5
D-4
0-4
11
Size & diversity of channel bed substrate
ane, holno emus = 0• large diverse sizes = maxpoints)
NA
0-4
0--5
12
Evidence of channel incision or widening
(deeply incised 4 0; stable bed & banks - max oints)0-5
0 - 4
6-5
13
Presence of major bank failures
-
a0
severe erosion = 0• no erosion, stable banks = max Dints
5
0 - 5
0-5
14
Root depth and density on banks
F.,
no visible roots = 0• dense roots throughout m maxpoints)
0-3
0-4
0-5
{%?
15
Impact by agriculture, livestock, or timber production
ry
substantial €In act =0; no evidence = max points)
0-5
D - 4
0 - 5
id
Presence of riffle-pool/ripple-pool complexes
-
C~
no riffles/ripples or pools = 0; well-developed = max oints)
0-3
0-5
0-6
17
Habitat
Habitat complexity
or no habitat = 0• frequentvaried habitats = max_ oints)
0-6
0 -
0-6
3
18
Canopy coverage over streambed
no shading vegetation = 0• continuous canopy = maxpoints)
0-5
0-5
0-5
19
Substrate embeddedness
(deeply embedded = 0; loose structure = max
NA*
0-4
0-4
70
Presence of stream invertebrates (see page 4)
(no evidence = 0 comman numerous es =max points)
0-4
0 - S
0-5
C:
21
Presence of amphibians
no evidence= 0; common, numerous types --maxpoints)
0-4
0 4
0-4
2—
22
Presence offish
(no evidence = 0• common, numerous es = max points)
0- 4
0- 4
0- 4
r
1
23
Evidence of wildlife use
no evidence = 0; abundant evidence max Milts)
0-6
0--S
0-5
Total Points Possible
100
100
100
TOTAL SCORE (also enter on first page)
* These
charactcristics are not assessed in coastal streams.

NC DW Stream Identificatron Form Version 4.11
Bate: ( _ L_ f Project/Site:
Evaluator: County:
Total Points: Stream Determination {ei
Stream is at least intermittent 35.75
if a 19 or Perennial if z 30` Ephemeral Intermitten Pp
A. Geornor holo (Subtotal =
11 }
2
,3
Absent
Weak
1aContinuity of channel bed and bank
0
1
2. Sinuosity of channel along thalweg
p
1
3. In -channel structure: ex. riffle -poo[, step -pool,
ripple -pool sequence
0
1
4. Particle size of stream substrate
p
1
5. Active/relict floodplain
0
1
6. Depositional bars or benches
0
1
7. Recent alluvial deposits
1
8. Headcuts
r0'�
1
9. Grade control
0
0.5
10. Natural valley
0
0.5
11. Second or greater order channel
a
o TM
artificial ditches are not rated; see discussions_jn manual
B. Hydrology Subtotal = Fry
12. Presence of Baseflow
0
1
13. Iron oxidizing bacteria
0
1
14, Leaf litter
15. Sediment on plants or debris
0(0,5)
18. Organic debris lines or piles
0
0.5
17. Soil -based evidence of high water table?
No = 0
C. Biology (Subtotal= - 8.25
18. Fibrous roots in streambed 3
19. Rooted upland plants in streambed
20, Macrobenthos (note diversity and abundance)
21. Aquatic Mollusks 0
22, Fish 0
23, Crayfish 0
24. Amphibians 0'
25. Algae 0
26. Wetland plants in streambed
"perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
2
2
} t�j 0 S
LatitudegV t� � _ it
Longitude.' u p m 6" i f1 ,
Other UNT to Roanoke River
e.g. Quad Name:
Moderate
2
2;+
2
2
3
3
3
3
3
1.5
1.5
Yes =3
2
,3
�, i
3
0,5
0
1
1.5
1
1
2
0.5 jam'
0.5
0.5 1
1
1
A ^J = 0, 757, OBL = 1.5 Other = 0`
V
0
1.5
1.5
1.5

USACE AID# DWQ # Site # (indicate on attached map) I
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information forft)re stream reach under assessment:
1. Applicant's name: 2. Evaluator's name:
3. Date of evaluation: 4. Time of evaluation: �-
5. dame of stream: UNT to Roanoke River L
{{ 6. River basin: -"� 3 f cf '.
7. Approximate drainage area: 7 l 8. Stream order:
9. Length of reach evaluated: ' ~ 10. County: +
1i. Site coordinates (if known): prefer in deciemal degrees. 12. Subdivision name (if any): p
Latitude (ex.34.872312): ' , 4.1 I6 a Longitude (ex. —77.556611): s7 ! 62, 3 �
Method location determined (circle):GPS Topo Sheet Ortho (Aerial) Photo/G1S Other GIS Cather
13. Location of reach under evaluation note nearby roads and landmarks and attach map identifying stream(s) location):
jF
14. Proposed channel work (if
15. Recent weather conditions:
16. Site conditions at time of vi
17. Identify any special waterway classifications known: ASection 10 tidal Walters Y Essential Fisheries Habitat
�raut Waters l� Outstanding Resource Waters �utrient Sensitive Waters �&- ater Supply Watershe (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 nap? E.ONO 20. Does channel appear on USDA Soil Survey. YES Na
21. Estimated watershed land use: _°fo Res lfential %Commercial —% Industrial 25L% Agricultural
1-6% Forested —' Cleared / Lugged _% Other (
22. Bankfull width: 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: Flat (0 to 2%) Gentle (2 to 4%) _Moderate (4 to 10%) Steep (,10%)
25. Channel sinuosity: Straight *ccasional beards AFrequent 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 scaring box and provide an explanation in the
comment section, Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality..
Total Score (from reverse): Comments:
Evaluator's Signature i _ ,_ Date 7 cs _
This channel evaluation for s mtende _ o 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 06103. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
1 nese character[sties are not assessed in coastal streams.
CHARACTERISTICS
ECOREGION POINT
RANGE
SCORE
Coastal
Piedmont
Mountain
1
Presence of flow 1 persistent pools in stream
no flow or saturation = 0• strop flow =max Dints
0-5
0 — 4
0-5
2
Evidence of past human alteration
extensive alteration = 0; no alteration = max points)
0-6
0 — 5
0-5
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
y�
5
Groundwater discharge
3
0 — 4
0-4
Uno
dischar e = 0, springs, see s, wetlands, etc. = max points)0
6
Presence of adjacent floodplain
no floodplain = 0; extensive floodplain = maxpoints)
0-4
0-4
0-2
Entrenchment 1 floodplain access
(deeply entrenched ` 0• fre cent flooding = maxpoints)
0-5
0-4
0-2
F7
8
Presence of adjacent wetlands
r M
no wetlands _ 0; lae adjacent wetlands = nraxpoints)0
6
0-4
0 — 2
7�
{
9
Channel sinuosity
y
extensive channelization = 0; natural meander = max oints;
0-5
0 — 4
0 3
10
Sediment input
{extensive deposition= 0• little or no sediment = maxpoints)
0-5
0-4
0-4
11
Size & diversity of channel bed substrate
NA*
fine, homogenous = 0; large, diverse sizes = maxpoints)
0-4
0-5
12
Evidence of channel incision or widening
dee 1 incised = 0; stable bed & banks =rnaxpoints)
0-5
0-4
0-5
1
Presence of major bank failures
0-5
0 5
0 5-'
a
severe erosion = 0° no erosion stable banks =rnax points)
-
14
Root depth and density on banks
0-3
0-4
0-5
no visible roots = 0; dense roots throughout = maxpoints)
—
15
Impact by agriculture, livestock, or timber production
0-5
0 4
0-5
substantial inz act =0; no evidence = niax points)
—
-
t6
Presence of riffle-poollripple-pool complexes
no riffles/ri les or pools = 0; well-develo ed = max pints)
0-3
0 — 5
0-6
17
Habitat complexity
little or no habitat = 0; frequent, varied habitats = max points
0-6
0-6
0-6
-'
18
Canopy coverage over streambed
no shading vegetation = 0; continuous canopy = maxpoints)
0-5
0-5
0-5
19
Substrate embeddedness
NA*
0-4
0-4
-(deeply embedded = 0; loose structure = max)
�
20
Presence ( page 4)
ne
(no evidence — 0f con nionnumerous types maxoints)
0-4
0-5
0-5
21
Presence of amphibians
0-4
0-4
0-4
]
no evidence = 0; cornnion, numerous types = maxpoints)
,..r T
22
Presence of fish
(no evidence = 0• common numerous es = max points)
©— 4
0-4
0-4
23
Evidence of wildlife use
0-6
0-5
0-5
A
no evidence = 0; abundant evidence =maxpoints)
Total Points Possible
100
100
100
TOTAL SCORE {also enter on first page}
1 nese character[sties are not assessed in coastal streams.

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Oriains v. 4.11
NC DWQ Stream Identification Form Version 4.11 j � 1 �l oo
Date:
ProjecttSite: e
Latitude: a
Evaluator: f
County: ,
Longitude: to 3r079-1 079
Total Points:
Stream is at least intermittent `
� �
Stream Determination circ =n
i
Intermittent erennial
�
©cher 1 i0 �+� ►
Quad Name: J
if a 19 or perennial if � 30" e
Ephemeral
e.g.
'+'t
A. Geomorphology (Subtotal = _
Absent
Weak
Moderate
Strong
1° Continuity of channel bed and bank
0
1
14. Leaf litter
3
2. Sinuosity of channel along thalweg
0
1
0
3
3. In -channel structure ex. riffle -pool. step -pool,
rip )le -pool sequence
0
0
2
3
4. Particle size of stream substrate
0
1
Od
3
5. Active/relict floodplain
0
11
2
3
6. Depositional bars or benches
0
1
2 1
3
7. Recent alluvial deposits
0
1
3
8. Headcuts
0
1
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No
0 .
Yes = 3
a artificial ditches are not rated. see dis ussions in manual
B. Hvdroloav (Subtotal= A. 4 )
12. Presence of Baseflow
0
1
3
13. Iran oxidizing bacteria
0
1
2 3
14. Leaf litter
1.5
2
0.5 0
15. Sediment on plants or debris
0
2
1 1.5-
16- Organic debris lines or piles
0
0.5
1 1.5
17. Soil -based evidence of high water table?
0.5
No = 0
Yes
C. Bioloav f Subtotal= W, '4.5
7 V
18. Fibrous roots in streambed 3
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance) 0
2
3
21. Aquatic Mollusks
1
2
3
22. Fish Gy
0.5
1
1-5
23, Crayfish cc
0.5
1
1.5
24. Amphibians 0
0.5
1.5
25. Algae 0 1
1052
1
1.5
26 Wetland plants in streambed
FACW =(0.75)l
OBI = 1.5 Other = 0
'perennial streams may also be Identified using other methods. See p. 35 of manual.
Notes: --
Sketch:
r
41

