20140957 Ver 1_U-03_Appendix B_Wilmington_Nash NC waterbodies Part 1_20170227

USACH A11D#,I
DWSI— - ��� _ SiteI (til c icate cit ailtached r,t apl)
ST R EAM QUALIT Y ASSBSISIMENT WOR KISHEBT
Pro' "de Illte following infarrrlaticn for the Aream ieaiall under asse!!nienl:
:I. Aplpllicant's name: ,AAI ((110 .--__..
3. Dale ( f evalu, lien: 7
s.Nall leofstream:
I. Approxintate drainage arca:_ 7Q `' 6,1 S
9. 1-cliglli ofmach evaluallad: /GC I
"11. Site cac tic inalea (Iilf kn mvr ): piefer in decirral degree;•.
n �
Latitude ilex. ;4.8, 2 12): s, It 3.
Mcthod locatian d'ta
2. Evaluatc:Cr nania: [P&
,�.Tillieillfwlallualler:
t. Riven basin: ;�
E. c tream order: % 21)0
I (I. Cal 11ly: �/� A -g
1121. � u be iviiic n parse (if ani
Ilongitude (ex.
C (utincd Qurcle):(I S 0<i po Sheet Ortho IlAerial) f hotailGlS Other Cl] S Other
13. Lcct lien cl reach under evaluation (Iniale mart) roads anc lanchrarAr and atllaeh ill, I-, icen1ifying ;ulrcanl(v lacalian'
14. Proposed channel wcrA Ali Fall
I fl.144 cell t weatli er a on d itiott 9:
11 t. Site condi lions at link of vigil:
1Ti.Iderilif) ary special waterway classifleationsAnewn:—�ectiatr 1CI —Tical Waterr _Ev-ertial FisH cries Habital
frciuf Waters _._„Culsianc ing Resource Waters — Mirienll Sen/sitiiv�eq Waterr __Wallen Suplply Walar,,hec
18. Is there a 111citd or lake localled uplstreatn c the evaluallicit painll? YES if yes, eslintale the waler surface area:
19. Dc c; cls ar nel ap pear on L SC S cluad maul?ESQ T C 2(I. Ilacs channel appear or USDA Soil S u vay i YES N C
21. EsTirniaticd walernc�c ]arc are: l0-f,o/a Residential '�o Cerurnercial
— _'io lndurlrial �°io Ac�lnicullunal
l
:121. Ball kfill width:
— t> eat ec ,l L egged _'/o Other l
213.Eark height (fronlLedtelcplofLanA;:
214. CI-_ann el nape dawn cenictl of shears: X1.,F lal (0 la 2'io
--.. �—Genila 112 to 4'rc)—Mocerate (lz l0 1(11°ro)—Sleapl Q>l(11'ir)
215.Chanrelsinucsit5: Straiplh? Cecariurrilller,ds—Frequentmeancer Ve illu,rus—Braicedahanrel
Instruction! for ec triFletic n oil' wcu-1, Sheet (loealed on pate 2; : Begin Ly determining the rr csl appp-oppria le eearegic n ba rec on
loaalien, tenpin, ve('eiaticrr, s?reant elv'6fieatior, etc. Every char�eilerirtic nn rt be ,-ecu•ec using the Matra eccreplian. Assigr ploirits
tci each characteristic within the range shown fon the ecoragiar. Page _ pravices a I HeF ceseriptian of how 'Pa review lie
characterisllics icertifred in (Ila worksheet. Scare9 should ref cot an overall a-;essmert of tLa ,trearn reach under evaluation, if a
eliaraeleristie cannel Le evalualed cuc la site ar mea?her ecncillicim, eaten 01 in the sealing box anc pravice an exllanallictl ill (lta
e(rrlmcnl section. Where Iliere are obvious changle:i in the cli iracter of a sh•carr under raviem i�e.g., the shlaarl flown from a plasture
it to a faresi), the strearl ria) lie divic ec illk smaller reaehe: Ilial c i; pla3 mere catilinu ity, and a separate faro t sec to evaluate each
reach. The total .•core assigned tc a sh-earreach mast flange between Cl and 1(11(11, .Nitl, a score of ; aal replreser ling a slllear� of the
higheil gt�lily.
Toted Sec re Iftcml reverse;: r1_1 Comments:
EN alualor'll Sigr atu re �� / `'--- E ate
This chanr el evalu ailrc in four rr intended Ic he u! ed on 13 a! a lru is a to aa3ist landclwn ers and er vironmentail profelilii(lnals in
gathering tte catai recluired b3 Ohe United States Army Camps Df Hr gin ears to mare a Freliminar) assessment cd stream
qu ailit). The tufa 1 score netts; Itir g 1r•om tt a carr Flletion of tlll iti form is st h jeal la USA C E alpprim.il air d dues rat irl a
palrlliculair milligatlicin ratio in, requirement. form subject to change- versian 0116,103. To Cortintert, please call 91gl-876-84z I x 2C.

5111L 6 0
STMEAM QUALI-UY ASSIESISMEISI WORKSHEBT

NC Division of Water Quality -Metl odolagy for Ides r tificlz 11ior of Intermitter 1 anc
Perch nial I111rearra and Their Origins v. 4 A'I
NC DWQ Strcaln 1dem11ifiaallior Fol•m Varsicln 4
Data: 7/ZZI�Cf n
F uajecit,ISite: S e RP
ENoaluatcn: L�GOt � Glauniy: V41, yc
1 alal Poirils:
stream is at least intermittent Stnearn Delanmir al iar (
if Z 19 on perennial ill Z 30" EpH emewal Ir 1 eirmitten't
4 (-cnmc m1- I /2J, 1. r—
--
Lalituce:! i2/ l
Lar gitu c e: 7
' �''–I h
role -off OtH er
Pener r ial l e.c. Quac A ame:
18 Canllinuity of channel bad and bank
a. sinuosity o1 channel along thalweg
3. In -channel sinucluner Eix. riffle -pool, step -goal,
ri le- ool se uence
N u sent
CI
CI
0
we12 k
1
1
Modern le
2
21
2
G3
Slrorig
3
3
4. FartiCIE size afl slnEian si tstnale
d
212. Rish CI 0.9
Sadirrenl on plants on de tris
CI
(1
5. Active Anelict I aodplain
0
(1.5 -I
29. Algae
Cl
�I
CI 9
n a = 0
1.9
EI. Deposiiianal bars on bEinches
0
Yeis = 3
SkEticr:
3
a. Rece n1 alluvial deposits3�
—Cl
.I
2
EI. Headculs
CI
1
2.
3
9. Gnade canlral
0
3
10. N alunal valley
0.9
1
1
11. Secand ar greaten andE n channel
CI
(L.`I
a artifliai� I ditches a me not ua ted; ; ee discussions in m� �� �_�
na=0
eis=�
B. Hvrirnlnnv Icy t -+r i -.i –
PnesEince afl BaSEIfIaW
----------
0
�I 3
__
Inan oxidizing baclEnia
G3
F13-
I-Elall litiEmCL9
3
212. Rish CI 0.9
Sadirrenl on plants on de tris
CI
(1
Organic dElbnis lines an pile s
0.;11.9
CI
(1.5 -I
29. Algae
Cl
'II Suil•based EvidEince al hich VAalEln able?
-------------=
CI 9
n a = 0
1.9
CI. Bic logy f9L Ftntcl - --- -"`--
Yeis = 3
I EI. Ribraus raols in stneambed 3
a
'19. Raoled upland plants in slnearrbed � — 3
0
'ICI. M acrabentH as (note diversity and a bundance) 0
�I
ill. Aquatic Mollusks Cl
3
212. Rish CI 0.9
3
33. Crayfish
Cl
1.5 I
0 1
2z. AmFlhitlians
1.5CI
(1.5 -I
29. Algae
Cl
1.9
(1.9
:]El. V�, elland plan s in sloe ambed
1.9
RACW = Cl.�i 9; OBtl = '1.9 O' he n = Cl
' pere nnial stneams may a Iso be identified using other methods. See f . 35 otl manual.
Nc 1es: '
SkEticr:
I
snag001
a

