20140957 Ver 1_U-03_Appendix B_Wilmington_Halifax NC waterbodies_Part2_20170227

A%6

shlh019
`w r
Waterbody shlh019 facing upline cross stream

USACE AID#
DWQ#
Site # (indicate on attached map)
M STREAM QUALITY ASSESSMENT WORKSHEET
z:
Provide the following information for the stream reach under assessment: �-
1. Applicant's name: ) l 2. Evaluator's name:
3. Date of evaluation: Cd 4. Tne of evaluaton: { -k
5. Name ofstrealrr:y� ver basin:
Tar -Pamlico
�"�
7. Approximate drainage area: �_% S. Stream order; 1
9. Length of reach evaluated:_ l b -D 14. County: -
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex- 34.872342):`x; s .• Longitude (ex- -77.556611):_[ 4 �l !� ]_ _
Method location determined (circle);PS Topo Sheet Or6ho (Aerial) Photo/GIS 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):- {
15. Recent weather conditions: ID --
16. Site conditions at time of visit:
17. Identify any special waterway classifications known: Plection 10 aY€dal Waters Essential Fisheries Habitat
rout Waters &Kutstanding Resource Waters 14 �utrient Sensitive Waters )L7*Vater Supply Watershed LAVIV)
18. Is there a ,pond or lake located upstream of the evaluation point? YES CINO f yes, estimate the water surface area:
19. Does channel appear on USGS quad map? <'EO NO 20. Does channel appear on USDA Soil Survey? NC7
21. Estimated watershed land use: _% Residential �% Commercial %Industrial /° Agricultural
��/° Forested _ % Cleared / Logged _%° Other ( )
22. Bankfull width: 23. Bank height (from bed to top of bank):_
24. Channel slope down center of stream: lat (0 to 2%) Gentle (2 to 4%) Moderate (4 to 14%) Steep (>I0%)
25. Channel sinuosity; Straight am
ccaslonal bends _,^requent 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 strearn 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 forth 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
This channel evaluation for i i ended 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 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.

shlh016
STREAM QUALITY ASSESSMENT 'WORKSHEET
These characteristics are not assessed in coastal streams
2
#
CHARACTERISTICS
ECOREGION POINT RANGE
Coastal
Piedmont
Mountain
SCORE
1
Presence of flow !persistent pools in stream
no flow 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; conti uous, wide buffer = maxpoints)
0-6
0-4
0-5
L
4
Evidence of nutrient or chemical discharges
extensive dischar es = 0; no discharges = max oints
0-5
0-4
0-4
5
Groundwater discharge
no discharge = 0; springs, sees wetlands, etc, = maxpoints)
0-3
0-4
0-4
G
Presence of adjacent floodplain
uo flood lain = 0; extensive flood )lain = maxpoints)
0-4
0-4
0-2
7
Entrenchment 1 floodplain access
(deeply entrenched = 0 fie uent f'loodin = max oints
0 — 5
0 4
0 —2
8
Presence of adjacent wetlands
no wetlands = 0• large ad'acent wetlands = max flints
0-6
4-4
0-2
9
Channel sinuosity
extensive channelization = 0; natural meander= maxpoints)
0-5
0-4
0-3
qq
Sediment input
{extensive de osition= 0• little or no sediment = maxpoints)
0-5
0-4
0-4
11
Size & diversity of channel bed substrate
fine, homo enous = 0; lar e, diverse sizes = maxpoints
NA*
0-4
0 — 5
12
Evidence of channel incision or widening
>
(dee ! incised = 0• stable bed & banks = max oints
0-5
0-4
0-5
a
13
Presence of major hank failures
severe erosion = 0 no erosion stable banks = maxpoints)
0-5
0W5
0-5
14
Root depth and density on banks
no visible rants = 0; dense roots throughout = max.points)
0-3
0-4
0-5
15
Impact by agriculture, livestock, or timber production
substantial impact WO• no evidence = max oints
0-5
0-4
0-5
16
Presence of riffle-pool/ripple pool complexes
H
no riffles/ri les or owls = 0; well-developed = max ofitts)
0-3
0-5
0-6
17
Habitat complexity
little
0-6
0-6
0-6
or no habitat = 0; frequent, varied habitats = maxpoints)
18
Canopy coverage over streambed
Z
no shadingvegetation = 0; continuous cavo =max Dints
0-5
0 -- 5
0 —:5
19
Substrate embeddeduess
I —V--
dee2lyembedded = 0 loose structure =max)
NA*
0-4
0-4
20
Presence of stream invertebrates (see page 4)
>,
no evidence = 0• common numerous tvnes = max points]
0-4
0---5
0-5
U
21
Presence of amphibians
(no evidence= 0; common, numerous es = max oints
0— 4
fl— 4
0 4
©
22
Presence of fish
no evidence = 0• common, numerous =
0-4
0-4
0-4
r
es max oints
23
Evidence of wildlife use
no evidence = 0; abundant evidence = max points)
0-6
0--5
0-5
'Total Points Possible
100
100 1
100
TOTAL SCORE {also enter on first page}
These characteristics are not assessed in coastal streams
2

NC DWQ Stream Identification Form Version 4.11
Date: 8.6.14
Project/Site:
Latitude: 3� w 4
r
Evaluator:
County:
Longitude:`
Total Prints:
Stream is at least intermittent 0
Stream Determin .circle one)
Other UNT to Beaverdam
if a 19 orperennial if?-- 30'
Ephemeral entrmittePerennial
e.g. Quad Name:
A. Geomorphology (Subtotal = l }
Absent
Weak
Mo to
Strang
18 Continuity of channel bed and bank
0
2 3
14. Leaf litter
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -poo[ sequence
0
1
2
3
4. 'Particle size of stream substrate
0
1
2 '
3
5. Active/relict floodplain
0
1
3
6. Depositional bars or benches
0
0
2
3
7. Recent alluvial deposits
0
1 1
1
3
8. Headcuts
0
1
Bl_ = 1.5 Other = 0
3
9. Grade control
0
_ e
1
1.5
10, Natural valley
0
M. "
1
1.5
11. Second or greater order channel
CNC = 4
Yes = 3
artificial ditches are not rated; seessions in manual
B. Hydrology Subtotal = 7
12. Presence of Baseflow
0
1
2 3
13. Iron oxidizing bacteria
0
1
2 3
14. Leaf litter
1.5
1
.5 0
15. Sediment on plants or debris
0
CO.511.5
21. Aquatic Mollusks
16. Organic debris lines or piles
0
0.5
1 1.5
17. Soil -based evidence of hi wa a .J He?
CO -)0-§
No = 0
Ces = 3
C. Biology Subtotal
17 r
wamp
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
2
3
21. Aquatic Mollusks
0
1
2
3
22, Fish
CO -)0-§
1
1.5
23. Crayfish
0
0.5
1.5
24, Amphibians
0
0
1
1.5
25. Algae
0
0
1
1.5
26. Wetland plants in streambed
FAC = 0.75;
Bl_ = 1.5 Other = 0
"perennial streams may also be identifed using other methods. See p. 35 of manual.
Notes:
Will

r
IJ` .. !
.o sri�'r i Isk t
`t II rim
f(
A.
0
i•

shlhO16
�\����\�\
Waterbody shIhOl 6 facing north cross stream

USACE AID#
DWQ#
t P 647
Site # _ (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
-AG*
Provide the following information for the stream reach under assessment:
1. Applicant's name: Dominion 2. Evaluator's name: V>bis
3. Date of evaluation: � T— 4. Time of evaluation: 2-, c-) - —
5. Name of stream%4— lve Lngrs_ 6. River basin Tar
7. Approximate drainage area: ( S. Stream order:
9. Length of reach evaluated: _ 14. County: Lk t
11. Site coordinates (if known): prefer iyn�decisnal degrees. 12. Subdivision name (if any):
Latitude (ex. 34-8723t F): � r� r . {� � r. Longitude (ex. -77556610: ): 1 T'4-11'240 A
Method location deterntined (circle): GP Topo 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):
14. Proposed channel work (if any): V 0 M1=
15. Recent weather conditions:
}
16. Site conditions at time of visit: Z
1 de ify any special waterway classifications known: 4 e tion 10 A ``dal Waters a 0- Essential Fisheries Habitat
YW rout Waters � • utstanding Resource Waters is utrient Sensitive Waters eater Supply Watershei,�A-IV)
18. is there a pond or lake located upstream of the valuation point? YES (.JIf yes, estimate the water surface arta:
19. Does channel appear on USGS quad map YES NO 20. Does channel appear on USDA Soil Surve YES NO
21. Estimated watershed land use: % Residential % Commercial % Industrial % Aaricultural
°/a Forested _% Cleared 1 Logged �% Other ( )
22. Bankfull width: 9 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 krequent 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): 7'�-Z— Comments:
Evaluator's Signatur (AK4��;.1� Date r
This channel evaluat' s tarm is intende to be used only as a guide to assist landowners and environmentai 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-$76-8441 x 26.

,' -L- 14 � 7
STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
CHARACTERISTICS
ECOREGION POINT
RANGE
SCORE
Coastal
Piedmont
Mountain
Presence of now / persistent pools in stream
1
no flow or saturation = 0; strong flow = maxpoints)
0 —5
0-4
0-5
2
Evidence of past hunxan alteration
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 = max oinis)
4
Evidence of nutrient or chemical discharges
extensive discharges = 0; no discharges = maxpoints)
0-5
0_..4
0-4
5
Groundwater discharge
0-3
0-4
0-4
i
no discharge = 0, springs, see s, wetlands, etc. = maxpoints)
Presence of adjacent floodplain
0-4
0-4
0-2
no flood lain = 0; extensive floodplain —max Dints)
Entrenchment 1 floodplain access
�7
(deply entrenched = 0; frequent flooding = max.points)
0-5
0-4
0-2
Presence of adjacent wetlands
no wetlands = 0; large adjacent wetlands = maxpoints)0-6
D — �€
0-2
1
9
Channel sinuosity
0— 5
0— 4
0-3
•'
(extensive channelization = 0; natural meander = max points)
2
10
Sediment input
0-5
0-4
0-4
�—
extensive deposition= 0• little or no sediment = maxpoints)
I I
Size & diversity of channel lied substrate
NA*
0-4
0-5
fine homogenous. = 0• large, diverse sizes = maxpoints)
12
Evidence of channel incision or widening
0-5
0-4
0-5
ys
(dee 1 incised = 0• stable bed & banks = maxpoints)
13
Presence of major bank failures
0-5
0_5
0-5
;?
severe erosion = 0; no erosion, stable banks = inax cants
�—]
14
Root depth and density on banks
•`7•
�.,
no visible roots = 0• dense spots throughout =max Dints
0--3
0-4
0-5
15
Impact by agriculture, livestock, or timber production
substantial impact =0; no evidence = max ousts
0-5
0-4
0-5
c�
16
Presence of riffle-poolfripple-pool complexes
0-3
0-5
0-6
no riffles/ripples or Dols =0; well-developed = maxpoints)
dHabitat
17
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
1—
F4
no shading vegetation _etation = 0; Continuous canopy = m77ipoints)
19
Substrate embeddedness
NA*
0-4
0-4
(decely embedded = 0; loose structure = max
20
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
�?
no evidence = 0; conbmon numerous types = maxpoints)
21
Presence of amphibians
0— 4
D— 4
0— 4
Q
(rio evidence= 0; common, numerous es = max points)
Q22
Presence of fish
0-4
0-4
0-4
(no evidence = 0• common, numerous types = maxpoints)
23
Evidence of wildlife use
0-6
0-5
0-5
no evidence = 0; abundant evidence = maxpoints)
Total Points Possible
100
100
100
TOTAL SCORE {also enter on first page}
* These characteristics are not assessed in coastal streams.

NC DWO Strenrm Identifiratin n Fnrm VFrcinn 4.I 1
Gate: -(0 -- l I
ProjeetfSite:'
Latitude :414'67.
Evaluator: Ci
l
County: _ A i- i y�
Longitudef 7 7 4 [ l'16 s
Total Points:
Stream is at least intermittent 50.5
Stream determination (Cir
Other Bealverdam Swamp
if a 19 orperennial if z 30'
Ephemeral Intermittent erennial
e.g. Quad Name:
A. Geomorphology (Subtotal= " a
Absent
Weak
Moderate
St g
10Continuity of channel bed and bank
0
1
2
15. Sediment on plants or debris
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
01
es =
2
3
4. Particle size of stream substrate
0
1
2
24. Amphibians
5. Active/relict floodplain
0
1
2
3 '
6. Depositional bars or benches
0
1
3
7. Recent alluvial deposits
0
1
2
3'
8. Headcuts
0
2
3
9. Grade control
0
0.5
1
1
10, Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No = 0
= 3
amuciai oncnes are not ratea; see aiscussions in manual
B. Hvdroloav [Subtotal = 13.5
12. Presence of Baseflow
0 1
2
13. Iron oxidizing bacteria
0 1
2 3
14. Leaf litter
1. 1
0.5
15. Sediment on plants or debris
0 0.5
1
16. Organic debris lines or piles
0 1 0.5
1 1K1.5
17. Soil -based evidence of high water table?
No = 0
es =
C:_ l3toloav tSLjbtntal = 14 1
18. Fibrous roots in streambed
2 1
0
19. Rooted upland plants in streambed
ZT
2
0
20. Macrobenthes (note diversity and abundance)
0
1 2
3
21. Aquatic Mollusks
0
1
3
22. Fish
0
0.5
1.5
23. Crayfish
0
0.5
1.5
24. Amphibians
0
0.5
1.5
25. Algae
0
0.5 1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1. Other = 0
'perennial streams may also be identified Using other methods. See p. 35 of manual.
Motes:
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L /r/
USACF AID# DWQ # Site # (indicate on attached map)
a STREAM QUALITY ASSESSMENT WORKSHEET
`121 r
Provide the following information for,the stream reach under assessment:
1. Applicant's name. r- t Y�--L. jC:"V"� 2. Evaluator's name: :Z
3. Date of evaluation: L 4. Time of evaluation: '40* 0,
5. Name of stream: 1L
f2 *�� iv r basin: Tar
7. Approximate drainage arca: 8. Stream order:
9. Length of reach evaluated: 10. County: k
11. Site coordinates (if known): prefer in decinsal c recs. 12. Subdivision name (if any):
Latitude (ex. 34„F723i_}: % Longitude (ex. 77.55frhl t j. � !
Method location determined (circle):rP Topo Shect Ortho (Aerial) Photo/GTS Other GIS Other
13. Location of reach under cvaluati ntotc nearby roads and landmarks and attach map identifying streams) location):
14. Proposed channel work (if
15. Recent weather conditions: I—V U
16, Site conditions at time of
17. Identify any special waterway classifications known: k1cctiott 10 +��dal Waters lk4 s`�ntial
_ I
t Wfisheries abitat
aters utstanding resource Waters Water Supply WatersheTIV)�f:f
18. Is there a pond or lake located upstream of the evalui n point'? YE NC3 If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES G 20. Does channel appear on USDA Soil Survey? YE Nth
21. Estimated watershed land use: % Residential _% Commercial % Industrial R /rLJYu Agricultural
.r'r - % Forested �% Cleared 1 Logged % Other ( )
22. Bank -fall width-.-
24.
idth:24, Channel slope down cent • of stre*ccasional
[at (0 to 2%u)
25. Channel sinuosity: Straight bends
23. Bank height (from bed to top of bank):
_Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>I0%)
_Frequent 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 ecoreg;ion. 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 worksheet. Scores should reflect an overall assessment of the stream reach under evaluation, If a
characteristic cannot be evaluated due to site or weather conditions. enter 0 in the scoring box and provide an explanation in the
continent section. Where there 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 (front reverse): -> C Comments:
Evaluator's SignatureDate ( �l
This channel evaluation fo is inten a used only as a guide to assist landowners and environmental professionals in
gathering the data requir d 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.