shIh004
SHLH004 — Facing North Cross Stream View

I.;SAC E MILD, i hidi'cate on aiwelied mall i
5M e "a
STREAM QUALITY ASSESSMENT WORKSHEET -AQv
Prot isle the follottinm information for the stream reach under as5esslnent:
i. Applicant's name: ACP -1. E.1 alllalnr'h Italni: S r K�ftoflffl 1C' MUV PWELI
3. mile ill v\nlilation: O()1101 Ufl 4.1ime ofe\alumion: 30A41
3. `�41n1e of *iream:.t k 4 +�CiI -4 'Vey( O.Riter burin: 1 0t?\Nr�F;-
7. � ppro Oii lle drainage area: IS C(Ufe S S. Sire€tm order:
9. Len -ph of reach ei alualed: !CV 51- 10. Cc+ullt�: f>it fox
11. Site coordinates(if
hne-urn 1: prefer ino,.ilnallie,-Tees,. 12.Subdhisiontltmellfami: NA
17111tI ll' Ic1 a. ''_?1'i: J • 0 J 1 ongilude ic\--77.5�661I I:-
hlelht �l h+r,Ili+ n tfe]cmlilntl rrircicl: ++i';' ropo',heel Orlhc lsrial 1'hoto GN Oihcr olS Ilthcr
13. Lt+t:;atinn of reach undt:r t:t a111:rtion mole nearly' ro:lds :Init•ks atld attach map itlet�lif}in_ streanl(sl l��e.lticzni:
L o ct%A-.e6 Cee Se, <,+, +)(e. (e)AJ , r, '� t-AlI f -Cl k, CC)(,, I(\-+ y .
la. Proposed channel \i orb- (if am l:
13. Receln Ni eather conditions: `�`� `� I� _
16. Site conditions at time of \ ish:
17. ldenlif! an- special )\atema} classifications hnootlt: _Section 10 _Tidal Waters E•ssential Fi.lteries Habitat
_Trott \Paters _Clutstsndinu Resource \Valers _Mltrient Sell Sithe li'aiersWater Supply Watershed (Mv)
18. is there a pend or lake located upstream of the eN alumion point:' YES10 f } es. estimate the waler surface .area:
19. Does channel sppecir on USES quad map? YES IO 20. Does chsmtel appear on USDA Soil Suri e}? 1 ES11 1
1. Estim,ted Ntatershed land use: 10 °o Residential _°o Commercial _°o Industrial GC> o .Acricultural
�'c Forested°o Cl"eared Loi-ced 11o0hher1 -
22. Bankfull m idth: 23. Bank height ( from bed to toil of bink r � 0'
2. Lllasliael slope dnrin center ofstre::m: ^Flat (iI lis X001en e ('ta4°ol �1*1��rlert,le Ia to 1U°�? Steep f ']Q°°1
25. Ch-umel sinuosin: Stt.liuhi _CICCaSitlilal l,en[I, _'� Frequent nitander _'ll<11 Sinuous _Braided channel
lristrilctions for tauntpletiou Jmorksheti (Iricimd fill page 2): Beuill i+, dclrllninilt-L' the 1110.t a1)P10rri:1tr ewer'ion based on
10CJ14111. let7'am. ie2tlrllioll, lrealll k:1-assilicalion. Ole. E%er% Ch."kt'aclerhtiC InLtst be Scored ll'Einu 111e Same ecug2uiom As.ium points
1t, ench char:icierislic Millin the rand shop; l for lite ecoreginn. Page 3 pru%ides a brief des.criplion of 10 rv-�iew the
Clt.ViClel-400 Idemitled In the moitl heel. .Sc4kreb :hc-111:.1 retleel all o\ mll aEEesslnem of the tireanl I'e.lA UlldcY e alll:Altlt. if :1
tilaYlC1er1411c c.mmoi be eti&Iuwed 011e to Elie or \iemher condhions. tinier 0 in the scorinp? I_'+co, slid prow ide all e%pl:inmicm In the
r611,11rielll tie limi. +tl here there are cA-A IL+lis ch iilges in the charscivr of a Sirearn under rel.ew the Sirenm trc,-ln a p;1 ure
inlu a forest I. the !-tremli ili-* be di1 ided into Enlnller rk scheS ilial displat more conflnllh\. and a sep:iraie form used It's et alusie e:,cll
rea4'h. The local .cove aEEt=ned tit :t :i!'ti:;l71 reach lintel r::1'Ine bemeen (1 "rid 1(}0. "ilh s �iCfre of 100 l' 1 rrEc1",i11Y' Li }rc.:lll cfiht
1)i-1le�,t quaI!R.
Towl Score (from i-L-xcrso: 6' 1 CU111111Cnte:
ENaltialor's Si?ttalureL-MU �. -t' `' - Daie
This cilnnuel ei:ilualion form is intended to he used oul� as a guide to Assist lobdoitilrrs and cite irontntmal pruff_sionals !it
cailierina the data required bN the United States Alnn Corpr�f Dighleers to make a preliminorN assessment of stream
qualhi. The total score resulting ftum the comri rtic,n of this fc-rin is subject io LS.4C'E al)pro-,:ll and cines not implz a
pilrliculzil' tlltiaStiGn 1':l1iG G1' F. -r.-: >.':4'jt"a : :I',i::' fie - i "r . , _ :!tai ie l:'....>e .c.11 I-

STREAM QUALITY ASSESSMENT `VORKSHEET
* These characterisiics are I cl asse_sed in coastal streams
CHARACTERISTICS EQ011TGMING (]1NTR.
SCC1Ttt
CoasSaI
1'jedrnont
141iautsiain.
l
Prescucc of flow /p etsfstent pools in stream
0-5
0-4
0-5
"
(no flow or saturation = 0: strong. flow = maxpoints)
I
2
Evidence of past human alteration
0-6
0-5
0-5
(extensive alteration = 0. 130 alteration = 111al paints)
T `
Riparian gone
0 6r
0-41-4
1
f/1�
11-.•
(zoo buffer=0:cotiti uous.,videbuffer=max oints)
'
40-5
Lvidence of nutricnt or chenrical discharges
0-4
0-4
4 `
(extensive discliarg�s = 0:110 discharges = maxpoints)
roe:
5
C.roundwaIcrdisebarge
0_3
0-4
0-4
d
(no dischar e = 0: springs. seeps, wetlands. etc. = max~ ohits)
6
Presence of adjacent floodplain
0-4
0-4
0-2
(no flood lain = 0. extensive floodplain = max points)
Entrenchment Ifloodplain access
4-5
U—
0—?
F"
(deeply entrenclie.d = 0: frequent floodiaae. = mai points)
i
$
Presence of adjacent wetlands
0-6
0 — #
4—?
�-
p
{no wetlands = 0; large adjacent wetlands =max i
9
Channel sinuosity
0-5
0-4
0-3
1+(extensive
chaipnelintion = 0: natural meander =max pints)
10
Sediment input
0-5
0-4
0-4
(extensive deposition-- 0; little or no sediment = max oink)
Size & diversity of channel teed substrate
N.A*
0-4
0_5
t t
(fnie homogenous = 0: large. diverse sizes =• map ousts)
12
Evidence of channel incision or widening
0-5
0-4
0-5
-
(deeply incised = 0: stable bed & banks = max oints)
bank failures
13
Presence of major
0-5
0—S
0-5
(severe erosion = 0: no erosion. stable banks = maxpoints)
14
Root depth and density an banks
0-3
0-4
0-5
(no visible roots = 0; dense roots throughout = mak oints
15
Inplpact by agriculture, livestock, or timber production
0-5
0-4
0-5
(substantial impact =0: no evidence = max oints)
16
Presence of riffle-pooUripple-pool complexes
0-3
0-5
0-6
Ono riffles/ripples or pools = 0. well-developed = maxpoints)
17 1
Habitat complexity
0-6
0-6
0-6
l
(little or no habitat = 0: frequent. varied habitats = Max ofstts
1$
Canopy coverage over streantbed
0-5
0-5
0-5
(no s)>,ading vegetation = 0. continuous canopy = max oints)
19
Substrate embeddedness
�'��
0-4
0 — 4
{deeply embedded = 0 loose structure = mite:)
`0
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
(no evidence = 0. common. numerous n es = max oinis)
,1
Presence of amphibians
0_4
0-4
0-4
0
Q
—
(no e%,iderce = 0: conuncn, numerous tt _es = mai POOtsl
a
�,
Presence of fish
0-4
0--4
0-4
C)
(no evidence = 0: common. nrniaerai3s i~� es = inax o'snts }
Evidence of iv ildlife use
J0-6
6 — 5
0 _ i
w P_}
—
foo ek iderice = 0. abundant evidence = mx points)
Total Points Possible
100
100
100
Tf]x4L SCORE (also ,enter on
first pace)
* These characterisiics are I cl asse_sed in coastal streams

NC DWO Stream ldentification Form Version 4.11 �Sw q (�a
Date:
ProjectlSite: P
Latitude:(
Evaluator: � _ , �nj rlgvte IL. �1Gt # g ii f�
County: }
Longitude:. 2, W_
Total Points:
Stream is at leas tintermitter; t
Stream Determination jcircle_onej,
Ephemeral Intermittent (I1irennlal)
other
e.g Quad Name:
it? 19 orperennial if z 30*
�-
0
A. Georrlo hCla (Subtotal= } 5• �)
Absent
Weak
Moderate
Strong
1' Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
(' 2--)
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Activelrelict floodplain
0
No = 0
2
3
8. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0)
1
2
3
8. Headcuts
0
i' 1 }
2
3
9. Grade control
0
0.5
i)
1.5
10. Natural valley
0
0.5
1
1.4
11. Second or greater order channel
No
0
I Yes = 3
Sketch: Y 5'
a artificial ditches are not rated; see discussions in manual
B_ Hvdroloov (Subtotal = q r C-) 1
12. Presence of 13asetlow
0
1
2
3
13. Iron oxidizing bacteria
0
1 j
2
3
14. Leat litter
1.5
1
(0.5)
0
15. Sediment on plants or debris
0
1
1
i.
16. Organic debris lines or tapes
0
0.5
1
(1.5
17. Soil -based evidence of high water tabte7
4'i
No = 0
1
Yesr 3
C_ Rioloov (Subtotal =
18. Fibrous roots in streambed
3 }
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macr>obenthos (note diversity and abundance)
0_
( 1)
2
3
21. Aquatic Mollusks
(0 1)
1
2
3
22. Fish
(_ 1
0.5
1
1.5
23. Crayfish
4'i
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
v
FACW = 0.75; OSL = 1.5
Other -7'0)
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch: Y 5'
Qll W W `&V :