'lo`

USIACE AIDS IlW Q # Site #� (incicate an attached map
S7lREAM QUALITY ASSIESISIMENT WORKSHEET
Pr( rida itha foliewing)uiformatior forlhesiraam reacp rnderasse!!rrerl:
h
1. A plAllicar is name v s, i .n
31. Uate of cvaluailian:
5. Name of stream:4
�
7. AFllplr-oiximatedaainage area:
9, f1 er gl l of rc< ch ct al < ted:
2. Elvaluatar'e uarrie.
4. Tits c of cualuattan:
a F
i
6. River lia,, in:
8. SIre2rr crcof:
w�
kyYX
11 01. Cau fit)
p {
11. Hilc coorc inates (if kr owr): pro Iindecirnaldeg,ees. 12.Suhdivisiar ii, r.acilifaiN):
Latitude (ea. 34.872312): � � Q,� 32 L
IJongitude(ex.-77.ss�611>: � � � d Z c� '_3C 2 -
Method
Method location deteinrined (circle 149 71opo Sheet Ortho (Aerial) 11hoto/IGI S Other GiS Othea
131. Laicaliain of reach under evaluate"b 1 (norlc,r(arLN roads aq. lartctnarks and attach rrapl icenlifyinfl rtreamir, la(arliatt':
Allr
sA,�a
14.lrapcvec chant el work llif at N):
19. P ecent Aeather cancitici s: ��.......... Al reg, 1
16. Site (arieitior,,i al time ofvisit: { ,
r
17.Iccr,tifN ar,ySpacial waterwaN classifications kriawn: Secliom 10 —Tidal Waters —Essential fisheries HaLital
_,Trout Wafers __Outriancirg Resaiurca Watars Nutrient Sen,•itive Walers ___Water 9upplI Watershed (1 -IV;
]f1. , s 4here a plond ar Ialle locoed upsilrearr of the evaIualior point? HIES NCI If Net, estimate Phe water sw-face area:
19. r]acs cliarr el appear on USG9 qu d.jr ape? YES N." 201. E oes char rel applcar on USDA Sail Survey? X1119 iN C
Ef sk
..i.,
21. Lsiliriated wads rslicc land use: °ra Residential /o Conry encial % Indrtstrial
— /o A gricultural
Pareslec Vo Clearec d floglged _'% Clther I
22. Banldfvll width: 231. Bank height (front Led to top of Laula;:
NJ`
24. Cl arnel recipe dawn center of silrearre Mat il0 to 2'ra) _Geritle ill to 4ON) _Mocarate (z 10 l0°ro) _Stc(p (>10'io)
29.Cliarnclrinumity: —Su aight?"'CIccasioralbernds _Frequcntnican( er Veryrinuous Brticcc channel
iwilutielions for comAlletion of workstleet 111ccailec on glade 2): Begin fly celerrriningl the nurst apprapiniate ecainegioin leasee on
location, terrain, uepetatian, ,tnaam classification, etc. .Every characterisilic must Le scored using 1he ,anle (coregion. Assign Foints
la each characlenistic withir the range ,hawn for the eaaregiain. Rage 3 pravides a brief descripllioin of haw to rc,/iew the
chartcteri,tic, icewiflec iu 1he warNsheet. Scares sl-oulc reflect an overall rassessmenl cif the sirearrr reach urccr evalualion. ]f a
characteristic aannot Le ewiluatec due to ;ile or wether (anditions, erter 0 in d c sieoring box aid lira-ide an cxplaratior- in the
carrmenl seclimn. Where there are of viour change;, in ti -e character cif a stream under review (e.g., the stream flaws frcorrl a paslure
into a fore9tl, the silrean- nraN be c ivic(d into smaller reaches that displlay niore continuilN, arc a , eplar-atc loin used to evahtate each
vetch. The taital score assigned tai at scream reach must range Iletween 0 and IOC, wid, a scare of IN reppiererting a stream afll_e
higl- ( art quality.
Total Sc( re 111I in revel 4•e; : C ouir lent!
Evaluatcu•'s Signalure Dalen
Thi! chrnnel eNalualior lcrnr ►s�inlano, tlo lei used only as a guide to assbl landaivneu! and enmircnmie�rlrl rrofessionals in
gathering) rlhe darla require( ty the Unitec Starlet Arny UrFIF of Englineer� to rake a preliminary, assessmerl of stream
gralily. Tpe dotal scoue resulling from the compllefion of this farm b sub;ect to USACE arlpliumal amc toes not in F113 ai
plairliculair milig� lion ration cm requirement. Farm , uh.ject to change – versic r 06/0C . Tai O-mmer t, }:lease call c 1S476-8441 x 26.

r
STREAM QUIIA L ITY A S S E SS MENT VNIORNS HE E'D
. '-. " , . �'w ni.w� Iai�w a c IV I i : 3C; : GC t[I c ( i a ; IHI S[Cean1.81.
2

f"
_Vp11 1 "P,
N C C ivisior ciif Watei QL allitN -IV ethoc ollogy for Ic entificaticiin of Intermitter t ar d
Perenr lial Streams and M ehi Origins v. 4.11
YC DWQ Shearn Idutif elation Form V(i-.qfar 4.11
DEOCI: 21", 11"�"",,,"11110JElabsiter
P Id sent
Ll al ill u da Gs
E % alu etc it:
Caunily: A?
Ll anclift dcr. Oz -2
Tollal Pcinlis:
Stream is at lea,, t intermittent
Stwarn DvIciiimiriallian (al are:
Clt[ar
om erennial h z 301
p
EpIcimeiial IriewriflItent Pciiierrial
e.g. Quac Name:
A. GEC morphology (Suflioial = L
P Id sent
Weak
Moderalle
14. Leal lillEin
§11 _1C ng
n,9V'
'I`'Continuity all channel ItEid and Lank
0
15. SediMEini an plants on dEIbIIiI
G
0.9
3
2. Sinuosity af channel along thalweg
0
0 5
2
17. Sail -based EividE nce cif high walEln tat le?
3
3. In -channel siructurEl: EIX. IliffiEl-racil, slag-racil,
ripple -pool sequence
0
Oz. Arriphibans
2
0 ­ .5
3
Far icle size of SInEiarri sultslmalEl
G
1,.x
21
26. Welland planl,, in sIrEarribE d
3
5. ActiVEIhIEIliCl flacidplain
G
perennial streams may also be idantified using otl er roethods. See
2
3
El. Deposilianal U ars an bEinches
21
3
1. ReCEinI alluvial de posits
0
1..
0
3
El. FaadCLIIS
2
3
GmadEl canInal
Ch
0.5
1.5
10. N alural valley
C1
1.5
I'l. Second an giiealer ardaii channel
YEIS = 3
a r ificial dita I es aif not natec ; see dis a us siions in manual
El. Hvdroloqv (Sunuial
10. F nE,' once of Rasaflciw
13. han oxidizing Haclaria
O.jl
= 0
1
1
2 3
3
14. Leal lillEin
i.5
1
0.5 C
15. SediMEini an plants on dEIbIIiI
G
0.9
1.5
'16. Organic dEbiiis lines ai pile S
G
0 5
1 I.5
17. Sail -based EividE nce cif high walEln tat le?
No
yes
(_ - BIC 10gy (SL t t0l€ I = -11 1—
'ld. Fit KILIS noals in sMearritIEC
'IE. Raciled upland plants in sIrEiarriltEid
3"
3
21
OC IN aCKILEintha, (nate diversity and abun dance)b
21
3
01. Aquatic Mallusl s
3
22. Fish
r" 03
0.15 1
1.1
03. Crayfish
1 .5
1.5
Oz. Arriphibans
11 0
0 ­ .5
IA
29. Algae
0
0.19 1 1 1
1.5
26. Welland planl,, in sIrEarribE d
FACW = C,79; ClEIL = IA ClIheii = G
perennial streams may also be idantified using otl er roethods. See
p. 35 of manual.
l\ cileE:
nag
nag003

