20140957 Ver 1_U-03_Appendix B_Wilmington_Johnston NC waterbodies_Part2_20170227

USACE AID# DWQ
;Opol9
Site #_ (indicate on attached map)
0 STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name:ri' m if\;Un 2. Evaluator's name:
3. Date of evaluation: 7Pk / 1 4. Time of evaluation: M
5. Name of stream: BL11.J r,4y SyJ6; N'\p 6. River basin: nJeCA5"L
7. Approximate drainage area: « *�- t".3 8. Stream order:
9. Length of reach evaluated: 610 6:-k 10. County: J04An6r�4
I1. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): N
3 'A
Latitude (ex. 34.872312): J ✓ <O `re� <
-7✓ Longitude(ex.-77.556611): 79, U "�
Method location determined (circle) GPS opo 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):
W2W- of- AuW {1i91eWdt� 7y f1
14. Proposed channel work (if any): 'TSO /
15. Recent weather conditions: PCk 1 n W 'l't4 ^
16. Site conditions at time of visit: lAn 4 1 S4o ft> -(4
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 EO) If yes, estimate the water surface area:
19.
19. Does channel appear on USGS quad map? YES NO 20. Does channel appear on USDA Soil Survey? Y NO
21. Estimated watershed land use: -% Residential -% Commercial -% Industrial 3%%Agricultural
.
a./. Forested _% Cleared / Logged _% Other
22. Bankfufl width: l O 23. Bank height (from bed to top of bank): T
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. �I 1{ n
Total Scodre� (from reverse): t \ ` Comments: �n q2(, Z'e-. i-
t i
Evaluator's Signature UKLA --t-w1r� Date //.ALt // �
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. Foran 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.
}'
Rr*k3 ew➢'5
y CHARAC E STICS
i' a uew
, '
"��
h
EGOREGION
OINTRANGE
7 ar
a :.
SCORE;
�acr
a
>,•. ;
�.-Y�edmontMountam
�. ,f;.
,
Presence of flow / persistent pools in stream
0-5
0-4
0-5
no flow or saturation = 0• strongflow = max points)
Evidence of past human alteration
2
extensive alteration = 0; no alteration = maxpoints)0-6
0 — 5
0-5
I
+h)„
n
3
Riparian zone
0 — 4
0-5
p
no buffer = 0• contiguous, wide buffer = maxpoints)0-6
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
j
extensive discharges = 0• no discharges = maxpoints)
5
Groundwater discharge0—
3
0-4
0-4
no discharge = 0; springs, sees wetlands etc. = maxpoints)I
rU.t
6
Presence of adjacent floodplain
0-4
0-4
0-2
no floodplain = 0• extensive floodplain = maxpoints)
O
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
6.aa.
no wetlands = 0• large adjacent wetlands = maxpoints)0-6
t..
Channel sinuosity
�l
t
9
extensive channelization = 0• natural meander = maxpoints)
0-5
0-4
0-3
V
Sediment input
0-5
0-4
0-4
l
extensive deposition= 0• little or no sediment = max points)
I I
Size & diversity of channel bed substrate
t,±(As
�....
0-4
0 — 5
fine homogenous = 0• large, diverse sizes = max points)_IIA!!"
,
Evidence of channel incision or widening
12
(deeply incised = 0• stable bed & banks — maxpoints)
0-5
0-4
0-5
Presence of major bank failures
C�
13
severe erosion = 0; no erosion stable banks = max points)
0-5
0-5
0-5
3
14
Root depth and density on banks
0-3
0-4
0-5
F
no visible roots = 0• dense roots throughout = maxpoints)
rn
IS
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
s
(substantial impact =0•noevidence=max points
`.
16
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
l
no riffles/ripples or pools = 0; well-developed = maxpoints)
Habitat complexity
�k1
little or no habitat = 0• frequent, varied habitats = maxpoints)
0-6
0-6
0-6
18
Canopy coverage over streambed
0-5
0-5
0-5
no shading vegetation = 0• continuous canopy = maxpoints)
19
Substrate embeddedness
j
NA* '
0-4
0-4
�—
(deeply embedded = 0; loose structure = max
Presence of stream invertebrates (see page 4)
20
no evidence = 0 • common numerous types = maxpoints)
0-4
0-5
0-5
21
Presence of amphibians
0-4
0-4
0-4
2
O''
no evidence = 0; common, numerous types = maxpoints)
-,"
O.
22
Presence of fish
0-4
0-4
0-4
i --i,'
no evidence = 0• common numerous types =max points)
-�r
23
Evidence of wildlife use
0-6
0-5
0-5
no evidence = 0• abundant evidence =maxpoints)
x
T�.`klT'n �,5=L
10
4
.tP�
.
I i��pl
a
Sfi.D%. �� �'�A:r r }'•'. .t.�! .
34
�OlnOS
.als
AL SCO�RE(r°�a
pagvt
ontfirst
.,
* These characteristics are not assessed in coastal streams.

NC DWO Stream Identification Form Version 4.11 '��OP bk O
Date:,_ a1A- (�.1
Project/Site:
Latitude: 3$-..T S1 S
Evaluator: � o
County: , ���
Longitude:,%8,-a ItDL-I0
Total Points:
Stream is at least intermittent
Stream Determination (circ ne)Other
Ephemeral Intermittent
2
OZ.S
if 2:19 or perennial if? 30-
erenni
e.g. Quad Name:
A. Geomorphology (Subtotal = I t )
Absent
I Weak
Moderate
Strong
I" 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
G)
2
3
4. Particle size of stream substrate
0
0.5
C2
3
5. Active/relict floodplain
0
1
2
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
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
FA0.75)
o = 0
Yes = 3
aninciai mtcnes are not ratea; see aiscusslons In manuai
B. Hvdroloav (Suhtntal = L 3 1
12. Presence of Baseflow
0
1
_ 2 1
3
13. Iron oxidizing bacteria
0
1
2 1
C3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
0.5
1
cj.5
16. Organic debris lines or piles
0
0.5
1
1.5
17. Soil -based evidence of high water table?
1
No = 0
Y€s = 3
C. Biology (Subtotal= Ot,'l5 )
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FA0.75)
OBL = 1.5 Other = 0
'perennial streams may also be identified usina other methods. See D. 35 of manual.
Sketch:
uviop013
W
s3or01(D
" CL

-
y�, � a
t r
¢+ Y�'✓ � � �� 'shy ..
jp@pl A 0 °F .

Environmental Field Surveys
Waterbody Photo Page
Waterbody sjop010 facing west across channel
Photo Sheet 2 of 2

USACE- AID' D\WO = Site =_ (indicate on auached map)
s00 C�fS
STREAM QUALITY ASSESSAIENT WORKSHEET
Protide the folloicing information for the stream reach under assessment:
1. Applicant's name: 'A�p 2.Eyaluator'sname: �Iy-"Our
3. Date of evaluation: t j �13�1 s _ _ 4. Time of evaluation: ILA 0 to
5. \ante of stream: '�QT +D M,'11 BCOnetn
7. Approximate drainage area: %ZO B e tP s
9. Length of reach evaluated: Su
6. Ricer basin: N e64 S 2
S. Scram order:
10. County: Aotins� T!�
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): %i
Latitude (ex.34.572312): /
35•��Sae� Longitude , del
Method location deiennined (circle): GP, [opo Sheet Onho (Aerial) PhotoiGIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
SW 06� Nw1/ >o Rr is s s
14. Proposed channel work (if any): 1 15J
15. Recent weather conditions: C_ker,r
16. Site conditions at time of visit: t.A
17. Identify, any special waterway classifications known: Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters Nutrient Sensitive Waters _\Fater Supply Watershed —(I-IV,)
13. Is there a pond or lake located upstream ofthe evaluation point': YES NO f yes, estimate the \rater surface area:
19. Does channel appear on USGS quad map? YES E0)20. Does channel appear on USDA Soil Survey? YESNO
21. Estimated \yatershed land use: W% Residential _°o Commercial _% Industrial 7D° o Agricultural
9'o Forested 4'o Cleared/ Logged %Other ( )
� �7cpaF(({{An� `
22. Bankfull wtd n: �' S 23. Bank height (from bed to top of bank): 3' S
24. Channel slope down center of stream: VFlat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (> 10%)
25. Channel sinuosity: 1/ Straight _Occasional bends _Frequent meander _Vete sinuous _Braided channel
insii'tietions for Coripictiori of tyorkshcet (loeated oil (nage 2): Begin by deiemnining the most appropriate ecoreg=ion based on
location. terrain. vegetation. stream classification, Cie. E\r1A4 characteristic must be scored using the same ecore-eion. Assign points
to each characteristic \within the range shown for the ecoregion. Page 3 provides a brief description of hove 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 iloii s from a pasture
into a forest). the stream may be divided into smaller reaches that display more continuit), and a separate form used to evaluate each
reach. The total score assiLned to a stream reach must range between 0 and 100. \rich a score of 100 representing a stream of the
highest qualir..
Total Scour (from reverse): 1_f'�'
Evaluator's Signature4LWIK�_�Date q// 385
This channel evaluatio i f r 's intended to be used only as a guide to assist landowners and en\ironnienial professionals in
gathering the data re u' ed by the United States Army Corps of Engineers to make a preliminary assessment of stream
qualit}'. The total se •e resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Font( subject ii change — \ersion 06 (Ij. Ti Comment. please call 9194716-S'111 i x'6.

STREAM QUALITY ASSESSMENT WORKSHEET
.
` Y
•'N S i
`r -
t -
Z`
•3k -x PA ._ � N 's � � -kt�7 w ?3 a y'1 t t i ' �'�'*• f -
i. }-a ' Cj�\ �T[1 (yl`�vax ` 1~`2.^�� Z Yr+EVO � }-0 i,�i]T .•
��La '� tE C>,JTIL1l7tv1.S {^ 1N'r1 i''�4� h
1Y ' Y^ _ . C 44h ii��GG Y
`i _ A{.r
. �ayi
9 "4+
�f �e��;,��'ir' �•*. �:� uG�:r�,>°;.3,.v� ..�'� �` . . ,n�C�asfa�;,, ,Piet7mou�sr
Presence of flow 1 persistent pools in stream t-
0-5
(no flow or saturation = 0strop flow =max points) J
Evideitce of past human alteration 0 - 6 0 - 5 0 -5
_ ,
2
(extensive alteration . 0, no alteration =max oints)
3
'` lttpauan'zone3
0-6 0 4. 0 .5
(no buffer 0 pomp nous wide buffer... max points
4
„ E tdenee of riutnent or cltemtcal discharges ' 0 4 ; 0 ' 4 `f
(eztens ve dtschar es 0 no dischar es.=max
5
Groundivaterdtseliarge': ,
0-3 0=4 0=4 c�
(no dischar e 0 sones seeps, tt etlands, etc, max points
6
Presenceofadjacentfloodplam 0-4 4 0-4 0-2 D
(no flood lain 0, extensive #ioodplain ='max po pts)
Entrenchment /floodplain access 0- 5 0- 4 0- 2
p+'
deepl entrenched - 0; frequent floodni = maxpoints)
x'j
Presenceofadjacent tvetlands 0-6 0-4 0-2
8
(no wetlands 0 lara6 adiacent v etlands = max ponos)
M-,
9
Channel sinuosity 0.5 0-4 0- 3
extensive charmelizatron 0 iiatural meander -max omits)
Sedimenfinput 0 5 0-4 0 - 4 '
4
10
extensive deposit on= O; little or no sediment - max points)
Size & diversity of channel bed substrate
NA Y. 0 -4 0-5
t _
11
4 ,
(fine, homo enous - 0; large, diverse sizes '-= max points)
Evidence of channel incision or widening 0-5 0 -4 0-5 3
12
(dee l mefsed=0. stable bed &banks max points).
{'
Presence of major bank failures 0-5 0-5 0-5
N:
�?
13
(severe erosion = Oc no erosion, stable bank's -=max oints)
q=
Root depth and density on banks 0-3 0-4 0-5 3
y
14
(no visible roots = 0; dense roofs throughout - tnax points)
Impact by agriculture, livestock, or timber production 0 - 5 0 - 4 0 - 5 '
z
IS
(substantial hn act -0` no evidence = max points
h
Presence of riffle-pool/ripple-pool complexes 0-3 0 - 5 0 - 6 (7
16
(no riffles/ri ples or pools = 0; well-deve]oped = max points)
�..
' Habitat complexity 0-6 0-6 0-6 ci.
17
'
(little or no habitat = 0; frequent varied ed habitats = max points)
Canopy coverage over streambed 0-5 0-5 0-5
4<
18
(no shading vegetation = 0; continuous canopy =max points)
19
Substrate embeddedness - 0-4 0-4
(deeply embedded - 0; loose structure = max)
Presence of stream invertebrates (see page 4) 0-4 0 -5 0-5 f
20
(no evidence = 0; common, numerous types = maxpoints)
�-
Presence of amphibians 0-4 0-4 0-4 I
p_
21
(no evidence = 0; common. numerous types = tnax points
p°
Presence offish
22 0-4 -; 0-4 0-4
(no evidence.= 0 common, numerous types = max points)
a
23 Evidence of wildlife use ' 0-6 0-5 0-5
a
' (no evidence . 0. abundant evidence = max points)
characteristics are not assessed in coastal streams.

S,j�Q Ol5
.11 .:rn o.-.___., ra,,..+:4:,...N..o Fn. -m Vurcinn d 11
t«. torr a�vu.....aa .........•....--_.,________
Date: 1 1
_____-_
Project/Site: RGP
Latitude: 35,CK9sao
Evaluator: N^fViOue
County: 39l1Af\5J,0'1\
Longitude: `f.Jcf
0
1
2
Total Points:
stream is at least intermittent as
on ccle one)
Stream Deter atiy
Ephemeral Qnjermittent Perennial
Other SES Cis Q
e.g. Quad Name:
,
if a 19 or erennial if>_ 30*
2
3
A. Geonnorpholo (Subtotal = t(J )
Absent
Weak
Moderate
Strong
1a, Continuity of channel bed and bank A
0
1
2
3
2. Sinuosity of channel along thalweg
0
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
0
2
3
ripple -pool se uence
0
1
2
3
4. Particle size of stream substrate
5. Active/relict floodplain
2
3
6. Depositional bars or benches
1
2
1 3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
2
3
9. Grade control
0
1
1.5
10. Natural valley
0
0
1
1.5
11. Second or greater order channel
0=0
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. H drolo (Subtotal= �� )
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
1
2
3
14. Leaf litter
1.5
0.5
0
15. Sediment on plants or debris
0
0
1
1.5
16. Organic debris lines or piles
0
17. Soil -based evidence of high water table?
No = 0
Y = 3
C. Biolo (Subtotal = ._)
18. Fibrous roots in s4esmbed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
2
3
21. Aquatic Mollusks
0
1
2
1
3
1.5
22. Fish
0
0.5
23. Crayfish
24. Amphibians
0
25. Algae
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.
Sketch:
opwm wid+h,
N

Environmental Field Surveys
Waterbody Photo Page
Waterbody sjop015 facing northwest upstream.
Waterbody sjop015 facing southeast downstream.
Photo Sheet 1 of 2

USACE AID# DWQ # Site # (indicate on attached map)
5 -so y.oti
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: 3) : Ya � a �A 2. Evaluator's name'"` � z5'
3. Date of evaluation: –+17t 4. Time of evaluation: k 1 1
5. Name of stream:—U � -',, -F,AQC , –F--ve 6. River basin:
7. Approximate drainage area: tiJ C1 8. Stream order: �i
9. Length of reach evaluated: �'' 10. County .. � 2 A p�
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): I it / 1 "\
Latitude (ex. 34.872312): ! Longitude (ex. —77.556611): _ q tJ z 3 � �-
Method location determined (circle). ! GPS) opo Sheet, Ortho (Aerial` Photo/GIS Other GIS Other
13. Location of reach under evaluatiot (n`ote nearby` roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel world (if any):
15. Recent weather conditions:
16. Site conditions at time of visit.`
17. Identify any special waterway classification§ 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 theevaluationpoint? YES 00 If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? (9 NO 20. Does channel appear on USDA Soil Survey? (";/" NO
21. Estimated watershed land use: 1> % Residential % Commercial % Industrial % Agricultural
% Forested % Cleared / Logged % Other
22. Bankfull width: D 23. Bank height (from bed to top of bank): LA
24. Channel slope down center of stream: _Flat (0 to 2%) V!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: –_IN
Evaluator's Signature i �` ,, ----- 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.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
W
0
1
i

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 „ -, �€ y
e: Latitud75
3 b a
Evaluator:
k
:
Count r v j,
y
Longitude: t
0
; ,.5, ,
2
Total Points:
Stream Determination (circle one)
Other
Stream is at least intermittent
if>_ 19 or erennial if 30�
Ephemeral Intermittent Perennial
e.g. quad Name:
A. Geomorphology (Subtotal =__L3 3 )
Absent
Weak
Moderate
Strong
1aContinuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
(2>
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
No = 0
1
2
3
4. Particle size of stream substrate
0
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
0.5 1
3
8. Headcuts
cq)
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
X3.5
1
1.5
11. Second or greater order channel
Notes: «., a �, ,,�.'�" c&,,s..,�,.- �
No = 0
Yes = 3
artificial ditches are not rated; see discussions in manual -
B. Hydrology (Subtotal = ( )
12. Presence of Baseflow
Mb 1
2 3
13. Iron oxidizing bacteria
0 1
2 3
14. Leaf litter
� 5 1
0.5 0
15. Sediment on plants or debris
0 0.5
1.5
16. Organic debris lines or piles
0 r
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
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
(0
1
2
3
22. Fish
i7
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
oQ
0.5 1
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: «., a �, ,,�.'�" c&,,s..,�,.- �
,�,, � .•a�� s��
0
n
Sketch:
CL
c� to1
41

Awl-
rY .
M] .
p _
r-
Aft
I kr
P
`?
r
�
,
� rA
Awl-
rY .
M] .
p _
P
Awl-
rY .
M] .
p _