:5 (-IL, �10t/ 4s��
STREAM QUALITY ASSESSMENT WORKSHEET
* Tlicsc chxmom,imjonom not assessed innnx m\ streams.
#
CHARACTERISTICS
ECOREGION POINT
RANGE
SCORE
coastal
Piedmont
Mountain
Presence of flow / persistent pools in stream
0-5
0-4
0-5
'no flow or saturation = 0; strotlgflow = max points)
2
Evidence of past human alteration
0-6
0-5
0-5
(extensive alteration = 0, no alteration = max points)
3
Riparian zone
0-6
0-4
0-5
(no buffer = 0; contiRuous, 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
(no dischKLc = 0;springs, seeps, wetlands, etc. = max points)
0-3
0-4
0-4
Presence of adjacent floodplain
7
Entrenchment / floodplain access
0-5
0-4
0-2
(deLply entrLnclied = 0; frequent flooding = max points)
8
Presence of adjacent wetlands
0-6
0-4
0-2
(no wetlands = 0; large adjacent wetlands = max points)
9
Channel sinuosity
0-5
0-4
0-3
(extensive channelization = 0; natural meander = max points)
10
Sediment input
(extensive deposition= 0; little or no sediment = max points)
0-5
0-4
0-4
I I
Size & diversity of channel bed substrate
NA*
0-4
0-5
(fine, homogenous = 0,. diverse sizes = Tnax points)
Lit
12
-!are,
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
(severe erosion = 0,
- no erosion, stable batiks � max points)
Root depth and density on banks
(no visible roots = 0; dense roots throughout = rnax points)
rA
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-pool/ripple-pool complexes
0-3
0-5
0-6
(no riffles/ripples or pools = 0; well-developed = max points)
17
Habitat complexity
0-6
0-6
0-6
(little or no habitat � 0; frequent, varied habitats = max poi"ts)
18
Canopy coverage over streambed
0-5
01.5
0-5
(no sbading vegetation = 0; continuous canopy = max points)
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
>1
(no evidence 0; common, nunicroustypes = niax points)
Presence of amphibians
(no evidence 0; common, numerous types = max points)
Presence of fish
(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 poi its)
Total Points Possible
100
100
100
TOTAL SCORE (also enter on first page)
* Tlicsc chxmom,imjonom not assessed innnx m\ streams.

NC DWO Stream Identifiicatian Form VPrcinn A.11
Date:
Project/Site: � ��,
Latitude
Evaluator: r-
County:
Longitude -7'7`
l
Total Points:
Stream is at feast intermittent
Stream Determi circle one)
Ephemera!
Other UNIT to Beaverdam
if 2:19 or erenniat if;?! 30*
termiltent rennial
a -g- Quad Name:
A. Geomorphology (Subtotal = t
Absent
1
Moderate
Strong
1 a. Continuity of channel bed and bank
0
2 3
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. in -channel structure: ex. riffle -pool, step -pool,
ri le- ool sequence
0
1
2
3
4. Particle size of stream substrate
0
No = 0
2
3
5. Active/relict floodplain
0
1'
2
3
6. Depositional bars or benches
01
2
3
7. Recent alluvial deposits
0
1
2
3
8, Fleadcuts
0
FAC = 0.75;
2
3
9. Grade control
0
0.5 '
1
1-5
10. Natural valley
05
1
1.5
11. Second or greater order channel
o = 0
Yes = 3
.thIh018
------------------
B14Hvdroloav rfSubtotal see q us we -In marMuat
12. Presence of Baseflow
0
1
2 3
13. Iron oxidizing bacteria
0
1 )
2 3
14. Leaf litter
1.5
1
o.5 0
15. Sediment on plants or debris
0
0-5
1 1.5
16. Organic debris lines or piles
0
.5
1 1,5
17. Soil -based evidence of hA water ?
0
No = 0
yers
C. Biolociv !Subtotal = /". Z--> I-.1 �----�
18, Fibrous roots in strearrmbed
Al2.2
1
0
19, (tooted 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
0.5
1
1,5
23. Crayfish
0
0.5
24_ Amphibians
0
1
1-5
25. Algae0
1
1,5
26. Wetiand plants in streambed
FAC = 0.75;
bst = 1.5 Other = 0
`perennial streams may also be identified using other methods. See p. 35 of
Notes:
.thIh018
------------------
v 'y of

shlh018
Waterbody shIh018 facing west upstream
Waterbody shIh018 facing east downstream
' •
P �l
� P
t
shlh018
Waterbody shIh018 facing west upstream
Waterbody shIh018 facing east downstream

shlh018
Waterbody shlh018 facing upline cross stream

USA+C F AIDS
DWQ#
-Site 9(indicate on attached map) j
;,■,; STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
I. Applicant's name:
D6m IrlOAl - /7C, P
2. Evaluator's name:
G9v �t`! I i C?°: ' ; .
3. hate of evaluation:
4 l'Ri 2 1 t 2,1) /� 5
4. Time of evaluation:
// " .7 4
5. Name of stream: Z&
T 1
6. River basin:
Tar -Pam
7. Approximate drainage
9. Length of reach evaluated:
8. Stream order:
10. County:
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): r' '. 9 J 1
Latitude (ex. 34.872312): j ' C> - Longitude (ex, -77.5566 11): ,7l_ . 'H073
0 73
Method location detcrmined (circle): GPS ropo 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):
14. Proposed channel work (if any): f�I+P! l ,rue rF :; . V 6-!
15. Recent weather conditions:
16. Site conditions at time of visit: j/?' r c f ' . + a I ✓ + % 1 !! j? J 1 ,i _ r C J I i✓T`
� 17. Identify any special waterway classifications known:
_Section 10 _Tidal Waters _Essential Fisheries Habitat
Trout WatersOutstanding 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 DO If yes, estimate the water surface area: IV A,
19. Does channel appear on USGS quad map? 6q
NO 20. Does channel appear on USDA Soil Survey? (g NO
21. Estimated watershed land use: ,—% Residential _% Commercial _% Industrial 2Z) % Agricultural
% Forested % Cleared 1 Logged % Other (- - - E-Orq U a )
22. Banklidl width: s 7rg J 23. Bank height (from bed to top of bank): 3.0
24. Channel slope down center of stream: ,Flat (0 to 2%) 4clentle (2 to 4%) Moderate (4 to i0%) _Steep (>I0%)
25. Channel sinuosity: Straight _Occasional bendsFrequent 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:�� ccs
ral..F'.d'�rr .•..= r''�..I %. se, ... r;..;, ..-'ifl } t. r er'�.J A!?P.J f'-: .+�&�I ,/�' /]
f7[! 2,'?1-r- .i-... , . .-73 ; ' I,I?,- in r.-. -I r-'di,.w-1 -/.. r L. C.i E:?!!`. G'='r !'r�—va -- ,9 AI
Evaluator's Signature Datexl= A) r`
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 USAGE approval and does not imply a
particular mitigation ratio or requirement. Morin 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. � ,� ,� � ,t j 1 �j �T)1)7
rna� els ! L frl 1 J f3 1.?r`_ f7 S'• -r `r/'f»%
ECOREGION POINT
RANGE
#
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 flow = maxpoints)
2
Evidence of past human alteration
0-6
0-5
0-5
(extensive alteration = 0; no alteration = max poin
�.
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
o-4
no discharge = 0; s rip s, seeps, wetlands, etc. = maxpoints)
6
Presence of adjacent floodplain
0— 4
0— 4
0- 2
no floodplain = 0; extensive floodplain = max points)
Entrenchment 1 floodplain access
0— 5
0— 4
0 2
(deeply entrenched = 0• frequent floodin = 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 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
NA*
0-4
0-5
fine, homogenous = 0; lar e, diverse sizes = maxpoints)
k2
Evidence of channel incision or widening
0-5
0-4
0-5
/
(deeply incised = 0; stable bed & banks -= maxpoints)
Z---
13
Presence of major bank failures
0-5
0-5
0-5
severe erosion = 0• no erosion, stable banks = maxpoints)
14
Root depth and density on banks
0-3
0---4
0-5
H
no visible roots = 0; dense roots throughout = maxpoints)
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 riffleslri les ar orals = 0; well-develo ed = max points)
17
Habitat complexity
0-6
0-6
0--6
}
little or no habitat= 0; uent, varied habitats = rnaxpoints)
�
1K
Canopy coverage over streambed
0--5
0-5
0-5
no shading vegetation = 0; continuous c= = maxpoints)
19
Substrate embeddeduess
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
>4
no evidence = 0; common, numerous types = maxpoints)
0
21
Presence of amphibians
0-4
0— 4
0-4
fl(no
evidence = 0; common, numerous types = maxpoints)
0
22
Presence of fish
0-4
0— 4
0-4
no evidence = 0• common numerous types = maxpoints)
23
Evidence of wildlife use
0-6
0-5
0-5
no evidence = 0; abundant evidence = maxpoints)
Total Points Possible
100
100
100
TOTAL SCORE, (also enter on first page)
* These characteristics are not assessed in coastal streams. � ,� ,� � ,t j 1 �j �T)1)7
rna� els ! L frl 1 J f3 1.?r`_ f7 S'• -r `r/'f»%

NG Division of Water Quality -Methodology for identification of intermittent and
Perennial Streams and Them- Origins v. 4.11
NC DWQ Stream Identification Form Version 411 H L A CSU 2_
Date: ' U J `
Project/Site.
Latitude: J
Evaluator 3 _
County: _/1 i f �;
Longitude: - '771 • (,ciq OV
Total Points:
Stream r Fs at re est intermittent 30 enf
it _ 19 or perennial if � 3p"
Stream Deis-minat-Qn_(circle one)
Ephemeral Intermittent 'Perennial
,r rci
other �.• �
e.g. Quad Name:
v
A. Geomorphology (Subtotal =_J2___)
Absent
Weak
Moderate
Strong
1a- Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
0.5
3
3. In -channel structure: ex. riffle -pool, step -pool,
-ripple-pool se uence
0
`1 1
J
2
3
4. Particle size of stream substrate
0
1
(2
3
5. Active/relict floodplain
0
A l
2
3
6. Depositional bars or benches
0
'1 ?
2
3
7. Recent alluvial deposits
01
2
3
8_ Headcuts
0
f1 }
2
3
9_ Grade control
0
`0.5
1
1.5
10. Natural valley
00.5
6/
1
1.5
11 _ Second or greater order channel
Lo
No = 0
_ Yes = 3
r f1
5 [4LA A W G..
artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal=
12. Presence of Baseflow
0
1
2�
3
.33. 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
L1
1.5
17. Soil -based evidence of high water table?
.5 . 1
No = 0
Yes ='3
0
G. Biology (Subtotal = `i)
18_ Fibrous roots in streambed
3
'2 ] 1
0
19. Rooted upland plants in streambed
3 '. 1
2 1
0
20- Macrobenthos (note diversity and abundance) �fi,; '`•%.'
0
1 (2)
3
21. Aquatic Mollusks
0 .'
1 2
3
22. f=ish
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 streambed
FACW = 0.75, OBL = 1.5 Other , 0]
'perennial streams may also be identified using other methods. See p. 35 of manual.
Nates:
Sketch:
{/�
`. J-
ire
6/
'-Iftenm­
Lo
11(v OLGO 17
•[yy
r f1
5 [4LA A W G..
-y
`� � '� 74 a
f�'J] 41 -
P,

w+,
moi, -

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:&,Nfp 2. Evaluator's name: ,
3. Date of evaluation:
,.�'/' �� _ 4. Time of evaluation:
5. Nance of streant:}�1�� � �e�•�� •� �k 6. River basin: e"
7. Approximate drainage arca: S. Stream order; r
a
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): f Z {7%
Longitude (ex. 77-556611.):
Method location determined (circle): GP Topo Sheet Ortho (Aerial) I'ItotolGls Other GTS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying streams) location);
14. Proposed channel work (if any): :V
15. Recent weather conditions: lz-
16. Site conditions at time of v
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 take located upstream of the evaluation point'? `SES 69) If yes, estimate the water surface area:
19. Does channel appeal- on USGS quad map"? OENO 20. Does channel appear on USDA Soil Survey'? CE) NO
21. Estimated watershed land use: ,"/o iiesir3entiat9 p o
/o Commercial —/a Industrial O 10 AZyd gricultural
% 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%) —0�10cntle (2 to 4%)
25. Channel sinuosity; Straight —Occasional bends Frequent meander
Moderate (4 to 10%) ,Steep (> 1 o%)
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 Elie ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of tate 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 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): ?6
Evaluator's Signature % "envir
�%�
Date
This channel evaluatio s i ten 4 a used only as a guide to assist landowners anmental professionals in
gathering the data required by the U `:ted 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 o0/03. To Comment, please call 919-576-8441 x 26.

-51 ZCy-
STREAM QUALITY ASSESSMENT
WORKSHEET
CHARACTERISTICS
ECOREGION POINT lZiRGE
Coastal
Piedmont
Mountain
SCORE
1
Presence of flow f persistent pools in stream
no flow or saturation = 4; 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; Conti uous, wide buffer = maxpoints)
0-6
0-4
0-5
4
Evidence of nutrient or chemical discharges
extensive discharges = 0; no dischar Tes = maxpoints)
0-5
0-4
0-4
5
Groundwater discharge
d
no dischar a 0; springs , seeps, wetlands, etc. = max Dints
0— 3
0— 4
0— 4
�r
7
Presence of adjacent floodplain
ry,(no
flood Iain = 0; extensive fPood lain =max Dints
0-4
0 4
0-2
L
Entrenchment 1 floodplain access
(deeply entrenched = 0; frequent flooding = maxpoints)
0-5
0-4
0-2
8
Presence of adjacent wetlands
no wetlands = 0; lar a ad'acent wetIaands =max Dints
0-6
0-4
0-2
9
Channel sinuosity
0-5
(extensive channelization = 0; natural meander = maxpoints)
0-4
0-3
C
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 = maxpoints)
NA*
0 — 4
0 — 5
15
li
Evidence of channel incision or widening
(deeply incised = 0; stable bed & banks = max oints)
0-5
0--4
0-5
a
13
Presence of major bank -failures
severe erosion = 0• no erosion, stable banks = anaxpoints)
0-5
{?-5
0-5
14
Root depth and density on banks
no visible roots = 0, dense roots throe bout = maxpoints)
0-3
0-4
0-5
15
Impact by agriculture, livestock, or timber production
substantial impact =0; no evidence = Maxpoints)
0-5
0 — 4
0-5
16
Presence of riffle-poollripple-pool complexes
F
no riffleslri ]es or Pools= 0; well-develo ed = max points)
0-3
0 — 5
0-6
12
Habitat complexity
little or no habitat = 0• frequent, varied habitats maxpoints)
0-6
0-6
0-6
18
-=
Canopy coverage over streambed
no shading ve etation = 0, continuous canopy = maxpoints)
0-5
0-5
0-5
G
19
Substrate embeddedness
deeply embedded = 0, loose structure = max)
N
0-4
0 `4
20
Presence of stream invertebrates (see page 4)
no evidence = 0• common, numerous types = max Hints}
0-4
0-5
0-5
G.7
21
Presence of amphibians,
(no evidence = 0; common, numerous es =max oia�ts}
0-4
0-4
0-4
C
22
Presence of fish
no evidence = 0;- common, numerous types = max 2ounts)
0-4
0-4
0-4
23
Evidence of wildlife use
no evidence = 0;. abundant evidence = maxpoints)
0-6
0-5
0-5
Total Points Possible
100
100
100
TOTAL SCORE (also enter on first page)��
`these characteristics are not assessed in coastal streams.