snag003
Waterbody snag003 facing east upstream
Waterbody snag003 facing west downstream

snag003
Waterbody snag003 facing south cross stream

t SAC➢I A 1Dtl
DVdQ Site P__ (Iinc icate on altachec rear)
STIR EAM QUALI TY ASSES S MEIN T WOR KSHEET
Provide the followinhl informiatior, for the stream rev 14 h u in der aisses,rricr I: -4 41
1. Aprlicant's name x t,
U
3. Date of ew haiion:
)I. Nat ie ofsiream. 4/,
f `
I. Arpuaxir►ate c rainage a ne i .
SI. Ler filth a 'reach evaluatec :
2. Elvaluatar';• name:
�.Tirreofavahatior:
f. Rived basin:
H. Stream order:
I(I.Col. nty:
111. Site aoordinaIle: 1li:f kncwn;: prefer in decin-al degrcea. 1121. Stbeiui; isr name (Jifany'
L,titude(er.34.fl-?317): �� C��, (,2_ a
i Longitude (e).,',' "N6ll}: (� (��
Nethod location daitermin(-d Iuncic) GT S Topo Sheet Ortho ilPlo-ricl) I holodGl5l Other GIS Other
113. Location (if leach ur cer cvaluafi6r (Incite ricarby roads ane Ian( narks anic atlach mar icentifyir.ig streant(s
14. p rarjusec ch a nnel wark (if ail)):
11. Recent weather cant itianr:
6. Site canditions at time of N isit:
L I S_
location
71.1ccnlify anA special walerwa) ela:sifrcatior,s knawn: _Section 10 _Tidal W alms _Essential F'iaherics HlaLital
_TrautWaters _Clul,'tandinq Resourca Waters 1vutrient'1er.,itiNeWaters ____WaterSurlrly Waterrhed (11. IV'
llbl. is Ill era a pant cir latch locatec upstream of 1:11e evaluation paint? 'y ES(T` Cl llf yes, estimate the water surface area:
Lql. Does chanrel appear an t SGS quad maps DI) TrC 210. Does channel alfrear an L SDA Sail Survey? (,YE NC
2111. N timatec waters}:ed land use: "AX 1/o Rc;-icer Iial _% Con-wercial /> ]Inc usil:rial ,fie/, Agricullural
°/, ficirestac 0/0 Cleared / Lg,
--- earec pt�ec ._—r� Glther(— )
21:1. Banllfull wit the 1 231. Bank heihlh1 (fi•am bec 11 tall of bank]
14. Channel slope town center of stream; l Flat (0 to 21/i; Cen Ile (pi to � °/; o
— � _Modera,le i�4 to 10°/' _Steer (% 10 /,;
23. Channel sinuoriiy: Straight Clecasicina] Lenc s _FrcgtcnJ niearider �Mery sinuoius_Braider channel
Insilructions for compleliein (11wurksheet ihoaated cin page 21): Begin b) cetermining tl-e mast ifrropriate ecuregien based cin
location-, 1ar-air. vapetatian, ;cream classifleaticui, etc. Bary aharaeteristic must be scarec using the same eeoragicin. Assign paiir.ts
to each characteristic within the r lle shown far the ecoregion. Rape 3 Aluouice9 a brief cesauipticn 01 haw to review tl-e
cltaracicristics icentiflec it the wcirkshect. Serres sfloulc refleal an aucrall assessinenl of the streair reaal- uncer evaluation. if a
characteristic aanncit be evaluate( due is Sita au• weallier aaucitioin,, enter 0 in the scauing bux anc 11,101lice cin explaraliar in the
caanmew seclion. Where theue are cibuiour charipe.i in the character cif a ;•beans under review I�e.p., the slrearl flows fram a rasture
intc a lforestj, the stream r:aN lie ciNicac inti smaller reaches Ilial di,Pllay more canlinuit�, Inc a aelt�rate dorm used taevaluate each
ueach. The tatarl score a3wihned la a s1reanl rcach must range between 0 and 100, with a scare of 100 represertinh, a sirearr cif the
highe,it quality.
110talScore Qlrarrireverse): Cummend,
Evaluator's Sigr ailu lie
Uate
This cl: am el evialu ail►on l6rtlI intended 1c tie u i konly w a },mete to ai, ►iist lan6owr ers and a nvirar mental profs, 9ionals in
gatlerirA tle data required h) the Lni'ied States Army Corps of Erj4ineers la mafle a plrelimiinauy a::essment of strearr
quality. The total score resublirg irom tNi� ccmirletior of tlhir form is srbjeell to L;SACE apprInval and dae:i not imply a
pi rilicular miiligadion ratio �nr requirement. Alam sirbjeat to ahanhlc — uersiain 06103. To Comr►ert, please call 919-87C-844 1 r 2d.

