20140957 Ver 1_U-03_Appendix B_Wilmington_Johnston NC waterbodies_Part1_20170227

USACE AID# DWQ # Site # (indicate on attached map) f
MSTREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: (` t 2. Evaluator's name: 1 vb e t®
3. Date of evaluation: d I 10 15, 4. Time of evaluation: �hA
5. Name of stream:U 1 C- 6. River basin: Ne.+ -.0.
�f
7. Approximate drainage area: S. 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): 3 �-. 6 q95 _Longitude (ex. -77.556611): V ° 13 9
Method location determined (circle): GPS opo She Orth (Aerial) Pho /GIS Other GIS Other
13. Location of reach under evaluatiooads an sand attach ma identifying streams location
( Y p fY g () )
14. Proposed channel work (if any): e -*e -o ,) o,,J'.
15. Recent weather conditions: go,:,,, t, \.-,A
16. Site conditions at time of visit: ' � ,C�Lre-
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters Nutrient Sensitive Waters Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES 60f yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES
21. Estimated watershed land use: \\ � % Residential
D % Forested
22. Bankfull
20. Does channel appear on USDA Soil Survey? YES NO
% Commercial % Industrial - % Agricultural
% Cleared / Logged % Other
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: K Straight _Occasional bends _Frequent meander Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): , Comments:
Evaluator's Signature Date a 10 1 t
This channel evaluation form is intended to be used only as a guide to assist landowners anId 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, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
t
C>
& These characteristics are not assessed in coastal streams.

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Oriqins v. 4.11
NC DWQ Stream Identification Form Version 4.11 o\
Date: $
Project/Site:
Latitude: t 5
Evaluator:
County:
Longitude: -A.
0
1
2
Total Points:
termination (circle one)
Other
Stream is at least intermittent `
> 19 or perennial if >_ 30'
�E`pheimeolif Intermittent Perennial
e.g. Quad Name:
A. Geomorphology (Subtotal =-a--)
Absent
Weak
Moderate
Strong
1aContinuity of channel bed and bank --�? ®
0
1
2
3
2. Sinuosity of channel along thalweg
1 1.5
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
No = 0
1
2
3
4. Particle size of stream substrate
0
0.5
2
3
5. Active/relict floodplain
1
2
3
6. Depositional bars or benches
0
0.5
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
I
1
2
3
9. Grade control
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No = 0
Yes = 3
artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = _ e S)
12. Presence of Baseflow
0 1
2 3
13. Iron oxidizing bacteria
1
2 3
14. Leaf litter
1. 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?
No = 0
• Yes = 3
C. Biology (Subtotal =
18. Fibrous roots in streambed
3
2
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
I
FACW = 0.75; OBL = 1.5
Other = 0
"perennial streams may also be identified using other methods. See p. 35 of manual.
Sketch:
j ®�
40)
Sia
109cj
C,071'®�
1
41

Waterbody SJOB101 facing north upstream
Waterbody SJOB101 facing south downstream

Waterbody SJOB101 facing west across

Open Waterbody Data Sheet
Survey Description
Project Name:
Waterbody Name:
Waterbody ID:
Date:
Atlantic Coast Pipeline
Unnamed Pond to Little Buffalo Creek
0JOB103
2/10/2015
State:County
Company.
Crew Member Initials:
Photos:
North Carolina
Johnston
NRG
TP, RH
01-02
Tract Number(s):
Nearest Milepost:
Associated Wetland ID(s):
20-008
373.65
WJOB109
Survey Type:
(check one) ❑x Centerline ❑Re -Route ❑Access Road ❑Other:
Physical Attributes
Waterbody Type:
(check one) OStock Pond ❑ Natural Pond ❑ Lake ❑ Reservoir ❑ Impoundment ❑ Oxbow ❑ Other:
Hydrologic Regime:
0 Permanently Flooded ❑ Semipermanently Flooded ❑ Seasonally Flooded ❑ Temporarily Flooded
OHWM
OHWM Indicator:
(check all that apply) 0 Clear line ❑Shelving ❑Wrested ❑Scouring ❑Water
Height:
on bank vegetation staining
10 ft.
El Bent, matted, or missing ❑Wrack El Litter and ❑Abrupt plant ❑Soil characteristic change
vegetation line debris community change
Depth of Water:
Bank height (average):
Bank slope (average):
10 ft.
5 ft.
90 degrees
N/A❑
Qualitative Attributes
Water Appearance:
(check one) El No water ❑Clear DTurbid ❑Sheen ❑Surface ❑Algal ❑Other:
on surface scum mats
Substrate: ❑ Bedrock ❑ Boulder ❑ Cobble ❑ Gravel ❑ Sand 0 Silt/ clay ❑ Organic ❑ Other:
(check all that apply)
% of Substrate: % % % % % 100 % % %
Width of Riparian Zone:
Vegetative Layers:
(check all that apply) ElTrees: 0 Saplings/Shrubs: ElHerbs
10 ft.
N/A❑
Avg. DBH of Dominants: in. 2 in.
(approx.)
Dominant Bank Vegetation (list):
Loblolly pine, red maple, and sweet -gum.
Aquatic Habitats (ex: submerged or emerged aquatic vegetation, overhanging banks/roots, leaf packs, large submerged wood, riffles, deep pools, etc.):
None
Aquatic Organisms Observed (list):
none
T&E Species Observed (list):
none
Disturbances (ex: livestock access, manure in waterbody, waste discharge pipes):
Possible livestock access, located in horse pasture.
Waterbody is:
(check one) ❑ Natural 0 Artificial, man-made ❑ Manipulated
Waterbody Quality a:
(check one) ❑ High ❑ Moderate 0 Low
Form Rev. 07/09/2014

l
Form Rev. 07/09/2014
Waterbody ID:
OJOB103
a High Quality: Natural, natural bank vegetation around entire waterbody; banks stable and protected by roots; water color is clear
barriers to fish movement; many fish cover types available; diverse and stable aquatic habitat; no disturbance by livestock or man.
to tea -colored; no
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:
Stock pond, approximately 25x50 feet. Drains into SJOB103.
Waterbody Sketch (Include north arrow, centerline, distance from centerline, data point locations, survey boundary, a d IDs of associated features)
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Form Rev. 07/09/2014

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Open Waterbody Data Sheet
Survey Description
Project Name:
Waterbody Name:
Waterbody ID:
Date:
Atlantic Coast Pipeline
Unnamed Pond to Little Buffalo Creek
0JOB102
2/10/2015
State:County
Company.
Crew Member Initials:
Photos:
North Carolina
Johnston
NRG
TP, RH
01-02
Tract Number(s):
Nearest Milepost:
Associated Wetland ID(s):
20-008
373.7
WJOB109f
Survey Type:
(check one) ❑x Centerline ❑Re -Route ❑Access Road ❑Other:
Physical Attributes
Waterbody Type:
(check one) OStock Pond ❑ Natural Pond ❑ Lake ❑ Reservoir ❑ Impoundment ❑ Oxbow ❑ Other:
Hydrologic Regime:
0 Permanently Flooded ❑ Semipermanently Flooded ❑ Seasonally Flooded ❑ Temporarily Flooded
OHWM
OHWM Indicator:
(check all that apply) 0 Clear line ❑Shelving ❑Wrested ❑Scouring ❑Water
Height:
on bank vegetation staining
10 ft.
El Bent, matted, or missing ❑Wrack El Litter and ❑Abrupt plant ❑Soil characteristic change
vegetation line debris community change
Depth of Water:
Bank height (average):
Bank slope (average):
10 ft.
4 ft.
90 degrees
N/A❑
Qualitative Attributes
Water Appearance:
(check one) El No water ❑Clear DTurbid ❑Sheen ❑Surface ❑Algal ❑Other:
on surface scum mats
Substrate: ❑ Bedrock ❑ Boulder ❑ Cobble ❑ Gravel ❑ Sand 0 Silt/ clay ❑ Organic ❑ Other:
(check all that apply)
% of Substrate: % % % % % 100 % % %
Width of Riparian Zone:
Vegetative Layers:
(check all that apply) ElTrees: 0 Saplings/Shrubs: ElHerbs
10 ft.
N/A❑
Avg. DBH of Dominants: in. 2 in.
(approx.)
Dominant Bank Vegetation (list):
Loblolly pine and sweet -gum.
Aquatic Habitats (ex: submerged or emerged aquatic vegetation, overhanging banks/roots, leaf packs, large submerged wood, riffles, deep pools, etc.):
None
Aquatic Organisms Observed (list):
none
T&E Species Observed (list):
none
Disturbances (ex: livestock access, manure in waterbody, waste discharge pipes):
Possible livestock access, located near pasture.
Waterbody is:
(check one) ❑ Natural 0 Artificial, man-made ❑ Manipulated
Waterbody Quality a:
(check one) ❑ High ❑ Moderate 0 Low
Form Rev. 07/09/2014

l
Form Rev. 07/09/2014
Waterbody ID:
OJOB102
a High Quality: Natural, natural bank vegetation around entire waterbody; banks stable and protected by roots; water color is clear
barriers to fish movement; many fish cover types available; diverse and stable aquatic habitat; no disturbance by livestock or man.
to tea -colored; no
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:
Stock pond, approximately 40x80 feet, located near the confluence of SJOB102 and SJOB103 and WJOB109. Did not
observe an outlet pipe, it must seep into the adjacent wetlands and stream.
Waterbody Sketch (Include north arrow, centerline, distance from centerline, data point locations, survey boundary, a d IDs of associated features)
doom 8(
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Form Rev. 07/09/2014

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USACE AIDS DWQ Site - (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
Q4 -A*-
Provide the following information for the stream reach under assessment:
1. Applicant's name:,d.,, - ALF 2. Evaluator's name: 1 -T,
3. Date of evaluation: j 110 1 t-,
5. Name of stream: U I'q—% - �-o L°. Nc--
CzcLl—
Approximate drainage area:
4. Time of evaluation: f YA
6. River basin: Nese-
8. Stream order: 11®
9. Length of reach evaluated: , 10. County:
11. Site coordinates (if known)_: prCe}fer in decimal degrees. 12. Subdivision name (if any): /� w�r�yy
Latitude (ex. 34.872312): 3 S . 0' ` 9 9 Longitude (et. -77.556611): � i �`d
L4ethod location determined (circle): GPS �She Ortho (.�.erial)_Pho ?GIS Other GIS Other
13. Location of reach under evaluation (nd'teoads andalandm r s and attach map identifying stream(s) location):
14. Proposed channel work (if any): e xe-o, %s o_ ­k
15. Recent weather conditions: :, i -�A
16. Site conditions at time of visit: `-­,� , c.,'e_ -amu ,3 -\ = �
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters Outstanding Resource Waters Nutrient Sensitive Waters _Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES If yes. estimate the water surface area:
19. Does channel appear on USGS quad map? YE N
21. Estimated watershed land use: 1 o % Residential
% Forested
20. Does channel appear on USDA Soil Survey? YES NO
_° o Commercial _% Industrial '�7 0 % Agricultural
�% Cleared! Logged _% Other
22. Bankfull width: -, 23. Bank height (fi•om bed to top of bank): '�X
24. Channel slope down center of stream: X Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (> 10%)
25. Channel sinuosity: Straight 'C. 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. Even characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of 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): E 11z" Comments:
Evaluator's Signature Date ; 1 10 1 t
This channel evaluation form is intended to be used only as a guide to assist landowners anld en kironmental 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.

STREAM QUALITY ASSESSMENT WORKSHEET
R These characteristics are not assessed in coastal streams.
2
1
E

I L'
Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWO Stream Identification Form Vervdnn 4.1 t � 7 6-v- % C' n
.,,Date:
Project/Site:
A,
Latitude: 35, R q
,iEva!uator:-
o ob fie
County:
Longitude: -79. 15
JotAl Points:
_-'Stream is at least intermittent
I or Perennial if? 30* 15. 5
Me MM rmination (circle one)
C itIntermittent Perennial
Other
e.g. Quad Name:
U
,YA. e0rF10FPHyL_Vy (Subtotal
Absent
Weak
Moderate
Strong
Continuity of channel bed andbank0
2
2
3
4. Leaf litter
1.5
1-2
3
Sinuosity of channel along thalweg
0
1
2
3
,67E!channel structure: ex. riffle -pool, step -p&0-1,
0
0.5
No = 0
1
(Ye
1.5
ri le- ool seguence
0.5 1
1.5
2
3
4 P irticle size of stream substrate
0
26. Wetland plants in streambed
,
-2
3
Active/relict floodplain
0
1
2
otes:
)ositional bars or benches
3
0
1
2
3
R6cent alluvial deposits
0
2
3
A H6adcuts
0
1
2
3
Gtpde control
JAI
Mcg 3,
0.5
1
1.5
0. Natural valley
0.5
1
1.5
1. Second or greater order channel
0 = 0
Yes = 3
I. I.V1 'U01
Hydrology (Subtotal 9)
2. Presence of Baseflow
0
10
2
3
3. Iron oxidizing bacteria
2
2
3
4. Leaf litter
1.5
1
2
1 2
15. Sediment on plants or debris
0
0.5
E5 1
1.5
1,13. Organic debris lines or piles
,j 7. Soil -based evidence of high water table?
0
0.5
No = 0
1
(Ye
1.5
8. Fibrous roots in streambed
3
2 1
0
-19. Rooted upland plants in streambed
Cy
2
? 0. Macrobenthos (note diversity and abundance)
-2 -
1
-i
0
_
A1.
�uatic Mollusks
2.
2
1 2
3
3
Fish
3. C{ayfish
E5 1
1.5
0.5 1
1.5
4. Amphibians
0.5 1
1.5
Z15. Algae
0
0.5 1
1.5
26. Wetland plants in streambed
,
FACW = 0.75; OBL = 1.5 Other = 0
perehnial streams may also be identified using other methods. See p. 35 of manual-
otes:
­TQr3109
$ketdh:
JAI
Mcg 3,
40
41

Waterbody SJOB102 facing north upstream
s �s
� � •fes � ;; _ , -
_� �' pkv+• � �.1 c �� ". �.
z^ •fir
Waterbody SJOB102 facing south downstream

Waterbody SJOB102 facing west across
At
Waterbody SJOB102 facing west across

USACE AID.= DWQ Site = (indicate on attached map)
ST®,r--,®>-:s.
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: - 11 2. Evaluator's name: —1--,>-z' -
3. Date of evaluation: 0110D ►S 4. Time of evaluation: i)
5. Name of stream: I1 f i -§-6 t..". W1c 6. River basin: e a se -
8. Stream order: A
7. Approximate drainage area:
9. Length of reach evaluated: -sT 10. County:
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): 3 . 6 ,� A 3 Longitude (ex. -77. 56611): " i � e € -5i-7 YV
Method location determined (circle): GPS 'opo She Orthp (Aerial} Pho °GIS Other GIS Other
13. Location of reach under evaluation (note -n r y roads ari'd�Iandm�r"ks and attach map identifying stream(s) location):
14. Proposed channel work (if any): 2,�yLo o �
15. Recent weather conditions:S
16. Site conditions at time of visit:
17. Identify any special waterway classifications known: _Section 10 Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters Nutrient Sensitive Waters _Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES `O If yes. estimate the water surface area:
19. Does channel appear on USGS quad map? YES NO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: tt c) % Residential _° o Commercial `° o Industrial 0 % Agricultural
"% Forested _°'oCleared 1 Logged _% Other ( )
22. Bankfull width: 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: Flat (0 to 2%) Gentle (2 to 4%) _Moderate (4 to 10%) .._Steep (>I 00
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 ho -w to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): Comments:��'.+*�
Evaluator's Signature - Date a 1 t
This channel evaluation form is intended to be used only as a guide to assist landowners anld enbironmental 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 061'03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
W

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWO Stream irlentifiratian Farm Vareinn d 11
Date: I o I
Project/Site:c
Latitude:
"Evaluator:�p
County:
Longitude: . 1
Totil Points:
1
2
y'Stre�m is at least intermittent
1f LIP J or Perennial if ? 30*
Stream Determination (circl
Ephemeral Intermittent erennial
Qther
e. Quad Name:
g-
. yeomor nolo (Subtotal
1 a. Continuity of channel bed and bank
Absent
0
Weak
1
Moderate
Strong
3
. Si uosity of channel along thalweg0
3
1
2
3
. In7channel structure: ex. riffle -pool, step -pool,
ri le- ool se uence
0
1
3
4. Particle size of stream substrate
0
1
2
3
. Agtive/relict floodplain
0
1
2
3
. Depositional bars or benches
. Recent alluvial deposits
0
0
1
1
2
2
3
3
. Hadcuts
0
0.5
2
3
. Grade control
0
0.5
1
1.5
0. Natural valley
0
(5.51
1
1 5
1. Second or greater order channel
No = 0
FACW = 0.75; OBL = 1.5
EEE�Yes = 3
'13. Hvdrolc)av (Siihtntal
2. Presence of Baseflow 0 1 2 3
93. Iron oxidizing bacteria 0 1 2 3
4. U of litter
0.5 0
5. Sediment on plants or debris 0 0.5 1 F5
6. Organic debris lines or piles 0 0.5
#7. Soil -based evidence of high water table? No = 0 Yes = 3
-8. Fibrous roots in streambed
2
1
0
9. R' oted upland plants in streambed
3
2
1
0
010. Macrobenthos (note diversity and abundance)
0
1
2
3
1. Aquatic Mollusks
1
2
3
222. Fish
0.5
1
1.5
3. Crayfish
0.5
1
1.5
4. Amphibians(�0
0.5
1
1.5
5. Agae
E0
0.5
1
1.5
E 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:
--yor,109
Sketch:
w
t§
5 3°
105 SS05
ar0`3��
140
41

Waterbody SJOB103 facing north upstream
Waterbody SJOB103 facing south downstream

Waterbody SJOB103 facing west across

i
USACE AID# DWQ # Site # (indicate on attached map) i
j % c)"k
;,i„ STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's names `,w'.� 2. Evaluator's nameA�'A
3. Date of evaluation: 4. Time of evaluation: �'j M
5. Name of stream: 1�,VV\ ¢ %-4(%\ D C Ir 6. River basin:
7. Approximate drainage area:
8. Stream order: 52 2�
9. Length of reach evaluated: "'�� 10. County:��,�r���� a
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): 3 5 a `rj� 3 a � Longitude (ex. -77.556611): -79. W20 2
Method location determined (circle): GP (To po S et O o Aen hoto/GIS , Other GIS Other
13. Location of reach under evaluation (note nearby roads an an marks and attach map identifying stream(s) location):
14. Proposed channel work (if any):
15. Recent weather conditions: a `® , c,,A '\ v, -r-
16. Site conditions at time of visit: 6? v-
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters 'X' Nutrient Sensitive Waters _Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? 0 NO If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? NO 20. Does channel appear on USDA Soil Survey? OE NO
21. Estimated watershed land use: L% Residential % Commercial % Industrial 60% Agricultural
5 01 % Forested % Cleared / Logged % Other ( )
22. Bankfull width:_1 S - Pc>' 23. Bank height (from bed to top of bank): '.,' -','% ( c s!a
d,W)
24. Channel slope down center of stream: V"'Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (> 10%)
25. Channel sinuosity: Straight Occasional bends _Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): " Comments: _ �� A ",
Evaluator's Signature" L Date11 1 �
This channel evaluation form is intended to be used only as a guide to assist landowners a d _nvironmental 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.
2
:r
M

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWO Stream Identification Form Version 4.11
Date: 21 11
Project/Site:�bN
�
m,A\8�3
Latitude: 56tt
Evaluator:
County:
Longitude:
1
2
3
Total Points:
Stream is at least intermittent ?
!
Stream Determination (cir�l ,�
Ephemeral Intermittent P
Other
e.g. Quad Name:
if >_ 19 or perennial if >_ 30*
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
A. Geomorphology (Subtotal = 1 )
Absent
Weak
Moderate
Strong
1a. Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
11-1
1
2
3
4. Particle size of stream substrate
0
2
2
3
5. Active/relict floodplain
0
1
2
1.5
6. Depositional bars or benches
0
1
( 2
3
7. Recent alluvial deposits
0
1
2
0.5
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
- artificial ditches are not rated; see discussions in manual
B. Hvdroloav (Subtotal = 1� , G)
12. Presence of Baseflow
0 1
2 3
13. Iron oxidizing bacteria
1
2 3
14. Leaf litter
1.5 1
0.5 0
15. Sediment on plants or debris
0 0.5
1.5
16. Organic debris lines or piles
0 0.5
1 1.5
17. Soil -based evidence of high water table?
No = 0
/Yes = 3
C. Bioloav (Subtotal = ck . � ) 4 "
18. Fibrous roots in streambed
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
t 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
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:
\^)- 0
iJJ'
f
1i
® ® fie. a ,