NC DWQ Stream Identification Form Version 4.1.1
Date:l� +� Project/Site: f Latitude: -0
/ .5 X/Y
Evaluator: to
County:
r
Longltude:47
19. Rooted upland plants in streambed
Total Points:
Stream is at least intermittent
stream Determination {cir jti
Ephemeral Intermittent
Other UNT to Beaverdam
if a 19 orperennial if a 30- b
0 _
erenniai'
e.g. Quad Name:
21. Aquatic Mollusks
A. Geomorphology Subtotal =l }
Absent
Weak
Moderate
Strong
18' Continuity of channel bed and bank
0
1
2
0.5 1
2. Sinuosity of channel along thalweg
0
1
2'
1.5
3. In -channel structure: ex. rifFle-pool, step -pool,
0
0.5 1
1.5
26. Wetland plants in streambed
ripple -pool sequence
©?
2
4. Particle size of stream substrate
0
1
3
5. Active/relict Floodplain
01
2
3
6. Depositional bars or benches
0
1
7. Recent alluvial deposits
0
1
2
3
S. Headcuts
0
1
3
9. Grade control
0
0 5
1
1 5
10. Natural valley
0
0.5
11. Second or greater order channel
No 0)_ffYes
= 3
artificial ditches are not rated; see discussions in manual
B. Hydrology ( Subtotal =
12. Presence of Basefiow
0
1
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
0A
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. Soil -based evidence of high water table?
No = 0
Yes .3
C. Biology {Subtotal = 1 I 1
18. Fibrous roots in streambed
3
2 1
0
19. Rooted upland plants in streambed
2 1
p
20. Macrobenthos (note diversity and abundance)
0 _
1 z .
3
21. Aquatic Mollusks
V
1
3
22. Fish
0
0.5
1.5
23. Crayfish
0
0.5 1
1.5
24. Amphibians
0
0.5
1.5
25. Algae
0
0.5 1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1. Other
"perennial streams may also be identified using other methods. See p, 35 of manual.
Notes:
Sketch:
N>
0

.� ;Am;

shIg012
shlg012 side shot

USAGE AID#
DWQ#
Site # (indicate on attached map)
SH1_8%00
M STREAM QUALITY ASSESSMENT WORKSHEET _A*
Provide the following information for the stream reach under assessment:
L Applicant's name: `D a.-. }6ri 2. Evaluator's name:
3. Date of evaluation: it %,*� %-A 4. Time of evaluation: AyA -
5. Name of stream: Uri' -L ,a 6. River basin c., r-
7. Approximate drainage area: 8. Stream order:- a1� C�,o- 'z- M
9. Length of reach evaluated: `- c, ` 10. County: -A \, �a ,� _
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): t•1 '1'e.
Latitude (ex. 34.872312): _ 36014'49" N Longitude ex_ -77.556611):4 77°42'33" W
Method location determined (circle): t;PS OTopo S Ortho (Aefiial) Photo/GIS then GIS other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
Sou "a0(.
14. Proposed channel work (if any): u
15. Recent weather conditions: 1� +s 1st , A'k rS
16. Site conditions at time of visit: c,., vrc a• ae e :��o� °i S" F
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)
l8. is there a pond or lake located upstream of the evaluation point? YES NO 1f yes, estimate the water surface area:
19. Does channel appear on USGS quad map? "ES NO
21. Estimated watershed land use: t v % Residential
;L o % Forested
22. Bankfull width:
24. Channel slope down center of stream: XFlat (0 to 2%)
25. Channel sinuosity: Straight $C Occasional bends
20. Does channel appear on USDA Soil Survey? YES NO
% Commercial % Industrial 4 0 % Agricultural
1,v % Cleared 1 Logged .� o % Other (.'-T � "isx'_�,s }
23. Bank height (from bed to top of bank): 52'
Gentle (2 to 4%) Moderate (4 to 10%) -Steep (>10%)
Frequent meander Very sinuousBraided 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 he 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: '+-\-.,4-r~
spa......t r. ,.=. i. . ]., r^ . a a .i3 . A,
Evaluator's Signat � Date
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 USAGE 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.

QTY ABITA''TABTT'
c� oo 0) t C? .
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NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NU DWQ Stream identification Form Version 4.11 S%AL.$
Date: 11 1 i -q 11,4 ProjectlSite:--L�oaC Latitude:
.• + K, n.
Evaluator'Count Longitude:
Total Punts: Stream Dete (circle one) Other
Stream is at feast intermittent
if? 19 or Perennial if? 30* Ephemeral Chtermitten Perennial e.g. Quad Name:
A. GeamOr hofo (Subt©ta! _; . 5 )
Absent
Weak
Moderate
Stroh,
1aContinuity of channel bed and bank
0
3
2. Sinuosity of channel along thalweg
0
Q
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
2
3
4. Particle size of stream substrate
0
1
2
3
5. Activelrelict floodplain
p
(D
2
3
6. Depositional bars or benches
0
i
2
3
7. Recent alluvial deposits
0
1
2
3
8, Headcuts
1
2
3
9. Grade control
0.5
1
1.5
10. Natural valley
0
1
1,5
11. Second or greater order channel
No = 0
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. Hydrology drolly (Subtotal =
12. Presence of Basedow
0
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.
1
0.5
0
15. Sediment on plants or debris
CV
0.5
1
1.5
16. Organic debris lines or piles
0
0.5
1,5
17. Soil -based evidence of high water table?
No = 0
es = 3
C. Biology (Subtotal = 5
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
1
2
3
22. Fish
1
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
V
0.5
1
1.5
25. Algae
1
1.5
26. Wetland plants in strearnbed
OW = 0.75; BL = 1.5 Other = 0
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes. -& ,-,
Sketch: C 3 _ W R LCA :!-Z
Cg
CfC rry A
1Crc.7P r^
8140 f / H� av
{
kyr► ; w� ���e. �ia ��,�.,�
41

Waterbody SHLB100 facing northwest upstream
Waterbody SHLB100 facing southeast downstream

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7
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USACE AIG# HZ
I�WQ # Site # � .
— .-- (]ndcate on attached mala)
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment: j
1. Applicant's name: or -11 + 11-- 2. Evaluator's name:
3. Gate of evaluation: 4. Time of evaluation:
S. Name of stream: U!" + NGrc S`}�"`"`"P 6. River basin: —
7. Approximate drainage area: dr, 8. Stream order: �
9. Length of reach evaluated:10. County:
IL Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ea. 34.872312): Longitude (ex, -77-556611): 77o -rP Z -S, 77- 1 ;r
Method location determined (circle): t GG Topa Sheet Ortho (Aerial) PhotolGIS Other GIS Other
13. Location of reach under evaluation (note nt oads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if
15. Recent weather conditions:
16. Site conditions at time of visit
17. Identify any special waterway classificatio4known: Section 10 yTidal 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 a If yes, estimate the water surface area:
19. Goes channel appear on USGS quad map? NO 20. Goes channel appear on USDA Soil Survey? C;7"� NO
21. Estimated watershed land use: �% Residential -% Commercial �% Industrial rr % Agricultural
Forested �% Cleared 1 Logged°lo Other (
22. Bankfull width: 23. Bank height (from bed to top of bank): K t
24. Channel slope down center of stream: KIM (0 to 2%°) _Gentle (2 to 4%) _Moderate (4 to 10%) Steep (> 10%p)
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 fornt 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. 82
Total Score (from reverse): Comments: /A"41w— -- 41ev,6
Evaluator's Signature"`" Date !'
This channel evaluation form is ince ed to be used only as a guide to assist landowners and envir nmental 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-$76-8441 x 26.

STREAM QUALITY ASSESSMENT
WORKSHEET
#
CHARACTERISTICSECOREGION
POINT RANGE
Coastal
Piedmont
Mountain
SCORE
1
Presence of flow 1 persistent pools in stream
no flow or saturation = 0; strong flaw = maxpoints)
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 oints)
0 -
0-4
0 - 5
4
Evidence of nutrient or chemical discharges
extensive discharges = 0; no dischar es = maxpoints)0-5
0 - 4
0-4
$(no
Groundwater discharge
dischar e = 0; s rip s, see s, wetlands, etc. =:pax points
0-3
0-4
0 -4
Presence of adjacent floodplain
no flood Main = 0; extensive floodplain = maxpoints)
0-4
0-4
0-2
7
Entrenchment/ floodplain access
(deeply entrenched = 0• frequent flooding = maxpoints)
0-5
0-4
0-2
S
Presence of adjacent wetlands
}
no wetlands = 0; large ad'aceitt wetlands =max amts
0-6
0-4
0-2
(�
9
Channel sinuosity
extensive channelization = 0; natural meander = max points)
0-5
0 - 4
0-3
10
Sedimentinput
(extensive deposition= 0• little or no sediment = maxpoints)
0-5
L}-4
0 4
3
11
Size & diversity of channel bed substrate
fine homogenous = O• Iar a diverse sizes = max points)
NA*
0-4
0-5
12
Evidence of channel incision or widening
(dee l incised = 0; stable bed & batiks = max points)
0-5
0 4
0-5
q
13
presence of major bank failures
>a
severe erosion = 0- no erosion, stable banks = max points)0-5
0-5
0 - 5
14
Root depth and density on banks
no visible toots = 0• dense roots throu Bout = tnax Dints
0-3
0-4
0-5
15
Impact by agriculture, livestock, or timber production
substantial im act --0; no evidence = max points)
©` 5
0-4
0-5
16
Presence of riffle-pool/ripple-pool complexes
E rno
riffles/ripples les or pools = 0• well-developed = max points)
0-3
0 - 5
0-6
Q'
17
Habitat complexity
little or no habitat = 0• frequent, varied habitats = max oints
0-6
0-6
0-6
18
Canopy coverage over streambed
f
no-shading vegetation = 0; continuous canopy= max aints
0-5
0-5
0- 5
f�
19
Substrate embeddedness
(deeply embedded = 0; loose structure = max}
NA*
0-4
0-4
20
Presence of stream invertebrates (see page 4)
{na evidence = 0• common numerous es =max points)
0-4
0 - 5
0-5
Cz�
21
Presence of amphibians
0
(no evidence = 0; common, numerous es -- rnax ohms)
0-4
0 - 4
0-4
C4
22
Presence of fish
(no evidence = 0• common, numerous es = max points)
0-4
0 4
0-4
23
Evidence of wildlife use
(no evidence = 0; abundant evidence = max oints}
0-6
0 - 5
0-5
-
Total Points Possible
100
100
100
TOTAL SCORE (also enter on first page)
82
* These characteristics are not assessed in coastal streams.

NC DWFI :stream irientiftratinn Farm 'L'arcinn d 1 i
Date: 1
ProjecilSite:L� ,1,
Latitude.'-- ° / ! 41"1
Evaluator: 4? V064
County: .41W
Longitude: 7,70 4w C
Total Points: fish present and 18
Stream is at least inteimWent on geomorpholgy
Stream Determination tcir
Ephemeral
Other UNT to Burnt Goat
if z 19 orperennial if a 30"
Intermitten# erennia
e.g. Quad Name:
A. Geornor holo (Subtotal = }
Absent.
Weak
Moderate
Strong
18- Continuity of channel bed and ban
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
0,5
3
3. In -channel structure: ex, riffle -pool, step -pool,
ripple -pool sequence
©
1
1
3
4. Particle size of stream substrate
0
1
1
3
5. Active/relict floodplain
0
i
Yes = 3
3
6. depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
0.5
2
3
8. Headcuts
6
Other = 0
3
9. Grade control
4
0.5
Notes:
1.5
10. Natural valley
0
0.5
1
1.5
11. Seoond or greater order channel
No
- 0
esrt=
alt a, v Hca a+c Plvv 14tcu. aCC uptiw5bzuns In manua[
B. Hvdroloov (S"htntal = 1
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
0.5
1
1.5
16. Organic debris lines or piles
0
0.5
1
1.5
17. Soil -based evidence of high water table?
0
No = 0
Yes = 3
1.5
LWMR-]te]isle KIM &IIMieI -4
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
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0,5
1
9,5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5
Other = 0
`perenn€al streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
$r 7z r
wamp

�R'�!,;�� • �} � YP ,�1���,�;E � `�_•IR�'1'{7'.� `ter �"'� �� ` .
AT
F=" �� it I�'���' � ae�{�����¢i$�` 7'�'�' ���'� � u„�• �r ���
-- - MW
44
V
r.
- �j•' ZIP Y
.44
-
�'�
JL

� r
_ •r
e �� • � ; .. ; lit ,� y � ,�
r o -i
r' 0

(4L 14
USAGE AID# DWQ # Site # (indicate on attached map)
FM STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name:. l+ (\�c t -N 2. Evaluator's name:
3. Date of evaluation: r) - ) L L 1 4. Time of evaluation: 15th
S. Nance of stream: _UYtI..�,� River basin:(Ac-
7.
Ar -3,rtt
7. Approximate drainage area: 7 0��
. Stream order:
9. Length of reach evaluated: 10. County:
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
/1 �� t�
Latitude (ex. 34.872312): P .� LJ Longitude (ex, -77-556611): 1 W, 3
Method location detemtined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach tinder evaluatiR (not nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed chann
IS. Recent weather
16. Site conditions :
17. Identify any special waterway classifications known: k&Aection 10 X�� idalWaters %lLAEssential Fisheries Habitat
Trout Waters Nk4utstandingResource Waters AJA�NutrientSensitive Waters IvNA- Water Watershed L I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YESIf yes, estimate the water surface area:
I- �- (F�
19. Does channel appear on USGS quad map? YES NO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: % Residential —% Commercial % Industrial t °lo Agricultural
Forested _% Cleared f Lugged -% Other (
22. Bankfull width: .2-4 23. Bank height (from bed to top of bank):
24. Channel slope down
'�center of stream: Fiat (0 to 2%) —Gentle (2 to 4%) Moderate (4 to 10%) „Steep (>10%)
ce
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 Date -_L —14P � I
This channel evaluation form i e ded to be u my as a guide to assist landowners and environmental professionals in
gathering the data required the United States Army Corps of to
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
,�L{(�
I hese characteristics are not assessed in coastal streariis.
#
CHARA.CTERISTICS
ECOREGION POINT
RANGE
SORE
Coastal
Piedmont
Mountain
1
Presence of flow 1 persistent pools in stream
no flow or saturation = 0; strong flow =Inaspoints)
0-5
0-4
0-5
2
Evidence of past human alteration
extensive alteration = 0; no alteration = max points
0-6
p-5
0-5
11
3
Riparian zone
no buffer = 0; contiguous, wide buffer = max points)
0-6
0 — 4
0-5
C
4
Evidence of nutrient or chemical discharges
extensive discharges = 0; no disehar es = maxpoints)
0-5
0-4
0-4
5
Groundwater discharge
no discharge = 0; springs, see s, wetlands, =
0-3
0-4
0-4
etc. max oink
6
Presence of adjacent floodplain
0-4
0-4
0 —?
no floodplain = 0; extensive floodplain = max oints
7
Entrenchment I floodplain access
dee 1 entrenched = 0; frequent flooding = maxpoints)
0-5
0-4
0-2
8
Presence of adjacent wetlands
no wetlands = 0; large adjacent wetlands = maxpoints)�!
0-6
0--4
0-2
f }
9
Channel sinuosity
(extensive cliannelization = 0; natural meander = max 0in1s)
— 5
0-4
0 — 3
10
Sediment input
(extensive deposition= 0; little or no sediment = tnaxpoints)
0-5
0-4
0-4
11
Size & diversity of channel bed substrate
fine homogenous = 0; lar e, diverse sizes = max points)
NA*
0-4
{] — 5
12
Evidence of channel incision or widening
�+__(deeply
incised = 0; stable bed & banks —_max poi its)
0-5
0-4
0-5
+
13
Presence of major bank failures
0-5
0-5
0-5 —5
severe erosion = 0• no erosion, stable banks = maxpoints)
14
Root depth and density on banks
no visible roots = 0• dense roots throughout = Inaspoints)
0-3
0-4
0-5
15
Impact by agriculture, livestock, or timber production
substantial impact =0; no evidence = maxpoints)
0-5
0 — 4
0-5
16
Presence of riffle-pool/ripple-pool complexes
no riffles/ripples or pools = 0; well-developed = maxpoints)
0-3
0-5
0-6
17
Habitat complexity
f little or no habitat = 0; fre uent, varied habitats =
0-6
0-6
0-6
maxpoints)
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 of stream invertebrates (see page 4)
(no evidence = 0• common numerous es = maxpoints)
0-4
0-5
0—S
i�
Presence of amphibians
0-4
0— 4
0 4
Q21
(sro evidence = 0; common, nurnerrous es = max points)
22
Presence offish
0-4
0-4
0-4
ria evidence = 0• common, numerous tv es = maxpoints)
23
Evidence of wildlife use
()-6
p-5
0-5
no evidence = 0; abundant evidence = inaxpoints)
Total Points Possible
100
100
100
TOTAL SCORE (also enter on first page)
t
I hese characteristics are not assessed in coastal streariis.