f
ST R EAM QUALI TV ASSIDSISIMBN T WORKS -BEET
i iuo uaUaucna11cs AUC 11m 1„CTse❑ iii coasiai shleanu.
#`
cRAER�csr�+wsCORxo
r+T
RrE
OE
s�cR
Coastal
Pi�dmont :
1Vfountain
1
Presence of flow / persistent pools in stream
(no flow or saturation = 0, strong flow = max points)
0--5
a-5
Evidence of past human alteration
_
P
(extensive alteration = 0;no alteration = max points)
0 - 6
0-5
U, 5
h'
3
Riparian zone
(no buffer = 0; contiguous, wide buffer max points)
0-6
0-4
0-5
4
Evidence of nutrient or chemical discharges
(extensivedischarges = 0; no discharges = max points)
0-5
0-4
0.._.4
h
, F
5
Groundwater discharge
(nn discharge = 0; springs, seeps, wetlands, eto, =max points)
0-3
0--4
0-4,
�,
5
Presence of adjacent floodplain
no floodplain = 0• extensive floodplain =.maxpoints)
0-4
0-4
0-2
Entrenchment / floodplain access-
►.,0
(deeply ennlrenched'= 0; frequent flooding = max points)
5
0'M - 4
0_ 2
8 -
Presence of adjacent wetlands
(no wetlands = 0; large adjacent wetlands = max points)
0-6
0 _ 4
0'_ 2
9
Channel sinuosity
(extensive `ehaiunelization = 0; natural meander= nnax points)'
5
0-- 4
0-3
10
Sediment input
(extensive deposition= 0• little or no sediment = max points)
0-5
0�- 4
0-4
i l
Size & diversity of channelbed substrate
fine, homogenous = 0; large, diverse sizes = maxpoints)
0- 44
0'- 5
12
Evidence of channel incision or widening
(deeply incised= 0; stable bed & banks = max points)
0-5
0-4
0-5
11
Presence of major bank failures
(severe crosioni = 0; no erosion, stable banks= max, points)
0 -_ 5
a 5
0-5
14
Root depth and density on banks
(no visible roots = 0; dense roots throughout= max points)
0--3
0--4
0--5
15
Impact by agriculture, livestock, or timber production
(substantial impact =0; no evidence = mux points)
0 5
0-4
0 - 5
16
Presence of riffle-pool/ripple-pool complexes
(no riffles/ripples or pools = 0; well-developed = max, points)
0-3
0-S
0-6
°
17
Habitat complexity
(little or no habitat = 0 frequent, varied habitats = max points)
0- &
0�- 6
0 G
18
Canopy coverage over streambed
(no shading vegetation = 0; continuous canopy = max points) !
0' 5
0,.-,5
0 ` 5
19
Substrate embeddedness
NA*
(deeply embedded= 0 loose structure = max)
0-4
0--4
20Presence
of stream invertebrates (see page 4)
(no evidence= a• common, numerous types = max points)
0-4
0-5
'
0-5
21
Presence of amphibians
(no evidence - 0; common, numerous types =max points)
0-4
0-4
0- 4
C7
22
Presence of fish
(no evidence = 0, common, numerous types = max points)
0--4
0-4
0 - 4
To=x
23
Evidence of wildlife use
(no evidence = 0; abundant evidence— max points)
Oi- 6
0-5
0-5
Total Poants°Possible
100
1b0 .
100
TOTAL SCORE (also enter ora first
i iuo uaUaucna11cs AUC 11m 1„CTse❑ iii coasiai shleanu.

NC Division cif Water Qh ality —Methoc ology fol Ic entilicaticin of IntermiiIorit and
Perenrlia I Streams and TI' eir Oriqins v. 4.11
NC DWn SItreinm lrllPnfifir a fine Crwn Vnn•c-v it 11
Dater.
Aroje at)l5i'le I�-
4r
Lalliluc E:SC
9veluatar� r,
Caurly:�I
Langilude:��
.Zf
3
J. Sinuosity o1 channel along thalweg
lclal Poiris:
CI.9
1 ;�
1
9lrean is ail least inEermi4Eent 11411�
54ieam Deterrnjna0D,n.,(cir(lIE1 anE)
0111heu ,
ifl>_ 19 on perennial ill>_ 30"
Eph eME i a 1frile 11 ittent €PE re nlnial
a.gl. Glr ac Name:
1,0
1{2;
3
4. Parlicle size all sNeam subslrale
H. yeornor nolo (5u t is 1al = i" " )
1 ` Continuity cd channel bed and bank
At sent
Cl
�I
=-- —TT �I -
Weak
Moderate
Strong
.Zf
3
J. Sinuosity o1 channel along thalweg
CI
CI.9
1 ;�
2
3
3. In -channel stnucttine: ex. piffle-pacd, step• pacd,
ripple -pool sequence
Cl
16. Organic debris lines or piles
1
1,0
1{2;
3
4. Parlicle size all sNeam subslrale
Cl
YEis -
3z. Amphibians
9. Active.InEdict floodplain
CI1
,
I
3
6. Deposilicinal bans an t enches
-Cl
.:
W. "elland plants in stneanibed
3
71. RecEint alluvial dEiposits
0�
p. 35 of
1
�I
3
8. HEfadcutsOFn
nag003
�I
3
9. Grade cantual
0
'I(L Nalunal valley
0
0.9
'11. Secand all greaten onden channel
' No 0--1%
Yes =
-•.••••�•�. �.. +. ��� �,.� „vc .c+�i.�� �c c ­JI.0 url7 III ... cl'
B. Hvdrolonv (Si htrt.d =711
11 PneSElnce al BaSElflCIW
CI a
�I
=-- —TT �I -
3
13. luor oxidizing taclEmia
— -
0 f;
-- --
a3
-- . _ - _ _-._.
'14. LEiaf litlEm
1 5 �
CI.9
CI
19. 9edirrient cin plants all dEitris
EI
3
22. Rish
16. Organic debris lines or piles
CI (1.91
1.9
171. Soil-tasEid evidence o11 high vwalEm table?
F o =. 0
YEis -
18_Ribnuus rcials in slrearribEid _
19. F odtEid upland plants in sinearnited ----
3t
3
�I
=-- —TT �I -
- 1
0
0
30. IVacnohenthas (note c iN arsity ar d abL ndan(je)
3
211. Aquatic Mollusks
0(
I
EI
3
22. Rish
r
CI.9
23. Crayfish
n";u
CL5
3z. Amphibians
CL5
39. Algae
t' Or
CI.9
1
.:
W. "elland plants in stneanibed
RAC" = CL71C ; OB L = 'I.: her = C1?
`perennial streams may also be identified using otl e i meth( ds. Flee
p. 35 of
mane al.
Notes:
9
snag
nag003
ff