4X
/f ,alp
t,
p..Y .
1

Waterbody SJOB104 facing east across

Oben Waterbodv Data Sheet
Survey Description
Project Name:
Waterbody Name:
�0r d
Waterbody ID:
Date: q
Southeast Reliability
U�_�
OJOY9009'-/
State:
County.
Company:
Crew Member Initials: Photos:
N
J�GAns-Un
E5
V-.5 M s "(-9
Tract Number(s):
Nearest Milepost:
sociated Wetland ID(s):
2\0-03
37a
w';o "OA0
Survey Type:
(check one) ®Centerline DRe-Route ❑Access Road ❑Other.
Physical Attributps
Waterbody Type:
(checkone) p tock Pond O Natural Pond O Lake O Reservoir D Impoundment O Oxbow O Other:
Hydrologic Regime:
Permanently Flooded ❑ SemipermaneJr tly Flooded ❑Seasonally Flooded 13 Temporarily Flooded
OHWM
OHWM Indicator:
(check
all that apply) tear line
DShelving DWrested ❑Scouring ❑Water
Height: n-`
fV ft.
on bank
vegetation staining
❑Bent, matted, or missing OV/rack
❑Lifterand DAbrupt plant ❑Soil characteristic change
vegetation line
debris community change
Depth of Water:
Bank height (average):
Bank slope (average):
<[
tSi'•�ft.
ft.
lf' degrees
N/AO
Qualitative Attributes
Water Appearance:
(checkona) El No water M lear ❑Turbid ❑Sheen
❑Surface DAlgal DOther:
on surface
scum mats
,I --
Substrate: O Bedrock D Boulder O Cobble O Gravel O
Sand Q"Silt/ clay O Organic O Other.
(check all that apply)
% of Substrate: % _% %
Width of Riparian Zone:
Vegetative Layers:
(check that 'Trees:
//
} CD
all apply)
C�Saplings/Shrubs: O Herbs
J ft.
Avg. DBH of Dominants: ll in.
in. in.
N/A❑
(spend.)
Dominant Bank Vegetation (list): L j 6 rA ,'Cl p,M UV Skclr/l.0 r
1 iLto / Acer YCA%Y'Ct r0
JAk li�tGtnct Ui+�'s 'fv+61(iJi9!I;Q
,
Aquatic Habitats few. submerged or emerged aquatic vegetation, overhanging banrshoots, leaf packs, large submerged mod, dries, deep pools, etc.):
Aquatic Organisms Observed (list):
NA
T&E Species (list):
Observed
N /'
Disturbances lex: livestock access, manure in waterbody, waste discharge pipes):
Waterbody is:
(check one) O Natural 0`Ar foal, manmade O Manipulated
Waterbody Quality'
(checkone) O High tB'Moderate D Low
F°m, Rev. M13OP013

Foam Rev. 04/302013
Waterbody ID:
C7jofo 5
High Quality: Natural, natural bank vegetation around entire interbody; banks stable and protected by roots; water color is clear to tea -colored; no
barriers to fish movement; many fish covertypes 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 Wdth on each side; filtering function or bank vegetation
only moderately compromised; banks moderately unstable; vratercolor is cloudy, submerged objects covered vnth 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 vridth on each side; lack of regeneration;
filtering function severely compromised; banks unstable (eroding); vrater 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 avow, centerline, distance from centerline, data point locations, survey boundary, and IDs of associated features)
�5UrV
bo4ha(� �i
N
<-VJ6���
Q�a roes
i
01 1(4
Foam Rev. 04/302013

5`
r � ,
a.
- q
1.' y
N!s. ���'�' � � � �y~mow � r'�"•wti- r ..7 y r. R� ..

USACE AiD- DWQ
Q STREAM QUALITY
Site =_ (indicate on attached map)
)OPO(3
ASSESSMENT NVORKSHEET
Protide the follosing information for the stream reach under assessment: �`7r
1. Applicant's name: Q0vv-'1f'^4 a.- 2. Etaluator'c name: J.yl"v txr
3. Date of ecaluaticn : V 14 4. Time of et aluation: i S, el S
5. Name of stream: (At) d L iii (2 CZ;V B ✓ 6. Rix erbasin: NeMho _
i. Approximate drainage area: (o O C f -c- S S. Stream order: U
9. Length of reach evaluated: S 10. Counh: �J S //��
11. Site coordinates (if known): prefer in decimal decrees. 12. Subdivision name (if any): A
Lititude (ex.3a.872312): 35 r � o �e�2 Longitude tex.-i- - — 7 6. 1'797G
Method location determined {circle): GPS Topo Sheet Onho ( rial) Photo/G1 Qxher G Other -
13. Location ofreach under evaluation (note nearby roads and IannTarks`an attac t 'dentiNing stream(s) location):
lava -\-EA J(ASA- Sc)in+h of �AIeS q ', d , w CS4- of Road ,
14. Proposed channel work (if anv):
15. Recent weather conditi
16. Site conditions at time
17. Identify any special waterway classifications known: ection 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _Nutrient Sensitive Waters Water Supply Watershed T_(1 -1V)
18. Is there a pond or lake located upstream of the evaluation point? YES NO lfyes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES? Does channel appear on USDA Soil Sur ey? YES 010
21. Estimated watershed land use: _9 o Residential °'o Commercial _% Industrial C_pOo Agricultwal
n °u Forested
22. Bankfull width: 'Ne Up be, �}=
24. Channel slope down center of stream: ✓ Flat (0 to 2°b)
25. Channel sinuosity: _Straight Occasional bends
%Cleared i Logged _%Other ( ¢
23. Bank height (from bed to top of bank):
_Gentle (2 to 4%) _h4oderate (4 to 10%) _Steep (> 1040)
_Frequent meander _Vete sinuous _Braided channel
Instructions for completion of worksheet (locaied on page 2): Begin by detennining the most appropriate ecoregion based on
location. terrain. vegetation. stream classification. ctc. Ever% characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shorn n 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 exaluated due to site or weather conditions. enter 0 in the scoritw_ box and protide an explanation in the
comment section. Where there are ob\-ious changes in the character of a stream under review (e.g.. the stream tloNx s front a pasture
into a forest). the stream may be divided into smaller reaches that display more continuity. and a separate font used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100. with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse):_5
to, vi Gni%. , I. p f -T .
Evaluator's Signature -A 1 Date & V i l I LI
This channel ecaluato f rnt is intended to he used only as a guide to assist landowners and environmental professionals in
$atllering the data req '-ed bt• the United States Army Corps of Engineers to make a prelintinar\ assessment of stream
quality. The total score resulting front the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement Fcnm subject to titan c - t crsion 06 03. To Comment. please call 919-576-S44I x 16.

STREAM QUALITY ASSESSMENT WORKSHEET
IV
structuremax)
(deeply embedded = 0; loose structure
INN 11
v
_ .11
0-4
Presence of flow /persistent pools in stream
0 — 5 0 4 0-5
(no flow or saturation = 0; strop flow =max points)
(no evidence = 0; r-l-lon numerous t-vues = max points)
of past human alteration
0— 6 0— 5 0-5
2Evidence
Presence of amphibians
0-4
`Riparian zone
0-41
S..........
3
(no buffer 0; contiguous. wide buffer = max points)
(no evidence = 0; vpqrq— types = max points)
ff(rnPvi,1Pn=Oe,
• Evidence o nutrientore iinicaldischarges
0-5 0-4 0—
I I
4 , L-
(extensive discharges . 0; no max points)
. I I . . —4-
0-4
Grou'Idwater discharge
5
0-3 0'—4
(no discharge 0; springs, seeps. wetlands, etcmax oink
(no evidence max oints)
0; common, numerous types �
(no evidence = U". co
Pre�sene nt floodplain
e of adjaci
0-4 0-4 0-2
6
(no floodplain —b; extensive flood lain — max points)
Evidence of wildlife use'
ence f wildlife
0-6
0-6
Entrenchment / floodplain access0-5
0-4 0-2
=—'
7 1 "J"' 'pints)
deeplv entrenched = 0: freau *
0- abundant evidence max uoints)
Presence of adjacent wetlands
0-6 0-4 0-2
8 (no wetlands 0; large adjacent wetlands =7 max points) I
w-Channel sinuosity
0-5 0-4 0-3
�k, 1 9 (extensive obannelization — 0; natural meander max points)
Sedimentinput
0-5 0-4 0 4
10 1) nts)
(extensive deposition7— 0; little or r 1
Size & diversity of channel bed substrate
0-4 0-5
"r-- (fine, homogenous = 0; lar e, diverse sizes = max points I
I
Evidence of channel incision or widening
0-5 0-4 0-5
12 (deep] incised = Oo stable bed . banks points)
Presence of major hank failures
0-5 0-5 0-5
(severe erosion = 0; no erosion, stable banks = max points)
Root depth and density on banks
14
1 0-3 0-4 0-5
(no visible nnfq = 0- dense roots throughout — max -- Dints)
Impac t by agriculture livestock, or timber production
0-5 0-4 0-5
(substantial impact =0; no evidence = max Doints)
Presence of riffle-pool/ripple-pool complexes
0-3 0-5 0-6
16
(no riffles/ripples or pools = 0, y-11-11—PInnPrI = max points
Habitat complexity
0-6 0-6 0— 6
17 (little or no habitat = 0; frequent, varied habitats = max points)
pq Canopy coverage over streambed
0-5 0-5 0-5
18 (no shadin points)
In vegetation = 0; continuous canopy = max
Substrate embeddedness X1 A n_ A n—A
IV
structuremax)
(deeply embedded = 0; loose structure
Presence of stream invertebrates JCZet page 4)
0-4
0-5
0-5
20
(no evidence = 0; r-l-lon numerous t-vues = max points)
Presence of amphibians
0-4
0-4
0-41
21
(no evidence = 0; vpqrq— types = max points)
ff(rnPvi,1Pn=Oe,
M-5
Presence of fish
0-4
0-4 -
0-4
22
(no evidence max oints)
0; common, numerous types �
(no evidence = U". co
Evidence of wildlife use'
ence f wildlife
0-6
0-6
0-5
0
0—5
5
23T
0- abundant evidence max uoints)
characteristics are not assessed in coastal streams.

NC DWQ Stream Identification Form Version 4.11
© 3
Date: G_ too- (\-f
Project/Site: S �P
Latitude: 3 5 r
Evaluator:
County; Ab s
Longitude:
Total Points: ^ SStream
Stream is at least intermittent
Determination circle one)
Other 1'�'eo I N/ W'0&�
_J
if >: 19 or perennial if>_ 30' 1 V'
Ephemeral ntermittent Perennial
P
e. Quad Name:
9'
A. Geomorphology (Subtotal = ` )
Absent
Weak
Moderate
Strong
1' Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
Y s = 3
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
COD
1 1
2
3
9. Grade control
0
_5)
1
1.5
10. Natural valley
0
.5
1
1.5
11. Second or greater order channel
Np'= 0
Yes = 3
Sketch:
"artificial ditches are not rated; see discussiops in manual �-
B. Hydrology (Subtotal = _)
12. Presence of Baseflow
0 1
2)
3
13. Iron oxidizing bacteria
0 1
2
3
14. Leaf litter
1.5 1
0.5
0
15. Sediment on plants or debris
0
1
1.5
16. Organic debris lines or piles
0 0.5
1
1.5
17. Soil -based evidence of high water table?
No = 0
Y s = 3
1
C. Biology (Subtotal = U\, I S )
18. Fibrous roots in streambed
3
2
1 e 1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
0
C.5
1
1.5
24. Amphibians
AQ,0.5
1
1.5
25. Algae
C 0
'6-5
1 1
1.5
26. Wetland plants in streambed
FACW X0.75:)
OBL = 1.5 Other = 0
-perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
CL'
Sketch:
to 1 a
lypb(3
.,
oNwvh
'6A.A_ W1 G�
I, 5-P ., wtEfe
61.5 F+.

a � sz} ks'
�
A
�•
,
e

�� � `'�'ax'f�'�.. �' �. � �.�e�'-•fir ����r"� �, �� ' r - -

Open Waterbody Data Sheet
Survey Description
Project Name:
Waterbody Name:
aterbody ID:743W11+
ate:
Southeast Reliability
,f�
1(ilnntaa' 1 d
C' op PO'3
State:
County:
Company.
Crew Me ber Initials:
Photos:
N L
E_%
kw
I W
Tract Number(s):
Nearest Milepost:
Associated Wetland ID(s):
2 t7 -D3 3.
312
W117 0131-4
Survey Type:
(check one) ®Centerline XRe-Route ❑Access Road OOther.
Physical Attributes
Waterbody Typ
(check one)Stock Pond O Natural Pond O Lake O Reservoir O Impoundment O Oxbow O Other.
Hydrologic Regime:
)(Permanently Flooded ❑ Semipennanently Flooded ❑Seasonally Flooded ❑Temporarily Flooded
OHWM
(check
0HWM Indicator:
all that apply) Clear line
❑Shelving OWrested ❑Scouring OWater
Height: ,1 I,
tL
o ank
vegetation staining
ly
hk t� ft.
❑Bent, matted, or missing OWrack
�.l,
❑Litter and Abruptplant ❑Soil characteristic change
vegetation line
debris mmunity change
Depth of Water:
Bank height (average):
Bank slope (average`):
ft.
107 --ft.
.1 degrees
NIAO
Qualitative Attributes
Water Appearance:
(check one) El No water ❑Clear OTurbid ❑Sheen
�{
❑Surface plA[gal Other: „µ WLI�d
on surface
scum em`ats v
ubstrate: O Bedrock O Boulder O Cobble O Gravel O
Sand k Silt/ clay Organic O Other:
(check all that apply)
I
% of Substrate: _% _ % % %
_% % % %
Width of Riparian Zone:
Vegetative Layers:
(check an that apply) Trees:
�f
LYS Saplings/Shrubs: O Herbs
> IDD ft
Avg. DBH of Dominants: (® in.
in. in.
N!A❑
(appro.)
Dominant Bank Vegetation (list):
Y) us AeAcda)o�acG_
Aquatic Habitats (ex'. submerged or emerged aquatic vegetaton, overhanging bankshoots, leaf packs, large submerged wood. riffles, deep pools, etc.):
eW4 OA ve9eA,401% lws ;r wAlto%"
I
AquOrbanisms ObseA fed (list): 'J
fati
icc
T fogs
T&E SpecLph Observed (list):
Novae
Disturbances (ex: livestock access, manure in waterbody, waste discharge pipes):
N QV\e
Waterbody is:
(check one) ❑ Natural (Artificial, man-made O Manipulated
Waterbody Quality-:
(check one) O High Moderate O Low
Form Ree. 0413012013

Forma... MOQ013
body ID:
7O)O P Oo3'_
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 bankvegetation
only moderately compromised; banks moderately unstable; watercolor 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 rep and channelization excessive; natural vegetation less than 113 of the active channel width on each side; lack of regeneration;
filtering function severely compromised; banks unstable (eroding); water color is muddy and turbid; obvious pollutants (algal mats, surface scum,
surface sheen); heavy odor, severe barriers to fish movement; little to no aquatic habitat; severe disturbance from livestock or man.
Notes:
PdP-a lire 04, cowhe4kJ . {.o ' 9-.60p 100a) �
Waterbody Sketch (Include north arrow, centerline distance from centerline, data point locations, survey boundary, and IDs of associated features)
t
L
SS ✓ � w
Forma... MOQ013

vir

22
USACE AID# DWQ # Site #_ (indicate on attached map)
0 STREAM QUALITY ASSESSMENT WORKSHEET LAP
Provide the following information for the stream reach under assessment: 1 /
1. Applicant's name: DO rni ✓) j o h K 2. Evaluator's name: , M Lt
3. Date of evaluation: ��� 1 4. Time of evaluation: 3 JU
5. Name of stream: UN"1-'�-Ci ��} �' ` �" 6. River basin: N2Gt.
7. Approximate drainage area: a U 'L 8. Stream order: 0
9. Length of reach evaluated: 10. County: low"Sk-yr�,
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):: A
Latitude (ex. 34.872312): v5,59gl1 u Longitude (ex. -77.556611):-7y ,`9
Method location determined (circle):GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evalua note nearby roads and landmarks and attach map identifying stream(s) location):
r iS IOcr��e� (e+wcr'n Tvet4 Dr, L Mcibye Wes+Beu("wh
14. Proposed channel work (if any): TGO
15. Recent weather conditions: e-,A7n
16. Site conditions at time of visit: 6\ ave
17. Identify any special waterway classifications known: Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters (_/Nutrient Sensitive Waters _Water Supply Watershed _(I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES NO If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES NO 20. Does channel appear on USDA Soil Survey'?? YES 10
Z
21. Estimated watershed land use: % Residential _% Commercial _% Industrial d % Agricultural
1 0 % Forested _% Cleared / Logged _% Other ( )
22. Bankfull width: 1 T 23yBank height (from bed to top of bank):
24. Channel slope down center of stream/:�� Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
�
25. Channel sinuosity: _Straight Occasional bends _Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): 35 Comments: �`IFe\SrlV`e
Evaluator's Signature L "Ck'"1 -i� / Date //l7///f-
This channel evaluation form is intended to be used 6nly 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.
lak; '
i�ECORE&IOPOIl�nR
NTl
GE
z !
#
C RIS IC LI
M Coastal P!edmon ,
i�i�, ,
Moun
r SCORE':
I
Presence of flow / 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
0
extensive alteration = 0• no alteration = maxpoints)
3
Riparian zone
0-6
0-4
0-5
(J
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)
S
5discharge
Groundwater discharge
0-3
0-4
0-4
Z
k=, ,
no dischaz e = 0• springs, sees wetlands etc. = maxpoints)
'' ►V-i�
6
Presence of adjacent floodplain
0-4
0-4
0-2
`!\\
V
no floodplain = 0• extensive floodplain = maxpoints)
a
Entrenchment/ floodplain access
0-5
0-4
0-2)
(deeply entrenched = 0• frequent flooding= max points
80-6no
Presence of adjacent wetlands
0-4
0 — 2
L+ -
wetlands = 0• large adjacent wetlands = max points)
lChannel
9
Channel sinuosity
0 — 4
0-3
O
extensive channelization = 0• natural meander = max points)0-5
10
Sediment input
0-5
0-4
0-4
3
-s; r
extensive deposition= 0; little or no sediment = max points
11
Size & diversity of channel bed substrate
NA•'h!�".
0-4
0 — 5
—�-
fine homo enous = 0; laze diverse sizes = max oints
s : r
w ;r
3¢y:p
Evidence of channel incision or widening
.....
12
(deei)lv incised = 0• stable bed &banks =maxpoints)
0-5
0-4
0-5
l
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
F,
no visible roots = 0• dense roots throughout = max points
15
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
substantial impact =0• no evidence =maxpoints)
Presence of riffle-pool/ripple-pool complexes
0 — 5
0-6
O
E16
no riffles/ripples les or pools= 0; well-developed = max points)0-3
a
17
Habitat complexity
0— 6
0— 6
0— 6
little or no habitat = 0• frequent, varied habitats =max oints
t'
Is
Canopy coverage over streambed
0-5
0-5
0-5
no shading vegetation = 0• continuous canopy = maxpoints)
19
Substrate embeddedness-"#
° ry
Nth
0-4
0 — 4
—
(deeply embedded = 0, loose structure = max)rM
: sf
20
Presence of stream invertebrates (see page 4)
0 — 5
0-5
no evidence = 0• common numerous es = maxpoints)0-4
2I
Presence of amphibians
0-4
0-4
0-4
O
no evidence = 0; common numerous types = maxpoints)
O
22
Presence of fish
= 0; =
0-4
0-4
0-4
(�
Awl
`l•wl
23
no evidence common numerous es max point
Evidence of wildlife use
0 — 5
0-5
tu=
no evidence = 0• abundant evidence = maxpoints)0-6
+3 TotaIF oin sPassible`100
h
100 �"
' 0.'�� MURK"
"
TO SCOIVIEWWWsi
3 S
* These characteristics are not assessed in coastal streams.