Waterbody SJOB011 facing southeast across

S -),:DP of <,K
1_iSAt E AID -.1 DIi Q = Site i indicate on ,tuached map)
[M7 STRr,,AM QLIAL1TY ,-kSSESSAIENT NVORKSHEET —Aw
Pro` ide Ills fa110`1111r, Information for the stream reach under assessment:
tP
I. Applicant's name: i � 11 2. Baluator's name: � > --
3. nate of eN nIuation: 4. Tithe of ev aluation: E 0 e *0 AM
5. ' eatne of slreanl: b((\+ r -U fble604 BOCNC" fi. R ig er basin: P—f t. S -r;'
7. Appro4%bnate drainage area: S ,C r- S S. Stream order: 1
9. Lenc(h of reach n aluated: 10. Criunr,: 1166 rn -s4on
11. Site coordivates (if lkjnowi ): prefer in decirnal deo-reel. 12. SO& inion name f if anal:
1 atilude tea.: a.S?�a 1�1: 'i D4 i on nude rex. -77.5566111: —7 2,0 -7 -E-
N
E
Atedhod location deienrsined (circlet: � ropo Sheet Ortho f:leriall i'hoto GIS Oilier OIS [liber
13. Lve:ttion of reach Linder e%aluation (note nearbti roads and landmarks And attnch snap identif} ing weant(s) locations
. o cn�{C� UJ e(C -e ',VU(\ re V2", -L P6
14. Proposed channel work lifana,): �►�.
15. Recent weather conditions: �,' � fy ()� "16. Site conditions at time of \ isit: W� c sir,/ +f oe(3 --
17. ldentif} any special NN atent aN classifications kno%tin: Section 10 _Tidal Wafers _Essential Fisheries habitat
Trout Waters Uutsiandina Resource Waters Nutrient Senshile Waters _Water Supply Watershed _04V)
18. Is there a pond or lake Inerted upstream of the et aivation point? YES h(J #"� es, estimate the ��'ater sw lace area:
19. Dees channel appear on USGS quad map?l'ES 1` 0 20. Does channel appear on USDA Sail Sun ey? )IES
?1. Estimated «atershed land use: °a Residential _°a Conttnercial �°o Industrial (DD°o Acricultural
3-01 o Forested _n 4 Cleared , L.00ged `°c Cather f 1
22. Bankfull a+idth: '� 23. Bank height (faonl bed to top of bank): Ce
24. Channel slope down center of 4Irearn: lai (f) to 20 0) ^Gentle t'_ to 41 o? _hloderate (4 to 10016) Steep (:'10,0)
25. Channel sinuostn: StraL-d t^/Occasional bends—Frequent meander �`triz sinuous ._13raided channel
Instructlolls for completion of iiorkshEEt (located (n pigge 2): Begin b\ dtiermining the nw!c i ai piopriate ec;orr ion based on
location. terrain. tegelation. stream classification. etc. Etter} rharacterisiic must be SCa1'ed USin2 the same ccQre roll. As=ig'n points
to each characterinic within the range shoN%ii for the ecoregion. Page 3 prcaides a brief description of hook 10 renew the
chn acteristies identiftcd in the 11 orksheet. Scores should reflect an o� erall asses=mem of the stream reach under e\ alu,ation. if a
chat'aa:terisuc cannot be e\aluated due to She or \\eather conditions:. enter U in tate scorinn box and protide an e*:planation in the
t:0Iit15c1)1 section. \\'here there ire ob\ iious changes In the ch.traciEr of a Stream under re%jeW { .�?.. 11je SLrca117 JJQ%t ; &0111 3 r,ZSMre
into a forest I. the stream tnaa be dll lded tato smaller reaches that display more continuity. and a separate form used iD e'1 aluale each
reach. The totai scare assi­ed to a tt'eani reach nIL151 t'ance bet`ieen 0 and 1f10. %ilih a ceore of 100 representing 3 airv::nl of the
Iti_liisl gLlalir!. 4
Toini Score (from re%erre : Cuinnients:
E�alilattlI'S Si?Iaature J�`v` Date
This channel ealitiatloll form k intended to he used onia as a Guide to asslit lnndo.�niers aad einl'onnletltal profes5lonals in
fathering the data required bi the United Mates Arne► Corps Of Engineers to make a prelllttina* assessmem of sireaul
quality. The total score resulting front elle conl}rilctir-ll of this forth is Subject to L'S.ACE• approval and does not intpIN a
particular mitlaation ratio or requirement. F ri"a sal- r: -,i tlr :. 7 C{:Iy'&—j. '-e>c.dt1

STREAM QUALITY ASSLSSMENTW'ORKSREET
" These characteristics are not assessed in coastal streams
NT
r �? 7t
i.
�;Caastai`
l'jedmont
llitiuniin 14
_
if
Presence of llom- ! persistent pools in stream
0-5
0-4
0-5
(no f1mv, or satin ation = 0. strong flirt: = max:points)
l~videliCC of Mast buIilan alteration -50-6
Q-5
O
W
(extensive alteration = O; na alteration = may pints)
Rlpariailzone
0-6
Q—
0_5
Ax
'
6)o buffer = 0; contiguous. wide buffer =ma oilltsl
�'^
f`
Ir`�ideuce of nutrient or chemical discharges
0-5
0-4
0-4
(e-tensiv°e discharges = Q: no discbar es — uiax aims)
5
Ground%vater discharge
0_ 3
0-4
0 =4
d`
(no discharge = 0' springs, sees %vetlands etc = maxpoints)
Presence of adjacent floodplaill0
—
0-4
0 — 2
(`1
1� j
`r
(no floodplain = O} eMensive flood lain = ma-% . oints)
�
7
ElltrcltcIsnleni 1 llat}dplaiu access
0-5
0 —4
0-2
{dee ] v entrenched = 0; freg cent fl a o d ing = max P pints}
8
Presence of adjacent wetlands
0-6
0 —4
0-2
x =
(no tt'etlands = 0• Iaree adjacent wetlands = maxpoints)
Channel sinuosity
0-5
0-4
0-3
lJ
(extensive ehannelizatian = Q: natural meander =maxpoints)
"-
10
Sediment input
0-5
0-4
0-4
�-
.;_
(extensive de osition= 0: little or no sedhnent = maxpoints)
Sine & diversity of cliannel bed subttratc
-
(fine homogenous = 0. Iarge, diveme sizes = max oints
12
Evidence of channel incision or widening
0-5
0 — 4
0-5
C)
(deeply incised = 0: stable bed r banks = max oints)
1�
Presence of major bank failures
0-5
0 — 5
0-5
it
(severe, erosion = 0; no erosion. stable banks = lnax points)
p
14
Root depth and density an banks
0-3
0-4
0-5
2`
(no visible roots = 0; dense roots tbrau out = maxpoints)�'
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
15
(substantial impact =0: no evidence = maxpoints)
Presence of riffle-pooliripple-pool complexes
Q — 3
{1— j
0-6
I6
(no riff'lesiri les or pools = 0. Nvell-developed = max ointsj
17
Habitat corrlpleaity
0-6
0-6
0-6
(little or no habitat = 0: fre tient, varied habitats = maxpoints)
Canopy coverage over streambed
0-5
Q-5
0-5
LA
1$
(no shading -vegetation = 0: continuous cano v = ntax points)
19
Substrate embeddeduess
0-4
Q —
{deeply embedded = 0, loose structure = max
n0
Presence of stream lux trtebrates (see page 4)
0-4
0-5
0-5
(no evidence = 0: common. nulnmus types =Pax oints)
nl
Presence of amphibians
Q
{f-1
0— 1
r
Q
J
(no e%idence =0: common. numerous t, es = Inax oints)
22
Presence of fish
0-4
O-0-4
0-4
0
(no e--idence = 0: common. numerous tti12qs = max -Points)
23
Evidence of w ldlife use
1
0-6
U—?
0--5
(no evidence = 0 abundant evidence = max points)
Total Points Possible
100
100
1010
TOTAL SCORE (also enter on first page)
" These characteristics are not assessed in coastal streams

NC D4' O Stream Identifica#ion Form Version 4.11
Date: 10 � � � � [ S
ProjectlSite: A C ('
Latitude: S+. 7 a44
Evaluator: ,1 1 rp' N(C-G
County: JCAAfXSVd<'1
Longitude:.- ?-'307X
Total Points:
Stream is at least intermittent `��
Stream Determination circle one)
Ephemeral nterrnittent erennlal
Other ayi C)bNC5 Vic
e.g. Quad Name:
if 19 or perennialr(a30`
2. Sinuosity of channel along thalweg
0
A. Geofnof halo Subtotal = Q. t
Absent
Weak
Moderate
Str ng
I'- Continuity of channel bed and rank
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. Activelrelict 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_
0.5
1
1.5
10. Natural valley
b
0.5
1
1.5
11. Second or greater order channel
No - 0
Yes = 3
Sketch:
a artificial ditches are not rated; see discussions in manual
B. HAroloaV (Subtotal = Co - S )
12. Presence of Base#low
0
�1
2
3
13. Iran 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
1 0.5
1
1.5
17. Sail -based evidence of high water table?
0
No = 0
Yes z 3
1.5
C. Biology (Subtotal= 7.
1 B. Fibrous roots in streambed
(3
2
1 •
0
19. Rooted upland plants in streambed
(3
2_
1
0
20. Macrobenthos (note diversity and abundance)
(1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0_&
1
1.5
25. Algae
0.
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:

raw OKI
4 111 { d
All
it
1 1-
{i
r/.
41
12 g,
Vhf

USACE AID# DWQ # Site # (indicate on attached map)
S`Y 6
M STREAM QUALITY ASSESSMENT WORKSHEET _ .
QF
Provide the following information for the stream reach under assessment:
1. Applicant's name: .�� 2. Evaluator's name:
3. Date of evaluation: —4 I ! r'k 4. Time of evaluation:
5. Name of stream:A) V --t CT-c=_,V 6. River basin:
7. Approximate drainage area: �—' S 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): $ 3 ' i = —Go' ngitude (ex. —77.556611): .% J r.% J
Method location determined (circle): GP opo Slice O ho (Aerial) Phot IS Other GIS Other
13. Location of reach under evalua ion (note ne y roads s and attach map identifying stream(s) location):
14. Proposed channel work (if any): --TX i
15. Recent weather conditions: , , ,, 1 Lk JZ \(N -,r c,
16. Site conditions at time of visit: <,,-- . S E�"
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters t. Nutrient Sensitive Waters _Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES iOlf yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES 0072 20. Does channel appear on USDA Soil Survey? YES I
21. Estimated watershed land use: 1G, % Residential % Commercial % Industrial 4�&6 % Agricultural
I<, % Forested % Cleared / Logged % Other (
22. Bankfull width: 4' 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 Signatures Date '9° 1 -Sol ld
This channel evaluation form is intended to be used only as a guide to assist landowners and en ironmental 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
C>
0
M

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWQ Stream Identification Form Version 4.11 a C)1
Date:
Project/Site: ��
Latitude: 7b 'I i0(D I I I
Evaluato
County:
Longitude: " } _6 6
0
1
1
Total Points:
Stream Determination (circle one)
Other
Stream is at least intermittent
if >_ 19 or perennial if >_ 30`
Ephemeral Intermittent Perennial
e.g. Quad Name:
M
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
16. Organic debris lines or piles
1
2
3
4. Particle size of stream substrate
0
es =
2
3
5. Active/relict floodplain
(12
1
2
3
6. Depositional bars or benches
1�
1
2
3
7. Recent alluvial deposits
'perennial streams may also be identified using other methods. See p. 35 of manual.
1
2
3
8. Headcuts
0
T2
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
d artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = -3- )
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
es =
1.5
C. Biology (Subtotal = )
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
0 1
2
3
22. Fish
0 0.5)
1
1.5
23. Crayfish
0 0.5
1
1.5
24. Amphibians
0 0.5
1
1.5
25. Algae
0 0.5
1 1 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:Rgt'e
, ,
Sketch:
per.,
ny

tip �.,'4� e`'•� _ �'� � �'.7n^"" '}� �s�� _. r8r
jk
'.i.. ,
Waterbody SJOB010 facing east upstream
Waterbody SJOB010 facing west downstream

Waterbody SJOB010 facing south across

Open Waterbody Data Sheet
Survey Description
Project Name:
Waterbody Name:
Waterbody ID:
Date:
Southeast Reliability Irrigation
pond
0JOA007
7/30/2014
State:
County.
Company.
Crew Member Initials:
Photos:
North Carolina
Johnston
NRG
GB, TP, LE
ONE, NORTH
Tract Number(s):
Nearest Milepost:
Associated Wetland ID(s):
20-150
386.9
None, NWI polygon did not qualify as wetland
Survey Type:
(check one) ❑x Centerline ❑Re -Route ❑Access Road ❑Other:
Physical Attributes
Waterbody Type:
(check one) ❑x Stock Pond ❑ Natural Pond ❑ Lake ❑ Reservoir ❑
Impoundment ❑ Oxbow ❑ Other:
Hydrologic Regime:
❑x Permanently Flooded ❑ Semipermanently Flooded ❑ Seasonally Flooded ❑ Temporarily Flooded
OHWM
OHWM Indicator:
(check all that apply) ❑x Clear line
❑Shelving ❑Wrested ❑Scouring ❑Water
Height:
on bank
vegetation staining
3.0 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):
2.5 ft.
4.0 ft.
60 degrees
N/A❑
Qualitative Attributes
Water Appearance:
(check one) El No water ❑x Clear ❑Turbid ❑Sheen
❑Surface ❑Algal ❑Other:
on surface scum mats
Substrate: ❑ Bedrock ❑ Boulder ❑ Cobble ❑ Gravel
❑x Sand ❑x Silt/ clay ❑ Organic ❑ Other:
(check all that apply)
% of Substrate: % % % %
25 % 75 % % %
Width of Riparian Zone:
Vegetative Layers:
(check all that apply) ® Trees:
❑x Saplings/Shrubs: ❑x Herbs
ft.
Avg. DBH of Dominants: 12.0 in.
1.0 in.
N/A©
(approx.)
Dominant Bank Vegetation (list):
Loblolly pine, sweetgum, red maple, American holly, cane, Japanese stilt grass, greenbrier, water oak
Aquatic Habitats (ex: submerged or emerged aquatic vegetation, overhanging banks/roots, leaf packs, large submerged wood, riffles, deep pools, etc.):
pool
Aquatic Organisms Observed (list):
frogs
T&E Species Observed (list):
none
Disturbances (ex: livestock access, manure in waterbody, waste discharge pipes):
Agricultural run off
Waterbody is:
(check one) ❑ Natural ® Artificial, man-made
❑ Manipulated
Waterbody Quality a:
(check one) ❑ High ® Moderate
❑ Low
Form Rev. 07/09/2014

Form Rev. 07/09/2014
Waterbody ID:
OJOA007
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:
Irrigation pond created by excavation in a swale and using spoil to dam across swale; overflow moves as surface flow in
swale until reaching origin of SJOB008 within the corridor.
Waterbody Sketch (Include north arrow, centerline, distance froll centerline, data oca ns, survey boundary, and IDs of flociated features)
i
-r
�i
�o
0
V
off`
P , o t�
� P �
L
� Qo
r
,
Form Rev. 07/09/2014

USACE AID# DWQ # Site # (indicate on attached map)
TOG 00 11K
M
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: 2. Evaluator's name: V>
3. Date of evaluation: " 1 °4 4. Time of evaluation: ';' y",-
5. Name of stream: 6. River basin:' --
7. Approximate drainage area - �; +� (IC � �, '� 8. Stream order: k5-
9.
5-9. Length of reach evaluated: (_00 10. County:��� 3a ,rf
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): N/A
Latitude (ex. 34.872312): ` �� ; Longitude (ex. -77.556611):_ 7�hJ
Method location determined (circle): �G % To6,o Shhit Ortho (Aeriaiohoto/GIS Other GIS Other
13. Location of reach under evaluation (note n arby roads and latidmarks and attach map identifying stream(s) location):
i
e ;
,
14. Proposed channel work (if any): i T7
15. Recent weather conditions: via
16. Site conditions at time of visit:
17. Identify any special waterway classificatid s 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? E NO If yes, estimate the water surface area: C-
19. Does channel appear on USGS quad map? iV NO 20. Does channel appear on USDA Soil Survey E NO
21. Estimated watershed land use: I % Residential % Commercial % Industrial % Agricultural
Wi 49
% Forested % Cleared / Logged % Other
22. Bankfull width: LV -- (! 23. Bank height (fi•om bed to top of bank): fb
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 VFrequent 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): LA Comments:
L
�` �,C�✓+, *" �' �
1
a c a ) �
C'c>-P,> _*) 12p car\ -5•w.0. s. }
Evaluator's Signature� t� "� Date -4, I -S 6 J 1'1
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.
0)

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Oriqins v. 4.11
NC DWO Stream Identification Form Version 4.11
Date:
Project/Site: o
Latitude:
Evaluator: _ :� <: r
County
Longitude: W5 all)
_/8 i
_ .. , .
1
m 1.J
Total Points:
Stream Determination (cir
Other
Stream is at least intermittent
Ephemeral Intermittent Perennial
e.g. Quad Name:
if >_ 19 or perennial if 2: 30`
0
1
A. Geomorphology (Subtotal = ( , 5 )
Absent
Weak
Moderate
Strong
1a. Continuity of channel bed and bank
0
1
(2
3
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
No = 0
2
3
5. Active/relict floodplain
01
A_j_)
2
3
6. Depositional bars or benches
0
1
2
1
7. Recent alluvial deposits
0
1
2
0.5
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1) r m
1.5
10. Natural valley
0
0.5""` _
------ - 1
1.5
11. Second or greater order channel
<1N
o = 0
Yes = 3
artificial ditches are not rated; see discussions in manual ., _..
B. Hvdroloav (Subtotal = to _ S ) ���'����
12. Presence of Baseflow
0
1
3
13. Iron oxidizing bacteria
0
1
3
14. Leaf litter
'(`.5
1
0.5 0
15. Sediment on plants or debris
0
0.5
;" I 1.5
16. Organic debris lines or piles
0
0.5
t 1J = 1.5
17. Soil -based evidence of high water table?
1
No = 0
Yesil= 3
C. Bioloav (Subtotal = "A. G )
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
0
2
3
21. Aquatic Mollusks
(W
1
2
3
22. Fish
0
A_j_)
1
1.5
23. Crayfish
(,b,-)
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
�(
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75;
OBL = 1.5 Other = 0
perennial streams may also be identified using other methods.
See p. 35 of
manual.
Notes:,�
G �i
;
Sketch:
bbbb 4 � FF
CL
41
9

Waterbody SJOB008 facing northwest across

USACE AID# DWQ 9 Site 9 (indicate on attached map)
- 0091 '
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
Applicant's name: 2. Evaluator's name:
3. Date of evaluation: -4 �1 4') 4. Time of evaluation: 7 VA
7,>\ �cv�" 13 Cx n a Ls
5. Name of stream: l? 1 1 T -%-c S��C>T' x� w) ' , o y' 6. River basin:
7. Approximate drainage area: -,U 8. Stream order:
9. Length of reach evaluated: — TS 10. County: ' X, A
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): N / /
Latitude (ex. 34.872312): Longitude (ex. -77.556611):
Method location determined (circle): , 'GPS a? Topo Sheen Ortho (Aerial oto/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:
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters t:ANutrient Sensitive Waters _Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES (10) 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? AYES NO
21. Estimated watershed land use: 11 6 % Residential % Commercial % Industrial --D % Agricultural
0 0 % Forested % Cleared / Logged % Other
22. Bankfull width: L\ 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 rev�erse): Lk�
e
_.
_� --
Evaluator's Signature car"4-Y Date 3`� � uj
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.
2
9
WN
0
1
C