�f V
NC DW Stream Identification Forth Version 4.11
Date: ProjectlSite: �. �ti Latitude:
f
Evaluator:
+// County: r 1 Longitude. ` VA 17 c �
Total Points: Stream Dete cle one} Other UNT to Burnt Goat wamp
Stream is at Feast intermittent r
ff ;� 19 orperenniat if a 30" Ephemeral ntermittent Drenniai e.g. Quad Name:
A. Geomorphology {Subtotal = }
Absent
Weak
Moderate
5trol
I", Continuity of channel bed and bank
0
1
2i
2. Sinuosity of channel along thalweg
0
3
J. In -channel structure: ex. riffle -pool, step -pool,
3
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
1)
2
5. Active/relict floodplain
©
2
3
fi. Depositional bars or benches
3
7. Recent alluvial deposits
0
2
2
3
8. Headcuts
3
9. Grade control
0
2
3
10. Natural valley
00.
1
1
1.5
11. Second or greater order channel
1.5
e artificial ditches are not rated; see disco ions in manual
o =
Yes = 3
B. Hydrology Subtotal =
12. Presence of Basefiow
0
1
2
13. Iron oxidizing bacteria
0
3
14. Leaf litter
1.5
1
3
0
15. Sediment on plants or debris
0
5
16. Organic debris lines or piles
0
0.5
1
1.5
1.5
17, Soil -based evidence of high w ter table?
No = 0
yes =
G. BiologySubtotal =
18. Fibrous roots in streambed
2
0
19. Rooted upland plants in streambed
2
1
20. Macrobenthos (note diversity and abundance)
1
2
0
21. Aquatic Mollusks
1
2
3
3
22. Fish
0
0 O] .5
1
1.5
23. Crayfish
0
1.5
24- Amphibians
0
0.5
1.5
25. Algae
0
0.5
1.5
26. Wetland plants in streambed
FACW = 0.75;
L = 1. Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
rti

shIh010
A
Waterbody shIh010 facing west upstream
Waterbody shIh010 facing east downstream

shIh010
�> t
ir,]_ f 9 �+. .iC''r , "IlF! �ikr1�S4 �=l �.c. `f4' '�':.:+
Waterbody shIh010 facing south cross strearr
= r
Waterbody shIh010 facing north cross stream

i_!SACE AID# --- tJwQ # Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
L Applicant's name: VY -L 1. In Lc3yl 2. Evaluator's name: l� �
3. Date of evaluation: , ` - (� �' 4. Time of evaluation:
5. Name of s€ream:` *t _ l
G. River basin: c; "C-
7. Approximate drainage area: C -5D C --c 8. Stream order:
9. Length of reach evaluated: 14. County:
!!9;a
I. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
4
Latitude (ex. 34.872312): Longitude (ex. -77.5560111: TT LJQ �
Method location deterniined (circle):
13. Location,of reach under evah
14. Proposed channel we
15. Recent weather Gond
Ib. Site conditions at tim
Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
to nearby roads and landmarks and attach map identifying stream(s) location):
`r t � n
17. ldeattity any special waterway classifications known: P- tSection €0 ,/-0-Tidal Waters essential Fisheries Habitat
—Trout Waters `Outstanding Resource Waters i Nutriew Sensitive Waters /dater Supply Watershed'!IA(mv)
18. Is there a pond or lake located upstream of the evaluation point? YES NO If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES ;NO 20. Does channel appear on USDA ,oil Survey?YES NO
.21. Estimated watershed land use: ,% Residential _%° Commercial _°/a Industrial
'VD'/a Forested % Cleared 1 Logged %a Other (�
22. Bankf tll width:
24. Channel slope down center of stream: Flat (0 to 2%°)
23. Sank height (from bed to top of bank)
{-!1%Agricultural
_Gentle (2 to 4%) iModerate (4 to 10%) Steep (>1a°/0)
25. Channel sinuosity: Straight Occasional bends Frequent meander `Very sinuous Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide art 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 NW _ Date - (,5-- 12
This channel evaivatiozi/fdm is inter a iro
to be used only as a guide to assist landowners and envnmental 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.

_�(-Lo 0, �(
STREAM QUALITY ASSESSMENT WORKSHEET
* Tltese characteristics are not assessed in coastal streams
2
CHARACTERISTICS
ECOREGION FLINT RANGE
Coastal
Piedmont
Mountain
SCORE
�
Presence of flow 1 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• aro 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 discharges = 0; no discharges = maxpoints)0-5
0 _ 4
0-41
r�
5
Groundwater discharge
,
e
no dischar e = i]; s rip s, see s, wetlands, etc. = max points
0-3
0-4
0-4
G
Presence of adjacent floodplain
(no floodplain = 0; extensive floodplain = maxpoints)
—/
0-4
0-4
7
Entrenchment floodplain access
(deeply entrenched = 0• frequent flooding_= max Dints
0-5
0-4
0-2
8
Presence of adjacent wetlands
(no wetlands = 0; large adjacent wetlands = max points
0-6
0 ` 4
0-2
9
Channel sinuosity
(extensive channelization = 0; natural meander = max Dints)
0-5
0 — 4
0 3
10
Sediment input
extensive de asition— 0 little or no sediment = max Dints
0-5
0-4
0-4
I I
Size & diversity of channel bed substrate
(fine homo enous = 0; lar e, diverse sizes = max poi
NA*
0-4
0-5
12
Evidence of channel incision or widening
(deeply incised = 0; stable bed & = max pints
0-5
0-4
0 -5
`-.
13
-banks
Presence of major bank failures
f
severe erosion = 0- no erosion, stable banks =nrax oints
0-5
0-5
0 — 5
f
14
Root depth and density on banks
+
(no visible roots = 0; dense roots throughout = rnax Dints
0-3
0 — 4
0 ` 5
;
15
Impact by agriculture, livestock, or timber production
substantial impact =0; no evidence =nraxpoints)
0-5
0 4
0-5
16
Presence of riffle-poollripple-pool complexes
F
no riffles/ri les or ools = 0; well-developed = max oints)
0 — 3
0-5
0-6
17
Habitat complexity
Q`
little or no habitat = 0; fre pent, varied habitats = max points)
0` G
G
G
18
Canopy coverage over strearnbed
no sliading vegetation = 0• continuous cano = max oints
0 -�- 5
0-5
0-5
19
Substrate embeddedness
(deeply embedded = 0• loose structure = max)
1 IA*
0-4
0 4
20
Presence of stream invertebrates (see page 4)
�
no evidence = 0 conrmotr numerous es = max points)
0-4
0`5
0-5
21
Presence of amphibians
(no evidence = 0; common, nuanerous es = max points)
0-4
0 — 4
0-4
2.2
Presence of fish
no evidence = 0; common, numerous types = max Dints)
0-4
0-4
0-4
23
Evidence of wildlife use
hin evidearce = 0; abundant evidence = max Dizrts)
0-6
0-5
0-5
Total Points Possible
100
100100
TOTAL SCORE (also eater on first page)
73
* Tltese characteristics are not assessed in coastal streams
2

NC DWQ Stream Identification Form Version 4.11
Date: _ C _ 1� ProjectfSite: p (,�j
Evaluator: t> County: � ll
Stream Points: < Stream Determination
Stream is at least intermittent � E
Lf z 19 orperennial if �! 30" Ephemeral Intermittent
-'N -.--\
shIh011
Latitude. `13' AR. q
'
Longitude:.� F7 01-) r'6i
Other Jacket Swamp
nlal a e.g. Quad Name:
_ �n .nairuaa
B. Hydrology Subtotal = `�
12. Presence of Baseflow
{y
1
2
13. Iron oxidizing bacteria
0
1
2
14. Leaf lifter
1.5
1
0 5
15. Sediment on plants or debris
0
0.5
16. Organic debris fines or piles
0
0.5
1
17. Soil -based evidence of high water to le?
No = 0
C. Bitalo (subtotal=
es ='3
18. Fibrous roots in streambed
2
1
19. Rooted upland plants in streambed
2
1
20. Macrobenthos (note diversity and abundance)
0.
1
21, Aquatic Mollusks
0
1
22. Fish
0
0.5
23. Crayfish
0
0.5
24. Amphibians
0
0.5
1
25. Algae
0
0.5
1
26. Wetland plants in streambed
FACW = 0.7
OBL = 1.5 Other = 0
"perennial streams may also be identified using other methods. See
p. 35 of manual.
-
Notes:
Sttetch

�w q.
�
'IC

d mWE
X'iaoll
• S� �' -'R -. ' 4 •�` 'mak L �.� �. _�f': . _�.
���.. _� � 1, i� � � •,.�'�.

14LHU1
USACE Alia#--
DWQ # Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: nY\ l 41—IL 2. Evaluator's name: W�� T-
3. Date of evaluation: - _ 4. Time ofevaluo9n: 10:15pm
5. Name of stream: G Ke iver basin: lNt-
7. Approximate drainage area: t C>`C. e- ' 8. Stream order:
9. Length of reach evaluated: 14. County:
11. Site coordinates (if known): prefer in dechnal degrees. 12. Subdivision name (if any):
� u
Latitude (ex. 34.872312):.
_ Longitude {ex. -77.556611): 7 [ [S
Method location detennined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluatt n note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed charm
15. Recent weather
16. Site conditions t
17. In�d--entify any special w :
waterway classifications known
&' °frou( Waters N'VAutstanding Resource Waters
LA-ection 10 AJA€dal Waters essential Fisheries Habitat
utrient Sensitive Waters �d*ater Supply WatershedA'A- (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES Q , If yes, estimate the water surface area:
19. Does channel appear on USGS quad trap? EDO
20. Does channel appear on USDA Soil Survey? AYES 1�IQ
21. Estimated watershed land use: 4L.". Residential �% Commercial °r° Industrial s°�a Agricultural
Z% Forested �% Cleared / Logged _% Other (
22. Bankfull width: 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: Fiat (0 to 2°/Q) _Gentle (2 to 4°1°) —Moderate (4 to lfl%) Steep (>! 0%)
25. Channel sinuosity; Straight occasional bends _Frequent meander Very sinuous ,Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Evaluator's Signature Date
This channel evaluationform s to ende o sed only as a guide to assist landowners and environmental pro ssionals 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 419-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
#
CHARACTERISTICSECOREGION
POINT RANGE
Coastal
Piedmont
Mountain
SCORE
1
Presence of !]ow /persistent pools in stream
no flow or saturation = 0; strong flow = Maxpoints)
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
_
1
3
Riparian zone
no buffer = 0; contiguous, wide buffer = max oints
0-6
0 -4
0-5
4
Evidence of nutrient or chemical discharges
FO
extensive discharges = 0; no discharges = max pints
0 — $
-
0-4
5Groundwater
discharge
no dischar e = 0; s rip ssee swetlands, ete. =max Dints
0 —3—'
0-4
Presence of adjacent floodplain
(no floodplain = 0; extensive floodplain = maxpoints)
0-4
0-4
0-2
i
Entrenchment / floodplain access
A
(deeply entrenched = 0; frequent flooding = max pnintO 1
0-5
0-4
0-2
8
Presence of adjacent wetlands
no wetlands = 0• lar a adjacent wetlands = maxpoints)
0-6
0-4
0-2
9
Channel sinuosity
(extensive channelization = 0; natural meander maxpoints)
0-5
0-4
0-3
10
.=
Sediment input
extensive de osition= 0• little or no sediment = max pints
0-5
0-4
0-4
11
Size & diversity of channel bed substrate
(fine hcame mous = 0 large, diverse sizes =max pints}
NA*
0-4
0—$
12
Evidence of channel incision or widening
(deeply incised = 0; stable bed & banks = rnaxpoints)
0-5
0--4
0-5
13
Presence of major bank failures
a
severe erosion = 0' no erosion, stable hanks =max amts
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
rA
15
Impact by agriculture, livestock, or timber production
substantial impact =0; no evidence = maxpoints)
0-5
0-4
0-5
16
_
Presence of riffle-pool/ripple-pool complexes
no riffleslri les or Pools = 0; well-developed = max points)
0-3
0 — 5JFF17
Habitat complexity0---6
Iittle or no habitat = 0; frequent, varied habitats = maxpoints)
0 --� 5
18
Canopy coverage over streambed
no shading vegetation = 0; continuous cano = maxpoints)
0-5
0-5
0-5
19
Substrate embeddedness
(dee I embedded = 0; base structure =max)
NA*
0-4
0 — 4
20
Presence of stream invertebrates (see page 4)
(no evidence = 0' common numerous types = max PDints)
0-4
0-5
0-5
_!
�
Zl
Presence of amphibians
(no evidence = 0; common, numerous es = max Points)
0-4
0 -- 4
0 — 4
{]
r�
22
Presence of fish
0-4
(no evidence = 0• common, numerous types = maxpoints)
0-4
0-4
23
Evidence of wildlife use
no evidence = 0; abundant evidence = maxpoints)
0-6
0-5
0-5
Total Points Possible
100
100
100
TOTAL SCORE (also enter on first page)
i 1
t�
* Thew
characteristics are neat assessed iia coastal streams.