NC DWO Stream Identification Form Version 4.11 5j,019 00�
Date: 7/17/ 1 (f-
Project/Site: A C -P.
Latitude:3S , sqq I_C `Z
Evaluator:
I� Mtv�r v'�i2C�,��ST
County: �(_)V\ (� ,GI(\
" Longitude: ?-0,Ig0GjZ
Total Points:{
Stream is at least intermittent �o
StreamDetermination (circle one)
Intermittent
Other N \'e: t1/ �/e
ifz 19 or emnnial tf>_ 30'
Ephemeral Perennial
e.g. Quad Name:
A. Geomorphology (Subtotal=
F-7-bien-t-F
Weak
Moderate
Strong
1a' Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
/ 1
00
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
CO)1
No = 0
2
3
S. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
U
1
1 2 1
3
8. Headcuts
U
1
2
3
9. Grade control
(0
0.5
1
1.5
10. Natural valley
0.5
1
1.5
11. Second or greater order channel
No c 0)
Yes = 3
° artificial ditches are not rated; see discu sions in manual
B. Hydroloqy (Subtotal = )
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
(1
2
3
14. Leaf litter
(1.5)
1
0.5
0
15. Sediment on plants or debris
(0
0.5
1
1.5
16. Organic debris lines or piles
0
0.5
1
1.5
17. Soil -based evidence of high water table?
10
No = 0
1
Yes 3)
C. Biology (Subtotal = -7 )
18. Fibrous roots in streambed
(3
2 1
1 1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance) I
0_03
1
2
3
21. Aquatic Mollusks
(0
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
10
0.5
1
1.5
24. Amphibians
r0,(
0.5
1
1.5
25. Algae
OJ
0.5 1
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL =
.5 Other = 0
"perennial streams may also be identified using other methods. See p. 35 of manual. '
Notes: { tA
"T ♦v
U+F/c 'Rivet
i
Sketch:
N F �ivPvv 3
CL

Pyr * � y- t?r!F"+ � ryf� -, N � r j...f •, ,. - ` !`
T rY 54, r +d
Oil
-7,

Environmental Field Surveys
Waterbody Photo Page
Waterbody sjop003 facing northeast across bank.
Photo Sheet 2 of 2

j USACE AID# DWQ # Site # (indicate on attached map)
L------ ---------- _------- — ---- — --- ----- ---- -- - - ----- - - — - — — -- - - - --- - - -- --. - - - - -- -- - — -- -------
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name:
3. Date of evaluation:
5. Name of stream:� I NJ T [0 t --i fl,(�
7. Approximate drainage area:
9. Length of reach evaluated:
2. Evaluator's name: C(\ k
4. Time of evaluation:
i )
6. River basin:�i `P t> S:(
8. Stream order:
10. County:
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex.34.872312):3s. 59tAP,31-- Longitude (ex. -77.556611): -"-6„ [ 1 �
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any):
15. Recent weather conditions: A6, p-'_ A
16. Site conditions at time of
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters Nutrient Sensitive Waters _Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES k 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 j
21. Estimated watershed land use: _% Residential % Commercial _% Industrial % Agricultural
% Forested _% Cleared / Logged % Other
22. Bankfull width: 2--,t 23. Bank height (from bed to top of bank): f
24. Channel slope down center of stream:Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity:. Straight _Occasional bends _Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Evaluator's Signature ( .�4..,(,
Date
This channel evaluation form is intended to b used only as a guide to assist landowners and environmental professionals in
gathering the data required by the Unite( ates 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 �, ",;g ,
* These characteristics are not assessed in coastal streams.
S'

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Oriains v. 4.11
NC DWQ Stream Identification Form Version 4.11 C
Date: i- IL�1
Project/Site:
Latitude: 3s"
Evaluator:
Count
Longitude: -
Total Points:
Str amrDeter ~(circle one)
Other
Stream is at least intermittent
if >_ 19 or perennial if >_ 30`
(8ph `ergt9 termitte� f Perennial
,
e.g. Quad Name:
A. Geomorphology (Subtotal = (4� )
Absent
Weak
Moderate
Strong
1` Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
(CU
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
C
2
3
4. Particle size of stream substrate
0 j
1
2
3
5. Active/relict floodplain
0 J
1
2
3
6. Depositional bars or benches
(0,-)
1
2
3
7. Recent alluvial deposits
CQ)
1
2
3
8. Headcuts
0
1 ,!
2
3
9. Grade control
05�
I0.5i
1
1.5
10. Natural valley
0
1
1.5
11. Second or greater order channel
(No = 0
Yes = 3
Sketch:
a artificial ditches are not rated; see disc ssions in manual
B. Hvdroloav (Subtotal = 4-)
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
t 0,,.1
0.5
1
1.5
17. Soil -based evidence of high water table?
I
No= 0
( Yes = 3.
1.5
C. Biology (Subtotal ='" )
18. Fibrous roots in streambed
3
2
'i1v>
0
19. Rooted upland plants in streambed
3)
2
1
0
20. Macrobenthos (note diversity and abundance)
0 ,>
1
2
3
21. Aquatic Mollusks
f'0
1
2
3
22. Fish
(0 >
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
�'0 „j
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 j
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
41

Waterbod/ SJO E001facing north upstream
Waterbod/ SJO E001facing south downstream

Waterbody SJOE001 facing east across

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Oriqins v. 4.11
NC DWQ Stream Identification Form Version 4.11
Date:
i
Project/Site: i ' j�
Latitude:
Evaluator: r {' 1
County :,; �,wi .-, ;.
Longitude
Total Points:
Stream Determination (circle one)
Other
Steam is at least intermittent < <;t
if _ 19 or perennial if >_ 30"
Ephemeral Intermittent Perennial
e.g. Quad Name:
A. Geomor holo ` -
(Subtotal = L;" )'
Absent
Weak
Moderate
Strong
1a. Continuity of channel bed and bank
0
1
2
3 ;
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
sequence
0
1
2
G)ripple-pool
4. Particle size of stream substrate
0
1
2
3 j
5. Active/relict floodplain
0
1
2s3
' -
6. Depositional bars or benches
0
1
2
s 3
7. Recent alluvial deposits
0
1
2
1.5
8. Headcuts
0
1
('2 1
3
9. Grade control
0
0.5
_T"
1.5)
10. Natural valley
0
0.5
(1'
1.5
11. Second or greater order channel
a
No = 0
Yes = 3
8
Sketch:
artificial ditches are not rated; see discussions in manual
B. Hydrology Subtotal
12. Presence of Baseflow
0
1
2
0'
13. Iron oxidizing bacteria
0
1
1
0
14. Leaf litter
1.5 i
1
0.5
0
15. Sediment on plants or debris
0
0.5
1
;1.5'x.
16. Organic debris lines or piles
0
1 0.5
1 LIi
5')
17. Soil -based evidence of high water table?
~0 '
No = 0
Yesi=)
' -
C. Bioloqv (Subtotal = 'Z,, )
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
40 ?
1
2
3
22. Fish
0
0.5
1
23. Crayfish
~0 '
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
0"?
0.5
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:; s , , •i r9t ;` LI -A,
,
8
Sketch:
41

STREAM QUALITY ASSESSMENT WORKSHEET
0-
x These characteristics are not assessed in coastal streams.
a

—_._-_-----_-------._-.---------._._.__.__-__.-__.._.__.-_._-_----_------------_-__-------------------.____.._.-._..--------____
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: A V 2. Evaluator's name:
3. Date of evaluation ± 4. Time of evaluation: i
5. Name of stream: 1 3 { i Lf' (' 6. River basin: tk! ,-e c" 3 cs ';'O �`~
7. Approximate drainage area:
9. Length of reach evaluated:
8. Stream order:
10. County: t
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): 17
Q 11 l_ �� Longitude (ex. —77.556611):
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any
15. Recent weather conditions:
16. Site conditions at time of visit: C
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters Nutrient Sensitive Waters _Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES ,NO If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES NO 20. Does channel appear on USDA Soil Survey? YES..' NO
21. Estimated watershed land use: % Residential % Commercial _% Industrial _% Agricultural
22. Bankfull width:
% Forested % Cleared / Logged % Other
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 L, 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.
r
Total Score (from reverse): Comments:
i
Evaluator's Signature__ r iii, 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. To Comment, please call 919-876-8441 x 26.

1p i
< l s P 4
i

Waterbody SJOE002 facing southwest across

j 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: AC- 2. Evaluator's name: 4
t ,
3. Date of evaluation: i :`11 I`�: i 4. Time of evaluation:
5. Name of stream:U 40 rt iii 4 . " 3oo 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): Longitude (ex. –77.556611):-1 L 2
Method location determined (circle): (6 -PS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any):
15. Recent weather conditi
16. Site conditions at time of vi
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters _Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES NO If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES NO 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: % Residential _% Commercial % Industrial % Agricultural
% Forested % Cleared / Logged _% Other (
22. Bankfiill width: 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream:,': Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: Straight�--Occasional bends _Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): u�-- Comments:
Evaluator's Signature E,- Date
This channel evaluation form is intended tb'- a used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Oriains v. 4.11
NC DWQ Stream Identification Form Version 4.11
Date:- (
Project/Site: j
Latitude: 1� �
Evaluator:
County:Ir�i,15 1,/� , rLongitude:--:1ti
Total Points: /
Steam is at least intermittent
Stream Determination (circle one)
Other
if _ 19 or peren2ial if _ 30' > '
Ephemeral Intermittent Perennial ->
e.g. Quad Name:
A. Geomorphology (Subtotal = l.7 )
Absent
Weak
Moderate
Strong
1a. Continuity of channel bed and bank
0
1
2
'3
2. Sinuosity of channel along thalweg
0
1
1 0.5
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool se uence
0
1
"
2
(3
4. Particle size of stream substrate
0
(71_7
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
0.5
2
3
7. Recent alluvial deposits
0
1
2. _)
3
8. Headcuts
1
2
3
9. Grade control
0
Notes:
10. Natural valley
0
c.'"0.5
1
1.5
11. Second or greater order channel
No = 0I
<Yes = 3
artificial ditches are not rated; see discuss'ons in manual
B. Hvdrologv (Subtotal = �1 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
1 0.5
1
C1.5
16. Organic debris lines or piles
"0 0.5
1
t ,
17. Soil -based evidence of high water table?
No = 0
("Yes = 3
1
C. io oqv (Subtotal = )
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
r0.5
1
1.5
23. Crayfish
0.J
0.5
1
1.5
24. Amphibians
�{O
0.5
1
1.5
25. Algae
0 ,t
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:
41

STREAM QUALITY ASSESSMENT WORKSHEET
3
J%J-
* These characteristics are not assessed in coastal streams.

Waterbody SJOE003 facing northwest upstream
Waterbody SJOE003 facing east downstream

Waterbod/ SJO E003facing north across

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Oriqins v. 4.11
NC DWQ Stream Identification Form Version 4.11
Date:_ (,
Project/Site:
Latitude:3C�
Evaluator: �� a
County: �� � �
Longitude: q
Total Points:
Stream is at least intermittent -
Stream Determinatio (circle one)
/ .- n.�
Ephemeral Perennial
Other
• , ,
if _ 19 or perennial if _ 30"
Intermittent;
e.g. Quad Name:
4 /
A. Geomorphology (Subtotal =G � _ � )
Absent
Weak
Moderate
Strong
15. 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 sequence
� �
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
0.5
2
3
7. Recent alluvial deposits
0
(J-)
2
3
8. Headcuts
707
1
2
3
9. Grade control
0-) 1
0.5
1
1.5
10. Natural valley
0
= -77(0.5)
1 1
1.5
11. Second or greater order channel
`' No=
0--'
Yes = 3
Sketch:
a artificial ditches are not rated; see disgyssions in manual
B. Hydrology (Subtotal = y)
12. Presence of Baseflow
0
1
'~(2s�
3
13. Iron oxidizing bacteria
` 0/
1
2
3
14. Leaf litter
'J�15..�
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?
No = 0
- 0.5
1
Yes = 3
C. Biology (Subtotal =_ _ )
18. Fibrous roots in streambed
3
21:.)
0
19. Rooted upland plants in streambed
!` 3 „�
2
1
0
20. Macrobenthos (note diversity and abundance)
00j
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
0.5
1
1.5
25. Algae
O.i
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75;
OBL = 1.5 -I*er = Q-)
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
41

STREAM QUALITY ASSESSMENT WORKSHEET
iucsc ciiaractGrtsucs arc nut assessed in coastal streams.
2
NX
ECOREfIC)N :POINT
RA G
�oiustal
SCORE ,'
"1
`Presence of flow / persistent pools instream
(no flow or saturation = 0;: strongflow = max points)
0-5
0-4
0-5
2
Evidence of past human alteration
extensive`alteration = 0; no alteration =max Dints)
0-6
0— 5
0--5
l _'
',
,3."
Riparian zone,
0-6
0-4
0-5
no buffer ,= 0; 'conti nous,
wide buffer = max oints
,
4
Evidence of nutrient
or chemical discharges,
—
extensive dischar es — — 0• no discharges — max points)
0 — 5
0-4
0-4
_.,
`4
S
Groundwater discharge
0:-3
0-4
0-4
(no dischar e = 0; springs, seeps, wetlands, etc. = maxpoints)
6.
Presence of adjacent floodplain
0=4
0-4
0-2
(no flood lain = 0; extensive floodplain = maxpoints)
Entrenchment / floodplain access
�
(deeply entrenched=0; frequent flooding=max Dints)
0-5
02-4
0= 2
81'
Presence of adjacent wetlands
0-6
t)-4,
0-2
-(no wetlands = 0; large adjacent wetlands ='max Dints)
Channel sinuosity
0-5
0-4
0- 3
(extensive channelizaton = 0; natural meander =max Dints)
10..
Sediment input
0-5
0-4
0=4
extensive deposition—'0; little or no sediment= max points)
11
Size & diversity of channel bed substrate
--,max
NA*
0 —4
0 - S
(fine,homogenous =`0; lar e, diverse sizes poi nts)
12
Evidence of channel incision or widening
7.t•
(dee 1 incised = 0 stable bed &banks —max Dints)
0-5
0-4
0-5
,H s
13
Presence of major, hank failures
an
0=5
0-5
0-5
,-�
(severe erosion = 0; no erosion, stable banks =max Dints)
Root depth and density on banks
0 11
0=4
0-5
no visible roots = 0; dense roots throughout = max p Dints)
15
Impact by agriculture livestock or timber production
0-5
0�4
0=5
(substantial -in act =0; no evidence = max points)
'
r,
16
resence of riffle-pool/ripple-pool complexes`
0:—,3 .
0 - 5
0-6
�
no tifflesCriles or dols = 0;� well-developed, ed = max Dints)
176
Habitat cornplex[fy .
(hale habitat = 0; fre habitats =
0-6
0—
0=6 .
r�
�-+
or,no uetit; varied rnaxpoints):
18-
` Canopy coverage over streambed .
0=5
no.shadinueetation°= 0; continuous cano : = max points)
0-5
0-5
I
Substrate embeddedness
<(dee I ' embedded = O;'sloose structtire = max)
1A*
0-4
0 - 4
20
Presence of stream invertebrates (seepage 4)
no evidence = 0, common numerous types = maxpoints)
0 4
0-5
0-5
21
Presence of amphibians
0 —4
0 — 4
0 —4
O
no evidence.=0; common; numerous typos = maxoints)
Presence of fish'
0=4
0-4
0-4
f(1
(no. evidence = 0; common, numerous types - maxpoints)
23
Evidence of wildlife use
0-6
0-5
0-5
'2
(noevidence = 0; abundant evidence = maxpoints)
Total Poynts
1,00
ON
iucsc ciiaractGrtsucs arc nut assessed in coastal streams.
2

CE AID# T 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: W 2. Evaluator's name: C 0 �A- 'J
3. Date of evaluation: 4. Time of evaluation. ) �
5. Name of stream:U Q-\'
6. River basin: Ak ` �a
7. Approximate drainage area: 8. Stream order:
9. Length of reach evaluated: 10. County: --) `hy)
11. Site coordinates (if known): prefer in decimal deerees. 12. Subdivision name (if anv):
Latitude (ex. 34.872312): Is S" 5q 60 11) $ i Longitude (ex. -77.556611): -TW, W, 1
Method location determined (circle): GPS) Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying streams) location):
14. Proposed channel work (if any
15. Recent weather conditions: /1( -.(r -c.
16. Site conditions at time of visit: f oy\ . 0 LC )C!
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters Nutrient Sensitive Waters _Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluatioln point? YES NY If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES '�O / 20. Does channel appear on USDA Soil Survey? YES J�O i
21. Estimated watershed land use: % Residential % Commercial % Industrial % Agricultural
% Forested
22. Bankf ull width: z
24. Channel slope down center of stream: _Flat (0 to 2%)
25. Channel sinuosity: Straight ✓ Occasional bends
% Cleared / Logged % Other
23. Bank height (from bed to top of bank):
-"'Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
_Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): Comments: ( 0 -L,,
- r -- - . i b I - „ ice - A7. '
Evaluator's Signature �%`� � � Date
This channel evaluation form is intended be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the Unite tates 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.

Waterbody SJOE004 facing south upstream
Waterbody SJOE004 facing north downstream

Waterbody SJOE004 facing east across

Open Waterbody Data Sheet
Survey Description
Project Name:
Waterbody Name:
Waterbody ID:
Date:
Atlantic Coast Pipeline
Unnamed Pond
Ojoe001
1/13/2016
State:County:
Company:
Crew Member Initials:
Photos:
North Carolina
Johnston
NRG
CG, AS
3
Tract Number(s):
Nearest Milepost:
Associated Wetland ID(s):
20-054
83.0
none
Survey Type:
(check one) ❑Centerline ®Re -Route ❑Access Road El Other:
Physical Attributes
Waterbody Type:
(check one) ❑x Stock Pond ❑ Natural Pond ❑ Lake ❑ Reservoir ❑ Impoundment ❑ Oxbow ❑ Other:
Hydrologic Regime:
❑ Permanently Flooded ❑ Semipermanently Flooded ❑ Seasonally Flooded ❑ Temporarily Flooded
OHWM
OHWM Indicator:
(check
all that apply) O Clear line ❑Shelving ❑x Wrested ❑Scouring ❑Water
Height:
on bank vegetation staining
3 ft.
El Bent, matted, or missing []Wrack El Litter and ❑Abrupt plant El Soil characteristic change
vegetation line debris community change
Depth of Water:
Bank height (average):
Bank slope (average):
2 ft.
4 ft.
85 degrees
N/A❑
Qualitative Attributes
Water Appearance:
(check one) El No water ❑Clear ❑x Turbid ❑Sheen ❑Surface ❑Algal ❑Other:
on surface scum mats
Substrate: ❑ Bedrock ❑ Boulder ❑ Cobble ❑ Gravel ❑ Sand © Silt/ clay ❑ Organic ❑ Other:
(check all that apply)
% of Substrate: % % % % % 100 % % %
Width of Riparian Zone:
Vegetative Layers:
(check all that apply) ® Trees: ❑x Saplings/Shrubs: ❑x Herbs
ft.
Avg. DBH of Dominants: gin. 1 in.
N/A❑X
(approx.)
Dominant Bank Vegetation (list):
Maple, pine
Aquatic Habitats (ex: submerged or emerged aquatic vegetation, overhanging banks/roots, leaf packs, large submerged wood, riffles, deep pools, etc.):
none
Aquatic Organisms Observed (list):
none
T&E Species Observed (list):
none
Disturbances (ex: livestock access, manure in waterbody, waste discharge pipes):
excavated
Waterbody is:
(check one) ❑ Natural ® Artificial, man-made ❑ Manipulated
Waterbody Quality a:
(check one) ❑ High ❑ Moderate ❑x Low
Form Rev. 07/09/2014

Form Rev. 07/09/2014
Waterbody ID:
Ojoe001
a High Quality. Natural, natural bank vegetation around entire waterbody; banks stable and protected by roots; water color is clear to tea -colored; no
barriers to fish movement; many fish cover types available; diverse and stable aquatic habitat; no disturbance by livestock or man.
Moderate Quality: Altered by rip -rap; natural vegetation extends 1/3-1/2 of the active channel width on each side; filtering function or bank
vegetation only moderately compromised; banks moderately unstable; water color is cloudy, submerged objects covered with greenish film;
moderate odor; minor barriers to fish movement; fair aquatic habitat; minimum disturbance by livestock or man.
Low Quality: Rip rap and channelization excessive; natural vegetation less than 1/3 of the active channel width on each side; lack of regeneration;
filtering function severely compromised; banks unstable (eroding); water color is muddy and turbid; obvious pollutants (algal mats, surface scum,
surface sheen); heavy odor; severe barriers to fish movement; little to no aquatic habitat; severe disturbance from livestock or man.
Notes:
Waterbody Sketch (Include north arrow, centerline, distance from centerline, data point locations, survey boundary, and IDs of associated features)
4N
hat w
Form Rev. 07/09/2014

"� � �F. _ -
� � --�
ear E_- ,
'� ,,, ,
��
� �s
� ' ,���/
i J
'!�' r ��: t T�11.�
-. � �,a , r/�y v 7 � ��
_ . �'� .
.�
�. jj,^ s . 'i �R��.