.s

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Oriciins v. 4,11
NC DWQ Stream Identification Form Version 4.11
Date: ��/ 1 -
Project/Site: Ac
Latitude: to 1� (I C q
Evaluator:
County: `k
Longitude:
Total Points:
Stream is at feast Intermittent �.
Stream
Stream Determination (cir
Ephemeral Intermitten Perennial
p
tither
e- Quad Name:Lt,'��fP tn��
if z 19 orperennial il? 30"
2. Sinuosity of channel along thalweg
re
A. Geomorphology (Subtotal =E�_ }
Absent
Weak
Moderate
Strong
I" Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
CD
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1,
1
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
No = 0
2
3
fi. Depositional bars or benches
0
0.5
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
01
ACW = 0.75:
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1.5
11. Second or greater order channel
No - 0
es = 3
Sketch:
a artificial ditches are not rated-, see discussions in manual
B. Hydrology (Subtotal = _ }
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0 )
1
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
0.
1
1.5
16. Organic debris lines or piles
0
.5
1
1.5
17. Soil -based evidence of high water table?
Q
No = 0
1
es = 3
C. Biology (Subtotal =)
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
Q
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
0
.5
1
1.5
26. Wetland plants in streambed
ACW = 0.75:
OBL = 1.5 Other = 0
'perennial streams may also be identified using other methods, See p. 35 of manual.
Notes: La< "'Wile q fA .
Sketch:
41

USAC1a AIII DWQ # Site #_ (indicate on attached map)
o ; STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: ACP
3. Date of evaluation: �' q�ti7
UNT to ,r
5. Name of stream: LPI -e C rftP'u
7. Approximate drainage area:
9. Length of reach evaluated:
2. Evaluator's name: �P6_11 �AIVIIIN I -N
4. Time of evaluation: t0361
6. River basin:
8. Stream order:++
18. County: 1.z-61
11� -
11. Site coordinates (if known): prcf'er in decimal degrees. 12. Subdivision name (if any)::
Latitude (ex. 34.8723121: 35" • Ro ( R Longitude (ex. -77.556611):_ " C l • { _-
Method location determined (circle): GPS 7bpo 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):
14. Proposed channel work (if any): —e � l &—
15. Recent weather conditions: NocrVA14
16. Site conditions at time of visit: , Arm -
17. Identify any special waterway classificat'i`oJns known: iSection 10 Nidal 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 luation paint? YES If yes, estimate the water surface area:
14. Does channel appear on IJSGS quad map YE NO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land user % Residential �% Commercial �% Industrial 15%a Agricultural
% Forested %u Cleared 1 Logged % Other
22. Bankfull width: 1c7 233. Bank height (from bed to top of bank): S
24. {Channel slope down center of stream: ,Flat (0 to 2%) V t_,entle (2 to 4%e) _Moderate (4 to 10%) !Steep (>I 0%)
25. Channel sinuosity: Straight Occasional bends YFrequent 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 duality. qj
Total Score (from reverse): Lo + Comments:
Evaluator's Signature ./ 44=AgfzM Date I ' ' Q
This channel evaluation form is r inaed/C h-AgiWed. 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 06103. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
These characteristics are not assessed in coastal streams.
# "
ECO�REGION POINT
RANGE
,
_ - CHARACTER STICS
SCORE
Coastal
Piedena�rt
Mountain .
l
Presence of flow i persistent pools in stream
0-5
0-4
0-5
(no flow or saturation = 0; strong flow = max pints)
2
Evidence of past human alteration
0-6
0-5
0-5
extensive alteration = 0; no alteration = max points)
Riparian zone
0-6
0-4
0 - 5
no buffer = 0; contiguous, wide buffer = max pints)
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
(extensive discharges = 0; no discharges = max dints)
5
Groundwater discharge
0-3
0-4
0-4
(no discharge = 0; springs, see s, wetlands, etc, = maxpoints)
,..�
Presence of adjacent floodplain
0 4
0-4
0 2
no floodplain - 0; extensive floodplain = max points)
I�
Entrenchment / floodplain access
0- 5
D 4
0- 2
(deeplyentrenched = 0; frequent flooding= max points)
8
Presence of adjacent wetlands
0-6
0-4
0-2
no wetlands = 0; targe adjacent wetlands = rnax points)
Channel sinuosity
0- S
D- 4
0- 3
(extensive channelization = 0; natural meander max Points)
f 0
Sediment input
0 5
0- 4
0- 4
extensive deposition= 0; little or no sediment = max points)
l l
Size & diversity of channel bed substrate
,
0-4
0 - 5
oo
(fine, homogenous = 0; large, diverse sizes = max points)
12
Evidence of channel incision or widening
--
05
0-4
0-5
e
de1 incised = 0; stable bed & banks =rnaxpoints)
,..i
13
Presence of major bank failures
0-5
0-5
0-5
(severe erosion = 0; no erosion, stable banks = maxpoints)
Z
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
` f
(substantial impact =0; no evidence = max points)
l6
Presence of riffle-pool/ripple-pool complexes
00
T
i
no riffles/ripples les or vols = 0• well-developed = rnaxpoints)
17
Habitat complexity
0-6
0-6
0--6
(little or no habitat - 0; frequent, varied habitats = maxpoints)
d1
S
Canopy coverage over streambed
0- 5
0- 5
0- 5
(110 shading,vegetation = 0; continuous canoe = max points)
1
Substrate embeddedness
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 = max oints
21
Presence of amphibians
0-4
0-•4
0-4
j
no evidence = 0; common, numerous types = maxpoints)
Q
22
Presence of fish
0-4
0=4
0-4
(no evidence = 0; common numerous types = max points)
23
Evidence of wildlife use
0- 6
0- S
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.

tea. qtr

X.a
r
y
�I
` .A< -

USAGE AID#
DWQ#
L.
Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT' WORKSHEET
Provide the following information for the stream reach under assessment.
I. Applicant's name:.° ; °�' °�"" 2. Evaluator's name;* s�
3. Date of evaluation:
G^. 4. Time of evaluation:
5. Nance of stream:- UNT to Quankey Creek
7. Approximate drainage arca: �>D oice-e
9. Length of reach evaluated:
6. River basin:_���e -
8. Stream order:
10. County:
11. Site coordinates (if known): prefer in decimal degrees_ 12. Subdivision name (if any):
� sc� 1 r ,
Latitude (ex. 34.972312): S6 d,26° �O. 6f r �, Longitude (ex. --77.556611): 77
Method location determined (circle): 40�1 Topo Sheet Ortho (Aerial) PhotoiGIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying streams) location):
14. Proposed channel work (if any
WOM
15. Recent weather conditions: N ✓1'•x- - P
16. Site conditions at time of visit; Mal .1
17. Identify any special waterway classifications known: Section 10 —Tidal Waters Essential Fisheries Habitat
Trout WatersOutstanding Resource Waters Nutrient Sensitive Waters _Water Supply Watershed (1 -IV)
18. Is there a pond or lake located upstream of the evaluation point? YESIf yes, estimate the water surface area:
19. Does channel appear on USGS quad map2 YES {rte) 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: `% Residential % Commercial %n Industrial ' %n Agricultural
% Forested %, Cleared 1 Logged°!} Other ( )
2.2. Bankfull width: t 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream; `�F lat (0 to 2%) Gentle (2 to 4%) _Moderate (4 to 10%) —Steep (> 10%)
25, Channel sinuosity: —Straight Occasional bends '.4Frequent meander -__-_Very sinuous Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecorcgion 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 ecorcgion. Page 3 provides a brief description of how to review the
characteristics identified in the workshect. 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.
f�
Total Scare (from reverse); r Comments:
Evaluator's Signature I` � �� Date
This channel evaluation form is intended to be used only as a guide to assist landowners and envlronmental 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 (if this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06103. To Comment, please call 919-876-6441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
TOTAL SCORE (also ether on first page)
* These characteristics are not assessed iii coastal streanis.
ECOREGION POINT
RANGE
SCORE
#
CHARACTERISTICS
Coastal
Piedmont
Mountain
1
Presence of flow 1 persistent pools in stream
0-5
0-4
0-5
(no flow or saturation= 0; stropy flow= max points)
.
2
Evidence of past human alteration
fl -0
0-5
a—s
�..:.
(extensive alteration = 0, no alteration = max points)
3
Riparian zone
0-6
0-4
fl_S
(no buffer = 0; continuous, 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 points)
,.�
b
Presence of adjacent floodplain
0- 4
0 4
0 2
(no flood lath = 0` extensive floodplain = max oints)
......
Entrenchment i floodplain access
0_ 5
0- 4
0-
(deeply entrenched = 0; frequent flooding = max points)
8
Presence of adjacent wetlands
0-6
1 0-4
0-2
(no wetlands = 0; large adjacent wetlands = max points)
9
Channel sinuosity
0 ..... 5
0 4
fl 3
(extensive channelization = 0; natural meander = max points)
to
input nput
0-5
0--4
0-4
�._.
(extensive deposition= 0; little or no sediment = maxpoints)
.....
[ l
Size & diversity of channel bell substrate
NA*
0-4
0-5
(fine, homogenous = 0; large, diverse sizes = max points
120-5
Evidence of channel incision or ►videning
0-4
0-5
(deeply incised = 0; stable bed & banks W max poitzts)
13
Presence of major bank failures
..5
0_5
0 5
0.1..5
(severe erosion = 0; no erosion, stable banks = max points)
YW
14
Root depth and density on banks
0-3
0--4
0-5
(no visible roots = 0; dense roots throw hout = max points
1 S
Impact by agriculture, livestock, or timber production
0-5
fl- 4
0-5
substantial impact =0; no evidence = maxpoints)
16
Presence of riffle-poollripple-pool complexes
0-3
0--5
0-6
_ .
(no riffleslripples or pools = 0; well-developed = max points)
l�
Habitat complexity
0-6
0-6
0-6
�
(little or no habitat - 0; frequent, varied habitats = max poiarts)
Canopy coverage over streambed
0- 5
0- 5
0_5
18
(no shading vegetation = 0; continuous canopy = max pints)
19
Substrate embeddedness
NA*
0-4
0-4
embedded, U• loose structure = max) �
_.
_..._
_
20
_(deeply
_..._Presence of stream invertebrates (..see page 4)
0--4
U -.S
0-5
(no evidence = 0- coinnion numerous types = maxpoints)
tj
21
Presence of amphibians}
0-4
0 - 4
0-4
Q
(no evidence = 0; common, numerous types = max points)
C�
22
Presence of fish
0-4
0-4
0--4
(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 points)
_
Total Points Possible
100
100
100
TOTAL SCORE (also ether on first page)
* These characteristics are not assessed iii coastal streanis.

