20140957 Ver 1_U-03_Appendix B_Wilmington_Cumberland NC waterbodies_Part1_20170227

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: _ i
Project/Site: �_�
Latitude: 3d 00 4313
Evaluator.
County: I, �`�
Longitude: -
0
1
2
Total Points: /
Stream is at least intermittent ') (
Stream Determination (circle -one)
Other
if ? 19 or perennial if >_ 30' G-�
Ephemeral Intermitten� erenniat
p -
e. Quad Name:
g"
A. Geomorphology (Subtotal = (�)
Absent
Weak
Moderate
Strong
,a, Continuity of channel bed and bank
0
1
2
`3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
(1
2
3
4. Particle size of stream substrate
0
1
1�2
3
5. Active/relict floodplain
0
"(1 J'
2
3
6. Depositional bars or benches
0
1
` 2)
3
7. Recent alluvial deposits
0
1
%2'
3
8. Headcuts
0
T 1
2
3
9. Grade control
0_
A-V
1
1.5
10. Natural valley
50 ;)
0.5
1
1.5
11. Second or greater order channel
No = 0
Yds = 3
Sketch:
a artificial ditches are not rated; see di.Icussions in manual
B. Hydrology Subtotal =
12. Presence of Baseflow
0
1
2
3�
13. Iron oxidizing bacteria
; 0>
1
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
¢ 0.,5.E
1
1.5
16. Organic debris lines or piles
' l'0,}
1 0.5
1
1.5
17. Soil -based evidence of high water table?
SJ
No = 0
1
Yes = 3.-
C. Biology (Subtotal = -1
18. Fibrous roots in streambed
( 3)
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
(`0
1
2
3
22. Fish
0
0.5
1 }
1.5
23. Crayfish
SJ
0.5
1
1.5
24. Amphibians
Y�
0.5
1
1.5
25. Algae
(` 0 i I/ El
1
1.5
26. Wetland plants in streambed
-0.5
FACW = 0.75;
OBL = 1.5 (Other =,0)
`perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
41

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
N
12

i USACE AID# DWQ # Site # (indicate on attached map) j
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: /-#-(-7\ 2. Evaluator's name: CoA+YV
3. Date of evaluation: 2-0 i u- 4. Time of evaluation: t" C ''
5. Name of stream: J NFT -
1(,,A SG�.)&ZnnC) 6. River basin: CC,12e, f' a s 03 03o a
7. Approximate drainage area: 8. Stream order:
'9.,Length of reach evaluated: 10. County: Ci t
I1. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): 3J ® 3& Longitude (ex. —77.556611): p 'i r b -3 10
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 (i
15. Recent weather condition
16. Site conditions at time of
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters _Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? (YES)
YES NO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: % Residential _% Commercial % Industrial % Agricultural
% Forested % Cleared / Logged % Other (
22. Bankfull width:` �� " 23. Bank height (from bed to top of bank): 2 �2-
24. Channel slope down center of stream:Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: Straight '/—Occasional bends _Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Evaluator's Signature %-J- Date
This channel evaluation form is intende b 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.

Waterbody SCME001 facing northeast upstream
Waterbody SCME001 facing south downstream

Waterbody SCME001 facing southeast across

USACE AID:
DWO =
Site T (indicate on attached map)
SCyno Ot�
STREAM QUALITY
ASSESSMENT WORKSHEET
ProN ide the following
information Tor the stream reach under assessment:
1. Applicant's name:
2. Evaluator's name: K.Mkrphre�
K,1JGr�clncv�
3. Date of eN aluatio�n::
b� &,Z014
4. Time of evaluation: ((a 10
5. Name of stream: 0,
�OG'
N Ted M (n_W �AOKMe
6. River basin: (fol (f r� r
7. Approxinnate drainagc
area: t (aoc) otcye S
S. Stream order:
9. Length of reach evaluated: �5 D J�+•
10.County: Cuvnbe�t4�d,
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): NA
Latitude (ex.3-0.872312): 5 , aM6 7 Z Longitude (ex. -77.556611): —_7 '�l
Method location detennined (circle):GPS l'opo Sheet Ortho (Aerial) Photo;GIS Other GIS Other -
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying sh eann(s) location):
5Ke©m iS [aCc�feC( SlelttV)ec i O(e 94ICk�_e)08 P,�.
14. Proposed channel work (if
15. Recent weather conditions: 56-41)n
16. Site conditions at time of
rve6
17. identify any special vaatetxvay classifications knottx: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _Nutrient Sensitive Waters _\Fater Supply \','atershed _Q -IV)
IS. Is there a pond or lake located upstream of the _evvaaluation point? YES N Ifyes; estimate the water surface area:
19. Does channel appear on USGS quad map? YES 1 NO 20. Does channel appear on USDA Soil Surrey? 0NO
21. Estimated watershed land use: 30 % Residential °o Commercial % industrial 50"0' Agricultural
�9io Forested _°'o Cleared/ Logged _% Other ( )
� (7npoF An� _`
22. BankfulPwld 23. Bank height (from bed to top of bank):I/n
24. Channel slope down center of stream: at (0 to 2°o) _Gentle (2 to 4%) _Nloderate (4 to 10%) _Steep (> 10%)
25. Channel siuuosih-: _Straight
—Occasional bends _Frequent meander _Very sinuous _Braided channel
instructions for completion of worksheet (located on page 2): Begin b) determining the most appropriate ecoreeion 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 ecoreeion. Page 3 provides a brief description of how to review the
characteristics identified in the tt"orksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or heather conditions, enter 0 in the scoring box and protide an explanation in the
commem section. `'here there are obvious changes in the character of a stream under review (e.g., the stream flouts from a pasture
into a forest). the steam 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 bemeen 0 and 100. ttith a score of 100 representing a su"eam of the
highest quality.
Total Score (from reverse): � Comments: `� iS �eG�Lt C� f/j&S CO ^S` klr--f(26 6S
EN aluator's Signature PP 0 Date
This channel evaluation form is intended to be used only as a guide to assist Iandotttiers 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 froth the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement Fornn subiect 10 change– version 06 0:. To Continent. please call 919-S7fi-5441 '6.

STREAM QUALITY ASSESSMENT WORKSHEET
x These characteristics are not assessed in coastal streams.
� �,'N x '
`��OTiE
�, .•,
r � Y
r�-�
#
�� CIi�112ACTERISTIC� � �
L-
'�._
1
Presence of flow / persistent pools in stream
0-5
0-4
0-5
(no flow or saturation = 0; strong flow = max points)
Evidence of past human alteration
0
l
(extensive alteration = 0; no alteration = max points)
—5
v
1
3
Riparian zone
0-6
0-4
0-5
1
(no buffer 0, conn uous, wide buffer = max points
�t
> vidence of nutrient or eheniieal discharges_
x
4
(eatensivedisehar es—O; no'discliarges;=max points)
0-5
— `
0-4
,rte
'?.
Gro and 'ater discharge ,-
0-3
0-4
0-4
`
5
(no discharge 0 s rip`s, seeps, wetlands, etc =max oints)
Yds
,6
;' Presence of adjacent floodplain
0-4
0-4 `
0=2,
l
(no floodplain = 0; extensive floodplain = max points)
Entrenchment / floodplain access
0 5
0 4
0 2
`
.
(deepl entrenched = 0; frequent floodin .= max o nts)
—
—
—
3
Presence of adjacent wetlands
0-6
0
0— 2
8
(no wetlands — 0; large adjacent wetlands =max points)
—4
1
9
Channel sinuosity
0-5
0-4
0-3
extensive channelization = 0; natural meander .= max points)
sa
10
Sediment"input
0-5
0-4
0-4
x.
(extensive deposition= 0; little or no sediment — maxpoints)
r
Size & diversity of channel bed substrate
ty
NA* ,
0— 4
0— 5
I I
(fine, homogenous homo enous = 0; large, diverse sizes = max po its)
Evidence of channel incision or widening
0-5
0
0-5
12
(deeply incised = 0; stable bed & banks = max points)
—4
E F
I.
Presene,e of ma or bank failures '
1
0-5'
0-5
0.5
4.
i3
(severe erosion = 0• no erosion, stable banks —maxpoints)
H.
Root depth and density on banks
0-3
0-4
0-5
E
14
(no visible roots = 0; dense roots throughout = max points)
15
Impact by agriculture, livestock, or timber production
0-5
0 —4
0-5
U
(substantial impact =0; no evidence = max points
Presence of riffle-pool/ripple-pool' complexes
0-3
0-5 ,
0-6
16
(no riffles/ripples or pools = 0; well-developed = max points)
17
Habitat complexity
0-6
0-6
0-6
M'
(little or no habitat = 0; frequent, varied habitats = max points)
Canopy coverage over streambed
0-5
0-5
0-5
is
(no shading ve etation = 0; continuous canopy = max points)
I
ra'
19
Substrate embeddeduess
NA*
0-4
0-4
(deeply embedded = 0; loose structure = max)
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
20
(no evidence = 0; common, numerous es = max points)
21
Presence of amphibians
0-4
0-4
0-4
0
(no evidence _= 0; common, numerous types = max points)
O°
22
Presence offish .+ -
0-4
0-4
0-4
a'
(no evidence = 0: cominon, numerous types max points)
1
23
Evidence of wildlife use
0-6
0-5
0-5
(no evidence = 0: abundant evidence = max points)
Total Points Possible-
100
' 100
100
TOTAL SCORE (also eritet on first page} f
a�
x These characteristics are not assessed in coastal streams.

oHwm wid+h', (O
-T-op t, � Ba4 W J+1
�Mo 0 l
NC DWQ Steam Identification Form Version
4.11
Date: OCC+doe I& ?__O I `-�
/
Project/Site: AC?
Latitude: b -7
Evaluator. �, Mu,r'phrey rll4+kl�-av'n
County: Cc'_\ je [Qv�,
cY
Longitude:
Total Points:
Stream Determination (circle one)
Other W�
Stream is at least intermittent
Ephemeral Intermittenterennial
e.g. Quad Name:
11`22 19 or erennial if>_ 30*
A. Geomorphology (Subtotal= �� S)
Absent Weak
Moderate Strong
12' 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 1
2 3
ripple -pool sequence
0
2 3
4. Particle size of stream substrate
5. Active/relictfloodplain
0
2 3
6. Depositional bars or benches
0 1
2 I3
7. Recent alluvial deposits
0, 1
2 3
8. Headcuts
1
2 3
9. Grade control
0 0.5
1 1.5
10. Natural valley
0 L0.5
1 1.5
11. Second or greater order channel
No 0
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. H drolo (Subtotal = \ )
12. Presence of Baseflow
0 1
2 3
13. Iron oxidizing bacteria
0 1
2 3
0,
14. Leaf litter
1.5 1
0.5
15. Sediment on plants or debris
0 0.5
1 1.5
16. Organic debris lines or piles
0
Yes 3
17. Soil -based evidence of high water table?
No = 0
C. Biology (Subtotal = )
0
1 B. Fibrous roots in streambed
3 2
1
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
1 1.5
22. Fish
0 0.5
0 0.5
1 1.5
23. Crayfish
0.5
1 1.5
24. Amphibians
0 0.5
1 1.5
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.
Notes: I
Sk tch:
I Rccess 2oaa l�q
oHwm wid+h', (O
-T-op t, � Ba4 W J+1

Environmental Field Surveys
Waterbody Photo Page
Waterbody scmo014 facing north upstream.
Waterbody scmo014 facing south downstream.
Photo Sheet I of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody semo014 facing east across channel.
Photo Sheet 2 of 2

USACE AiD' DWQ - Site T (indicate on auached map)
SCM0 O ((D
STREAM QUALITY ASSESSMENT «'ORKSHEET
Protide lite following information for the stream reach under assessment:
1. Applicannt`sname: �t"'�i � i or,
3. Date ofevaluation: OCAV'�' �G, 201'4
5. Name of siream: W �% i111i ® S W r^^
7. Approximate drainage area:
9. Length of reach evaluated: 50 F4.
11. Site coordinates (if known): prefer in decimal degrees.
Latitude (es. 3a.872312):3,i����
2. Etaluato's name: Murphrey K, %Ac✓k�nc m
4. Time of et aluation: l " 3D
6. Ricer basin:_ fCG F� r
S. Stream order: l
10.County: Cum�2.t4VkZ�
12. Subdivision name (if any):
N
Loneiuide(ex.-77.596611)_ !.O• (OP55I
Method location deieniined (circle): PS Topo Sheet Onho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach trial) identifying stream(s) location):
14. Proposed channel work (if any): t —6D
15. Recent weather coed
16. Site conditions at little of visit: t2f) `iS rbPd�
17. IdentiN any special haler ay classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive \'`raters _\Fater Supply NA'atershed _(MV)
18. is there a pond or take located upstream of the evaluation point? YESNO If yes. estimate the water surface area:
19. Does channel appear on USGS quad map? YES N011 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: 36 % Residential °o Commercial % industrial _° o Agricultural
Ab 9"o Forested _4'o Cleared /Logged %Other ( )
7nnk,fit Q c6
22, nkful wad n: �+ 23. nk height (from bed to top of bank): �
24. Channel slope down center of stream: tat (0 to 2%) _Gentle (2 to 44'0) _h4oderate (4 to 10%) _Steep (> 10%)
25. Channel sinuosity: _Straight t Occasional bends _Frequent meander _Very sinuous _Braided channel
iin5il uctioins for completion of workshcet (located on page 2): Begin by determinin the most appropriate ecore_ion 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 sho\3n for the ecoegion. Page 3 provides a brief description of hon to renew the
characteristics identified in the woksheet. Scores should reflect an overall assessment of the slyeatn reach under evaluation. If a
characteristic cannot be etaluated 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 renew (e.g., the stream flows front a pasture
into a forest). the stream may be dieided 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 beneeen 0 and M. with a score of 100 representing a stream of the
highest quality.
Total Score (from reterse): 62
Evaluators SignatureL+�
,/ IX�i%J� �V 2 '�� � _ Date
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
Qatlieriva the data required by the United States Army Cops 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 sut�ject to chansc — � ersio❑ 06 0=. To Continent. ])lease call 919-S7fi-5-141 � -6.

STREAM QUALITY ASSESSMENT WORKSHEET
x These characteristics are not assessed in coastal streams.
Y,yZsl t �\r- YOtEVO1�lSillr�V�'C
`
y4'
"
"'tR iM
#
atz z5 CMARACTCI2ISTICS r N+f ;
Cuasta l Piedmant4
ORE '
R
;Movutam'
l
Presence of flair / persistent pools in stream
0-5
0 4
0-5
I
(no flow or saturation = 0; strong flow = max points)
Evidence of past human alteration
0- 6
0- 5
0- 5
2
(extensive alteration = 0; no alteration = max Points)
rift
3
Ri
pariau zone
0-6
0-4
0 5
�E
(.o buffer. - 0; contiguous, wide buffer = max pontts
Evidence of nutrent ar chemical disdiarges c
0-5
0-4
0- 4
eJ
4
(extensive dischar es = 0; nodischarges =maxpoint) _
Groundwaterdischarge -
0-3
0-4
0''4
�i
(no dischar e = 0; sprht's seeps, wetlands, etc ,max points
✓ Presence of adjacent floodplain `
6
(no flood Iain-O;extensii4fl6.od lain=maxponts)
0-4
0-4
0-2
Entrenchment / iioodplain access
0-5
0-4
0-2
5
'
7
(deeply entrenched = 0; frequent floodin .= max points)
+
_
Presence of adjacent wetlands
0-6
0-4
0-2
8
(no wetlands 0 lar a adjacent wetlands.- max points)
1.
9
Channel sinuosity "
0-5 -
0-4
0-3
1
(extensive channelization = 0; natural meander = maxpoints)
i-
"
10
Sedimentinput
(extensive deposition= 0; little or no sediment max points)
Size & di i ersity of channel bed substrate
0-4
0-5
r
11NA
(fine, homo enous = 0 large, diverse sizes = max paints)
,S
Evidence of channel incision or widening
0-5
0-4
0-5
Cj
)y:
12
(deeply incised = 0; stable bed & banks = max points)
Presence of major bank failures
0-5
0-5
0-5
,
(severe erosion = 0; no erosion, stable banks =max points)
�.
14
Root depth and density on banks
0-3
0-4
0-5
�.
(no visible roots = 0; dense roots throughout -maxpoints)
15
Impact by agriculture, livestock, or timber production
0-5
0 -4
0-5
_
(substantial nnpaet =0; no evidence = max oints)
16
Presence of riffle-pool/ripple-pool' complexes
0-3
0-5
0-6
(noriffles/rip les or pools = 0; well-develo ed =max points)
�=
Habitat complexity
0-6
0-6
0-6
N`
17
(little or no habitat = 0; frPnilenf, varied habitats = max points)
Canopy coverage over streamtied
0-5
0-5
0-5
18
(no shading vegetation = 0; continuous canopy = max points)
19
Substrate embeddedness
NAS
0-4
0-4
(deeply embedded = 0; loose structure =max)
Presence of stream invertebrates (see page 4)
0
0-5
0-5
20
(no evidence = 0. common, numerous es = max points)
-4
21
Presence of amphibians
0-4
0-4
0-4
O
(no evidence = 0; cotmnon, numerous types -max points).,
0='
22
Presence offish
0_4
0_4
0_4
(no evidence = 0-. common, numerous types - max points)
-
23
Evidence of wildlife use
0-6
0-5
0-5
3
(no evidence = 0; abundant evidence = tnax points)
Total Points Possible
- 100 ?
" 100
100
_.:. d
TOTA- SCORE {also enter oti first paged
b�
�A
x These characteristics are not assessed in coastal streams.

UNWM wed+h', 7 �-fi
--Fop OT BA,KL I id-,
5C M 0 e16
NC DWQ Stream Identification Form
Version 4.11
Date:lU C2 J�-
p
ProjectlSite:
Latitude:35.x.as(o 1
Evaluator: �5�[-�f� f�`1tErt ��,Mgylchpyv�.
C)unty: m1����1d
Longitude: -7;K (q-�:5
MU �
Total Points:
Stream Determination (c' e
Other W 2
Stream is at least intermittent 3
Ephemeral Intermittent Perennial
e.g. Quad Name:
if>_ 19 or perennial if? 30-
A. Geomorphology (Subtotal= )
Absent Weak
Moderate Strong
13' 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 1
2 3
ri le- ool sequence
0 1
2 3
4. Particle size of stream substrate
5. Activelrelictfloodplain
0 1
2 3
6. Depositional bars or benches
0 11
2 3
7. Recent alluvial deposits
0 1
2 3
8. Headcuts
0.
2 3
1 1.5
9. Grade control
0
1 1.5
10. Natural valley
.5
11. Second or greater order channel
No = 0
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. H drolo Subtotal = )
12. Presence of Baseflow
0 1
3
13. Iron oxidizing bacteria
0 1
3
0
14. Leaf litter
1.5 1
0.5
1 1.5
15. Sediment on plants or debris
0 0.
1.5
16. Organic debris lines or piles
0 .5
1
Yes 3
17. Soil -based evidence of high water table?
No = 0
C. Biology (Subtotal = I 1)
1 0
18. Fibrous roots in streambed -
3 2
0
19. Rooted upland plants in streambed
2
1
3
20. Macrobenthos (note diversity and abundance)
0 1
2
21. Aquatic Mollusks
0 1
2 3
22. Fish
0 0.5
0_ 0.5
1 1.5
23. Crayfish
0 0.5
1 1.5
24. Amphibians
0 0.5
"tv1 ) 1.5
25. Algae
26. Wetland plants in streambed
FACW = 0.75; OBL = .5 Other = 0
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
coo t uP�ne
Sketch: 5CM o o l5
S crvt v 0 ((o
1 n
INC(eS5 QOO-6
lgoi
UNWM wed+h', 7 �-fi
--Fop OT BA,KL I id-,

agAN"ice A `y
-
i
y , r-
* + " 7R.t; u
1 `
i�.
agAN"ice A `y
-
i
y , r-

Environmental Field Surveys
Waterbody Photo Page
Waterbody semo016 facing south across channel.
Photo Sheet 2 of 2