�l ��
�.� �'� �
,/
�,� � �� � u
1.
'i
1'
�_l %a. ,� ��,`h,� I�� � � f
_, ,� ���
�� -
�,
-�_�� � ;.
� - �•.l
a, � � � �
�lt'�`
.- - r- : �, � � :.

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Oriains v. 4.11
NC DWQ Stream Identification Form Version 4.11
Date:
Project/Site:
Latitude: 3'
Evaluator i
l" l+t � �+ r; ��)l
County: 1 /J'l•
Qlk
Longitude: - fid _
Total Points:
Stream is at least intermittent IT 3�
Stream Determination (circle one),
Ephemeral Intermittent"t�erennial%
Other
e.g. Quad Name:
if >_ 19 or perennial if >_ 30' i
2. Sinuosity of channel along thalweg
0
A. Geomorphology (Subtotal = :' )
Absent
Weak
Moderate
Strong
1a, Continuity of channel bed and bank
0
1
2
%±3 -'
2. Sinuosity of channel along thalweg
0
1
`2 }
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2 ;
3
4. Particle size of stream substrate
0
1
i12
3
5. Active/relict floodplain
0
'11 ,>
2
3
6. Depositional bars or benches
0
: `1 >
2
3
7. Recent alluvial deposits
0
'1
2
3
8. Headcuts
0
FACW = 0.75;
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 = T)
12. Presence of Baseflow
0
1
1`2
3
13. Iron oxidizing bacteria
{0)
1
2
3
14. Leaf litter
1.5
" 1 1
0.5
0
15. Sediment on plants or debris
0
0.5
( 1. (,
1.5
16. Organic debris lines or piles
('r0
0.5
1
1.5
17. Soil -based evidence of high water table?
`0)
No = 0
Yes = 3
1.5
C. Biology (Subtotal ="
18. Fibrous roots in streambed
3 ,f
2
1
0
19. Rooted upland plants in streambed
'' 3
2
1
0
20. Macrobenthos (note diversity and abundance)
{0 "1
1
2
3
21. Aquatic Mollusks
0. >
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
`0)
0.5
1
1.5
24. Amphibians
r0
0.5
1
1.5
25. Algae
fi0
0.5
1 -
1.5
26. Wetland plants in streambed
FACW = 0.75;
OBL = 1.5 (Other = 0 .i
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
41

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.

II USACE AID# �^ �i DWQ 9
-----------;
Site # (indicate on attached map)
----------- ----_-...._.___ .____.-...__- .._______ ___.____ .._...-_-. ------------- --- ----
._,„
STREAM QUALITY ASSESSMENT WORKSHEET ;,
M
Provide the following information for the stream reach under assessment:
1. Applicant's name: --,AC:
2. Evaluator's name: �� - .�?"�'; 't �'u, If
3. Date of evaluation: �) t f Ufa (I
4. Time of evaluation:
5. Name of stream: ( ) Kt-
6. River basin: !U Ut'W C) S 0,,Q;
7. Approximate drainage area:
8. Stream order:
9. Length of reach evaluated:
10. County:�)�s,i5e.;`�
11. Site coordinates (if known): prefer in decimal degrees.
12. Subdivision name (if any):
Latitude (ex. 34.872312): 3 S—, 671�4 1411��
Longitude (ex. —77.556611): —
Method location determined (circle): 'GPS' Topo Sheet Ortho
(Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any): I\J I /N
15. Recent weather conditions 1' ,�-
�. t� 1 z
16. Site conditions at time of visit: t i f'p. r`'. �� , (-� `��� L� 4&'l
17. Identify any special waterway classifications known:
_Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters
Nutrient Sensitive Waters _Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evalua ion
point? YES 111 NO If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES NO
20. Does channel appear on USDA Soil Survey? YES'
21. Estimated watershed land use: _% Residential
_% Commercial _% Industrial % Agricultural
% Forested
% Cleared / Logged % Other (
22. Bankfull width: .x � (�
23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: _Flat (0 to 2%)
Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (> 10%)
25. Channel sinuosity: Straight _Occasional bends
Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): 1! Comments:
Evaluator's Signature�'� ,��'t Date r''��� o
This channel evaluation form is intended to 66>u'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.

Waterbody SJOE005 facing southeast upstream
Waterbody SJOE005 facing northwest downstream

Waterbody SJOE005 facing southwest across

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Oriains v. 4.11
NC DWQ Stream Identification Form Version 4.11
Date:
Project/Site:
Latitude:
Evaluator �.
County )� (,� .
Longitude:, 8 -
Total Points:
is at least intermittent %
Stream19
Stream Determination.(circle one)
Other
if _ or if _ 30* � �
Ephemeral IntermittenPerennial
t;
,
e.g. Quad Name:
A. Geomorphology (Subtotal = I �; )
Absent
Weak
Moderate
Strong
1a, Continuity of channel bed and bank
0
1
C2 _?
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
IL)
2
3
7. Recent alluvial deposits
(9_'
1
2
3
8. Headcuts
0
1
OBL = 1.5 (Other=
3
9. Grade control
0
0.5
1
1.5')
10. Natural valley
0
0.5
C1_�
1.5
11. Second or greater order channel
Yes = 3
Sketch:
a artificial ditches are not rated; see discussions in manual
B. Hydrology Subtotal = `-
12. Presence of Baseflow
0
1
L"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
t).5)
1
1.5
16. Organic debris lines or piles
0
0.5..1;
1
1.5
17. Soil -based evidence of high water table?r"No
0?
= 7
Yes = 3
1.5
C. Biology (Subtotal = _Z-±--
18. Fibrous roots in streambed
3
(Y)
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0 ;
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
i 0)
0.5
1
1.5
23. Crayfish
0?
0.5
1
1.5
24. Amphibians
C,- 0
0.5
1
1.5
25. Algae
0)
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75;
OBL = 1.5 (Other=
'perennial streams may also be identified using other methods. See p. 35 of manual.
- -
Notes:
Sketch:
41

r-._-_-_._ - -------
I
USACE AID# DWQ # Site # (indicate on attached map)
-- -- - - — - - --- - ....._ - -- ----------
M
--
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name:. 2. Evaluator's name: e( f %. �<��-✓� 1 '�
3. Date of evaluation: 4. Time of evaluation:
S. Name of stream: 6. River basin: Neu, -;X 6-3,05 a -o
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):`Longitude (ex. —77.556611): e) pf
Method location determined (circle): f4S) Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any):
15. Recent weather conditions: (inco-6 °
16. Site conditions at time of visit:
17. Identify any special waterway classifications known: _Section 10 Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters _Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES (1v0) If yes, estimate the water surface area:
X,
19. Does channel appear on USGS quad map? YES ' NO 20. Does channel appear on USDA Soil Survey? /'YE NO
21. Estimated watershed land use: % Residential _% Commercial _% Industrial % Agricultural
% Forested % Cleared / Logged % Other ( )
22. Bankfull width: S,5-
23. Bank height (from bed to top of bank): 01-)
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 i 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: ' i ,1,n,k\­471, ) Li i;; e : I � . Je,
Evaluator's Signature { Date
This channel evaluation form is intended`to be use' 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
2_
i nese cnaracteristIcs are not assesseu ui wastai streams.

.{ �. ' � ..
� �~ � ern � � f,}�d S 4 1 � _ \r�4 O,i rj`
�'.�
����%'�
'% P� � `�

O en Waterbody Data Sheet
Survey Description
Project Name:Wate�rbody
Name:
Waterbody ID:
Date:
Southeastern Reliability
Lnv`V\avv-QCG4 ?I Dv\G1
030PO"e1
7/0'2,1IY
State:
County:�
Company:
Crew Member Initials:
Photos:
Ne-
�� nr;y
�s i
� i ks/7
�ai 110/
Tract Number(s):
Nearest Milepost:
sociated Wetland ID(s):
0-063
37S
NIA
Survey Type:
(check one) ®Centerline ORe-Route ❑Access Road ❑Other:
Physical Attributes
Waterbody Type:
(check
$o�rvw Pd (' w✓rN �n.
one) ❑Stock Pond O Natural Pond O Lake O Reservoir O Impoundment O Oxbow &7/0ther. r<
Hydrologic Regime: �
0, ennanently Flooded O Semipermanently Flooded O Seasonally Flooded O Temporarily Flooded
OHWM
(check
OHWM Indicator:
all that apply) Clear line
❑Shelving ❑Wrested ❑Scouring ❑Water
Height: 3
on bank
vegetation staining
ft.
❑Bent, matted, or missing OWrack
El Litter and ❑Abrupt plant ❑Soil characteristic change
vegetation line
debris community change
Depth of Water:
Bank height (average):
Bank slope (average):
3 ft.
7 ft.
90 degrees
AO
Qualitative Attributes
Water Appearance:
�
(check one) ONo water ❑Clear ❑Turbid OSheen
❑Surface 9AIgal ❑Other:
on surface
scum mats
Substrate: O Bedrock O Boulder O Cobble O Gravel F5
Sand 9clay O Organic O Other.
(check all that apply)
% of Substrate: % % % %
a
L� % l 0 % %
Width of Riparian Zone:
Vegetative Layers:
�
S
(check all that apply) ❑,,Tttrle
Trees:
Olings/Shrubs: Q/Herbs
p
ft
N/AO '-
Avg. DBH of Dominants: IVR in.
3 in. �li in.
(appz.)
Dominant Bank Vegetation (list):
Si, W'9rtil SMr x aiw Udo niWk4 J�/o-a'Y `clAv�r�. SaL l )e t/.
Aquatic/Habitats lex submerged or emerged aquatic vegetation, overhanging bankshoots, leaf packs, large submerged wood, riIDes, deep pods. etc.):
4v` tur�
Aquatic Organisms Observed (list):
✓ti
T&E Species Observed (list):
hVrt
Disturbances (etc livestock access, manure in waterbody, waste discharge pipes):
Vim- (-
Waterbody Is: �
(checkone) O Natural 3 Artificial, man-made O Manipulated
Waterbody Quality a: �
(checkone) O High O Moderate C3"Low
ronnaev. 041300013

Form Rev. N/3012013
Waterbody ID:
0�o r �O 1
High Quality: Natural, natural bank vegetation around entire waterbody; banks stable and protected by roots; water color is clear to tea -colored; no
barriers to fish movement; many fish cover types available; diverse and stable aquatic habitat; no disturbance by livestock or man.
Moderate Quality: Altered by rip -rap; natural vegetation extends 113-1/2 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 113 of the active channel width on each side; lack of regeneration;
filtering function severely compromised; banks unstable (eroding); water color is muddy and turbid; obvious pollutants (algal mats, surface scum,
surface sheen); heavy odor, severe barriers to fish movement; little to no aquatic habitat; severe disturbance from livestock or man.
Notes:
Waterbody Sketch (include north arrow, centerline distance from centerline, data point locations, survey boundary, and IDs of associated features)
b
0Po1�
Form Rev. N/3012013

Environmental Field Surveys
Open Water Point Photo Page
Open Waterbody ojop001 facing north.
Photo Sheet I of 1

USACE AID# DWQ # Site A (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: Dorm n I Oh 2. Evaluator's
V -7,5 !7(P. 7u Hb. II
3. Date of evaluation: -7'1-7 11`( 4. Time of evaluation: % 2 PM
5. Name of stream: (,� 0 T {- % �q 7 ra,..,c G 6. River basin: N r -c-
7. Approximate drainage area: 5 ClC 8. Stream order: -C
9. Length of reach evaluated: 50 10. County: J a 1, , 3 6
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): N
f -7
Latitude (ex. 34.872312): � S • S 1 5t' 1 I Longitude (ex. -77.556611): -76, %. 1 S7 Z
Method location determined (circle): GP 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):
(vtCa cC, R , ���r t>��. C, reec.I,v .
14. Proposed channel work (if any):
15. Recent weather conditions: WUrv, �4 All ­(
16. Site conditions at time of visit: Cha �. rz �,�- �e(.�L. rOo; I P; der 0,,e ru- p
17. Identify any special waterway classifications known: -Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters FNutrient Sensitive Waters _Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES (NO)If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES NO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: 10 %Residential —% Commercial —% Industrial �'U%Agricultural
T,�o of 0, 1 �O % Forested _% Cleared /Logged _% Other ( )
22. Bankfull width: 64
24. Channel slope down center of stream: Flat (0 to 2%)
25. Channel sinuosity: _Straight 'Occasional bends
23. Bank height (from bed to top of bank): 7 "I$
_Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
_Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality. !Q�
Total Score (from reverse): �" Comments: Of4 wrA W&JI,\ S Pt .
Evaluator's Signature /' i/Zl� Date FiF/ Y
0
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 919-876-8441x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
ECOREGION POINT RANGE
#
CHARACTERISTICS
SCORE
Coastal
Piedmont
Mountain
I
Presence of flow / persistent pools in stream
0-5
0-4
0-5
Z
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)
J
3
Riparian zone
0-6
0-4
0-5
6
no buffer = 0• contiguous, wide buffer =max oints
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
S
extensive discharges = 0• no discharges = maxpoints)
aGroundwater
discharge
0 4
0-4
U5
no discharge = 0; springs, sees wetlands, etc. = maxpoints)0-3
—
N
6
Presence of adjacent floodplain
0-4
0-4
0-2
3
no floodplain = 0; extensive floodplain = maxpoints)
Entrenchment / floodplain access
0-5
0 — 4
0-2
4-
a"
(deeply entrenched = 0; frequent flooding— max points)
8
Presence of adjacent wetlands
0-6
0 — 4
0-2
C
no wetlands = 0• large adjacent wetlands = max oints
O
9
Channel sinuosity
0-5
0-4
0-3
2
extensive channelization = 0• natural meander = maxpoints)
10
Sediment input
0-5
0-4
0-4
1+
extensive deposition= 0• little or no sediment = maxpoints)
I I
Size & diversity of channel bed 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
3
Y(deeply
incised = 0; stable bed & banks = maxpoints)
or bank failures
Presence of major
0-5
0-5
0-5
13
severe erosion = 0; no erosion, stable banks =maxpoints)
.a.
14
Root depth and density on banks
0-3
0-4
0-5
Z
F
no visible roots = 0; dense roots throughout = maxpoints)
m
15
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
substantial impact --0; no evidence = maxpoints)
16
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
no riffles/ripples or pools = 0• well-developed = maxpoints)
F
17
Habitat complexity
0 — 6
0-6
Z
N
little or no habitat = 0; frequent, varied habitats = maxpoints)0-6
M
18
Canopy coverage over streambed
Canopy
0 — 5
0-5
L�
Q�
shadingvegetation = 0; continuous canopy= maxpoints)0-5
19
Substrate embeddednessNA*
0-4
0-4
(deeply embedded = 0; loose structure = max
20
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
Q
no evidence = 0• common numerous types = maxpoints)
0
21
Presence of amphibians
0-4
0-4
0-4
O
no evidence = 0; common numerous types = maxpoints)
O
22
Presence of fish
0-4
0-4
0-4
n
�
no evidence = 0• common, numerous es =max points
V
23
Evidence of wildlife use
0— 6
0— 5
0— 5
Z
no evidence = 0; abundant evidence = max points)
Total Points Possible
100
100
100
TOTAL SCORE (also enter on first page)
S
* These characteristics are not assessed in coastal streams.

NC DR'Q Stream Identification Form Version 4.11 SJrJF009
Date: -7l(7/1c(
Project/Site: ACP
Latitude:S7 S- 7
Evaluator: �$Z _(�,�wnlm�l(.
County: TvInV1SNyI
Longitude:7$ 115- 72-
Total Points:Stream
Stream is at least intermittent �•9 1 �"
Deteinatiwr(ci`cle one)
EphemeraKKll
Other J',-ec0Y VJCSA-
if >_ 19 or perennial if >_ 30' 4
rmittenrennial
e.g. Quad Name:
A. Geomorphology (Subtotal =--6-)
Absent
Weak
Moderate
Strong
1' Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
0.5
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
C2)
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
(:D>
1
2
3
8. Headcuts
1
2
3
9. Grade control
0.5
1
1.5
10. Nat ural valley
0 /-"'�0.5
(a:)1.5
11. Second or greater order channel
(,
No= 0__ -.)Yes
= 3
artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = - )
12. Presence of Baseflow
0
Cp
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
_J
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
es = 3
1.5
C. Bioloqy (Subtotal = 6'S
)
18. Fibrous roots in streambed
1 3
2 1
1
0
19. Rooted upland plants in streambed
(31
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
C-0)
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0-)
0.5
1
1.5
24. Amphibians
0
(-L5)
1
1.5
25. Algae
�0)
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL
= 1.5 Other - 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: 0rr.,MP L( so.,;l m;Cs P, .i
etch:
wJ�o�0�2
s 0o 00a