NC Dn Stream Identification Form Version 4.11
Dale: :� - I S-' I Projectl5ute:L
Evaluator. County:
Total Points:
Stream is at least intermittent Stream Deten
ifa 19 orperennial irz 3p^ _ Ephemeral 6
sOL 4 61-
14 Latitude: ( c 13-6 1 � •
Longitude. 7 7 4`141'/J --
one) Other UNT to Jacket Swarr p
nnial e.g, Quad Name:
A. Geomor holo (Subtotal = )
Absent
Weak
Moderate
Stro
18Continuity of channel bed and bank
0
2. Sinuosity of channel along thalweg
0
1
3
3. In -channel structure: ex. riffle -pool, step -pool,
1
3
ri le- ool se uenoe
0
1
2
3
4. Particle size of stream substrate
0
5. Active/relict floodplain
0
2
3
6, Depositional bars or benches
0
2
3
7. Recent alluvial deposits0
3
$. Readouts
0
1
1
2'
3
9. Grade control
0
01
3
10. Natural valley
0
1
1.5
11. Second or greater order channel
.5
-0
1
1.5
artificial ditches are not rated: see d'SCUS S In manual
YES =3
B. H drolo -total
12. Presence of Baseflow
0
1 i
13. Iron oxidizing bacteria
0
2
3
14. Leaf litter
1
2
3
15. Sediment ❑nplants or debris
0
5
0
16. Organic debris lines or piles
0
0.5
17. Soil -based evidence of high water % e?
No = 0
1
1.5
C. Biolo Subtotal = I
es = g
1$. Fibrous roots in streambed
19. Rooted upland plants in streambed0
2
20. Macrobenthos (note diversity and abundance)
1
1
0
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
2
1
3
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
0
0.5
1
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
AGW = 0.75;
OBL = 1.5 Other = 0
1.5
'perennial sl -reams may also be identified using other methods. Seep. 35 of manual.
Notes:
Sketch:

shlh012
4 -+, �!• 'Ism k � .}�',`4 I ,
Waterbody shlh012 facing upstream
Waterbody shlh012 facing downstream

USAGE AID#
DWQ #
Site #_ (indicate on attached map)
4
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: 2. Evaluator's name: C7r V i �-!
3. Date of evaluation: /-I.okr'c. 10 ZZ) Lam 4, Time of evaluation: B3b A M
5. Name of stream: "r42 - 691-46bI 6. River basin: Tar -Pam
7. Approximate drainage area. 8. Stream order: t' -
9. Length of reach evaluated: 0 ec ` 1 10. County: Y w- i 1 lr X'
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):�� _
Latitude (ex. 34.872312): zL,, w 1�17 7,9 6 Longitude (ex. 77.556611): `" 1/Z1 7z
Method location deterinined (circle): Topo Sheet Ortho (Aerial) photo/GIS Other GIS Cather
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying, stream(s) location):
14. Proposed channel work (if any): 1� t='L i-
15. Recent weather conditions: a�'AyAl {� kir?15
16. Site conditions at time of visit: Ap 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 ofthe evaluation point? YES @ If yes, estimate the water surface area: /v �1
19. Does channel appear on 1JSGS quad map? YES NO 20. Does channel appear on USDA Soil Survey? (NO
21, Estimated watershed land use: % Residential % Commercial _%a Industrial `'14%® Agricultural
4S % Forested IL -010 Cleared 1 Logged % Other ( 1:. ' � 6 /`�Q 1,0 }
22. Bankfull width: . + 23. Bank height (from bed to top ofbank): .15
24. Channel slope down center of stream: ',-ylat (0 to 21A) Gentle (2 to 4%0) 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 ccoregion. 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 die
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: �%CCC'r^,IC� ek-LI"1-
eL]f�t.) rrcr25- /4d_r�eeJ/_5 Ifrrtr_:J J1 L'/-?)
!!2 V e.'. .c' 7 1,+ r?� �' T.i F r � � f i / r � ... f+ � r !!' L7GrJ/!J -il Y"rJ •+�--i L? - - r,7e'� ' i rFrl
Evaluator's Signature Date
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 06/03. 1'o Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
6HLA 00J-
* These characteristics are not assessed in coastal streams. ?.: ( r
ECOREGION POINT RANGE
#
CHARACTERISTICS
SCORE
vastal
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 =_ maxpoints)
3
Riparian zone
0-6
0-4
0-5
no buffer = 0; conn nous, wide buffer_ = max points
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
(extensive discharges = 0; no discharges = maxpoints)
`..,
ra
5
Groundwater discharge
0-3
0-4
0-4
no discharge = 0; springs, sees wetlands, etc. = maxpoints)
6
Presence of adjacent floodplain
0-4
0-4
0 — 2
no floodplain = 0; extensive floodplain = max points)_.
Z)!y
7Entrenchment
/ floodplain access
0-5
0 — 4
0-2
(deeply entrenched = 0; frequent flooding = max oints
8
Presence of adjacent wetlands
0-6
0-4
0-2
no wetlands = 0 lar a adjacent wetlands = max oints
9
Channel sinuosity
0-5
0-4
0-3
extensive channelization = 0; natural meander = maxpoints)
10
Sediment input
0-5
0-4
0-4
2.
extensive deposition= 0; little or no sediment = max points
11
Size & diversity of channel bed substrate
NA*
0-4
0-5
Iq
fine, homo enous = 0; large, diverse sizes = maxpoints)
1
i2
Evidence of channel incision or widening
0 — 4
0-5
li
>
(deeply incised = 0; stable bed & banks = maxpoints)0-5
13
Presence of major bank failures
0-5
0-5
0-5
severe erosion = 0• no erosion, stable banks = max oints
14
Root depth and density on banks
0 — 4
0 5
no visible roots = 0; dense roots throughout = maxpoints)0-3
l 5
Impact by agriculture, livestock,, or timber production
0-5
0 — 4
0-5
substantial impact =0; no evidence = max point
16
Presence of riffle-poolfripple-pool complexes
0-3
0-5
0-6
E--4
no riffles/ripples or pools = 0; well-devclo ed = max oints
t 7
Habitat complexity
0— 6
0— 6
0— 6
little or no habitat = 0; frequent, varied habitats = max points)
is
Canopy coverage
a over streambed
0-5
a --s
0-5
2-�1
no shading vegetation = 0; continuous canopy = max Dints
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
no evidence = 0; common numerous types = maxpoints)
21
Presence of amphibians
0-4
0-4
0-4
©
no evidence = 0; cominon, numerous es =max Dints
G
22
Presence of fish
0-4
0-4
0-4
no evidence = 0• common, numerous types = maxpoints)
23
Evidence of wildlife use
0-6
0-5
0-5
no evidence = 0; abundant evidence = maxpoints)
Total Points Possible
100
100
100
TOTAL SCORE (also enter on first page)
* These characteristics are not assessed in coastal streams. ?.: ( r

PF /{ f 1v'v;1')L- 57r {4r , .. el? -bra 15 H -- i 061
NC Division of Water Quality --Methodology for Identification of intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWQ Stream Identification Foran Version 4.11 �UD :.: '
Date: 4- .oq;-L Jam' 1 ProjectlSite: ,r� Latitude: .%
Evaluator: County: Longitude: -
Total Points: Stream Determination (circle one) Other
Stream is at least intermittent (� r Ephemeral Intermittent Aerenn I, e.g. Quad Name:
ii? Igor Derennial if? 30' •_ r -� 1--
1 i..,
A, Geam❑ hole (Subtotal = (`�a- a _ ]
Absent
Weak
Moderate
Strang
la -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,
0
' -
'
2
3
ripple -pool sequence
1.5
L
t
Q.5
0
4. Particle size of stream substrate
0
0.5
2
3
5. Activelrelict floodplain
0
1
2
1( 3 ":•
6. Depositional bars or benches
0
No = 0
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
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 j
artificial ditches are not rated; see discussions in manual
330.5
1
0
l"
B. Hydrology Subtotal =
�3
1
0
12. Presence of Baseflow
0
.1
2
3
13. Iron oxidizing bacteria
0
A.)
2
3
14_ Leaf fitter
1.5
(
Q.5
0
15- Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
1 0
1 0-5
1
1-5
17. Soil -based evidence of high water table?
0
No = 0
es = 3_)_
._. 1 I') Ill
FACW = 0.75;
13 = 1.5 Other = 0
18. Fibrous roots in streambed
330.5
1
0
19, Rooted upland plants in streambed
�3
1
0
20. Macrobenthos (note diversity and abundance)
0
2
3
21. Aquatic Mollusks ',
0
2
3
22. Fish
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0.5
1.5
25. Algae
0
AV
1.5
26. Wetland plants in streambed
FACW = 0.75;
13 = 1.5 Other = 0
Verennial streams may also be identified using other methods. See p. 35 of manual..
Notes:
Sketch:
/ 0.11 e'-51 k y
/LTJ yeo25
`w f1L
I
L' _.�3�1s�h1 �w�i ]_. r.,: <:- � �., g" res"i•,/vi7C, E' >� �fi

lr `
j r `
Ic
4 is wr J f }}}
sa -:-
- r r
At
`.r
;+e e
r ,
f
All \ 1
'ems 1 • �F s .�- *e 'F\� ' � -
r� t

USACE AID#
DWQ
Site # (indicate on attached map)
1 STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment: �{{��
1. Applicant's name: i t.t 2. Evaluator's name: t) s
3. Date of eval
5. Name of stream:
Time of
7. Approximate drainage area: L,' 8. Stream order: +� �
9. Length of -cacti evaluated: 10. County: t Y1
11. Site coordinates (if know[)): prefer in decimal degrees. 12. Subdivision) name (if any):
Latitude (ex. 34.872312): `' f( f(, �[J a� _ r < r•
_ Longitude (ex.—7i.55tifi 1 1):_: 7 7 .� �. !�
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) PlrotolGTS Other GTS Otl)er
13. Location of reach under evaluation {note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed chann
15. Recent weather
16. Site conditions d
17. Identify any special waterway classifications known: G eetion 10 , la[ Waters essential f=isheries Habitat
rout Waters kutstanding Resource Waters A_*s'Nutrient Sensitive Waters eater Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES CO )f yes, estimate the water surface area:
19. Does channel appear on USES quad map? YES 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: % Residential —% Commercial �% Industrial CJ S°10 Agricultural
-�-Q% Forested `�'/o Cleared 1 Logged —% Other (
22. Bankfull width: L 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: XFlat (0 to 2%) Gentle (2 to 4%) —Moderate (4 to 10%) _Steep (>I 0%)
25. Channel sinuosity: XStraight --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 cacti characteristic within the range shown for the ccoregion. 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 cacti
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): Comm tts•t lG Gs`�
Evaluator's Signature 6 � Date 7-2- { i L
This channel evaluation form ' 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 Cornment, please call 919-576-8441 x 26.

S14 L\46C
STREAM (,QUALITY ASSESSMENT WORKSHEET
#
CHARACTERISTICS
ECOREGION POINT RANGE SCORE
Coastal
Piedmont Mountain
1
Presence of flow 1 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 points)
0-6
0-5 0-5
3
Riparian none
(no butler = 0; contiguous, wide buffer = max points)
0-6
0 - 0 - 5
4
Evidence of nutrient or chemical discharges
(extensive discharges = 0; no discharges = max points)
0-5
0--4 0-4
Q5
Groundwater discharge
(no discharge = 0; sprin s, see s, wetlands, etc. = max_ points)
0_ 3
0- 4 0- 4
6
Presence of adjacent floodplain
(no floodplain = 0- extensive floodplain = -Max aints)
0-4
0--4 0-2
7
Entrenchment 1 floodplain access
(deeply entrenched = 0; frequent flooding = max paints)
0-5
0-4 0-2
8
Presence of adjacent wetlands
(no wetlands = 0; ]arse adjacent wetlands = mints}
ax po
0-6
0 - 4 0 - 2
g
Channel sinuosity
(extensive channelization = 0; natural meander = max points)
0-5
0 - 0 -
10
Sediment input
(extensive deposition= 0; little or no sediment = max 17oincs)
0-5
0 - 4 0-4
11
Sine & diversity of channel bed substrate
fine homogenous = 0; lar e, diverse sizes = max oints)
NA*
0-4 0-5
12
Evidence of channel incision or widening
(deeply incised = 0; stable bed & banks = max points)
0-5
0-4 0-5
�-.
13
Presence of major bank failures
(severeerosion = 0; no erosion, stable banks = max points)
0- 5
0-5 0-5
14
Root depth and density on banks
(no visible roots = 0, dense roots throughout = max points)
0-3
0-4 0-5
15
Impact by agriculture, livestock, or timber production
(substantial impact =0; no evidence =znaxpoints)
0-5
0-4 0-5
'
16
Presence of riffle-pool/ripple-pool complexes
0-3
(no riffles/ripples or pools = 0; well-developed = max points)
0-5 0-6
d
17
Habitat complexity
(little orno habitant = 0; frequent, varied habitats = max paints)
0 - fi
0-6 0 - ('
18
Canopy coverage ower streambed
(no shading vegetation = 0; continuous canopy = max points)
0-5
0--5 0-5
19
Substrate embeddedness
(deegly embedded = 0; loose structure =znax)
NA*
,
0-4 0-4 �}
20
Presence of stream invertebrates (see page 4)
(no cvidcnce = 0; cotnnzonnumerous types = max points)
0 - 4
0-5 0 •- 5
V
21
Presence of amphibians
0
(no evidence = 0; common, numerous ty es = max points)
0-4
0-4 0-4
22
Presence of fish
(no evidence = 0; common, numerous types = max points)
0-4
q - 4 0 - 4
�3
Evidence of wildlife use
(no evidence = 0; abundant evidence = max points)
0-6
0•--5 0-5
Total Points Possible
100
100 100
TOTAL SCORE (also enter on first page)
* These
C�triractcrlSllcs
art'. not assessed in coastal streams.
2

shIh015
NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
r-
Nc nwo ttl•nam Irtrntifiratinn Edna -m Vn. �;..., d i 1 -` t" i u f 3 I S
Date:
Project/Site:
Latitude:
Evaluator: r. ,
County: t }
Longitude: 7 7 C1-1 57
Total Points:
stream is at feast intermittent 20.75
Stream Deter ' °rcle one)
Other UNT W Rocky Swa
i f a 19 or Perennial it z 30`
Ephemeral falermittent erennial
e.g. Quad Name:
n r -
A. Geomorphology (Subtotal =- { ` J -}
Absent
Weak
Moderate
Strong
18- Continuity of channel bed and bank
0
1
2)
3
2. Sinuosity of channel along thalweg
0
13
2
3
3. In -channel structure: ex. riffle -pool, step-pool,-
tep pool,
_.ripple -pool sequence
0
'
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
1
2
3
8. Headcuts
0
25. Algae
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
8 .
No = 0
Yes = 3
Notes:
-killuiae UELWrwa sib isut Idluu, `wCe UlscusslO�j.^s In manual
B. Hvdroloav (Subtotal = _q. S j
12. Presence of Baseflow
13. Iron oxidizing bacteria
0 1�. 2
0 AL2 -
3
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
5' 1
1.5
17. Soil -based evidence of high water ble.
Na = 0 YeS_77_3
LR al ill 11911 iR"00I I OUR i;l!il
18. Fibrous roots in streambed
3
1
0
19. Rooted upland plants in streambed
3
2
1
4
20. Macrobenthos (note diversity and abundance)
(00
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae
0
1'
1.5
26. Wetland plants in streambed
CW = 0.75;
OBL 4 1.5
Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual_
Notes:
Sketch:
sh
5';
41
c.

_
14
� kv
.'�
f
1�.• sl �+ { � y �_ J � �'y ,: � Vit. V7

shlhOl
Waterbody shIh015 facing west cross stream

USACE AID# DWQ # w _ Site # (indicate on attached map)
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: 06-Yv%-t',tln-e-N
2. Evaluator's name: T> uj:��51"'
3. Date of evaluation: CA - D.V
4. Time of evaluation: n " -� S-
5. Name of stream;_
6. River basin:
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): o �. i
Longitude (ex. —77.556611): -17 . / G s
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluattt to nearby roads and
landmarks and attach map identifying stream(s) location):
14. Proposed chann
15. Recent weather
16. Site conditions
17. Identify any special waterway classifications known: r"i Section 10 -hidal W��tatfters 'fhssential Fisheries Habitat
jLy�rout Waters Outstanding Resource Waters LW Nutrient Sensitive Waters =Water Supply Watershed'"`r' (I -Iv)
18. Is there a pond or lake located upstream of the evaluation point? YES 9 If yes, estimate the water surface area;
19. Does channel appear on USGS quad map? YES NO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: % Residential _%o Commercial % Industrial 60 % Agricultural
%Forested %Cleared /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%4) _Moderate (4 to 10%) _Steep (>101/o)
25. Channel sinuosity: KStraight !Occasional bends _Frequent meander _very sinu�us _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 rovide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., th 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 Score (from reverse): - Comments: ,1 _ rr*n'-a' Yrs
Evaluator's Signature Date 9--
This
"This channel evaluation fo m is intended to be used only as a guide to assist landowners and ei
gathering the data required by the United States Army Corps of Engineers to make a prelh
quality. The total score resulting from the completion of this form is subject to USACE ap
particular mitngation ratio or requirement. Form subject to change -- version 06/03. To Comment,
mental professionals in
assessment of stream
and does not imply a
call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT' WORKSHEET �'OZ-IV 0-2-C e.
r i nese cnaracteristics are not assessed in coastal streams.
#
CHARACTERISTICS
ECOREGION POINT RANGE
SCORE
Coastal
Piedmont
Mountain
_
Presence of flow / persistent pools in stream
no flow or saturation = 0; strop flow =max Dints
0 —
0-4
0 - 5
V
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 = maxpoints)
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; s rip s, seeps, wetlands, etc. = max points)
p_ 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
(deeply entrenched = 0• frequent floodin = maxpoints)
0-5
0-4
0-2
8
Presence of adjacent wetlands
-�
_'no wetlands ='0; large ad'acent wetlands = max points)
0-6
0-4
0-2
9
Channel sinuosity
extensive channelization = _0natural meander = maxpoints)0-5
©— 4
0-3
10
Sediment input
(extensive deposition= 0• little or no sediment = max points)(.
0— 5
0— 4
0 4
I 1
Size & diversity of channel bed substrate
fine homogenous = 0; large, diverse sizes =max Dints
NA*
0-4
0 — S
+1!"L
12
Evidence of channel incision or widening
N(deeply
incised = 0; stable bed & banks = maxpoints)0
— 5
0-4
q 5
a
13
Presence of major bank failures
severe erosion 0• no erosion, stable banks = max RDints
0-5
q-5
0-5
14
Root depth and density on banks
no visible roots � 0; dense roots throughout = max points)
0-3
q _ 4
0-5
rn
15
Impact by agriculture, livestock, or timber production
substantial impact =0; no evidence = max . Dints)
0-5
0-4
0-5
�-
16
Presence of riffle-pool/ripple-pool complexes
no riffles/ripples les or pools = 0; well-developed = maxpoints)0-3
0 — 5
0-6
17
Habitat complexity
0-6
0-6
0-6
little or no habitat= 0• frequent, varied habitats = maxpoints)
18
Canopy coverage over streambed
0 — 5
0-5
no shadingvegetation = 0; continuous canopy= maxpoints)0-5
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
>
(no evidence LL 0; common numerous es = max points)
4
21
Presence of amphibians
0-4
0-4
0-4
(no evidence = 0; common, numerous types = maxpoints)
C
22
Presence of fish
no evidence = 0; common, numerous es = maxpoints)
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 on first page)
r i nese cnaracteristics are not assessed in coastal streams.