shlg005
NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC UWQI Stream Identification Form Vet-sion 4.11
mate:+ £ �l `
Projectl5ite: j%
� ,i �� FF��B+,
Latitude: '" )0 �.
f
Evaluator: i )�
County: ilf jrb
0
Longitude:'" "3X')6 - 6 10
Total Points:-
is least intermittent
Stream Deterrrtination_.(circle one)
other
UNT to Quankey Cr ek
Stream at
Ephemeral Intermitten#
Perennial
e.g. Qua
1
if L, 19 car perennial if 2:30'
3
21. Aquatic Mollusks
»'
A. Geomorphology [Subtotal = r ���.-.- }
2
3
Moderate Strong
Absent
Weak
1 a Continuity of channel bed and bank
23. Crayfish0
0
r5-)
3
1.5
2. Sinuosity of channel along thalweg
0
1 '�
2
3
25. Algae
3. In -channel structure: ex. riffle -pool, step -pont,
t p
0
1
2
3
ri ie- ool sequence
FACW -10.75; OBL = 1.5 Other = 0
01
"perennial streams may also be identified using other methods. See p. 35 of manual.
2
-
3
4. Particle size of stream substrate
5. Activelrelict floodplain
Q
pm.
_2
3
F. Depositional bars or benches
01
''
2
3
7. Recent alluvial deposits
0
1
a2
3
8. Headcuts
0
; 1
Z
3
9. Grade control
0
0.5
0
1.5
10. Natural valley
0
0.5
`�'=.
1.5
11. Second or greater order channel
No �.0 i
Yes = 3
artificial ditches are not rated: see discussions In manual
B. H drolo Subtotal =
12. Presence of Baseflow
o
1
2
_ 3
13. Iron oxidizing bacteria -
'
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
0.5
1.5
17 5 -it -based evidence of high water table?
No R 0
Yes = %
Subtotal � �}
C. Biology
18. Fibrous roots in streambed
2
1
0
19, Rooted upland plants in streambed
2_
1
0
20. Macrobenthos (note diversity and abundance)
R(C-A)
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish0
r5-)
1
1.5
24. Amphibians _
0
1
1.5
25. Algae
t p
0.5 j
1
1.5
26. Wetland plants in streambed
FACW -10.75; OBL = 1.5 Other = 0
"perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
41

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i )
Ilk

Jw 4
yy tT
1L
VN
� �', rs"'S%l ��%` ti ' h • • fir, . '' -+��" •>,
' ,Ile �.`.
r ,r
i
r
n
► �+ , .r� .�y " ,

USACE AID#_
DWQ # Site 4
(indicate on attached map)
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment: -AW
I. Applicant's name. b[ ,ni n .r -M w 2. Evaluator's name: L-3
3. Date of evaluation: 4. Time of evaluation: P3 ; r)
5. Name of stream: _ y �6��WfRivcr basin:_ Tar -Pamlico
7, Approximate drainage area: ii rbc) ry ' S. Stream order:
9. Length of reach evaluated: I 10. County: '
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
17
Latitude (ex- 34,872312): 4 Longitude (ex. --77.556611): 7
Method location determined (Circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS tither
13. Location of reach under evaluatiZsri [note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any):
15. Recent weather conditions: C
i f
16. Site conditions at time of visit:
17. Identify any special waterway classifications known: 0­!�-Section 10 ABTidal Waters +essential Fisheries Habitat
/Trout Waters ,--`outstanding Resource Waters Nq:Nutrient Sensitive Waters ^fAVater Supply Watershed (I -[V)
18. Is there a pond or lake located upstream of the evaluation point? YESNC If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? KE7N0 20. Does channel appear on USDA Soil Survey? �@ESS6�:NO
21. Estimated watershed land use: _% Residents' ^% Commercial �% IndustrialD/o Agricultural
YN. Forested �% Cleared 1 Logged �% Other (
22. Bankfull width:
23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: Flat (0 to 2%) _Gentle (2 to 4%) —Moderate (4 to 10%) _Steep (> 10%)
25. Channel sinuosity; X 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 (lie
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), (lie 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,
Evaluator's Signature ILea ©ate
This channel evaluatio orm is int n o 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
duality. 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 419-875-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
CHARACTERISTICS
ECOREGION POINT RANGE
Coastal
Piedmont
Mountain
SCORE
1
Presence of flow 1 persistent pools in stream
no flow or saturation = 0; strop flow = max oints
0-5
0-4
0-5
2
Evidence of past human alteration
extensive alteration = 0; no alteration = maxpoints)
0-6
0-5
0-5
3
Riparian zone
no buffer = 0; confi uous wide buf%r =max eaints
0 - 6
0-4
0 -- 5
4
Evidence of nutrient or chemical discharges
extensive discharges = 0; no discharges = maxpoints)
0-5
0-4
0-4
5
Groundwater discharge
no discharge = 0; springs, see s, wetlands, etc. = max points
0-3
0-4
0-4
6
Presence of adjacent floodplain
no floodplain = Q; extensive floodplain = max oints
0 - 4
0-4
0-2
7
Entrenchment/ floodplain access
(deeply entrenched = 0• fmcluent flooding = maxpoints)
0-5
0-4
0-2
8
Presence of adjacent wetlands
no wetlands = 0• lar a adjacent wetlands = max points)
0_ 6
0- 4
0- 2
9
Channel sinuosity
(extensive channelization = 0, natural meander = max points)
0-5
0 - 4
0-3
10
Sediment input
extensive deposition= 0• little or no sediment = maxpoints)0-5
0 - 4
0-4
11
Size & diversity of channel bed substrate
(fine homogenous = 0• large, diverse sizes =max pints)
NA
0-4
0-5
12
Evidence of channel incision or widening
(deeply incised = 0; stable bed & banks = maxpoints)
0-5
0-4
0-5
a4
13
Presence of major bank failures
;
severe erosion = 0- no erosion, stable banks = maxpoints)
0-5
0-5
0-5
14
Root depth and density on banks
no visible roots = 0; dense roots throughout = maxpoints)0-3
0 - 4
0- 5
15
Impact by agriculture, livestock, or timber production
j
substantial impact =0; no evidence = max points)
0-5
0-4
0-5
5
I
16
Presence of riffle-pool/ripple-pool complexes
F+
Flo riffles/ripples les or pools = 0; well-developed = max oints
0-3
0 - 5
0 ti
17
Habitat complexity
little or no habitat = 0; frequent, varied habitats = maxpoints)
0-6
0-6
0-6
18
Canopy coverage over streambed
x
no shadingve etation = 0; continuous rano = max points
0-5
0 - 5
0-5
14
Substrate embeddedness
(deeply embedded = 0; loose structure = max)
NA
0-4
0-4
�tJ
20
Presence of stream invertebrates (see page 4)
no evidence = 0• common numerous types = max pints)
0-4
0--5
0-5
C�
21
Presence of amphibians
no evidence 0; conanion, numerous es = max pints)
0-4
0-4
0-4
22
.=
Presence offish
(no evidence = 0• common, nu.rnerous types = max points)
0- 4
0- 4
0- 4
23
Evidence of wildlife use
0-6
0-5
0-5 -5
no evidence = 0• abundant evidence = max 2oints)
Total Points Possible
100
100
100
TOTAL SCORE (also enter on first page)
* Thesc
characteristics are not assessed in coastal strean3s.

NC DWQ Stream Identification Form Version 4.11
Date: - (L
Project/Site
Evaluator:
,
County: "4c
Total Points:
'
Stream is at least intermittent j ,�
Stream
m StreaDe Determ'
if a 19 or perennial if z30-
E P tern
A. Geomorphology (Subtotal = U yKb-
1 B. Fibrous roots in stream bed
ent
12 Continuity of channel bed and bank
0
2. Sinuosity of channel along thalweg
0
3. In -channel structure: ex. riffle -pool, step -pool,
1
ripple -pool sequence
0
4. Particle size of stream substrate
0
5. Active/relict Floodplain
6. Depositional bars or benches
0
T Recent alluvial deposits
0
8, Headcuts
0
9. Grade control
0
10. Natural valley
0
11. Second or greater order channel
o =
artificial ditches are not rated; see discussiTDs in manual
1
B. H drolo Subtotal _
0
12. Presence of Basefiow
0
13. Iron oxidizing bacteria
0
14. Leaf litter
1.5
15. Sediment on plants or debris
0
16 Od
Weak
1
1
1
�5 14L-6 E)6 7
t'
Latitude:�'
Longitude:' 7 ° ' /
one) other UNT to Marsh Swanip
annial e.g. Quad Name:
2
2
1
Yes = 3
1 2
1 2
1 0.5
1
rganlc ebrrs lines or plies
0 1
0.5
17. Soil -based evidence of high water table?
No = 0
±--7�(Yes = 3
C. BiologySubtotal = 7.25
1 B. Fibrous roots in stream bed
3
2
1
19. Rooted upland plants in streambed
2
1
20. Macrobenthos (note diversity and abundance)
0
1
2
21. Aquatic Mollusks
1
2
22. Fish
0 ,
0.5
1
23. Crayfish
051
24. Amphibians
0
0.5
1
25. Algae
0
0.
1
26. Wetland plants in streambed
W = 0-75)(013L
= 1.5 Other = 0
`perennial streams may also be identified using other methods. See
p. 35 of manual,
Notes:
Sketch:
shlgl
3
3
0
1.5
1.5

16
•1
Av

SHLGO07 — Facing East Cross Stream View

USAGE AID# DWQ # Site # (indicate on attached map}
F911 STREAM QUALITY ASSESSMENT WORKSHEET
hE
Provide the following information for the stream reach under assessment:
I. Applicant's name: l.�,,-}}S��rL 2. Evaluator's name:-
3. Date of evaluation; �� ' �`T 4. Time of evaluation:
5. Name of stream: XMA f,I,c2.Wl `� t 1 " 41� �i er basin: Tar -Pamlico
7. Approximate drainage area:'+�
pp g 8. Stream order:
9. Length of reach evaluated: _ 10. County: A i
11. Site coordinates (if known): C prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): i[ Lg-~Longitude7 �c I / p �r
(ex. —77.556611): _Z � u �f ! • -/ Oz) � �
Method location determined (circle):PS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
I3. Location of refcr � under � aluation (note nearby roads and landmarks and attach map identifying stream(s) location)
,
14. Proposed channel work (if
15. Recent weather conditions
16. Site conditions at time of v
17. Identify any special waterway classifications known: tA— ection 10 �idal Waters NA sential Fisheries Habitat
ut Waters outstanding Resource Waters ; kutrient Sensitive Waters V�-W—Water Supply Watershed IN-lV)
18. Is there a pond or lake located upstream of the evaluation point? YES 101fyes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES (!T,,/ 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: �% Residential —% Commercial �% Industrial V%o Agricultural
1'a % Forested _% Cleared / Logged 6% Other (
22. Bankfuil width: � 23. Bank height (from bed to top of bank): 'z'
24. Channel slope down cc ter of stream: Flat (0 to 2%) —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 oil
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 workshect. 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 104 representing a stream of the
highest quality.
Total Score 1(from reverse): I Comments: +t -c azczS� S' t-1-cs
Evaluator's Signature pate [ tJ t� ! 4-1
This channel evaluation fore ,1 i tended to a 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 x26.