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWQ Stream Identification Form Version 4.11 � o13 oo `1
Date:
Project/Site: - ,
Latitude: 3 g
j
Evaluator:
County:Longitude:
(�
0
IAI AS- ,,
2
Total Points: �
Stream Determination (ci
Other
it
Sitt
Stream is at least interment
a
t
Ephemeral Intermitten erennial
e.g. Quad Name:
e_ erennial iter
0
1
A. Geomorphology (Subtotal =J1. 5
Absent
Weak
Moderate
Strong
1a. Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
�i)__
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
1`
3
4. Particle size of stream substrate
0
(3)
2
3
5. Active/relict floodplain
1
2
3
6. Depositional bars or benches
0
1
FACW = 0.75;
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
�D
2
3
9. Grade control
0
0.5
T)
1.5
10. Natural valley
0
D 5
1
1.5
11. Second or greater order channel
o = 0
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = 0xa ., )
12. Presence of Baseflow
0
1
02
3
13. Iron oxidizing bacteria
0
1
2 - x=
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
des = 3
t70 0.5
C. Biology (Subtotal = -+ ) wV
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
3 2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
Oiu 1
2
3
22. Fish
''? 0.5
1
1.5
23. Crayfish
iJ 0.5
1
1.5
24. Amphibians
0.5
1.5
25. Algae
t70 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

41 � 1w _,:_, W�4-'
`Awl
i�

Waterbody SJOB009 facing east across

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWQ Stream Identification Form Version 4.11
Date:<Project/Site:
Absent
Latitude:
Evaluator. -\ �
County:- `
Longitude:
0
1
'XI
Total Points:
Stream Determination (circle one)
Other
Steam is at least intermittent
if _ 19 or perennial if >_ 30*
Ephemeral Intermittent Perennial
e.g. Quad Name:
A. Geomorphology (Subtotal
Absent
Weak
Moderate
Strong
1a. Continuity of channel bed and bank
0
1
'XI
3
2. Sinuosity of channel along thalweg
0
`1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
<'
L J
2
3
4. Particle size of stream substrate
01
3
2
3
5. Active/relict floodplain
0
'`1 F
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
1
1.5
10. Natural valley
0
1
1.5
11. Second or greater order channel
-
Sketch: 1
;�'No = 0)
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. Hydrology Subtotal = ;'
12. Presence of Baseflow
`0
1
2
3
13. Iron oxidizing bacteria
( 0 /
1
2
3
14. Leaf litter
/'1.5"i
1
0.5
0
15. Sediment on plants or debris
0
J0 -_!i
1
1.5
16. Organic debris lines or piles
0
0.5
1 _
1.5)
17. Soil -based evidence of high water table?
1U
No = 0
'Yes = 3
1.5
C. Biology (Subtotal = )
18. Fibrous roots in streambed
3
rV
1
0
19. Rooted upland plants in streambed
�D3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
(b
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
1U
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
00.5
1 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. Seep. 35 of manual.
NoteS.c 3-c w I 5 ,_ a . .; i^C C a
-
Sketch: 1
i 41
f

USACE AID# DWQ 9 Site # (indicate on attached map)
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name:�,.'_�>>�,. -� r 2. Evaluator's name: T,>,-, 2k e
3. Date of evaluation:R 1-7- 4. Time of evaluation: - )`,A
5�>,'
5. Name of stream: � 6. River basin:
7. Approximate drainage area: 8. Stream order: 1
9. Length of reach evaluated: `V-_ 10. County:
z
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): 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:.; ? a', .,,3L�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 v"N-utrient Sensitive Waters _Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES NO 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 0 % Agricultural
% Forested % Cleared / Logged % Other
22. Bankfull width: 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: Straight /Occasional bends _Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): Comments:
Evaluator's Signature'/ L� Date S-'
This channel evaluation form is intended to be used only as a guide to assist landowners a d 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
-i uesG unaractenstncs are not assesses in coastal streams.

E
Waterbody SJOB109 facing north-northwest upstream
Waterbody SJOB109 facing south-southeast downstream
7f�yy�
Waterbody SJOB109 facing south-southeast downstream

a
0�
Waterbody SJOB109 facing east-northeast across

[;S 14 1 .�1D1' D\1 Q
M STREAM QUALITY
Site = 1 indicate on :inached n apt
.S300008
ASSESSMENT NVORKSHEET
ProN fele the folloning information for the stream reach under assessment:
1. Applicant's name: 1DOM in L 2. Et aluator's name: > J
3. T}ate of e► aluation: �. 1 sloe of e� aluation:
�.'�'tilne �f sn'raitt: 6. lin er basin: ^Net..?SC,
-�ppro-%imate draina e area: > MOD NL S. Strcom order: CJI
9. Len'unh of reach e; ahinted: � D 10. ceulm:
1 1. Site cnnrdinates f'rfkno�en ll:l Urrefer fn .1cci:nal dcr;rers. 12. Subdir isinl3 itaine (1f anx'):
1 alitIIde (e =a. '_';12s: f I 1,590 1 kin citude ie%. -77.5`6611 r�� B 3 1663
Method locution deiew-flned (circle):C,1' Topo Slieet Onho (:leriall Photo 4i1S Other GIS Other
13. Local ion of reach under e1 aluatf01i tnoie nearby, roads and landmarks and attach leap identif%inc streant(s) localism):
u
1 a. Proposed cl3annel tt ork t if an. 1: I� Q1S _ pi�, i n �
15. Recent t�'eather coridiiiolns: W Q -f V'n Or +C V —
I l I A
16. Site conditions at time of t
i
17. ldentif} snti' special waten{a,. classifications knows: _Section 10 Tidal Waters _Essential Fisheries Habitat
�Trout Waters _Utnstanditt�. Resource L1`aters—''Nutrient Sensititie Waters _IN"ater Supply Watershed (Wv)
15. is there a pond or lake located lipsireant of the e%aluation point" 0NO ]i� es. +estin3ate the Fraser surface arra: �
19. Does channel appear on U. SGS quad inap? 'ES O 20, Does channel appear on USDA Soil Surrey? Q NO
21. Estisnated «atershed land use: ° o Residential 0 o Commercial 10 Industrial Zb 0 o Agricultural
° o Forested
22. Bankftlll width:
24. Channel slope dmtn center of stream: Flat 1(1 to 2001
2a. Channel sinuosity: Strafe-hticcasional bends
�0 b Cleared; Logeed _0 o Other ( l
23. Bank height tfrom bed to top of band,}:
,_„"Gentle t' to 400 _Moderate N to 10"10 .,,.._Steep (>I ON
—Frequent meandel- Vet} sinuous ^Braided channel
I
nstructions for ;,,ompletion of l'ioi"t;cltt:et (loented on page 1): Begin bi dctermining the must appiopriate vcorcgion based on
location. terrain. 1 e -E ation. Stream classification. etc. El en k;haracterislic must be scored u5ing;+ the same ecure4gion. . ss5i.- n prions
io each chasweiistie «iihin the ranee sho«n for the ecoregion. Pare 3 pro -Odes a brief description of how to reliew the
characteristics identified in the iNorksheet. Scores should reflect an overall assessment of the mrean3 reach tinder valuation. if a
sisal"act et"lsiic cstu3ot be et ahtated dLie to s,he or 15 earlier conditions. enter 0 in the SCC+ring box and protide an e\planation in the
C011i1332nt Seel ion. Where there are ol:�\ious c13a33'ges in the characie'r of a stream under reiie\V (e, 2.. the =_trealn ilei;'•S fi"um a pasture
into a forest i. the streau3 ina% be diA ided into smaller reaches that displa} more continuity. and a separate fonll used 10 e\ aluate each
reach. The total Scori asci-Lned to a 5iream mach mu5i rail e btriaeen 0 and 100.'.tiih a Scoria of 100 represeraim, a ztreatill 01 the
hiu''flCSl gM11r\.
Total Score [front rei ersO: G7---- cumntents:
E,%aluatt is Signature JAA A Date
This channel e►aluatiTied
It 's<_ ttttctldcd to be used out as a dE to assist lsu&xIters an este leu nicntaI prcf�slonals in
,'athering tItc data reby the United States ArmCorl of Engineers to make a prcl'atninarti asse55llletit of Stream
quality. The Halal '.core rCsultfIta 'frons the conipictiGn of this fas'tit Is Subject et) C SACL appro}3I and does net imply a
liamicu1:1r Mils-`.1't!oil ratio or req U1relltEnt,

STREAM QUALITY ASSESSAIENT NVORKSHEET
-.
EGaRF GCN PANTILE:;;
C1JA%kCTERISTICSr
�C�raslai'
1'iedlnoclt
lltounfst�tt;
SCORr
r:
1
Presence of flow l persistent pools in stream
0-5
0-4
0 — 3
(no flow or $attu atinn = 0: strong flow = nna3 oints)
Evidence of past llatnnan alteration
0-6
0-5
0 — 5
(extensh'e alteration = 0; no alteration = Max points)
ak
Ripai'rall rZUIIe
(no Duffer = 0: contiguous. 1i'ide buffer � ]Ina?: Qints)
-y
Evidence of nutrient orchernical dlscI n'rges
0-5
0-4
0_4
zg
(exlensive discharges = 0: no dischar es = Inas points)
5
Grounwaer discharge
d t
�
0-3
0-4
0
fano discliarge = 0 -.rings. seeps, wetlands, etc: max pof its)
Presence ofad'acent floodplain
(no floodplain = 0; extensive flood Iain = max points)
7
Entrencbment 1 floodplain access
0-5
0-4
0-2
(deeply entrenclied = 0. frequent flooding = nnax points
Presence of adjacent wetlands
0-6
0-4
0-2
(no wetlands = 0; large adjacent wet€ands = max oil;ts)
9
Channel sinuosity
0-5
0-4
0-3
{-
(extensive channelization = 0: natural meander= maxpoints)
�=
10
Sediment input2
0-5
0-4
0-4
J
,.
(extensive deposition= 0; little or no sediment = max points)
6
11
Sire 8 diversity of channel bed substrate
�
NA"`:
4-4
0-5
—
(fine. homogenous = 0: large, diverse sizes = maxpoints)
l
12
Evidence of channel incision or widening0
— $
0 — 4
0 — $
9
(dee 1 incised = 0: stable bed & banks = maxpoints)
bank failures
1
Presence of major
0 — 5
0-5
�
(severe erosion = 0: no erosion. stable banks = inax oints)0-5
14
Root depth and density on banks
0-3
— 4
—5
(no visible roots = 0; dense roots throughout
W
15
Impact by agriculture, livestock, or timber production
0-5
0 _
0-5
(substantial impact =0: no e�ridence =max Dints
1&
Presence of riffle-poollrippie-pool complexes
0_ 3
0-5
0-6
no rifiles,'ripples or pools = 0; Nveli-developed = maxpoints)
l
Habitat complexity
0— 6
0— b
0— G
q
F-
(little or no habitat = 0: frequent. varied habitats = max points
18
Canopy coverage over streambed
0-5
0-5
0-5
(no shading vegetation = 0; continuous canopy = max points)
19
Substrate embeddeduess
ZEA*
0-4
0-4
(dee h, embedded = 0; loose structure = max
,,0
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
(no evidence = 0: coronion. nuinerous D es = niax points)
21
Presence of aniphibians
0-4
0 —4
0-4
C
(no evidence = 0: common. numerous n' .es = max Dints)
a
Presence of fish
0-4�7 0—
0-4
0-4
no e3'Bence = 0: connlnnon, ra nnlerous types = max Points)
73
Evidence of wildlife use
�
0-6
V �s —5
—
0 �
(no evidetce = 0; abundant evidence = max points)
.
Total Points Possible
100
100
100
TOTAL SCORE (also enteron first page)
* These c1laracierisiks are not assessed in coastal streams.

NC iDWO Stream Identification Form Version 4.11 5 i00oob
Rate: 9 1 Z H (0
Project/Site: r+UP
Latitude: 3S, y Ll JTq p
Evaluator: L 9_02-e1/
County: 7C) hr)S
Longitude: -� S -31 b 63
Total Points:
Stream is at least intermittent
Stream Determinationicir [eor�aj
Ephemeral Intermitte ere
Other 1'CSsi'Q
e g Quad Name:
if? i9 ar perennial if a 30*
-1a
2. Sinuosity of channel along thalweg
0
A. Geoma hole y (Subtotal = 15" 5
Absent
Weak
Moderate
Strong
. Continuity of channel bed and bank
0
1
16. Organic debris lines or piles
3
-1a
2. Sinuosity of channel along thalweg
0
1
1
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
1
3
4. Particle size of stream substrate
0
1
1.5
3
5. Activelrelict floodplain
0
1
2
0 0.5
6. Depositional bars or benches
0
26. Wetland plants in streambed
2
3
7. Recent alluvial deposits
*perennial streams may also be identified using other methods. See p. 35 of manual.
I
2
3
B. Headcuts
0
1
2
3
9. Grade control
10. Natural valley
0
0
0..5
1
1
1.5
1.5
11. Second or greater order channel
No = 0
es = 3
a artificial ditches are not rated; see discussions in manual
8_ Hv�droioaV (Subtotal= � t 57 1
12. Presence of Baseflow
0 1 2
13. Iron oxidizing bacteria
1 2 3
14. Leaf litter
5 1 0.5 0
15. Sediment on plants or debris
0 0.5 1.5
16. Organic debris lines or piles
0 1 0.5 1.5
17. Soil -based evidence of high water table?
No = 0 es = 3
C. Biolo Subtotal
1 B. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0.5
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 = 0.75; OBL = 1.
atm 0
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
5ja�Q
-9 0030
C) HW r\n : +
/'I
41
�� r

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point sjoo008 facing southwest across.
Photo Sheet 2 of 2

USAGE AiDz' M Q = Silt =
F"M
11 tnl!feel map)
S3Up -rr
idbk-
STREAM QUALITY ASSESSMENT WORKSHEET
i'rov ide the rolloty ill- information for the stream reach under assessment:
2. Evaluator's name: FST.
4. Time of evaluation: l
I. Applicant's name: QO= M i n
3. Gate ofexaluntion:-
4. Nance of strewn: uff"--FoleCr,4 I3rArtdx_
7. Approximate drainage area: Q9 6LC4-"
9. Lenutli of reach ev aktatcd:
h. It k er basin:
S. Stream order: I
10. count): Tokn n
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision Hahne (ifany): n o +n r-
1.31itudelex.34.t3713121: 35, ��3$�2� L�neiiude(ex.-77.5?Gfill):^ .32 146Q
Method location determined (circle); 'P:S ropo Sheet Onho (Aerial) Photo,G1S Other GIS Otlier
13. Location of reach under evaluation (note nearby roads and landmarks and atlaeh map identif%ing stream(s) locilion):
oF Pot{� Qrr,c
14. Proposed eltantiel v% ork (if any): Prnj2acel 11 I
M Recent weather conditions:
16. Site conditions at time of v
17. ldentify ant special watenx ay classifications known: Section 10 Tidal Waters _Essential Fisheries Habitat
_Trout Waters Outstanding resource Waters —Nutrient Sensitize Waters __, Maier Supph' Watershed (I-IV)
13. Is there a pend or lake located upstream of the ei aluation point? YES If yes, estimate the outer surface area:
19. Does channel appear on USGS quad map? ES NO 20. Does channel appear on USDA Soil Survey? 1'ES NO
21. Estimated xvatershed land use; 0a residential �06 Commercial _do Indusirial _°' Agricultural
° 4 Forested _/0 1, Cleared 1 Logged 116 Other ( l
(Tcp0F It Vi 22. Ban€,fuIPAwriI: �+ 23. Bank height (From bed to top of bank):
2.1. Channel slope down center of stream: —Flat (0 to 20 u) _Gentle (2 to -1° 6) _61 (a to 10' o) _Steep 00%)
2S. Channel sinuosit-\ : Straight - Qccasionnl bends ___Frequent meander Very s'sttuous r,,Braided channel
instructions for completion of tvorkshed (located an page 2): Begin by delennininup the most appropriate ecorcuion based on
location. terrain, ,egetalion. stream classification. etc. Evers characteristic must be scored using the same ecore4ion. Assign points
to each characteristic v►ithin the range shoxvn for the ecoregion. Pace 3 provides a brief description of how to review the
characteristics identified in the xvorksheet. Scores should reflect an overall assessment of the stream reach under exaluation. if a
characteristic cannot be evaluated due to site or weather conditions. enter 0 in the scoring box and provide an e%planation in the
comment section. Where there are obv ic+us changes in the character of a stream under rex iew (e.tg., the stream floNx s from a pasture
into a forest). the stream may be divided into smaller reaches that display more continuity. and a separate forth used to ev aluate each
reach. The total score assigned to a stream reach must ranee betxveen 0 and 1O0. xvith a score of 100 representing a stream of the
highest qualirx.
Total Score (front, reverse): Co Eli menis:
Ct aluaior's Signature r - i _r. r - Date
This channel evaluation forth is intended to he used onh as a guide to assist landowners and ettt lronmental ltrofesslonals in
gathering the data required bN the United States ?.rm% Corns of Engineers to make a prel€ntinary assessment of stream
quality. The total score resulting from the completion of this form is subject to USAGE. approval and doles not implz a
particular mitigation ratio or requirement. FctSit SU j2tl lC+i�1 li e xcrs[ +n Gn 41t. To Ccnimeni. please -all �+i-%S-6444I x _26.