NC DWQ Stream Identification Form Version 4.11
Date,' f
1
Project/Site:
Evaluator:
2
County: -
Total Points.
1 a
Stream is at feast intermittent'
Stream Determi
if L 19 or perennial if a 3o`
Ephemeral termii
A. Geomor holo(Subtotal = 0' )
20. Macrobenthos (note diversity and abundance)
Absent
1 a' Continuity of channel bed and bank
0
2. Sinuosity of channet along thalweg
0
3. In -channel structure: ex. riffle -pool, step -pool,
0
ripple -pool sequence
0
4. Particle size of stream substrate
0
5. Activelrelict floodplain
0 ,
6. Deposr'tlonal bars or benches
0
7. Recent alluvial deposits
1.5
8. Headcuts
0
9. Grade control
0
10. Natural valley
0
11. Second or greater order channel
o = 0
- artificial ditches are not rated; see discussions in manual
0.5
B. hi drolc) Subtotal = , S-
1.5
12, Presence of Baseflow
0
13. Iran oxidizing bacteria
0
14. Leaf litter
1.5
15. Sediment on plants or debris
0
16. Organic debris lines or piles
0
17. Soil -based evidence of high water table?
No = 0
C. Biolow (Subtotal =
tSkL�0u
Latitude&�.-le-53.
Longitude: 77' Ll h f
role one) Other''�V/V7- r °�n
perennial e.g. QuadNamel-�C'ejcv
Weak
1
0
0.5
E
FA
A
Yes = 3
Stron
3
3
3
3
3
3
3
3
1.5
1.5
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
2
L
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
2
1
20. Macrobenthos (note diversity and abundance)
0
CID
2
0
21. Aquatic Mollusks
0
1
2
3
3
22. Fsh
0.5
1
1.5
23. Crayfish_
0
0.5
1
1.5
24. Amphibians
0
0.5
1'
1.5
25. Algae
0
=11
1.5
26. Wetland plants in streambed
CPACV7=
0.75; OBL = 1.5 Other= 0
"perennial streams may also be identified using other methods. See p. 35 of; manual.
Notes:
Sketch:
v
}{
61.1:,
)__ t
!1

'•:;�.-. � '�', �''�,� " fix. - a ,� is
k
ww'- ...,.. .

USACI= AID=' DWQ J Site = vindicate on attached ]ltatil
QCT i
Q STREAM QUALITY ASSESSMENT WORKSHEET
Pro' ide the following information for the stream reach under assessment:
1. Applicant's name: prn � () Id n 2. &,aluator's name:
3. Date of evaluation: -71/a'y / i 4. Time of evaluation: I AOM
5. Nalne of stream: NT 4V (Z66"/ Sworn P 6. River basin: O�(' f Q v 1 C U
7. Approximate drainage area: vZ� aLS. Stream order:
9. Lengill ofreach evaluated: I ¢ 14. Count),:
11. Site coordinates (if known): preefer in decin7al degrees 12. Subdiiiisiou 11ame (if an3,): NA
latitude tex.3a.S72312): 2 7 -79 +�q Longitude (ex. -77.556611):-77,��
Method location determined (circle):GPS Topo Sheet OnhO (Aerial) Photo/GlS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying' stream(s) location):
oc� w�5-% o� z --q 5 - t',10���1 da= +A'*w& L+ 6
14. Proposed channel work (if any): Q�ie� Q+ 1 ilk v
I5. Recent «°eatller conditions: ��n � -
16. Site conditions at ii111e of visit: WCk � mit lCt-e4
17. Identify any special waierx ay classifications known: SSection 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 ofthe evaluation point? YES '0 If yes; estimate the water surface area:
19. Does channel appear on USGS quad map? CYE�S)No 243. Does channel appear on USDA Soil Survey? YES NO
ti 1. Estimated watershed land use: °'o Residential T6 Commercial _% Industrial (�Q ° o Agricultur=al
Forested °'o Cleared J Logged % Other ( _}
(TCP c 1=` $Ar ---- — -
22. Bankfulli 7: 5 - 23. Bank height (from bed to top of bank): k
24. Channel slope down center-streain: Flat (Oto 2%) _Gentle (2 to 4%)
_Moderate (4 to 10%) _Steep (> l0°'0)
2a. Channel sinuosity: _Straight Occasional bends _f=requent meander —Very sinuous _Braided channel
lit5`cj ItCEIVirS
for Cornpletioii of worksheet (10''ated Oil page 2): Begin by detennining the most appropriate ecoregron based on
loc,idon. terrain. vegetation. stream classificalion, etc. EN'ery characteristic must be scored using the same ecoregion. Assign porus
to each characteristic within the ranee sho«Nn for the ecoregion. Page 3 prov°ides 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 floes fi•oni a pasture
into a forest), the stream may be divided into smaller reaches that display more ccintinulty, and a separate fonn used to e\ aluate each
reach. The total score assigned to a stream reach must range between 0 and 100. with a score of 100 representing a <treain of the
highest quality. y
Total Score (from reverse): , Comments -
Evaluator's Si4113ture Date
This channel evaluation form is intended to be used onlN. as a guide to assist landowners and emironnlental professionals in
?atliering the data required bs- the United States Army Corps of Engineers to slake a preliminary assessiuent of stream
quality. The total score resulting from the completion of this foriu is subject to USACE approval and does aot iniply a
111-t jE1-�=� 1 \fib.
llartiCular niitiration ratio or requirement. Fc31l;1 4til,icC'l tip �17an�'c- \cr'Sr011 1)� E3 To Liiltlrl;elli. pl[a: yell 5

STREAM QUALITY ASSESSMENT WORKSHEET
1 ^
Presence of Iionv j persistent l3©oIs in stream
0-5 0-4 0-5
(no flow or saturaf ion = 0; strop flow= ]nax points
Evidence of past buinan alteration
0- 6 0- 5 0-5
2
(extensive alteration = 0; no.alteratiori _max oints) .
= ltijlaria3x lone
0- 6 0 4 0
3
...,
(ro buffer O,.co fi uous vzride buffer = znau amts)
f
Ev!deuce o£ zzutrient or c ens cal c lsc a ges
0 4
{eatensiti,e dischar es - fl, no discharges 3miax pmts) . __
Golnda#erdischa3ge4
0 3 ;. 0�4, 0 4
S
,y j,
{no xliscliar"e 0- s `rrn s see s, rx etlands; etas snax points) _
t: Press"'lace of adlaceiitIoocIp3ain ` '-
Q 4 • f 0 -4 0 2
(iio flgod lain=•{% exteimsri�e flood Iain , 'tax omts)'
:; Enfreiich3ueii# 1 iloodplail3 access :
0=5 0 -- 4 0- 2
7
(deepl entrenched . 0; fre cent floodin max points)
Presence of adjaeent wetlalads '
;. 2
0-6 0-4 0
l
(no wetlands = 0 lar a adlaceint ��-etlands.- max points)
Channel sinuosity '
0 - 5 0-4 . = O=3
9
extensive cbannelization = 0; natural meander.=. max points
{ 0
;; Sediment itt ut ='
0 5 0 -4 0--4 "
)
extensi�ie deposition= 0;17ttle or lin sedi_mem = 3nax oints)
Siie & dIt ei sity of channel bed substrate
r 0 - 4 075
11
(fine, hoino' enous , 0' lar e, diverse sizes max po3rits
: •: Evil ei ce of channel iuOsaon or... Fidel ing . `
0 5 0-4 0 - S
12
(d ee I incised.-, 0 stable bed & b —s in.ax points
�¢
Presence'of major bank fsitures `
p - 5 0-5 0 = 5
13
{
(severe erosion = 0 no erosion stable banks = nnax points)
Root depth, aaad density on banks
0-3 0-4 0-5
p
14
{no visible roots = 0, dense root's throw out = ">iiax ousts)
z;
?`
lnnpact by agriculture, livestock or fiin6er, rir gduction
0 _ S 0-4 0-5
15
(substantiai i3npact �0; no evidence maxpoints)
W seace of riffle-poollripple=Wool eoiitplexes
0- 3 0-5 0-6
16
(no riffles/ripples pies or pools = 0; quell -developed = ax. points}
.
Habitat cam_ pleaity
�POLUtS)
0- 6 0-6 0 6
17
K"
(little or no habitat = 0; frequent, varied habitats = max
Canopy cos•erage o, er stream ed
0-5 0-5 0-5
�
18
(no shadingvegetation = 0; continuous cano = max points
19
Sul3strateembeddednessA'i
0-4 0-4
---
(deeply embedded = O; loose structure =max
1:
Presence of stream in}vertebrates (see page 4)
0-4 0-5 0 - 5
tom_)
-'. 20
(no evidence = 0; common, numerous •pes = max points)
C7:
Presence of amphibians
0-4 0-4 0-4
�l
Q `
no evidence = 0: common, numerous es W max points):.
?2
Presence of fisEn , `.
0-4 0--4 0-4_.
mac_
(no el�idence = 0: comm6n, nuinerous pes = max points)
r
Evidence of �i°ildlife use
0-G 0-5 0-5
; �,
x-
(no evidence 0, abundant evidence max points)
y.
so tet
ia.T
'OT2 S FJit3-1e
ashae�
y
These characteristics are not assessed in coastal streams.

NC AWQ Stream Identification Found Version 4.11 Sh load t
Qate: /aC� ProjectlSite: �� Latitude -36,09S
Evaluator:�53_,����� j��,rn���yni,Ec-y County: �,Lnterl
Longitude: --%7,
Total Points: Stream Detation {circle one) Other 1�in�ula
Stream is at feast intermittent '�� 5 Ephemeral �t#en Perennial e.g. Quad Name:
if>_ 19 or perennial if? 30"
A. Geomorphology (Subtotal = �d� �)
Absent Weak
Moderate j Strong
1a' Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
3
3. In -channel structure: ex. riffle -pool, step -pool,
0
1
2
3
rippitpool sequence
0
1
2
3
4. Particle size of stream substrate
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
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
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = )
of Baseflow
2
3
ron oxidizing bacteria
2
050Sediment
3
r12.resence
eaf litter
M-0
*i�
1.5
on plants or debrisRtable?
1.5
Organic debris fines or plies
Yes 3�
17. Soil -based evidence of high w
C. Biology Subtotal = )
1
0
18. Fibrous roots in streambed
3
2
0
19. Rooted upland plants in streambed
3
2
1
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
0.5
2
1
3
1.5
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1 5
24. Amphibians
(0,
0.5
1
i.5
25. Algae
eambed
FACW = 0.75; OBL =1.5
Other Oj
so be identified using other methods. See P. 35 of manuai.
"Sketch:
014wi^'�1pWld+k'; 4-
�vp d I ,,r,� wiLE-+k" � L

i
41
- awl i�:F
- �/ a � � � •'7X,1 � "

USAGE AID=' D\', t? = Site = (indicate on attached Wrap)
5�10 aoa
Q
STREAM QUALITY ASSESSMENT WORKSHEET
Proi ide the followhig information for the stream reach under assessment:
I. Applicant'snante: �E�/tn id/n 2. ENaluator's nalne:6��-a,(Wb_ tlz
3. bate of evaluation: %/ / 4. Time of evaluation:
ante of stream: (A N1 +0 ��e«� &40 0 6. Rii er basin: T a'r J>g"m I ' CCS
7. Appi-oxinrate di-ainag.e area: �� �LC�S S. Stream order:
9. Length of reach evaluated: �"� 10.. Count),:- _1+01
11. Site coordinates (if known): prefer in decin]al degrees. 12. Subdivision name (if any):
�N
Lstitude (ex.3a.&72312): -3(,,Gr t_7[ l Longitude (ex. -77,556611): 7 / �7 ! -7 1 7
Atetl]od location deten]]ined (circle): GPS Topo Sleet Onho (Aerial) PhotoiGIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach reap identifying streani(s) location):
C.UC_ A--(_� vie SA o�, z -q 5 1•- rvam"', ad' h 4-
14. Proposed channel work (if any): P(z)pos,-
15. Recent weather conditions: SL4n c_�
16. Site conditions at time of visit: and
I?. Identify any special it-aleni,-ay classifications kno-wn: Section 10 Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource 1\'aters t -"Nutrient Sensitive WatersWater Supply Watershed (I-IV)
I S. is there a pond or lake located upstream of the evaluation point? YES Q�f yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES 1\0 20. Does channel appeal' on USDA Soil Survey? YES(9
21. Estimated ti atershed land use: 10 °'o Residential To Commercial ° o Industrial (06"o Agricultural
3�) % Forested
ankiul wid n:
24. Channel slope down eent�et' f stream: V Flat t0 to 2%)
25. Channel sinuosity,: ' Straight _Occasional bends
°'o Cleared / Logged ^4'o Other
23. Bank height (frorn bed to top of bank):
_Gentle (2 to 4%) _.Moderate (4 to 10%) ,_Sleep (> 10°'0)
^Frequent meander —eery sinuousBraided channel
instructions for cornpietior► of i;orkshed (]orated on l5agi r): Begin by deLenninin„ the most appropriate ecoregion based on
location. terrain. vege€ation. stream classificalion, etc. Every characteristic must be scored using the same ecoregion. Assigli points
to each characteristic 'within the ranoe shoNin for the ecoregion. Page 3 provides a brief description of ho-,,,, to review the
ci-saracteristics identified in the worksheet. Scores should reflect an overall assessinent of the stream reach wider e\alualion. Na
characteristic cannot be evaluated due to site of weather conditions, enter 0 in the scoring box and provide all explanation in the
connnnelit section. 1�'here there are obvious changes in the character of a stream tender review (e.g.. the stream tlm«s from a pasture
into a forest). the stream may be divided into smaller reaches that display more continuity, and a separate font used to ei aluate each
reach. The total score assiF_>ned to a su•eann reach trust range between 0 and 100. wh1i a score of 100 representing a stream of the
highest qualm,.
Total Score (from reverse), 'T Comments:
Evaluator's Signature - ",( a- - -- Date 71�x) f 5 - - This channel e-i-aluation form is intended to be used only as a guide to assist landowners and em ironniental 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 USACL- approval and does not imply a
I}al'tiCttlar tl]lli$atiGrl ratio G1' reglIil'EtltElit. Fir'!"ii SLi�,ieil li min 11�°c - \ el'>ii;li lt, �i� - (�l (i:liiiiielis. plea: gall ` 1 `.�-� -5=� 1 ! 26.