STREAM QUALITY ASSESSMENT WORKSHEET
CHARACTERISTICS
ECUREGIQN POINT RANGE
Coastal
Piedmont
Mountain
SCORE
1
Presence of flow / persistent pools in stream
no flow or saturation = 0; strong flow = max oints
0-5
0-4
0-5
2
Evidence of past human alteration
extensive alteration = 0; no alteration = Maxpoints)
0-6
0---5
0-5
3
Riparian zone
no buffer = 0; contiguous, wide buffer = max oints
0-6
0-4
0-5
4
Evidence of nutrient or chemical discharges
extensive dischar es = 0; no dischar es = max oints
0-5
0-4
0-4
5
Groundwater discharge
no discharge 0; springs, see s, wetlands, etc. = maxpoints)
0-3
0-4
0-4
6
Presence of adjacent floodplain
no floodplain = 0; extensive floodplain = maxpoints)
0-4
0-4
0-2
Entrenchment / floodplain access
p'"
(deeply entrenched � 0• fie uent flooding = maxpoints)
0-5
0-4
0-2
8
Presence of adjacent wetlands
-
no wetlands = 0• large ad`acent wetlands = maxpoints)
0-6
0 —4
0-2
Channel sinuosity
extensive channeftation = 0; natural meander = max oints
0-5
0-4
0-3
10
Sediment input
�y
(extensive deposition— O° little or no sediment = max oims
0-5
0-4
0-4
11
Size & diversity of channel bed substrate
fine homogenous = 0; large, diverse sizes = max pints)
NA*
0-4
0-5
12
Evidence of channel incision or widening
IL
(deeply(Jeeply incised = 0;. stable bed & batiks = maxpoints)
0-5
0-4 1
0-5
13
Presence of major bank failures
severe erosion = 0; no erosion, stable banks = maxpoints)
0-5
0-5
0-5
14
Root depth and density on banks
no visible roots = 0• dense roots throe bout = max oints
0-3
0 —4
0-5
15
Impact by agriculture, livestock, or timber production
substantial inn act =0; no evidence = maxpoints)
0-5
0-4
0-5
16
Presence of riffle-pool/ripple-pool complexes
H
no riffles/ripples les or pools = 0; well-develo ed -max ants}
0-3
0-5
0-6
[�
17
Habitat complexity
little or no habitat = 0; frequent, varied habitats = maxpoints)
0-6
0-6
0-6
18
Canopy coverage over streambed
no shadingvegetation = 0; continuous canopy= maxpoints)0-5
0 — 5
0 — 5
19
Substrate embeddedness
dee 1 embedded = 0; loose structure = max)
NA
0 4
0 4
20
Presence of stream invertebrates (see page 4)
no evidence = 0• common numerous types = maxpoints)
0-4
0-5
0-5
U7
21
Presence of amphibians
Cal
no evidence = 0; common, numerous es = max points)
0 _
0-4
0 — 4
MU
22
Presence of fish
(no evidence.= 0; common, numerous types = max points)
0-4
0 — 4
0-4
23
Evidence of wildlife use
oto evidence = 0; abundant evidence = max points)
0-6
0 — S
0 — 5
Total. Points Possible
106
100
100
TOTAL SCORE {also enter on first page)
lill
7
* These
characteristics are not assessed in coastal streams,

NC DWQ Stream identification Form ''Version 4.11
Date: _ 10
+ Project(Site:5x � Latitude-3�0/ f 'L/,7.6I "
Erraivat❑r:t. f„r '�]� County; Longitude:
Total Points: t pp € rmination {circle one) other UNT to Marsh Swa p
Stream is at least intermittent 4-J `
if � 19 or erenniat if a30* a phemera Intermittent Perennial e,g, Quad Name:
wa, v— — GAG I -t I&MU, sem ulticussions.4n manual
B. Hydrology Subtotal v
12. Presence of Baseflow
0
1
2
3
13, Iron oxidizing bacteria
0
q
3
14. Leaf fitter
1.5
i
5'`
0
15. Sediment on plants or debris
0
1.5
16. Organic debris lines or piles
0
10.5
1
1.5
17. Soil -based evidence of high water ta.bie?
No = 0
es = 3
C. Biology Subtotal
18. Fibrous roots in streambed
3
2
T
0
19. Rooted upland plants in streambed
3
2
0
20. Macrobenthos {note diversity and abundance)
1
2
3
21. Aquatic Mollusks
0)
1
2
3
22. Fish
0j
0.5
1
9.5
23. Crayfish
p
0.5
1
1,5
24. Amphibians
0
0.5
717
1.5
25. Algae
1
1.5
26. Wetland plants in strearnbed
ACW = 0.75,
BL = 1.5 Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual
Notes:
Sketch: \ m*07
"gwe
shIg008

SHLGO08 — Facing East Up Stream View
SHLGO08 — Facing West Down Stream View

SHLGO08 — Facing North Cross Stream View

USACE AID# DWQ # Site # (indicate on attached map?
-71 STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach underassessment:
1. Applicant's name: 2. Evaluator's name:
3. Date of evaluation: o 4. Time of evaluation:
5. Name of stream; rty1 v ryt r � a0r R r basin:`Tar-Pamlico
7. Apptoxima€e drainage area: f 8. Stream order:
9. Length of reach evaluated: 10. County:
I I. Site coordinates (if known), prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): -L gr � O DO' L
Longitude (ex.—77.5566Z 1 ):
Method location detennined (circle): G1'S opo Sheet Ortho (Aerial) Phot&GIS Other GIS Other
13. Location of reach under evalua ote nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any): U -1v -
15. Recent weather conditions: MZV!1AAt a A LN -1 J
16. Site conditions at time of
17. Identify any special waterway classifications known: Section 10 idal Waters JQ*—ssential Fisheries Habitat
rout Waters Outstanding Resource Waters /OkNutrient Sensitive Waters Water Supply Watershed
18. is there a pond or lake located upstream of the evaluation point? YES NO If yes, estimate the water surface I.
ar
19. Does channel appear on USGS quad map? ES NO 20. Does channel appear on USDA Soil Survey? YES O
21. Estimated watershed land use: `%o Residential �% Commercial i% Industrial
14u%
% Forested _% Cleared / Logged —% Other (
22. Bankfiall width: 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: '� Flat (0 to 2%) _Gentle (2 to 4%) Moderate (4 to 10%) —Steep (>I0%)
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 __tom reverse ;Comments: <;, �
•�
Evaluator's SignatureQ�w Date -- �b — L. -
This channel evaluation f m is irite ed to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to matte a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change — version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
C>1IARA.CTERISTICS
ECOREGION POINT
RANGE
Coastal
Piedmont
Mountain
SCORE
1
Presence of flow I persistent pools in stream
no flow or saturation = 0; strong flow = max points
0-5
0-4
0-5
2
Evidence of past human alteration
extensive alteration = 0; no alteration = max oints
0-6
0-5
0-5
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 dischar es = 0; no discharges = max Dints
0-5
0-4
0-4
5
Groundwater discharge
no discharge = 0; srip s, see s, wetlands, etc. =max Dints
0 — 3
0-4
0-4
6
Presence of adjacent floodplain
>
no floodplain = 0 extensive flood lain = max oints
0—
0-4
0 2
a7
Entrenchment 1 floodplain access
dee l entrenched = 0; fre cent floodin = max oints
0-5
0-4
0 — 2
8
Presence of adjacent wetlands
no wetlands = 0• large ad'aeent wetlands = max oinis
0-6
0-4
0-2
/
9
Channel Si[kU(kSity
extensive channelization = 0; natural meander = maxpoints)
0-5
0-4
0-3
10
Sediment input
extensive deposition= 0• little or no sediment = max Dints
0-5
0-4
0-4
11
Size & diversity of channel bed substrate
fine homogenous = 0; far a diverse sizes =max Dints)
N`°'
0-4
0 — 5
12
Evidence of channel incision or widening
(deeply incised = 0; stable bed & battles = maxpoints)0-5
0 4
0-5
13
Presence of major bank failures
severe erosion = 0• no erosion, stable banks = maxpoints)
0-5
0-5
0-5
14
Root depth and density on banks
H
(no visible roots = 0• dense roots throughout = maxpoints)0-3
i5
Impact by agriculture, livestock, or timber production
EO—
FO—
substantial impact =0; no evidence = max points)
0-5
16
Presence of riffle-pool/ripple-pool complexes
F
no riffles/ripRies or pools = 0; well-developed = max Dints)
0-3
0--5
0-6
17
Habitat complexity
little or no habitat = 0; frequent, varied habitats = maxpoints)
0-6
0-6
0-6
18
Canopy coverage over streambed
rno
shadingvegetation = 0; continuous canopy= maxpoints)0-5
0 5
0-5
19
Substrate embeddedness
(deeply embedded = 0; loose structure = max)
NA*
0-4
0-4
20
Presence of stream invertebrates (see page 4)
no evidence = 0• common numerous tvDes = max hints)
0-4
0-5
0-5
21
Presence of amphibians
no evidence = 0; common, numerous es --,.max points)
0 4
0— 4
0— 4
0
22
Presence of fish
00
no evidence = 0; common numerouses =max Dints}
0-4
0-4
0-4
23
Evidence of wildlife use
no evidence = 0; abundant evidence =max Dints]
0-6
0-5
0-5
Total Points Possible
100
100
100
TOTAL SCORE (also enter an first page),
*'These
characteristics arc not assessed in coastal streams.