USACE AID#
DWQ#.
Site # (indicate on attached map)
SG MC poi
FIM
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: 2. Evaluator's name: isifof o �e-S'wfz C-`0:,
3. Date of evaluation: 2 % i l / 2 of 5
5. Name of stream: UT to �kk ,
7. Approximate drainage area: 'y aS c -C ("c S
9. Length of reach evaluated: " 1pn Fie
4. Time of evaluation: 30 AM
6. River basin:
8. Stream order: 1 le
10. County: eofn jc-IkAL-
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): S7 `5 1a 1 59 • .6q,, 0 Longitude (ex. -77.556611): 76c V 1 9F, $1 P W
s �
Method location determined (circle): PS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any): -i1 ,640-
15. Recent weather conditions: y i 9rev'=c0 S 911 11w rs
16. Site conditions at time of visit: No ft" ,, \
17. Identify any special waterway classifications known: WA Section 10 L�Ar Tidal Waters %%Essential Fisheries Habitat
hLkTrout Waters 0 Outstanding Resource Waters l Lk Nutrient Sensitive Waters WA- Water Supply Watershed AIA (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES & If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: % Residential
'�'O%Forested
22. Bankfull width:
24. Channel slope down center of stream: /Flat (0 to 2%)
25. Channel sinuosity: Straight / Occasional bends
_% Commercial _% Industrial Z% Agricultural
_% Cleared / Logged % Other ( )
23. Bank height (from bed to top of bank):
_Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
_Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): G3 Comments: '51rc.to-1 F(6 , -)s 'SL,(bJ, 1, Cy C, (,.&r
Uncle r 1 - `45. Si re,,rh F -VAS cLn Gaq(-rC J Ifid ("I �­:,? 0.
Evaluator's Signature mak- Date 2-11-15
This channel evaluation form is int ed to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to 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
SCMC 04
* 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
SC MCoo1
NC DWQ Stream Identification Form Version 4.11
Date: �,% j i/70 I S
Project/Site: A C IP
Latitude:3 S D is' 5 a .79 ad
Evaluator: '�,Ko,rcc Gr
County: i0M1e-C(VVAI�
Longitude: 78L3jt 29,
0
1
23
Total Points:
Stream is at least intermittent
�0:
Stream Deter 'na ' n circle one)
Ephemeral ntermittent Perennial
Other
Name:
if 19 or erennial if>> 30
2
e.g. quad
A. Geomorphology (Subtotal= IU )
Absent
Weak
Moderate
Strong
1a' Continuity of channel bed and bank
0
1
23
15. Sediment on plants or debris
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
Yes = 3
2
3
4. Particle size of stream substrate
0
0.5
2
3
5. Active/relict floodplain
0
1
2"
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
(02)1
0.5
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0 1
0.5
1 1
1.5
11. Second or greater order channel
a
-
Yes = 3
� `i.J�k✓f r
Sketch:
X77
anmGal olfcnes are not ratea; see aiscussions in manual
B. Hydrology (Subtotal = q )
12. Presence of Baseflow
0 1
2 3
13. Iron oxidizing bacteria
0 1
2 3
14. Leaf litter
1.5 1
0.5 0
15. Sediment on plants or debris
0
1 1.5
16. Organic debris lines or piles
Ro 1 0.5
1 1.5
17. Soil -based evidence of high water table?
o =
Yes = 3
C. Biology (Subtotal = _615
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
V
0.5
1
1.5
25. Algae
0
0.5
1 1 1
1.5
26. Wetland plants in streambed
OBL = 1.5 Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
� `i.J�k✓f r
Sketch:
X77
i
.�
41

Waterbody SCMC004 facing west upstream
Waterbody SCMC004 facing north across

l USACE AID# - DWQ # Site # (indicate on attached ma�
M STREAM QUALITY ASSESSMENT WORKSHEET ,
Provide the following information for the stream reach under assessment:
1. Applicant's name: 00cy) t 2. Evaluator's name: EST-- 5T-` J<, Mc" (Ppvre
3. Date of evaluation: Sf ° S 4. Time of evaluation: 3y'
5. Name of stream: lit N T 6. River basin: C4QCT- f`-Cekr
7. Approximate drainage area: :so &-C ke s 8. Stream order: a
9. Length of reach evaluated: SOF -�- 10. County: 6A m b'P- Ir 1 onc\
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): Nf R
Latitude (ex. 34.872312): • �, t I Longitude (ex. -77.556611): `70. 6&5 71f
Method location determined (circle). GP Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
,�004-Pr of C) trnPS-}•e< Qoa� ,
14. Proposed channel work (if any): :/ `>0.4
15. Recent weather conditions: JAL c1 {')
16. Site conditions at time of visit: h Y1 J r,
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters Essential Fisheries Habitat
Trout Waters _Outstanding Resource Waters _Nutrient Sensitive Waters V Water Supply Watershed Z (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES 6§:>lf yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES NO 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: 10 % Residential % Commercial % Industrial 2-00/o Agricultural
'70 % Forested % Cleared / Logged % Other ( )
22. Bankfull width: 23. Bank height (from bed to top of bank): S i+
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 V 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 I00 representing a stream of the
highest quality. (�
Total Score (from reverse): i Comments: i S "54 fo^M
Ma Y) - r„G-�e ALZ .
VV-% •ex*e 61 s i e.+ d CA -t-J RQ--
Evaluator's
Q--
Evaluator's Signature / 07 lctleal�e 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.
S� k C
,iECO"%,W_ �Tr R`tANGII
SCO
Coas al edmon :oan _in
1
Presence of flow 1 persistent pools in stream
0-5
0-4
0-5
l
no flow or saturation = 0• strong flow = maxpoints)
2
Evidence of past human alteration
0- 6
0-5
0-5
extensive alteration = 0• no alteration = maxpoints)
3
Riparian zone
0-6 6
4-4
0-5
j�
- 11
no buffer = 0• contiguous, wide buffer = maxpoints)
4
Evidence of nutrient or chemical discharges
5
0-4
0 — 4
S
extensive dischar es = 0• no discharges = maxpoints)—
5
Groundwater discharge
0-3
0— 4
0-4
Uno
discharge = 0• springs, sees wetlands etc. = maxpoints)
6
Presence of adjacent floodplain
0-4
0-4
0-2
no floodplain = 0• extensive floodplain = maxpoints)
70-5
Entrenchment 1 floodplain access
0-4
0-2
lJ
(dec2ly entrenched = 0• frequent flooding = maxpoints)
8
Presence of adjacent wetlands
0-6
0-4
0-2
no wetlands = 0• large adjacent wetlands = max Dints
9
Channel sinuosity
0-5
0-4
0-3
r\
L
extensive channelization = 0• natural meander = max oints
10
Sediment input
D 5
0-4
0 — 4
j
"l
extensive deposition- 0• little or no sediment = max Dints
11
Size & diversity of channel bed substrate
A*
0-4
0-5
fine homogenous = 0• large, diverse sizes = maxpoints)
12
Evidence of channel incision or widening
(deeply incised = 0• stable bed & banks = maxpoints)
0-5
0-4
0-5
x '
13
Presence of major bank failures
severe erosion = 0• no erosion, stable banks = maxpoints)
0-5
0-5
0-5
,n
14
Root depth and density on banks
0-3
0-4
0-5
no visible roots = 0• dense roots throughout -max Dints
15
Impact by agriculture, livestock, or timber production
0 —4
0-5
substantial impact • no evidence = maxpoints)0-5
=0;
16
Presence of riffle-pool/ripple-pool complexes
no riffles/ri les or ools = 0• well-develo ed = max oints
0-3
0-5
0 — 6
k Q'
17
Habitat complexity
0-6
0-6
0-6
little or no habitat = 0; fre uent, varied habitats = maxpoints)
18
Canopy coverage over streambed
no shading vegetation = 0• continuous canopy = maxpoints)
0-5
0-5
0-5
19
Substrate embeddedness
° *
A � .
0-4
D-4
z
dee l embedded = 0• Ioose structure = max)`
ya ,
.
20
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5)
no evidence = 0 • common numerous es = max oints
CJS:
21
Presence of amphibians
0-4
0-4
0-4
O
no evidence = 0; common numerous types = max Dints
22
Presence of fish
0 — 4
0-4
no evidence = 0• common numerous es =maxpoints)0-4
23
Evidence of wildlife use
0-6
0-5
0-5
no evidence = 0; abundant evidence = maxpoints)
Total Points Possible100
100
SCORE (also enteron<first
,'TOTAL
* These characteristics are not assessed in coastal streams.

NC DWQ Stream Identification Form Version 4.1.1.
�C~m (06-4-- 2
Date: ,S a (o r 5
Project/Site: i1 C- P
Latitude: 35 . a\ X 3 7
Evaluator: EST- «,Mu(Pvt rfC7
11
County: ,�mbe,ll��
Longitude: -,7 g, (p6S-)4
Total Points:
Stream is at least intermittent
Stream Determination (circle one)
Ephemeraleam ntermittent Perennial
Other
e.g. Quad Name:
if _ 19 or Eerennial if >_ 30' i Y
2. Sinuosity of channel along thalweg
0
r
A. Georrtor holo (Subtotal =5 . `7 )
Absent
Weals
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
CU
2
3
4. Particle size of stream substrate
0
1
,2
3
5. Active/relict floodplain
Q00
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
S. Headcuts
0
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
sc_M067
No<0
Yes = 3
artificial ditches are not rated; see discussions in manual
B. Hydroloqy (Subtotal = 5" �9 )
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1 5
1
0.5
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0
0.5
1
1.5
17. Soil -based evidence of high water table?
0.5
No = 0
Yes
24. Amphibians
C. Biology (Subtotal = 5-,G _)
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance) 0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Other 0
*perennial sfrea#ns may also be identified using other methods. See p. 35 of manual.
Notes: S�­UeA,m ! ;6n'4-
SGaYe a►S n4eCrn" -L 4-eR+, b44-;- i5
a ✓"A -I(InOAd
w t art v l -F W 1 A,
T\,\, S ; S a c\
ex{ens ;v n
d tmo_ 41--o t e - +COut -ire .
Sketch: �
sc_M067
f

lz.. t,.'
5* F'�"' .� k"'�°'�•R � fi ''�.TJ sM '� ': �} qtr { ]_
FW
0
is �,,

� 7 y
,+. 44 - A
w � �
-1'4r I

USACE AiD� D13 Q = Site = tindieate on attached map)
Scr/\p uu
STREAM QUALITY ASSESSMENT WORKSHEET Q
Pro` ide the following information for the stream reach under assessment:
1. Applicant's name: or -,t,) n
3. Date of evaluation: clp I] �
5. Nime of stream: U NT O t7t1 ti�ll[�i'tF"
7. Approximate drainage area: 30C
9. Leninh of reach evaluated: CJ U -i"41-
11. Site coordinates (if known): prefer in decimal decrees.
Latitude (ex. 34.872312): 3S 211 2)
2. Evaluator's name: IES
r)
a. Time of evaluation:
QST uLy-
L.2-l�
6. River basin:
el 1'e+
S. Strew€n order:
10. County: CC4
q" {� _
12. Subdivision name (if aiiy):
Longitude (ex. -77.556631): —19, L06 -6--(P S
Melhod localion determined (circle): P. Topo Sheet Ortho (aerial) PhotwGIS Oilier GIS Other
13. Local ion of reach under evaluation (note nearby roads and landmarks and attach map identifi,ino stream(s) location):
14. Proposed channel work (if any): T�,f
15. Recent weather conditions
16. Site conditions at time of r
17. Identify any special Niaterway classifiCali 0'&known: _Section 10 Nidal Waters Essential Fisheries Habitat
_Trout Waters _Outstanding Resource ""aters _ Nutrient Sensitise Waters ✓'ater Supply Watershed -T (1 -IV)
I S. Is there a pond or lake located upstream of the evaluation point? YES 'O yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: 0P'o Residential �Po Commercial _% Industrial °o A2-ricllltural
�P'o Forested °,o Cleared J Log -ed —% Other (
22. "rpa{ankful �An�,,ld n: It �k -- .— 23. Bank height (from bed to top of bank): �' f
24. Channel slope down center of stream:: _Flat (0 to 2%) ZGentle (2 to 4%) Moderate (4 to 101,o) _Steep (> 10"'o)
2S. Channel snniosily: Straight ✓ Occasional bends _Frequent meander `vert, sinuous _Braided channel
iitstritetivits for iG-111pleiion of ii&rksheet (located on pace 2): Begin by deienulnim, the most appropriate ecoregion eased on
location. terrain. vegetation. stream classification. etc. Ever\ characteristic must be scored usin- the same ecoreryion. Assign points
to each characteristic ,vilhin the ranLe shoen for the eeoregion. Page 3 pro -vides, a brief description of how to review the
characteristics identified in the Nvorksheet. Scores should reflect an overall assessment of the stream reach under evaluation. if a
characteristic cannot be evaluated dile to site or weather conditions, enter 0 in the scoring boa and provide an explanation in the
comment section. Nkhere there are obvious changes in the character of a stream under reNi w (e.g.. the stream tlotits from a pasture
into a forest), the stream may be divided into s€naller reaches that display more continuity. and a separate form used to evahlate each
reach. The total score assigned to a stream reach must ranee between 0 and 100. %N nth a score of 100 representing a stream of the
hig=hest qualim
Total Score (front reverse): L Coninnellts:
Evaluator's Signature Date P 10 f �-
This channel evaluationfOf in is intended to he usedirm-y
only Us a guide to assist landowners al�tdi€ oft ental professionals in
gathering the data req�ed by the United States .Corps of Engineers to male a preliminary assessment of stream
quality. The total score resulting from the Completion of this form is subject to USACE approval and does not i'mphy a
particular mitigation ratio or requirement. Form subject to change- %rrsion 06 (G. To Commem. please call PP -876-S44 1 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
x These characteristics are not assessed in coastal streams.
2
Presezice of flow I persistent pools in stream
0-5 0_4
0-5
no flow or saturation = 0; strong flow = max points)
Presence of riffle-pool/ripple-pool conipleies
0-3
0 — 5 fl — 6
2
Evidence of past human alteration
0-6 0-5
0-5 2
(extensive alteration = 0; no alteration = max pomts) .
�?
17
Habitat complexity
3
,. Rrpa -ia i zone
0-6 0-4
0 5
(little or no habitat = 0; frequent, varied habitats = max points)
(no buffer 0, contiguous, wide buffer: = mak points)
�}
lrMdence of iiufrieni or clierrrtcal discharges
'Dints),
0- 5. 0 4
—a
0 4'.:
(extensive disc es O; rio dischar es = inax ...
(no shadingvegetation = 0; continuous canopy =inax points)
5
Gi!ound'*aterd'ischarge.::,
0-3 0-4
0 4
r
0 _ 4 0-4
(no dischar e 0, spriii s seeps, -wetlands, etc ;.,= Max points)
'
embedded = 0; loose structure =max)
6
Presence of adjacent floodplarrr w .
0— 4 0 — 4
0-2
�z
Presence of stream invertebrates (see page 4)
(no flood lain : 0, extensive floodplain = max points)
0-5 0-5
Eutrenchnient I floodplain access
0-5 0— 4
0— 2
a °
(deep]� entrenched = 0; frequent flooding-= max points)
Pr esence of adjacent wetlands
0-6 0 —4 '
0-2
Presence of amphibians
0--4
(nowetlands 0 large adjacent wetlands = max points)
Q
O
3
9
Channel sinuosity "
extensive channelization - 0; batural meander = rnax points)
0— 5 0-4
0-3 1
1
'
p
10
Sediment'input
0-5 0-4
0-4
J `=
{extensivede osition= 0; little or no sediment'= max points}
(no evidence = 0: common, numerous types w max. Dints)
Size & diversity of channel bed substrate
NAS 0 — 4
0 —5
0— 5
0-5 0-5
(fine, lzoino enous = 0; lar e, diverse sizes = max points)
ks..
3
(no evidence = 0; abundant evidence —max paints) .
l2
Evidence of channel incision or «idenifig ..
0-5 0-4
0 — 5
Total Ptir xis Possible
) 00
(deep] incised � 0; stable bed & banks =max points}
13
Presence of major hank failures `
0-5 0-5
0 - 5
TOTAL SCORE also enter oto first paged _ `Li7
(severe erosion = 0; no erosion, stable banks = max points)
- -
- - 3
Root depth and density on banks
0 — 3 0-4
0-5
�+
14
(novisible roots = 0; dense roots throughout = iiax oints)
17
imriart by aarrirvri-nra- iivPclnek_ nr timber nroduction
x These characteristics are not assessed in coastal streams.
2
(substantial impact =0; no evidence =max Dints)
Presence of riffle-pool/ripple-pool conipleies
0-3
0 — 5 fl — 6
2 .
'
1
no riffles/ripples or pools= 0; u°ell-developed = inax points)
�?
17
Habitat complexity
0-6
0-6 0-6
(little or no habitat = 0; frequent, varied habitats = max points)
18
Canopy coverage over streamb6d
0-5
0-5 0-5
(no shadingvegetation = 0; continuous canopy =inax points)
19(deeps
Substrate embeddedness
0 _ 4 0-4
'
embedded = 0; loose structure =max)
_
20
Presence of stream invertebrates (see page 4)
0-4
0-5 0-5
(no evidence = 0; common. numerous types = max points)
'
,l
Presence of amphibians
0--4
0-4 0-4
Q
O
(no evidence= 0• common, numerous types = max points); ,
'
p
220-4
Presence of fish
0-4 0-4
0
(no evidence = 0: common, numerous types w max. Dints)
Evidence of wildlife use .
0— 5
0-5 0-5
3
(no evidence = 0; abundant evidence —max paints) .
Total Ptir xis Possible
) 00
l00 100
TOTAL SCORE also enter oto first paged _ `Li7
•-' - - Sf r -
- -
- - 3
x These characteristics are not assessed in coastal streams.
2

NC AWQ Stream Identification Form Version 4.11 SCMP,307
Date: C% ProjectlSite: 4 Latitude: 3 &Z1 �
u I;
Evaluator: County: C LA Longitude: •-�] b�
S f
Total Points: ^ Stream Deter(circle one) other
Stream is at feast intermittent Epherneral I errtiitte Perennial e.g. Quad Name:e-
ifz 19 or perennialif? 30'
A. Geomorphology (Subtotal= a }
Absent
Weak
13' Continuity of channel bed and bank N
0
1
2. Sinuosity of channel along thalweg
0
1
3. In -channel structure: ex. riffle -pool, step -pool,
0
1
n 4e ool se uence
0
1
PR3
4. Particle size of stream substrate
0
{��6.
5. Activelrelict floodplain
0
17.
Depositional bars or benches
Recent alluvial deposits
0
8. Headcuts
9. Grade control
0
.
6 5
1
1.5
10. Natural valley
11. Second or greater order channel
-
0= 0%
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = ► )
of Baseflow
o
1
2
(�n
oxidizing bacteria
(Q,
2af
0ediment
t12.esence
litter0.5
1
1,
on plants or debris
1
16.Organic debris lines or piles
0
1 0.5
No = 0
Yves ='V
17. Soil -based evidence of high water table?
C. Biology (Subtotal = to )
W
2
1
0
18. Fibrous roots in streambed
0
19. Rooted upland plants in streambed
2
1
3
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
Q_ ;�
$D}
1
0.5
2
1
1.5
22. Fish
t��
0.5
1
1.5
23. Crayfish
0
0.5
1
1 5
24. Amphibians
0.5
1
1.5
25. Algae0
FACW = 0.75; OBL =1.5 =cher = 0')
26. Wetland plants in streambed
perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: t'nn - VIA
IA-prCs���
Sketch:
f'
f
SG -Irks ? 00),
C b r r� c%rjy

Environmental Field Surveys
Waterbody Photo Page
Waterbody scmp007i facing southwest across channel
Photo Sheet 2 of 2

l USACE AID# - DWQ # Site # (indicate on attached ma�
M STREAM QUALITY ASSESSMENT WORKSHEET ,
Provide the following information for the stream reach under assessment:
1. Applicant's name: 00cy) t 2. Evaluator's name: EST-- 5T-` J<, Mc" (Ppvre
3. Date of evaluation: Sf ° S 4. Time of evaluation: 3y'
5. Name of stream: lit N T 6. River basin: C4QCT- f`-Cekr
7. Approximate drainage area: :so &-C ke s 8. Stream order: a
9. Length of reach evaluated: SOF -�- 10. County: 6A m b'P- Ir 1 onc\
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): Nf R
Latitude (ex. 34.872312): • �, t I Longitude (ex. -77.556611): `70. 6&5 71f
Method location determined (circle). GP Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
,�004-Pr of C) trnPS-}•e< Qoa� ,
14. Proposed channel work (if any): :/ `>0.4
15. Recent weather conditions: JAL c1 {')
16. Site conditions at time of visit: h Y1 J r,
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters Essential Fisheries Habitat
Trout Waters _Outstanding Resource Waters _Nutrient Sensitive Waters V Water Supply Watershed Z (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES 6§:>lf yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES NO 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: 10 % Residential % Commercial % Industrial 2-00/o Agricultural
'70 % Forested % Cleared / Logged % Other ( )
22. Bankfull width: 23. Bank height (from bed to top of bank): S i+
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 V 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 I00 representing a stream of the
highest quality. (�
Total Score (from reverse): i Comments: i S "54 fo^M
Ma Y) - r„G-�e ALZ .
VV-% •ex*e 61 s i e.+ d CA -t-J RQ--
Evaluator's
Q--
Evaluator's Signature / 07 lctleal�e 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.
S� k C
,iECO"%,W_ �Tr R`tANGII
SCO
Coas al edmon :oan _in
1
Presence of flow 1 persistent pools in stream
0-5
0-4
0-5
l
no flow or saturation = 0• strong flow = maxpoints)
2
Evidence of past human alteration
0- 6
0-5
0-5
extensive alteration = 0• no alteration = maxpoints)
3
Riparian zone
0-6 6
4-4
0-5
j�
- 11
no buffer = 0• contiguous, wide buffer = maxpoints)
4
Evidence of nutrient or chemical discharges
5
0-4
0 — 4
S
extensive dischar es = 0• no discharges = maxpoints)—
5
Groundwater discharge
0-3
0— 4
0-4
Uno
discharge = 0• springs, sees wetlands etc. = maxpoints)
6
Presence of adjacent floodplain
0-4
0-4
0-2
no floodplain = 0• extensive floodplain = maxpoints)
70-5
Entrenchment 1 floodplain access
0-4
0-2
lJ
(dec2ly entrenched = 0• frequent flooding = maxpoints)
8
Presence of adjacent wetlands
0-6
0-4
0-2
no wetlands = 0• large adjacent wetlands = max Dints
9
Channel sinuosity
0-5
0-4
0-3
r\
L
extensive channelization = 0• natural meander = max oints
10
Sediment input
D 5
0-4
0 — 4
j
"l
extensive deposition- 0• little or no sediment = max Dints
11
Size & diversity of channel bed substrate
A*
0-4
0-5
fine homogenous = 0• large, diverse sizes = maxpoints)
12
Evidence of channel incision or widening
(deeply incised = 0• stable bed & banks = maxpoints)
0-5
0-4
0-5
x '
13
Presence of major bank failures
severe erosion = 0• no erosion, stable banks = maxpoints)
0-5
0-5
0-5
,n
14
Root depth and density on banks
0-3
0-4
0-5
no visible roots = 0• dense roots throughout -max Dints
15
Impact by agriculture, livestock, or timber production
0 —4
0-5
substantial impact • no evidence = maxpoints)0-5
=0;
16
Presence of riffle-pool/ripple-pool complexes
no riffles/ri les or ools = 0• well-develo ed = max oints
0-3
0-5
0 — 6
k Q'
17
Habitat complexity
0-6
0-6
0-6
little or no habitat = 0; fre uent, varied habitats = maxpoints)
18
Canopy coverage over streambed
no shading vegetation = 0• continuous canopy = maxpoints)
0-5
0-5
0-5
19
Substrate embeddedness
° *
A � .
0-4
D-4
z
dee l embedded = 0• Ioose structure = max)`
ya ,
.
20
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5)
no evidence = 0 • common numerous es = max oints
CJS:
21
Presence of amphibians
0-4
0-4
0-4
O
no evidence = 0; common numerous types = max Dints
22
Presence of fish
0 — 4
0-4
no evidence = 0• common numerous es =maxpoints)0-4
23
Evidence of wildlife use
0-6
0-5
0-5
no evidence = 0; abundant evidence = maxpoints)
Total Points Possible100
100
SCORE (also enteron<first
,'TOTAL
* These characteristics are not assessed in coastal streams.