STREAM QUALITY ASSESSMENT WORKSHEET
nECQREG-I0,N,1'if]INTfRAIY�E
#
CI RAC'TERISTICS_
"Coasial
Pedtnvrit
; 11ti3ui3i iiri
1
Presence of flow l persistent pools in stream
0-5
0-4
0-5
(no flow or saturation = 0, strong flow =rnax pints)
Evidence of past human alteration
0-6
0-5
0-5
(extensive alteration = 0; no alteration =rnax hints}
+
3
Riparian zone
0-6
a-4
9-5
,
(no buffer= 0, conti uous, %vide buffer= maxpoints)
E►'idence of IIII#riei�t or chemical discli,'
0 _ 5
0 —4
a-4
(e tcnsive discharges = 0; no discliarces = max oints
1,
5
GrouIn ter disebarge
' � =
0_3
0-4
0=�#
(no discharge 0 s rims see s, wetlands, etc max points)
_
-
�
j
Presence of adjacent, floodplain
� p
a—�
0-4
a—?
11
!
t(374
'
floodplain — 0' extensive flood lain = max points)
Entrenchment 1 floodplain access
7
0-5
0-
a-?
(dee l y entrenched = 0- frequent flooding; = inax oints
Presence of adjacent wetlands
0-60-4
0-?
x .
(no wetlands = 0• large adjacent wetlands = rnax oit7ts)
Channel sinuosity
0-5
0-4
0-3
(exteiisive channelization = 0; natural meander = max pints)
10
Sediment input
4-5
0-4
0-4
h
(extensive deposition= 0• little or no sediment =rnax points)
Size & diversity of channel bed substrate
�`
NA*
0-4
0-5
11
f"me homogenous = 0• large, diverse:. sues max amts}
Evidence of channel incision or widening
0-5
4-4
0-5
l
(deeply incised = 0; stable bed &: banks = maxpoints)
33
Presence of major bank failures
0-5
0-5
0--5
2
�?
(severe erosion = 0; no erosion stable banks = rnaxpoints)
7
i4
Root depth and density on banks
0-3
0 -4
0-5
(no visible roots = 0; dense roofs throughout = makpoints)
W
Impact by agriculture, livestock, or timber production
0-5
a-4
0-5
15
(substantial impact =0; no evidence = max points)
l6
Presence of riffle complexes0-3
0-5
0-6
(no riffles,(ripples or pools = 0; well-develol2ed = maxpoints)
1
Habitat complexity
0-6
0-6
0-6
�Z
(little or no habitat = 0• frequent, varied habitats = max ohits)
18
Canopy coserage over sireanihed
0-5
0-5
0-5
(no shadina vegetation = 0; continuous canopy = maxpoints)
4 t;
19
Substrate embeddedness
��*
0 - 4
0-4
(deeply embedded = 0• loose structure = max
Presence of stream il3v'ertebrates (see page 4}
0 _ 4'
{} -5
0-5
t J
�0
(no evidence = 0; common. nn3nerous es = 3nax pints)
Ly
1 ]
Presence of amphibians
0-4
0-4
0-4
r^�
p
(no evidence = 0; cor anon. numerous es = In dints
._i
<
„
Presence of fish
a--4
ty—�
0—�
(no evidence = 0; common, numerous es = mak pints)
3
Evidence of wildlife use
0- 6
0- 5
0- 5
(no evidence = 0; abundant evidence = max points)
:. Total Feints Fusible
100,
100
100
TOTAL SORE (also enter on firspast=�
* These characteristics are not assessed in coastal streams.

ao+o9
NC DWO Stream Identification Form Version 4.11
Date: Lf_ Zl _ I (
Project/Site:
Latitude: 3li-. g3SUC
Evaluator: � � �1�� UJV
County: 1-5-Oy►nS4.01
Longitude: 70, 3Z 1H Grp
Total Points:
Stream is at least Intermittent 2- t>
Stream ❑eter lnati circle one)
Other St.
if a 19 or p ere nnial if a 30`
Ephemeral i ntermittent erennial
e g Quad Name:
N c-
1
A. Geomorphology {Subtotal = 1 }
Absent
Weak
Moderate
Strong
1�- Continuity of channel bed and bank
0
1
2
15. Sediment on plants or debris
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step-pool,0
ripple -pool sequence
No = 0
1
2
3
4. Particle size of stream substrate
0
LJQ
2
3
5. Activelrelict floodplain
4
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
24. Amphibians
1
2
3
B. Headcuts
d
1
2
3
9. Grade control
1
0.5
1
1.5
10. Natural valley
FACW = 0.75; OBL = 1.5 r = 0
0.5
1
1.5
11. Second or greater order channel
No =
Notes:
Yes = 3
a artiricial ditches are not rated; see discussions in manual
R_ Hvclraloov [Subtotal= 8`.$ ]
12. Presence of Basetlow
0 1
2
13. Iron oxidizing bacteria
1
2 3
14. Leaf fitter
1
0.5 0
15. Sediment on plants or debris
0 0.
1 1.5
16. Organic debris lines or piles
0 0.5
1 1.5
17. Soil -based evidence of high water table?
No = 0
Yes
C. Bioloov (Subtotal = 7- S 1
1 B. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
0
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
N
2
3
22. Fish
0
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 r = 0
"perennial streams may also be identified using other methods. See p. 35 of manual
Notes:
Sketch:
'oaG3S'
�uti�c�k
t30 ��
dRWM' W3 '�

MW Llow
77,
two
irar
Id
f
ZZ
• f '.�'� rsa ,�z '�
/e• .,rte
__ _
_
,
.. �
MW Llow
77,
two
irar
Id
f
ZZ
• f '.�'� rsa ,�z '�

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point sjoo009 facing south across.
Photo Sheet 2 of 2

USACE AID= DM 0 Site =—
si
rindiease n tnc�ched rttapt
o0010
STREAM QUALITY ASSESSMENT NVORKSHEET
Protide the follot+iitu information for the stream reach tinder assessment:
2. Evaluators name: S 11•..
4. Tithe of evalualivn: 1t).' 0 .1.,
I. Applicant's name: 0ortn.n i o n
3. Dare ofeta ivation: `1—Z I - I
�. �attte of stream: Ul�i �'a. � -�lv�r
7. ,Approximate drainage area: -337 at -res
9. Ltinr:th ofreach evaluated: * 0 � 4-
11. Site coordinates (if known): prefer in decimal degrees.
KF
6. Riv er basin:er
S. Stream order: 4-
1.0. Count; : o1q
12. Subdivision name (ifanN): r\.0'yr c.
1.a1isudcicx..'-4.67:312x:.3 :5. L -1151s l ougitude(ex.-77.55&511):_ -7i0.?,7 qqo 1
Method location determined (circle):Gl'S ropo Sheat Ortho (Aerial) Photo GIS OtherGIS Other
13.2
Location of reach under
�e^valuation (note nearby roads and landmarks and attar�ch�map identifirine streams) location):
1.1. Proposed channel work (if any): +"+� a r . n t
15,. Decent weather c
16. Site conditions at time of visit:
17. Identify ani special t+atenvay classifications known: Section 10 Tidal Waters Essential Fisheries Habitat
Trout Waters _outstanding Resource Waters ,,Nutrient Sensitive Waters _Water Supply Watershed (1 -IV)
18. Is there a pond or 1ahe located upstream of the evaluation point? YES GIf yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES 9 20. Does channel appear on USDA Soil Survey? ES NO
21. Estimated watershed land use: Oa Residential OD Commercial _ _°.'o Industrial ^° a Acricultural
o Forested /0 ° a Cleared J LoC-ed ° 6 Other ( )
IPOF
22. ankful wid t: 23. Bank height (froth bed to top of bank): v '
2.1. Channel slope down center of stream: _Flat (0 to t°a) Gentle (2 to 4"r.) _ A4oderate (4 to l0°ro) zSteep (> 1010
25. Channel sinuosity : Straight Zoccwional bends __frequent meander _Vere sinuous ,Braided channel
instructiotts for completion of worksheet (located on page 2): Begin by determirunv, the mast apprupriale ecuregion based on
location. terrain. vegetation. stream classification, etc. Eters characteristic must be scored using tate same ecoregion. Assign points
to each characteristic vtithin the range shot;n for the ecoregion. Pace 3 provides a brief description of ]loth to renew the
characteristics identified in the worksheet. Scores should relle°ct an overall assessment of the stream reach under evaluation. If,
characteristic cannot be evaluated due to site or weather conditions. enter 0 in the scoring boli and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.u., the stream )lows from a pasture
into a forest). the stream tttav be ditided into smaller reaches that display more continuity, and a separate form used to ev aluate each
reach. The total score assh2ned to a stream reach must range between 0 and 100. vvitli a score of 100 representing a stream of the
highest quality.
Total Score (frons reverse): Comments:
Cvaluatcir's Signature . �. 2��e Z
Date 9 ,
This channel evaluation form is intended to 6 used onlx as a guide to assist landowncrs aItd elft ironntenial professionals In
gatlttring the data required by the United States Arm Corps of Engineers to snake a prelllninan assessment of stream,
quality. The total score resulting from the cOntl}I[11011 Of this form is subject to USACE approval and does not imply a
particular mitigation ratio Or requirement. FC+r1it strl _j2�t tG chwlt_e —ver=ton G6 f1j. To Cfonttncttt. please call l4+-S"b-S� 1 x 26.

STREAM QUALITY ASSESSMENT NVQHKSHEET
t ECDREGION P�a>C
CAt1lCES4T�1►1x7�LY°�
J
Presence of flow 1 persistent Pools in stream 0-5 0_4 0-5
(no flour or saturation = 0: strong flow = maxPoints)
Evidence of past human alteration 0-6 0-5 0-5
(exieasive alteration = 0- no alteration = max Dints)
+'
3
Riparian zone
0-6
0-4
fl -5
(no evidence = 0; common. numerous es - maxpoints)
(no buffer= 0; conti nous,,vide buffer =Mt x Points)
.
l
Presence of amphibians
tVidence of nutrient or chentical discharges
0-5
4 —4
0-4
Q
11
4
(extensive discharges = 0, no dischar es = rrtax Dints)
77
$
GrottiidtE`aferd'ssebarge
0-3
0-4
0-4
7'
(no evidence = 0: common, numerous types= max oints)
(no discharge = 0; . rin s sees wetlands. etc = max ousts
`U
>rvidenceofirildlifeuse
Pi esence of adjacent floodplain
0-4
0-4
0-2
a
6
(tip floodplain = 0; extensive flood lain = mast oints)
7
Entrenchment 1 floodplain access
0-5
0-4
0-2
'TL)'FAI SCQt1✓ (a 'enter on fiat ped
(deeply entrenched = 0• fre rent flooding = maxpoints)
These characteristics are not assessed in,coastal strearm.
s`
8
Presence of adjacent wetlands
o-6
0-4
0-2
(no wetlands = 0` large adiacent wetlands = maxpoints)
Channel sinuosity
0--5
0-4
0-3
(extensive channelization - 0: natural meander = max oints)
t0
Sediment input
0-5
0-4
0-4
(extensive deposition-- 0: little or no sediment = tnaxpoints)
}:
Size & diversity of channel bed substrate
NA* :.
0-4
0-5
r
¢
11
(fine homogenous = 0• large, diverse sizes = may, Dints)
Evidence of channel incision or widening
0-5
0 —4
0-5
1
(deeply incised= 0; stable bed & banks = maxpoints)
i3Presen
ce of m aj or ba nit failures
fl -5
0-5
0-5
(severe erosion = 0• no erosion,stable banks = maxpoints)
p
Root depth and density on banks
0-3
0-5
14
(no visible roots = 0; dense roots throe hout = mss pints
5
impact by agriculture, livestock, or timber production
0 — 5
#-4
0-5
i
(substantial ion act =0; no evidence = mah pints)
Presence of riffle-poollripple-pool complexes
0-3
0 — 6
[)
16
(no ri£fleslri les or cols = 0; well-develo ed = max Dints)
dHabitat
17
complexity
0-6
0-6
0 —6
(little or no habitat = 0; frequent, varied habitats = max points
W
Canopy coverage over streambed
0-5
0-5
0-5
1
(no shading vegetation = 0; continuous canopy = maxpoints)
19
Substrate embeddedness
NA*
o-4
0-4
(deeply embedded = 0• loose structure = max
20
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
0
(no evidence = 0; common. numerous es - maxpoints)
l
Presence of amphibians
0-4
0-4
0-4
p
common, numerous es = max points)
(no evidence = 0: y
77
Presence of fish
0-4
0-4
0-4
(no evidence = 0: common, numerous types= max oints)
�,
>rvidenceofirildlifeuse
0-6
0-5
0-5
a
(no evidence = 0; abundant evidence = max points)
Total Points Possible
(]
100
h
1D '
'TL)'FAI SCQt1✓ (a 'enter on fiat ped
These characteristics are not assessed in,coastal strearm.

NC" DWO .Strenn3 identification Forni Version 4.11 3j (DD Di 0
Date: 9/Z1
1} 6
Project/Site:
Latitude: 754 4 -35-13
Evaluator: L t
County: -
Longitude: _7 ` !)Z91
Total Points:
Stream is at feast intermittent -3 �
(Q.
Stream Determinatlon circle a
Other C?a
Name: .�.
if ? 19 or erenniat if z 30*
Ephemeral Intermittentrennlal
e g Quad
A. Geomorphology (Subtotal= 13 )
Absent
Weak
Moderate
Stro a
1"' Continuity of channel bed and bank
0
1
2
( '14111
2. Sinuosity of channel along thalweg
0
1
0
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
, n-�
1
2
3
4. Particle size of stream substrate
0
j
2
3
5. Activefrelict floodplain
0
1
2
(
6. Depositional bars or benches
0
0
2
3
7. Recent alluvial deposits
(
1
2
3
8. Headcuts
1.5
1
2
3
9. Grade control
1
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No = 0
es =
a artificial ditches are not rated; see discussions in manual
R WvrfmInnv tqi ihtntal = I C) 1
12. Presence of Baseflow
0
1
2 ��-
13. Irian oxidizing bacteria
�U
1
2 3
14. Leaf fitter
( '14111
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?
1
No = 0
Yes = 3
P Rinlnnv Mthtntni = 7 ] '�
18. fibrous rootsn streambed
2
1
0
19. Rooted upland plants in streambed
c ' 3
2
1
0
20. Macrobenthos (nate diversity and abundance)
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0
1
1.5
23. Crayfish
0
.5
1
1,5
2.4. Amphibians
(Q
0.5
1
1.5
25. Algae
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OSL = 1.5
Other, = 0.
'"perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch: Seo
' 1'
QHwM '. '_
b&,rig w��+�\, z-441

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point sjoo010 facing north upstream.
Waterbody data point sjoo010 facing south downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point sjoo010 facing west across.
Photo Sheet 2 of 2

USACE AID#
DWQ#.
Site # (indicate on attached map)
MSTREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
�-
1. Applicant's name: ! vl,'Q A'%vA C-? 2. Evaluator's name: \
3. Date of evaluation: Z4 1 k 4. Time of evaluation:
5. Name of stream: 2"2,. i C o 1 6. River basin: v�
7. Approximate drainage area: 8. Stream order:
9. Length of reach evaluated: /®-500 10. County:���
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): t�
Latitude (ex. 34.872312):, Longitude (ex. —77.556611): �` 1
Method location determined (circle): T6Lo S—tlt Ort o (Aeria) Photo/GIS OhR Other
13. Location of reach under evaluation (note nearby roads an andmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any): (Z--(C.cz. `—;� r
15. Recent weather conditi
\AovrS
16. Site conditions at time of visit:-- `A e,
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? NO If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? 0 NO 20. Does channel appear on USDA Soil Survey? 61> NO
21. Estimated watershed land use: t % Residential % Commercial % Industrial ! a % Agricultural
% Forested A 0-% Cleared / Logged % Other
22. Bankfull width:—"— \\0" 23. Bank height (from bed to top of bank): 1 S 1
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 K 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):
-'C',Q— A e—oc---P. Com.;
4 C� Comments: �� c'�a` - � Z - a:6 ecx .
MI -2
Evaluator's Signat r[�e o Date 19115
This channel evaluation form is intended to be used only as a guide to assist landowners add en ironmental 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
Ll
1
93
i
1
1
a

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWQ Stream Identification Form Version 4.11
Date: --, ,
Project/Site:
Latitude:
"161
j
Evaluator-
County:
Longitude: _79,1'37,5j1
P®
1
2
Total Points:
Stream Determination (circ�,(�_o�n_el
Other
Stream is at least intermittent
if 2! 19 or perennial if >_ 30"
7
Ephemeral Intermittent Ftereh
e.g. Quad Name:
A. Geomorphology (Subtotal =-L-L-3
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
0.5
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
0.5
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
Q
1
( 2
3
8. Headcuts
1
2
3
9. Grade control
A
0.5
1
1.5
10. Natural valley
0
0.5
_
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 = 'k6' )
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
(A)-
1
2
3
14. Leaf litter
ki-V k. -V
1
0.5
0
15. Sediment on plants or debris
0
0.5
` 1
1.5
16. Organic debris lines or piles
0
0.5
1
1.5
17. Soil -based evidence of high water table?
1
No = 0
Yes = 3
0.5
C. Biology (Subtotal = C� )
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
0
2
3
21. Aquatic Mollusks
M=1
2
3
22. Fish
0 0.5
1.5
23. Crayfish
0
1
1.5
24. Amphibians
0 0.5
1
1.5
25. Algae
0.5
1 1 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:bL
L 1
/Cl
V w -
41

r14 fMl
4 � t
I
aMr-

Waterbody SJOB105 facing west across

[USACE AID# DWQ # Site # (indicate on attached map)
3 ate.
M
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: r�'. r .ate 2. Evaluator's name:
°� }
3. Date of evaluation: —Ir 4. Time of evaluation: Vy�
5. Name of stream: 1, T A-, 6. River basin:
7. Approximate drainage area: 4�1 5 61, S 8. Stream order:
9. Length of reach evaluated: 3-I 10. County:
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): KiN.
Latitude (ex. 34.872312): a iI Longitude (ex. —77.556611):
Method location determined (circle): CRo T po sheet Ortho (Aeriaml) P1 �to/GIS Other GIS Other
13. Location of reach under evaluation (note near y roads and Iatt°dmarks and attach map identifying stream(s) location):
S " '✓3° dnm Wl®4•i Q— XT, -A—,X
G;A `""§`.b--�$,-• ` ' `'.f:•.3, x 1. '.J U l Y'�9 �5
14. Proposed channel work (if any): TBD
15. Recent weather conditions: V, kAk, n
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 10 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 o % Agricultural
-+0% Forested % Cleared / Logged % Other ( )
22. Bankfull width: S — -4, 23. Bank height (from bed to top of bank): 1--°
24. Channel slope down center of stream: _Flat (0 to 2%) y/ Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (> 10%)
25. Channel sinuosity: Straight Occasional bends Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): Comments:
Evaluator's Signature ---I -, �`� Date A ) q I 1
This channel evaluation form is intended to be used only as a guide to assist landowners and' envifonmental 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.
F)
3
M

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Oriains v. 4.11
NC DWO Stream Identification Form Version 4.11
a ' « ).
Date:
Project/Site: cz b� �t'�
Latitude:
1Il�Wm
Evaluator:'
County:31
✓)
)
Longitude: 17 �C(-))
1
Total Points:
Stream is at least intermittent
Stream Deter iaatt. (circle one)
Other
if >_ 19 or perennial if >_ 30' ,
Ephemeral ntermittent Perennial
e.g. Quad Name:
A. Geomorphology (Subtotal= )
Absent
Weak
Moderate
Strong
1a_ Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1)
2
3
3. In -channel structure: ex. riffle -pool, step-pool,e\-/1
ripple -pool sequence
0
0.5
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
'1
2
3
7. Recent alluvial deposits
(
1
2
3
8. Headcuts0
FACW = 0.75;
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.
1
1.5
11. Second or greater order channel
Sketch:
I `0
No = 0
(es =
artificial ditches are not rated; see discussions in manual,,
B. Hvdroloav (Subtotal = (o )°
12, Presence of Baseflow.sG�;.�t
0
1
2
3
13. Iron oxidizing bacteria
3
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.
1
1.5
1T Soil -based evidence of high water table?
(07
No = 0
1
es = 3
C. Bioloav (Subtotal = to
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
t 0
1
2
3
22. Fish
0
1
1
1.5
23. Crayfish
(07
0.5
1
1.5
24. Amphibians
0
0.
1
1.5
25. Algae
Ce
0.5
1 1 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"
\'��,'..u1 fi, tf Gd.Y'11m 4,51/°0.✓ 4/w. fL a - �') 9_ E_§;.„r: i �
�'Ill\i
Sketch:
I `0
/
41 "' F J,, w
,A_l

I
��$ \
n
rr
_ s ?c
ty
lows

O .