snag002
Waterbody snag002 facing south cross stream

r
U' ACHE P IDtl DWQ #I dile Al.— 1lir dice le an altachec map,
STREAM M QL A L I TY A SISIF SSM.ENT VNORKSIHDET
>f► civic e the fallor-Or A i r I ormanlf am far th a sil rear reach ur c er assessment:
11.App licaul'rMarro +zfEF4 �
_. Dal( of evalualior_i:
5. Name of slrean:. a.p r , °?,+� y �.F r
r
r
Appiiw iniate crainage auca: b a a
9. Length cf reach evaluatec:
Ii. SiteccordinaIea lifWn(wn;: pmllerindecinaldegrees.
2
I atitude(ex. 14.117211_):. 6}� _53. C J J '
Method location determined (a•ii cle)
I'l. Locatiar, of reach t rider- oval
14. Prc l ased channel work i f any
'I fl. Recer I weather caucitien,•:
I (. Site conditians at time of uiail:
21. E) aluator's nan.e.
4. Time of evahtaticr.l:
r
f. Riven basin: vh�,
SII. Stream order:. 1
r
10. County: r„ t
12. St L div ision name i f ar y_ :
Longitude (ex.–77.55(iC t I):d-
3FS, Topo Sheat Ortho (Aerial) 13hoto/CjIS Other GIS Other
cin (role nearby roa(� and lardmairks and attach n:ap identifyii 9 rtrcarillr; lacalia)n,:
d
17. ldenilify ani} epecial wialenva) cla,iriflcatior,s known: Section IC _Tidal Waters Esserilis I ] i,-hcrie:' Hat-ital
—7lrautWailers _Culstarding Rewurc( Wailers _Nutrient Illenril.NeWalers _WaterStppllyWatershed (fl.iv,,
]ISI. :r there a plant ci lalle locate( upstream cf llie evaluation I:aint? '�1E, SNC . If } ea, estimale The water slu-face area:
1191. Iaces ahanniel aplplear c U S C S q u a c niap? YE(II NQ :10. I]oes cliaitreI applear on USDA S c i I Survey? PIIS 'NCI,'
21. Eslintaled walerslicc lane use:
M. Batikft 11 Aiid I h:
Residential `' a/ Connterlcial
% Fc re,,tec `/o Clearec d L egged
'/o Industrial '/o Agricu]hral
a/o Otll er
231. Bank height (fron pec to Icp of Lanll;:
14. Charnel :l,rP1e dcwin ceniler of silrear t: h,_Ellat (C to 31/0) _Gentle lI2 to 4'Ya, _Mcc orale (I4 to 10'Ya; _Silo epl (>lC11/o)
M. Cl anneleinuestty L straight _Cccasianal bends _Frecuenl nt(ander _V cry sill ntous Braidec charnel
It! Ill- Bans far complelian cif warkstleet 111aaate( an plagle 21): Begin by c eteumining the mash aplpp•clpriate ecauegion based cn
location, terrain, ,egetailicni, stream (lassiflealicin, este. Evary characteristic trusil La scorec uFirg the same eccr(gion. A,'Fign pains
to each characteristic will in the range ,-hciwut far the ccaregi ir. Tillage 3 plrovices a L•rief c(wiipltion cit lciv, I'a review the
characteri;'ti(,• icentifle( in the wcrk-heet. Sccrer sl-aulc reflect ant overall a,,F(,•arrienl, of the slrearni reach. inter (valuation. If a
characteristic carnet Le evaluated cue ilo stile ar wieallier ecncilians, enter Cl in tllie sccrirg tax arc pnovice an cxpllanalian in the
corrimenil section. Where dere are obvicus chau�g(,' in the character of a slream ur cer review ile.g{., INe stream fluwi,� fr(tr a plaature
inla a forest), the stiiea ri ma} be clivi(ec inl( smaller reaches that ciapla) r►cre cantint ity, and a separate arr► taec la evaluate each
reach. The l(iml gcere assigr(d to a str(ant peach rnu,'t nange betwicen CI anc 100, wills a score of l(10 replresenlingp a sluearl of the
highest qualit}.
TO al Score illl'rarr ►everiie : Cammenls:
Evalualar's �ignalure 171laile
This aLarrel evaluanion farm is rt►tencecl ta,be tisk an IS as a g!uicle Ie aiaist Ianclawners ane 6nviraninentaI professicmaIs in
gathering the clataii recluiredl b] 1111 Il States Army Carps elf Engin ears ilo maille a Upelininaar3l assessment cf strean
gcOit3l. The tclal score nesulilirg from the canplletion cf lhis farm is sulljeal to CISACE aplproval and daes not irrp111, a
pa rllicular rriilipatlioni ratio or ragluiremenl. Fcrri subject to changle -version (16,103. To Camnient, pleviie call 919-876-84z 1 x L6.

,-STRFAM QLALITY ASSESSMENT IAIORNSIHEET
21
.- i rego ci ara ctci is tics arc t cit assessed in ccia,,tal sIrcams.

NC Divisior of "atell QlLafity-Nethocology foi Icentillication of IntermillErt ard
Perenrial Streams and lVell 011igins v. 4.11
NC DWQ St -cam Ideni if ual ion F c inin Vensic r 4.11
Dallo:C
ffiiojecit�SitEl:
La tiftft: �(' ,-)-7'f'E 0
E% alualan:
CICIL nil V:
Lar gift c e: C CT
I a Cantinuity of channEil bed and bank
G
1
Totz I P ciiints:
21. Aquatic K/ollusks
v
Sh eam is at least intenmittent
TrEianri Delernriinat'
,, :)_n ((Iirale o i i)
Cff Icir
Ad! 19 or perennial if > 30
Elp1hurrieral I ti rmittenl r Herein r ial
e.g. Quad Name:
P. Geomarphology (SuLlatal = "tt,"'
AbSE ril
W eaY
Moderate
I Leal li ter
Strar g
I a Cantinuity of channEil bed and bank
G
1
2
21. Aquatic K/ollusks
3
2. SinLICISity of channel along thalweg
a
1)
2
11. Sail -based ElvidEince at high WEItEln table?
3
3. In- cl annel StMUCtUMEI: EIx. nifile. pcial, ItElp-pacil,
iiipple- pool seqLIQnCEI
1.5
1h
a a
C1.5
3
4. Parlicle size of sNearr substrate
a
a
5"'
3
I Active,relict floodplain
0
1
3
El. DElplasiticinal bans an benches
RACW = CILM;
OBL = 'I.11 edther = 6'�
1penennie I streams may also be identified using other met[ ods. See p. 35 oil mE a ual.
3
I REICQnI alluvial deposits
G
3
El. Headcuts
2
SkEtClh:
3
9. GnadEl cantral
G
10. N atLIMal valley
G
1.5
I'1. SEIcand ar greater ardEIM channel
No
YEIS = 3
artificial ditches ane i of rated; s ee discuss, in rn� nual
B. Hydnoloqy (Sut total
12. Presence arl Elaseflaw
'13. Incin axidizing bacteria
t a i, 1
2
3
3
I Leal li ter
1
0.9
0
'15. Sediment an plants an debris
Cl. 9
21. Aquatic K/ollusks
1.5
'16. Organic d8biiis lines on PjilEIS
a C1.5
3
1.5
11. Sail -based ElvidEince at high WEItEln table?
No CI
YEIS
1.5
C. Bicilogy (Su twilal
'18. Fibnaus nciats in sirearnbEid
'19, F OCItEid upland plants in SIrQarr bend
3
3
"2"'
2
1 1
1
0
0
20. Macinben has (note dive nsity and abundance)
3
21. Aquatic K/ollusks
177
3
22. Fish
C1.5
1
1.5
21 Crayfish
a a
C1.5
1
1.5
2z . Amphibians
a
5"'
25. Algae
a
C1.5
26- Wetland plants in S IlEiarribed
RACW = CILM;
OBL = 'I.11 edther = 6'�
1penennie I streams may also be identified using other met[ ods. See p. 35 oil mE a ual.
No1Es:
SkEtClh:
41