NC DWQ Stream Identification Form Version 4.1.1.
�C~m (06-4-- 2
Date: ,S a (o r 5
Project/Site: i1 C- P
Latitude: 35 . a\ X 3 7
Evaluator: EST- «,Mu(Pvt rfC7
11
County: ,�mbe,ll��
Longitude: -,7 g, (p6S-)4
Total Points:
Stream is at least intermittent
Stream Determination (circle one)
Ephemeraleam ntermittent Perennial
Other
e.g. Quad Name:
if _ 19 or Eerennial if >_ 30' i Y
2. Sinuosity of channel along thalweg
0
r
A. Georrtor holo (Subtotal =5 . `7 )
Absent
Weals
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
CU
2
3
4. Particle size of stream substrate
0
1
,2
3
5. Active/relict floodplain
Q00
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
S. Headcuts
0
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
sc_M067
No<0
Yes = 3
artificial ditches are not rated; see discussions in manual
B. Hydroloqy (Subtotal = 5" �9 )
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1 5
1
0.5
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0
0.5
1
1.5
17. Soil -based evidence of high water table?
0.5
No = 0
Yes
24. Amphibians
C. Biology (Subtotal = 5-,G _)
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance) 0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Other 0
*perennial sfrea#ns may also be identified using other methods. See p. 35 of manual.
Notes: S�­UeA,m ! ;6n'4-
SGaYe a►S n4eCrn" -L 4-eR+, b44-;- i5
a ✓"A -I(InOAd
w t art v l -F W 1 A,
T\,\, S ; S a c\
ex{ens ;v n
d tmo_ 41--o t e - +COut -ire .
Sketch: �
sc_M067
f

lz.. t,.'
5* F'�"' .� k"'�°'�•R � fi ''�.TJ sM '� ': �} qtr { ]_
FW
0
is �,,

� 7 y
,+. 44 - A
w � �
-1'4r I

USACE AiD� D13 Q = Site = tindieate on attached map)
Scr/\p uu
STREAM QUALITY ASSESSMENT WORKSHEET Q
Pro` ide the following information for the stream reach under assessment:
1. Applicant's name: or -,t,) n
3. Date of evaluation: clp I] �
5. Nime of stream: U NT O t7t1 ti�ll[�i'tF"
7. Approximate drainage area: 30C
9. Leninh of reach evaluated: CJ U -i"41-
11. Site coordinates (if known): prefer in decimal decrees.
Latitude (ex. 34.872312): 3S 211 2)
2. Evaluator's name: IES
r)
a. Time of evaluation:
QST uLy-
L.2-l�
6. River basin:
el 1'e+
S. Strew€n order:
10. County: CC4
q" {� _
12. Subdivision name (if aiiy):
Longitude (ex. -77.556631): —19, L06 -6--(P S
Melhod localion determined (circle): P. Topo Sheet Ortho (aerial) PhotwGIS Oilier GIS Other
13. Local ion of reach under evaluation (note nearby roads and landmarks and attach map identifi,ino stream(s) location):
14. Proposed channel work (if any): T�,f
15. Recent weather conditions
16. Site conditions at time of r
17. Identify any special Niaterway classifiCali 0'&known: _Section 10 Nidal Waters Essential Fisheries Habitat
_Trout Waters _Outstanding Resource ""aters _ Nutrient Sensitise Waters ✓'ater Supply Watershed -T (1 -IV)
I S. Is there a pond or lake located upstream of the evaluation point? YES 'O yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: 0P'o Residential �Po Commercial _% Industrial °o A2-ricllltural
�P'o Forested °,o Cleared J Log -ed —% Other (
22. "rpa{ankful �An�,,ld n: It �k -- .— 23. Bank height (from bed to top of bank): �' f
24. Channel slope down center of stream:: _Flat (0 to 2%) ZGentle (2 to 4%) Moderate (4 to 101,o) _Steep (> 10"'o)
2S. Channel snniosily: Straight ✓ Occasional bends _Frequent meander `vert, sinuous _Braided channel
iitstritetivits for iG-111pleiion of ii&rksheet (located on pace 2): Begin by deienulnim, the most appropriate ecoregion eased on
location. terrain. vegetation. stream classification. etc. Ever\ characteristic must be scored usin- the same ecoreryion. Assign points
to each characteristic ,vilhin the ranLe shoen for the eeoregion. Page 3 pro -vides, a brief description of how to review the
characteristics identified in the Nvorksheet. Scores should reflect an overall assessment of the stream reach under evaluation. if a
characteristic cannot be evaluated dile to site or weather conditions, enter 0 in the scoring boa and provide an explanation in the
comment section. Nkhere there are obvious changes in the character of a stream under reNi w (e.g.. the stream tlotits from a pasture
into a forest), the stream may be divided into s€naller reaches that display more continuity. and a separate form used to evahlate each
reach. The total score assigned to a stream reach must ranee between 0 and 100. %N nth a score of 100 representing a stream of the
hig=hest qualim
Total Score (front reverse): L Coninnellts:
Evaluator's Signature Date P 10 f �-
This channel evaluationfOf in is intended to he usedirm-y
only Us a guide to assist landowners al�tdi€ oft ental professionals in
gathering the data req�ed by the United States .Corps of Engineers to male a preliminary assessment of stream
quality. The total score resulting from the Completion of this form is subject to USACE approval and does not i'mphy a
particular mitigation ratio or requirement. Form subject to change- %rrsion 06 (G. To Commem. please call PP -876-S44 1 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
x These characteristics are not assessed in coastal streams.
2
Presezice of flow I persistent pools in stream
0-5 0_4
0-5
no flow or saturation = 0; strong flow = max points)
Presence of riffle-pool/ripple-pool conipleies
0-3
0 — 5 fl — 6
2
Evidence of past human alteration
0-6 0-5
0-5 2
(extensive alteration = 0; no alteration = max pomts) .
�?
17
Habitat complexity
3
,. Rrpa -ia i zone
0-6 0-4
0 5
(little or no habitat = 0; frequent, varied habitats = max points)
(no buffer 0, contiguous, wide buffer: = mak points)
�}
lrMdence of iiufrieni or clierrrtcal discharges
'Dints),
0- 5. 0 4
—a
0 4'.:
(extensive disc es O; rio dischar es = inax ...
(no shadingvegetation = 0; continuous canopy =inax points)
5
Gi!ound'*aterd'ischarge.::,
0-3 0-4
0 4
r
0 _ 4 0-4
(no dischar e 0, spriii s seeps, -wetlands, etc ;.,= Max points)
'
embedded = 0; loose structure =max)
6
Presence of adjacent floodplarrr w .
0— 4 0 — 4
0-2
�z
Presence of stream invertebrates (see page 4)
(no flood lain : 0, extensive floodplain = max points)
0-5 0-5
Eutrenchnient I floodplain access
0-5 0— 4
0— 2
a °
(deep]� entrenched = 0; frequent flooding-= max points)
Pr esence of adjacent wetlands
0-6 0 —4 '
0-2
Presence of amphibians
0--4
(nowetlands 0 large adjacent wetlands = max points)
Q
O
3
9
Channel sinuosity "
extensive channelization - 0; batural meander = rnax points)
0— 5 0-4
0-3 1
1
'
p
10
Sediment'input
0-5 0-4
0-4
J `=
{extensivede osition= 0; little or no sediment'= max points}
(no evidence = 0: common, numerous types w max. Dints)
Size & diversity of channel bed substrate
NAS 0 — 4
0 —5
0— 5
0-5 0-5
(fine, lzoino enous = 0; lar e, diverse sizes = max points)
ks..
3
(no evidence = 0; abundant evidence —max paints) .
l2
Evidence of channel incision or «idenifig ..
0-5 0-4
0 — 5
Total Ptir xis Possible
) 00
(deep] incised � 0; stable bed & banks =max points}
13
Presence of major hank failures `
0-5 0-5
0 - 5
TOTAL SCORE also enter oto first paged _ `Li7
(severe erosion = 0; no erosion, stable banks = max points)
- -
- - 3
Root depth and density on banks
0 — 3 0-4
0-5
�+
14
(novisible roots = 0; dense roots throughout = iiax oints)
17
imriart by aarrirvri-nra- iivPclnek_ nr timber nroduction
x These characteristics are not assessed in coastal streams.
2
(substantial impact =0; no evidence =max Dints)
Presence of riffle-pool/ripple-pool conipleies
0-3
0 — 5 fl — 6
2 .
'
1
no riffles/ripples or pools= 0; u°ell-developed = inax points)
�?
17
Habitat complexity
0-6
0-6 0-6
(little or no habitat = 0; frequent, varied habitats = max points)
18
Canopy coverage over streamb6d
0-5
0-5 0-5
(no shadingvegetation = 0; continuous canopy =inax points)
19(deeps
Substrate embeddedness
0 _ 4 0-4
'
embedded = 0; loose structure =max)
_
20
Presence of stream invertebrates (see page 4)
0-4
0-5 0-5
(no evidence = 0; common. numerous types = max points)
'
,l
Presence of amphibians
0--4
0-4 0-4
Q
O
(no evidence= 0• common, numerous types = max points); ,
'
p
220-4
Presence of fish
0-4 0-4
0
(no evidence = 0: common, numerous types w max. Dints)
Evidence of wildlife use .
0— 5
0-5 0-5
3
(no evidence = 0; abundant evidence —max paints) .
Total Ptir xis Possible
) 00
l00 100
TOTAL SCORE also enter oto first paged _ `Li7
•-' - - Sf r -
- -
- - 3
x These characteristics are not assessed in coastal streams.
2

NC AWQ Stream Identification Form Version 4.11 SCMP,307
Date: C% ProjectlSite: 4 Latitude: 3 &Z1 �
u I;
Evaluator: County: C LA Longitude: •-�] b�
S f
Total Points: ^ Stream Deter(circle one) other
Stream is at feast intermittent Epherneral I errtiitte Perennial e.g. Quad Name:e-
ifz 19 or perennialif? 30'
A. Geomorphology (Subtotal= a }
Absent
Weak
13' Continuity of channel bed and bank N
0
1
2. Sinuosity of channel along thalweg
0
1
3. In -channel structure: ex. riffle -pool, step -pool,
0
1
n 4e ool se uence
0
1
PR3
4. Particle size of stream substrate
0
{��6.
5. Activelrelict floodplain
0
17.
Depositional bars or benches
Recent alluvial deposits
0
8. Headcuts
9. Grade control
0
.
6 5
1
1.5
10. Natural valley
11. Second or greater order channel
-
0= 0%
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = ► )
of Baseflow
o
1
2
(�n
oxidizing bacteria
(Q,
2af
0ediment
t12.esence
litter0.5
1
1,
on plants or debris
1
16.Organic debris lines or piles
0
1 0.5
No = 0
Yves ='V
17. Soil -based evidence of high water table?
C. Biology (Subtotal = to )
W
2
1
0
18. Fibrous roots in streambed
0
19. Rooted upland plants in streambed
2
1
3
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
Q_ ;�
$D}
1
0.5
2
1
1.5
22. Fish
t��
0.5
1
1.5
23. Crayfish
0
0.5
1
1 5
24. Amphibians
0.5
1
1.5
25. Algae0
FACW = 0.75; OBL =1.5 =cher = 0')
26. Wetland plants in streambed
perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: t'nn - VIA
IA-prCs���
Sketch:
f'
f
SG -Irks ? 00),
C b r r� c%rjy

Environmental Field Surveys
Waterbody Photo Page
Waterbody scmp007i facing southwest across channel
Photo Sheet 2 of 2

USACE A1D- DWO = Site -_ (indicate on attached map)
Scrm`q 008
STREAM QUALITY ASSESSMENT NVORKSHEET
Provide the follotr"ina information for the stream reach underassessment: // n \\
2. Evaluator's name: E� 4•C- aopge!r_ )
4. Time of evaluation: rZ Olnr�
6. River basin: Cap,
S. Stream order: 1)
lo.County: Cukyvx�Oe✓�aVNCk
1. Applicant`s name: llowt rn i b ✓1
3. Date of evaluation: �(f et" Ll
5. Name of stream: V NT 4o Cape Feary�✓
7. Approximate drainage area:
9. Length of reach evaluated: oto
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if an),): N Q
Latitude fex. 34.87231'_'): S i 2c�z Loneiutde (ex. -77 556611):— 7 91 0 IDD `i
Method location detennined (circle):'P. "fopo Sheet Onho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluau (note nearby roads and landmarks and attach map identifying streann(s) location):
U
14. Proposed channel work (if any): utr[ POa. 3 e *Awed i ✓fo_.
15. Recent twearlier conditions: V\f t"tnuA ,,rf in 2_�V\r5,
16. Site conditions at time of
17. Identify any special waterway classifications known: _Section 10 —Tidal 'Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _Nutrient Sensitive craters Water Supply Watershed _!;;!(1 -IV)
18. Is there a pond or lake located upstream of the evaluation point'? YES l.�If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES INO_ 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: _)L"'° Residential _% Commercial _% Industrial 4o Agricultural
40% Forested % Cleared / Lowed 4% Other ( )
iF Bankfu PAn1� rr
22. Banktul thud t: \ D +, / 23. Bank height (from bed to top of bank): Y�
24. Channel slope down center of stream: _,Z/Hat (0 to 2%) _Gentle (2 to 4%) Moderate (4 to 10%) _Steep (> 10%)
25. Channel sinuosity: naight _Occasional bends _Frequent meander _Verb sinuous _Braided channel
Fnstrretions for completion of trarksheet (located of page 2): Begin by determining the most appropriate ecoregion based on
local ion. terrain. vegetation. stream classification. etc. Ever characteristic oust be scoed using the same ecoregion. Assign points
to each characteristic within the range shorn for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the tvorkslneet. 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. \there there are obvious changes in the character of a stream under review (e.g., the stream floc s front a pasture
into a forest). the stream may be divided into smaller reaches that display more continuity. and a separate fornn used to evaluate each
reach. The total score assigned to a stream reach must ranee bettween 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (front reverse):
Evaloator'sSignature%1_6 r 10'nC Date
This channel evaluationff •ni s ntencled t he used onlc as a guide to assist landowuers and (t iconnteutal professionals ill
gathering the data required by the United States Arm} 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 cuhttcct to cinalige - tension 06 03. To Cinnntznt plcasz czal 919-5; 6-S 1 x 6.

STREAM QUALITY ASSESSMENT WORKSHEET
1 J (substantial impact =0; no evidence = max otnts)
Presence of fl6w 1 persistent pools in stream
0-5 0-4 0-5
0-3 0-5 0-6
16
(no riffleslri pies or ools = 0; well-developed = max paints)
(no flow or saturation = 0; stronh flow = max points)
Habitat complexity
0-6 0-6 0-6
17
(little or no habitat = 0; frequent, varied habitats = max points)
Evidence of past human alteration
0-6 0-5 0-5
(�
2
(extensive alteration = 0; no alteration. = maxpoints)
18
(no shading ve etation = 0; continuous canopy = tnax points)
3
Riparian zone
0-6 0-4
Substrate embeddedness
0-4 0-4
(no buffer. 0, �ontn uous, wide:buffer =max points)
(deeply embedded = 0; loose structure = max)
4
Ez rdence of iiutrie& or the uncal disciaarges
'6
0 — 5. 0—4 0 4 :
Q
0 — 4 0 -- 5 0 — 5
(extensilve dtschar es . 0; no dischar es = nnax tnts)..,. _.
(no evidence = 0. common, numerous 1} es max points}
5
roarge:.
Gundwater disch
0 — 3 , 0-4 . ;. 0 ` 4'
(no discharge = 0; sprhj: s, seeps -wetlands, etc ...= max points)
�-
Presence of adlacerit floodplanna0
4 0 4 0- 2-
6
(no flood lain -- ,0; extensive floodplain = max points)
.'
7
Entrenchment I fia dplain access
0-5 0 -- 4 0-2
Presence of fish
0-4 0-4
(deepl entrenched = 0; freque Lit flOodma-=1n7ax points)
+-c
8
Preseuce of adjacent wetlands
0-6 0-4 0 ,2
(no wetlands =.0; lar a adjacent wetlands = max points)
0-6 0-5 0 5.
9
Channel sinuosity
0— 5 0-4 0-3,LJ
(extensive channelizationn _ 0; natural ineander = maxpoints)
100 100" 100 -
10Sedirrient'input
0-5 . 0-4 0-4
-0 SCORE {aIs© enter` on fust page
(extensive deposition— 0; little or no sediment = max points)
110-4
Size & dNersity of channel bed substrate
NAS x 0-5
(file, hoino mous 7 0` Ige, diverse sizes _ max points}
Evidence cif channel incision or widening
0-5 0 — 4 0-5
12
(deepl incised= 0; stable bed & banks =max points)
t
13
Presence of major bank failures `
0 —5 0 —5 0 = 5
(severe erosion = 0; no erosion, stable banks -= max points)
Root depth and density on banks
0-3 0 — 4 0-5
14
{no visible roots = 0; dense roots throu ;bout =F max points)
r
Impact by agriculture, livestock; or timber. production
1 J (substantial impact =0; no evidence = max otnts)
Presence of riffle-poollripple-pool" corrnolexes
0-3 0-5 0-6
16
(no riffleslri pies or ools = 0; well-developed = max paints)
Habitat complexity
0-6 0-6 0-6
17
(little or no habitat = 0; frequent, varied habitats = max points)
q
Canopy coverage over streambed
0-5 0-5 0-5
18
(no shading ve etation = 0; continuous canopy = tnax points)
4_ 19
Substrate embeddedness
0-4 0-4
(deeply embedded = 0; loose structure = max)
20
Presence of stream invertebrates (see page 4)
0 — 4 0 -- 5 0 — 5
(no evidence = 0. common, numerous 1} es max points}
�-
Presence of anniihibians
0 —4 0 —4 0-4
O<
21
(no evidence = 0; connnon, numerous types = tnax points
d`
220-4
Presence of fish
0-4 0-4
+-c
(no evidence - 0: common, numerous types w max -points)
Evidence of NIsldlife use':
0-6 0-5 0 5.
23
_
{no erjidetice = 0; abundant evidence —max paints
- _
Total Pathts Possnlile
100 100" 100 -
-
-0 SCORE {aIs© enter` on fust page
These ebaracteristics are not assessed in coastal streams.