- � - titi er M; i .sv •*, a e'y" � Y-- A. �'' /
s
J" e 4LV
s

�op00�
USACE AID# DW Q # Site #_ (indicate on attached map)
0 STREAM QUALITY ASSESSMENT WORKSHEET r
Provide the following information for the stream reach under assessment: J
1. Applicant's name: O m l >11 t7"N 2. Evaluator's name:
3. Date of evaluation: 711711`i 4. Time of evaluation: (: 3 6 AM
5. Name of stream: 6. River basin: Ntn ft
7. Approximate drainage area: ) 5 AC. 8. Stream order:
i
9. Length of reach evaluated: I Gt7 F ". 10. County: Jow,tI,,
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): IJ!!4
Latitude (ex. 34.872312): � 5. 57 S Longitude (ex. -77.556611): -7$ ? I -7
Method location determined (circle): S 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):
EaSk C)f (�av'S tFomeSt�sz C_ooee neov, alb cr-�_evck (-_�C)&Id
14. Proposed channel work
15. Recent weather conditions: utAvy (" ^� `i 4 l rs ha_fwe
16. Site conditions at time of visit: t,­4ASKil,a W910a1w(
17. Identify any special waterway classifications known: Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _Nutrient Sensitive Waters _Water Supply Watershed _(I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES � If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? a NO 20. Does channel appear on USDA Soil Survey? ES)NO
21. Estimated watershed land use: 20 %Residential _% Commercial _% Industrial 40 %Agricultural
,�L% Forested —% Cleared /Logged _% Other (
22. Bankfull
23. Bank height (from bed to top of bank): 7-4.
24. Channel slope down center of stream: _V -flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: _Straight Occasional bends _Frequent meander Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): "' S Comments:
Evaluator's Signature ;?�- 17 L�`�� Date i;0;711el
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
»q�rc,�$F-jSr"d•}q'^kaa"IIMilYI.s
�° #k
OPw o r ^y,
CHATtACTERISTIC5
,a
�. '"GF
ECOREWON POINT,RN+
rrn�5r,; a•
SCORE
u.twAV' !
Y Coasja)1 PredmontN*t�
y °'
.„''+q
ouniun
1
Presence of flow / persistent pools in stream
0-5
0-4
0-5
I
no flow or saturation = 0• strong flow = maxpoints)
2
Evidence of past human alteration
0-6
0-5
0-5
//
{j
?'
extensive alteration = 0• no alteration = maxpoints)
3
Riparian zone
0-6
0-4
0-5
no buffer = 0• contiguous, wide buffer = maxpoints)
_
4
Evidence of nutrient or chemical discharges
extensive discharges = 0• no discharges = maxpoints)
0-5
0-4
0-4
S
5
Groundwater discharge
0-3
0-4
0-4
no discharge = 0• springs, sees wetlands etc. = maxpoints)
Nt:
6
Presence of adjacent floodplain
0-4
0-4
0-2
14
�h
no floodplain = 0• extensive floodplain = maxpoints)
�:.
Entrenchment / floodplain access
0-5
0-4
0-2
y-
p '
(deeply entrenched =0• fie uent floodin =max points)
r =�
8
Presence of adjacent wetlands
0-6
0-4
0-2
no wetlands = 0• laze adjacent wetlands = maxpoints)
9
Channel sinuosity
0-5
0-4
0-3
Z
extensive channelization = 0; natural meander = maxpoints)
•,,tFp
10
Sediment input
0-5
0-4
0-4
S
extensive de osition= 0• little or no sediment = max points)
i •
11
Size & diversity of channel bed substrate
lTk NAS* ;;i
01
0 —4
0-5
- N
fine homogenous = 0; laze diverse sizes = max points)�
rx
12
Evidence of channel incision or widening
0-5
0-4
0-5
S
>4
(deeply incised = 0• stable bed & banks = maxpoints)
13
Presence of major bank failures
0-5
0-5
0-5
r 1
a
severe erosion = 0• no erosion stable banks =max points)
Root depth and density on banks
14
0-3
0-4
0-5
3
no visible roots = 0; dense roots throughout = maxpoints)
15
Impact by agriculture, livestock, or timber production
0-4
0-5
3
(substantial impact •noevidence=max points)0-5
�
16
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
1
no riffles/ripples or pools = 0• well-developed = maxpoints)
' 10-6
Habitat complexity
0-6
0-6
2
little or no habitat = 0; frequent, varied habitats = maxpoints)
J
18
'
Canopy coverage over streambed
0 5
0-5
0 — 5
t�
no shading vegetation = 0• continuous canopy = max points)
19
Substrate embeddedness
�'A•+'hut "v' ' q..
0-4
0-4
A y
(deeply embedded = 0• loose structure = max
Iv
4;'
20
20
Presence of stream invertebrates (see page 4)
0-4
0 — 5
0-5
Q
evidence = 0• common numerous types = max points
0
21
Presence of amphibians
0-4
0-4
0-4
C,,
no evidence = 0• common numerous es = max points)
Lam
C+
22
Presence of fish
0-4
0-4
0-4
(j
N
no evidence = 0• common, numerous es =max points)
23
Evidence of wildlife use
0— 6
0-5
0-5
2
no evidence = 0; abundant evidence = max points)
gy
y
P � Bible
e
� •-:
i�T� Pomts 33 , , I” �
���a'c F S:L�'. i'�`r.'"mi"i e�.,,�-'p Rfk%'. Aai r fiytdSg.
00 100
W �'N4
ay..l14d„�`,C.,
'"`'
t'aH 4 �. , �•..ri R'+�,^ 1+.q R 'P �k�h vF,��j! f.=.
OTAL $Ch.ORi;(alsojenter on firs
page) �� e
s f
'r -d
'rJ..�3. WMt: ','�A3ht 't'kL. }K., AifAH. i"9'a .aq'.'#$jlt 1t9T1'�4•�:frF
9
d a •I � �
i
* These characteristics are not assessed in coastal streams.

NC DWQ Stream Identification Form Version 4.11 ' &A 5-m c4 `.. S� UI 00 1
Date: % /-7
Project/Site: C7
Latitude: 3s: S75-$%
Evaluator: 1�'s'f (P_t wr:-6�..I t)
County: �oJ-l"
Longitude: _76. 2 V7
Total Points:
Stream is at least intermittent 22,
Stream Date Ina' circle one)
Other J�'e`1 t 'Wf2S�
if>_ 19 or erennial if 2 30'
Ephemeral Intermittent erennial
e.g. Quad Name:
A. Geomorphology (Subtotal =_21) )
Absent
Weak
Moderate
Strong
10 Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
16. Organic debris lines or piles
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
4
2
3
4. Particle size of stream substrate
UP
1
2
3
S. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
®
1
2
3
8. Headcuts
1
2
3
9. Grade control
0.5
1
1.5 '
10. Natural valley
0
0.5
d
1.5
11. Second or greater order channel
o = 0
Yes = 3
(✓`
"a
artificial ditches are not rated; see discussions in manual
B. HYdrologV (Subtotal = / )
12. Presence of Baseflow
0
2 3
13. Iron oxidizing bacteria
<�D 1
2 3
14. Leaf litter
1.5 1
0
15. Sediment on plants or debris
0 0.5
1 7155
16. Organic debris lines or piles
0 0.5
<T ? 1.5
17. Soil -based evidence of high water table?
No = 0
Ye =
C. Biology (Subtotal = (�. S )
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
<M 1
1
2 1
3
21. Aquatic Mollusks
<D 1
1
2 1
3
22. Fish
UP
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
0
1)
1
1.5
25. Algae
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Othe = (
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
N
(✓`
"a
<\�_ .5 o�o00I
sjoPo()a

i
TM
fir,
J r/
*$,tea(• � fry _ - j� \ .�
'i �

NC DWQ Stream Identification Form Version 4.11 Si ODDI
Date; 612-311(,
Project/Site: A U?
Latitude: 35, 57`f 77
Evaluator: L
County: �OiGI>rl.S l�
Longitude: - ^]$!7 i�
Total Paints:� ` �
Stream is at least intermittent
Stream Determination (circle one)
p eme Intermittent Perennial
Other � ✓ V1 l
a g. Quad Name:�r
3
if a 19 or perennial it ? 30*
0
16. Organic debris lines or piles
2
A. Geomorphology (Subtotal=
Absent
Weak
Moderate
Strong
1' Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
16. Organic debris lines or piles
2
3
3. In -channel structure ex. riffle -pool, step-pool,1-
ripple -pool sequence
No = 0 Y = 3
-
2
3
4. Particle size of stream substrate
041.5
1
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or trenches
0
t
2
3
7. Recent alluvial deposits
0
1
2
3
B. Headcuts
1
2
3
9. Grade control
0.5
1
1 5
10. Natural valley
0
0.51
1.5
11. Second or greater order channel
00
=
Yes = 3
Sketch:
�J
artificial ditches are not rated; see discussions in manual `
B. Hydrology (Subtotal= �v
12. Presence of Baseflow
0 2
3
13. Iron oxidizing bacteria
1 2
3
14. Leaf litter
1 0.5
0
15. Sediment on plants or debris
0 1
1.5
16. Organic debris lines or piles
0.5 1 1
1.5
17. Soil -based evidence of high water table?
No = 0 Y = 3
1
C. Bolo (Subtotal= (o,5
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
,)
1
2
3
21. Aquatic Mollusks
Go
1
2
3
22_ Fish
041.5
1
1.5
23. Crayfish
0
0._
1
1.5
24. Amphibians
0
1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75;
OBL = 1.5 Qther = 0
"perennial streams may also be Identified using other methods. See p. 35 of manual.
Notes: OHwC resg,---L
Sketch:
�J
GO 0
V
i
'+uriK� I -lr4-

D1' Q Tr Site = (indicate on atlached inap)
5"I 0a 011+
EDT]STREAM QUALITY ASSESSMENT WORKS14EET
f roN ide the fnllmNin-, information for the stream reach under assessment: �y
I. Applicant's name:_T]wm;ylion 2. Evaluator's name: EST-- L - i2Dd1e�
3. Date of evaluation:811-3/1l 4.1 ime of evaluation: Ic�tnF.
% Name of stream: Fit B r o GW 6. River basin: News e-
7. Approximate drainage area: ID cxcc - 8. Stream order: 0
9. Length of reach evaluated: z b �+ 10. County:_:10 6 rv�. eta V1
11. Site coordinates (ifknown): prefer in decimal degrees. 12. Subdivision name ((fail -0::y (v 1 D
Lalitudc (cx. 34.872312): e3 + 7i 3 Longitude (ex. -77.556511):_~ ! ei, �
Method location determined (circle):,1' ' -rop, Sheet Qrtho (Aerial) Photo' 'GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying streant(s) location):
D v Zs HomJ "'
14. Proposed channel work (if any): T
15. Recent weather conditions: V+JQ +r kv 4- Ay -j -
16. Site conditions at time of visit:
17. Identify any special waterway classifications known:
Trout Waters�Outstanditt�.- Resource Waters
Section IT _Tidal Waters _Essential fisheries Habitat
\// Nutrient Sensitive Waters _ _Water Supply Watershed (I -1V)
18. Is there a pond or lake located upstream of the evaluation point? YES (Iv O If yes, estimate the water surface area:
19. Goes channel appear on USES quad trap? YES (0 20. Does channel appear on USDA Soil Survey) YES &
21. Est itnaled watershed land use: tt 0 % Residential _° o Commercial _% Industrial 140% Agricultural
50 °vo Forested _°a Cleared i Logged �°o Other ( )
22. Bankfull wvidth: of + 23. Bank height (from bed to top of bank): 3
,�¢f -
24. Channel slope down center of stream: ✓ Flat (0 to 2%) _Gentle (2 to 4%) ___,,Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: Straight Occasional bends _Frequent meander _Very sinuous _Braided channel
Instructions for completion of Aorl shcel (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 cltaracteristle %0thin the range shown for the ecoregion. Page 3 provides a brief description of hove to review the
characteristics identified in the vvorks}teel. scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or ww eather conditions, enter 0 in the scoring boa 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, wwith a score of 100 represent in,, a stream of the
highest quality.
Total Score (from reverse): ' t Comments:
Evaluator's Signature Date / 7-I t'to _
This channel evaluation o in is intended to be usni s a guide to assist landowrners and nwlr tn>lental professionals in
gathering the data requs cd by the United State JrACorps of Engineers to make a preliminan assessment of stream
quality. The total score resulting front the completion of this form is subject to USACE approval and sloes not imply a
particular mitigation ratio or requirement. Fonts 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.
ECORE(1310N POINT
RANGE,
4
CHARACTERISTICS
SCORE
Coastal
Piedmont
Mountain
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; Conti Tuous, wide buffer = maxpoints)
4
Evidence of nutrient or chemical discharges
0 _ 5
0-4
0 - 4
(extensive discharcs W 0; no discharges =max Dints)
aGroundwater
5
discharge
0-3
0-4
0,_ 4
U(no
discharge = 0; springs, see s, wetlands, etc. = maxpoints)
6
Presence of adjacent floodplain
0 - 4
0 2
(no floodplain = 0; extensive floodplain = maxpoints)0-4
w
7
Entrenchment f floodplain access
0- 5
0-4
0-2
(deeply entrenched = 0; frequent flooding = maxpoints)
8
Presence of adjacent wetlands
0 --
0 -4
0 -2
(no wetlands = 0; large adjacent wetlands = maxpoints)
9
Channel sinuosity
0- 5
0-4
0- 3
extensive channelization = 0; sutural meander = maxpoints)_
10
Sediment input
0 -5
0 -4
0-4
(extensive deposition= 0• little or no sediment = maxpoints)
1 I
Size & diversity of channel bed substrate
0 4
0-5
(fuse, homogenous - 0; large, diverse sizes = maxpoints)N`
1?
Evidence of channel incision or widening
0 - 5
0 ---4
0-5
ya
(dee 1 incised = 0; stable bed & banks = maxpoints)
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
0-5
0 - 4
0-5
(substantial impact =0; no evidence = maxpoints)
16
Presence of riffle-000llripple-pool complexes
0-3
0_5
0-6
no rifflesfripples or psols = 0; well-develo ed = maxpoints)
17
Habitat complexity
0-6
0-6
0-6
Q
E-
little or no habitat = 0; fre bent, varied habitats = maxpoints)
18
Canopy coverage over streambed
0-5
0-5
0-5
?
no shading v c etat ion = 0; continuous canopy = maxpoints)
-D
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 = max dints)
1
Presence of amphibians
0 .- 4
0-4
0 .- 4
Q
(no evidence = 0; common. numerous types = max oints
p
77
Presence of fish
0-4
0-4
0-4
(no evidence = 0; common, numerous types = maxpoints)
�3
Evidence of wildlife use
0-6
0-5
0-5
�
(tui evidence = 0; abundant evidence = max points)
Total Points Possible
too
I00
too
TOTAL SCORE (also cuter on first page)
31
These characteristics are not assessed in coastal streams.

ea
zi
5 ,1�_ ter.._ .,max• er k+ _-.. -
3 r 2
` FOr� 4en
5

s 1 ;fir
� II
Wffo
tit
7
ry --
4
dam''

C
C
Open Waterbody Data Sheet
Survey Description
Project Name:
Waterbody Name:
Waterbody ID:
Date:
Southeastern Reliability
IAv%nexr' ?pv\d
000 Oct I
/ l I
71 21( I
State:
County:
Company:
Crew Member Initials:
Photos:
NC
�ahns40�,
FSZ
6/
'Y6
�cClr �5�
Tract Number(s):
Nearest Milepost:
Associated Wetland ID(s):
Za o68
3-1 Co
w` 00 011
Survey Type:
(check one) ®Centerline ORe-Route OAccess Road ❑Other:
Physical Attributes
Waterbody Type:
(check one) Stock Pond O Natural Pond O Lake ❑ Reservoir O Impoundment O Oxbow O Other.
Hydrologic Regime:
JPermanently Flooded O Semipermanently Flooded O Seasonally Flooded O Temporarily Flooded
OHWM
(check
OHWM Indicator:
all that apply) Clear line
OShelving OWrested ❑Scouring OWater
Height: I
on bank
vegetation staining
ft.
OBent, matted, or missing OWmck
OLifter and OAbruptplant ❑Soil characteristic change
vegetation line
debris community change
Depth of Water:
6
Bank height (average):
Bank slope laveraggeI
ft.
ft.
I degrees
A❑
Qualitative Attributes
Water Appearance:
(check one) ONo water OClear Purbid OSheen
❑Surface ❑Algal ❑Other:
on surface
scum mats
Substrate: O Bedrock O Boulder O Cobble O Gravel 0,Sand Silt/ clay O Organic O Other:
(check all that apply)
% of Substrate: _% % % % til
% cro %
Width of Riparian Zone:
Vegetative Layers:
WOO
(check all that apply) O Trees:
❑ Saplings/Shmbs: O Herbs
ft
N/Ap..r=
Avg. DBH of Dominants: N A in.
N16 in. N/A in.
(approx.)
Dominant Bank Vegetation (list):
Aquatic Habitats lex submerged or emerged aquatic vegetation, overhanging banksrmots, leaf packs, large submerged woos, rirAes, deep pods, etc.):
5✓6, 'qrd 'Xv'�c
Aquatic Organisms Observed (list):
✓L�11�
T&E Species Observed (list):
,
r\ VI -
Disturbances (ex: livestock access, manure in Waterbody, waste discharge pipes):
(I4e.5-(Oc gCCe$S NtnrlvfQ
\
aterbody is:
(check one) ❑ Natural p,Artlficial, man-made O Manipulated
Waterbody Quality • :
y
(check one) High El Moderate p.Low
Form Rev. 01300013

Forth Re . WM=13
/
Ml
Waterbody ID:
GSo o DCS I
° 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:
3�, J 6o8 N Pond �n fnl`k�le 0� �res�c� Pz5Fw•ei<j.
Waterbody Sketch (Include north arrow, centerline, distance from centerline, data point locations, survey boundary, and lDs of associated features)
� Quo 0 0
\ AC, CC)rCliV
CL
�rJ000r)�
Forth Re . WM=13
/
Ml

Environmental Field Surveys
Open Water Point Photo Page
Open Waterbody ojoo001 facing east.
Photo Sheet 1 of 1

USAGE AID# DWQ # Site # (indicate on attached map)
a] STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
S�l�otk�
r r
1. Applicant's name: D9n'1i(111Tn r 2. Evaluator's name. E5 T ` .S&L4.v1
3. Date of evaluation: 2 I f 4. Time of evaluation: 1 3 0
5. Name of stream: VrgT -[ Dy� k't -c- C.(-, 6. River basin: eJ5 2.
7. Approximate drainage area: Zi0r8. Stream order: (5 r�,
9. Length of reach evaluated: ? 10. County: 73hn5Coy1
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any-)::: NLA
I Latitude (ex. 34.872312): 3: • 5-T Da'j N Longitude (ex. -77.556611): 7 0 , Z7�S I
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluatlo note nearby roads and landmarks and attach map identifying stream(s) location):
L�r7�yl.nc ivy°r-3x ZSd
,O t 5bu+k �� 0(J Crew* �d.
14. Proposed channel work (if any): 1-0
15. Recent weather conditions: Pf e. -O PAio /-, \ Pn 0&5. - Zff h rl
16. Site conditions at time of
17. Identify any special waterway classifications known: _Section 10 Tidal Waters _Essential Fisheries Habitat
Trout Waters _Outstanding Resource Waters Nutrient Sensitive Waters _Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES 0� If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES N) 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: 0% Residential
rr ` 5 o Forested
22. Bankfull width: Trw
24. Channel slope down center of stream: Flat (0 to 2%)
25. Channel sinuosity: Straight ,Occasional bends
% Commercial % Industrial 4 % Agricultural
% Cleared / Logged'
Other ( _ _)
23. Bank height (from bed to top of bank): Z
Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
_Frequent meander _Very sinuous Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality. q }, ]
Total Score (from reverse): I Comments: S5�fYd ! k�ti� . - 1'd�JC I 5v� 5frk+c
3 rnUh �,t kr
Evaluator's Signature Date W21 /it
This channel evaluation four i n`ten�to be used only as a guide to assist landowners and a onmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06103. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
CH MGT RISTIC
�`ECOREGIOIV'$OIL�iT�tRANGE
7;. nu
,� w,�:�
"Cilastalti n II tam
. • f A
iedut -.
n
1
Presence of flow / persistent pools in stream
0-5
0-4
0-5
3
no flow or saturation = 0• strong flow = maxpoints)
gin. M,AaY
2
Evidence of past human alteration
0 — 5
0-5
Z
extensive alteration = 0• no alteration = maxpoints)0-6
3
Riparian zone
0-6
0-4
0-5
'1
no buffer = 0• contiguous, wide buffer = max points)
4
Evidence of nutrient or chemical discharges
0— 5
0— 4
0— 4
3
extensive discharges = 0• no discharges = max points)
5
Groundwater discharge0-3
0-4
0-4
Z
no discharge = 0 springs, seeps, wetlands etc. = max oints
N".
60-4
Presence of adjacent floodplain
0-4
0-2
rn>
no floodplain = 0• extensive floodplain = maxpoints)
�r
7
Entrenchment / floodplain access
0 — 4
0-2
3
,i
(deeply entrenched = 0• frequent flooding= maxpoints)0-5
L-
Presence of adjacent wetlands
0-6
0-4
0-2
8
no wetlands = 0 lar a —;—opt wetlands = max points)
9
Channel sinuosity
— 5
0 — 4
0 — 3
z
extensive channelization = 0• natural meander = maxpoints)0
10
Sediment input
0-5
0-4
0-4
3
extensive deposition-- O; little or no sediment =maxpoints)
t:.
11
Size & diversity of channel bed substrate
A r i c4- ' W,
NA*!,}
}
0-4
0 — 5
"(A
fine homogenous = 0; laze diverse sizes = maxpoints)o.
vF
Evidence of channel incision or widening
0-5
0-4
0-5
3
(deeply 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 = maxpoints)
14
Root depth and density on banks
0-3
0-4
0-5
F
no visible roots = 0• dense roots throughout = maxpoints)
15
Impact by agriculture, livestock, or timber production
0-5
0 — 4
0-5
Z
":-
substantial impact =0• no evidence = maxpoints)
"
16
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
I
no riffles/ripples or pools = 0; well-develo ed = max points)
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
0-5
no shading vegetation = 0• continuous canopy =maxpoints)
19
Substrate embeddedness
t *+t +
r
0-4
0-4
(deeply embedded = 0; loose structure = max
,SIA ,r
20
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
p
no evidence = 0• common numerous types = max points)
21
Presence of amphibians
0-4
0-4
0 — 4
7
O
no evidence= 0• common numerous es = max oints
a,
O
22
Presence of fish
0-4
0-4
0-4
►w
no evidence = 0• common numerous es =max oints
g
23
Evidence of wildlife use
0-6
0-5
0-5
Z
no evidence = 0• abundant evidence = maxpoints)
�; e Total'Romts ossiblepk
100
100
100 y
1�: ::
�f`?n"C•?.t..
fk '-+SM r N �YP "k � U ' i��Yi4,3i n4PF^!•.L i�
� � �
q
* These characteristics are not assessed in coastal streams.