♦
: ',MOW* ` ~'
7 �
40P �—
ftx,�� T�l
r, r,.. \• � '� �. •ter � _,�; r-
+p� r

r
��• +
�k ,
s �
All
r
7Y

61ill HC&2-
Open Waterbody Oa9z Sheet
Survey Description
Project Name:
Waterbody Name:
Waterbody 10:
O alle:
SoL1NElaslern Raliability-(
State:
County.
Company.
Crew N en ber-Initials:
PHolcrs:
Tract Number(s):
Nearest Mile1pasl:
Associated Wetlan d ID(!)-.
Survey llype:
(shack ona) XlGen tei line ElRe-Route ]Alccass
Fload :7011 en:
Physical Attributes
Waterbody Tyr e:
,
(rla'ak on") E'9to6 Rlond iJ � atonal Rlon d 11 Lake " Fleservoin II In poundment C)11 ow got[ er. 6C o U
tr
-- - -
u
--- - -----------....- -- --
Hydrologic Regime:
�Flleornanently Flooded EJ Semi[ errnanently Flooded
7 Sea: anally Flooded "- Temponanily Flooded
OHWM
OHWM lndicalcul:
(
".
tookalithataply)Clloanline
C'9l elving CIV\ lestecl ❑9couning C1Water
Height: ,
o ban1,
vegetation staining
❑E ent, matted, on missing DW lac I
i_'Litter and ❑Flbnupt plant Cl9oil chane atenistic cha nge
vegetation line
debris community cl e nge
Dep th of Water:
�ft•
Bar k heigH l (average):
Bank slaple (average):
eft.
) degrees
NIA❑
Qualitative Attributes
Water Appearance:
(ahaak one) ❑N o watE n C_IGE an lurbid ❑Sheen
0I9unace i'' Fllgal C C ther:
on sur e a e s cum mat:
Substrate: ❑ Bedrock D Eollldel ❑ Cobt le 7 GravelS
91 and >`SilU clay -I C nganic C:II 00ev
(i ha c k a// fht t appf) t}
'A al Sc bs,lra'le: yr yo % %
�r
Width of Riparian Zone:
Vegelalir a !layers:
{
1! 1t•
(check a!1 that app/}� llrees :
c
,2�1 Japlings 19hnubs: F ellb;
Avg. DBH cif Darminanilll Z v ,
�-
I
NIA❑
in.
in. in.
(approx.)
Dominanll Bank Vegefaliar (/ist): &
C " 1"j'kc t
Aquatic Habi le is (e:c submerged c r emerg@d a yw lir ie{tela tion, o ierha nllin9 t anti Vroals, lecf
p� a' :, lergai skit rnerg(d wood, riffle;, dee, poaL , ela.):
Aquatic Organisms Observed (list):
T&E Species Oil served (Yis t)e
Disturbances (¢x: ti e(stt 6 acre: s, manure in H aterrbody, Hiaste di: charge pipe! ):
J IJ V'I�61t S(-'VrflU'�1 SCI.
Waterbody is:
(aheakcne) ❑I Natural Artificial, me n -made ❑
N anipulated
Waterbody Qualilly' :
(al'ark"'0) High ❑ N oderate LONI
Form R— 04130/:.OI l

Form Rm (M/301,2(13
Waterbody ID:
High C uality. Natural, r atural banF vegetation anoun(I entire waterbod)l; banF s stable and pnotecta d by roots; water color is clean to tea-aoloned; no
t anriens to fist movers ent; many fist cover types a\iailable; divense and stable aquatia habitat; no disturbance by livestock or n an.
Mac ei ale M alis y. Ota red t y nip -rap; natural ve 9letation extends 1/3-1/2 of tl e active a l annel widtl on eaa l side; filterin 91 lunatic n of t a nk vegetation
on hl n oderately compromised; banks modsratel)d unstable; Haters color is cloudy, submerged objects covered with greenish film; mode rate odor; minor
t ani lens to fist movers ent; fail aquatic habitat; minimum (distwt ance bid livestock or man.
Lcm Quality. Flip raF and ahannalization e)icessiN e; natural vagetation less tl an '113 of the active char nel widtl on each side; lack of regeneration;
filtening function severely cornprornised; banFs unstable (ero(ling); water col( n is muddy and hinbid; obvious p( Ilutants (algal mats, surface scum,
surface sl een); hea\i)d odor; severe barrieus to lish movement; little to no a( uatic habitat; severe (disturbance Irom livestocl or n an.
Notes -
i (
Waterbody Sketch'(lnicluoe north arrow, ca ntarlina dh tance !rom cents rline, data point locailions. sunieyd boundary„' and IDs of associated features)
rsa
—nao2
IB -014
I
Form Rm (M/301,2(13

onah002
Open water data point onah002 facing east
Open water data point onah002 facing south

USA CE AIM IIWQl A site f1 . Mined cake ori attached map)
SITRDAM QUALITYI ASSESSMENT W ORKSH EIET
Plravidcr ilk fallawirig information for lhci strcram reach under assessment:
1. AIIIFIIicar is nama: j 0,11 », `.11. - ta,:.
21. Dma of awiluandiarr I I P( -,l 1S i
J. Name of slrciam:y SC!
1. ApplroNimata drainages arcia:
21. Evalu alor's riamt; - I C -%j XN`� p,i
4. Time of avaluanlian:
6. River basirr n - ai m
8. Sfileam arc or: 1
9. Lenigth of roach evalu al ad : '- % ' 14. C ourrty:
11. Sites caarc inalles (if knawn; : p ieiler in cecirrial cepecs. 13. Sukclivisian mania (if airy):
Lai ilude (ex. 34112312): tlonitlilude lac. —77.556611;:
Malhod location delerminad circle): C AS To po �Ihee1 Or I C (�Aenia1' hoio/IC IS O'Iheu GISI Other
121. Lacal ian of reacll unc or e�v�a lural ian (Inatei nidoiky raw s ahr ] marks anc attacil maplidkem) ifying stileam(s; local ia®n; :�
GI6"-
114. Proposed chanineI wark (if any): cg -s,,,
]I!I. Relcerl wclalhar canCillclns:� cu n i� ;a,, �i r
116. sit e coned itians at tim a of v isii :
111. Identify any special wantarwaN classiflcaticA known: Suclian 10 _Tidal Walas _Essanllial Fisheries Habital
Trauit Watars Culstalnc inrg Rlesaunce WWaus c/ Isurtr'iciml 11ensitiva V1ladens _Waler culllpllN Warlenshad (:I-IV;
18. is there a pant cm lake localad uplstream of tha evaluallicm ploinl? YEs (9> yes, asilimade the water swiface avea:
19. Llocis c1lannel appuar cin USGS quiac map? YES RC,) 20. Does ct anncd aplpean an USIA tail curve}{? YIES NO
311. Eslimalec wiarlev9hcid lane uise: S% Aes:iclanlial % Commcmcial % Inc uistilial Agricultural
3 C11% Forested _ % C leianec d it agp ec ^'i° C tN en 11
212. Blamkfulll width: J . C1 33. Bankheighl (Ifdcirrm tec 10 tap oftank): �I
214. Channiel 9laplei c awn center of srlrciam: ✓ Flat (l(I la 2%) _Gan1lIa 1j2 to z %) _Madmate (14 to 10%) slciepl (1>1(1%'
219. Channel simaosity: StiAgttV/,cccasianal bents _Frequent rrmeiancor _Vaal s:inuiaus Braidec channel
Instructions far camplelliari of morksiflecrt (localled an parge 3): Bagin b}1 dckcn-mining the most applrallpriatei ecaragiar facet or
localian, lcirraini, vagckarliari, stream classificantior, etc. Evart characicmislic mu91 he scared using the same ecoreigion. Assigni ploimis
10 each characlarislic wiilhini 1ha ram€le showin far 1ha acaragion. Page 3 plrovices a triief cascription of haw 10 review tta
characlerisl ics idcmlified in 1ha wo4shocd. Scares shauld raflcicl ani overall assassmani of tta stream react under avaluiadicm. If a
characl(rislic cannot to civaluialad dura to sites or wiealhcr cancilians, einwr 0 in lhci scaring hor amid pprovidei an axpllanation in tte
command seclicm. WINirc ttene ane abviauis chamglos in the characlen of a stileam uncer raviewi (ei.g., the sfteiam flaws fram a plastrue
into a forasf, the stream mat be civic cc inta smaller vaachcs lhat displaN more camlinruiit), avid a seplanaw farm msec 10 evaluate teach
react. Tl ca tatad scarce assiignec to a sbaam react must ranglei 1:awecmr 0 amid 1CIO, will a scares of 1C10 vepprciserling a stream of tte
higtest cluality. rk , T 4 LI P �l e s
'Intal Scare 11fram reverse): �0 cbrnmenlls: e.kc "X,3MkN r1L—A.%e '-.o
EWailuatar'sSignvIuire--�-Lc-k �-------^�—Dade l
Tllis chanrel (iwlualliani form is irlerided to be used only as ai guide to assisll landowners a4d enAronmental professianails in
gallkering the datai requircrd by the United Slates Army Clarpls of Englinercrrs to melte ai preliminairy assessment of stream
qualillyl. 'Ilhcr ilatad scare resulting from lhcr camplelion of t1lis form is subjErct to USACIE appraHal and does noll impll3i al
particular mitigation ratio or requiremenill. Harm sut.ject to chanrgei - versior (16/CI3. Ta C amment, pllleasei cad] 91S -K6-844 I x2(.