Open Waterbody Data Sheet
Survey Description
Project Name:
Waterbody Name:aterbody
ID: Date:
Southeast Reliability
(Ann"CA 'Pt'n0k
rci'19004
State: County:
Company.
Crew Member Initials:
Photos:
NG I JoHns+dn
3�S:
TWN
S�1
Tract Number(s):
Nearest Milepost:
Assoclated Wetland ID(s):
20-il0
_ ° .S
NA
Survey Type:
(check one) ®Centerline []Re -Route ❑Access Road ❑Other:
Physical Attributes
Waterbody Type:
(check one) Stock Pond ❑ Natural Pond ❑ Lake ❑ Reservoir ❑ Impoundment ❑ Oxbow ❑ Other.
Hydrologic Regime:
Permanently Flooded ❑ Semipermanently Flooded ❑ Seasonally Flooded ❑ Temporarily Flooded
OHWM
OHWM Indicator:
(check
alf that apply) YClear line
❑Shelving ❑Wrested ❑Scouring ❑Water
Height:
n bank
vegetation staining
ft.
❑Bent, matted, or missing ❑Wrack
❑Lifter and Abrupt plant ❑Soil characteristic change
vegetation line
debris community change
Depth of Water:
Bank height (average):
slope (average):
_k.
{Bank
[ ft.
45 degrees
NIA❑
Qualitative Attributes
Water Appearance:
(checkorre) El No water ❑Clear Turbid ❑Sheen
❑Surface ❑Algal ❑Other:
on surface
scum mats
Substrate: ❑ Bedrock ❑ Boulder ❑ Cobble ❑ Gravel ❑ Sand Silt/ clay Organic ❑ Other.
(check ad that apply)
% of Substrate: % % % %
�L
°y '{ d °,y �0 % %
Width of Riparian Zone:
Vegetative Layers:
7160 ft,
(check all that apply) Trees:
❑ Saplings/Shrubs: Herbs
Avg. DBH of Dominants: d in.
in. N in.
NIA❑
(approx)
Dominant BankVegetation (list):
t I( _
Q�prIL *1 �r I{►fp/14M 1441' �r �'1A71 0[
ItAss
d
Aquatic Hdbitats (ex: submerged or emerged aquatic vegetation, overhanging bankstroots, leaf packs, large submerged mod, riffles, deep pools, etc.):
NPr ' irrl5,LK11I4 pori,
Aquatic Organisms Observed (list):
0cv}, 2.
TSE Species Observed {list):
(1dt1?_
Disturbances (ex: livestock access, manure in waterbody, waste discharge pipes):
1ivL4tu aGLess, laca#-,d aloin st'alte J Par is
Waterbody is:
(checkone) ❑ Natural Artificial, man-made ❑ Manipulated
Waterbody Quality I :
(checkone) ❑ High ❑ Moderate Low
Form Rsv. 0413012013

Fmmac 01/04013
Waterbody ID:
oJOP OOq
' 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; 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 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 avow, centerline distance from centerline, data point locations, survey boundary, and IDs of associated features)
G
N
75)
Fmmac 01/04013

Environmental Field Surveys
Open Water Point Photo Page
Open Waterbody ojop004 facing southwest.
Photo Sheet I of 1

NC Division of Water
Pet.,..... G. V W 4GU.J G...M ...moi.. V..tp. .. - ■ .
NC DWQ Stream Identification Form Version 4.11 t fi" _;("1'
Date �� , I
Project/Site:
Latitude: `
Evaluator.County
-
Longitude:r
0
1
21
Total Points:
Stream Determination (circle one)
Other
Stream is at least intermittent
S
Ephemeral Intermittent Perennial
e.g. Quad Name:
if >_ 19 or perennial if >_ 30'
(0�
0 ,
1
A. Geomorphology (Subtotal
Absent
Weak
Moderate
Strong
1a. Continuity of channel bed and bank
0
1
21
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 ,
1
2
3
4. Particle size of stream substrate
0
f 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
c_
No = 0
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = )
12. Presence of Baseflow
0 1
2
3
13. Iron oxidizing bacteria
0 1
2
3
14. Leaf litter
t 1
0.5
0
15. Sediment on plants or debris
0 J.5
1
1.5
16. Organic debris lines or piles
0 0.
1
1.5
17. Soil -based evidence of high water table?
No = 0
"s = 3
1
C. Biology (Subtotal= LL; )
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)
r0)
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
b
0.5
1
1.5
25. AlgaeO,r'
1
1.5
26. Wetland plants in streambed
F
CW = 0,7 ,5, OBL = 1.5
Other = 0
"perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: 1 :, �. m.f� ��� ,
r , ea.
yj
c_
Sketch:
f
STo 1r".
41

Waterbody SJOB006 facing northwest upstream
Waterbody SJOB006 facing southeast downstream

Waterbody SJOB006 facing northeast across

USACE AID#
DWQ9
Site # (indicate on attached map)
-
�„ STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: s 2. Evaluator's name
3. Date of evaluation: J.d �y-N 4. Time of evaluation:
5. Name of stream: \ -*'It. 6. River basin: %)%-
7. Approximate drainage area: `4 -- 8. Stream order:
9. Length of reach evaluated: 0 10. County:
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): 3 A & Longitude (ex. —77.556611):ILI
Method location determined (circle) ;

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

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWO Stream Identification Form Version 4.11 `:-'
Date: _-4-
Project/Site: _
Latitude: --""-Z-
Evaluator:
County:
Longitude:`?
0
1
2
Total Points:
Stream Determination (circle one)
Other
Stream is least
Ephemeral Intermittent Perennial
e.g. Quad Name:
perennit al if
if >_ 19 or erennial if >_ 30' � ��
" 0
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
01
^�1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
" 0
9
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
01)
No = 0
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
FACW Z 0.75; OBL = 1.5
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 = O2
Yes = 3
artificial ditches are not rated; see discussions in manual 4jy
B. Hydrology (Subtotal = L)
12. Presence of Baseflow
01`j
2
2
3
13. Iron oxidizing bacteria
COD
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
r1 , _
1.5
17. Soil -based evidence of high water table?
0)
No = 0
(Yes_= 3 71
1.5
C. Bioloav (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)
1
2
3
21. Aquatic Mollusks
0 }
1
2
3
22. Fish
'' 0 }
0.5
1
1.5
23. Crayfish
0)
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
(b)
0.5
1
1.5
26. Wetland plants in streambed
FACW Z 0.75; OBL = 1.5
Other = 0
"perennial streams may also be identified using other methods. See
p. 35 of manual.
Notes:
Sketch:!
41

� � � r
� � _
A
� _ -
_ _ 4 •rte �l�, _ � - �
� y '
�/ ���� � �

USACE AID# DWQ # Site # (indicate on attached map)
SYO
;,i„ STREAM QUALITY ASSESSMENT WORKSHEET - _
—AQF
Provide the following information for the stream reach under assessment:
1. Applicant's name: "�N� 2. Evaluator's name: '117)­�' V,11.;, (�,r_
3. Date of evaluation: 4. Time of evaluation: ikyo,
S. Name of stream: l)\ 6. River basin: IVA�
7. Approximate drainage area:—>8. Stream order:
9. Length of reach evaluated: i- 3 cs ' 10. County:
11. Site coordinates (if known): prefer jinn decimal degrees. 12. Subdivision name (if any):—
Latitude (ex. 34.872312):) �,.1 a f 1�" I Longitude (ex. —77.556611): e SD
Method location determined circle : G� To 0
( ) (, � et Ortho (A&ial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
y��
14. Proposed channel work (if any): Lgl
15. Recent weather conditions: >o
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? 0 NO If yes, estimate the water surface area: 1 5 A c.
19. Does channel appear on USES quad map? & NO 20. Does channel appear on USDA Soil Survey? NO
21. Estimated watershed land use: k o % o Residential
22. Bankfull width:
11-1 1
140 % Forested
% 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: 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:
V1^
Evaluator's Signar',1 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.

STREAM QUALITY ASSESSMENT WORKSHEET
I These characteristics are not assessed in coastal streams.
2
73
3
a

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWO �trenm Ttientifivatinn Form VPrcinn 4-11 i "1 `-
Date: `', i
Project/Site:.
Latitude: ?
Evaluator:
County:
Longitude:7 3 �
0
1
2
Total Points:
Stream Determination (circle one)
Other
Stream is at least intermittent
Ephemeral Intermittent Perennial
e.g. Quad Name:
if >_ 19 or perennial if >_ 30
01
`:
-=
O ,
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
01
`:
-=
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
23
1.5
8. Headcuts
0� -
1
2
3
9. Grade control
0
0.5
1i
1.5
10. Natural valley
0
0.5."
1
1.5
11. Second or greater order channel
No = 0
1Yes = 3)
i `T®C�
c I
/
artificial ditches are not rated; see discussions in manual
E
R Hvdrnlnnv (Ri ihtntal =
12. Presence of Baseflow
0
1 _�
-Ts2
3
13. Iron oxidizing bacteria
t0
1
2
3
14. Leaf litter
j1.5}
1
0.5
0
15. Sediment on plants or debris
0
0.5
2
1.5
16. Organic debris lines or piles
0
0.5
1
1.5
17. Soil -based evidence of high water table?
!0;'
No = 0
(Yes = 3'
1.5
C' Rinlnnv !ql ihtntal = I_ 'Ll 1
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
'0)
1
2
3
22. Fish
(0
0.5
1
1.5
23. Crayfish
!0;'
0.5
1
1.5
24. Amphibians
0
-1/0.51
1
1.5
25. Algae
; b,
0.5
1
1.5
26. Wetland plants in stre m
FACW = 0.75; OBL = 1.5 Other = 0
"perennial streams may also be identi _using her methods. See p. 35 of manual.
Notes:
Sketch:
C.
i `T®C�
c I
/
<
(Val �I�w
I
41
0 <

Waterbody SJOB004 facing east upstream
Waterbody SJOB004 facing north downstream

Waterbody SJOB004 facing northeast across

Open Waterbody Data Sheet
Survey Description
Project Name:
Waterbody Name:
Waterbody ID:
Date:
Southeast Reliability
Unnamed Pond
0JOA005
7/25/2014
State:
County:
Company:
Crew Member Initials:
Photos:
North Carolina
Johnston
Natural Resource Group
GB, TP, LE
1 -north
Tract Number(s):
Nearest Milepost:
Associated Wetland ID(s):
20-185
393.75
none
Survey Type:
(check one) ©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
2.5 ft.
❑Bent, matted, or missing ❑Wrack 71 Litter and [-]Abrupt plant ❑Soil characteristic change
vegetation line debris community change
Depth of Water:
Bank height (average):
Bank slope (average):
2.0 ft.
3.0 ft.
80 degrees
N/A❑
Qualitative Attributes
Water Appearance:
(check one) L1No water OClear ❑Turbid ❑Sheen ❑Surface ❑Algal ❑Other:
on surface scum mats
Substrate: ❑ Bedrock ❑ Boulder ❑ Cobble ❑ Gravel 0 Sand 0 Silt/ clay ❑ Organic ❑ Other:
(check all that apply)
% of Substrate: % % % % 30 % 70 % % %
Width of Riparian Zone:
Vegetative Layers:
(check all that apply) o Trees: 0 Saplings/Shrubs: 0 Herbs
ft.
Avg. DBH of Dominants: 12.0 in. 1.0 in.
N /A ❑X
(approx.)
Dominant Bank Vegetation (list):
Loblolly pine, American holly, sweetgum, water oak, Carolina jessamine, St Johns cross, wood oats, greenbrier, stiltgrass
Aquatic Habitats (ex: submerged or emerged aquatic vegetation, overhanging banks/roots, leaf packs, large submerged wood, riffles, deep pools, etc.):
Pool
Aquatic Organisms Observed (list):
Frog
T&E Species Observed (list):
none
Disturbances (ex: livestock access, manure in waterbody, waste discharge pipes):
none apparent
Waterbody is:
(check one) ❑ Natural 0 Artificial, man-made ❑ Manipulated
Waterbody Quality 1:
(check one) ❑ High 0 Moderate ❑ Low
Form Rev. 07/09/2014

Form Rev. 07/09/2014
Waterbody ID:
OJOA005
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:
Stock pond excavated in upland to intercept water table, supplemented by sheet flow input on gentle slope; no channels
enter or exit feature.
Waterbody Sketch (Include north arrow, centerline distance from cent "ne, data point locations, survey boundary, and IDs of associated features)
1
�V
�0t
`
0� O�
Q
O
/0
1
0
toll
f
�P
�' NX
O�
OPP
' $
S�
Form Rev. 07/09/2014

AV
Ifi

USACE AID# DWQ # Site # (indicate on attached map)
0
S J�
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: c E"E�_ ,�> ,.
3. Date of evaluation: \tet
5. Name of stream: 0$,,N'V t ,`
7. Approximate drainage area: �� _ �l ! i c l Jas
9. Length of reach evaluated:
2. Evaluator's name: -X
4. Time of evaluation: "?)n
6. River basin: '4.\e., a--� %Q--
8. Stream order:
10. County:w�
11. Site coordinates (if known): rprefer in decimal degrees. 12. Subdivision name (if an%y)�: n
1.2titude (ex. "34.972312): s 4 P �J 1A i (? Longitude (ex. -77.556611): 1
Method location determined (circle): GPS Topo Sheet yOrtho eri 1) Photo/G S j Other GIS Other
13. Location of reach under evaluation (no ee- y(rroads and landmarks ani attach map identifying stream(s) location):
14. Proposed channel work (if any): 1 >�
15. Recent weather conditions: ,%`,, A\ o,r
16. Site conditions at time of visit: i\.A Cm,'c-C s)t �A r
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters l/ 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:
r . 5
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: jam% Residential % Commercial _% Industrial % Agricultural
3S % Forested % Cleared / Logged _% Other
22. Bankfull width: `-i 1 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: _Flat (0 to 2%) -ZGentle (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: Ac 3
Evaluator's Signature~'" t `� 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.

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

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their nriains v. 4.11
NC'. DWO Stream Identification Farm Version 4.11
Date:
Project/Site: ` � , ��
Latitude: i � - p
Evaluaton �
County: �������� ,
Longitude:` . r'�l ��
0
1
2
Total Points:
Stream Determination (ci e)
Other
Stream is at least intermittent
Ephemeral Intermitten erennia
e.g. Quad Name:
if >_ 19 or perennial if >_ 30
0
1 'S
-
A. Geomorphology (Subtotal
Absent
Weak
Moderate
Strong
1 a. Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
C3'
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1 'S
-
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
t_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 .r
10. Natural valley
0
0.5,'
1
1.5
11. Second or greater order channel
No = 0
'Yes
Sketch:
- artificial ditches are not rated; see discussions in manual
R_ Hvdroloav (Subtotal = Q 1
12. Presence of Baseflow
0
1
`,.2.
3
13. Iron oxidizing bacteria
0 ;,
1
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
0.51
1
1.5
16. Organic debris lines or piles
0
0.5
` 1
1.5
17. Soil -based evidence of high water table?
0
No = 0
1
Yes''= 3
C Rinlnnv (Si ihtntal = S2 1
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)
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0 '
0.5)
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0.5
1)
1.5
25. Algae
0 ,
0.5
1 1 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: -- r.A 4)t. ka. ,
%l,
Sketch:
4.
W -So A +-

Waterbody SJOB003 facing southeast upstream
Waterbody SJOB003 facing northwest downstream

f'.
� �3.. �j r �/.s �'�' jM� r'�..3%!�t f yrAA-�+w7j!• - 1
� J
r
_ w

Open Waterbody Data Sheet
Survey Description
Project Name:
Waterbody Name:
Waterbody ID:
Date:
Southeast Reliability
Unnamed Pond
0JOA004
7/24/2014
State:
County:
Company:
Crew Member Initials:
Photos:
North Carolina
Johnston
Natural Resource Group
GB, TP, LE
1
Tract Number(s):
Nearest Milepost:
Associated Wetland ID(s):
20-201
395.05
WJOA006f
Survey Type:
(check one) ©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
3.0 ft.
❑Bent, matted, or missing ❑Wrack 71 Litter and [-]Abrupt plant ❑Soil characteristic change
vegetation line debris community change
Depth of Water:
Bank height (average):
Bank slope (average):
2.5 ft.
4.5 ft.
70 degrees
N/A❑
Qualitative Attributes
Water Appearance:
(check one) L1No water OClear ❑Turbid ❑Sheen ❑Surface ❑Algal ❑Other:
on surface scum mats
Substrate: ❑ Bedrock ❑ Boulder ❑ Cobble ❑ Gravel 0 Sand 0 Silt/ clay ❑ Organic ❑ Other:
(check all that apply)
% of Substrate: % % % % 20 % 80 % % %
Width of Riparian Zone:
Vegetative Layers:
(check all that apply) o Trees: 0 Saplings/Shrubs: 0 Herbs
ft.
Avg. DBH of Dominants: 12.0 in. 1.0 in.
N /A ❑X
(approx.)
Dominant Bank Vegetation (list):
Loblolly pine, sweetgum, red maple, tulip poplar, American holly, cane, greenbrier, stiltgrass, grape
Aquatic Habitats (ex: submerged or emerged aquatic vegetation, overhanging banks/roots, leaf packs, large submerged wood, riffles, deep pools, etc.):
Pool
Aquatic Organisms Observed (list):
Frog
T&E Species Observed (list):
none
Disturbances (ex: livestock access, manure in waterbody, waste discharge pipes):
Agricultural run off
Waterbody is:
(check one) ❑ Natural 0 Artificial, man-made ❑ Manipulated
Waterbody Quality 1:
(check one) ❑ High 0 Moderate ❑ Low
Form Rev. 07/09/2014

Form Rev. 07/09/2014
Waterbody ID:
OJOA004
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:
Stock pond created by placing a dam within wet swale; PFO wetland WJOA006
Waterbody Sketch (Include north arrow, centerline, distance from centerline, data point locations, survey boundary, and IDs of associated features)
1 �
� o
� o
,A
I,
Form Rev. 07/09/2014