s3o()oo3
NC DWQ Stream Identification Form Version 4.11
Date: 7(2- ( I
Project/Site: A C -'P
Latitude: 3S , 5_4-05_� of
Evaluator: Gsy _ a-b-n4Dv)
County: 3mn5-Wt'1
Longitude: -4-S. 2.3T31 V1/
Total Points:
Stream is at least intermittent 30.5
Stream Determination (circle ne
Ephemeral Intermitten Pnial
Other
e.g. quad Name:KW1(71Me$t-
if _ 19 or perennial if >_ 30*
2. Sinuosity of channel along thalweg
0
A. Geomorphology (Subtotal =_M5_
Absent
I Weak
Moderate
Strong
1aContinuity of channel bed and bank
0
1
1 LZ)_
3
2. Sinuosity of channel along thalweg
0
1)
2
3
3. In -channel structure: ex. riffle -pool, step -pool;
ripple -pool sequence
0/,0
��'l
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
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
Sketch:
N
" artificial ditches are not rated; see discussions in manual
B. Hydroloqv (Subtotal = S )
12. Presence of Baseflow
0
1
_
3
13. Iron oxidizing bacteria
0
2
1 LZ)_
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?
No = 0
( Yes = 3
1.5
C. Biology (Subtotal= 615 )
18. Fibrous roots in streambed
_
1
0
19. Rooted upland plants in streambed
2
1 1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
CON)
1
2
3
22. Fish
r0
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
0
.5
1
1.5
25. Algae
0
-0.5
1.5
26. Wetland plants in streambed
FACW = 0.75;
OBL = 1.5 Other = 0
.Pe rennialstreams may also be identified using other, methods. See p. 35 of manual.
Notes: b V1, Z I 3 v/
Snn
h f a✓C
Sketch:
N
C�
jy r in
9 � �

h
° r
4a
oil
j r
it
F _ r

USACE AID# DWQ # Site #_ (indicate on attached map)
0 STREAM QUALITY ASSESSMENT WORKSHEET Z1AQ*
Provide the following information for the stream reach under assessment:
1. Applicant's name: I%Mi(1 im -WCS 2. Evaluator's name: FSL — S8en'6h
3. Date of evaluation: 77-'22-�I{- 4. Time of evaluation: 11"30
5. Narne of stiearn: L1 i' lc CrcrK 6. River basin: NuSe�
7. Approximate drainage area: 11500 C,C, 8. Stream order: S�
9. Length of reach evaluated: TD f4— 10. County: S�hnS Favi AA
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any)::7A[!A
Latitude (ex. 34.872312): 35_,5682-O N Longitude (ex. -77.556611):_ 4,g,jq 6,? w
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
tpero,x;ro�i-c- , 1,0oo �+. 0ori'l" aF- PJ.
14. Proposed channel work (if any): T6
15. Recent weather conditions: R04N Wtly\ (kst 2q- h(`5.
16. Site conditions at time
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters Nutrient Sensitive Waters _Water Supply Watershed _(I-IV)
18. Is there a pond or lake located upstream of the evaluation point? (;YES)
ES NO If yes, estimate the water surface area: In+' 14P1e--
19. Does channel appear on USGS quad map? YES NO 20. Does channel appear on USDA Soil Survey? (5�`NO
21. Estimated watershed land use: 10 % Residential _% Commercial _% Industrial Sb % Agricultural
r1
� `f_o % Forested _% Cleared / Logged _% Other (
22. Bankfull width: � f c, 23. Bank height (from bed to top of bank): I • ��
24. Channel slope down center of stream: X Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>I0%)
25. Channel sinuosity: _Straight _Occasional bends Frequent meander _Very sinuous, _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): 61 Comments: f—'�`i'Ie C.r�ek . San , hr-,,? I S vb 5�r +t
Evaluator's Signature S I ) "/FDate --+(z,2-(14
This channel evaluation f&A is r to ded 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.
# i*
C 6 ERISTIC , � �� � ;
ECO 'i OK
� GFi *
SCORE'
.•�"
�;, �° +,, q
Coaatalr 'Piedmont
N1ounta�n�'�
y'
I
Presence of now / persistent pools in stream
0-5
0--4
0-5
r
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
o-4
0-5
no buffer = 0 contiguous, wide buffer =max Dints
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
3
extensive discharges = 0• no discharges = maxpoints)
-0.
5
Groundwater discharge
0 — 4
0-4
Z
,.
no discharge = 0• s rips seeps, wetlands etc. = maxpoints)0-3
6
Presence of adjacent floodplain
0-4
0-4
0-2
no floodplain = 0; extensive floodplain = maxpoints)
�>
Entrenchment / 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
If
no wetlands = 0• large adjacent wetlands = max points)
9
Channel sinuosity
0 5
0 4
0 3
3
extensive channelization = 0• natural meander max Dints
10
Sediment in ut
p
0-5
0-4
0-4
1 r_
T
extensive deposition- 0• little or no sediment = maxpoints)
fi
I 1
Size & diversity of channel bed substrate
NAfr
0 — 4
0 — 5
N�jQ
fine homogenous = 0• large, diverse sizes = max Dints.,,.
,,. ,� , ,'
12
Evidence of channel incision or widening
0-5
0-4
0-5
1(cleepily
incised = 0• stable bed & banks = maxpoints)3
13
Presence of major bank failures
4 — 5
0-5
3
severe erosion = 0• no erosion stable banks = maxpoints)0-5
14
Root depth and density on banks
0-3
0-4
0-5
Z
no visible roots = 0• dense roots throughout = maxpoints)
uD.
`11'
IS
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
3
substantial impact =0• no evidence = maxpoints)
,..
lb
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
`
�
no riffles/ripples or pools = 0• well-developed = maxpoints)
l
�
l�
Habitat complexity
0-6
0-6
0-6
!.�-
little or no habitat = 0• frequent, varied habitats = max oints
r
18
Canopy coverage over streambed
0-5
0 5
0-5
-3
no shading ve etation = 0• continuous canopy = maxpoints)
19
Substrate embeddedness�
W.A�tr_A
E
0-4
0 — 4
T1
ftp `
dee 1 embedded = 0; loose structure = max
�� SNA*
20
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
l
no evidence = 0• common numerous types = maxpoints)
Y
21
Presence of amphibians
0-4
0-4
0-4
0
;O
no evidence = 0; common numerous types = maxpoints)
�Q
22
Presence of fish
0-4
0-4
0-4
0
r
no evidence = 0• common numerous types = maxpoints)
"
23
Evidence of wildlife use
o-6
0-5
0-5
.
no evidence = 0• abundant evidence = max oints
WROROM.A+SO
100
60
00
Y:b.1 .
e2Y
9
]y.
r
,
� s T.OT�SCORE{so er^r
11 lig
page
W.,"'�'e
yt.. .
* These characteristics are not assessed in coastal streams.

NC DWQ Stream Identification Form Version 4.11
5)00 00+
Date: 7-1Z2_1 ! �
ProjectiSite: ACP
Latitude: 3i S,176 g70 N
Evaluator: �__7c"T _ SgGt �1/1
County: 1+11*h
Longitude: �$, Z`�6�� W
Total Points: ~�
Stream is at least intermittent ,
Stream Determination (c' le -o
Ephemeral Intermitten erennia)
Other
e.g. Quad Name: kn W'5t
if ? 19 or perennial if> 30"
2. Sinuosity of channel along thalweg
0
A. Geomorphology (Subtotal = i�) •5 j
Absent
Weak
Moderate
Strong
1a" Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex, rifle -pool, step -pool,
ripple -pool sequence
0
0.5
2
3
4. Particle size of stream substrate
0
1
2
3
5. Activelrelict floodplain
0
1
2
es= 3)
6. Depositional bars or benches
0
1
1
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
.5
11. Second or greater order channel
No = 0 j
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal= -AL-)
12. Presence of Baseflow
0
1
2
0
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
1
0.5
1 0
15. Sediment on plants or debris
0
0.5
1
1.5
M
16. Organic debris fines or piles
0
1 0.5
1
1.5
17. Soil -based evidence of high water table?
No = 0
1
es= 3)
C. Biology (Subtotal = Y)
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
2
1
1 0
20. Macrobenthos (note diversity and abundance)
.0T
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25, Algae
0
0.5
0
1 1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 <5ther =
'perennial streams may also be identified using other methods. See p.
35 of manual.
Notes:
Sketch: (dam
�w30016

Environmental Field Surveys
Waterbody Photo Page
Waterbody sjoo004 facing north upstream.
�A _
Waterbody sjoo004 facing south downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody sjoo004 facing west across channel.
Photo Sheet 2 of 2

USACE AID# DWQ # Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment: —Iqw
1. Applicant's name: Cl9m1nio/\ PO WCr 2. Evaluator's name: EST — ag"V1
3. Date of evaluation: 71 z7,/ Int 4. Time of evaluation: 1;;o
5. Name of stream: '4f� lr fo ln'WCa53(n Creep 6. River basin: hI/5 e-
7. Approximate drainage area: 6o `LCII. 8. Stream order: 15 �
9. Length of reach evaluated: rJ 0 4r 1 10. County: JAA {OIC A
'
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):�/rt
Latitude (ex. 34.872312): 551 55 65 6 � Longitude (ex. -77.556611):16) Z-.�022__%l
Method location determined (circle):GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluatio note nearby roads and landmarks and attach map identifying stream(s) location):
Aper300 P�— a� V5 3D , alonp) CCn4P_rl;^�
14. Proposed channel work (if
15. Recent weather conditions:
16. Site conditions at time of v
R5
11 4V
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
Trout Waters _Outstanding Resource Waters X Nutrient Sensitive Waters _Water Supply Watershed _(]-IV)
18. Is there a pond or lake located upstream of the evaluation point? ES NO If yes, estimate the water surface area: O -f; G �-
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: S %Residential _% Commercial _% Industrial 65-% Agricultural
J 30 % Forested _% Cleared / Logged _% Other (
T �^ )
22. Bankfull width: f- � , 23. Bank height (from bed to top of bank): I 7
24. Channel slope down center of stream: Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>I0%)
25. Channel sinuosity: _Straight Occasional bends _Frequent meander Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse):_ Comments: 5Jo0 005 - GS�nnnO ( i> e� .
, r
Evaluator's Signature ?�C/4 V i^� Date Z— I L[
This channel evaluation formXs te�ndeceto 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.
CS
ECOREGIO�T POINT RANGES
' "' ;"
yCo stsl Piedmont- F.Mountan5
',10
1
Presence of flow / persistent pools in stream
0-5
0-4
0-5
no flow or saturation = 0• strong flow = maxpoints)
3
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
3
no buffer = 0; contiguous, wide buffer = max points)
4
Evidence of nutrient or chemical discharges
0-5
0-4
0 — 4
extensive dischares = 0• no dischares = max oints
S
Groundwater discharge
0-3
0-4
0-4
O
d
no discharge = 0; springs, sees wetlands etc. = maxpoints)
y
6
Presence of adjacent floodplain
0— 4
0— 4
0-2
no floodplain = 0• extensive flood Iain = max points)
60
7
Entrenchment / floodplain access
0-5
0-4
0-2
(deeply entrenched = 0• frequent flooding =max pints
8
Presence of adjacent wetlands
0-6
0-4
0-2
Ag
no wetlands = 0• laze adjacent wetlands max pints
9
Channel sinuosity
0 — 4
0-3
!;
extensive channelization = 0• natural meander = maxpoints)0-5
10
Sediment input
0-5
0-4
0-4
extensive deposition= 0• little or no sediment = maxpoints)
11
Size & diversity ofannesubstrate channel bed bstte
Y * �1ti17
0 — 4
0 — 5
N/A
fine homogenous = 0; large, diverse sizes = max points)NA
, P„
12
Evidence of channel incision or widening
0-5
0 — 4
0-5
3
5?i
dee I incised = 0• stable bed & banks = max points)
13
Presence of major bank failures
0 — 5
0 — 5
0 — 5
3
a'
severe erosion = 0• no erosion stable banks = maxpoints)
14
Root depth and density on banks
0-3
0-4
0-5
Ea
no visible roots = 0• dense roots throu hout = maxpoints)
IS
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
Z
=0;... substantial impact � no evidence =max pints
16
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
0
no riffles/ripples or pools = 0• well-developed = maxpoints)
F,
-
1little
Habitat complexity
0 — 6
0-6
2
or no habitat = 0; frequent, varied habitats = max points)0-6
'.
18
Canopy coverage over streambed
0-5
0-5
0-5
no shading vegetation = 0• continuous canopy = max points
19
Substrate embeddedness-;'a'""*
%�'`
0-4
0-4
<„
dee 1 embedded = 0 loose structure = maxA,
, ,,;:
i
20
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
no evidence = 0• common numerous es = max points)
21
Presence of amphibians
p
0-4
0-4
0-4
U
O'
no evidence = 0• common numerous es = max pints
Or
22
Presence of fish
0-4
0-4
0-4
d
wt
no evidence = 0• common numerous types = max poin s
i
23
Evidence of wildlife use
0-6
0-5
0-5
i
t,
no evidence = 0• abundant evidence = maxpoints)
�IkCP
g
1 y
'
�
"�.w 't.:
msFOstit/ >a. H77
yIM
y
¢C+lehto
on
SO12E also
1`
S4
`
I
;,.,�
• ". .a�� ente fztr�stpage�
�;
,..��
* These characteristics are not assessed in coastal streams.

NC DWQ Stream Identification Form Version 4.11
5,joc�C70S
Date: T(Z.$ ( ( `T
Project/Site: ACT
Latitude: 3s.556 -56 N
Evaluator: ��j _ j-6e'n
County: V A';5b,)
Longitude:
Total Points:
is at least intermittent Z I
Stream Deter . tion ircle one)
E hemera Perennial
Other
%e�Mq
if>_ f9 or erennial if>_ 30'
if 2:19
p ntermittent
e. Quad Name:
9'
A. Geomorphology (Subtotal =_L0_'5)
Absent
I Weak
Moderate
Strong
1a' Continuity of channel bed and bank
0
12
2
3
2. Sinuosity of channel along thalweg
0
(1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
6 le- oolsequence
0
O
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
-d
1
2
3
9. Grade control
0
0.5
1.5
10. Natural valley
0-�
0.
1
1.5
11. Second or greater order channel
No = 0 2
Yes = 3
- artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = 5 .'5
)
12. Presence of Baseflow
O
1
2
3
13. Iron oxidizing bacteria
(0
1
2
3
14. Leaf litter
1.5
1
0.5
0 EE
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?
No = 0
Yes = 3
1.5
C. Biology (Subtotal=
18. Fibrous roots in streambed
0
19. Rooted upland plants in streambed
0
20. Macrobenthos (note diversity and abundance)
3
21. Aquatic Mollusks
3
22. Fish
M
1.5
23. Crayfish
1.5
24. Amphibians
1.5
25. Algae
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: 64wrA w; 11 _ 3 F+. 6 n1<F II wiJ4-h
4 F+•
6+nlc hei h+
I -I i�n�, 5r. ,r
vb S'Fra'FC'.
Sketch:
pv?
TW
wj000(q
�- 50000
V000)0
� ) -
Un
:SIN

, 1-47 41
,jyF� R 9r'
K` 1Y
4
I,.
r.'
zl
gold sk � 1

Environmental Field Surveys
Waterbody Photo Page
Waterbody sjoo005 facing south across channel.
Photo Sheet 2 of 2

USACE AID# DW Q # Site #_ (indicate on attached map)
0 STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment: 1 `/'
1. Applicant's name: t!.nt"' LOQ 2. Evaluator's name: C ST " l� , M LlV cey
3. Date of evaluation: 4. Time of evaluation:
5. Name of stream: (ri(\'lt �'y ��OCC�S i n C(F2 6. River basin: Ne C'6-C-
!.
e%S-e-
7. Approximate drainage area: �� a-c.9e� �. Stream order: -� 1
r\
'
9. Length of reach evaluated: SD ]0. County: ,,Dins icT
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): N -A
Latitude (ex. 34.872312): 3J. S3V 51) Longitude (ex. —77.556611): —7q a L� LOS
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evalu ote nearby roads and landmarks and attach map identifying stream(s) location):
Qd n -S S<XtNA Of' _T_-95/ mea Ce Mn qQ)6 18 RC)Ac!(,
14. Proposed charm
15. Recent weather
16. Site conditions at time of visit: CA.
17. Identify any special waterway classifications known:,,Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _✓Nutrient Sen �ee Waters _Water Supply Watershed _(I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YEIf yes, estimate the water surface area:
19. Does channel appear on USGS quad map? NO 20. Does channel appear on USDA Soil Survey? YES NO
YES
21. Estimated watershed land use: _% Residential _% Commercial _% Industrial 6U% Agricultural
Tow cF 46 % Forested _% Cleared / Logged _% Other ( u
22.Bauk€ul width: _2i �4 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: I Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: Straight _Occasional bends _Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): 01 &
Evaluator's SignatureDate 7/;�
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.
'
m��'
- `; �, MW ' r4
C GTERTSTIC +'�i �w
ECOREGION P,QINT RAN+'''
..0
SGORE
Coastal ' t%Predm5R �Moun
r. -
�
1
Presence of flow / persistent pools in stream
0-5
0-4
0 -
(no flow or saturation = 0• stron flow = max oints
:'N
2
Evidence of past human alteration
0 - 6
0 - 5
0 -
c'(extensive
alteration = 0• no alteration = max oints
"
3
Riparian zone
0-4
0-1
(no buffer = 0• conti ous wide buffer = max points)0-6
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
extensive discharges = 0• no discharges = maxpoints)
ks "
5
Groundwater discharge
0-3
0-4
0-4
no discharge = 0; springs, sees wetlands etc. = max points)
N%
6
Presence of adjacent floodplain
0-4
0-4
0-2
ra
W
no floodplain = 0• extensive floodplain =max points)
"i.
7
Entrenchment / floodplain access
0- 5
0- 4
0- 2
(deeply entrenched = 0• frequent flooding= max points)
8
Presence of adjacent wetlands
0-4
0-2
no wetlands =0•large ad•acentwetlands=maxpoints)0-6
x
9
Channel sinuosity
0-5
0-4
0-3
extensive channelization = 0• natural meander = max points)
10
Sedimentinput
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
-�A-
(fine, homogenous = 0• large, diverse sizes = max oints
,.,
12
Evidence of channel incision or widening
0-5
0-4
0-5
1
r(deeply
incised = 0• stable bed & banks = maxpoints)
13
Presence of major bank failures
0-5
0,- 5
0-5
3
a'
severe erosion = 0; no erasion, stable banks = maxpoints)
14
Root depth and density on banks
0-3
0-4
0-5
a
E+
no visible roots = 0• dense roots throughout = maxpoints)
rA
15
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
l
substantial impact =0; no evidence =maxpoints)
16
Presence of riffle-pool/ripple-pool complexes
0-3
0-5q
0-6
no riffles/ripples or pools = 0; well-developed = maxpoints)
17
Habitat complexityI
0-6
0-6'
0-6
N'
little or no habitat = 0• frequent, varied habitats = max points)m
18
Canopy coverage over streambed
0-5
0-5
0-5
no shading vegetation = 0; continuous canopy = max points)
19
Substrate embeddednessNA*
^
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)
O
�
+ 21
Presence of amphibians
0-4
0-4
0-4
O'
no evidence = 0• common numerous types =maxpoints)
O
22
Presence of fish
0-4
0-4
0-4
?
t/
i --i,
no evidence = 0• common, numerous types =maxpoints)
23
Evidence of wildlife use
0-6
0-5
0-5
d�
ct
no evidence = 0• abundant evidence = maxpoints)
;Total Possih
100 T4�&
1"n
100
100
�Pomts a of
, t
C a .
,
$...
* These characteristics are not assessed in coastal streams.