/ t
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C
NC AWQ Stream Identification Form Version 4.11
Date: 1 (
Project/Site:
Latitude:
p
Evaluator: t�
County:
ty'�YV't,�f>( ��'1 �`.
Lon itude: ,o
g J al (61,
Total Points:
S Determination (circle one)
Other `,'
wc�cf
Stream is at leastintermittenf
phemer Intermittent Perennial
e.g. Quad Name:
if? 19 or erennial if>_ 30"
A. Geomorphology (Subtotal = Z )
Absent Weak
Moderate Strong
1aContinuity of channel bed and bank jJ
0 1
2 3
2. Sinuosity of channel along thalweg
1
2 3
3. In -channel structure: ex. rinse -pool, step -pool,
0 ' 1 }
2 3
n le- oolse uence
4. Particle size of stream substrate
0 j1. j
2 3
5. Active/relict floodplain
0 1
2 3
3
6. Depositional bars or benches
0
2
7. Recent alluvial deposits
1
2 3
3
8. Headcuts
/) 1
j 0.5
2
1 1.5
9. Grade control
,0
(0 j-"�0.5
1 1.5
10. Natural valley
11. Second or greater order channel
f NO= 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
on 1
1115 1
2 3-
0.5 0
14 Leaf litter
;0 : 0.5
1 1.5
15. Sediment on plants or debris
1 1.5
16. Organic debris lines or piles
0.50.5
17. Soil -based evidence of high water table?
C. Biology (Subtotal = )
0
18. Fibrous roots in streambed
3 2
0
19. Rooted upland plants in streambed
3 2
1
3
20. Macrobenthos (note diversity and abundance)
0) 1
2
3
21. Aquatic Mollusks
1
2
22. Fish
(07
23. Crayfish
0.5
1 1.5
24. Amphibians.)
0.5
1 1.5
2 5. 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.
ficic(
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on t'"0 ao0.
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Environmental Field Surveys
Waterbody Photo Page
Waterbody semp008 facing east upstream.
Waterbody scmp008 facing west downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody scmp008 facing southwest across channel
Photo Sheet 2 of 2

USACL- AIDS DNVQ
M STREAM QUALITY
Site = (indicate on attached map)
scv�F z7009
ASSESSMENT WORKSHEET
Provide the folloiling information for the stream reach under assessment:
1. Applicant's name: botv\ t v\'� fZh 2. Eyaluatm's name:
ESQ L �o^}
3. Date of evaluation: 91 A 114 4. Time of evahiation:_ _ ZSC) JYv\
5. Name of stream: 1? iyT fit) Ca)p-e Fel f Ri Ve✓
7. Approximate drainage area: 300 we 1
9. Length of reach evaluated: 5>0
6. River basin: Co— pt, V.e.wa"
8. Stream order: '
1 O. Counhy:��,.11yv1tpf�.r" i.(,�.✓�c.Q
I I. Site coordinates (ifr�kiloiNn): prefer in decimal degrees. 12. Subdivision name (if an),): N A r1
l.alitude(ex. 34.872312): Loneitude(ex.-77.556611):—�]�(�`�n (�s.
Method location determined (circle): <PS Topo Sheel Ortho (Aerial) Photo,'GIS Other GIS Other
13. Local ion of reach under evaluation (note nearby roads and landmarks and attach map identifying sireant(s) location):
14. Proposed channel work (if
15. Recent weather conditions:
16. Site conditions at time of
17. Identify any special waterway classifications knout: _Section 10 'Tidal Waters Essehtia'S Fisheries Habitat
_Trout Waters _Outstanding Resource graters _ Nutrient Sensitive Waters 1/water Supply Watershed a(1 -1V)
18. Is there a pond or lake located upstream of the evaluation point? 0 NO If yes, estimate the water, surface area: k L0.L-
19. Does channel appear on USGS quad map? Y�NO 20. Does channel appear on USDA Soil Survey? YDS NO
21. Estimated watershed land use: k 0 % Residential eo Commercial _% Industrialo Agricultural
°$ Forested °'o Cleared I Log^_ed % Other
( )
TpeF�AoQ
22. ankful wtd is 1 5 �d 23. Bank height (from bed to top of bank): ��•
24. Channel slope down center of stream: Xat (0 to 2%) _Gentle (2 to 4°'0) _Moderate (4 to 100-0) _Steep (> 10°'0)
25. Channel sinuosity: _Straight occasional bends _Frequent meander Very sinuous _Braided channel
Instructions for completion of workslieet (located on page 2): Begin by detennining the most appropriate ecoregion based on
location. terrain. Vegetation, stream cl3ssiticanon, etc. Evert' characteristic must be scored using the same ecoregion.Assign points
to each characteristic within the range sho\\n for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the \yorksheet. 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 scorine 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 ilo\\s from a pasture
into a forest). the stream nnay 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 bem een 0 and 100. \yith a score of 100 representing a stream of the
highest quality.
Total Score (from reyerse):�0 7
Evaluator's SignatureI? I J A �( 4"'.) J _ Date t
This channel eyaluatioit r n is intended to be used onh Vs a"+luide to assist landowners and envir nntelital professionals in
gathering the data requ' • d by the Lnitcd States Arnly Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting front the completion of this form is subject to U'SACE approval and does not imply a
particular mitigation ratio or requirement. Forst subject iochange — \ ersion 06 02. To Ccnntenl. please call 419-876-5441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
<` Presence of riffle�poollripple-pool" complexes
,<
Presence of Niv /'persistent pools in stream
0-5
0-4
0-5
0— 6 0— 6 0- 6
17
EN!(little or no habitat = 0; frequent, varied habitats = max points)
(no flow or saturation = 0; strong flow = max points)
i Canopy coverage over streambed
Q_ 5 0— 5 0— S
1$
(no shad ing ve, elation = 0; continuous canopy =inax points
2
Evidence of past human alteration
0-6
0-5
0-5
/
(extensive alteration = 0; no alteration = maxpoints) .
(deeply embedded = 0; loose structure = max)
3
=: Fjparian zone
Q— 6
0-4
0
(no buffer . 0, .conti uous, wide buffer = max points
evidence = 0; common, nwnerous n es = moa points)
4
Evidence of'nutrippi or chi ;Ilical discharges
'Points),
0 — 5
0-4
0 4:
(extensive dischar es , 0, no dischar es = inax
.
— 4(no
5
Gi ound}eater discharge=3
evidence = 0; corrasion: numerous types =inax points) ,
0-4
0. 4
{no ciischai , e - 0, sprin s, seeps �3!etIailds, etc ., max points
Presenceoffish
04(no
g
Presence of adjacent floodplain
0=4
0-4
o-2.
(no Hood lain — 0, extensive flood Iain = inax points)
>C�'ience of si°ildlife use
0w b 0-5
Eiitrenchnient 1 floodplain access
0_ 5
0— 4
0-2
Tout Points Possil7le
(deeply entrenched = 0; frequent floodni .= max points)
100:
8
Presence of adjacent wetlands
0-6
0-4
0 2
(no wetlands = 0; large adjacent wetlands.= max points)
9O-5
Channel sinuosity
0-4
0-3
(extensive channelization = 0; natural ineander_= maxpoints)
10
Sediment'input
0 5
0- 4
0— 4
(extensive deposition-- 0; little or no sefnnent = max points)
11
Size & divez city of channel bed substrate
, NA'�
0-4
0-5
(fine, homogenous = 0 large, diverse sizes.7 inaxpoints)
12
Evidence of channel incision or Widening
Imax
0-5
0 — 4
0-5
3
(deeply incised '= 0; stable bed & banks = points)
I3
Presence of major bank failures `
0 —5
0 —5
0 —5
(severe erosion = O; no erosion, stable banks = max points)
14
Root depth and density on banks
0-3
0-4
0-5
(no visible roots = 0; dense roots throughout = tnax points)
15Impact
by agriculture, livestock, or timber production
0-5
0-4
0-5
2
(substantial impact =0' no evidence = maxpoints)
<` Presence of riffle�poollripple-pool" complexes
,<
0-3 0-5 0-6
16
(no riffles/ripples or pools = 0; -well-developed = maxpoints)
,
Habitat complexity
0— 6 0— 6 0- 6
17
EN!(little or no habitat = 0; frequent, varied habitats = max points)
i Canopy coverage over streambed
Q_ 5 0— 5 0— S
1$
(no shad ing ve, elation = 0; continuous canopy =inax points
k
i9
Substrate embeddedness
_ NA* ` 0-4
0-4
/
(deeply embedded = 0; loose structure = max)
20
Presence of stream invertebrates (see page 4)0_4
0-5(no
evidence = 0; common, nwnerous n es = moa points)
Presence of amphibians0_40
— 4(no
21
evidence = 0; corrasion: numerous types =inax points) ,
aS
22
Presenceoffish
04(no
evidence = 0; common,num23
>C�'ience of si°ildlife use
0w b 0-5
(no evidence = 0; abundant evidence = max paints) .
Tout Points Possil7le
100° 100
100:
TOTAL SCORE (als' first page) f
p
x These characteristics are not assessed in coastal streams.

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NC AWQ Stream Identification Form Version
4.11
Date:
I
Project/Site: ��� Latitude:
Evaluator. ��'
County: C�m�pp�^'�� Longitude:
�� r �'7BJ�
Total Points:
Stream isafleast intermittent �b
Stream Determination (circles) Other ����
Intermittent�Perennial e.g. Quad Name:
Ephemeral
if 19 or perennial if 30'
A. Geomorphology (Subtotal = ��J.)
Absent Weak Moderate
Strong
1aContinuity of channel bed and bank
0 .1
3
2. Sinuosity of channel along thalweg
0 1
3
3. In -channel structure: ex. riffle -pool, step -pool,
0 1 @
3
ripple -pool se uence
0 2
3
4. Particle size of stream substrate
5. Active/relict floodplain
0 1
6. Depositional bars or benches
0 2
3
7. Recent alluvial deposits
0 2
3
8. Headcuts
2
-1
3
9. Grade control
0 0.5 j
1.5
10. Natural valley
0 0.51 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
13. Iron oxidizing bacteria
(0 1 2
3
0
14. Leaf litter
�1.5) 1 0.5
15. Sediment on plants or debris
0 .5 1_
1.5
16. Organic debris lines or piles
0
No = 0
Yes = 3 )
17. Soil -based evidence of high water table?
C. 131010 (Subtotal = )
�3) 2 1
0
18. Fibrous roots in streambed
0
19. Rooted upland plants in streambed
2 1
20. Macrobenthos (note diversity and abundance)
'� 1 2
3
21. Aquatic Mollusks
1 2
0) 0.5 1
3
1.5
22. Fish
U 0.5 1
1.5
23. Crayfish
0 0.5 1
Li:5,
24. Amphibians
(,A) 0.5
25. Algae
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:
wcrnpUUq
N U wcr�pUt)Z
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w
g
7SCS
k
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Environmental Field Surveys
Waterbody Photo Page
Waterbody scmp009 facing south across channel
Photo Sheet 2 of 2

USACE AID' D\� Q _ Site =_ (indicate on auached map)
Scrip Olt?
STREAM QUALITY ASSESSMENT \WORKSHEET _AQP
Provide the following information for the stream reach under assessment:
1. Applicants name: f9Yti'"N 11'1 l on2. Evaluator's name: �� g
3. Date of evaluation: 9 I I C) I 1 4. Time of evaluation:���^^��� 1r;;w
av,
5. Name of stream: V NT t x)02 ear P% veY 6. Riser basin: CI` C �t�
7. ,approximate drainage area: 200 G.e. S. Stream order: I
9. Length of reach evaluated: 5>7 l o. county: C Umto(=r keerC k
11. Site coordinates (if known): Qprre�efe�rr in decimal degrees. 12. Subdivision name (if any): []N `� i 1
Ladiude(ex. 34.872312): �:_i5.lq `1 ( -1 Longitude (ex. -77.556611 ): 1pf.68 (...1-7 -
Melhod location determined (circle): � Topo Sheet Onho (Aerial) Photo,'GIS Other GIS Other
13. Location of teach Under evaluationhiole nearby roads and landmarks and attach map identifying streant(s) location)
14. Proposed channel work
15. Recent weather
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'Katers —Nutrient Sensitive Waters \Fater Supply Watershed :07(i-iV)
18. is there a pond or lake located upstream ofthe evaluation point? C� NO If yes. estimate the water surface area: "4�
19. Does channel appear on USGS quad map? ES NO 20. Does channel appear on USDA Soil Survev?(NO
21. Estimated twateished land use: 5S14 Residential 9'o Commercial _°'o Industrial r% Agricultural -
Dib Forested % Cleared ! Logged % Other ( )
�
(Top OF �An�� —
22. Bankful toad n: 77+ft 23�. Bank height (from bed to top of bank):
24. Channel slope down center of snrant: —Flat (0 to 2%) ✓Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (> 10010)
25. Channel sinuosih : _Strai 7ht —Occasional bends 'Frequent meander —Very sinuous Braided channel
instructions for completion of :worksheet (located un Hage 2): "Ovain by deiemtining the most appropriate ecore=ion based on
location. terrain, wegetatiott. stream classification, etc. Every characteristic must be sword using the same ecoregion. Assign points
to each characteristic wwithin the range shown for the ecoregion. Page 3 provides a brief description of how to revietw 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 front 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 streaut reach must range between 0 and 100. twith a score of 100 representing a scram of the
highest quality.
Total Score (from reverse):"7/
Ewalualtu's Signature. (,l L{ LrtQ �Date '1 1
-2117
This channel evaluation �n is intended to Ie used 13 a guide to assist landowners and environ neural professionals in
gathering the data required b} the United States ArmyCarps 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 o• req uirentetit. Forin subject to change — torsion n6 03. To Commem. please call 919-876-5441 z 26.

STREAM QUALITY ASSESSMENT WORKSHEET
1
Presence of flow / persistent pools in stream
0-5 0-4
0 — 5
v—U
(no flow or saturation = 0-, strong flow = max points)
R
2
Evidence of past human alteration
0-6 0-5
075.
0-5
(extensive alteration = a; no alteration = maxpoints) .
18
(no shadingvegetation = 0; continuous canopy = max points)
Riparian zone , ."
0-6 0-4
0 5
(iso buffer. 0, contiguous, wide,buffer = nnax points
Su
N,�;
ES tdence ofiutrienf'or cheisizcal clisclxarges
0-4
=(extensii7edischar max in"..c..
(deeply embedded = O; loose structure =max)
5
Groundivater discharge .
0-3 0 4
0 '4''.
no discharge - 0, sprii3 s, seeps,13�eilands, etc . max poinits)
0-4
0_5
b
Presence of adjacent ffoadplasn
0— 4 0— 4
0= 2
(no et,idence = 0; common, numerous types = max points)
(no floodplain - 0, extensive floodplain = rnax poisnts)
Eutrenchn ent / floodplain access
0-5 0-4
.0-2 s
(deepl , entrenched = D; frequent floodinn = max points
3
8
Presence of ad jacent wetlands
'-=
0-6 0-4
0-2
0-4
(no wetlands = 0; large adjacent -wetlands max points)
fl-
9
Channel sinuosity "
0- 5 0-4
0-3
(extensive channelization = 0 natural ibeander_= max points)
22
0
Sediment input a
0-50 -4-
0-4
(extensive deposition= 0; little or no sediment = max points)
(no evidence .= 0; common, numerous types w max points)
lI
Size & diversity sity of channel lied subArate
0-4
0-5
(fine, homo enous = 0 jai' e, diverse sizes .= max oints)
Evidence of wildlife use''
0-b
0-5
Evidence of channel incision or-videnipg
0-5 0-4
0-5
12
(deepl incised= 0; stable bed &: banks = max points)
3
Presence of major bank na'ture's '
0-5 0-5
0-5
I
severe erosion = 0; no erosion, stable banks = max points)
-
Root depth and density on banks
0-3 0-4
0=5,
14
(no visible roots = 0; de'n'se roots throughout W i iax points)
fin pact by agriculture, livestock, or timber production
0-5 D 4
0-5
15
(substantial impact =0; no evidence = max points)
Presence of riffle-poolfripple- oo1" complexes
0 -3 0-5
0 -- 6
16
(no riffles/ripples or pools = 0; well-developed = maxpoints)
- T3.,F.:+.f nimnfa�•ifv -
L.._
'
]�
--
(little or no habitat = 0; frequent,' Taxied habitats = max points)
V—o
v—U
v—U
R
Canopy coverage over streamt ed
0- 5
0- 5
0-5
18
(no shadingvegetation = 0; continuous canopy = max points)
Su
N,�;
0-4
0-4
i9
(deeply embedded = O; loose structure =max)
Presence of stream. invertebrates (see page 4)
0-4
0_5
0-5
20
(no et,idence = 0; common, numerous types = max points)
Presence of amphibians
0-4
0-4
0-4,
fl-
71
(no evidence = 0; common, numerous types = max points)
22
Presence of fish
0-4
0-4
0-4
(no evidence .= 0; common, numerous types w max points)
23
Evidence of wildlife use''
0-b
0-5
0 5
(no evidence w 0 abundant evidence roan points)
-1Do
T©nal PointsPoss le
loo
lOD
-
TOTAL SCORE 1 also enter nil firstage71
"These clnaracterlstics are not assessea in coasiai su-eams.
2

.11 ter, o....____ ra... .N-44- Rn1111 Vm-ci nn 4 11
SCYAp010
IIL. I I-1-1. Av
Date: 1 `'� '
ry^�
Project/Site: �Ci
Latitude:
Evaluator: F,j,yr i,,,. t'�(a .4-)
County: CI�Y`�'titQQr(�11�1`1
Longitude:
Total Points:
Stream is atleast intermittent �('?
Stream Determination ('
Ephemeral Intermitten erenni
Other
e.g. Quad Name:
tS
1
2
if >_ 19 or perennial if >_ 30'
3. In -channel structure: ex. riffle -pool, step -pool,
0
A. Geomorphology (Subtotal = )
Absent
Weak Moderate Strong
laContinuity 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
1
L
3
ri le- ool se uence
0
1
(L.,i
3
4. Particle size of stream substrate
5. Active/relict floodplain
0
1
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
2
3
8. Headcuts
U
1
2
3
9. Grade control
0
.5
1
1.5
10. Natural valley
0
0.6'
1
1.5
11. Second or greater order channel
o =
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. H drolo (Subtotal
12. Presence of Baseflow
0
1
2
13. Iron oxidizing bacteria
1
2
3
14. Leaf litter
1.
1
0.5
0
15. Sediment on plants or debris
0
1
1.5
16. Organic debris lines or piles
0
17. Soil -based evidence of high water table?
No =
0
es = 3
C. Biology (Subtotal = )
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
'
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
0'
1
0.5
2
1
3
1.5
22. Fish
t0_n
0.5
1
1.5
23. Crayfish
0
24. Amphibians
C
0.5
1
1.5
25. Algae
26. Wetland plants in streambed
FACW = 0.75; OBL
= 1.5 iOther = q
`nerennial streams may also be identified using other methods. See p. 35 of manual_-%
Sketch: U
wcmpolo
Scmp0ly
dHWrn wtd+k', bo i L-5hAAY,-
--T,p v- Bark wl+k, 7 4 Corr. dor

Ar
"4 -IPD 0 09`3C

Environmental Field Surveys
Waterbody Photo Page
Waterbody scmpOIO facing southwest across channel
Photo Sheet 2 of 2

USACE AID;' DNNTQ = Site = (indicate on attached mals)
IN
ScmpQl(
STREAM QUALITY ASSESSMENT WORKSHEET
� 4;
Provide the follow irlg information for the stream reach under assessineni:
1. Applicant's name: DC�6"�1 r t*99f° 2. Evaluator's name. Lr ;Wv +_ L:
3. Date of evaluation: 1 l< f 4. Time of evaluation:
Name of stream: U &pe _._F�"� 'V�r 6. Rig er basin:__: , s"' -A-
7. ,approximate drainag,�e area: S. Stream order: �
9. Length of reach evalusated:®� 10. Count:C LA
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if airy):
Latitude (ex.34,87233'): +i�"1 Longitude(ex.-77.556613):
Metltod location determined (circle): 1 PS Topo Sheet Ortho (Aerial) Phota'GIS Other GIS Other
I3. 1 -ovation of reach under evaluation note nearby roads and landmarks and attach ma 3 idenfiNino siream(s) location):
VaP_4�.�ee_li, 95 0- v 3 A PSN HL Lv-\
14. Proposed channel wort
15. Recent weather Condit
16. Site conditions at time
17. ldentify any special water\vay classifications known: _Section 10 _Tidal Waters Essential Fisheries Habitat
_Trout Waters _Outstanding Resource ''A aters Nutrient Sensitive Waters _ lLwater SuppIv Watershed at,MV)
IS. Is there a pond or lake located upstream of the evaluation point? NO -if yes, estimate the water surface area: � G►y�
19. Does channel appear on USGS quad map? YES tePL 20. Does channel appeal" on USDA Soil Survey? YES COD
21. Estimated watershed land use: _09'o Residential "o Commercial _% Industrial LOCRo Agricultural
o Forested _°'o Cleared 1 Logged Other ( )
(TpoICPA� p� `
22. Bankiull �3Z i:_ "1 233. 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°o)
25. Channel sinuosity- Strainht Occasional bends ./Frequent meander Very sinuous Braided channel
ir�Stl"iietioliS foreoi�iplriioii of iioi'ksltett (Iocnted onpace 2'):BC t]] b.' dCter1111E11n the must appropriate ecoregion based on
location. terrain. veeetation. stream classification. etc. Ever' Characteristic must be scored using the same ecoregion, Assign poinis
to each characteristic within the ran< -e 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
commem section. Where there are obvious chatlges in the character of a stream under re\ iexv (e.4a.. the stream ilo« s from a pasture
into a forest). the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assi�_med to a su'eam reach must range between 0 and 100. with a score of 100 representing a stream of the
highest quality.
ro*
Total Score (from reverse): w Comments.
EvaIuaior`s Signature Date
This channel evaluation fort s intended to be u ed oill-I as a & ide to assist landowners and en iro>illlentail professionals in
gathering the data require by the United States Army Corps of Engineers to snake a preliminary assessment of stream
quality-. The total score resulting from the completion of this forin is subject to USACE approval and docs not imply a
particular mitigattoll ratio of requirement. f=orm Subject to change- Ner_ion 06 03. To Comment. please c5ll 919-876-81141 x -6.