shIg009
NC DWQ Stream Identification Forth Version 4J
Date:
ProjectfSite:
t��!
Latitude: 340Y
Evaluator: t
i
County:t
Longitude: a0
Total Points:
Stream is at least intermittenntt
Stream Determination (c
Other U NT to Marsh Swarr p
a Igor perenniaii{230-
Ephemeral Intermittent erenni
e.g. Quad Name:
A. Geomorphology (Subtotal =}
Absent
Weak
Moderate
Strong
19 Continuity of channel bed and bankJQ
1�4
2
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure; ex. riffle -pool, step -pool,
3
ripple -pool sequence
0
2
3
4. Particle size of stream substrate
0
Cl)2
3
5. Active/relict floodplain
1
2
3
5. Depositional bars or benches
1
2
3
7. Recent alluvial deposits
1
2
3
B. Headcuts
0
1
2
3
9. Grade control
0
0.
1
1.5
10. Natural valley
0
0 5
1
1.5
11. Second or greater order channel
o = 0
Yes = 3
artificial ditches are not rated; see discus ions in manual
B. Hydrology Subtotal =
12 P
. resence of Baseflow 0 1
13. Iron oxidizing bacteria 0 1
14. Leaf litter 1.5 1
15. Sediment on plants or debris 0 0.5
15, Organic debris lines or piles 0 0.5
17. Soil -based evidence of high water table No = 0
C. Biology Subtotal =
18. Fibrous roots in streambed I z
19. Rooted upland plants in streambed 3
20. Macrobenthos (note diversity and abundance) 0
21. Aquatic Mollusks 0
22, Fish
23. Crayfish 0
24. Amphibians 0
25. Algae 0
25. Wetland plants in streambed F,
'perennial streams may also be identified using other methods. See P. 35 of manual.
Notes:
1 1 0
s-g- ----:
1
1
2
2
1
5 1
`�} 1
=0.75;

SHLGO09 — Facing West Up Stream View
SHLGO09 — Facing East Down Stream View

SHLGO09 — Facing North Cross Stream View

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWQ Stream Identification Form Version 4.11
Dater ,
Project/Site: `"~ "'a^ ��e
Latitude: 36.323444
Evaluator.
Count
Longitude: -77.648785
0
1
2
Total Points:
Stream is at least Intermittents S ��'�'
Stream Determination (cl5Je_QneJ
tither
.
ifs 99 yr erenniallf 30'��,
Ephemeral interrnitten erenni
e.g. Quad Name:
A. Geomorphology (Subtotal =��
Absent
Weak
Moderate
Strong
1a' Continuity of channel bed and bank -
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure. ex. riffle -pool, step -pool,
ripple -pool sequence
No = 0
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
!)
1
2
3
6. Depositional bars or benches
013
0.5
2
3
7. Recent alluvial deposits
0
1
M
3
B. Headcuts
0
1
2
3
9. Grade control
0.5
1
1.5
10. Natural valley
0
M
1
1.5
11. Second or greater order channel
a
No = 0
Yes = 3
artificial ditches are not rated; see discussions in manual
B. Hydrology Subtotal = _
12. Presence of Baseflow
0 1
2 3
13. Iron oxidizing bacteria
1
2 3
14. Leaf litter
1. 7
0.5 0
15. Sediment on plants or debris
0 0.5
1.5
1+6. Organic debris lines or piles
0 0.5
1.5
17. Soil -based evidence of high water table?
No = 0
Yes = 3
C. Biology (Subtotal= \ c}
18. Fibrous roots in streambed
s
2
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
0
2
3
21. Aquatic Mollusks
4)
1
2
3
22. Fish
0
0.5
f
1.5
23. Crayfish
0
0.5
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; DBI_ = 1.5 Other = 0
perennial streams may also be identified using other methods. See p_ 35 of manual.
Notes: �4 r C -. ,.rim 4_ £^.-^_ A:. S
Sketch:
[JL jC^'r1
4
CJ
�1
41

USACE AID# DWQ # Site # (indicate on attached map)
M
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
I. Applicant's name: 2-. n �, t _ 2. Evaluator's name"F-7 dice`; �':" ._.a ,.\,
3. Date of evaluation: s 4. Time of evaluation:
5. Name of stream.- ,<; ..._ �^ `� _ ^' 6. River basin: Tar -Pam
7. Approximate drainage area: 8. Stream order:
9. Length of reach evaluated: ' ` 10. County:
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): 36.323444 Longitude (ex. -77-556611):_ -77.648785
Method location determined (circle): , GPS Xopo Sh t Ortho (AeriaFj� t'hvtvlGtS Other G1S Other
13. Location of reach under evalua[tdn note t ea� roads and`lhndrnarks and attach map identifying stream(s) location):
r
14. Proposed channel work (if any):
15. Recent weather conditions;
16. Site conditions at time of visit: CA a,
t
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 � If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? t" E NO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: % Residential _% Commercial % Industrial ice) % Agricultural
% Forested _% Cleared 1 Logged % Other
22. Bankfull width: 1 -' 23. Bank height (from bed to top of bank): '
24. Channel slope down center of stream: TFlat (0 to 2%) ®Gentle (2 to 4%) _Moderate (4 to 10%) Steep (>10%)
25. Channel sinuosity: ,,.-` Straight Occasional bends Frequent meander Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): Comments:
'_ ..• �4U ^J1.� 'C �.a v.ss �-. +i 'ri.7^.iIS:4 '} -�'r -
Evaluator's Signature {, -- -~ Date 91 1 Q ! 1 5
This channel evaluation 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 06103. To Comment, please call 919-876-8441 x 26.

STREAM [QUALITY ASSESSMENT WORKSHEET
s
These c....
* haracteristics are not assessed in coastal streams.^�
!)t+ sr, .YYr'�<e✓ .vans+. " 2,�[�3 ."y. °int... n ,-,
Presence of now 1 persistent purals in stream
0-5 0-4 �
7c
5
N
1
(no flow or saturation _ 0,- strong flow Wax points)
E
Evidence of past hum alteratiarr
5 t
(extensive alteration = 0; no aittion= Max points)
(no buffe=r -= 0; cont�pou_s, wide buffer - max points)_
0-6 0-4
0
Evidence of nutrient or chemical discharges
0-5 01-4
'
(extensive. discharges 0; no discharges - tori points)
Groundwater discharge
(no discharge = 0; spr* s, seeps, Wetlands, etc. ma�L points)
._. {)
{ - 4'
7�"
�'
_
Presence ofadjacent floodplain
6
(no floodplain - 0; extensive flood lair! = rnax points)
® 4 ®
-
f} C7
Entrenchment/ floodplain access
i? w. 0 4
0
(deeply entfenclied 0,&aequent flooding -= max poirits)�
.
Presence of adjacent wetlands
0-6 0-4
0-2 0
I
t
(riuwetlands 0; large ad'tacent wetlands - roar points)
Channel sinuosity
9
(extensive channelization - 0; natural meanderrnax points)
0-5 (3-
0 3 'C)
—
Sediment input
1 {f
0--. 5 0 ._.. 4
0.-_ 4 t
(extensive deposition- 0; little or no sediment - max points)
i 1 Size diversity of channel bed substrate
rlr 0--4
0-5 t
(1'ine� horrtcr r�riouss = 0;large, diverse sizes = max points)
�_
i� Evidence of channel incisioo or Widening
0-5 4 4
0 5,_.
`
(deeply incised 0; stable bed & banks max paints)
¢
__. _._._ _
1 Presence of mayor bank failures
0 --5 0-5
f1
(severe erosion - 0; no erosion, stable banks - max points)
14 Root depth and density on banks
00
0 5
. (no visible roots = 0; dense roots throughout `- max points)
-
- -
.
tnipact by agriculture, livestock, or timber production
0-5 O-4
0-5
15
(substantial impact -0; no evidence max points)
Presence of riffle-pool/ripple-pool complexes
16
0- 0 5
06
(no rif�fles/ripples or pools - 0; well-developed max. paints}
_���
Habitat complexity
17
0-6 0- 6
0-6
1.
(little or no habitat - 0; frequent, varied habitats max points)
1 Canopy coverage over streambed
- -' -- (no shading vegetation = 0; continuous canopy - max paints)
0-5 fl 5
0-5 0
-
0-4
Substrate embeddedness
-�- �- _ (deeply embedded 0; loose structure rn:ix)
Presence of stream invertebrates (see page 4)-
0._4 0-5
0 5 1
20
(no evidence = 0; common, numerous types rt€ax points)
Presence of amphibians
1
(no evidence = 0; common, numerous types = max points)
fl- 4 0-4
0...- 4
`
Presence of fish
0 - 4 0-4
1} 4
(tics evidence W 0; common numerous types max points)
Evidence of wlldlrfe use
23 0-6 —0-5
0-5 r
(no evidence 0 abundant evidence max points)
"sc'-.i'4;N
'.S
��:..Y
•--4J,.;�'i � � 7 4� =R lr � � � 'y. '� k Y � ..�'q6 `L
".
Y.-
,b �.� x .. yrs, x•. �
_ 7. : s .t tr e,,
i9+19'.14 Lf
s
These c....
* haracteristics are not assessed in coastal streams.^�

Waterbody SHLB050 facing west upstream
.r-
Waterbody SHLB050 facing south downstream