NC DWQ Stream Identification Form Version 4.11 -
Date: '�_a I- I
Project/Site: -ACf
Latitude: 3 S-. S31, TO
Evaluator: J �
County: ,knSJ_-
Longitude: %g, aSS
Total Points:
Stream is at least intermittent '1 S
Stream Determination circie one)
Ephemeral Intermittent Perennial
Other
if>_ 19 or perennial if a 30" d-
Penn
e.9' QuadName:��I(�o-
A. Geomorphology (Subtotal = ) - J )
Absent
We k
Moderate
Strong
1a' Continuity of channel bed and bank
0
1'
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
0
2
3
4. Particle size of stream substrate
0
1
2
3
S. Active/relict floodplain
0
1.5
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
2
3
8. Headcuts
0
1
2
3
9. Grade control
<,0
0.5
1
1.5
10. Natural valley
0
LQ5)
1
1.5
11. Second or greater order channel
o = 0
Yes = 3
artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = 7 )
12. Presence of Baseflow
0
L-Ij
2 3
13. Iron oxidizing bacteria
�0.
1
2 3
14. Leaf litter
1.5
1
0 0
15. Sediment on plants or debris
0
0.5
1.5
16. Organic debris lines or piles
0
0.5
1.5
17. Soil -based evidence of high water table?
0 C01-5
No = 0
Ye = 3
C. Bioloqy (Subtotal = )
18. Fibrous roots in streambed
3
1 1
0
19. Rooted upland plants in streambed
3 2 1
1 1
0
20. Macrobenthos (note diversity and abundance)
0 1
2
3
21. Aquatic Mollusks
) 1
2
3
22. Fish
0 0.5
1
1.5
23. Crayfish
0 C01-5
1
1.5
24. Amphibians
0 0.5
1
1.5
25. Algae
I MI-) 0.5 1
1
1.5
26. Wetland plants in streambed
I FACW = 0.75; OBL
1.5 Other= 0
`perennial streams may also be entife ing other methods. See p. 35 of manual.
Notes: \
Sketch:
Poolo
C�
/ /

Environmental Field Surveys
Waterbody Photo Page
Waterbody sjop004 facing north upstream.
Waterbody sjop004 facing south downstream.
Photo Sheet I of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody sjop004 facing west across channel
Photo Sheet 2 of 2

USACE AID# DW Q # Site #
sJ0�P 005
(indicate on attached map)
170 STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment: ``,, r
1. Applicant's name: )ow-; 2. Evaluator's name: 1 HMA Uva/
3. Date of evaluation: % - �- � —)q,t� 4. Time of evaluation: I � 0 �`
5.Nameofstream: UQ' t'O mou-C 1t1 Creel,S 6. River basin:
7. Approximate drainage area: JZ) +fir 8. Stream order: i
t
9. Length of reach evaluated: SD ]0. County: 3LANr540---
11. Site coordinates (if known): prefer indecimal degrees. 12. Subdivision name (if any): /N A
Latitude (ex. 34.872312): 3 's , 5 3 H %I Longitude (ex. -77.556611): ') 0 • a L/ I/ � a
Method location determined (circle): GPS Topo Sheet Or Aeria Photo/CIS t r Other
13. Location of reach under evaluation (note nearby roads an an marks and attach map identifyingstream(s) location):
1,() co +-C� srJc�� oF "Le
-4 5, n rn" Carn29 C06vl c foa�
14. Proposed channel work (if
15. Recent weather
M
v
16. Site conditions at time of visit: '" (_f G C ' S4U rb-C
17. Identify any special waterway classifications known:
_Section 10 _Tidal Waters Fisheries Habitat
_Essential
_Trout Waters _Outstanding Resource Waters
Nutrient Sensitive Waters _Water Supply Watershed _(I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES® If yes, estimate the water surface area:
19. Does channel appear on USGS quad map?
5 NO
NO
20. Does channel appear on USDA Soil Survey?P-%/
21. Estimated watershed land use: _% Residential
_% Commercial _% Indus.---- gricultural
qk) % Forested
Cleared /Logged Other (
_c� of -Ba
�}
_% _%
22. B�nkftrtt width: , �•
23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: Flat (0 to 2%)
_Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>I0%)
25. Channel sinuosity: _Straight Occasional bends
_Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality. y -
Total Score (from reverse): Comments: 0
Evaluator's
-7/a�/tq
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.
#
e w �.w� ager a 7: +4d �� "
K CHARAC RISTICS1�
;ECOREGIONPOINTJUNGE
p`�`
C SCORE
" a °wayg nr>
r.r, Coastal 1
.. A.
,,PiedmontiP' bl.Moun ink,
1no
Presence of flow / persistent pools in stream
0 — 4
0-5
flow or saturation = 0• stron flow = maxpoints)0-5
A�...
2
Evidence of past human alteration
0-6
0-5
0-5
a
extensive alteration = 0• no alteration = maxpoints)
3
Riparian zone
0-6
0-4
0-5
f'
no buffer = 0• contiguous,,wide buffer = max points)S
4
Evidence of nutrientor chemical discharges
0-5
0-4
0-4
extensive dischaz es �= 6;' no discharges = maxpoints)i
5
Groundwjterdischarge
0-3
0-4
0-4
a
no discharge = sees wetlands etc. = max points)
0 s rin s,
aPresence
�t
6
of adjacent floodplain
0-4
0-4
0-2
no floodplain = 0• extensive floodplain = maxPoints)
7
Entrenchment / floodplain access
0-5
0-4
0-2
1
(deeply entrenched =0•frequent floodin =maxpoints)
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
t
extensive channelization = 0; natural meander = maxpoints)
10
Sediment input
0-5
0-4
0-4
1
extensive deposition= 0• little or no sediment = maxpoints)
1I
Size & diversity of channel bed substrate
#' ,
NA
0-4
0-5
�.
fine, homogenous = 0• large, diverse sizes = max points)
,th
��-
12
Evidence of channel incision or widening
0-5
0-4
0-5
a
(deeply 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 = maxpoints)
14
Root depth and density on banks
0-3
0-4
0-5
Fy"
no visible roots = 0• dense roots throughout = maxpoints)
rn..
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 = maxpoints)
Habitat complexity
17
0-6
0-6
0-6
a
E
little or no habitat = 0• frequent, varied habitats = maxpoints)
18
Canopy coverage over streambed
0-5
0-5
0-5
no shading vegetation = 0; continuous cano =maxpoints)
a
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 = max points)
�!
21
Presence of amphibians
0-4
0-4
0-4
O'.
no evidence = 0• common, numerous types = max points
Oj
22
Presence of fish
0-4
0-4
0-4
no evidence = 0; common; numerous types = maxpoints)
23.y
Evidence of wildlife use
o
0-6
0-5
0-5
no evidence,'—' 0•.aliundanf evidence = ma§$x
p*«
ppojints
L94ryhY
' ( OFO�'h•'-
"1 O tly K
� oO F. F�.
y
�b
F7 ramSf}°
'
r
[m ��
� firstpage)
�� �"
`v,
3
t�'iOTAIrSCO also enteron
* These characteristics are not assessed in coastal streams.

NC DWQ Stream Identification Form Version 4.11 S J O P 0
Date: -1 - 2.) - I (
Project/Site: Acp
Latitude: 3 515 3L(89
Evaluator: 3 RGivloowr
County: ITOINy1S-kv)
Longitude:,$',aL(-u{92
Total Points:
Stream is at least intermittent '2 , 25
Stream Determination (circle one)
Ephemeral ntermitte Perennial
Other
e.g.4uadName: S'e�v�'1q
if a 19 or perennial if 2t 30'
2. Sinuosity of channel along thalweg
0
A. Geomorphology ( Subtotal = I U
Absent
Weak
Mod ate
Strong
,a, Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
0 0.5
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
Ye
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
L9
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No
0
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. H drolo Subtotal = . 5-
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.
16. Organic debris lines or piles
0 0.5
1 1.5
'=3)
17. Soil -based evidence of high water table?
No = 0
Ye
C. Bioloav (Subtotal = to . -75' )
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
Cy
2
3
21. Aquatic Mollusks
CP
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
1
1.5
24. Amphibians
0
0.-
1.
1.5
25. Algae
0
0.51
1.5
26. Wetland plants in streambed
FACW =6.7t-
OBL = 1.5 Other = 0
'perennial streams may also be identified using other
methods. See p. 35 of manual.
Notes:
Sketch:

W,
44t
f
f/�
W,
2 0 l 4y1 n 7! 1' l 0: 6' tir
44t
2 0 l 4y1 n 7! 1' l 0: 6' tir

.. , ,•yp~ .'11'3
ti, r
LT 14 O 7J i11.ao

X1101%
USACE AID# DWQ # Site # (indicate on attached map)
0 STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
ESS- I1�, (Y) (A y
1. Applicant's name: ( l/J e-1� 2. Evaluator's name: ,2
3. Date of evaluation: 7 4. Time of evaluation: J G�
5. Name of stream: U Y �'(�Z� �-t n re�t� 6. River basin: .I V P uci, (-
7. Approximate drainage area: l� • ��'8. Stream order: 1
9. Length of reach evaluated: �J U hof 10. County: SU�n OAU n
11. Site coordinates (if known)): preffeer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): 35• S34+S Longitude (ex. -77.556611):
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation note nearby roads and landmarks and attach map identifying stream(s) location):
LO(t k -e Z Soc t4tq neo,\!' corn 9 (V Ln
14. Proposed channel work (if any): l b t✓
15. Recent weather conditions: (t 9�"� `iU t(l W (}t�'`!1 a.LF V 1V L t'r
16. Site conditions at time of visit:
17. Identify any special waterway classifications known:
ection 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _Nutrient
Sensitive Waters _Water Supply Watershed _(I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES NO f yes, estimate the water surface area:
19. Does channel appear on USGS quad map? 'ES NO
20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use:
—% Commercial —% Industrial &0% Agricultural
�_%Residential
-i v % Forested
Cleared / Logged Other
7'P rr rrJJ
22. Bzz&6ntt width: J Tom•
_% _%
23. Bank height (from bed to top of bank):
24. Channel slope down cen r of stream: _Flat (0 to 2%)
_Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: _Straight _Occasional bends
_Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): 3 6 Comments: DgVJ0 vi 4h) ' `F VT
Evaluator's Signature iwmf' � Date / /; I / 4
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 USACeapp'roval and does not imply a
particular mitigation ratio or requirement. Form subjedto 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.
h
#
r,e n HCl, E yfi, , ' ,
ON"', C ERISTIC �° " " (
ECOREGION
POIN.T�RANGE
t is
.tel
Coasjsly
piedmont
Mouutsin
„
1
Presence of flow / 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
6-5
0-5
extensive alteration = 0• no alteration = maxpoints)
1
3
Riparian zone
0-6
0-4
0-5
2
no buffer = 0• contiguous, wide buffer = max points)
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
U
no discharge = 0• springs, sees wetlands etc. = maxpoints)
N$,
tea
6
Presence of adjacent floodplain
0-4
0-4
0-2
�l
no floodplain = 0• extensive floodplain = maxpoints)
V
Entrenchment / floodplain access
0-5
0-4
0-2
I
rya(deeply
entrenched = 0• frequent flooding = maxpoints)
80-6
Presence of adjacent wetlands
0-4
0-2
no wetlands = 0• large adjacent wetlands = maxpoints)
Channel sinuosity
9
extensive channelization = 0• natural meander = maxpoints)0-5
0 — 4
0-3
10
Sedimentinput
0-5
0-4
0-4
extensive deposition— 0• little or no sediment =maxpoints)
Size & diversity of channel bed substrate
4A
0-4
0-5
fine, homogenous = 0; large, diverse sizes = max points)''
}A*
12
Evidence of channel incision or widening
0-5
0-4
0-5
dee I incised = 0; stable bed & banks = max oints
H-'
13
Presence of major bank failures
0 — 5
0-5
H:
severe erosion = 0• no erosion stable banks = maxpoints)0-5
14
Root depth and density on banks
0-3
0-4
0-5
no visible roots = 0; dense roots throughout = maxpoints)
L
15
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
C
.
substantial impact =0• no evidence = maxpoints)
%
16
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
6
no riffles/ripples or pools= 0• well-develo ed = max oints
�'-
1
Habitat complexity
0 — 6
0-6
'4
little or no habitat = 0; frequent, varied habitats = maxpoints)0-6
18
Canopy coverage over streambed
0 5
0— 5
0— 5
3
no shadingvegetation = 0• continuous canopy= max points)
19
Substrate embeddedness
=44 �4014P
NA* sr:
0-4
0-4
✓
(deeply embedded = 0; loose structure = max
20
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
#
no evidence = 0• common numerous types = maxpoints)
l
�3
21
Presence of amphibians
0-4
0-4
0-4
1
Ccno
evidence = 0• common numerous es =max oints
22
Presence of fish
0-4
0-4
0-4
/ 1
lJ
i—+
no evidence= 0; common, numerous types =max oints
Evidence
23
of wildlife use
= =
0-6
0-5
0-5
3
no evidence 0; abundant evidence maxpoints)
�gX11
Porn s,P05$IhIe� `'
�a .yQ
100
1UU"`�
f
sfAT,otal
s^^�,C FAyIs'�
x-
ft gj TOTAL
-also firstpagea
�j
w CORS
enteron
_J
•
zl ta� { .: t& Sre3 L .�Nilk.^'�d�Y: i Q+`Wi
..trrrt 4e �y nhc:++A'N' �.`n'i
s, qu
F , :r>n„At
..r.4eF
* These characteristics are not assessed in coastal streams.

NC DWQ Stream Identification Form Version 4.11
sio P 00&
Date: -),'_` _ jt.,`
Project/Site: 16fq
Latitude: 3 5 SI '-t U S
Evaluator: )-V\r- o'�--
County: �p�'r\S'Jv�
Longitude: �, a�� �I 3
Total Points:
Stream is at least intermittent �i n `
•-"'� J
Stream Deter circle one)
Ephemeral rmittent teerennial
Other < �,
e.g. Quad Name:JC-1mA
if >_19 or erennial if>_30' o[
2. Sinuosity of channel along thalweg
0
PA,
A. Geomorphology (Subtotal =)U• _1Z_1)
Absent
Weak
Moderate
Strong
1' Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
6 le- ool sequence
0
1
2
3
4. Panicle size of stream substrate
0
Yep- 3
2
3
5. Active/relict floodplain
0
��_
2
3
6. Depositional bars or benches
1 0
1
1 2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
O
1
2
3
9. Grade control
0
37-
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
il/lt'
Nq= 0_)_
Yes = 3
U
Sketch: s� of 0o4
E-SJoP�rDCo
"artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = -LO-)
12. Presence of Baseflow
0 1
2
3
13. Iron oxidizing bacteria
01
2
3
14. Leaf litter
1.5
0.5
0
15. Sediment on plants or debris
0 0.5
1
1.5
16. Organic debris lines or piles
0 1 0.5
Q
1.5
17. Soil -based evidence of high water table?
No = 0
Yep- 3
1
C. Biolociv (Subtotal= S' )
18. Fibrous roots in streambed 1
3 1
2
1 1
0
19. Rooted upland plants in streambed
r 3
2
1 1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
ro
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
,5
1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FACW
.75; OBL = 1.5 Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
SlhaL', rG cis
O✓.n
il/lt'
S•O
U
Sketch: s� of 0o4
E-SJoP�rDCo
cL J eozns

Environmental Field Surveys
Waterbody Photo Page
Waterbody sjop006 facing west downstream.
Photo Sheet 1 of 2
f
� n
v
t.
t
q
a�.ko
s,
5
Waterbody sjop006 facing east upstream.
Waterbody sjop006 facing west downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody sjop006 facing south across channel
Photo Sheet 2 of 2

C
C
O en Waterbody Data Sheet
Survey Description
Project Name:
lWaterbody Name:
Waterbody ID:
Date:
Southeastern Reliability
Unn" 10044
O ►O to PIP, a
%-t}
State:
County:
Com any:
Crew Member Initials: Photos:
N C
,alter s
jE-: 5j_-
J 1)/-/ ��av ct so All
Tract Number(s):
Nearest Milepost:
sociated Wetland ID(s):
ao- too
3M(I
N
Survey Type:
(check one) ®Centerline DRe-Route OAccess Road ❑Other:
Physical Attributes
Waterbody Type:
(check one) OStock Pond D Natural Pond D Lake D Reservoir O Impoundment D OxbowOther. f
61 r'�
Hydrologic Regime:
D Permanently Flooded Semipermanently Flooded D Seasonally Flooded D Temporarily Flooded
OHWM
OHWM Indicator:
(check
all that apply)Clearline DShelving DWrested ❑Scouring OWater
Height: ,rn
nCbank vegetation staining
IV TT R.
v
❑Bent, matted, or missing OWrack ❑Litter and q�Abrupt plant DSoil characteristic change
vegetation line debris �olgmunity change
Depth of Water:
Bank height (average):
Bank slope (average):
= � I
3 S
S� D
1 ft.
• R.
degrees
N/AD
Qualitative Attributes
Water Appearance:
(check one) ONo water ®Clear OTurbid ❑Sheen ❑Surface DAlgal ❑Other:
on surface scum mats
Substrate: O Bedrock O Boulder D Cobble O Gravel D SandSilt, clay Organic D Other:
(check all that apply)
X(
% of Substrate: % % % % % V o % D 0 % %
Width of Riparian Zone:
Vegetative Layers: �,�'
>Sp ft
(check all that apply) rTrees: Saplings/Shrubs: Herbs
Avg. OBH of Dominants: t� in. �in.
N/A❑r-
,�in.
(approx.)
Dominant Bank Vegetation (list):
amAquiobl�!ly pi ep-) red 01"i—
Aquatic
atic Habitats lax submerged or emerged artuaticvelikation, overhangingManksho6ts.W packs. large submerged wood. riffles, deep pods, etc):
lea c[<,S r D V "AAl 1 �sv
Aquatic Organisms Observed (list):
OA
T&E Species Observed (list):
NA
Disturbances (ex. livestock access, manure in Waterbody, waste discharge pipes):
N It
Waterbody is: \'
(checkone) D Natural C9,Ariificial, man-made D Manipulated
/\
Waterbody Quality e:
(check one) D High Moderate D Low
Form aev. MW -013

F..Re, wnonor
Waterbody ID:
OVa
n%0
• High Quality: Natural, natural bank vegetation around entire Waterbody; banks stable and protected by roots; water color is clear to tea -colored; no C
banters 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 QncWe north arrow, centerline, distance from centerline, data point tocations, survcyboundary, and/Ds ofassociated features)
�] r
n
N
F..Re, wnonor