These characteristics are not assessed in coastal SITCaInS.
2
STREAM QUALITY ASSESSMENT WORKSHEET
0-3
0-5
effik RMTHRIS.-Tie
z"
(no or = 0; well-developed= max points)
Presence of flow / Persistentools in stream
p
0-5
0-4 0-5
Lf
O-6
(no flow or saturation = 0; strong flow = inax Points)
0, frequent, varied habitats
(little or Do habitat max points)
Evidence of past human alteration:
0-6
0-5 0-5
Canopy coverage over stmambed
(extensive alteration = 0; no alteration = max points)
0-5
0-5
3
pi�a rian. zone
0-6
0-4 0 " 5
(po buffer 0;.dontig'uous, NAdp:Viffcr ni6x Points)
D or isc arges
'6'no
0 —5.
0-4,
—N
4
�.:
ax
arges.= in P
ex chsiVe d - hints),
(t ischagps-,=
(deeply embedded loose structure, = max)
'
Groiu'ndi6ter diichairge
0=3
-0�-4 0�4­
5
0 lands, dtc,7 ='max points)
(no disc iarge spiings, $egg, wet
0-4
0-5
0-5
floodplain
Pre'sen ""Ce offadjaceifif m
0 4
.:o-4 0-2.,
6
(no t1bodplain = 0: extensive floodplain =rnax points)
7
f1616dplain access
0-5
0-4 0-2
(dee I.•entrenched = 0; frequent floodina.'-- max point
(no evidence Q- numerous types max points),,..
Presenceof adjacent wetlands
0-6
0-4 0-2
P offish
resence
0-4
(no wetlands 0; large a4iacent wetlands max points)
0-4
C
Channel sinuosity
0-5
0-4 0-3
Ll
.9
(extensive channelization = 0; natural meander.= max points)
23
7 Evidenceof wildlife use
.
0-6
0
Sediment input
0-5
0-4 —4
0
(no evidence 0: abundant evidence max points)
(extensive deposition-- 0; little or no sediment= max points)
11
Size & diversity of chan'nel bed substrate
0-4 075
(fine, hoinogenous:F: 0; large, diverse sizes—max Points) '
:1
Evidence of channel inctsfou or ividening
0-5
0-4 0-5
12
(deeply incised 0; stable bed & banks =. max points)
of major bank failures
0-5
0-5 0=5
(severe erosion = 0-- no erosion, stable banks = max points)
14
R60t depth and density on banks
0-3
0-4 0-5.
(no visible roots= 0.; dense roots throughout =m ax points)
IS
m act by agriculture, livestock, or timber production
0-5
0-4 0-5
These characteristics are not assessed in coastal SITCaInS.
2
Presence of riffle-poollripple-fool complexes
0-3
0-5
0-6
16
(no or = 0; well-developed= max points)
17
riffles/ripples pools
Habitatcomplexity
Q—
O-6
0 6
0, frequent, varied habitats
(little or Do habitat max points)
Canopy coverage over stmambed
0-5
0-5
0-5
51 1�
canopy = iiiax points)
(no shading veg etation 0; continuous
19
Substrate embeddedness
—N
0-4
0-4
(deeply embedded loose structure, = max)
'
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
20
(no evidence 0; common, numerous is es = max points)
Presence of amphibians
0-4
0-4
0-4.
21
(no evidence Q- numerous types max points),,..
22
P offish
resence
0-4
0-4
0-4
C
(no evidence = 0- common, numerous types =rnax points}
23
7 Evidenceof wildlife use
.
0-6
0-5
0-5
(no evidence 0: abundant evidence max points)
Total R tsi00
Possible
00:
14Q
TOTAL (also enteron first Ne)
These characteristics are not assessed in coastal SITCaInS.
2

0 14W Widkk '01 F-)'
-Fop 01 Bart w;d+1.: 4 �
Is C VV� poll
NC AWQ Stream Identification Form Version 4.11
Date: I D
ProjectlSite:`7
Latitude: ltd'{rjt
Evaluator:'', L"
County:�ulry�,��,y^�f`�
Longitude:r-`��Ft� "
Total Points:
Stream Determination (circ ne)
Other
Stream is at least intermittent
Ephemeral Intermittent ren r
e.g. Quad Name:
if >_ 19 or perennial if>_ 30'
A. Geomorphology (Subtotal =)
Absent Weak
Moderate Strong
1a Continuity of channel bed and bank
0 1
2i. 3
2. Sinuosity of channel along thalweg
0 1
2
3. In -channel structure: ex. riffle -pool, step -pool,
0 1
2
ripple -pool se uence
0 1-
2 3
4. Particle size of stream substrate
5. Active/relict floodplain
0 1
2 3
3
6. Depositional bars or benches
0 1
2
7. Recent alluvial deposits
0
3
3
8. Headcuts
1
0 0.
2
1 1.5
9. Grade control
0
1 1.5
10. Natural valley
r6
=
Yes = 3
11. Second or greater order channel
a artificial ditches are not rated; see discussions j(i manual
B. Hdrolo Subtotal
2
12. Presence of Baseflow
0 1
13. Iron oxidizing bacteria
0 1
2 3
0.5 0
14. Leaf litter
1.5
0
1 1.5
15. Sediment on plants or debris
.5
0.5
1 1.5
16. Organic debris lines or piles
0
No = 0
/
Yes = 3 }
17. Soil -based evidence of high water table?
C. Biolo (Subtotal= t )
1 0
18. Fibrous roots in streambed
3 2
0
19. Rooted upland plants in streambed
2
1
3
20. Macrobenthos (note diversity and abundance)
1
2
21. Aquatic Mollusks
Oj 1
2 3
22. Fish
23. Crayfish
24. Amphibians0
6� 0.5
1 _ 1.5
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.
Notes:
Sf+,dy Gorr. cLdr
CL
�
Sketch:CA
N scm�011
�
W
i
i
0 14W Widkk '01 F-)'
-Fop 01 Bart w;d+1.: 4 �

Imo, d
rte...
y
{�0"10 lthm14
iWl I,

Environmental Field Surveys
Waterbody Photo Page
Waterbody scmp011 facing southwest across channel
Photo Sheet 2 of 2

USAC E AiDJ DWQ
STREAM QUALITY
Site = (indicate on attached map)
sump oaa
ASSESSMENT WORESHEET
Provide the following information for the stream reach under assessment:
5 t
1. Applicant's name: � \ V\; r)n 2. Evaluator's name: ESQ L JLe�
3. Date of ei aluation• 1 4. Time of evaluation: O Wl
t
5. Name of stream: UNTibGh(��O..1sSZ 6.Ricerbasin:
7. Approximate drainage area: !J fd-L S. Stream order:
9. Length of reach evaluated: O 10. Counly:1w rn b2tr 1 D.v��
11. Site coordinates (if knot3'n):`` tt7�,7p^refer in decimal decrees. 12. Subdivision name (if any): �2NA
Latitude iex. 34.872312): 6t- L V / ` 5 Longitude (ex. -775566)1): --7 y a7 04
Method location determined (circle): GP. Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
"e-e'Vt 6( -Sy- (u bCte'e " tr. U5. -3'D1 ne.ow"' MC.t✓njjt)w,
14. Proposed ehann
15. Recent weather
16. Site conditions
17. ldentifj, any special waterway classifications knotin: —Section 10 —Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters —Nutrient Sensitive Waters —Water Supply Watershed _(I-iV)
13. is there a pond or lake located upstream of the evaluation point? YES 6 If yes, estimate the tater surface area:
19. Does channel appear on USGS quad map? 'E NO 20. Does channel appear on USDA Soil Survey? (20) NO
21. Estimated watershed land use: _�n'o Residential _° o Connnercial —90 Industrial �—r% Agricultural
�TcpaF�i%'o Foyemed —9.'o —o Cleared / Logged %Other
( )
R(�An� _�
22. Bankfuli tvtd 23. Bank height (front bed to top of bank): ✓t
24. Channel slope duan center of stream/Occasional
Flat (0 to 2%) —Gentle (2 to 4%) —Moderate (4 to 10%) _Steep (> 10° o)
25. Channel sinuosity-: _Straight bends _Frequent meander Very sinuous _Braided channel
Instructions fur conipiedrin of tiorkslicet (located Vit page 2): Begin by, detent1ning the must appropriate ecoregion based on
location. terrain, ceaetation, stream classification. etc. Ever- characteristic must be scored using the sante ecoiegion. Assign points
to each characteristic within the range shorn for the ecoegion. 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 streann under review (e.g.. the stream floats frons a pasture
into a forest). the stream may be divided into smaller reaches that display more continuity. and a separate form used to et aluate each
reach. The total score assigned to a stream reach must range between 0 and 100. with a score of 100 representing a stream of the
highest quality.
Total Score (front reverse): 6 /
Evaluator's Signature A.A A d <(, Date l%/Itod y
This channel evaluation on is intended to be used ont- as guide to a,_ ,t landowners and ie tial professionals in
gathering the data required by the United States Arms Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting front the completion of this form is subject to USACE approval and does not imply a
particular nliligation raTio or requlrE[tiettt. FOr:;n Su(?icCl IJ cna,i�'c-tcn'i iidn X16 (I j., !0 LCd ii;tt21'a. }leaie icll �l�-\ 6-S='!l \ �1?.

STREAK? QUALITY ASSESSMENT WORKSHEET
rz#
aaC T �I2TS C4 ''
�1eP
�Coa �'•3,edmon.� r �1Vf�`uniain
��r
tr .,
1�C
Presence of flow I persistent Pools in stream
(no flow or saturation - 0; strong flow =max points)
0-5
0-4
0-5
2
Evidence of past human alteration `
s
(extensive alteration. 0 no alteration — maxpoints) .
0-6
0-5
0-5
5
3
Riparian zone .
(no buffer 0 Conti uous -wide buffer =max oints)
0-6
0-4 .
0,_ 5 .:
4
E rdcued of nutrient or clremrcai discharges
(extensivedrschar es 0 no drschar es:=max omts)
0-5 x
fl 4 <'
flr 4
• 5
GroundnaterdIse 'Arge' �`
l r
no e span s sem
3dtsohar
0=4'
=
04:
30
Presence of adjacent floodplain
t16cd la m 0 extensive floodplain --max points)
0 4
0 - 4
0 = 2,
t I
,
Entrenchment/itoodplanraccess
a
(deeply entrenched = 0 fre ue'nt flooding maxpoints)
0-5
0-4
0-2
-L
S
Presence of adjacenttretlands
.> .,
(no wetlands 0, ]ar a adiaoent t; etlands. max points)
-6 — 6
0 — 4
0-2
9
Channelsindosity
- k
extensive channelization 0; natural meade; max oints)
0-5
0-4
—
0. 3".
10
Sediment input
0-5
(extensive de osition 0• little or no sednnent —max oints)
0 - 4
0— 4
I I
size '& dimer city of channel bed substrate
(fine, homogenous O; lar• e, diverse sizes =_max oints
:' Ntk zi u
0-4
0—.5
.
,
12
Ev rdence of channel incision or widening
7{M
(dee 1 mcised = 0 stable bed &banks = rnax'poinfs .
O=5
0 —4
0-5
?�
�f
13
Presence'of major bank failures ' -
�.
(severe erosion = 0; no erosion, stable banks = maxpoints)
0-5
0-5
0-5
14
Root depth `and density on banks
(no visible roots = 0 dense roots throu out = max oints)
0 — 3
0 — 4
0 —5
Z
v `
15
Impact by agricuiiure livestock, or timber production
(substantialimpact —0;noevidence =maxpoints)
0-5
0-4
0-5
16
Presence of riiM6-pooi/ripple pool couipleaes
E?
(no riffles/ripples les or pools= 0;inelldeveloped=max points
0-3
0-5
0-6
'
Q
17
Habitat complexity
(little or no habitat =0-60, frequent, varied habitats = max points)
0 — 6
0-6
18
Canopy coverage over streambed
(no shadingvegetation = 0; continuous canoe = max points)0-5
0 — 5
0-5
19
Substrate embeddedness
`;'
(deeply embedded = O; loose structure=max!L,
0-4
0-4
/
20
Presence of stream invertebrates (see page 4)
(no evidence = 0; common, numerous types = max points)
0-4
0-5
0-5
(�
L7_]
Presence of amphibians
D<
(no evidence = 0; common. numerous types = max
0-4
0-4
0-4
points .
Q=
72
Presence of fish
'.
(no evidence = 0; common, numerous types oints)
0-4
0 — 4
0-4
6
Evidence of wildlife use'
23
(no evidence = 0. abundant evidence = max points)
0 — 6
0-5
0-5
i Tota# Points i?ossrble 100 100" 100
.
i Y ` TOTAL SCORE' {also enter ort first paged
K.
(/Q
-., a, � uv, -.x- xU m coastm streams.

NC AWQ Stream Identification Form Version 4.11
�Svm0
Date:
I q
Project/Site:.�
Latitude. _ on
'� L�� ,e�)
County: CUiinbp �
Longitude:_'7gr '
:
tintermittent 231,5
Stream Determination (circle one)
Ephemeral ermitten Perennial
Other n
e.g. Quad Name: �Cp��.a
ial if>_ 30'
A. Geomorphology (Subtotal
Absent Weak
Mod ate Strong
12' Continuity of channel bed and bank
0 1
3
2. Sinuosity of channel along thalweg
0 1
3
3. In -channel structure: ex. riffle -pool, step -pool,
0 1.
2 3
i i le- ool se uence
0 1
2 3
4. Particle size of stream substrate
3
5. Active/relict floodplain
0 1
2 3
6. Depositional bars or benches
0
7. Recent alluvial deposits
1
2 3
2 3
8. Headcuts
1
1 1.5
9. Grade control
0 0.5
1 1.5
10. Natural valley
11. Second or greater order channel
0=0
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. H drolo (Subtotal = 7 )
12. Presence of Baseflow
0 1
2
13. Iron oxidizing bacteria
0 1
1
3
0. 0
14. Leaf litter
1'5
1 1.5
15. Sediment on plants or debris
0
1 1.5
16. Organic debris lines or piles
0.5
No = 0
es = 3
17. Soil -based evidence of high water table'?
C. Biology (Subtotal = )
2
1 0
18. Fibrous roots in streambed
3
0
19. Rooted upland plants in streambed
3 2
1
3
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
1
2
1.5
22. Fish
0
23. Crayfish
24. Amphibians
0.5
25. Algae
26. Wetland plants in streambed
FACW = 0.75; OBL =1.5 O er = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Sketch:
i
oHwm wid+h'. 344 --
-FOP 0� Bar,l V Alk' 3,5�a
11 _�j �S j
1�}CW' /� hl

s'+
r
4 _ I
40,
411
ty
1` yl
3
v 1 T I f
ItA
. • .z 1" 4 10 fl'6 1 16

Environmental Field Surveys
Waterbody Photo Page
Waterbody scmp022 facing west across channel
Photo Sheet 2 of 2

NC DNVO Stream Identification Forni Version 4.11 S r - vv,, D9f
Date: P
Project/Site: H LP
Latitude: ?, b, i 5 Y
Evaluator: E5 T _
County: 6 LM 0
Longitude: 6:7 110
Total Points:
Stream Determination (circ,i� ee,�)
Other
Stream is at least intermittent
Ephemeral Intermittent Pe� r wldl
e g Quad Name:
if a ? 9 or perennial if x 30"
0 0.5
3
A. Geomorphology (Subtotal= )
Absent
Weak
Moderate
Strong
1"Continuity of channel iced and bank
s
4
1
2
i
2. Sinuosity of channel along thalweg
0
1
0 0.5
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
1
2
1.5
5. Activelrelict floodplain
W_
1
2
3
6. Depositional bars or benches
0
1
(2)
3
7. Recent alluvial deposits
0 _
1
2
3
8. Headcuts
1
2
3
9. Grade control
0
0.5
Notes:
1.5
10. Natural valley
0
0.5
1..
1.5
11. Second or greater order channel
No = 0
Yes = 3
Gv 12
a artificial ditches are not rated; see discussions in manual
R Hwrlrnlnnv fSi;htntal = I ]
12. Presence of Baseflow
0 1
2
13. Iron oxidizing bacteria
1
2 3
14. Leaf litter
1. 1
4.5 0
15. Sediment on plants or debris
0 .5
1 1.5
16.Organic debris lines or piles
0 0.5
t� 1.5
17. Soil -based evidence of high water table?
No = 0
lis 3
C_ Rinlnnv fSubtotal = 7 ) ' =
f6__ Fibrous teats in streambed
,�
2
1
0
19. Rooted upland plants In streambed
(-3)
2
1
0
20. Macrobenthos (nate diversity and abundance)
7)
1
2
3
21. Aquatic Mollusks
1
2
0
22. Fish
0.5
1
1.5
23. Crayfish
a
0.5
1
1.5
24. Amphibians
0
0.5
C35
1.5
25. Algae
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL =1.5 Ot r !Lv
"perennial streams may also be identified using other methods. See p. 35 of manual -
Notes:
Sketch:` tip`s f
t
S
Gv 12
D41wm q �4
3 tn,^ k ', Lo �4

LISACE A1D4 DWQ Site:; ( indicate on attached map)
s c+M t.3 041
M STREAM QLJALIT17 ASSESSMENT NVORKSHEET
Prop isle the foiloising information for the stream reach udder assessment:
I. Applicant's name: (low., rti 0v-+
3. hate ofevaluation: 10/1s/16
5. Name of stream: CA04 tJZ9-
7. Approximate drainage area: 100
9. Length of reach evaluated: 3D }-
2. L%aluator's name: !~bX - IIZO-P-e--11-
4. Time of evaluation: ly &t,-
6. Rifer basin: CCS .1J4V-
8. Stream order: b
10. County: Durr, 6P,,r16-r,0
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): f, o►n e
1.adiude (ex. 34.872312): 35. 167 Sj _ Longitude (ex. -77.556611): - 78. -7 11 to 2
Alethod location determined (circle): [;1'S 'I opo Sheet 0nho_L,5EGjC:l1M1lX54S Other GiS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach snap identifi ing streani(s) location):
E'o.5+ a¢ Sisk. fol,bre}6 -
14. Proposed channel work (if any): i 6 P
15. Recent weather conditions:0-\rN r?. r't r'V
1
16. Site conditions at time of visit: CL- W a- W ofd Je e
17. Identify any special waterway classifications knoxkn: ,__,_,,,Section 10 _Tidal Waters _Essential f=isheries Habitat
TTrout Waters Outstanding Resource Waters Nutrient Sensitive Waters -Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream ofthe evaluation point? YES Okr)es, estimate the water surface area:
19. 'Does channel appear on USGS quad map? YES to 20. Does channel appear an USDA Soil Sun ey? YES
21. Estimated watershed land use: 1 0% Residential
5D% Forested
22. Bankfull width: 6 f+
24. Channel slops: do`vn center of stream: ,Flat (0 to 2'6)
25. Channel sinuosity: Straight ,Occasional bends
_% Commercial !% Industrial 40 q,rp Agricultural
p' Cleared Logged _° o Other ( )
23. Bank height (frosri bed to top of bank): to Pi'
Gentle (2 to 41.'o) _Moderate (4 to 10%) _Steep (> 10%)
,/frequent meander ,_Very sinuous _braided channel
Instructions for completion of worksheet (located on page 2): Begirt by determining the most appropriate ecoreLgion 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 shoxsn for the ecoregion. Page 3 provides a brief description of how to relieve the
characteristics identified in the 'worksheet. Scores should reflect an overall assessment of the stream reach under e%aluation. 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 sinaller reaches that display snore continuity, and a separate form used to etaluate each
reach. The total score assigned to a stream reach must range bettiNeen 0 and 100. tt ith a score of 100 representing a stream of the
highest quality.
Total Score (front reverse): i Comments:
Evaluator's Signature Date f
This channel evaluation r is intended to he
se my as ii guide to aSSist landowners and a iironmental professionals in
gatlleririg the (lata Ccqui d by' elle Uni#ed Sta es rnt4' Crtrps of Engineers to make a preliminary assessment of stream
quality. The total score resulting front the completion of this form is subject to LISACE approval and does not imply a
particular mitigation ratio or requirement. Fonts sut?lect to change - \ ersion 06 03. To Comment, please call 919-876-8441 X-;6.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
ECOREGION POINT
RANGE
---
##
CHARACTERISTICS
SCORE
Coastal
Piedmont
Mount,
1
Presence of flow I persistent pools in stream
U-5
0-4
0.5
(no flow or saturation = 0; strong flow = max points)
Evidence of past human alteration
"
(extensive alteration = 0; no alteration = maxpoints)
3
Riparian zone
0 -- G
0-4
0- 5
%
(no buffer = 0; contiguous, wide buffer m maxpoints)
1
nutrient or chemical discharges
Evidence of n
0-5
- 4
0 1
3
("extensive discharges = 0; no discharges = maxpoints)
a
5
Groundwater discharge
0-3
0 -4
0 - 4
C)
(no discharge = 0; s rip =s sce s, wcilands, etc. = max points)
Presence of adjacent floodplain
0-4
fl_
0-2
(no floodplain = 0; extensive floodplain = maxpoints)
Entrenchment I floodplain access
0-5
0-4
0-2
(deeply entrenched = 0; frequent flooding = max .Dints)
fl
Presence of adjacent wetlands
0-6
0_4
0-2
CD
(no wetlands = 0- large adiacent wetlands = maxpoints)
9Channel
sinuosity
0-5
0_ 4
0 _. s
extensive channelization = 0; natural meander ^ maxpoints)
10
Sediment input
0-5
0--4
0-4
extensive deposition= 0; little or no sediment = maxpoints)
I l
Size & diversity of channel bed substrate
NA*
o-4
0-5
(fine, homogenous = 0; lar =e, diverse sizes = maxpoints)
12
Evidence of channel incision or widening
0 -. 5
0-4
0-5
(deeply incised = 0; stable bed & banks = maxpoints)
I3
Presence of major bank failures
0-5
fl -5
0-5
severe erosion = 0; no erosion, stable banks = max Dints)
14
Root depth and density on banks
0 _
0 _4
0 - 5
(no visible roots = 0; dense roots throughout = max points)
15
Impact by agriculture, livestock or timber production
0-5
0 -4
0-15
(substantial impact =0; no evidence = maxpoints)
16
Presence of riffle-pool/ripple-Poral complexes
o-3
0-5
0 _ 6
no riffles/ripples or Rools = 0; well-developed = max oints)
Q
17
Habitat complexity
o-6
0-6
0-6
(little or no habitat = 0; fre uent, varied habitats = maxpoints)
l
Canopy coverage over streambed
0- 5
0-5
0-5
(no shading vegetation = 0; continuous canopy= max points)
19
Substrate embeddedness
NA*
0-4
0-4
(deeply embedded = 0• loose structure = max)
20
Presence of stream Invertebrates (see page 4)
0-4
0-5
0-5
(no evidence = 0; common. numerous types = maxpoints)
1
Presence of of amphibians
0-4
0-4
0 l
C
(no evidence = 0; common, numerous types = maxpoints)
')?
Presence of fish
0-4
0-4
0-4
0
(no evidence = 0, common, numerous es = maxpoints)
23
Evidence of wildlife use
0-- 6
0-5
01- 5
(no evidence = 0; abundant evidence = max Dints)
-7T
Total Points Possible
100
IUO
100
TOTAL 'SCORE (also enter on first page)
� I
* These characteristics are not assessed in coastal streams.