STRBAM QUALITYI ASSESSMENT WORKSBIIEET
* These ch z vacl evisl ias ai e nat z essc d 'ri caasl a] � trez ms.

NC Divisic n oil Water Quality-Meilll a do Ic gy for Identificatie n of Intermittent and
Plellennial Simms and Their Oriains v. 4.11
INIC D A Q Shlrcam Identification form1 Version 4.11 "C',IKPNZ;y
00
Mille: ,
Rnolect/Elite:
Lallitlade:
Evalwilop- �;
PA-
COIL rty:
Longituca:
1
3. Sinuosity of aharinel along thalweg
Total Points:
Sli-Gam Delerminallian Icirclei ore)
CIOar
Ilbearr is ail /easel it termiticinll
�1I
E F hernerall Irltelllmitllelrlt Penenriial
e.d. Quao Name:
ill - 19 or perennial i11- :ICI* _I
4. Pari iale siae of sVne am substnale
0
A. Geomorphology (Sc t iollal = ` )
A t serll
Weak
Moderate Strong
'la Cariliriuity of aharine I t ec aridbank
0
1
2 3
3. Sinuosity of aharinel along thalweg
0
1
2 �I
3. Iri-(harine I stimalure: ex. piffle -pial, slep-gaol,0
ripple -pool se ueriae
0
1
2 3
4. Pari iale siae of sVne am substnale
0
CID
2 3
9. Aalive /reliat flaoc plairi
0
1
2 3
9. Depositional tars or t o naheis
0
C)
2 :I
1. Recent alluvial deposits
0
0.5 I
2 ;I
81. Heaiccuis
0
RP CW = (1.19; C El = 'I.9 C lher = 0
2 ;I
9. C pace aarilral
0
0.5
1 1.EI
'10. N atunal valley
0
0.5
I 1.EI
'I'1. Eleaaric on greater orcer oflannel
Na =(I
Yes = 3
a artificial ditches are not iaieid; seie discussions in manual
B. Hvdroloqv (Scktoial = )
12. Flneseriaei of BEISElflo%
0
'13. hion oxidizing baiallenia
0 I 2 ;I
'14. Leaf lifter
1. I 0.5 0
'15. 9edimeinil on plants tui cet pis
0 0.5 1 1.5
'16. Orgariia deibris lines or piles
0 0.5 I 1.5
'17. Mail -t asst evic a nae oll high wales iable?
Na = 0 Yeas = 3
C. Biology (Subtatal = G )
'18. Fibrous naafis in streairritec
2 1
0
'19. Roaiec upland plarits in sireamtec
3
2 1
0
210. IVaonaberithos (note diversity and abundance)
I 21
3
211. Aquatic N allusks
0
I 21
3
212. Rist
0.5 '1
1.5
213. Crayfish
11.5 '1
'1.5
34. Amphit ians
0.5 1
1.5
215. Algae
0.5 I
1.5
216. "Eltlanu planIsK plants'stnearribe c
RP CW = (1.19; C El = 'I.9 C lher = 0
'perennial stream rria) also bei identified using otheii mail ods. Ste p.
39 oil manual.
Nates: x�,
Slkelcr :
CI
�s
5G " 6L 0' "
41

S ,rlil+
r r `
F f
i
1 I
A 1 iC C `•r 1Si � S�x��?
r t''
/
„ 1 1

SNAB100 facing east downstream

Open W aterk odv Data She a I
Survey 10 escription DNA 1_'' 6C t
Rnal Name: Waterbody h amie:
WaScvbndy In: -�
Date:
SOC II E a9lErn ReliialtHitN
C T l f
Ll
State: County..
Company.
C�hieew Memhen Inilials:
PF alas:
Tract D mill:
Nearest Milepost:
Associated Welland IE (s):
fen(s):
�u
Survey Type:
(check a no) C erterliri a i -J Re -Route ❑Access Road - Other:
Physical AIt1Obulles
Wall ent ady'll yp e:
(checkcno) - 9tock Flond ; t IN atural Hond ❑ La4e �,_ Reservok El lmpt undment �[.-I Oxbow XOthen:
Hydradac is Regimie-�.__--
' Permanently Flooded _- 9emipermanently Flooded El 9emona lh Flooded Jlen pore. ily Flooded
OHWM
OHWM Indicalloa:
(chec1 ail it at EPPly)Clear line C Shelving DWre sted='Ila ouiin( f *ater
H e ig h1:[ _
on bank vee elation staining
H.
IBent, niatted, or missing ❑" rack "-;Litter and [_]Ab upt plant Aoil chanacteristia change
vegetation line d(ibeis conmunit) change
Depth all AlaIer:
Bank height (average):
E ark slape (averac e):
�fl.-
ft.
t�( degrees
N/ACl
Qualilallive Attributes
Water Appearance:
(check ane) LIN Aater EClear Xurbid [:79haen 08urface ._;Algal Cl Other:
c n surface scum mats
Substrate: I Bedrock _7 Bc ulder El Cobble Gravel 9 Sand L) gilt clad _ ! Organic ❑ Clther:
(check all that s pply)
%a' Ss hstnate: °+ °,d % %° °! % `/a
Width of Ripaalian Jane: Vegetative Layers:
R
(a*ha ak ell that aAjpIj i6rees: 9aplinc s/9h rubs: I- erbs
t.
ts: �� `
Avg. Oe H otl Damiinannin.
i�.: i. n
.
NIA
(aPPrai ai)
Dorn l Bank Vegetation (list) ------------ ---- — - - — _
s�{ i�.�lcrnlwn�.i � 4 u� c.-��� �i C)
�E c�_�. ��iI-v �
AtFUatlC HabltatS (ei x: suC merged or emaryn rl agluaGc Diet elatioln, rtungiag ba(n4 slrc ol:,lae(naspi,la rge tut nmirged wa o(l. rirfle .deEpnools etc):
�avr
Aquatic Ons asnsmis Oh served �istl:
rt1a�.�� Cc:,1Cis_ _ S�'
Yt
T&E Species Observed IVist):
Disturbances (c xr lig e stod aacess , rn z nure in wat( rt c c )I, waste disal e r( e l ipes):
Waterbody is:
(check (ne) C I\att ial Artificial, n an -made (.- Manipulated
WallenHady Qs ality
(check ( „e) - f- igf ❑ Moderate I ow
Fon, nee- 04"30,21019