Open Waterbody Data Sheet
Survey Description
Project Name:
Waterbody Name:
Waterbody ID:
Date:
Southeast Reliability
Unnamed Pond
0JOA003
7/24/2014
State:
County:
Company:
Crew Member Initials:
Photos:
North Carolina
Johnston
Natural Resource Group
GB, TP, LE
1 -west
Tract Number(s):
Nearest Milepost:
Associated Wetland ID(s):
20-202
395.2
none
Survey Type:
(check one) ©Centerline ❑Re -Route ❑Access Road ❑Other:
Physical Attributes
Waterbody Type:
(check one) NStock 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
3.0 ft.
❑Bent, matted, or missing ❑Wrack 71 Litter and [-]Abrupt plant ❑Soil characteristic change
vegetation line debris community change
Depth of Water:
Bank height (average):
Bank slope (average):
1.75 ft.
3.0 ft.
75 degrees
N/A❑
Qualitative Attributes
Water Appearance:
(check one) L1No water ❑Clear NTurbid ❑Sheen ❑Surface ❑Algal ❑Other:
on surface scum mats
Substrate: ❑ Bedrock ❑ Boulder ❑ Cobble ❑ Gravel 0 Sand N Silt/ clay ❑ Organic ❑ Other:
(check all that apply)
% of Substrate: % % % % 20 % 80 % % %
Width of Riparian Zone:
Vegetative Layers:
(check all that apply) o Trees: N Saplings/Shrubs: 0 Herbs
ft.
Avg. DBH of Dominants: 12.0 in. 1.0 in.
N /A ❑X
(approx.)
Dominant Bank Vegetation (list):
Sweetgum, tulip poplar, red maple, Chinese privet, greenbrier, grape, stiltgrass, false nettle, cane
Aquatic Habitats (ex: submerged or emerged aquatic vegetation, overhanging banks/roots, leaf packs, large submerged wood, riffles, deep pools, etc.):
Pool
Aquatic Organisms Observed (list):
Frog
T&E Species Observed (list):
none
Disturbances (ex: livestock access, manure in waterbody, waste discharge pipes):
Agricultural run off
Waterbody is:
(check one) ❑ Natural 0 Artificial, man-made ❑ Manipulated
Waterbody Quality 1:
(check one) ❑ High ❑ Moderate N Low
Form Rev. 07/09/2014

Form Rev. 07/09/2014
Waterbody ID:
OJOA003
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:
Receives run off from adjacent agricultural field and via ditched swale that collects water from ditches along New Hope
Road. Stream SJOB002 flows into pond; it is an excavated channel that intercepts ground water to feed pond.
Waterbody Sketch (Include north arrow, centerline, distance from centerline, data point locations, survey boundary, and IDs of associated features)
color•
o"
Form Rev. 07/09/2014

f

USACE AID#
DWQ#
Site # (indicate on attached map)
S� O–V3, co
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: 2. Evaluator's name C • n � �
3. Date of evaluation: �o� 4. Time of evaluation: NA
5. Name of stream: 6. River basin:
7. Approximate drainage area: 8. Stream order:
9. Length of reach evaluated:
10. County:
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): N1
Latitude ex. 34.872312: 35 Longitude ex. —77.556611):—
Method
77.556611 Method location determined (circle): GP po She t Ortho (Aer'al) �'hoto/GIS Other GIS Other
13. Location of reach under evaluation (note ne y roa sT ncLl din attach map identifying stream(s) location):
ve-
,t
14. Proposed channel work (if any):
15. Recent weather conditions:tZ o i `cti s ,Q 53,
16. Site conditions at time of visit: 11,. �, X 3 i
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters Nutrient Sensitive Waters _Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES (9yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES G 20. Does channel appear on USDA Soil Survey? YES NOS;
21. Estimated watershed land use: �% Residential % Commercial % Industrial a_SZ% Agricultural
_f'2_% Forested % Cleared / Logged % Other
22. Bankfull width: d , 0' 23. Bank height (from bed to top of bank): ! b 1 S
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): 0 Comments: r e�=
Evaluator's Signature /( Date
This channel evaluation form is intended to be used only as a guide to assist landowners anenvironmental 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
N

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWQ Stream Identification Form Version 4.11 <�>7 0
Date: 4
Project/Site: N
Latitude:
Evaluator:
County:��
Longitude. 5
0
1
�
Total Points: p, I
Stream Deter tion (circle one)
Other
Stream is at least intermittent
Ephemeral iftermitten Perennial
e.g. Quad Name:
if >_ 19 or perennial if >_ 30*
No = 0 t Yes: 3
1
A. Geomorphology (Subtotal = 6 )
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,0
ripple -pool sequence
No = 0 t Yes: 3
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
9
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
2
3
8. Headcuts
0
1
3
9. Grade control
0
0.5
1
1.5
10. Natural valley0.5
1
1.5
11. Second or greater order channel
o`= 0
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = )
12. Presence of Baseflow
0 1 2
3
13. Iron oxidizing bacteria
1 2
3
14. Leaf litter
1.5 1 0.5
0
15. Sediment on plants or debris
0 0. 1
1.5
16. Organic debris lines or piles
01 0.5 1
1.5
17. Soil -based evidence of high water table?
No = 0 t Yes: 3
0.5
C. Bioloav (Subtotal = 6 )
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance) dy
1
2
3
21. Aquatic Mollusks <V
1
2
3
22. Fish V
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24, Amphibians
0.5
1
1.5
25. Algae
0.5
1 1 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:
Sr -,C\\
Sketch:
4
TO (N ,, 1
w ')
41

'Jill
--,JAL

Open Waterbody Data Sheet
Survey Description
Project Name:
Waterbody Name:
Waterbody ID:
Date:
Southeast Reliability
Unnamed Pond
0JOA002
7/23/2014
State:
County:
Company:
Crew Member Initials:
Photos:
North Carolina
Johnston
Natural Resource Group
GB, TP, LE
1
Tract Number(s):
Nearest Milepost:
Associated Wetland ID(s):
20-214
396.5
none
Survey Type:
(check one) ©Centerline ❑Re -Route ❑Access Road ❑Other:
Physical Attributes
Waterbody Type:
(check one) NStock 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
2.5 ft.
❑Bent, matted, or missing ❑Wrack 71 Litter and [-]Abrupt plant ❑Soil characteristic change
vegetation line debris community change
Depth of Water:
Bank height (average):
Bank slope (average):
1.75 ft.
3.0 ft.
55 degrees
N/A❑
Qualitative Attributes
Water Appearance:
(check one) L1No water ❑Clear ❑Turbid ❑Sheen ❑Surface ❑Algal ❑Other:
on surface scum mats
Substrate: ❑ Bedrock ❑ Boulder ❑ Cobble ❑ Gravel 0 Sand N Silt/ clay ❑ Organic ❑ Other:
(check all that apply)
% of Substrate: % % % % 30 % 70 % % %
Width of Riparian Zone:
Vegetative Layers:
(check all that apply) o Trees: N Saplings/Shrubs: 0 Herbs
ft.
Avg. DBH of Dominants: 15.0 in. 0.75 in.
N /A N
(approx.)
Dominant Bank Vegetation (list):
loblolly pine, sweetgum, red maple, red elm, American holly, beautyberry, Chinese privet, grape, poison ivy, Japanese
stilt rass
Aquatic Habitats (ex: submerged or emerged aquatic vegetation, overhanging banks/roots, leaf packs, large submerged wood, riffles, deep pools, etc.):
Pool
Aquatic Organisms Observed (list):
Frog
T&E Species Observed (list):
none
Disturbances (ex: livestock access, manure in waterbody, waste discharge pipes):
Livestock access
Waterbody is:
(check one) ❑ Natural 0 Artificial, man-made ❑ Manipulated
Waterbody Quality 1:
(check one) ❑ High ❑ Moderate N Low
Form Rev. 07/09/2014

Form Rev. 07/09/2014
Waterbody ID:
OJOA002
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 locatio ,survey boundary, and IDs of associated features)
�
000000,•
� x
�0
h
4001
Form Rev. 07/09/2014

Waterbody 0JOA002 facing north

Open Waterbody Data Sheet
Survey Description
Project Name:
Waterbody Name:
Waterbody ID:
Date:
Southeast Reliability
Unnamed Pond
0JOA001
7/23/2014
State:
County:
Company:
Crew Member Initials:
Photos:
North Carolina
Johnston
Natural Resource Group
GB, TP, LE
1
Tract Number(s):
Nearest Milepost:
Associated Wetland ID(s):
20-216
396.7
none
Survey Type:
(check one) ©Centerline ❑Re -Route ❑Access Road ❑Other:
Physical Attributes
Waterbody Type:
(check one) NStock Pond ❑ Natural Pond ❑ Lake ❑ Reservoir ❑ Impoundment ❑ Oxbow ❑ Other:
Hydrologic Regime:
N Permanently Flooded ❑ Semipermanently Flooded ❑ Seasonally Flooded ❑ Temporarily Flooded
OHWM
OHWM Indicator:
(check
all that apply) N Clear line ❑Shelving ❑Wrested ❑Scouring ❑Water
Height:
on bank vegetation staining
2.5 ft.
❑Bent, matted, or missing ❑Wrack 71 Litter and [-]Abrupt plant ❑Soil characteristic change
vegetation line debris community change
Depth of Water:
Bank height (average):
Bank slope (average):
1.75 ft.
4.0 ft.
65 degrees
N/A❑
Qualitative Attributes
Water Appearance:
(check one) L1No water ❑Clear NTurbid ❑Sheen ❑Surface ❑Algal ❑Other:
on surface scum mats
Substrate: ❑ Bedrock ❑ Boulder ❑ Cobble ❑ Gravel N Sand N Silt/ clay ❑ Organic ❑ Other:
(check all that apply)
% of Substrate: % % % % 35 % 65 % % %
Width of Riparian Zone:
Vegetative Layers:
(check all that apply) o Trees: N Saplings/Shrubs: O Herbs
ft.
Avg. DBH of Dominants: 15.0 in. 0.75 in.
N /A N
(approx.)
Dominant Bank Vegetation (list):
loblolly pine, sweetgum, beautyberry, Chinese privet, grape, poison ivy, Japanese stiltgrass
Aquatic Habitats (ex: submerged or emerged aquatic vegetation, overhanging banks/roots, leaf packs, large submerged wood, riffles, deep pools, etc.):
Pool
Aquatic Organisms Observed (list):
Frog
T&E Species Observed (list):
none
Disturbances (ex: livestock access, manure in waterbody, waste discharge pipes):
Livestock Access
Waterbody is:
(check one) ❑ Natural N Artificial, man-made ❑ Manipulated
Waterbody Quality 1:
(check one) ❑ High ❑ Moderate N Low
Form Rev. 07/09/2014

Form Rev. 07/09/2014
Waterbody ID:
OJOA001
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,,purvey boundary, and IDs of associ d features)
s
��
p � X •a
�
o
L00.
G
f ,
-
t
Y
Form Rev. 07/09/2014

Waterbody 0JOA001 facing northwest

USACE AID#
DWQ#.
Site #
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
on attached map)
1. Applicant's name: S �-Ry
✓� � A ,O vv 2. Evaluator's name: VV,
`� _•d�, , .,
3. Date of evaluation: `4 D .. 1 �A
4. Time of evaluation: i�, Y\
5. Name of stream:
'16. River basin: �A Q --0
7. Approximate drainage area:--,,, i�"A"J I U\ti-> 8. Stream order:
9. Length of reach evaluated: —1 as
10. County. f.,
-
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): N
.
/A
Latitude (ex. 34.872312): i
Longitude (ex. -77.556611):
"_
Method location determined (circle): ; GPS
,,Topo Shef ' 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 p
15. Recent weather conditions: IRn,' . 1 , � "� C%' �v" � U
16. Site conditions at time of visi
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)
C�PS
� i18. Is there a pond or lake located upstream of the evaluation point? 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? Y' NO
21. Estimated watershed land use: ' ' % Residential
0 % Forested
22. Bankfull width:
% Commercial _% Industrial t 0 % Agricultural
Cleared / Logged % Other (-
23. Bank height (from bed to top of bank)
�1 I
24. Channel slope down center of stream: _Flat (0 to 2%) s�Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: Straight _Occasional bends v/ Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located 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: `--2 -\- <e
kia
Evaluator's Signature" ' [ cDate 4- i1 t bx
This channel evaluation form is intended to be used only as a guide to assist landowners and envi 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 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
2
I
3
3
1i

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 a� 0 �Z) t
Date:
ProjectlSite: ,y,^ 4 ; ,r'
Latitude: 1 ��"> ] "`e'
Evaluator: '� % �.,.
County:-
Longitude:] 8 , Lj � c�
Total Points:
Stream is at least intermittent
if >_ 19 or Perennial if>_ 30" L Q
Stream Determination (circ e)
Ephemeral Intermittent Pe
- `
Other
e.g. Quad Name:
A. Geomorphology (Subtotal = � _'� )
Absent
Weak
Moderate
Strong
1a. Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
(01
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
r.1
2
3
4. Particle size of stream substrate
01
0.5
2
3
5. Active/relict floodplain
0
1
0
3
6. Depositional bars or benches
0
1
C�
3
7. Recent alluvial deposits
0
(1 j
2
3
8. Headcuts
0
2
3
9. Grade control
0
0.5
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No = 0
00
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = ) 0 )
12. Presence of Baseflow
0
1
2
19. Rooted upland plants in streambed 3)
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
x`1.5.
1
0.5
0
15. Sediment on plants or debris
0
00.5)
1
1.5
16. Organic debris lines or piles
0
0.5
C1)
1.5
17. Soil -based evidence of high water table?
1
No = 0
Yes =
0.5
C. Bioloav (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
0.5
1
1.5
23. Crayfish 0
a
1
1.5
24. Amphibians 0
0.
1
1.5
25. Algae 0
0.5
1 1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.t
Other = 0
"perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: S aesa.ti�
l.. kq S, >
1A
� )q 0
Sketch: e_ T3 c -F,
00
VJ-S0P
/71 1 Ate„
i i;41 w lav
41
00

i �
r
�`�"���,
- ��
,,,, ��
i �A
� y
r� _.. ,..
'� ` �`Y� a,wj'
, -_
..� ���
�
- � E„ S
�
yam" �
. my
>. �
�
r

Waterbody SJOB001 facing southeast across

Open Waterbody Data Sheet
Survey Description
Project Name:
Waterbody Name:
Waterbody ID:
Date:
Southeast Reliability
Unnamed Pond
0JOA006
7/26/2014
State:
County:
Company:
Crew Member Initials:
Photos:
North Carolina
Johnston
Natural Resource Group
GB, LE
1 -north
Tract Number(s):
Nearest Milepost:
Associated Wetland ID(s):
20-227
398.45
none
Survey Type:
(check one) ©Centerline ❑Re -Route ❑Access Road ❑Other:
Physical Attributes
Waterbody Type:
(check one) NStock Pond ❑ Natural Pond ❑ Lake ❑ Reservoir ❑ Impoundment ❑ Oxbow ❑ Other:
Hydrologic Regime:
N Permanently Flooded ❑ Semipermanently Flooded N Seasonally Flooded N Temporarily Flooded
OHWM
OHWM Indicator:
(check
all that apply) N Clear line ❑Shelving ❑Wrested ❑Scouring ❑Water
Height:
on bank vegetation staining
3.5 ft.
❑Bent, matted, or missing ❑Wrack 71 Litter and [-]Abrupt plant ❑Soil characteristic change
vegetation line debris community change
Depth of Water:
Bank height (average):
Bank slope (average):
1.75 ft.
3.0 ft.
70 degrees
N/A❑
Qualitative Attributes
Water Appearance:
(check one) L1No water ❑Clear ❑Turbid ❑Sheen NSurrace ❑Algal ❑Other:
on surface scum mats
Substrate: N Bedrock ❑ Boulder ❑ Cobble ❑ Gravel N Sand 2 Silt/ clay ❑ Organic ❑ Other:
(check all that apply)
% of Substrate: % % % % 30 % 70 % % %
Width of Riparian Zone:
Vegetative Layers:
(check all that apply) Trees: ❑ Saplings/Shrubs: O Herbs
ft.
Avg. DBH of Dominants: in. in.
N /A ❑X
(approx.)
Dominant Bank Vegetation (list):
Curly dock, horseweed, panicgrass, sneezeweed, Bermudagrass, barnyardgrass, ragweed, cotton
Aquatic Habitats (ex: submerged or emerged aquatic vegetation, overhanging banks/roots, leaf packs, large submerged wood, riffles, deep pools, etc.):
Pool
Aquatic Organisms Observed (list):
Frog
T&E Species Observed (list):
none
Disturbances (ex: livestock access, manure in waterbody, waste discharge pipes):
Agricultural run off
Waterbody is:
(check one) ❑ Natural N Artificial, man-made ❑ Manipulated
Waterbody Quality 1:
(check one) ❑ High ❑ Moderate N Low
Form Rev. 07/09/2014

114
OJOA006
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
Stock pond excavated in upland agricultural field to receive sheet flow from an upland swale, no channels enter or exit
Waterbody Sketch (Include north arrow, centerline, distance
^J N
P
d
centerline, data point locations,
()
boundary, and IDs of associated
V
ISO '
<ft���
z *%,I W: / JW
Form Rev. 07/09/2014

. VSs
f
"k Y .A,
QL �
Sr7a11- AN? 8'f
Waterbody 0JOA006 facing north

Open Waterbody Data Sheet
Survey Description
Project Name:
Waterbody Name:
Waterbody ID:
Date:
Atlantic Coast Pipeline
UNT to Johnson Swamp
0JOB100
11/19/2014
State:
County:
Company.
Crew Member Initials:
Photos:
North Carolina
Johnston
NRG
TP, RH
3
Tract Number(s):
Nearest Milepost:
Associated Wetland ID(s):
20-229
401.1
WJOB100
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:
❑ Permanently Flooded O 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
5 ft.
El Bent, matted, or missing ❑Wrack
El Litter and ❑Abrupt plant ❑Soil characteristic change
vegetation line
debris community change
Depth of Water:
Bank height (average):
Bank slope (average):
3 ft.
10 ft.
70 degrees
N/A❑
Qualitative Attributes
Water Appearance:
(check one) El No water OClear ❑Turbid ❑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) ® Trees:
0 Saplings/Shrubs: ❑ Herbs
50 ft.
Avg. DBH of Dominants: 12 in.
N/A❑
(approx.)
--Lin.
Dominant Bank Vegetation (list):
Loblolly pine, sweet gum, water oak, sourwood, red maple
Aquatic Habitats (ex: submerged or emerged aquatic vegetation, overhanging banks/roots, leaf packs,
large submerged wood, riffles, deep pools, etc.):
pool
Aquatic Organisms Observed (list):
none
T&E Species Observed (list):
none
Disturbances (ex: livestock access, manure in waterbody, waste discharge pipes):
none
Waterbody is:
(check one) ❑ Natural 0 Artificial, man-made
❑ Manipulated
Waterbody Quality a:
(check one) ❑ High 0 Moderate ❑ Low
Form Rev. 07/09/2014

r�
Form Rev. 07/09/2014
Waterbody ID:
OJOB100
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; 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 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:
Pond constructed in natural drainage way, forested wetlands above and below pond.
Waterbody Sketch (Include north arrow, centerline, distance from centerline, data point locations, survey boundary, and IDs of associated features)
JOS
A 11J [AwAvia0i
too
oP
o3�8
<ftftft�� x �
of 100 o
OFIO& / x wS
� 100
�P
CO coop C.5
r�
Form Rev. 07/09/2014

r�,
Y} �� T � a rfi�,� s
¢a� aF � sa' . .''� � � �'�, fir, �� � � ��rF9 � .,. � r�'