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmo0041 facing north upstream.
Waterbody data point scmo041 facing south downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmo041 facing east across.
Photo Sheet 2 of 2

USACE AID# DWQ # Site # (indicate on attached map)
;,p,; STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: D6oy,,Iti On 2. Evaluator's name: ",rw'�
3. Date of evaluation: /10/A015 4. Time of evaluation: hA
5. Name of stream: CPT tO C'IPC � ,I 6. River basin:
g` i c "
7. Approximate drainage area: 0 � 8. Stream order: 1 `'
9. Length of reach evaluated:` V0 Vec •4 10. County: �11�a t3
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
li B a
Latitude (ex. 34.872312): '-,islo 5 .� Longitude (ex. —77.556611): 7Yc)'-12 ) 5c, 1 5
�a
Method location determined (circle): 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): 144
15. Recent weather conditions:
16. Site conditions at time of visit: N ;rrge,
17. Identify any special waterway classifications known:4A-Section 10 'Tidal Waters Essential Fisheries Habitat
Trout Waters Q Outstanding Resource Waters NA Nutrient Sensitive Waters 1Water Supply WatershedOA (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES & If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: _% Residential _% Commercial % Industrial % Agricultural
q/o
) Forested %Cleared /Logged 5 % Other(
_
22. Bankf ill width:t
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.
8
Total Score (from reverse) Comments,: fe,p 10,3 I,r �
Evaluator's Signature k Date lo- 15
This channel evaluation form is ' ended 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
SC AAC-C)C1'%
'these characteristics are not assessed in coastal streams.
2
q
q -
3
0
13
E

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 & fV\CCfl%' t
Date:
Project/Site: ACT
Latitude: ';5'" 10 � c�.7'11\1
Evaluator: 14-i-ir' o
CountY:�yLongitude:ct'xA
%�aLizi
Total Points: j
Stream is at least intermittent !
Stream Determination (circle one)
Other
if >_ >_
19 or perennial if 30
Ephemeral Intermittent Brenn I
e.g. quad Name:
H. k3e0rnorpn0l0(subtotal = ` ss )
1 a. Continuity of channel bed and bank
0 1
Weak
1
Moderate
2
Strong
2. Sinuosity of channel along thalweg
7Absentl
1
2
1.5 1
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
0 0.
2
3
5. Active/relict floodplain
0
1
2
1.5
6. Depositional bars or benches
0
1
2)
3
7. Recent alluvial deposits
0
0.5
2
3
8. Headcuts
0
Lip
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1
1.
11. Second or greater order channel
o = 0'
Yes = 3
..••il-n.,..,..h Io no
-a ed; JCC UlSG SJIOf15 III fTlanU81
B. Hvdroloqv (Subtotal =
12. Presence of Baseflow
0 1
2
3 )
13. Iron oxidizing bacteria
0 1
2
3
14. Leaf litter
1.5 1
0.5
0
15. Sediment on plants or debris
0
1
1.5
16. Organic debris lines or piles
0 0.
1 1
1.5
17. Soil -based evidence of high water table?
No = 0
<Kes =
1
C. Blologv (Subtotal = J' )
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae
0'
0.5
1
1.5
26. Wetland plants in streambed
FACW 70-7
OBL = 1.5 Other = 0
`perennial streams may also be identified using other methods. See p. 35 of manual.
T
Notes:
Sketch:o�e�k
41

Waterbody SCMC001 facing south upstream
Waterbody SCMC001 facing west across

,FS F P
f{ �T
'tom":
t
.ek +
R
741

USACE AID# DWQ # Site # (indicate on attached map)
M
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment: y�
1. Applicant's name: -,mon 2. Evaluator's name:_ Nk*,tCA1 ,e5ource Q{'op
3. Date of evaluation: 1 �i� ��� 4. Time of evaluation: 1 ' VD V\
5. Name of stream:;J� �� QC' �eG1 VQ 6. River basin:
7. Approximate drainage area: �Sb Cf e 58. Stream order:_ q fle-1
9. Length of reach evaluated:"- a00 Vee k 10. County: CM �zr (c na
11. Site coordinates (ifISO
prefer in decimal degrees. 12. Subdivision name (if any): �r� f 0.1 ( Q 9
Latitude (ex. 34.872312): ISO 10l 57. 51" -Longitude (ex. -77.556611): 7� '"Q� ,, W
Method location determined (circle): GP Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any): N trn e-
15.
15. Recent weather conditions:_ n, C-) +' '; f1 %,e %L Q ,j; as ko v ( 5
16. Site conditions at time of visit: � "c t -d O � -5t) f�Je �
17. Identify any special waterway classifications known: t.LSection 10 IJ Tidal WatersEssential Fisheries Habitat
tit A Trout Waters ON Outstanding Resource Waters 02�1_ Nutrient Sensitive Waters 04 Water Supply Watershed N(I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES If yes, estifnate the water surface area:
19. Does channel appear on USGS quad map? YES AM) 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: _% Residential _% Commercial _% Industrial % Agricultural
I A�0% Forested % Cleared / Logged % Other (
22. Bankfull width: 23. Bank height (from bed to top of bank): l
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 zharacteristic 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,
,iY 0\ ht "✓rte
Comments:
c., C � n;�e ewa Iha} W
to 150 'fe&4 +6
be-eA eA IICred
Evaluator's Signature Cie e tet^ Date Z _ IC)- 15
This channel evaluation form is ' ended 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
SCNICOO -9
* 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
ISCMCOOo�
NC DWO Stream Identification Form Vercinn 4.11
Date: a/10/2015
Project/Site: A cp
Latitude: `S5,6 W ,i
jV
Evaluator: WJar-1 ?eSvJrCe blot"?
County: W,46e_rw,�
Longitude:YtWV. J
Total Points:
Stream is at least intermittent 2j C
Stream Determination circle one
Other
if 2: 19 or perennial if 2: 30'
Ephemeral Intermittent �
e.g. Quad Name:
A. Ueomorpholo (Subtotal=, dl-, J )
Absent
Weak
Moderate
Strong
1a. Continuity of channel bed and bank
0
1
2
15. Sediment on plants or debris
2. Sinuosity of channel along thalweg
0
1
2
1 1.5
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool se uence
0
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
1.5
6. Depositional bars or benches
0
1
CD
1.5
7. Recent alluvial deposits
0
T
2
3
8. Headcuts
0
= 1.5
2
3-
9. Grade control
0
.5
10. Natural valley
0
0.5
1
eSO k 6 0 S 51cr�.
11. Second or greater order channel
a
No = 0
=
E1.5
amndai acnes are not ratea; see discussions in manual
B. Hvdroloav (Subtotal = a ,S l
12. Presence of Baseflow
0 1
2
13. Iron oxidizing bacteria
0
2 3
14. Leaf litter
1.5 1
0.5
15. Sediment on plants or debris
0 0.5
1 .5
16. Organic debris lines or piles
0 0.5
1 1.5
17. Soil -based evidence of high water table?
No = 0
Cyes = 3
C. Biology I,5uptotal = t r5 �
18. Fibrous roots in streambed
2
1
19. Rooted upland plants in streambed 3'
2
1
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks 0
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish CO)0.5
1
1.5
24. Amphibians 0
0.5
1
1.5
25. Algae 0
0.5
1
1.5
26. Wetland plants in streambed
ACW = �OBL
= 1.5
Other = 0
perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: yr �e._1 r A -M J 54CCGc.1 fnn� $e✓eIc i
�r,Nt� e�✓rt ci �r'tS
!alotl
Sl few rt
eSO k 6 0 S 51cr�.
Sketch: Vio) <<
J
41

Waterbody SCMC002 facing north downstream

j USACE AID# DWQ # Site # (indicate on attached map)
;,i,; STREAM QUALITY ASSESSMENT WORKSHEET
SG/V\CoO3 --jqp
Provide the following information for the stream reach under assessment:
1. Applicant's name: Dorn.- (L, do 2. Evaluator's name: O"+VT�,l �,60orec �� p
3. Date of evaluation: a / DC7 / ao� s 4. Time of evaluation:_ J15 AM
5. Name of stream: OT to 1Se,. ;Nye( 6. River basin:
k
7. Approximate drainage area: ^' 25 Q C -'r' J 8. Stream order: � 5
9. Length of reach evaluated: too V� • 10. County: Com foe t k -Ad
11. Site coordinates (if known): prefer in
decimal degrees. 12. Subdivision name (if any)::: �/ r� ' . J
Latitude (ex. 34.872312): S5 10 C 7q. 09. � Longitude (ex. -77.556611):_ %O' 721 -69� W9 W
Method location determined (circle): GP Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any): j1 OAC
15. Recent weather conditions: n 3: ,nre i :.813 2L( I,oir S
16. Site conditions at time of visit: Norm r
17. Identify any special waterway classifications known: 91} Section 10 to Tidal Waters Essential Fisheries Habitat
Trout Waters tO Outstanding Resource Waters to Nutrient Sensitive Waters Water Supply Watershed 114 (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES 1]M� If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES (9) 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: _% Residential % Commercial _% Industrial % Agricultural
10'% Forested % Cleared / Logged % Other
22. Bankfull width: / 23. Bank height (from bed to top of bank): 4
V 1
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): 95
Comments:
cr'CJ i�
A 2-
Evaluator's Signature Date
This channel evaluation form is rote ed to be used only as a guide to assist landowners and environmental professionals in
gathering the data required byte 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
f%%"

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
C,+A C 003
NC DWO Stream Identification Form Verc;nn d I I
Date: q1012,015
Project/Site: ACP
Latitude:` 5" )0194,go'!
Evaluator: a �fn, � �_�� r
County: Co�e_r %,4
Lon etude: � � I
Total Points:
Stream is at least intermittent I If
'
St termination circle one
- )
Other
if >- 19 or Perennial if>> 30
hemeral intermittent Perennial
e.g. quad Name:
i
H. veomor nolo (Subtotal =_ t-' )
1a. Continuity of channel bed and bank
Absent
0
Weak
1
Moderate
2
Strong
3
2. Sinuosity of channel along thalweg
p
1
14. Leaf litter
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
0 0.5 'f
3
4. Particle size of stream substrate
0'
1
2
3
5. Active/relict floodplain
0
-0-5
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
9
(2-
3
8. Headcuts
7`?
1
2
3
9. Grade control
0
('0.5
1
1.5
10. Natural valley
r0
0.5
1
1.5
11. Second or greater order channel
(No = 0
Yes = 3
�0��`7��'
artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal =1 • 1
12. Presence of Baseflow
(0, ' 1
2
3
13. Iron oxidizing bacteria
!p 1
2
3
14. Leaf litter
1.5 1
0 5
0
15. Sediment on plants or debris
0 0.5 'f
1
1.5
16. Organic debris lines or piles
0 0.5,
1
1.5
17. Soil -based evidence of high water table?
0"
Yes = 3
1
I. tsietogy (suototal = d. f,-) )
18. Fibrous roots in streambed
3
2
1`
0
19. Rooted upland plants in streambed
3
2
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
Q
0.5
1
1.5
24. Amphibians
0;
0.5
1
1.5
25. Algae
26. Wetland plants in streambed
f0 : 0,5 ......, 1
1" FACW = 0.75 OBL = 1.5 Other - 0
1.5
'perennial streams may also be identified using other
methods. See p. 35 of manual.
Notes:
Sketch
�0��`7��'
`� cJ
41

AW
erg 'fit s.
.� fir• . � .

USACE AID# DWQ # Site # (indicate on attached map)
M STREAM QUALITY ASSESSMENT WORKSHEET
ISC M(cis
Provide the following information for the stream reach under assessment:
1. Applicant's name: 2. Evaluator's name: G%y
3. Date of evaluation:�4. Time of evaluation: 15
5. Name of stream: OT `1-1) %::e ¢, ' 6. River basin:
7. Approximate drainage area: M` � � CCCe- J 8. Stream order:
l
9. Length of reach evaluated: 10. County: + i"na
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): 55 it q q m 81.5 it Longitude (ex. —77.556611):_ 78a c13 I t 6 6 J
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): 0,
O'f%
15. Recent weather conditions: °1 e f* 7 � 9 Liao
16. Site conditions at time of visit: It
17. Identify any special waterway classifications known: Nkk Section 10 SLATidal Waters AAEssential Fisheries Habitat
Trout Waters W Outstanding Resource Waters ON Nutrient Sensitive Waters ANWater Supply Watershed #4 (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YESW If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES 1 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: _% Residential
10 % Forested
22. Bankfull width: 35
24. Channel slope down center of stream: Flat (0 to 2%)
_% Commercial % Industrial 70 % Agricultural
% Geared / Logged % Other
23. Bank height (from bed to top of bank): I
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 (Iocated 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: I1
1 '"gin 14 eAip211C�e Aar 0 � a�a� Of w :1a S
� J
Evaluator's Signature lc Date Z `J � �% z -
This channel evaluation form is inte d 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.
1

STREAM QUALITY ASSESSMENT WORKSHEET
SC m(c)(267
* These characteristics are not assessed in coastal streams.
2
I
0

NC Division of Water Quality-I�Vlethodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWn Stream Trlentifientinn:Fnrm Vvrcinn a 11
Date: V1 f
Project/Site:( P
Latitude: )5 ,'i0, i' . )5
Evaluator: cvf,,,r-, I hoc,
County: cj,mbc A"'A'A
Longitude: 7 S7 31 4%
Total Points:
Stream is at least intermittent
Strea mDeteynjihaticircle one)
Other
if>_ 19 or erennial if>_ 30`
Ephemeral ntermittent erennial
e.g, quad Name:
n r
A. Geomorphology (Subtotal= IV, )
Absent
Weak
Moderate
Strong
1a. Continuity of channel bed and bank
0
1
2
1.5 1
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
1
3
4. Particle size of stream substrate
0
Q
2
3
5. Active/relict floodplain
0
2
3
6. Depositional bars or benches
0
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
1
2
3
9. Grade control
0.5
1 =1.5
10. Natural valley
0
0.5
11
1.5
11. Second or greater order channel
a
o = 0
Yes = 3
anundai unuies di t: nui raieu; see uiscussions In manual
B. Hydrology (Subtotal = I
12. Presence of Baseflow
0 1
2
0
13. Iron oxidizing bacteria
0 Q
2
3
14. Leaf litter
1.5 1
OIL
0
15. Sediment on plants or debris
0.5
1
1.5
16. Organic debris lines or piles
Q0l 0.5
1
1.5
17. Soil -based evidence of high water table?
o =
Yes = 3
U. 61UIUUV 1.!iUM C YRi = :J 1-
18. Fibrous; roots in streambed Q) 2 1
0
19. Rooted upland plants in'streambed 3 1
0
20. Macrobenthos (note diversity and abundance) ® 1 2
3
21. Aquatic Mollusks 1 2
3
22. Fish 0.5 1
1.5
23. Crayfish 0.5 1
1.5
24. Amphibians 0.5 1
1.5
25. Algae V 0.5 1
1.5
26. Wetland plahfs in streambed FACW = 0.7 BL = 1.5 Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
€ich:
J1 r
41

Waterbody SCMC005 facing east upstream
Waterbody SCMC005 facing north across

Waterbody SCMC005 facing West downstream

USACE AID' DAV'Q = Sile = ( indicate on auached map)
0
STREAM QUALITY ASSESSMENT WORKSHEET
Proide the following information for the stream reach under assessment:
1. Applicant`sname:b0ml✓)hOvl 2. Evaluator'smine:ES1—J li�� )Cts �•/ij�tf{?��f�t<
3. Date of evaluation: (O/ 1 / t 1� 4. Time of evaluation: I 00O ')
5. Name of stream: UST �U C� %nQ QxreSL 6. Ricer basin: Cafe F��'l
7. Approximate drainage area: (5 B GCe S S. Stream order:_
9. Length of reach evaluated: 50 to. COun y: �G1MII7e���tV1',�
11. Site coordinales (if kno1v nn)): prefer in decimal decrees. 12. Subdivision name (if any): [NA 2 e
Latitude ler. 34.872312):3-;,1 0Z Longitude(ex.-77556611):_`%0..7 J •>l`-
Method location determined (circle): GPS Topo Sheet Onho (.Aerial) Pholo/GIS Other 61S Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying streant(s) location):
caul ;S t666r`te8 0�_ 4-tne 011+ oOF t�-(u_'? S+,., o•fF clnurC_t, ! 4,
14. Proposed channel work (if any): L ii')! J
15. Recent weather conditions: k'
16. Site conditions at lime of visit: (,t C�c� ' ;::.1,. t'r
17. Identify any special waterway classifications known: —Section 10 —Tidal Waters —Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters Nutrient Sensitive Waters✓ \rater Supply Watershed _zt
1 S. is there a pond or lake located upsti'ean] ofthe e\\aluatim] poinYESNt? O If) es, estimaie the tater surface area: acres
19. Does channel appear on USGS quad map? YES
NO 20. Does channel appear on USDA Soil Survey? YES(ND
21. Estimated \watershed land use: S % Residential —°6 Commercial _0"G industrial �ICi 0/0 Agricultural
550,o Forested °o Cleared / Logged % Other ( )
� �Tcpcf $An� / — .. —
22. Banl:full \wid t: U 23.k height (from bed to top of bank): 5.
24. Channel slope down cent =of stream: —Flat (0 to 2%) _Gentle (2 to 4%)—1\4oderate (4 to I Viol __Steep (> 10%)
25. Channel sinuosity: _Straight _Occasional bends _Frequent meander —Very sinuous —Braided channel
insirtictiolls fon' conipietioii of tworkshcet (located oil page 2): Begin by determining the most appropriate ecoregion based oil
location. terrain. vegetation. streanh classification. etc. Ewer characteristic must be scored using the sane ecoregion. Assign points
to each characteristic \tiihin the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or meather conditions. enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.2.. the stream floes from a pasture
into a forest). the stream may be divided into smaller reaches that display more continuit\'. and a separate form used to e\aluaie each
reach. The total score assigned to a streauh reach must rime between 0 and 100. t\ith a score of 100 representing a strean] of the
highest qualir'.
Total Score (front reverse): Comments: `V'i•S 1. (i\pk{e r_6Aax
Evaluator's Signature -1 —�iGf t91// DateJ�/%%�"1
This channel evaluation form is intended to be used only as a guide to assist landowners and cmirontnettial professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approal and does not Imply a
ha Yticalar Elh iligaTlOn 1'at10 GI' t'egnlCHlh Hit. Fil'!ii SUl:,icci lig in57]�'e - \er5101] Q6 flj., TO Llalhit]el il. plca:e icll S f 9-i h-$=? 1 \ �C,.

STREAM QUALITY ASSESSMENT NVORKSHEET
t I
#
r K2 tiu.r
CH�2A�TERISTIGS ig
E1C012E ON �' RA1 L�
n� - I ,
�;
i3
{
n; � s k✓ xTlf C Lc a f•- [' s rq S i t it tiJ�a �Hky+3� }t,". �
z y. �"xr �M,a. �•
d ^• }-. > 3-. q. rte.'.';
�`OaSta�, �'lOY]i1�RIn�'d
l':Oi�L`
�.�..;.
�......`"1',A..'kt� ,��..Fh?�.% ...r .-.F Y..x
..: w a,; .4PJComQnti• t '
Presence of flow / persistent pools instYeam
1
(no flow or saturation = 0; strong flow = max points)
0-5
0-4
0-5
2
Evidence of past buman alteration
(extensive alteration = 0; no alteration = max points)
0-6
0-5
0-5
U
Jaz
rs
3
parian zone .
(no buffer = 0; conn nous, wide bi ffer. = max points)
0-6
0-4
0 5
5
Ms>
4
Evidence of nutnent or cltemncal dschar gen '
(extensive dtschar es O; no drschar es = max points),
0 — 5
0 — 4
0- 4
5Gi
oundwater discharge .
;
Y
(nodischar e 0 'rin s, seeps,tvetlands,eto, "max points)0-3
0-4
0=4
a
6
Presence of adjacent tioodplarn -
(noflood lam ti;extensive#loodplain="maxpontts)
Entrenchment
0-4
0-4
0-2
.'7
. I floodplain access
F
(deep] entrenched = 0; frequent flooding:= max points)
0-5
0-4
0-2
3
S
Presence of adjacent wetlands
(no wetlands — 0 lar a adjacent w : etlands.max points)
0-6
0— 4
0— 2
3
s+s
9
Channel sinuosity
0-5
0-4
0-3
extensive chatmelization — 0; natural meander ,= maxpoints)
10
Sedimentinput
0-5
0-4
0-4
(extensive deposition— 0; little or no sediment = max oints)
11
Size & diversity of channel bed substrate
(fine, homogenous = 0; large, diverse sizes = max points)
NA* :x
0-4
0-5
12
Evidence of channel incision or widening
y
(deep] incised= 0; stable bed & banks= max points)0-5
0 — 4
0-5
�!
13
Presence of major bank failures
(severe erosion = 0; no erosion stable banks - maxpoints)
0-5
0-5
0-5
3
14
Root depth and density on banks
F:
(no visible roots = 0; dense roots throughout = max points)
0-3
0-4
0-5
2
15
impact by agriculture, livestock or timber production
(substantial unpact =0; no evidence = max points)
0-5
0-4
0-5
2>
16
Presence of riffle -pooUrippie-pool complexes
'
(no riffles/ripples or pools = 0; well-developed = max points)
0 — 3
0-5
0-6
(�
17
Habitat complexity
0-6
0-6
0-6
(little or no habitat = 0; frequent, varied habitats = max points)
18
Canopy coverage over streannbed
0-5
0 — 5
0-5
ter.
vegetation = 0; continuous cano
(no shadin canopy =max points)
19
Substrate embeddedness
(deeply embedded = 0; loose structure = max)
,NA*
0-4
0-4
20
Presence of stream invertebrates (see page 4)
0-4
0 - 5
m
(no evidence = 0; common. numerous types = max points)
0 — 5
�}
1
Presence of amphibians
0-4
0-4
0-4
O
(no evidence = 0; common. numerous types = max points
22
Presence offish
0-4
0 4
0-4
U
(no evidence = 0; common, numerous types = max points)
-
23
Evidence of wildlife use
0-6
0-5
-
0-5
(no evidence = 0. abundant evidence = max points)
Total Points Possible
100
100
100
f TOTAL, SCORE {also enter on first page)
Lf
nese cnaracterrsacs are not assessed to coastal streams.