STREAM QUALITY ASSESSMENT WORKSHEET
Presence of no. w l'persistent �!DOis in stream
Q — 5 0-4 Q-5
(no flow or saturation = 0; stropg flow ='znax points
E<< Bence of pasf Hunan "alteration '
0-6 0-5 0-5.
2
(extensive alteration.= 4; no alteration = max dints)
3itpat
tarsi; zone?'
0-6 0 4 0 5, S,
;..:. (no buffer O; conn uous, :�+ de buffer �na�c_ ort�ts).:
t . .
4 Et tdence of titttrie> tt ar ctemicaXxseha ges
"es
0 - 5
{exteiisiYe dischar a -.0, no: dischar tax T
5GrAttndi{
ater dischate f r t
0 3 0 4z Q 4'
(no'ilaschai a .0; spriiiys, seeps.a etIands etc max poiz it
_{ +„ Presence of adtaceiit floodplaitr s
'
0 4 '0-4 -
(no flood lam %0; extensive floodplain . max oints)'
Eli#rettchy&nt 1 f#o idplaiti access.: ;:
0 5 0-4 0-2
deepl entrenched - 0- frequent #loo in max Danis)
Piesenceofadiaeenteietlands
p-6 0-4 0-2
(no -wetlands = O; large adtacent t� etlands,= max ostzts
-
9_
Channel sinuosity ...
0- 5 0-4 0-3 .... 4
extensive channelization = ©; t"aattiral meander.= ariax points)
0
Sediment.nput r
5 0-4 0 - 4 `
{extensaye de osition= 0' little or no -sediment. mai. Di nts
I
Size & dig ei sity of channel bed substrate
NAS i° 07 4 075 �^---
(fine; homo enous = 0 laa'' e, diverse sizes.- n�ax points)
F j
.:,-; x..
E� Idettca of chanziel iitcrsaon. or �► tdening. '.
0 W 5 0 - 4
.
(deepl' ancised. _ 0; liable bed banks max -points)
�$
Presence`o major bank fatluires '
0 - 5 0-5 0 - 5
I
severe e3 osion = 0, nio erosion, stable banks =max Dints)
Root deptWand density on banks
0-3 0-4 0-5
14
{no visible roots 0, dense roofs thrbu haat = iiax points) .
1
i
Impact by agriculture,_ llvestkk, or Hitler, l reduction
0-5 0-4 0-5
is
(substantial impact'4, no evidence =max oints)
Presence `iif rif#ie=poollripple=p©ol cniuleaes
0-3 0 - 5 ' 0-6 1
16
(no riffleslri ples or dols = 0; swell -developed = max oints)
1
„ ..
Habitat complexity
0_ 6 _ 0 6 0 6 �,
j`
(little or no habitat = 0; frequent varied habitats = �nax points)
R
18
Canopy Overage ov .er streambed
0-5 0- 5 0-5 5
'
(no shaduia vegetation = 0; continuous canopy = max points)
Sub rate embeddedness
(deeply embedded = 0; loose structure = max)
Presence of stream invertebrates (see page 4)
0-4 0 = 5 0-5
20
(no evidence = 0; common, ntnraerous types = max points)
v 1
Presence of amphibians
0-4 0-4 0- 4
(no evidence 0; common, numerous t),pes = max points :,
..
=' 22
Presence offish .
0--4 0-4 0-4
CD
r
(no evidence.= 0; comrflon, numerous types =rnax points)
03
2
j Evidence of�siidlife use -
0- -
6 0-5 0-5
r-
{no evidence 0; abundant evidence = max points)
Total Paints �Qssrbie 140 100 IOQ
' `O'F LE SCORE gals© eater oz first paged
4
These characteristics are not assessed in coastal streams.

NC DWQ Stream Identification Form Version 4.11
Date: 7t/OZC��� �j ProjectlSite: Ge
Evaluator: K,/114,(f"ire L) county: M11 i �
Total Points:�� Stream Deter tion circle one)
Stream is at least intermittent Ephemeral n#ermittent perennial
if >_ 19 orperennial if?: 30" -
A. Geornorphola (subtotal = I_) Absent weak
12' Continuity of channel bed and bank 0 1
2. Sinuosity of channel along thalweg 0 1
3. In -channel structure: ex. riffle -pool, step -pool, 0 1
ripple -pool sequence
5� I a ()Oa
Latitude: ,�-)q i O
Longitude: --7 7, 77 12 V
Other pame:
e.g. Quad
Moderate
2
2
2
4. Particle size of stream substrate
0
5. Activelreliot floodplain0
(1
2
6. Depositional bars or benches
0
1
2
7. Recent alluvial deposits
0
1
2
8. Headcuts
-
1
2
9. Grade control
0.
1
10. Natural valley
0.5
1
11. Second or greater order channel
No 0
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. Hydrology Subtotal = )
12. Presence of Baseflow
0
1
2
13. Iron oxidizing bacteria
0
1
2
14. Leaf utter
1.5
1
0.5
15. Sediment on plants or debris
0
0.5
1
-�
16. Organic debris lines or piles
0
.5
,
Yes =
17. Soil -based evidence of high water table?
No = 0
C. Biolo (Subtotal z )
1
18. Fibrous roots in streambed
3,
2
19. Rooted upland plants in streambed
3
2
1
20. Maerobenthos (note diversity and abundance)
(0
1
2
21. Aquatic Mollusks
( 0
1
2
1
22. Fish
(0,)
0.5
23. Crayfish
0
`'j
0.5
0.5
1
1
24. Amphibians
(0)
0.5
1
25. Algae
26. Wetland plants in streambed
FACW = 0.75; OSL =1.5 Other
"perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: 001A) arese�.dr
Sketch: ��n1ov � sklo 601
014WM W1d+k ; 5
.TOP 0- 1 60'4 Wi&+�' '
ong
3
3
3
3
3
3
3
3
1.5
1.5
3
3
0
1.5
1.5
0
0
3
3
1.5
1.5
1.5
1.5

FUSACE AID##.
DWQk
SO
Site #1
(indicate on attached map)
F12-11 STREAM QUALITY ASSESSMENT'WORKSKEET
Provide the following information for the stream reach under assessment: _
1. Applicant's name: tire. 2. Evaluator's name: LU�s �
3. Date of evaluation: L 4. Time of evaluation: `
S. Name of stream: L.L 40l� , �er basin: Int UCS +r+� 1c C.
7. Approximate drainage area: a=4 8. Stream order:
9. Length of reach evaluated: C 10. County: k It I 3'
11. Site coordinates (if known): prefer inn decimal degrees."'
�rees. 12. Subdivision name (if any): t l ,G �f
Latitude (ex.34.872312); a { 7 f Longitude (ex. —77,5566 11): —0 `(!] 6 3 3 _
Method location determined (circle):GPS opo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach tinder evaluatio (note nearky roads and landmarks and attach map_dentifying stream(s) location):
14. Proposed channel work (if any
15. Recent weather conditions:
16. Site conditions at time of visit: I� rsr
17. Identify any special waterway classifications known: PaSection 14 Akidal Waters Essential Fisheries Habitat
ILTlTrout Waters LOutstanding Resource Waters I � Nutrient Sensitive Waters 6LkWater Supply Watershed &9- (I-IV)
18. Is there a pond or take located upstream of the evaluation point? 'YES NO if yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YE. NO 20. Does channel appear on USDA Soil Survey. YENO
21. Estimated watershed land use: % Residential _% Commercial _% Industrial % Agricultural
Forested
22. Bankfull width
24. Channel slope down center of stream: zX Flat (0 to 2%)
25. Channel sinuosity: Straight _Occasional bends
_% Cleared 1 Logged _% Other
23. Bank height (from bed to top of bank):( L
_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 ora
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. , , I
Evaluator's Signature Date -7 — 2 2— =a z -/ _
This channel evaluation for is intended to a used only as a guide to assist landowners and environmentM 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 USAGE 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.

t4L.H01
STREAM QUALITY ASSESSMENT WORKSHEET
* 'These characteristics are not assessed iii coastal streams.
#
CHARACTERISTICS
ECOREGION POINT
RANGE
Coastal
Piedmont
MountainSCORE
Presence of flow d persistent pools in stream
I
no flow or saturation = 0; strong flow = maxpoints)
0-5
0-4
0-5
4.
2
Evidence of past human alteration
0-6
0— 5
0-5
(extensive alteration = 0; no alteration = max pints
3
Riparian zone
0-6
0-4
0— 5
no buffer = 0; contiguous, wide buffer = max points
4
Evidence of nutrient or chemical discharges
(extensive discharges = 0; no discharges = max pDints
0-5
0-4
0-4
5
Groundwater discharge
0-3
0-4
0-4
(no discharge = 0; springs, see s„ wetlands, etc. = maxpoints)
6
Presence of adjacent floodplain
0— 4
0 4
D— 2
(no flood lain = 0; extensive floodplain = max points)
Entrenchment 1 floodplain access
0-5
0-4
0-2
dee l entrenched = 0; fre uent floodin = max oints
$no
Presence of adjacent wetlands
6
0 —4
0-2
wetlands = 0• large adjacent wetlands --maxpoints)0
9
Channel sinuosity
(extensive channelization = 0; natural meander = maxpoints)
0-5
0-4
0-3
10
Sediment input
0-5
0-4
0-4
(extensive deposition= 0• little or no sediment = maxpoints)
11
Size & diversity of channel bed substrate
NA*
0-4
0 -- 5
(fine hemp enous = 0; lar e diverse sizes = max oints)
12
Evidence of channel incision or widening
;

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 H t_. H GIS
Date: , — Project/Site: c(j R_ t d Latitude: J �� r'
Evaluator:-- County: I Longitude: -� °7 `
Total Points: Stream Deter " o irete one) Other UNT to Rocky Swam
Stream is et least intermittent E ntermitfe erennial e.
if 2: Igor Ephemeral erenniaf i{ y 30" i � � P g. Quad Name:
B. Hydrology Subtotal
12. Presence of Basefiow
0
1
2
13. Iron oxidizing bacteria
0
1
2
14. Leaf litter
1.5
1
0.5
15. Sediment on plants or debris
0
0
1
16. 0 panic debris lines or piles
p
__675
1
17. Soil -based evidence of high tertabte?
No
= 0
G. Siolo€fy (Subtotal=_
18. Fibrous roots in streambed
3
2
19. Rooted upland plants in streambed
3
2
1
20. Macrobenthos (nate diversity and abundance)
0
1
2
21, Aquatic Mollusks
©
1
2
22. Fish
tJ.S
1
23. Crayfish
24. Amphibians
0
0 5
1
25. Algae
0
0.5
1
26, wetland plants in streambedi=ACV1!
= O.iS; QBL = 1.5
other= 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
-
Sketch,
"'shlhOVT
f i -
r�.
3
0
1.5
1.5

shlh013
Waterbody shIh013 facing west upstream
Waterbody shIh013 facing east downstream

�z }I
i
�t a
F

USACE AID#
DWQ # - Site # (indicate on attached map)
0
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: v'E I Y, 2. Evaluator's name: Z�[ cr r
3. Date of evaluation: 7 " (- t IJ 4. Time of evaluation: l
5. Name of streamt 3 t a I vt Q t ( fiver basin: � fir'
7. Approximate drainage area: !i'�� cn�� 8. Stream order:
9. Length of reach evaluated: t Y] _ 10. County:-
11.
ounty:
lL Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
77 qr k 0 L
l 6
Latitude(ex-34.&72312):- .-I 1 fa Longitude(ex.--77.556611):
Method location determined (circle): CrP Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (not nearby roads and landmarks and attach rmap identifying str71(�t
(s
14. Proposed channel wor) cif any): K2
�ryG
15. Recent weather conditions: 114 R4 -r-&
16. Site conditions at time of
17. Identify any special waterway classifications known: ^ �AAection 10 ,�''U�� idal Waters /' A -Essential Fisheries Habitat
-Or-out Waters V k� Outstanding Resource Waters NA -Nutrient Sensitive Waters Water Supply Watershed42L(I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES NG If yes, estimate the water surface area:
19. Does channel appear on USES quad map? YE NO 20. Does channel appear on USDA Soil Survey? YE NO
21. Estimated watershed land use: _% Residential �% Commercial _% Industrial t 5°!e. Agricultural
i
� % Forested �% Cleared J Logged ,%9 Other ( )
22. Bankfull width: 23. Bank height (from bed to top of bank):
24. Channel slope dawn center of stream: Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) !Steep (>I0%)
25. Channel sinuosity: Xstraight 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 forni used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 140 representing`a stream of the
highest quality.
Total Score (from reverse): ` Comments: Lf"
Evaluator's Signature � Date -7 -22 - / L/ J
This channel evaluation for es intende o be used only as a guide to assist landowners and environmentalprofessionalsin
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 USAGE 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.
CHARACTERISTICS
ECOREGION POINT
RANGE
SCORE
Coastal
Piedmont
Mountain
Presence of flow f persistent pools in stream
l
(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 = max oints)0-6
0 — 5
0-5
3
Riparian zone
0-6
0-4
0-5
no buffer = 0; contiguous, wide buffer = maxpoints)
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, see s, wetlands, etc. = maxpoints)
6
Presence of adjacent floodplain
f`
(no floodplain = 0; extensive flood lain = maxpoints)
0-4
0-4
0-2
Entrenchment 1 floodplain access
(deeply entrenched = 0; frequent flooding = maxpoints)
0-5
0-4
0-2
Presence of adjacent wetlands
{no wetlands = 0; large adjacent wetlands = max points)_
0— 6
0— 4
0— 2
j
9
Channel sinuosity
extensive cliannelization = 0; natural ineander = max points)
0 _.. 5
0-4
0-3
1f}
Sediment input
Q — 4
0-4
(extensive dcposition= 0; little or no sediment = maxpoints)0-5
I I
Size & diversity of channel bed substrate
NA*
0-4
0-5
fine, homo enous = 0; large. diverse sizes = max points)
1.2
Evidence of channel incision or widening
H(dee
1 incised = 0; stable bed & banks = max points)
0-5
0-4
0-5
,..
13
Presence of major bank failures
0-5
0 — S
0-5
w
severe erosion = 0• no erosion, stable banks = max pints
14
Root depth and density on banks
0-3
0-4
0-5
(n0 visible roots Q; dense roots throu Bout = max oints
15
Impact by agriculture, livestock, or timber production
0-5
f1— 4
0-5
substantial im act =0 no evidence = niax oints
16
Presence of riffle-pool/ripple-pool complexes
no riffles/ripples or pools = 0; well-develo ed = maxpoints)
0-3
0-5
0-6
li
Habitat complexity
0-6
0-6
0-6
I
j
little or no habitat =_O; frequent, varied habitats = maxpoints)
18
Canopy coverage over streambed
r1
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 of stream invertebrates (see page 4)
0-4
0-5
0-5
(no evidence = 0; common numerous es = maxpoints)
21
Presence of amphibians
0-4
0-4
0-4
(no evidence = 0• contnlon, numerous types = maxpoints)
C
22
Presence offish
0-4
0-4
0--4
a
(Iio evidence = 0• common numerous es = maxpoints)
23
Evidence of wildlife use
0-6
0-5
0-5
— y
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.