USAGE
"
DWQ
Site 4_ (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
I. Applicant's name: D oYv� 1 h I o h
3. Date of evaluation: 5 / Z 111S
5. Name of stream: Uk1J7 -i� q!li(l Cr�L�
7. Approximate drainage area: 5 0.
9. Length of reach evaluated: Z- O t
SJn� 017
2. Evaluator's name: 56-1 (J0?P'('t To-(nbyI
4. Time of evaluation: 9 Am
6.Riverbasin: Nt•,VbG
8. Stream order: O
10. County: 'TO hMS+0n
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): PZ Ones
Latitude (ex. 34.872312): 3 S 1 3 01 LiZ Longitude (ex.-77.556611):-7.8,� `I (9 No
Method location detemtined (circle):PS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluate (note nearby roads and landmarks and attach map identifying stream(s) location):
Sou+a, 4 G-oclwNn Lo.K.e. �dk by+weer NCC50 o—n& N06
14. Proposed channel work (if any):
15. Recent weather conditions: W(Axvvl
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 (1-1V)
18. Is there a pond or lake located upstream of the evaluation point? YES to If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES Q'I 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: �J_%Residential _%Commercial _%Industrial i5%Agricultural
HO % Forested % Cleared / Logged _% Other
22. Bankfull width: 5 T �- 23. Bank height (from bed to top of bank): I Tt
24. Channel slope downcen 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 worksbeet (located on page 2): Begin by detennining 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 y
Total Score (from reverse): Comments:
Evaluator's SignatureDate 5/ -LI / l S
This channel evaluation f r n is ttended to he used onas guide to assist landowners and'euviron nental professionals in
gathering the data requi • d by the United States Arn C rps 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. Fornt 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.
eM1'•��Ai�JVO�tT��f�®l�`��?T"��P�
CE2ACTEI2TST"i
', "•
t
jyf
# <
`acs{
n 3 5`V'"�
PiemontGMoun
}¢F'fi SO
m`i�<<�s
) _zr'zr< �'z.r
.Gd�sta4'
.. y
0-5
0-4
0-5
Presence of flow /'persistent pools in stream
y=
.=
1
no flow or saturation = 0; strong flow = maxpoints)
y{;
2
Evidence of past human alteration
0-6
0-5,
0-5
(extensive alteration 0; no alteration = maxpoints)
Riparian zone.. '
0 — 6
0-4
0 _5
3
(no buffer, 0, coptt nous, wide buffer = max points
Evidence of nptnent or chemical discharges '
0 5. i
0 4
0=4
2
4
(ezten'sive discharges 0; no disefiar es max oints)
.J
5
Groundwater discharge
0-3
0 4
(no discha`r e 0 s rin s, seeps,* etlhnj,, etc max onus)
6
P resenceofadjacentfloodplain
0 4 .'
0-4,',
0-2
2
(no floodplam= (7; extensive flood lam —max points
Entrenchment /floodplain access
0— 5
; 0 4
0-2
P+ 7
(dee 1 entrenched - 0 fre went floodm =max oints)
,-
J
�._
Presence of adjacent wetlands
0-6
0-4
0— 2
5
8
(no wetlands — O large adjacent wetlands =max points)
V ie
.r
'90
Channel sinuosity �- '•
5 _.
0-4 '.
0-3 _
(extensive chaimelization = 0; natural meander= maxoints
g,
10
Sediment input
0-5
` 0-4
0-4
(extensive de osition 0 little or no sediment max oints)
Size & diversity of channel bed substrate
s _SNA*gym
0 4
0-5
11
(fine, honio mous _. 0; lar e; diverse sizes = max points)
"
Ev idence of channel incision or widening
0 5
0 — 4
0-5
12
(deepl incised = 0; stable bed & banks =max oints .
1
Presence of major bank failures res
5"
OL -5
0 —, 5
13
(severe erosion = 0; no erosion, stable banks = maxpoints)
�.
Root depth and density on banks ,
0-3
0-4
0-5
2
s F'
14
(no visible roots = 0; dense roots throughout = `max points)
tom:
Impact by agriculture livestock, or timber production
0 — 5
0 —4
0 - 5
P
15
(substantial im act =0; no evidence =MLoints)
.
Presence of riffle=pooVripple-pool'complexes_
0-3
0-5 `'
0-6
L.
15'
(no riffles/rip les or pools = 0; well-developed = max points)
l
'
Habitat complexity
0 6
0-6'
0=6
3
Me
17
(little or no habitat = 0; frequent, varied habitats = max points)
18
Canopy coverage over streambed
0 5
0 —5
0= 5
5
(no shadin ve etation — 0; continuous canoe —max rants)
Substrate embeddedness
, Nom*
0-4
0 — 4
19
(deeply embedded = 0; loose structure — max
s
Presence of stream invertebrates (see page 4)
0 — 4
0-5
0 = 5
20
(no evidence = O; common, nwnerous es =max oints)
210-4
Presence of amphibians
0-4
0-4
O,
(no evidence 0 common. numerous types — inax points
Ol
22
Presence of fish=.:`
O_4
0. q
0 —4
'+-C-
(no evidence 0; common, numerous `es max points)
23
Evidence of wildlife use : ' "`
0-6
0-5
0 — 5
(no evidence = 0; abundant evidence max points)
d=�
J00
t", Totafoin`tsPossihle ;;100
i, 3 std ,?� Fiv1
TOTAL SCORE (also enteron first a) z r 3
tge
* These characteristics are not assessed in coastal streams.

NC DWO Stream Identification Form Version 4.11 S j o D i %
Date: S/ Z 115
Project/Site: PC?
Latitude:35 Jot l2.
Evaluator: E5y'L. d?R-Y-lToCnbul\�
County: -so hr,6+0 rN
Longitude: -?B. gI�PUUJ
Total Points:
Strif?: rpere least
1 �
Stream Deter natie circle one)
Ephemeral tte Perennial
Other TCGco(Jcs
e.g. Quad Name: G'o55rJacEs
perennial if
if >_ 19 or erennial if >_ 30`
19
2. Sinuosity of channel along thalweg
0
A. Geomorphology (Subtotal
Absent
Weak
Moderate
Strong
1"Continuity of channel bed and bank
0
0
2
3
2. Sinuosity of channel along thalweg
0
Q2
0.5
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
0
2
3
4. Particle size of stream substrate
0
0.5
2
3
5. Active/relictfloodplain
0
1
2
3
6. Depositional bars or benches
1
2
3
7. Recent alluvial deposits
(0
1
2
3
8. Headcuts
FACW = 0.75; OBL =
2
3
9. Grade control
0
1
1.5
10. Natural valley
0Cy
1 1
1.5
11. Second or greater order channel
No = 0
Yes = 3
Sketch:
- ���
`artificial ditches are not rated; see discussions in manual
B. Hydrology Subtotal = 7 ,5 )
12. Presence of Baseflow
0 1
9
1 3
13. Iron oxidizing bacteria
0 Q
2
1 3
14. Leaf litter1.
1
0.5
0
15. Sediment on plants or debris
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
es = 3
C. Bioloav (Subtotal = h)
18. Fibrous roots in streambed
(3)
2 1
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0
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 = 0.75; OBL =
1.5 ter = 0
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
- ���
�. ,•ctV
5 ��oi7
anL-R)II w; 5 �t
o+�wPA W,6}h'. 1 �

} Vd
esti ,4 s.,. ' � ♦ � j . ♦�
IK
y�Y
► `t�" '

USACE AID:i DWQ - Site =_ (indicate on anached map)
M STREAM QUALITY ASSESSMENT WORKSHEET 4.
Provide the following information for the sprant reach under assessment: S j D C) to
1.Applicant'sname: Dominlon 2.Ewaluator`snanie:551 LRopew-, luvniouli)
3. Date of evaluation: 512-1 /!5-
5. Name of streaut: L �O OvnrS • S tM Q_
� t
7. Approximate drainage area: C) 0.1.-
9. Length of reach evaluated: Z O;+
4. Time of evaluation:`� 6N
6. Ricer basin: 06 05 t,
S. Stream order:
10. County: 3u h n5 -t o n
11. Site coordinates (if known): prefer in decimal decrees. 12. Subdivision name (if an),): Y\ 0 n2.
I.atitude rex. 34.872312Y 35'301l7l Loneitude(ex.-77.556611):-%0.9 1 /8 1
Method location detennined (circle): GPS Topo Sheet Onho (Aerial) PhotoiGIS Other GIS Other _
13. Location of reach under evaluation (note nearby roads and landmarks and attach neap identifying streant(s) location):
5nO+h o� Go&w;V-t Lo.Ke, NL- 50 d Nc,-9(0
14. Proposed channel work (if
15. Recent weather
16. Site conditions;
P,d
17. Identify any special watetAwa),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' ED 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: 5 % Residential _°o Commercial _% Industrial IS % Agricultural
21. Forested _% Cleared I Logged _% Other ( )
� 7cpcF$$An.� �t
22. Bankfulh\wtd is t,t�+ 23. Bank height (from bed to top of bank): S -F"h
24. Channel slope down center of stream: _Flat (0 to 2%) Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (> 10910)
25. Channel sinuosity: _Straight /Occasional bends _Frequent meander -Very sinuous _Braided channel
instructions for cornpIction of wworksheet (located on page 2): Begin by determining the most appropriate ecore¢ion based on
location, terrain, Vegetation, stream classification. etc. Evet1 characteristic must be Scored using the salve ecoreeion. Assign points
to each characteristic \within the ranee sho\cn for the ecoregion. Page 3 provides a brief description of how to re\'ie\w the
characteristics identified in the worksheet. Scores should reflect an overall assessntem of the stream reach under evaluation. if a
characteristic cannot be e\aluated due to site or \weather conditions. enter 0 in the scoring box and provide an explanation in the
connnent section. Where there are obvious changes in the character of a stream under re\iew (e.g, the stream floes from a pasture
into a forest). the stream may be divided into smaller reaches that display more continuity, and a separate forst used to e\ aluate each
reach. The total score assigned to a stream reach must range benween 0 and 100. with a score of 100 representing a streaut of the
highest quality.
Total Score (from reverse): 9 2-
E\
E\ aluator's Signature fl kk Ww lL l ,_ Date
This channel evaluation rm 1s intended to be used my as a garde to assist laltdo\wncr- and- tt�itenial professionals in
Qatitering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting front the completion of this forut is subject to USACE approval and does not imply a
particular nlhigation ratio of requirenici t. Forni subject to :fang - \ ersiori 06 tlj, To CG?iinierl. plemle tall `Ji -S 6-i`= , I \ 26.

STREAM QUALITY ASSESSMENT WORKSHEET
can'
Presence of flow / persistent pools in sti
1
(no flow or saturation = 0 strong flow = ma).
rj
Evidence of past human alteration
2
(extensive alteration .= 0; no alteration= ma,
Iirparian zone'.
3
(noebuffer ,O;.conir nous )videtiuf£er.=ma
0-5
` Er tdence of nutrient or cjtem.cal.<hsc7t
4"
{extensive disebar es 0; no diseliar es rn
5
GrodWaterdrse
anarge 2T
(n0 dischar a 0• " rib ys, sees �3etlan&, etc
Presence of adjacent floodplaru
6
(no flood lain= 0, extensive floodplain . m.
Eu#i enchmenf / tioodplain access
t onrts
deepl entrenched 0•fie aentfloodin -n
pia eSerice ofadjaceiittgetlands
$
(no wetlands =.0, ]ar a adjacent wetlands - n
05;
Channel srntiosity
9
extensive ebannelization = 0; natural meander.
uc oints)
Sediceient input
10
(extensive de osiGon 0, tittle ox no_sedin'
Size & diversity sity of channel beis ubs
11
fine; hoino enous - 0;'] are, diverse sizes.=
12
Etidence of channel incision or R idi
maxPoints
(deepl incised = 0; stable bed & banks =ri
P'resenci,of major bank failure
13
(severe erosion = 0, no erosion stable banks'
0 4
Root depth'and density on banl
14
(no visible roots 0 dense roofs throw out
�=
Impact by agriculture, livestock, or timbe
IS
(substantial impact =0` no evidence =m:
'
Presence bf riffle-poollripple-pool co
16
{
(no riffles/ripples or pools = 0; Nvel1-1eve1o11e4
0-2
Habitat complexity
17
`
(little or no habitat - 0; frequent vaned habits
4
Canopy coverage over strealut
18
(no shadin vegetation = 0; continuous canop
0-6
Substrate embeddeduess
19
(deeply embedded = 0; loose structdrl,
�axponrts)
Presence of stream invertebrates (se
20
(no evidence= 0; common, numerous ty e
j
Presence of amphibians
p_ 21
(no evidence = 0; common. numerous type
0-3
Presence offish
22
(no evidence= 0. common, numerous type
Ev^ldenceofijildlifeuse '
-=
{no eiddence =. 0: abundant evidence -
0 5
0-4
can'
0-5
0-4
0-5
rj
points)
0-6
0-5
0- 5
points)
0-6
074
t onrts
irges _.
05;
0= 4
0 4
3
uc oints)
0 3
0=4
0=4, '
1
maxPoints
0 4
0-4
0-2
0
LX oints
0-5
0-4
0-2
ax oints)
0-6
0-4
, 072
Ej
�axponrts)
0-5
0-4
0-3
max oints
0 5
0-4
,0-4 ,
max oinis)
trate
} NA*
0-4
0-5
max "points)
:ping...
0-5
0-4
0-5
S
tax points).
0-5
0-5
0-5
r)
max oints)
s0-3
0-4
0-5
- max points) -
production
0-5
0-4
0-5
LX oints
ipleaes
0-3
0-5
0-6
I
I = max points)
0-6
0-6
0-6
I
is=max points)
ed
0-5
0-5
0-5
2
y = max points)
r ;
0-4
0-4
=max)A*:':
_r
epage 4)
0-4
0-5
0-5
= max oints)
0-4
0-4
0-4
V
> =max points .
0-4
0-4
0-4
p
s=max oints)
0-6
- fl 5
0-5
Z
max points)
i00
100
(also enter.o1 first 15a e)
I
x These characteristics are not assessed in coastal streams.

NC DWQ Stream Identification Form Version 4.11 S D � 6
Date: 5/2-1115
Project/Site: Prup
Latitude: :55.3 U (,1
Evaluator: [5-1 Ll oc? e) j 1xvi Vi, t)( I)
County:;hnSn Dn
Longitude: -78,yj 757
Total Points:
Stream is at least intermittent S
termination (circle one)
Ephemeral Intermittent Perennial
Other es.cac.�S
e.g. Quad Name: C�
if >_ 19 or perennial if?: 30'ms
2. Sinuosity of channel along thalweg
LbK6
A. Geomorphology (Subtotal= 5 )
Absent
Weak
Moderate
Strong
1a, 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
1�,
2
3
4. Particle size of stream substrate
No = 0
1
2
3
5. Active/relict floodplain
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
1
1.5
11. Second or greater order channel
o = 0
Yes = 3
Sketch:
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal= 2).5 )
12. Presence of Baseflow
0 1
2
1
13. Iron oxidizing bacteria
0 1
2
3
14. Leaf litter
1
0.5
0
15. Sediment on plants or debris
0 0.5
1
1.5
16. Organic debris lines or piles
0
1
1.5
17. Soil -based evidence of high water table?
No = 0
Yes - 3
1
C. Biolow (Subtotal= ID )
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3 1
2
1
0
20. Macrobenthos (note diversity and abundance)
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
0.5
1
1.5
25. Algae
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.K
Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: - h a ; U ro-_
e l
Sketch:
[)"Vim VJ 1

s r c lf•�.' s 4T' 4'0"- -4 N MW �.
• R
Nu r
46
UL
�� i\��� � !`iii•. � � ';i i� �i
we
• — i
—I �1

i
l9 r._ e"�', 1.� - ni' �t ,. ':f� V4fy\.t f��•.' r� ,e .;.. �
}rte . •�' ', '� y�.�• .� r
'� �' � �_� � , i,y 11�` i .•:moi " �' - 1

Shoo 007
NC DWO Stream Identification Form Version 4.11
Date: Z '
ProjectlSite: RC?
Latitude: 3CJ 3C>3'2 -5 -
Evaluator: C -5-r LRO
County:
Longitude: -7s
' rh�l)�1
O�
-Lmii
Total Points:
Stream is at least intermittent 21°
Stream Deter inatio ircle one)
Other SPU 1=ot1�S
if >_ 19 or perennial if >_ 30'
Ephemeral fermi Perennial
e.g. Quad Name: uw�gop
A. Geomorphology (Subtotal =III)
Absent
Weak
Moderate
Strong
1°' Continuity of channel bed and bank
0
1
14. Leaf litter
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
O
1
2
3
4. Particle size of stream substrate
0
0.5
2
3
5. Activelrelict floodplain
0
1
2
3
6. Depositional bars or benches
0
0
1 2
3
7. Recent alluvial deposits
(0
1
2
3
8. Headcuts
i(1
1
2
3
9. Grade control
0%
0.5
1
1.5
10. Natural valley
0
0.
1
1.5
11. Second or greater order channel
o = 0
Yes = 3
Sketch:
"artificial ditches are not rated; see discussions in manual
B. Hvdroloav (Subtotal=
12. Presence of Baseflow
0 1
2 1
3
13. Iron oxidizing bacteria
0 1
2
3
14. Leaf litter
1.5 1
U.
0.5
0
15. Sediment on plants or debris
0 .
1
1.5
16. Organic debris lines or piles
OJ 0.5
1
1.5
17. Soil -based evidence of high water table?
No = 0
0.5
1
C. Bioloav (Subtotal= 6 . C�% )
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
0
2
1
0
20. Macrobenthos (note diversity and abundance)
r0
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
(0
0.5
1
1.5
24. Amphibians
0
.5
1
1.5
25. Algae
(0
0.5
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL =
1,9 Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
SIG
F
w;ic>o z7
S3obp�7
�^ 3 O