scrnP0ZI
NC DWQ Stream Identification Form Version
4.11
Date: lo/) /t4
Project/Site: �C1
Latitude: 3rj,IGf lo��
County: CLAmbert0,r)
Longitude. _-?e"
Evaluator. K Alvawef Ral(looGtr-
�/�)t�� tj
Total Points:
Stream is at leastfntermillenf )` s
Stream Determination (circle one)
Ephemeral ntermitten Perennial
Other
e.g. Quad Name:
if t19 or erennial if>_ 30`
A. Geomorphology (Subtotal= S )
Absent Weak
Moderate Strong
1a, Continuity of channel bed and bank Iv'
0 1
2 3
2. Sinuosity of channel along thalweg
0 1
2 3
3. In-channel structure: ex. riffle-pool, step-pool,
0 V
2 3
ripple-pool sequencetrey
0 1
2 �3:
4. Particle size of stream substrate
3
5. Active/relict floodplain
0� 1
2
bars or benches
C,0cent
alluvial deposits
(OJ 1
2eadcuts2
[6.Deposifional
3ade
control11.5
atural valley
or greater order channel
.�0.5,)econd
No - 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
0 1
1
2 3
0.5 0
14. Leaf litter
1.5
0') 0.5
1, 1.5
15. Sediment on plants or debris
0.5
L1 1.5
16. Organic debris lines or piles
0
17. Soil-based evidence of high water table?
C. Biology (Subtotal = )
1 0
18. Fibrous roots in streambed
3 2
0
19. Rooted upland plants in streambed
3. 2
1
3
20. Macrobenthos (note diversity and abundance)
L0 1
2
21. Aquatic Mollusks
(<0 �( 1
( 0)
2 3
22. Fish
0
23. Crayfish
0 0.5
24. Amphibians
0
1 1.5
25. Algae
26. Wetland plants in streambed
_0.5
FACW = 0.75;
BL = 1. Other = 0
`oerennial streams may also be identified using other methods. Seep. 35 of manual.
Sketch: I
> I
CHW,'n vJ1d+h',
-Fop oT &4 wAi," (o

Y
y
�` •r x tea• ., t�1;. it i; ,-v v s y
41,
50
Al t
-
r.f
a
Y
y
�` •r x tea• ., t�1;. it i; ,-v v s y
41,
50
Al t

Environmental Field Surveys
Waterbody Photo Page
Waterbody scmp021 facing north across channel
Photo Sheet 2 of 2

USACE AID#
DWQ9
Site # (indicate on attached map)
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: -Dow.:

STREAM QUALITY ASSESSMENT WORKSHEET
L t1CJC Cnarac LCnstics are not assessed in coastal streams.
4 �� ;,'
� j�i+Q �a��.SQCCil�a� �
� � ��ar:.vs ?�����"��-`�`$.�
;•S'A� .-�ld�n /:z
xa.. �.� .^.�a�3��.wr���n.�uz,.
YIi�eIICe QpaS€iagT�2ar
vk f
ee25St vealt�a22 Q} � dkrrbie
—�
TMq
7 PfigllIIY,� .v
.ii 'Pw ;
"e"- u�3s'3`k:.nw
.y�e,.
F a4CJ'1f�K
Ou
x211...
3 �,.., r� -
, 3� �.'v5s
�idence 2flRml!1� oChC1IC� t2seha2pes
a
tt{u(ch�pfe�i d23ch�a�e
2�0Fu
Freseneaad1aeeIIfl00dpa2ist
'.
nit caa�Ia2tt �, exte�2�e IIaodplam � "mai �nts�
� �
_
r2trenchmenflao Iau2 aeeess
�{
"resence a€acaeentetancs
R '
�2I�? wetlands tare
6
Q, ad�aceni Weltit - maa� pcztmtts
i �l&IIIIel SII2II032ty
extensve eannean,
,.'nataral meaner
a c r ._ SedimentlIIp11f
4 (ea€tens v depa3�tia Q¢ tle ar 40 sed�etit �?a�c xnts)' Y z
1
_: .
S2ze � d2versztX of �hani2ei fed SII�is�rate � � � "���
� ��
a€ehsnne� �eas2o� aid c��n�ng
�� pp'��c�d�nee
yy �
Ain
Pre3e�n�e a mayora22k ia2lure3_
�se�tere er�3ia� Q: �m� sable � �
� �
�
e2�sza�►, �i�N . �a���2n€S�: _, _ ,- >.:� �. � �... �t�
#oQ depIra i�d den2%aII batiks g x 4
�e mr2t��tab2tal �
"1f0 COye'`d*l (�(€e2° Sieai�2bed�
..
��{amn
mom p, ?s', ''f' g'. "`�
',t : ur d
IRIPORII%Wni�pX_52CCC� 4 A�2211lII$lbS r x 3z u r
Aden, C�ftiIIetplype-Sz�
� g.2
3-
I
L t1CJC Cnarac LCnstics are not assessed in coastal streams.

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Oriqins v. 4.11
NC DWQ Stream Identification Form Version 4.11 5CM_k;\0)
Date: s I L ,
Project/Site: Vz�,%,�,,', „,�,
Latitude:
Evaluator-\, � " a� �
County: , a te
Longitude:
Total Points:
S etermination (circle one)
Other
Stream is at least intermittent
if 2: 19 or perennial if >_ 30" 1 3
Ephe I Intermittent Perennial
I e.g. Quad Name:
A. Geomorphology (Subtotal = )
Absent
Weak
Moderate
Strong
1a. Continuity of channel bed and bank _;� ,,
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
co
1
2
3
4. Particle size of stream substrate
0
0.5
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
0.5
2
3
7. Recent alluvial deposits
dq>
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No = 0
Yes = 3
a artificial ditches are not rated; see discussions in manual "W S
B. Hydrology (Subtotal = <_1 )
12. Presence of Baseflow e �a e �� �
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
co
0.5
1
1.5
16. Organic debris lines or piles
0
0.5
1
1.5
17. Soil -based evidence of high water table?
No = 0
( Yes = 3
1.5
C. Biology (Subtotal = kA_)
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
10
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae
0
0.5
1 1 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: gra ��� ;���,C.
4 e,\A
Sketch:
1
5�,A,
41

Waterbody SCMB102 facing southeast upstream
Waterbody SCMB102 facing north across

Waterbody SCMB102 facing west downstream

9a
Aw
01
It
AV. "i B /2
Am, 1*10
4
is •�-°� �. - �- .`� �r . �
z - F
y•t. .., ter; r ' � > � �y - _ 5•
Ps
2014/08/28 121:03
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rvi
I41,Q81fl_3

USACE AID# DWQ 9 Site 9 (indicate on attached map)
\AA f::::,003,
MSTREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: l;>a-,�•e', ' W 2. Evaluator's name: \ -W t"` A,%^ r-
3. Date of evaluation: 3 Is 4. Time of evaluation:
5. Name of stream:SCM,' U'*.W 6. River basin: C c; P. i"
7. Approximate drainage area: 8. Stream order: `�
t
9. Length of reach evaluated: 10. County: C , f,AM
11. Site coordinates (if known): prefer in decimal degrees.
Latitude (ex. 34.872312):
12. Subdivision name (if any
Longitude (ex. —77.556611):
Method location determined (circle): GP T6pogl et Oho e Phgto Qther GI Other
13. Location of reach under evaluation (note nearby roads 'and- anil"marks and attach map identifying stream(s) location):
M
14. Proposed channel work (if any):
15. Recent weather conditions
16. Site conditions at time of visit: c-
0
17. Identify any special waterway classificatiAs 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 jO If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: 110 % Residential % Commercial % Industrial '10 b % Agricultural
°-i 0 % Forested %0 % 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%) 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: � X �-� R. .."� !fiAQ,
L X cN-
Evaluator's Signwf re % Date 3 1 "-1 I I
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.
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Thr
* These characteristics are not assessed in coastal streams.

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Oriqins v. 4.11
NC DWQ Stream Identification Form Version 4.11
\
Date:
Project/Site:
Latitude:
Evaluat
County: Cvw �"\
Longitude:
Total Points:
Stream Determination (circle one)
Other
Stream is at least intermittent
if >_ 79 or perennial if >_ 30' i 0 � �
E
Ephemeral Intermittent Perennial
p
e. 9' Quad Name:
A. Geomorphology (Subtotal =
Absent
Weak
Moderate
Strong
1aContinuity of channel bed and bank
0
1
16. Organic debris lines or piles 5
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
2
2
3
5. Active/relict floodplain
V1
2
3
6. Depositional bars or benches
1
2
3
7. Recent alluvial deposits
24. Amphibians
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
OBL = 1.5 Other = 0
0.5
1
1.5
11. Second or greater order channel
No = 0
Yes = 3
Li s.,,
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = �)
12. Presence of Baseflow., Zee w� �� ,,A 0 1
2 3
13. Iron oxidizing bacteria 0 1
2 3
14. Leaf litter 1.5 1
5 0
15. Sediment on plants or debris 0 0.5
1 1.5
16. Organic debris lines or piles 5
1 1.5
17. Soil -based evidence of high water table? No = 0
Yes = 3
C. Biology (Subtotal = )
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
t 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
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: - c.l 9
Li s.,,
a r .V',&,Kh
Sketch:
lop
/
G
a

Waterbody SCMB103 facing east upstream
Waterbody SCMB103 facing north across

Waterbody SCMB103 facing west downstream

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r
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3
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USACE AIDr:
DWQ M Site v— ( indicate on ,attached niap)
SCr�\P ODI _ S2
M STREAM QUALITY ASSESSMENT WORKSHEET
Prox ide the folluxving information for the stream reach under assessment:
2. Evaluator's name: �-+ ' r
4. Time of e%a]untion:
G. River basin: Coj e,
8. Stream order: 0
10.County-C�2innbef lo.n" _ .
].Applicant's name: DVtr+n 1n 0ft
3. Date of evaluation: 117.6116
S. Name of stream:
7. Approximate drainage arta: 0 a-(,.
9, Length of reach evaluated: 5C3
E7:
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): V%Or\ee
Latitude (ex. 34.872312); longitude (ex. –77.556611): 1/) V
Method location determined (circler --11:53> Topo Sheet Ortho (Aerial) Photo/GIS Other GiS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying streams) location):
0-r e - l 11-0130, ►%oe4h 0� Swa=h p R4
1.1. Proposed channel work (if any): [� D
15. Recent weather conditions: 00 � '�' -f
16. Site conditions at tittle of visit: r 1 i
17. ldentify, any special waterway classifications known: Section 10 _Tidal Waters 'Essential Fisheries I habitat
_Trout Waters _Outstanding Resource Waters _Nutrient Sensitive Waters _Water Supply Watershed �(I-IV)
18. Is there a pond or lake located upstream ofthe evaluation point? YES(T) If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES � 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: ,% Residential _°'d Commercial _% Industrial -7Q % Agricultural
% Forested S °o Cleared i Lovued Other
22. Bankfuli width: 1-� - _ 23. Bank height (from bed to top of bank):s
24. Channel slope down cente of stream: Flat (0 to 2%) Gentle (? to 4°/0) I19oderate (4 to 10%) _,,,Steep (>10")
25. Channel sinuosity; Straight _Occasional bends _Frequent meander Very sinuous _Braided channel
Instructions for completion of 1vorlaheet (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 xvorksheet. 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 tinder review (e.g., the stream flm« s from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, xxith a score of 100 representing a stream of the
highest quality.
Total Score (front reverse): 9 (D Comments: C tv, ti nP- ( t?
Evaluator's Signature Date
This channel evaluation orm is intended to he u d o ly as a guide to assist landoxvners and en►ironmental professionals in
gathering the Bata required by the United States A y Corps of Engineers to stake 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 - xersion 06 03, To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics arc not assessed in coastal streams.
ECOREGI�_ N POINT
RANGE,
it
CHARACTERISTICS
SMIZ
Coastal Piedmont
A1{�untain
1
Presence of flow / persistent pools in stream
0-5
0 -4
0 5
(no (low or saturation = 0. strong flow = max ints)
Evidence of hast human alteration
0-6
0 - S
0 - 5
(extensive alteration = 0; no alteration = maxpoints)
3Riparian
zone
0-6
0--4
0- 5
}
(no buffer = 0; contiguous. Nvide buffer - maxpoints)
4
Evidence of nutrient or chemical discharges
0-5
o-4
0-4
'-
(extensive discharges = 0; no discharges _ rriaxpoints)
5
Groundwater discharge
0-3
0-4
0-4
0
(no discltar e = 0; springs, sees wetlands etc. = maxpoints)
Presence of adjacent floodplain
0-4
0 _ q
0-2
0(no
floodplain = 0; extensive floodplain = max points)
7
Entrenchment 1 floodplain access
0 5
0_ 4
0-
(deeply entrenched = 0; frequent flooding = max points)_._
8
Presence of adjacent wetlands
0-6
0-4
0-2
(no wetlands = 0; large adjacent wetlands = maxpoints)
9
Channel sinuosity
0-5
0-4
0-3
(extensive chanmelization = 0• natural meander = maxpoints)
10
Sediment input
0 - 5
0-4
0-4
(extensive deposition= 0. little or no sediment = maxpoints)
I 1
Size & diversity of channel bed substrate
NA*
0 _. 4
0-5
(fine, homogenous = 0• large, diverse sizes = max poin
12
Evidence of channel incision or widening
0-5
0-4
0-5
'7
(dee Iv incised = 0; stable bed & banks = maxpoints)f�
13
Presence of major bank failures
0-5
0--5
0-5
(severe erosion = 0; no erosion, stable banks = maxpoints)__
p
14
Root depth and density on banks
0-3
0-4
0-5
no visible routs = 0; dense roots throughout = maxpoints)
15
Impact by agriculture, livestock, or timber production
0-5
0 -4
0-5
0
(substantial impact =0; no evidence = maxpoints)
16
Presence of riffle-poallripple-pool complexes
0-3
0-5
0-6
no riffles/ripples or pools = 0; well-developed = maxpoints)
17
Habitat complexity
o-6
0_.6
0-6
F
(little or no habitat = 0; frequent, varied habitats = max ppints
12
18
Canopy coverage over streambed
0-5
0 - 5
0-5
=
(no shading vegetation = 0; continuous canopy = max pints)
19
Substrate embeddedness
NA*
0-4
0-4
(deeply embedded = 0; loose structure = max
�0
Presence of stream invertebrates (see page 4)
0-4
0 _ 5
0 - $
L(no
evidence = 0; common, numerous types = max points)
21
Presence of amphibians
0--4
0 ... 4
0 4
V
(no evidence = 0; common, numerous types = max points)
22
Presence of fish
0-4
0-4
0-4
{�
(no evidence = 0; common, numerous types = max pints)
p
�3
Evidence of wildlife use
t1._- 6
0-5
0 5
(no evidence = 0; abundant evidence r max points)
Total Points Possible
loo
100
100
TOTAL SCORE (also enter on first page)
* These characteristics arc not assessed in coastal streams.

NC DNVO Stream Identification Form 4'ersion 4.11 S Gm l DD -
Date: `1 I
Project/Site: '
Latitude: -5-5. 16108F,
Evaluator: +r
County: Ci*v'+bt y-jA'(\j
Longitude:- IQ,. 347 1014,
Total Points:
Stream is at least intermittent
Stream Determina circle one)
Other
if a 19 or Perennial if a 30'
Ephemeral 10fa&miltent Perennial
e g Quad Name d
M
A. Geomorphology (Subtotal
Absent
Weak
Moderate
Strong
("Continuity of channel bed and bank
1
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
0
2
3
4. Particle size of stream substrate
0
1
2
3
5. Activelrelict floodplain
P1
1.5
2
3
6. Depositional bars or benches
0
26. Wetland plants in streambed
2
3
7. recent alluvial deposits
0
2
3
S. Headcuts
1
2
3
9. Grade control
0
Sketch:
Yi
1
1
1.5
10. Natural valley
0
5
1
1.5
11. Second or greater order channel
Mo =9
Yes - 3
artificial ditches are not rated; see discussions in manual
B_ Hudroloav (Subtotal = ]
12. Presence of Basefiow
& 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
1
1.5
16.Organic debris lines or piles
0
f5
__ - 1.5
17. Soil -based evidence of high water table?
No = 0
1
aes
C. Biology (Subtotal= ?X' ] 11-�
18. Fibrous roots in streambed
2
1
0
19. looted upland plants in streambed cy
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 t)r
0.5
1
1.5
25. Algae 0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.7 OBL = 1.5 ONer = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: C, h`
Sketch:
Yi
1
I

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmp001_s2 facing east upstream.
Waterbody data point scmp001_s2 facing west downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmp001_s2 facing south across.
Photo Sheet 2 of 2

USACE .A1DL' I]1\ t = Site = (hidicate on attached n:ap)
SCVn(] Q3-4
STREAM QUALITY ASSESSMENT NVORKSHEET
Proi ide file fbllmi in- information for the stream reach under assessment:
1. Applicant's name: Dzrn+ryi ar\ I Einluator°s name:
rr r}
3. bate of ei aluation: �E' LG + A. Time of ei alttation: 1 30
;. Name of stream: LA 4V40 cKto� _ — 6. lifter basin: CoLocf ter, r-
7. Approximate drainage area: 500 in rc S. Stream order: rLc
9. Leritznh of reach et aluated: 0 P4- 10. County :
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): nor' c -
Latitude (ea. 3a.87f312t: , ' 51,5el % %77 Longitude (er. -77.556511): -7
Method location determined (circle): OP Topo Sheet Onho (aerial) Photo GIS thher GIS Other
13. /`
Local ion of reach under evaluation (note nearby roads and landmarks and attach map identif} ing,, streant(s) local ion):
1.1. Proposed channel work (if any): P r-odnP, Q f. ^ �
15. Recent weather conditions:, �r a
16. Site conditions at time of i isit:
17. Identify ally special waterway classifications known: Section 10 _-Jidal Waters _Essential Fisheries Habitat
_Trout Waters Outstanding Resource 11`aters ,-_,Nutrient Sensitize Waters tf vaier Supply Watershed L_(1-lv)
18. Is there a pond or lake located upstream of the evaluation point? TES elf y es, estimate the tater surface area:
19. Does channel appear on USES quad map? ES NO 20. Does channel appear on L1SDA Soil Survey? aNO
21. Estimated watershed land use: Residential _°if Commercial a.4 Industrial 5Q °a Agricultural
ESn Forested ° b Cleared/ Logged ° 4 Cather € )
ankful tvtd t:_ ib _ 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: /Flat (0 to 296) _Gentle (2 to 4%) ,_Moderate (4 to 10%) —Steep
?S. Channel sinuosit.: �traight --Occasional bends Frequent meander ,Very sinuous Braided channel
Instructions for completion of iiorksheet (located oil pane 2): Begin by detenttinins, the most appsupriale ecuregion based on
location. terrain, tegeiation, stream classification. etc. Evert characteristic must be scored using the same ecoregion• Assignpoints
to each characteristic NAithin the range shots n for the ecoregion. Page 3 pro\ ides a brief description of how to review the
characteristics identified in the trorksheet. Scares should reflect an overall assessment of the stream reach under et aluation. ]f a
characteristic cannot be evaluated due to site or weather conditions. enter 0 in the scoriae box and protide all explanation in the
comment section. Where there are obvious changes in the character of a stream trader reiiew €e.g.. the stream ilotis from a pasture
into a forest). the stream may be ditided into smaller reaches that display more continuitt. and a separate form used to et aluate each
reach. The total score assigned to a stream reach must range between 0 and 100. ttith a score of 100 representing a stream of the
highesi qualirt.
Total Score (front reverse): L I Comments:
Evaluator's Signature! � � � Date 1-1/2 G
This channel evaluation forte is intended to t7e used only as a guide to assist landowners and em ironmental professionals in
gathering the data required by the United States Army Carps of Engineers to male a preliminaQ assessment of stream
quality". The total score resulting froItt the complrtIatt of this forth is subject to USACE approval and does not imply a
particular mitiption ratio or requirement. Forni Subjecl to chance — %ersiton 06 ��:. To arnmeni. please call 910476-9441 % -"6.