Waterbody SHLB050 facing southwest across

USACE AID#
DWQ#
SfdL d Uc -
Site # (indicate on attached map)
FE11
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: 6 "yk vuL - 2. Evaluator's name_���
3. Date of evaluation: _ - `,'-( 4. Time of evaluation:
5. Name of stream: �� r^s�cti s t. 6. River basin:
7. Approximate drainage area:
(�' a 8. Stream order: 5
9. Length of reach evaluated: 10. County: y
11. Site coordinates (if known): prefer in decimaldegrees. 12. Subdivision name (if any):
Latitude (ex,34.8723l2).A211 ci . a • }1� Longitude (ex. -77.556611). -7 -7 ` L -
Method location determined (circle):G, PS 1 opa Sheet C7rtlio �Aeriai) Photo/GIS
G!5 Other
13. Location of reach under eva€uatt note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if -
15. Recent weather conditions
16. Site conditions at time of v
17. Identify any special waterway classifications known: /-Ulhection 10 Nidal Waters Essential Fisheries
Habitat
rout Waters P2b6utstanding Resource Waters Nutrient Sensitive Waters Water Supply Watershe d (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES 60)
NO if yes, estimate the water surface area:
19. Does channel appear on USGS quad map? NO 24. Does channel appear on USDA Soil Survey? YED NO
21. Estimated watershed land use: L% Residential % Commercial �% Industrial —Ye Agricultural
�.--�/o Forested _% Cleared / Logged _% Other
22. Bankfull width:
24. Channel slope down center of stream: _Flat (0 to 2%)
25. Channel sinuosity: Straightccasional bends
23. Bank height (from bed to top of bank):_, t
Gentle (2 to 4%) _Moderate (4 to 10%) Steep (]10%)
—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 SWe (frogt reversg):
comments:
�} f"
Evaluator's Signature /� Date
This channel evaluation r, is inten o he 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=1 L 41 06.
STREAM QUALITY ASSESSMENT WORKSHEET
* Thcsc characteristics are not assessed in coastal streams.
ECOREGION POINT
RANGE
CHARACTERISTICS
SCORE
Coastal
Piedmont
Mountain
1
Presence of flow 1 persistent fools in stream
0-5
0-4
0-5
no flow or saturation = 0; strong flow = maxpoints)
2
Evidence of past human alteration
o-6
0-5
0-5
41
extensive alteration = 0; no alteration = maxpoints)
3
Riparian zone
0-6
0-4
0-5
' 1"
no buffer = 0; contiguous, wide buffer = maxpoints)
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
extensive discharges = 0; no discharges = max oints
a
5
Groundwater discharge
0-3
0-4
0-4
no discharge = 0; springs, see s, wetlands, etc. = max oints
G
b
Presence of adjacent floodplain
O— �{
0-4
0-2
L
flood lain = 0; extensive floodplain = maxpoints)
a
Entrenchment 1 floodplain access
0-5
0-4
0-2
"
(deeply entrenched = 0; frequent flooding = max oints
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
''p^
extensive channelization = 0; natural meander = max Dints
10
Sediment input
0-5
0-4
0-4
{extensive deposition= 0; little or no sediment = max Dints
11
Size & diversity of channel bed substrate
NA*
0-4
0-5
1
tine, homogenous = 0; large, diverse sizes = maxpoints)
12
Evidence of channel incision or widening
0-5
0-4
0-5
L
(deeplyincised = 0; stable bed & banks = maxpoints)
13
Presence of major bank failures
0-5
0-5
0-5
L
severe erosion = 0' no erosion, stable banks = max Dints
14
Rook depth and density on banks
0-3
0-4
0-5) — 5
�r
no visible roots = 0; dense roots throughout = max Dints
on
15
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
substantial lift act =o; no evidence = niax Dints}
16
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
no riffles/ripples or pools = 0, well-developed = maxpoints)
1
Habitat complexity
o-6
0 6
0-6
little or no habitat = 0; fre uqi varied habitats = max pints
d
18
Canopy coverage over streambed
0-5
0-5
0-5
¢
no shading vegetation = 0; continuous canopy = maxpoints)
19
Substrate embeddeduess
NA*
0-4
0-4
(deeplyembedded = 0; loose structure = max)
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
20
no evidence = 0• coronion numerous jypes = max Dints)-
21
Presence of amphibians
0-4
0-4
0-4
Q
(no evidence = 0• common, numerous es = max taints)
`—
22
Presence of fish
0 4
0-4
0— 4
no evidence = 0; common, numerous types = max pDints
23
Evidence of wildlife use
0 6
0-5
0 — 5
no evidence = 0; abundant evidence = max points)
Total Points Possible
100
100
loo
TOTAL SCORE (also enteron first page)
* Thcsc characteristics are not assessed in coastal streams.

Nf T1Wn C4rPam TApntifirafin n Fnrm Vpreinn A 1
Rate: r( - -_
ProjectfSlte L r
Latitude�6 4 { ` l J
�--�
Evaluator: . DLi>
County; t
Lon nude;
9 - %� 3
Total Points:
intermittent 38.5
Stream Determination (cirpler-ane)-.1
Other Marsh Swamp
Stream is at least
Ephemeral Intermittent rennial
e.g. QuadName:
if z� 19 or erenniai if a 30'
2
3
A. Geomorphology {Subtotal = )
Absent
Weak
Moderate
Str
1 a' Continuity of channel bed and bank
0
2 3 l
2
3,_,)
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
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
0)
1
2
3
9. Grade control
0
0.5
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No = 0'
Yes = 3
- artificial ditches are not rated; see arscussrons in manuar
12. Presence of Baseflow
0
1
2
13. Iron oxidizing bacteria
0
21, Aquatic Mollusks D
2 3 l
14. Leaf litter
1.5
1 1
0.5 0
15. Sediment on plants or debris
0
0.5
1 1:
16. Organic debris lines or piles
0
0.5
C1.5
17. Soil -based evidence of high wader table?
No = 0
es =.,
l01111110ne rena W&Rlelreln. Ei .►�1
18. Fibrous roots in streambed 3 r
2 1
19. Rooted upland plants in streambed 3
2
20. Macrobenthos (note diversity and abundance) T
1 2
21, Aquatic Mollusks D
1 3
22. Fish 0
0.5 1 1,5
23, Crayfish 0
0.5 1 1.5
24. Amphibians 0
0.5 1 1.5 2
25. Algae 0
0.5
26. Wetland plants in streambed FACW = 0.75; BL = 1.5 Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch: ''t`.� � f r� tom. i
fJir
�9i
<1'ry

�`F •fit �1+ ��: LL� .�"'&-� 4.' � p �,j r,.�" �� ,`i5" � -..1`v
f 1.�
pp 47
•At .,�~�4 At. •,� ` rel h. 7

F—"s AID#
DWQ#
6
Site # (indicate on attached trap)
"0; STREAM QUALITY ASSESSMENT WORKSHEET -AUP
Provide the following information for the stream reach under assessment:�.
c� 4 �`�°-v� r Cwt. 2. Evaluator's name:``
1. Applicant's name: _
3. Date of evaluation: -7 " L 4. Tirne of evaluation:
5. Name of stream: 1 AA -LAG: � er basin: `d A C ry C
7. Approximate drainage area: > SD <:3 -cm - 75 8. Stream order:R
9. Length of reach evaluated: 10. County: - L
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
1
Latitude (ex. 34.872312): a 6 f , 0?6 _ Longitude (ex. -77.556611): -7 t � -2,�-,Y �1
Method location determined (circle): OiD Topp Sheet Ortho (Aerial) PhotolGIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
1-, r
b t re-- r -Al-- -
14. Proposed channel wort "r -- `
15. Decent weather Condit
16. Site conditions at time
17. Identify any special waterway classifications known: Action 10 Afidal Waters Essential Fisheries Habitat
Trout Waters �L7foutstandingResource Waters MNutrient Sensitive Waters /' ��vVater Supply Watershed�f(I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YESif yes, estimate the water surface area:
19. Does channel appear on USES quad map? YES 20. Does channel appear on USDA Soil Survey? YES CO
21. Estimated watershed land use: J %oResidential P%e Commercial �% Industrial%o Agricultural
U
% Forested _%a Cleared 1 Logged % Other
22. Bankfull width: .•'�> 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: Flat (0 to 2%) Gentle (2 to 4%) Moderate (4 to 10%) Steep (}10%)
25. Channel sinuosity: Straight 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. j
y '
Total Score (from reverse)- ` � Comments: �'`�`�'�­ .SL V'e:5c� CSS(l S
Evaluator's Signature r1WDate/ �
This channel evaluation f rm is intended to he 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 06103. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
* 'l'ltese characteristics are not assesscd in coastal streams.
ECOREGDON POINT
RANGE
4
CHARACTERISTICS
SCORE
Coastal
Piedmont
Mountain
1
Presence of flow 1 persistent pools in stream
0-5
0-4
0-5
no flow or saturation= 0• strong maxpoints)
2
-flow=
Evidence of past human alteration
0 _.. 6
0-5
0-5
extensive alteration = 0; no alteration = max poinIS
3
Riparian zone
0-6
o-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 poii is
5
Groundwater discharge
0-3
0-4
0-4
no discharge = 0; springs, see s, wetlands, etc. = max oints
U
6
Presence of adjacent floodplain
0- 4
0 4
0- 2
no floodplain = 0; extensive flood lain = max points)
Entrenchment 1 floodplain access
0-5
0-4
0-2
(deeply(deepAy entrenched = 0; frequent flooding = maxpoints)
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
L)
extensive channelization = 0; Natural meander = maxpoints)
10
Sediment input
0-5
0-4
0-4
extensive deposition= 0• little or no sediment = max flints
Size & diversity of channel bed substrate
NA*
0-4
0-5
11
fine, homogenous = 0i large, diverse sizes = max -points)
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
(r
severe erosion = 0• no erosion, stable banks = maxpoints)
Coot depth and density on banks
0-3
0-4
0-5
14
no visible roots = 0• dense roots throughout = maxpoints)
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
15
substantial impact =0; no evidence = maxpoints)
16
Presence of riffle-poollripple-pool complexes
0-3
0-5
0-6
no riffles/ripples or pools = 0; well-develo ed =maxpoints)
17
Habitat complexity
0-6
0- 6
0-6
little or no habitat = 0• frequent, varied habitats = maxpoints)
p�
18
Canopy coverage over streambed
0-5
0-5
0-5
no shading vegetation = 0; continuous canopy = max oints
19
Substrate embeddedncss
NA*
0-4
0-4
dee l embedded = 0; loose structure = max
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
20
no evidence = 0• common numerous ax es = moints
21
Presence of amphibians
o-4
0-4
0-4
C
(no evidence = 0; common, numerous types = max osnts)
22
Presence of fish
0-4
0-4
0-4
P3
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 oints)
Total Points Possible
100
100
�00�
TOTAL SCORE (also enter on first page)
* 'l'ltese characteristics are not assesscd in coastal streams.