USACE A1Dr D WQ = site= [indicate on aliached snap)
500007
M jMM1W
STREAM QUALITY ASSESSMENT NVORKSHEET
Provide the following information for the stream reach under assessment:
s-
l.Applicants name: Q nm ►vt tt7� 2. Evaluator's natne: E6:c �_ (�Dpe^,* 10 e^,*-
3. Date of evaluation: y 1 Z 115 4. Time of evaluation: 10 avq\
5. \arae of stream: M 8yanc_k , 6. Riverbasin: kme' Cwf4-
7. Approximate drainage area: 50(,(- 8. Stream order: I -"�*
9. Length ofreach evaluated: 30�t 10. County:. J obYl6h)n
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): t� o r) e_
latitude (ex. 34.872312): 5, 3 ©" Z`5- Longitude (ex. -77.556611): —7.8_,
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 neap identifying stream(s) location):
14. Proposed channel Nvork (if any): art 51 Cei v1 e-,
15. Recent weathercondit
16. Site conditions at time of visit: d
17. ldentify any special waleiivay classifications known: _Section 10 Tidal Waters Essential Fisheries Habitat
_Trout Waters _Outstanding Resource paters _Nutrient Sensitive paters _plater 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? 'E NO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated Na°atershed land use: 110 °'o Residential °o Cotmnercial % Industrial Agricultural
3D % Forested _ _ 4'o Cleared / Logo ed % Other ( )
�C7op o -F BArl
22. $ankfuIT kvid i:, 2/3. Bank height (frons bed to top of bank):
2.1. Channel slope down center of stream: _Flat (0 to 2%) ✓Gentle (2 l0 4°'oj �A4oderate (4 to 10%) _Steep (> I 0°'o)
25. Channel sinuosihv: Straight LOccasional bends ^Frequent meander ```eery sinuous _Braided channel
litstructions for eompletior, of tvorksheet (located on page 2): Begin by detennining [he most appropriate ecoregion rased. on
location. terrain, vegetation. stream classification, etc. Every, characteristic must be scored using the same ecoreg.ton. 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 flo«s fi'ont a pasture
into a forest), the stream may be divided into smaller reaches that display utore continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100. v ith a score of 100 representing a stream of the
highest quality.
Total Score (front reverse): Cont
Evaluator's Signature Date i t Zai 15- _
This channel evaluation f rm is intended to It u d only as a guide to assist landowners a�t�t it ttnental professionals in
aalllerina the data requ eed by the United States Arniv Corps of Engineers to shake a preliminary assesstnent 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 sul?lecl to ohang.e — % ersion 06 03. To Comnletn. Blease Call 919-8i6-9,14 1 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
These characteristics are not assessed in coastal streams.
, "4"k c a
sgM
A� V i11llT,drx_}IIT'i`+`Ll+� w5,v
a+ 4
�ECOI E t
?.S
CTERIST-IC
)! 4-5� ts"' 6 l!a$ta1.3'
p , wT
l,l_Qtt_�tl��ny1
"ij9- F-
_ via
,7 Sn or t w^
i�� .9 .c 2%�-c ds�-,.P3 u. LY" .d 'rai ,.5. r'�ia.lairaar..�1.,.
=�.edm_(tn}X 2Y
Presence of flow I persistent pools in stream
0-4
0-5
0-5
y'
(no flow or saturation= 0; stron flow = max points
2
Evidence of past human alteration
0-6
0-5
0-5
2
;- j
(extensive alteration = 0; no alteration = max oints) .
3
litparian zone
0— 6
0-4
0 5
3
(no buffer 0 conb uous, wide buffer _max points
Evidence of nutrient or chemical discharges ;,
0-5
0-4
0 4
2
4
(extensive dischar' es O; no dischar es = max oints) _
3
Gr'oundwaterdischarge _
0 3
0 4
0-4
5
(no discharge 0 spr n s seeps, �3 etlands, etc max points
Presence of adjacent floodplain "
0-4
0-4
0-2,
6
(no flood lam- O; exteiisive flood lain='ritax points)
Entrenchment / floodplain access
0-5
0-4
0-2
F '
(dee Iv entrenched = 0: frea cent floodin :=max points)
3
Presence of adjacent wetlands
0-6
0-4
0-2
8
now — O; lar a adjacent wetlands max posits)
3
.1:
a 9
Channel sinuosity
0-5
0-4
0 —3
(extensive channelizaUon = 0; natural meander max po nts
�
jp
Sedimentinput =-
�.
�0 5
D-4
0-4 �
G.
(extensive deposition 0: little eir no sediment max omts)
'
11
Size & diversity of channel bed substrate
NA
0-4
0 - 5
NR
(fine,lioino homogenous e, diverse sizes=maxpoints) 5
.°a, -r;
-
Evidence of channel incision or widening
0 — 5
0-4
0-5
�t
12
(deepl incised= 0; stable bed &banks =max hints).
3
Presence of major bank failures `
0-5
0-5
0-5
N
li
(severe erosion = 0; no erosion, stable banks= maxpoints)
Ra;
14
Root depth and density on banks
0-3
0-4
0-5
�t
(no visible roots= 0; dense root's throw hoot f inax points
Impact by agriculture, Livestock or timber production
0-5
0-4
0-5
2
15
(substantial impact —0; no evidence = max points
r'
16
Presence of riffle-pool/ripple-poolcomplexes
0-3
0-5
0-6
T
(no riffles/ripples or pools=0•well-develo ed=max points)
d`
Habitat complexity
0-6
0-6
0- 6
N'
17
(little or no habitat = 0; frequent, varied habitats =max oints)
E4
Canopy coverage over streambed
0-5
0-51
0-5
5
18
(no sha ding ve etation = 0; continuous vaso =max omts)
19
Substrate embeddedness
s NA*
0 —4
0 —4
{�
(deepl embedded = 0; loose structare = max)
20
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
CD
(no evidence = 0; common, numerous es = max points)
LJ'
21
Presence of amphibians
0-4
0-4
0-4
Q'
(no evidence= 0; common. numerous types max points
22
Presence offish
0-4
0-
0-4
(no evidence = 0; common, numerous es — max points)
0
Evidence of wildlife use
0-6
0-5
0-5
Z
23
(no evidence =: 0; abundant evidence =max points)
v
These characteristics are not assessed in coastal streams.

Environmental Field Surveys
Waterbody Photo Page
Waterbody sjoo007 facing northwest across bank.
Photo Sheet 2 of 2

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:Z C.)
Project/Site: ��
Latitude:
Evaluator: C � -�
County: �;
Longitude: i)gO so/ 1 S"
Total Points: (
is at least intermittent / t
Stream19
Stream Determ�l1'.na#ien (circle one)
Ephemeral `ltitermittent Perennial
Other
e.g. Quad Name:
if _ or if _ 30` Clff"'"`
2. Sinuosity of channel along thalweg
0
A. Geomorphology (Subtotal= )
Absent
Weak
Moderate
St g
1a. Continuity of channel bed and bank
0
1
2
C 3
2. Sinuosity of channel along thalweg
0
T1 )
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
/(I)
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0(Cl
No = 0
2
3
6. Depositional bars or benches
<0-)
1
2
3
7. Recent alluvial deposits
0.
1
2
3
8. Headcuts
X011
1
2
3
9. Grade control
0
0.5 '
1
1.5
10. Natural valley
0
1
1.5
11. Second or greater order channel
No = 0
es = 3
Sketch:
a artificial ditches are not rated; see dis ussions in manual
B. Hydroloqy (Subtotal
12. Presence of Baseflow
0
1
2
�3 l
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.V
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
rV
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
�;!0
1
2
3
21. Aquatic Mollusks
(0)
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
7711
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
3S, 301
9�. 500

S,rocWJ
�' USACE AID# DWQ # Site # (indicate on attached map) I
. -- --- --- — ----- - -- --- -- -- -- ------- ----- _._..._.. - - - -- — --- -- - . - - -- -- — -- --- - ------ — - — - --
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: l U;n"ofi lkcto 2. Evaluator's name:
3. Date of evaluation: z > (P 4. Time of evaluation: 10C�
5. Name of stream: < <f ��� 6. River basin:
7. Approximate drainage area: 8. Stream order:
9. Length of reach evaluated: 10. County:��n,1
11. Site coordinates (if known): prefer in decima degrees. 12. Subdivision name (if any):
q� 0 1 ' �'7 (�y
Latitude (ex. 34.872312): 3S
-0 1' D f /� ��" 4-71 Longitude (ex. —77.556611): � V 3 l t ! � � so ""
Method location determined (circle): rP* 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 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 NO If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES NO
21. Estimated watershed land use: % Residential
% Forested
22. Bankfitll width: 11�
24. Channel slope down center of stream: Flat (0 to 2%)
25. Channel sinuosity: Straight Occasional bends
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): a__
_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.
d 1
Total Score (from reverse): Comments:,---A� G1w4moi (o6dl
Evaluator's Signature 7 Date ) Off✓
This channel evaluation 6rm r� intended to sed only as a guide to assist landowners a d 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
r�
(CC>
6'
* ThPCP characterictinc are tint acceccP l in rnactal ctraamc

SF
4 '
l f
/
4
*per
a' �, 9

ISAC E IIP D\� 0 - Silt = c in�iitale nn ate tche�l r��l� t
'5309,001
FMM STREAM (QUALITY AS,SESSi1IENT WORKSHEET -AW
Pru► ide site fullosr inn itlfermallon for life strcafn reach under assessment:
1. Alip]icant 's name; tc a%OC1_-- 2. E.Nalualor's nam e:F �J­ a. St"j'+'±A4 Esti c -I
:. 17:tte of�e,aluation;
617//6 9. Tinfe nfe,alttati� t7:
11:6-OLYS
.'panne of stream:til "C �C �-Ldv1 .t n f}. liitierl,asin: /Qeth s -e
7. ,ApproNimate drainave area: �O a �� � S. Stream dreier: �.
9. Length of reach e, aluated: SO OC+ - _ 10. count":
11. Site coordinates (iUno„n): prefer in decimal decrees. 12. Subdk ision name (if on.): I
l.atitudc fey. a.Si�31Yl:.7 t� L — I r�ndlude (ev-77.556611):--7 k
hletltod locaihri1f detennined (circle)::I'S ropo Shect (inho (Aerial) l'ifoto GIS Othcr G!S Othcr
13. Local ion of reach under e, a] unt ioulnote nearb, roads and landmarks and attach map identifjinr_+ streatn(s) location):
Lcx-n-ke6�-
14. Proposed channel \cork (if anN 1: (� �GQ[a ; � rj42
15. Recent \,eaiher conditions: lVQ r e c e n4 r- .k+A L
16. Site: conditions at tune of ,isil: UM "`S2C-1 V V)� Sk
17. ldentifir an} special uatenvay classifications kno%�n: ecfion 10 Nidal Waters —Essential Fisheries Habitat
_Trout Waters �Ouisiandina Resource (raters ,Nutrient SensiiKe Waters wWater Supple Watershed (I -1V:)
IS. Is there a pond or lake located upstream of thee\ alual ion point:' YES 'NO if) es, estimate the «ater surface area:
19. Does channel appear on USGS quad map?YES y�h1O 20. Does channel appear on USDA Soil Sur\ eY`' ) NO
2l. Estimated „aiershed land use: LO°o Residential _°o Commercial �°a Industrial 0' Agricultural
4 Forested _a© Cleared / Loo -ed °a Other ( 1
JCP ° F At i� 6 ¢ f 23. Sank height ( front bed to to of bank
ankful wid 1: p )
24. Channel slope dome center of stream: Flat (Oto 26b) ____Gentle (2 to 4lo) _Moderate (4 to 10°o) --Steep (? l0° 6)
25. Clfannel sinuosity : Strai�7ltt Occasional bends _Frequent meander Vern sinuous _Braided channel
Instructions for complEtion of ttorksheet (located on ]page 2): Begin b). deternfilfi]12 the joust appropriate eEuregion based oft
location. terrain.xegetation.. stream classification, etc. E,en characteristic trust be scored usutc the sante ecoregion. Assi-n points
to each characteristic %� ithin the range shooii for the ecore+4ion. Page 3 pro\ ides a brief description of how to review the
characteristics identified in the \,orkslteet. Serres should reflect an overall assessment of the stream reach under e,aluatic If a
characteristic cannot be e\alunted due to site or,\eather conditions, enter 0 in the scoring box and pro►ide an explanation in the
comment section. Where there are obN-iuus changes in the character of a stream under re,iew the stream flogs frorn a pasture
into a forest). the stream inw, be diNided into smaller reaches that displa) more continuity, and a separate form used to er aluate each
reach. The total score assigned to a stream reach must rage bel„een 0 and loo. ijitll a score of 100 representing a stream of the
highest qualil%.
Total "care (frons rt) ersel: (,:�,7"4 Comments:
C1 aluntor's Sian ature Bate
This chantlEl E1 aluatiotl form is intended to lie used on , as a aulde to 'assist landowners And en{ lronmental professionals in
gathering the data required b5 the United '.Stales Arris, Corps of Enginecr5 to make a preliminarx assessment of stream
qualit►�. The total score resulting front the completim of this form is subject to USACE appro%al and does not infill% a
particular mitigation ratio or regUll'Enlent. Fc-lln to ch::tl.:e—,ersicin 06 03. To t_cnu-netn. plcFe call a1 C, 6-x'41 x 26.

STREAM (QUALITY ASSE.SSIMENT WORKSHEET
Q0i1rGI03� !01i,VT TANG
##I+,RISTICS'
-
4 -
Cry zstal`
l'icdnrcittt
]lilrur�t iiriR
Olt t
- S
,
Presence of flow 1 persistent pools in streanr
0-5
0-4
0 - �
r�
1
(no flow or saturation = 0: strong flow = max oints)
-�
Evidence of past lsurrtan alteration
(1-6
0- j
0-5
r r
`
(extensive niteration = 0, no alteration} = Wray points)
LJ
Riparian zone
0--6
0_4
0-5
If
(no buffer 0; contiguous, wide buffer = max oints)
4
Evidence of ngtrient or cherrrical discharges
0 — j
0 -4
0-- 4
4
(cxtensive discharges = U; no discharges = 6ax oints)
.
5
Groundwater discharge
0-3
0-4
0=
(no discharge = 0- sIirings, seeps, vv etlauds. etc = ma-xoints)
Presence of adjacent floodplain
0-4
Y-'
(no flood lain = 0; extensive fldod Iain =max oints)
Z
7
Entrenchment l floodplain access
0-5
0-4
0_ 7~
(deeply entrenched= 0; fro cent floodinL]-LM—ax oints)
-�
''.
Presence of adjacent v►etlands�--
4
0-�
;u
(no wetlands = Q; large ad}aeeart wetlands =max mints)
Channel sinuosity
0-5
0-4
0-3
(extensive channelization = 0 natural meander= max oints)
10
Sediment input
0-5
0--4
0-4
-
(extensive deposition= 0; little or no sediment = max oints)
Size & diversity of channel bed substrate
NA"
0 -4
0-5
t }
13
(fine. lioinoeenous = Q; large, diverse sixes =max Dints)
Evidence of channel incision or vv idening
0-5
0-4
0-5
r'
1
(dee lv incised = Q; stable bed & banks = rnax oints)
failures
A
3'
Presence of major bank
0-5
0-5
0-5
(severe erosion = 0; no erosion, stable banks = mas oints)
pI4
Root depth and density' on banks
0 - 3
0-4
0 - 5
(no visible roots = 0, dense roots throughout = max oints)
i
`
Im pact by agriculture, livestock, or timber production
0-5
0_4
0-5
15
(substantial impact =0- no evidence = maxmts) a
J
Presence of riffle complexes
0-3
0 -5
0-6
I6
(no riffles/ri les or ools = Q; well-developed ed = niax pints)
Habitat complexity
0-6
0-6
0-6
-
3 7
(little or no habitat = Q; fxe went, varied habitats =max points)
Canopy coverage over streanibed
0-5
0-5
0 - 5
18
(no shading vegetation= (l; continuous can❑ v = nta oints)
19
Substrate embeddedness
A
0-4
0-4
{dee lv embedded = 0• loose structure = max
Presence of stream invertebrates (see page 4)
0-4
Q _ 5
0 _, 5
�0
(no evidence = 0: common. nutneraus tv es = znax points)
'
I
Presence of amphibians
0 4
Q_ 4
0- t
Q
(no evidence = ii: com non, numerous tti es = max Dints)
7�
Presence offish
0 - 4
0 - 4
0 ^ 4
(no evidence = ii; catrunon, numerous tv es = max oints)
Evidence ofvvildlife use
0-6
0-5
0- 5
23
(no evidence = 0 abundant evidence = max offits)
Tota! Faints Possible
100 `
140
1010
TOTAL SCORE (also enter on irpt page)
`[
These characteristics are not assessed in coastal streams.

C�tn,�tic.'
NC I)WO Stre.tm I(lentitic tion Form Version 4.11
j10CL1)0 f
Rats: f �ll �6
Project/Site:
Latitude: 3 Q G5 r
Evaluator: jl } r �%1 A, 1'lLtrPArey
County: 7dhnr+on
Longitude;-7S,S1(�`f
Total Points:
Stream Determination [ciscls
other [] +�, 0 1-
Str
Stream is at least intermittent
t e � `�
, -9-
Ephemeral IntermittenPerennial
e.g. Quad Name:
i9 or perennial 3itt .a •
0.5
3
A. Geomor holo Subtotal = {1 • n
Absent
Weak
Moderate
Strong
1a Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
0.5
3
3. In -channel structure: ex riffle -pool, step -pool,
ripple -pool sequence
0
1
1
3
4. Particle size of stream substrate
0
t` 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
CO)
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
11.5
11. Second or greater order channel
No = 0
Yes
3
"artificial ditches are not rated; see discussions in manual
R HvHrnlnnv fSiihtrital = 6• n 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
o
0.5
1
1.5
16. Organic debris fines or piles
0
X0.5
1
1.5
17. Soil -based evidence of high water table?
o
No =0
Yes
1.5
f- Rinlnr7v ISifhtntal = 1©. L 5 1
18. Fibrous roots in streambed
3
2
1
0
19. mooted upland plants in streambed
[3j
2
1
0
20. Macrobenthos (nate diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
o
1
2
3
22. Fish
0
0010
1
1.5
23. Crayfish
o
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 0.7
OBL = 1.5 Other = 0
'perennial streams may also be identified using other methods. See p. 35 or manual.
Notes:
r� o ci, 00 I
Sketch:
1
�, av
H 'V l -� fib,° c� Gan k 6 ; � �-

�16DL
a�I
r
1 f r -r''' ,,r
- __ - � ...fir• `'r'4 ! , , r• � '
E T
9 �
J
int ►
�T ti
l
_
- __ - � ...fir• `'r'4 ! , , r• � '
E T
9 �
J

At- _Ra'
Air
Or
to ��• � � ��� S4 � �. 3,�
e
s