NC Division of Water quality --Methodology for Identification of Intermittent and
Perennial Streams and Their origins v. 4.11
A_ Geomorphology
1a' Continuity of channel
2. Sinuosity of channel a
3. in -channel structure: e
ri le- ool se uence
4. 'Particle size of strearr
5. Activeirelict floodplain
6. Depositional bars or t
Ecentvial depos
trollleyr greater o
0
112
e artificial ditches are not rated; see discussions in manual
��
NC DWQ Stream Identification Form Version 4.11
Date: L
Projectisite: C yy f r1 to -v\
Latitude;` '_2
i
2
13. Iron oxidizing bacteria
❑
1
Evaluator; +� `
County;
Longitude: -17
'� 7.(
Total Points:
Stream peterm' circle one)
Other UNT to Rocky Swam
Stream is at least intermittent f
f
(^phemera nterntitient erennial
e.g. Quad Iva
❑
if ? 19 or perennial if 2:30'
=
s 3
17. Soil -based evidence of high water table?
No � 0
A_ Geomorphology
1a' Continuity of channel
2. Sinuosity of channel a
3. in -channel structure: e
ri le- ool se uence
4. 'Particle size of strearr
5. Activeirelict floodplain
6. Depositional bars or t
Ecentvial depos
trollleyr greater o
0
112
e artificial ditches are not rated; see discussions in manual
��
B. H drola Subtotal =
12_ Presence of Raseflow
❑
1
2
13. Iron oxidizing bacteria
❑
1
5
14. Leaf litter
1.5
1
15. Sediment on plants or debris
❑
�
16. organic debris lines or piles
❑
0'5
=
s 3
17. Soil -based evidence of high water table?
No � 0
C. Bi olo Suhtotai = —
1
18. Fibrous roots in streambed
3
2
1
19- Rooted upland plants in streambed
3
1
20. Macrobenthos (note diversity and abundance)
❑
1
2
21. Aquatic Mollusks
1
2
1
22. Fish
❑
❑.5
1
23- Crayfish
0
0
0.5
0.5
1
24. Amphibians
❑
0-5
1
25. Algae
26. Wetland plants in streambed
=
l ACW = ❑.7 5' OSL 1-5 they 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
(Votes: _
Sketch:
-----------,
shIhO14
41
0
1.5
1.5

shlh014
Waterbody shlh014 facing west upstream
Waterbody shlh014 facing east downstream

shlh014
i
.mix .IL W*RAiix,
Waterbody shlh014 facing north cross stream

USACE AID# DWQ # Site # (indicate on attached map)
,i„ STREAM QUALITY ASSESSMENT WORKSHEET -AQF
Provide the followingm rmation for the stream reach under assessment:
1. Applicant's name: /d ✓h i A cr0Evaluator'sPAJ Q
pp 2. name: /�
3. Date of evaluation: I D 1b 6 %2 6 f Lt 4. Time of evahtation `7 � 30
5. Name of stream: W r s L's C rs<<k-' 6. River basin:_
7. Approximate drainage area: %a 0 4-,e, 8. Stream order:
9. Length of reach evaluated: 10. County: k 1, A"-
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
J
Latitude (ex. 34.872312): 6 6 i 61� . ( q.3 Ir
Longitude (ex. —77.556611):
Method location determined (circle):GPS
A 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):
l � A w
14. Proposed channel work (if any):
15. Recent weather conditions:
16. Site conditions at time of visit:
c) r ( /,. 4 , �-/C r rT- — (,) 0 )-)A
I
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 ([-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES (lay f yes, estimate the water surface area:
19. Does channel appear on USGS quad map? 0 NO 24. Does channel appear on USDA Soil Survey? OF, NO
21. Estimated watershed land use; _% Residential % Commercial % Industrial SU % Agricultural
p
-Ld–% Forested % Cleared / Logged % Other (
22. Batnkf tll 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 14%) _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; A Ae, V1 01 `4 re
Evaluator's Signature AL Z. � Date I O Z U 6 / z6 /
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 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
CHARACTERISTICS
PCOREGI�ON POINT
RANGE
D©RE
Coastal
Piedmont
Mountain
Presence of now / persistent pools in stream
1
(no flow or saturation = 0; strong flow = maxpoints)
0-5
0-4
0-5
Evidence of past human alteration
extensive alteration = 0; no alteration � max poin s
0-6
0-5
0-5
3
Riparian zone
0-6
0-4
0-5
q
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 dischar e = 0; springs, see s, wetlands, etc. = maxpoints)
U
�--F
6
Presence of adjacent floodplain
0-4
0-4
0-2
no floodplain = 0; extensive floodplain = maxpoints)
aEntrenchment
/ floodplain access
dee 1 entrenched = 0; frequent flooding = max points)
0— 5
0— 4
0— 2
Presence of adjacent wetlands
(no wetlands = 0; large adjacent wetlands — maxpoints)
0-6
0-4
0-2
9
Channel sinuosity
(extensive channelization = 0; natural meander = maxpoints)0-5
0 — 4
0 3
10
Sediment input
0 — 4
0-4
(extensive deposition— 0; little or no sediment = maxpoints)0-5
11
Size & diversity of channel bed substrate
(fine, homogenous = 0; large, diverse sizes = maxpoints)
NA*
0-4
0-5
12
Evidence of channel incision or widening
7-
(deeply incised = 0; stable bed & banks = maxpoints)0-5
0 4
©— 5
13
Presence of major bank failures
0-5
0-5
0-5
severe erosion = 0; no erosion, stable banks = maxpoints)
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
substantial impact =0; no evidence = max points)
0-5
0 — 4
0-5
16
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
no riffles/ripples or pools = 0; well-developed = max oints
.�
1
Habitat complexity
0-6
0-6
0-6
L/
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 embeddeduess
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
i no evidence = 0; common, numerous types = maxpoints)
{�
21
Presence of amphibians
0-4
0-4
0-4
O
I no evidence = 0; common, numerous types = maxpoints)
d
22
Presence of fish
0-4
0-4
0-4
(no evidence = 0; common, numerous types = maxpoints)
23
Evidence of wildlife use
0-6
0-5
0-5
no evidence = 0; abundant evidence = maxpoints)
Total Points Possible
100
100
100
TOTAL SCORE (also enter on first page)
* These characteristics are not assessed in coastal streams.

NC DWQ Stream Identification Form Version 4.11 41 � 022
Date: Irl``
1
Project/Site:
Latitude: f �,
Evaluator:W6� i
County: ! 1
Longitude` ;?�'
Total Points:
Stream is at !east intermittent
Stream Determination (ci
Other ;r f i�
if z 19 or erenniaJ if 30'
Ephemeral Intermitten Perennial
e.g. quad Name: !,ee fe-
A. Geomorphology (Subtotal = )
Absent
Weak
Moderate
Strong
18 Continuity of channel bed and bank
0
1
0.5 0
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
0
1
2
3
8. Headcuts
0
1
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
M
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 = 61? - S- )
12. Presence of Baseflow
0 1
2 3
13. Iron oxidizing bacteria
0
(2p 3
14. Leaf fitter
1.5 1
0.5 0
15. Sediment on plants or debris
0 0.5
1 1.5
16. Organic debris lines or piles
CO.
1.5
17. Soil -based evidence of high water table?
No = 0
Yesr3
C. Biology (Subtotal = '6 )
18. Fibrous roots in streambed
3
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
ef
1.5
24. Amphibians
0
0.5
CD
1.5
25. Algae
0
C 0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Other 0
"perennial streams may also be identified using other
methods. See p. 35 of manual.
Notes:
Sketch:

--
ov, L
� S � � �1�.. M Tie •.� �� , .y �
� x A 1. �i4s :14f 59 T� •i �� � 4 ..
1 �
ar ti u �

tea. <�
- '1 -.

USACE
DWQ ##
VL � e) l 1
(indicate on attached map)
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach
under assessment: 41rill 0
I. Applicant's frame: (+N" "'-,,. 0—
tl 2
2. Evaluator's name,
3. Date of evaluation:f =A- %
4. Time
of evaluation:
5. Name of stream: FS��n , � .i�
6. River basin: 144141 C,
7. Approximate drainage; area:
8. Stream order: awl;rltj
9. Length of reach evaluated: ZZO �
10. County: /
I I. Site coordinates (if known): prefer in decimal degrees.
12. Subdivision name (if any):
Latitude rex. 34.9723 121; Z1 ot7 1,- C� /1 /
�Z1-'2
Longitude (c%. . 77.556611 ):_ f y 7 r 77.
Method location determined (circle): CsPS oper Sliect Ortho
13. Location of reach under evaluation (,emote
(Aerial) Photc/GIS Other GIS otlier
nearbyroadsand landmarks and attach neap identifying streams} location):
✓41 G{ L) Ff c �L�iJ J l• t � l� `+rZs a�
14. Proposed channel work (if any):
15. Recent weather conditions:
16. Site conditions at time of visit: f 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 (1 -TV)
18. Is there a pond or take located upstream of the evaluation point? (9 >10 1f yes, estimate the water surface area:
19. Does channel appear on USGS quad snap? YE NO
20. Does channel appear on USDA Soil Survey'?
21. Estimated watershed land use: _4/o Residential
NO
�% Commercial a a
—1n Industrial /�, Agrctr tura]
4�% Forested
—% Cleared / Logged % Other ( )
22. Barikfull width;
23. Bank height (from bed to top of bank): 31
24. Channel slope down center of stream; Flat (0 to 20M
G
fl _ en e ( to '+-/a) —Moderate (4 to 10%) steep (> 10%)
25. Channel sinuosity: Straight `Occasional bends N 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 dee scoring box and provide all 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 Szpre(from reverse): /Z Comment : .� r
%�on Aire !Lx
Evaluator's Signature Date
This channel evaluation form is intended 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 USAGE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change – version 06/03. To Comment, phase call 919-876-8441 x 26.

5-4L'6 �k
STREAM QUALITY ASSESSMENT WORKSHEET
. ��...... Y.tl-[ OIL; 19M to Coastal streams,
#
CHARACTERISTICS
ECOREG.ION POINT
RANGE
SCORE
Mountain
Coastal Piedmont
1
Presence of flow 1 persistent pools in stream
0-5
(no flow or saturation = 0; strong flow =max points}
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
(extensive discharges = 0: no diseharges =max points)
0-5
0 - 4
0-4
w7
5
Groundwater discharge
(na discharge = 0; springs, seeps, wetlands, etc. = max points)
0 —
0-4
0 — 4
b
Presence of adjacent floodplain
(no floodplain. = 0• extensive floodplain = inax oints
0-4
0—¢
0 ?
7
Entrenchment 1 floodplain access
—____Ldeeply
entrenched = 0; frequent flooding = max points)
0-5
0--4
0-2
7
$
Presence of adjacent wetlands
(no wetlands = 0; lar a ad#scent vvetiands p max points}
0-6
0_4
[) — 2
9
Channel sinuosity
(extensive channelization = 0; natural meander = max points)
0-5
0-4
0-3
L4
10
Sediment input
(extensive deposition -0; little or no sediment = max points)
0-5
0-4
0-4
11
Size & diversity of channel bed substrate
fine, homogenous = 0; large, diverse sizes = max points
NA*
0-4-
—4
0-5
12
Evidence of channel incision or widening
,
(deeplyincised = 0; stable bed & banks = max oints)
0-5
0-4
0-5
5
`
•�;
13
Presence of major bank failures
(severe erosion = 0; no erosion, stable banns = max points)
0-5
0-5
0-5
14
Raot depth and density on banks
{no visible coats = 0; dense roots throughout = max points)
0-3
0 4
0-5
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-pool/ripple-pool complexes
0-3
0 5
0-6
Fy
(no riffles/ripples or pools = 0; well-developed = max points)
Q`
17
Habitat complexity
(little or no habitat = 0; frequent, varied Habitats = max points)
0_ h
0 fi
0— fi
1
1
Canopy coverage over streambed
0 5
0
(no shading* vegetation = 0; continuous canopy = max points)
5
0— 5
19
Substrate embeddedness
(deeply embedded = 0, loose stricture = max)
NA*
0-4
0-4
20
Presence of stream invertebrates (see page 4) f
0-4
0-5
(no evidence = 0; common numerous es = maxpoints)
0-5
21
Presence of amphibians
0-4
0-4
0-4
(no evidence = 0; common, numerous types = max points)
22
Presence of fish
(no evidence = 0; common, numerous types = max points)
0
0-4
0 — 4
23
Evidence of wildlife use
(no evidence = 0; abundant evidence = max points)
0-6
0-5
0-5
Total Points Possible
100
100
1.00
TOTAL SCORE (also enter on first page)
. ��...... Y.tl-[ OIL; 19M to Coastal streams,

f�t 6 0 /)
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
Date: ,%� / �' ��`.
ProectlSlte: J Latitude; ��� , f' -3i
Evaluator: 9 County: //
Iet..f< Longitude: 7 7 " Ll 7 '3 7.-2c1
Total Points: Stream Determination [cir Other
Stream is a Fear[ intermittent ifEphemeral Intermittent erenn al ' e.g. Quad Name:
it z 19 or perennial if z 30" 34 � s
B. Hydrology Subtotal = i3
12. Presence of Baseflow
�13.
©
1
2
Iron oxidizing bacteria
1
2
14. Leaf litter
1.5
1
0.5
15. Sediment an plants or debris
0
1
16. Organic debris lines or piles
4
0. ,
1
17. Soil -based evidence of high water table?
No 0
C. Biology (Subtotal=_ 11.5
18. Fibrous roots in streambed
2
1
19. Rooted upland plants in streambed"`—
3
2
20. Macrobenthos (note diversity and abundance)
0
1
1
21. Aquatic Mollusks
0
1
2
22. Fish
23 Cr h
5
1
es =
ayfis 0 0.5 1
24. Amphibians 0 0 1
25. Algae D l3 5 1
26. Wetland plants in streambed FACW = 0.75; OBL = 1.5 Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
41
3
0
1.5
1.5
0
0
3
3
15
1,5
1.5
1.5

shIg011
Waterbody shIg011 facing west upstream
Waterbody shIg011 facing east downstream

�
1
- ..
,,� y
:�,
� �
� : ! � r� � ✓.
Y6�
��
v , I - -
� ..
� .r
•�' .�
._
/
T ��-
1'
� r �
i ..
� a
.�'�'.
.
YI`x
_ � �� Y
ti��
,R"
Y � ., + ���
� �
� L �,s
,�i4

Waterbody Data Sheet
V Description
N
OWL 6 062
• •..ice.., ame:
Waterbody Name:
Waterbody ID:
Date:
Southeastern Reliability
Unnamed Pond to Fishing Creek
00 Z
7r f r
State:
(�(/
County: erg v
Substrate: ❑Bedrock a Botalder D Cobble �;=� Gravel ��Sand �ilU clay � Organic C7 Other:
(check all7hal apply)
Company.
Crew Member Initials: Photos:
Width of Riparian Zone: Vegetative Layers:
Tract
yC tft• (check all that apply) /Trees: ASaplings/Shrubs:
A -Herbs
N Avg. DBH of Dominants: in. 3
r
--------- (approx.)
)/!
Number(s):
17- 1 C�
Nearest Milepost:
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Associated etland ID(s):
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AQUatIC Habitats (ex: submerged or emerged aquatic vegetation, overhanging bankstroots. leaf packs, large submerged wood, riffles, deep pools, etc.):
Aquatic Organisms Observed (list):
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Survey Type:
T&E Species Observed (list):
(check ono) XCenterline
J Re -Route ❑Access Road
-El Other,
sical Attributes
(check one) 0 Natural MArtificial, man-made ❑ Manipulated
rbody Type:
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(check one)High *oderate ❑ Low
one) i_iStock Pond '` Natural Pond
Cl Lake !. Reservoir impoundment
E. Oxbow Cl Other:
—...__.z..---ydrologic Regime:
1:1 Permanently Flooded
X-Semipermanently Flooded
OHWM OHWM Indicator.
check a9 that apply) O Clear line EShelving
Height `/ 1 ft on bank
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Waterbody ID:
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:
Waterbody ,Sketch (Include north arrow, centerline distance from centerline, data point locations, survey boundary, and IDs of associated features)
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Open water ohIg002 facing north

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Open water ohIg002 facing west
Open water ohIg002 facing north