NC DWO Stream Tdent'rfientinn Form 'Version 4.11 l 5 , .L _ -H
Date: `-"- ._ �L_
PrajectlSite ' If�G� l r It l �d
Latitude:.' ," ! . L
Evaluator:
, f
county: 4v [ i x
Longitude: -nz] '51 I LI,
Total Points:
Stream Dete ,fin (circle one)
©they UNT W Marsh Swa
Stream is at yeast intermittent
ifs i9 ofperennialasstint r30"
Ephemeral rmitten.ty Perennial
e.g. Quad Name:
A. Geomorphology {Subtotal= }
Absent
Weak
Moderate
Strong
1 a- Continuity of channel bed and bank
0
1
LL
3
2. Sinuosity of channel along thalweg
0
1
2
3
Tin -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
16. Organic debris lines or piles
0 .5
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
o
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
__U'S
1
2
3
9. Grade control
0
0.
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No = 0
Yes = 3
Sketch:
i
artificial ditches are not rated-, see discussions in manual
R WwrirnIneiv (Ci rhtn-p
inl = / C 1
12. Presence of Baseflow
0 3
2
3
13. Iron oxidizing bacteria
0 1
2)
3
14. Leaf litter
1.5 1
(0.5)
0
15. Sediment on plants or debris
0
`
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 a
1
r' Pinlnrne IC11kfntnl = i Y 1 1
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3' '
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
L
3
21. Aquatic Mollusks
9.
1
2
3
22, Fish
0,
0.5
1
1.5
23. Crayfish
J
0.5
1
1.5
24. Amphibians
0
0.5
1 i
1.5
25- Algae0
,
0.5
26. Wetland plants in strearnbed
FACW = 0.75; LOBL
= 1.91) Other = 0
`perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
i
/Sh
i
�X01
ON

shIh007
SHLH007 — Facing West Up Stream View
SHLH007 — Facing East Down Stream View

shIh007
SHLH007 — Facing North Cross Stream View

Opera Waterbody Data Sheet
Survey Description
Project Name:
WaterbodyName:
Waterbody 1i7:
Date:
Southeastern F2eia6lity
tt.-...
hi ,-
--
OhIg003
State:
taunt
Company.
_y
Crew Member initials:
Photos:
Tract Number(s):
je-oq f
Nearest Milepost:Associated
j
Wetland 10(s):
`E
31 2
( (4 L C D 0 whig012e
Survey Type:
(chcckone) ElCenteriine ❑Re -Route ❑Access Road_10ther:
Ph sical Attributes
,
Waterbody Type:
cfteck Dile) ❑Stock Pond :!Natural Pond i7 Lake :_; Reservoir Impoundment Oxbow ❑ Other:
i... _ ---
m-�_�ydrolagic Regim.__e:
P Permanently Flooded Semipermanently Flooded 7 Seasonally Flooded Temporarily Flooded
3FtWM
OHWM Indicator.
Height: t
(cherknnthat apply) Clear line
bn bank
❑..Shelving ❑Wrested ❑scouring ❑Water
f
�ft
vegetation staining
❑Bent, matted, or missing ]Wrack
F Litterand _.iAbrupt plant ❑Sall characteristic change
vegetation line
debris community change
)ept—ho f Water:
Bank height (average): a
Bank slope (average):
IlA❑ ft.
——
- degrees
Atsalitative Attributes
Yater Appearance:
:back one) El No water ❑Clear
Algal 00ther:
mats
ubstrate: ❑ Bedrock = E3oulder IJ Cobble Gravel JJ Sand Situ clayOrganic ❑ Other:
hock Ifr rf aa(apppf y]
6 of substrate: aro 'Ia 30
% 60 % 10 %
Pidth of Riparian Zone:
vegetative Layers:
(check at; rf3afapply) "•Trees:
.-D'Sapiings/Shrubs: :<7Herbs
IAC
Avg. DBH of Dominants: 8 in.
2 in,
{appfox.)
in.
ominarrt Bank vegetation {list}:
- - --- — -
k
quatic Habitats lex submerged or emergsd aqua(dc vegelaeon, overhanging banks/roots. leaf parks.
large submerged wood, rirlim deep pods, etc.):
quatic Organisms observed (list]:
irE Species Observed (list):
i
sturbances (ex: livestock access, manure in waterbody, waste discharge pipes):
!'iVe 6 —
aterbody is:
vcP M101 EI Natural XArtifcial, man -mads ❑ Manipulated
aterbody Quality 4.
ockw'ol a High ❑ Moderate E Low

G�1�6�3
ID:
ohIg003
High quality: Natural, natural bank vegetation around entire waterbody; banks stable and protected by roots; water color is clear to tea -colored; no
barriers to fish movement; many fish cover types available; diverse and stable aquatic habitat; no disturbance by livestock or man.
Moderate quality. Altered by rip -rap; natural vegetation extends 113-112 of the active channel width on each side; filtering function or bank vegetation
onlymoderately compromised; banks moderately unstable; water color is cloudy, submerged objects covered with greenish film; moderate odor; minor
barriers to fish movement; fair aquatic habitat; minimum disturbance by livestock or man.
Low quality. Rip rap and channelization excessive; natural vegetation less than 113 of the active channel width on each side; lack of regeneration;
filtering function severely compromised; banks unstable (eroding); water color is muddy and turbid; obvious pollutants (algal mats, surface scum,
surface sheen); heavy odor, severe barriers to fish movement; little to no aquatic habitat, severe disturbance from livestock or mart.
Sketch (Include north arrow, centerline dlstance from centerline, data point locations, survey boundary, and Os of associated features)
Form Itcr. W"30,2013

70,
r' s
Je
� � jive oda � '.• � r " � � :� �. y'_ =,
-7'

USACE AID# DWQ #
shIh019 Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT "WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: { u'L LLS1i�, _ 2. Evaluator's name: b'�5
3. Date of evaluation: Z _ 4. Time of evaluation: y�,
S. Name of stream:_( 21n-1'i���1G. River basin: I y (J lM l 'L-
7. Approximate drainage area: l�8. Stream order:
9. Length of reach evaluated: 10. Count+: t
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): na
Latitude (ex.34.s72312): 36 17' 39.610" Longitude(es.--77.556611): 7740'02.872"
Method location determined (circle):PS To1:o Sheet Ortho (Aerial) PhotalGIS Other GIS Other
13. Location of reach under evaluatio note nearby roads and landmarks and attach map identifying streams) location):
14. Proposed channel work (if any):
15, Recent weather conditions: i
16. Site conditions at time of
17. Identify any special waterway classifications known: Section 10dal Waters � sential FisheriesHabitat
�ut Waters �-Autstanding Resource Waters P44utrient Sensitive Waters Watcr Supply Watershe4k(l-Iv)
18. Is there a pond or lake located upstream of the evaluation point? YES 6Df yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YESNC] 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: % Residential —% Commercial _% Industrial to Agricultural
L ""�L % Forested _% Cleared 1 Logged —%, Other ( }
22. Bankfull width: 23. Bank height {from bed to top of bank):
24. Channel slope down 11 cet r of stream. Flat (0 to 2°fa) Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (a 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.
Evaluator's Signature pate w
This channel evaluation form4s intended to sed only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to [Hake a preliminary assessment of stream
quality. The total score resulting from the completion of this forth is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change — version 06103. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
2
4
CHARACTERISTICSECOREGION
POINT RANGE
Coastal
Piedmont
Mountain
SCORE
1
Presence of flow 1 persistent pools in stream
no flaw or saturation = 0; strong flow = maxpoints)
0-5
0-4
0-5
2
Evidence of past human alteration
extensive alteration = 0• no alteration = maxpoints)
0-6
0-5
0-5
3
Riparian zone
no buffer = 0; contiguous, wide buffer = max flints
0-6
0-4
0-5
4
Evidence of nutrient or chemical discharges
extensive dischar es = 0; no dischar es = max points)
0-5
0-4
0-4
5
Groundwater discharge
no discharge = 0; s rip s, sees wetlands, etc. = max points
0-3
0-4
0-4
6
Presence of adjacent floodplain
(no floodplain = 0; extensive floodplain = max points)
0 - 4
0 - 4
0 -2
Entrenchment 1 floodplain access
(deeply entrenched = 0• frequent floodin =max Dints
0-5
0-4
0-2
8
Presence of adjacent wetlands
no wetlands = 0 tame adjacent wetlands = max points
0-6
0-2
9
Channel sinuosity
E-4
E
extensive channelization = 0• natural meander = max points)
0-5
{} _ 3
10
Sediment input
{extensive de ositi)n= 0• little or no sediment = maxpoints)0-5
0 — 4
0-4
11
Size & diversity of channel bed substrate
fine, homogenous = 0• lar e, diverse sizes = maxpoints)
AIA*
0-4
0-5
12
Evidence of channel incision or widening
dee f incised = 0 stable bed & banks = max points
0-5
0-4
0-5)
J13
Presence afrnajor bank failures
severe erosion = 0. no erosion, stable banks = may flints
0-5
0-5
0-5
14
Root depth and density on banks
no visible roots = 0. dense roots throw hoot = Max points
0-3
0-4
0—•5Al
15
Impact by agriculture, livestock, or timber production
substantial impact =0• no evidence = max points)
0-5
0 — 4
0-5
16
Presence of riffle-poallripple-pool complexes
F(no
riffles/ripples or Pools = 0; well-deveio ed = max flints)
0-3
0-5
0 — 6
�C
17
Habitat complexity
little or no habitat= 0, fre went varied habitats = max points)0-6
0-6
0-6
18
Canopy coverage over streambed
no shading vegetation = 0; continuous canopy = maxpoints)
0-5
0-5
0-5
19
Substrate embeddedness
deeply embedded = 0 loose structure =max
NA*1
0-4
0_4
20
Presence of stream invertebrates (see page 4)
>,,(no
evidence = 0• common numerous es = maxpoints)
0-4
0--5
0-5
y
Q
21
Presence of amphibians0
(no evidence = 0, common. nurnerous r es = max points)
_ 4
®,� 4
0-4
22
Presence of fish
R
�
no evidence = 0• common numerous es = max points)
0-4
0 — 4
0 4
`P 1
LJ
23
Evidence of wildlife use
^7
no evidence = 0; abundant evidence = max points)
0-6
0 — 5
0 5
y—
Total Points Possible
100
100
100
TOTAL SCORE (also enter on first page)
These characteristics are not assessed in coastal streams.
2

NC D O Stream Identification Form Version 4.11
Date: - -7 I Pro]ecVS€te:
Evaluator: L County:
r
Tota€ Points;
Stream is at least intermittent ! Stream De rrrterm na€hent
€rc
if a19 orperennial it a 30* ! l Ephemer lnte
a�
shIh019
Latitude;-
Longitude:
atitudeLongitude: -71 ° yd s� 2 _
one) Other UNT to Marsh Swarip
nnial e.g- Quad ((lame:
A. Geomorphology Subtotal = i �� }
Absent
Weak
Moderate
Strong
13 Continuity of channel bed and bank
0
1
16. Organic debris lines or piles
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffte-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
0'72
71
3
8. Headcuts
0
1 j
2
3
9, Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1.5
11. Second or greater order channel
1h(019
No - 0
Yes = 3
arnnow aanones are not rated; see d s ss in manual
B. Hvdroioov (Subtotal = 1
12. Presence of Baseftow
0 1 2 3
13. Iron oxidizing bacteria
0 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 0.5 1 1.5
17. Soil -based evidence of high water lel
No = 0 s _
C. Bioloav (Subtotal = i , L5 )
18. Fibrous roots in streambed
3
2
1
Cf
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0.5
1
1-5
23. Crayfish
0
0.5
1
1,5
24. Amphibians
0
0,5
1
,5'
25. Algae
0
71
1.5
25. 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:
1h(019