�y
40-
jam
.-
_ 1
is4-1
i
20141'07.122 09:00 -
A
/X V

o
USACE AID# DWQ # Site #_ (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment: nf
1. Applicant's name: I�bf,^%f1%��
3. Date of evaluation: — I a
,�t�t -
5. Name of stream: V„Dc(gst^, �r
7. Approximate drainage area: ty !&cY6
iS
9_ Lenvih of reach evaluated- SD'(7rt .
2. Evaluator's name: J, flu dvf — F S-7
4. Time of evaluation: I \ N c ,
6. River basin: N CtA5
8. Stream order: 21 2
I
10. Cnuntv: J wlAar-
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): /,
Latitude (ex. 34.872312): 3 s• Sa 1I ngitude (ex. -77.556611):--7 7 �S 3 01
Method location determined (circle):GPS Topo Sheet Orth (Aerial) P er GIS oto/GIS 0 Other
13. Location of reach under evalua ion -(note nearby roads an marks and attach map identifying stream(s) location):
W-64- 4 F"Ayf11 Rd, ne©.,,r Level Sete"& 2ea�
14. Proposed channel work (if any): 1 \.\)
15. Recent weather conditions: V-0.1 ern k,) kr
16. Site conditions at time
17. Identify any special waterway classifications known
_Trout Waters _Outstanding Resource Waters
Section 10 _Tidal Waters _Essential Fisheries Habitat
✓ Nutrient Sensitive Waters _Water Supply Watershed _(I-IV)
18. Is there a pond or lake located upstream of the evaluation point?
19. Does channel appear on USGS quad map? a NO 20.
21. Estimated watershed land use: _% Residential
(00 % Forested
� or 4 &0a
22. Bankfutl-width:
24. Channel slope down center of stream: v"Flat (0 to 2%)
25. Channel sinuosity: _Straight "Occasional bends
YES NO If yes, estimate the water surface area:
Does channel appear on USDA Soil Survey NO
/o Commercial % Industrial '40 % Agricultural
% Cleared / Logged _% Other
23. Bank height (from bed to top of bank): —7 Ft.
_Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (> 10%)
_Frequent meander _Very sinuous Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): J a Comments: 0 �fW M (a �4-
Evaluator's Signature —/1(?.{ 14 �1i 1,1 P{! Date 71a:04
This channel evaluation form is intended fi 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.
XkYT.F'i
n �wi',M;lx+�;1}1"!4 ih\Y(F 6 teK,4�i f}'
CHARACT STIC
t
EGOREGIO�T POINT RANGE
f .. F}J.
SCORE
y „ it „
Mr ;.,
e,Coai"lal piedmont=`' ountarn
1
Presence of flow / persistent pools in stream
0-5
0-4
0-5
J
.:
no flow or saturation = 0• strong flow = max pointS
2
Evidence of past human alteration
0-6
0-5
0-5
3
l -
extensive alteration = 0• no alteration = maxpoints)
3
Riparian zone
0-6
0-4
0-5
a
no buffer= 0• contiguous, wide buffer max oints
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
extensive discharges = 0• no discharges = maxpoints)
•3
5
Groundwater discharge
0-3
0-4
0-4
no discharge = 0; springs, sees wetlands etc. = maxpoints)
;Ng
6
Presence of adjacent floodplain
0-4
0-4
0-2
no floodplain = 0• extensive floodplain = max points)
7
Entrenchment / floodplain access
0-5
0-4
0-2
(�
(deeply entrenched=0•frequent floodin =max points)
Al�a
8
Presence of adjacent wetlands
0-6
0-4
0-2
Q
no wetlands = 0• large adjacent wetlands = maxpoints)
x
9
Channel sinuosity
0-5
0-4
0-3
^0
extensive channelization = 0• natural meander =maxpoints)
`T
10
Sedimentinput
0-5
0-4
0-4
extensive deposition= 0; little or no sediment = maxpoints)
'.'
11
Size & diversity of channel bed substrate'
*,as"
"NA�
0 — 4
0 — 5
1"u
`
fine, homogenous = 0• large, diverse sizes = max points)�.
,.
12
Evidence of channel incision or widening
0-5
0-4
0-5
0[
(deeply incised = 0• stable bed &banks =maxpoints)
13
Presence of major bank failures
0-5
0-5
2
3
severe erosion = 0• no erosion stable banks = max points)0-5
14
Root depth and density on banks
0-3
0-4
0-5
3
F
no visible roots = 0• dense roots throughout = maxpoints)
W)
15
Impact by agriculture, livestock, or timber production
0 — 4
0-5
substantial impact =0; no evidence = maxpoints)0-5
lit,
..
16
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
no riffles/ripples or pools = 0; well-developed = maxpoints)
Habitat complexity
17
0-6
0-6
0-6
little or no habitat = 0• frequent, varied habitats = maxpoints)
18
Canopy coverage over streambed
0-5
0-5
0-5
3
no shading vegetation = 0• continuous canopy = max points
19
Substrate embeddedness
"" ''' t,+`• "
* ,,
0-4
0-4
�_
(deeply embedded = 0; loose structure = max
, ,.NA*.I
''-
a 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
3
Of
no evidence = 0 • common, numerous types = max points
O.'
22
Presence of fish
0-4
0-4
0-4
D
-
x
no evidence = 0; common numerous types = maxpoints)
«r
Evidence of wildlife use
0-6
0-5
0-5
' 23eL
no evidence = 0; abundant evidence = maxpoints)
4 `�t To 1 Points Possrble l
100
00
,-011
AJ00'
r �
�� s s
a
+1. �. ".k 'Si`g.�+k k. -0 9�M++. L'lY' x "V' a; .
k yy
`TOTAL4SCOIj��}g (also enter on�firstpage)�m
td'��'��'"" ?.
J!:
r.t9 .+t ,kik' t fa .4m�
4 wp.Jrl4k."e�6Z1YlN' ...b,+,�IY.��K :'��1 .d Fw•
a 4..:,.
1••�'
* These characteristics are not assessed in coastal streams.

NC DWQ Stream Identification Form Version 4.11 j Q }7 Doi
Date: ^�.<a_� I
Project/Site: Ar-
Latitude: 35-.
Evaluator:
County: �DknS,��.�
Longitude:%O, 25-30
Total Points:
Stream Determination (circle one
Other Sema
/(��
Stream is at least intermittent `
if>: 19 or erennial if>_ 30'
Ephemeral Intermittent Perennial
e.g. Quad Name:
A. Geomorphology (Subtotal =
Absent
Weak
Moderate
Strong
1' Continuity of channel bed and bank
0
1
2
CD
2. Sinuosity of channel along thalweg
0
1
0
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
0.5
3
4. Particle size of stream substrate
0
1
2
1.5
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
1
3
7. Recent alluvial deposits
0
1
1
3
8. Headcuts
0
1
2
3
9. Grade control
0.5
Notes:
1.5
10. Natural valley
0
0.5
LCa 'n E � as
1.5
11. Second or greater order channel
No = 0
YeV=
3 Ji
" artificial ditches are not rated; see discussions in manual _
B. Hydrology Subtotal
12. Presence of Baseflow
0
1
2 3
13. Iron oxidizing bacteria
0
1
2 3
14. Leaf litter
1.51
20. Macrobenthos (note diversity and abundance)
0.5 0
15. Sediment on plants or debris
0
0.5
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
Y =_L2
C.BiologV (Subtotal= )
18. Fibrous roots in streambed
r 3
2
1
0
19. Rooted upland plants in streambed
2
0
20. Macrobenthos (note diversity and abundance)
0
1
3
21. Aquatic Mollusks
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish0
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FAC - 0.75; OBL = 1.5 Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
LCa 'n E � as
z
Sketch:

Environmental Field Surveys
Waterbody Photo Page
L�WII LN U i MM III In I f
� r
�f .Zt$a1 ^'74+ ��' � W�-•'�.'":fj'4";+.A "mss. -.+�.
�d
Waterbody sjop007 facing south downstream.
Photo Sheet I of 2

Environmental Field Surveys
Waterbody Photo Page
rtrt \� X •
ON
Waterbody sjop007 facing west across channel
Photo Sheet 2 of 2
6 Pik"

5�op 00'9
USACE AID# DW Q # Site #_ (indicate on attached map)
0 STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: Do"foww' 2. Evaluator's name:
3. Date of evaluation: 7/ °� / tl­� 4. Time of evaluation:
5. Name of stream: fAN 1 f° t' awdy st^� Vl 6. River basin: Nec-vS=
7. Approximate drainage area: 5,, �L�{'� 8. Stream order: 0
9. Length of reach evaluated: W E 10. County: T UnC\S kn
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): 35+JI /&�✓ Longitude (ex. —77.55661
Method location determined (circle): GP) 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):
b\)(7Sk O!f 01a4dAi (\.Pm✓ kit)OL./mt-, �19A
14. Proposed channel work
15. Recent weather conditions: r46 (` 1'./ ' inr n
16. Site conditions at time of
17. Identify any special waterway classifications known: Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters Nutrient Sensitive Waters _Water Supply Watershed _(I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YE NO)If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES(5)20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: —% Residential —% Commercial %Industrial db%Agricultural
p�
;b% Forested _% Cleared / Logged _% Other (
22. Bankfull width: � 7 , 2ank height (from bed to top of bank): i+ TQ ,
24. Channel slope down center of stream:at (0 to 2%)_/Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: _Straight N 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):
Evaluator's Signature —" zuwmw Date( a"1 /H
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.
#
�ft��� MR, ' * `
' CHARACTERTSTYC�
ECOREGYONPO»RA�TGE `
SCORE
d
r ie'=ae a�;�+n s ,
Piedmont" Mounfa�ns
fi
1
Presence of flow / persistent pools in stream
0-5
0-4
0-5
no flow or saturation = 0• strong flow = max points
r
2
Evidence of past human alteration
0-6
0-5
0-5
1
extensive alteration = 0• no alteration = max points)
3
Riparian zone
0-6
0-4
0-5
no buffer = 0• contiguous, wide buffer = max pDints
;k
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, sees wetlands etc. = max points)
6
Presence of adjacent floodplain
0-4
0-4
0-2
�.
no floodplain = 0• extensive floodplain =max Dints
7
Entrenchment / floodplain access
0-5
0-4
0-2
a'
(deeply entrenched = 0; frequent flooding = maxpoints)
1
8
Presence of adjacent wetlands
0-6
fl— 4
0-2
no wetlands = 0• large adjacent wetlands = maxpoints)
9
Channel sinuosity
0 — 5
0 — 4
0 — 3
c'
-,
extensive channelization = 0• natural meander = max oints
10
Sediment input
0-5
0 — 4
0-4
L
—L
extensive de osition= 0• little or no sediment = max oints
11
Size & diversity of channel bed substrate
` =r
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
(deeply incised = 0• stable bed &banks =max Dints
13
Presence of major bank failures
0-5
0-5
0-5
severe erosion = 0• no erosion stable banks = maxpoints)
Root depth and density on banks
14
no visible roots = 0; dense roots throughout = maxpoints)
0-3
0-4
0-5
15
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
/
substantial im act —0• no evidence = max oints
16
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
tino
riftles/ri les or Dols = 0 well-develo ed =max Dints
Habitat complexity
17
little or no habitat = 0; frequent, varied habitats = max points)0-6
0-6
0-6
�
18j
Canopy coverage over streambed
0-5
0-5
4
-T
no shadingvegetation = 0; continuous canopy= max points)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 = max oints
tJ
�-
21
Presence of amphibians
0-4
0-4
0-4
%
O`
no evidence= 0• common numerous types = max oints
a•
O,
22
Presence of fish
0-4
0-4
0-4
r ,
�J
no evidence = 0• common numerous types = maxpoints)
23
Evidence of wildlife use
0-6
0-5
0-5
no evidence = 0; abundant evidence = max oints
4
S�yPyyO;SSr1b1G,,
,C' ,k:£ V S'1'! �zk. l` S'�h r,i,
1•.J k -�{
�,➢.i} s. ,�
l lY.. +� f
7 "!T
'O .Ak ++rs 7 �w �Y Ts '�-
i A� fr
t �%TO'FAHSCORE also first
-'-t'•''
3
h enter, on
V
Ap
* These characteristics are not assessed in coastal streams.

NC DWQ Stream Identification Form Version 4.11 5) op D L
Date:
Project/Site: ACP
Latitude: 3
Evaluator: ,,,
County: 'J�ris
Longitude:%�,p�7Sal
Total Points:
Stream is intermittent
Stream Determin ' circle one)
Other .Serrn�
if 2:19 or eren
perennial if>_ 30` � V c
Ephemeral ntermitteerennial
nt
e.g. quad Name:
A. Geomorphology (Subtotal = )
Absent
Weak
Moderate
Strong
1' Continuity of channel bed and bank
0
3
2
3
2. Sinuosity of channel along thalweg
0
15. Sediment on plants or debris
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
O
2
3
4. Particle size of stream substrate
0
Yes 3
2
3
5. Active/relict floodplain
`'' 0
0.
2
3
6. Depositional bars or benches
0
- 9
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
C�1
1.5
11. Second or greater order channel
No <21
Yes = 3
Sketch:
(1 SJ O OOa
o
�S�p�a8
i f
z artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal= � )
12. Presence of Baseflow
Q 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
1
1.5
16. Organic debris lines or piles
0 0.5
1
3
17. Soil -based evidence of high water table?
No = 0
Yes 3
1
C. Biolow (Subtotal = `i,a5 )
18. Fibrous roots in streambed
3
2
(-Ij 1
0
19. Rooted upland plants in streambed
3
0
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae
0
-0.5
1
1.5
26. Wetland plants in streambed
FACW =
.75 OBL = 1.5 Other = 0
`perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
w. "
Sketch:
(1 SJ O OOa
o
�S�p�a8
i f

Environmental Field Surveys
Waterbody Photo Page
Waterb
acing east upstream.
r Q, e O TM-2MTM-2M 1
Waterbody sjop008 facing west downstream.
Photo Sheet I of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody sjop008 facing north across channel
Photo Sheet 2 of 2

M
USACE AID# DWQ # Site # (indicate on attached map)
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment: r Q�
1. Applicant's name: �OYN/I11Ih1 O� 2. Evaluator's name: Lr- (:Sl— K.
3. Date of evaluation:
¢7 / oZ'T I �l 4. Time of evaluattiio'n: to A M
5. Name of stream:yaW J)/ S al�'� 6. River basin: Ivens
7. Approximate drainage area: �� ✓aCrC5 8. Stream order: A
9. Length of reach evaluated: so 'f r, 10. County:'T&Uj\ S�
11. Site coordinates (if known`): reefer in decimal degrees. 12. Subdivision name (if any)): �> µ
Latitude (ex. 34.872312): 3S , ✓ 1 W1 Longitude (ex. -77.556611): — / •')' /S \
Method location determined (circle): GP 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):
WQSA- of T reA&Ne V, lcyan ev V
14. Proposed channel work (if any): I
15. Recent weather conditions: �e-N I n I ''tin '' n +' 'v4! e&,S14' 4,4
16. Site conditions at time of visit: EEA ��A 10-C
17. Identify any special waterway classifications known: _Section 10 Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters 1�<trient Sensitive Waters Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the e�valuation point? YES fllf yes, estimate the water surface area:
19. Does channel appear on USGS quad map? IYESI NO 20. Does channel appear on USDA Soil Survey? 0 NO
21. Estimated watershed land use: _% Res\ideJenntial _% Commercial _% Industrial =% Agricultural
/ � �% Forested % Cleared / Logged % Other (
F
22. Bankfull width: �[� 23. Bank height (from bed to top of bank): JZ �
24. Channel slope down center of stream: I Flat (0 to 2%) _Gentle (2. to 4%) Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: V 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):—'t- Comments:
Evaluator'sSignature �/ �`^���"/ "l%y�// Date //AkPlt
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
ECOREGION POINT�RAXGE
f ry
y {
Ts n! ,.Coastal
e
n In
Presence of flow / persistent pools in stream
0 — 4
0-5
It
(nflowflow or saturation = 0• strop flow = maxpoints)0-5
2
Evidence of past human alteration
0-6
0-5
0— 5
I
extensive alteration = 0• no alteration = maxpoints)
3
Riparian zone
0-6
0-4
0-5
no buffer = 0• contiguous, wide buffer = maxpoints)
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
extensive discharges = 0• no dischar cs = maxpoints)
'
S
Groundwater discharge
0_ 3
0— 4
0— 4
}
no discharge = 0• s rip s, sees wetlands etc. = max oints
I
6
Presence of adjacent floodplain
0-4
0-4
0-2
/
rte=
no floodplain = 0• extensive floodplain = max oints
LJ
7
Entrenchment / floodplain access
0-5
0-4
0-2
(deeply entrenched = 0• frequent flooding = maxpoints)
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
U
.:.
extensive channelization = 0; natural meander =maxpoints)
10
Sediment input
0-5
0-4
0-4
extensive deposition= 0• little or no sediment = max points)
Size & diversity of channel bed substrate?
0-4
0-5
11
fine homogenous = 0 large, diverse sizes w maxpoints)k`
NAS ;,
...
12
Evidence of channel incision or widening
0-5
0-4
0-5
(deeRly 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 banks = maxpoints)
14
Root depth and density on banks
0-3
0-4
0-5
h.
no visible roots = 0• dense roots throughout = maxoints
15
Impact by agriculture, livestock, or timber production
0-5
4-4
0-5
`.
substantial impact • 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 = maxpoints)
'
l7
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
4-5
no adin vegetation = 0• continuous canopy = maxpoints)
19
Substrate embeddedness7
?7Ka, !"
A* t
0-4
0 - 4
fy:
(deeply embedded = 0; loose structure = max)
20
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
.,
no evidence = 0• common numerous types = max oints
CJ
21
Presence of amphibians
0-4
0-4
0-4
`
O`
no evidence = 0• common, numerous types = maxpoints)
O
22
Presence of fish
0-4
0--'4
0-4
no evidence = 0; common numerous types = max oints
23
Evidence of wildlife use
0-6
0-5
0-5
no evidence = 0• abundant evidence = max points)
64'kf �*" 4, e
Y Y h p, Y 'Ar K
lxfa
X100 5rR11P
#
1003
"I `
V
Ire
a fi
Lc
solPots�ossrb;�'
' "r .. ..''.. ri,'�.. _: 3S X
r .i
x R��.'"�'�"r'k"`,���'��;r�+<�srsri,s��.
���TOTAISCORE`(also,en�eron:iitstpage}
* These characteristics are not assessed in coastal streams.

NC DWQ Stream Identification Form Version 4.11 S1 1 69 009
Date: 7/al,�/((f.,
Project/Site: ACP
Latitude:'35, S1 V(11�
Evaluator: ��,MU (Ph'Cf
County: JUAA5.ra('�
Longitude: -79, o�7St(-5
Total Points:
Stream Deter inatior circle one)
Other se(M ON
Stream is at least intermittent a S
if >: 19 or perennial if a 30`
EphemeralIntermittent T erennial
e.g. Quad Name:
A. Geomorphology (Subtotal = )
Absent
Weak
Moderate
Strong
10 Continuity of channel bed and bank
0
(1,
2
3
2. Sinuosity of channel along thalweg
0
1
2,
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool se uence
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
'I
2
3
7. Recent alluvial deposits
1 (0
0.5 ,
2
3
8. Headcuts
0)
1
2
3
9. Grade control
0
0.5
1_}
1.5
10. Natural valley
0
0.5
(Y)
1.5
11. Second or greater order channel
-
Yes = 3
artificial ditches are not rated; see d scuss.ons in manual
B. Hydrology (Subtotal= )
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
1 f
2
3
14. Leaf litter
(1.5
1
0.5
0
15. Sediment on plants or debris
0
0.5
(0")1.5
3
16. Organic debris lines or piles
0
0.5
(1� _
1.5
17. Soil -based evidence of high water table?
I No = 0
.5)
Yes(`- 3
)
C. Bioloqy (Subtotal= _h %j J ) _
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 J
1
2
3
21. Aquatic Mollusks
(0
1
2
3
22. Fish
(0
0.5
1
1.5
23. Crayfish
0
.5)
1
1.5
24. Amphibians
0
(0.5)
1
1.5
25. Algae
(0 )
0.5 ,
1
1.5
26. Wetland plants in streambed
FACW 0.75;)
OBL = 1.5 Other = 0
'perennial streams may also be identified using other methods.
See p. 35 of manual.
Notes:
Sketch:
,�
j sjopoo�
G�

Environmental Field Surveys
Waterbody Photo Page
Waterbody sjop009 facing north upstream.
Waterbody sjop009 facing south downstream.
Photo Sheet 1 of 2

*a r:.� •+rfi s . `y a ;;,• � Va �-' r � a a-_ 1;. . ; � v •
a�
10
r}.rx-
'i
.r IZ•ft i_�' ��� ¢ Y'Y "� .i mil' l q. �
iwx •�i �r��r � +� R r, , �z r "°y ��x .:�:wr s y� /�"r"
�. 44