STREAM QUALITY ASSESSME, NT 1VORILSHEET
y;i C k ffiE.
4..L/l�l G�l�O1N,, 1 OIN
SE]It
#
CI�IARACTERTSTICSY.(,F,.� 'Coastal
r
I'edt33ont
llibuni3►n
jPresence
of flow f persistent pools in stream
0-5
0-4
0-5
(no flow or saturation = 0: strong flow = maxpoints)
Evidence of past human alteration
0-6
0-5
0-5
(evensiv a alteration = 0; no alteration = max dints)
3
Riparian zone
0-6
0-4
0-5
?
(no buffer= 0• Conti nous. «vide buffer = max oints)
4
Evideuce of nutrient or chentical d}scliarges
0 _ 5
0 — 4
0 —4
r
(extensive discharges — no discharges = riax oints
5
Groundwater dischargeo_
3
0- 4
0- 4
(no discharge = 0- . irin s sees Nvetlands etc. � max points)
Presence ofad'acent flood lain -
1 p
0-4
o-4
0-2
faro floodplain = 0; extensive flood lain = mar' Dints)
7
Entrenchment 1 floodplain access
0-5
0-4
0-2
(j
(deeply entrenched = 0• frequent flooding =maipoints)
i'
rf:
g
Presence. of adjacent wetlands
0-6
0-4
0-2
(no wetlands = 0; Iar e- ad'scent wetlands =rnax points)
f:
Channel sinuosity0_5
0-4
0-3
(extensive chat�.melization = ts)0• natural meander = max oin
y:.
10
Sediment input
(extensive deposition— 0, little or no sediment — max oints)
t}-5
0-4
t)-4
�
p
Size & diversity of channel bed substrate
0-4
0-5
(fate homogenous = 0; large, diverse sizes = max points)
Evidence of channel incision or widening
0-5
0 —4
0-5
1
(dee 1 incised = 0; stable bed & banks = maxpoints)
1'
Presence of major bank failures0-4
0 —5
0-5
0-5
severe erosion = 0• no erosion stable banks = max points)
p
14
Root depth and density on banks
0-3
0_4
0-5
(no visible roots = 0; dense roots thro-u bout = maxpoints)
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
15
(substantial impact =0- no evidence = maxPoints)
Presence of riffle-pooUripple-pool complexes
0-3
0-5
0-6
E(no
16
riffles/ripples les or pools = 0; well-developed =max Dints)
17
Habitat complexity
0-6
0-6
0-6
(little or no habitat = 0; frequent, varied habitats = max oints
P2
Canopy coverage over streambed
0-5
0-5
0-5
18
(no shadingvegetation = 0• continuous canopy = mai: Dints
19
Substrate embeddedness
NA*
0-4
0-4
(deeply embedded = 0; loose structure = max)
Presence of stream invertebrates (see page 4)
0-5
0 —5
�
�0
10-4
(no evidence = 0: common. numerous es = maxPoints)�
Cil
Presence of amphibians
0-4
0-4
0-4
(no evidence = 0; common, numerous types = maxpoints)
*<
7
Presence of fish
0-4
0-4
0-4
(no evidence = 0: common, numerous types = max points)
�3
Evidence of v� ildlife use
0 —6
0 —5
0-5
(]noevidence = 0: abundant evidence =max Dints)
Tota! Paints Pa sihle
IOU
'• 100
l60 `.
a
TOTAL SC CIRE {also enter on.fir4 page)
* These characteristics are not assessed in coastal streams,

NG' DCVO Stream Identification Form Version 4.11
Date: 9-2(0-((q
ProjectlSite: 4C P
Latitude: -35. 1 �517]7
Evaluator: G . 4, ). 'Cit a.,
County: Cc.;.yA�atr(a n
Longitude: _78. %j 8523
Total Points:
feast
Stream Determination (circle one)
Other S�bCti-I►� ]
Stream is at intermittent
Ephemeral Intermittent erennla
e.g. Quad Name:
if a 19 or perennial if a 30*
L
3
A. Geomorphology ( Subtotal =--L--)
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
16. Organic debris lines or piles
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ri le- ool se uence
0
1
02
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
(
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. 1-leadcuts
1
2
3
9. Grade control
0
0.5
Notes:
1.5
10. Natural valley
0
0.5
1
1.5
11. second or greater order channel
No = 0
rYes = 3
a artificial ditches are not rated; see discussions in manual
R_ H vdrnlnnv (Subtntal = i Z ]
12. Presence of Basedow
0
1 2 3
13. Iran oxidizing bacteria
0
1 2 Cn
14. Leaf litter
T 1.5
1 0. 0
15. Sediment on plants or debris
0
0.5 1.5
16. Organic debris lines or piles
0
1.5 1 1.5
17. Soil -based evidence of high water table?
No = 0 Yes : 3
G_ Rnloav fSubtntal = !Q
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
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
1.5
26. Wetland plants in streambed
FACW = 0.75; QBL =1.5 Pjher = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
arty fl
4.
tila� h�
r�37 r�
OH wk . 4
13cul k t,�; i , . l0

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmo037 facing west upstream.
Waterbody data point scmo037 facing east downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmo037 facing south across.
Photo Sheet 2 of 2

C;S,%C E AID-`
D1i 0 Site = (indicate on attached mip)
zoy63$
STREAM QUALITY ASSESSMENT WORKSHEET
Pro► ide the follo» inn information for the stream rends under assessment:
2. Ev aluator"s name: E -S'3 -T. Md"' '(/ K'AUAefk1-r!
a. Time of n aluation: (6AO
6. R iv er basin: C&
8. Stream order: 7 nit
10. Count\: Ct1'6-0"i
12. Subdivision natne (ifanv): 11 +-
Longitude(ex.-77.55661)):76' 7 �577�
Atethod location determined (circle): GP.' 1 -opo Sheet Ortho (Aerial) Photo'
hots GIS Other GIS Other
13. Location of reach under evaluation {note nearby reads and landmarks and attach snap identit ing stream(s) location):
bC)CnJ�fa oto, Of WOMP S0ft4 in CvtmbE'YW%'Lk 60cArr !Z, rJC
14. Proposed channel work (if any):-ea*b-sej 1PfPei i t1e
15. Recent weather conditions: :SU�T ra l % W pa � 4f l+NV",r S _
16. Site conditions at time of v isit:_ (Afl,ki S c4'( %0e 6
17. ldentifv any special wwatenvav classifications known: _Section i0 Tidal Waters Essential Fisheries Habitat
Trout Waters _Outstanding Resource Waters Nutrient Sensitiv e Waters—4water Supply Watershed lZ(l-W)
18. Is there a pond or lake located upstream of the evaluation point? YES 'D lfyes, estimate the water surface area:
19. Does channel appear on USGS quad strap? ES NO 20. Does channel appear on USDA Soil Survey? YES
21. Estisnated wvatershed land use: °b Residential %Commercial 96 Industrial °[1 Agricultural
Y-6 0. Forested 116 Cleared 1 Logged ° o Other ( )
� �Tnpc� ��n��
??. anitiful wv td : 10 "'_3.Bank ltei;,hi (frotrt bed to tap of bank): 10H
24. Channel slope down center of streat�Flat (0 to 2%) ZGentle t2 to q° o) � ivloderate (-1 to 100 o) _Steep [ ' l0° ©)
25. Channel sinuosih : Strai,-?ht _occasional bends _Frequent meander _Very sinuous Braided channel
instrustious for completion of viorksheet (located on page 2): Begin by deienuinim-, the must appropriate ecuregion based on
location. terrain. vegetation. stream classification, etc. Ewen characteristic must be scored using the same ecoregiob. Assign points
to each characteristic v+itltin the ranue shaky(( for the ecoregion. fate 3 provides a brief description of hove' to review the
characteristics identified in the ww orksheet. Scores should reflect an overall assessment of the stream reach under ew aluation. if a
characteristic cannot he ewalunied due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
cotrsttlem section. Where there are obvious changes in the character of a stream under review (e.g.. the stream tloww s from a pasture
into a forest). the stream mai be divided into smaller reaches that display more continuity, and a separate fern used io ev aluate each
reach. The total sco=. e Lm s i ned to a stream reach must range bet%; een 0 and 100. wv ith a score of 100 representing a stream of the
highest qualin.
Total Score (front re.erse): Comments:
1. Applicant's name: in � ��''
3. Date of ew aluation. 3/AY/(4
5. Nance of siream-. NNT 'ty CP1 i� r-�*✓ Q� v1f oP
7. Approximate drainage area: 5 «S
9. LenaiIt of reach ev aluated: 16)0 F�
11. Site coordinates (if known): prefer in decinsal degrees.
I.atiiude fc\..4.87231-11:wl l S 1+/0`l�
Evaluator's Signature b1 i¢ Date -:�l 'a -- --- - This channel evaluation forth is intended to he used onl} as a guide to assist landowners and env lronntenial prafessiottals !it
gatherhirrthe data required be the United States Arm Corps of Enginecrs to make a preliminar� assessment of strennt
quality-. The total scare resulting from the Completion of this forst is subject to USACE approval and does not lntltly a
particular Mitigation ratio or requirement. Fern-, subjeci tip ch' ng — version {po iia. To t_C ntinent. please call X1 1047 6444 l % 26.

STREAM QUALITY ASSESSMENT NVORKSHEET
* These characteristics are not assessed in coastal streams.
C[ACTERsTzcs r xcanGr��ro>r1vTaIGE:k
+'
k
"Coastal
1''$edtnritit-
4lbutit3iri
1
Presence of flow I persistent pools in stream
0-5
0-4
0-5
{no flow or saturation = 0; strong flow = inaxpoints)
Evidence of bast human alteration
0-6
0-5
0-5
'—
(extensive alteration = 0: no alteration = maxpoints)
3
Rioarianzone
0-6
0-4
0-5
p
r
(no buffer = 0; cont! Lions, ov'ide buffer = nzax Dints
Evidence of nutrient or chemical discliarges
0-5
4-4
4-4
�_ t
4
(extensive discharges = 0; no discharges = max oints)
_s.
a`
5
Groundi►aterdischarge
0-3
4-4
0-4
(no discharge = 0• s rings sees wetlands, etc. = max points)_
6
Presence of adjacent flood lain
p
0-4
0—
0-2
(no floodplain = 0• extensive floodplain = max points)
Entrenchment 1 floodplain access
0-5
0-4
0-2
(deeply entrenched = 0• frequent flooding = iwxoints
8
Presence of adjacent wetlands
0-6
0-4
0— 2
(no wetlands = 0; large adjacent Nvetlands = maxoints
Channel sinuosity
0— 5
0-4
0— 3
(extensive chaimelization = 0. natural meander= max points)
a10
Sediment input
fl -5
0-4
0-4
extensive d2position= 0• little or no sediment = maxpoints)
Size & diversity of channel bed substrate
(fine, homogenous = 0• large, diverse sizes = max points)
12
Evidence of channel incision or Widening
0-5
0-4
0-5
(deeply incised 0; stable bed & banks = max oints
_=
Presence of major hank failures
13
0-5
0-5
0-5
severe erosion = 0: no erosion stable banks = maxpoints)
1�
i4
Root depth and density on banks
0-3
0-4
0-5
H(n❑
visible roots = 0; dense roots throughout = max oinis
M
Impact by agriculture, Ih-estock, or timber production
0-5
0-4
0-5
15
(substantial impact =0; no evidence = maxpoints)
Presence of riffle-poollripple-pool complexes
0-3
4-5
0-6
16
(no riffiesyripples or pools = 0; ,%vefl-develo ed = max oints)
17
Habitat complexity
0-6
0-6
0— 6
�.
(little or no habitat = 0; frequent, varied habitats = maxpoints)
C4
1
Canopy coverage over streantbed
0-5
0-5
0-5
(no shading vegetation = 0; continuous canopy = maxpoints)
19
Substrate embeddedness1A*
0-4
0_4
(dee lv embedded = 0: loose structure= max
�0
Presence of stream invertebrates (see page 4)
o-4
0-5
0 — S
L.•�
(no evidence = 0; common. numerous es = max Points)
21
Presence of amphibians
0-4
0-4
0-4
Q
(no evidence = 0; corritnon. numerous es = max oints
Presence of fish
(no evidence = 0: conunon, niltrierouS types = maxpoints)
M
�3
Evidence of wildlife use
0-6
0-5
0-5
(no evid0ce = 0. abundant evidence = maxpoints)
Total Points Possiblel(i0
i00
100
`.
TOTAL SCORE (also enter on first page)
* These characteristics are not assessed in coastal streams.

NC Doi O Stream Identification Form Version 4.11
:5c4-ne638
Date:
ProjectlSite: C
Latitude:35.15462;
Evaluator
v
7 '�-7577'
. ,.
1
0
Total Points:
Stream Determination (circle ane)
Cather Sio rc,m!2, M C
Stream is at least intermittent 6
if a 19 or perennial if 2 30'
Ephemeral a Intermittent Perennial
a -g. Quad Name:
A. Geomorphology Subtotal =_LL_)
Absent
Weak
Moderate
Strong
Continuity of channel bed and bank
0
1
0
3
-13,
2. Sinuosity of channel along thalweg
4
15. Sediment on plants or debris
2
3
3. In -channel structure: ex. riffle -pool, step -peal,
se uence
0r-111111
0
rripple-pool
3
4. Particle size of stream substrate
0
1w
Yes
3
5. Activelrelict floodplain
()
1
2
3
6. depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
0)
2
3
B. Headcuts
a
1
2
3
9. Grade control
0
W -V
1
1.5
10. Natural valley
0
co . 50
1
1.5
11. Second or greater order channel
C'L'
Sketch:
No = 0
Yes
3
a art ficial ditches are not rated; see discussions in manual
B_ Hvdroloav tSubtctal = 7 1
12. Presence of Baseflow
0
1
3
13. Iron oxidizing bacteria
(o
1
2 3
14. Leaf litter
1.5
1
0.5 0
15. Sediment on plants or debris
0
0.5
1 1.5
16. Organic debris lines or piles
0
0.5
1.5
17. Soil -based evidence of high water table?
0.5
Na = 0
Yes
C. Biology Subtotal =
1 B. Fibrous roots in streambed
(1
2
1
0
19. Rooted upland plants in streambed
(3)
2
1
0
20. Macrobenthos (note diversity and abundance) kb)
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
k o)
0.5
1
1.5
23. Crayfish
0)
0.5
1
1.5
24. Amphibians
0
0.5
1.5
25. Algae
4
0.5
L2 .
1.5
26. Wetland plants in streambed
FACW = 0.75: OBL = 1.5 Cather 560
streams may also be identified using other methods. See p. 35 of manual,
,''perennial
N
Notes: a -til 1 4.l A ��Alrti (
1-
F 2! 1 1 S Cfl'e
C'L'
Sketch:
Olt
ruP
OiAW N\ �N 1a+W, 3

Ok
r'

l 5,� C E :1113 DM Q= Site = (indicate on attached mit 1
S cep 035
STREAM QUALITY ASSESSMENT NVORKSHEET
Proi ide the follmt ing information for the stream reacIt under assessment
Xk
I. Applicants narne: nEYlr fl iC�'n. Eialuator s Hanle: �- N+citr 1�. Mvt
3. Gate of et a]untion:3 a �& 4. Time of evaluation: l ''Pre'�
5. Narne of stream: 04'C k ©P5- F E-02" 2` dent. Ricer basin: t&te Feat t
7. Approximate drainace area: <5 Qc r� s $. Stream order: (�
9. Length of reach ei'aluated: 50 f -k 10. County: C&ttt%yaeA&4-NCk
11. Site coordinates (if known): Prefer in decimal degrees. 12. Subdivision narne (if anv)): N 1k
Latitude in. 34.872312): S' 1 Si PZ t on2itude(ex.-77.556611): `► 8. 157 1
Method location detennined (circle): P. Popo Sheet Ortho ( Aerial) Phota'GIS Giber GIS t 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): p t;yPc?-`�� 'P iewi n
15. Recent weather conditions: gain V" ,Z+6 rS
16. Site conditions at time of visit: EC(A
17. Identify any special Nvatenvay classifications known: _Section 10 _Tidal Waters —Essential Fisheries Habitat
_Trout Waters ^Owstanding Resource Waters ^Nutrient Sensitive Waters Fater Supply Watershed
18. Is there a pond orlAe located upstream of the evaluation point? VES elfyes, estimate the water surface area:
19. Dees channel appear on USGS quad map?ES Q 20. Does channel appear on USDA Soil Survey? 1�' NO
1. Estimated watershed land use: ^°b Residential °b Commercial �°o Industrial ° Agricultural
10 1)', 'Forested ° o Cleared i Logged _°o Other { )
22.�anhfull glad t: 23. Bank height (from bed to top ofbarik): � I"
24. Channel slope down center of stream: v"Flat (0 to?4o) ,„Gentle (3 to -I°b) -Moderate (4 to 10%) --Sleep (310%)
25. Channel sinuoslt`: Zrainht ^Occasional bends ,_]='requent meander Vert' sinuous _Braided channel
Instructions for conmltlellon of iiorksh et {located on page 2): Begin by detennlnin�r the mast appropriate ecoregion based on
location. terrain, i'egewtion, slrearn classification. eic. Even characteristic must be scored using the Sartre ecoregion, Assign points
to each characteristic vt ithin the range shows 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 cif a stream tinder 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 assi--ned to a stream reach must range between 0 and 100. vi hli a score of 100 representing a stream of the
highest qualirt. r -y
Total Score (from reverse): Comments:
f�
Evaluators Signature Date
1
This cltanneI evaluation form is intended to be used only as a guide to assist landowners and ens ironntental professionals in
gathering the data required by the United States Army Corps of Engineers to stake a preliminary assessment of stream
qurtlity. The total scare resulting from the contpic-tion of this form is subject to USAGE approval and noes not intply a
particular mitigation ratio or requirement. Form su jeci to Chance - v ersion 06 [13 . To Conttttcni. please call 91 q-S7h-81-)1 t �n.

STREAM QUALITY ASSESSMENT NVORKSI-IEET
#
COREG1C{]N�Pr�UI ,
CI A"CTERIS_TIC y7� ADORE
z �r
} P xv f r"� _j.i t`�i.7� •.+�k ':�.s r �C-oastal'.
1
I?jedtnnnt: ; AitSttn�a�
a��
Presence of flu►►' 1 Persistent pools in Stream
0-5
0-4
0-5
�.
1
(no flow or saturation = 0: strong flow = max oints)
E►-idence of past human alteration
0-6
0—S
0-5
{estelgsive alteration = 0: no alteration =max amts)
gy
Riparian zone
(no buffer = 0• conn nous. wide buffer = inax Dints)
0-6
0-4
0-5
#`
Evidence of nutrient or chemical. discliar&s
0-5
0—
0—
(e�\tensive discharges 0, no discharges — niax oints
_
5
,-
ter discharge
GrouittI►��a=�#
`rin
0_3
4—
a
{no discharge = 0• s s, sees wet l Inds. etc,- ma_x amts
�r.,
6
Presence of adjacent floodplain
0-4
0—�
p.
fno floodplain = 0• extensive flood lain = max points)
�
Entrenchment 1 floodplain access
0-5
0-4
p—?
F+
(deeply entrenched = 0• frequent flooding = max amts
,U. ,
Presence aradjacent wetlandsa
— b
fl —4
0 —2
r f
(no wetlands, = 0; lar a adjacent wetlands = max ohits)
9
Channel sinuosity
0-5
0-4
0-3
(extensive ebannelization = 0; natural meander= max oints)
r
10
Sediment input
fl -5
0-4
0-4
extensive deposition-- fl- little or no sediment= max oints)
r
Size & diversity afchannel bed substrate
0-4
0-5
-
I1NA*
(fine, homogenous:F; a; large, diverse sizes =max amts)
Evidence of channel Incision or widening
0-5
p —4
0-5
l
(deeply incised = 0, stable bed & banks =max oints
13
Presence of major bank failures `
0-5
0-5
0 -- 5
(severe erosion = 0• no erosion stable banks = max oints
Root depth and density on banks
0-3
0-4
0-5
�.
14
(no visible roots = 0; dense roots throughout = max oints),r
Impact by agriculture, livestock, or timber production
0 _ $
0 — 4
0 —5
EJ
i 5
{substantial impact =0• no evidence = max points)
Presence of riffle-paolfripple-pool complexes
0-3
a-5
0-6
16
(no riffles,ri les or ools = 0, ►►ell-develo ed = max oints)
1
Habitat complexity
0-6
0-6
0-6
j
F.
(little or no habitat = 0• frequent, varied habitats =max Dints
PM
1
Canopy coverage over streantbed
0-5
0-5
0-5
(no shadingvegetation = 0 continuous cane v =max Dints
19
Substrate embeddedness
NA* -:.
a--4
0--4
-�
(deeply embedded = 0; loose structure =max
Presence of stream invertebrates (see page 4)
o-4
0 — 5
0-5
�0
{no evidence = 0. common. numerous es = max points)
Gy
ryl
Presence of amphibians
0-4
0-4
0-4
C5
{no evidence = 0; connnon. numerous types = max points)
27
Presence offish
0-4
0-4
0-4
+--t
(no evidence = 0: common, numerous t► es =niax oints)
23
Evidence of wildlife use
0-6
0-5
0-5
(no evidence = 0. abundant evidence = max points)
Total Points Possible
t00 r
.., 100
140
TOTAL SCORE (also enter on first Pale)�
These characteristics are not assessed in coastal streams.

NC DWO Stream Identifeation Farris Version 4.11
5C AM p 035
Date: � a -6((o
ProjectlSite: k C Q
latitude: 3 5
Evaluator: E S1 -J. AA(bcV.(f, K 'Ac^ f e l -%f '
County: CLAnj �p6N (ao
longitude: __7
Total Points:
Stream is at feast Intermittent
Stream. Deten!nafign Lcircle one)
Other S LA L
�O r ✓� G
if a 19 or perennial if 2 30`
Ephemeral ntermrttent erennial
a g. Quad hlarrre:
A. Geomo holo Subtotal = Ili )
Absent
Weak
Moderate
Strong
1" Continuity of channel bed and bank -D; k. t
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
/
('
2
3
4. Particle size of stream substrate
0
1
2
1.5
a. Active/relict floodplain
1
2
3
6. Depositional bars or benches
(i}
1
2
3
7. Recent alluvial deposits
4
1 _
(
3
B. Headcuts
0
2
3
9. Grade control
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No = 0
Yes
3
artificial ditches are not rated; see discussions in manual
R_ Hvrlrtninnv (Suhtntal = 7. C-, ]
12. Presence of Basef1ow
0 1
C2
3
13. Iron oxidizing bacteria
(0) 1
2
3
14. Leaf litter
1.5
0.5
0
15. Sediment on plants or debris
0 0.5
1
1.5
16. Organic debris lines or piles
0 0.5
Cl_
1.5
17. Soil -based evidence of high water table?
No = 0
Yesit-
1
C_ Rinlonv rsuhtotal = In
1 B. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthes (note diversity and abundance)
(D
1
2
3
21. Aquatic Mollusks
l,0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae
0}
0.5
1
1.5
28. 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.
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Environmental Field Surveys
Waterbody Photo Page
Waterbody scmp039 facing east upstream.
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Waterbody scmp039 facing west downstream.
Photo Sheet 1 of 2

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