H igh Quality, N z tural, natural ban k vegetation around er tire watenbody; banks stable and protee ted t y noots; waten color is clear to tea-coloii( d; n(
barrians to flish mmiament man)l fish cover types available; clip a nse and stat le aquatic hat itat; no distu It ance It y lig estock on man.
Mciderale Quality. Altered by rip -rap; natural veget< tion exten ds 113-112 ofl the aative channel v idth on each side; filtering tun ction or bank ve( etatior
only moderate I) cc mpromised; It anks nmoclerately unstat la; wate i aolc r is cloudy, submerc ed otje ats aovened m it1 gneen is h film; m c Berate odor; minor
barriers to flish mo\iement; Hain aquatic f abitat; minimun disturbance by livestock or man.
Lciw Qualil y. Flip r p and char neliaation ex( essive; natunal vegetation less than 113 c fl the active c l annel v idth on each side; lab of ra genenation;
fliltening lunatic sevanely compromised; banks unstable (enoding); waten colon is muddy and tumid; obvious pollutarts (<Iglal mats, surlace scum,
sun as a sheer ); heavy odor; severe barriers to fish rn ovemert; little to no aquatic I abitat; severe disturbance flnom live stock on man.
Note s
I )
(b' ,�,t
W all e rboc y Skel ch (Incluc a nosh an ow, centeiVine c isdance from centerline, data poind Foca lions, sunieyl bouncary, anc IL s of associatec features)
18.929

onah001
Waterbody onah001 facing east
Waterbody onah001 facing south

onC
USACE AIDIAI I3WC hi Site M (inc icale an attache( map
F—T] � STR EAM Q L A L IBI ASSES S MENT NVORNSHEET
Provide the fcillawing infectriatian for the strea rri reach ur der assessment:
1. A F p licaril': nia m e: E ?E/t_(y .t �s�� .1. Elv alnatar's name: ` T-
3. Date cif ( ,aluati(in:
4.Titnectf(valuatian: e
5. Name af: lream:_ 6. Riven basin: (I� �� �✓t i Cc`°
7. A raN iruiale drama . a area: (� G' �
Fp €I � �.� 91. SI'Inearn order:
9. Len tl of react ev alualed: �� 7
€I l 11 a1. Ccturty:
111. dile cctoudir ales (Jif kr awl : prefer in decimal degrees. 112. Subdivisian name (Jif an}::
`Ctl
Latitude(ex.74.87777:): .��_��c� IJongitude(ex.-77.556611):
Meil loaation df termined (lcircle): CIFS Topo Sheet Ort io IlAaIial) Ill oto/GI8 Clflrer GIS Other
13. I aeatictn of ieaeh under evaluation (rale neauby macs arc lancmark s and attach map idertifying sllreami(s, laeallian;:
14. Prapased channel A ouk (if any
15. Recer 1 weal her condilions:
16. Site condilians a1 lime of
certify at y special walerwaN ch: sificatictns known: (lien 10is al Water: _...'Essenllial Pi<.heries Habiilat
uau l Waters F—Outstanding Re<, autice Vv alers (/"J? - Nutrient Sensi�live W aters sh_,�alleti SIur[I IN W a lersheV 111-I�1)
1 8. Is 1l ere a panel ar lake lacaled t psilneam afilll a evaluation Flainll? YEC) If yes, esilirriale 1Ne w aler suufaca area:
S1.11aes channel aF pears an USC S quac IT ap? YES NC_) 2C1. Does char rel appears an US17A Soil Survey? SIE S N --Q,)'
21.Eslirriatecwatershedlard use: _%Resicential _'ioCamrrieucial % Ind uslrial 76%Agrictltural
°/o Fanestec _% Clearec it Laglgec _9a Ciher
:121. Bank fu 11 wid1N: 213. Bank height Ifratr bed a lap all bank; : L?
214. Cha nnel sial e c awn centif sllneatr: Flail (IO ala x a/o; _Gentile (2 to 4°N) adera1a i 4 to 1CI1/; _Sleep i = 1(11/;
215. Cham el sins asity: ;llraight _C ecasiar al N cc s _Are( u enl mien rl c en 2—<�'v ery sin a at s _E iiaic f d char nel
Irslliucliars far ecimplleiliein a1 morksheet (locall(d on page 21): Ee€lir Hy ceterrniining 11e mash apprapriale econegian based an
location, lerrair, ve€lalalian, :lream classificallian, etc. Every chanacterislic rrt:1 be : caned u: ing the same econf giar. Assign pairt:
ilo each clanacleristic "ilhin 11he uan€le sl awn far the ecouegiar. Aage 3 pravides a brief cescriPtian cif haw to rsevievv tla
cl anaclenistics idertifled in the warAsheet. Scares :hauld ueflecll at avauall assessment of Ill stueam ueacl- tncen evaltalian. If a
chanacleristic carrall he evalualed due la :he ou weathers cantilfors, erter a it the scarii g bah arc pravisf an explanation it the
carr meal : eciliar . W here ll ew arse obv iat : charges it the cl atiaater of a stueam in( er rev iew i le,g., ill stuf ami flav<s from a F as lune
it la a fouest;, the :Uiearr ma} Ile diviced fila sr allers ueacl es Ihal cisplay traue carth uity, and a separaile farm usf d to evaluate eacl-
rsf ach. The tatal scare assigruad la a stuearr reach rrusll range betAef n Cl aid 100, with a :care cif IOU of preserling a slreann of the
highe:l quality.
TcitalSeclre (framreverse): Ccirritrienls:
.41
>wa luatcu's Sigr ature Date
This channel evaluatli(ur for is indended a he used only as a €luide to assisl landawners�and envitanmentlal Irofessi(mals in
gathering the data required by the Unite( Stales Army Carps cit En€lireers to rrtake a Preliminary sisesirrieni cif stream
(Iii The lalal score iesuhling frarri the toimplelioin of Ohis form is subject to USACE aplprcval and (cies nal ill a
patliculai n itigatian ratio er requiiementl. hlanm subjecl lct than€e—version aE/C13. Ta Cariment, please call 919-876.8441 x 2(.

STREAM QUAIJITY ASSESSMENT WORKSHEET
# Th oma .,1. .... ..�,...,.,i:,.,.... ,. .,.� ..............a ._ ,.__..�_1 _.
'Z.
Z-
D

f if cf
Nl C Divis ion Of A EltE r Quality AVleil hoc ology for Identification of Inteiirn ittent End
Reiiannial Streams and Their Oriciins v. 4.11
NC DW® StRciarn lciciritifilcaticin Form Wigien 4.1 1
Dale: ". 2 �'� _ 4-
Ftiojecit/5iRr 5 � '
Latitude 60 4- 37, (r L
Evaluator: p`�� �� ('
Gcunty,
21. Sinuosity achannEil along thalweg
Toti I POiri9s:
rr is nll2! 30 er 4 `�
Stre�irri Deter ci®EIEi cre;
E harneral termitten ial
C tNer
ift ,1 e e nialst
if >_ '19 c ri erennia! ill? 30"
P , eter r
e.. Quao Nanie:
g
P. GEOmnrnhnlnnv (Srrhtntai = d hwir11 1 U11ciak Minriarnta I wtrnnn
1a. Cc nlinuity c l c_hanneil tEid and be nk
0
3
2
J V
21. Sinuosity achannEil along thalweg
0
CI.5
0
15.: Edin Eini on plants cm CE tris C
3. Irnchannal siuucluue: ox. uiffe-pool, stEip••pcal,
ri le- ool se uenca
0
'I EI. C rganic c ad itis lines ou piles C
C. 19 '1
-1.5
_
4. Flarticle size of slrean sut: tnale
0
1
�I
;I
5. Acli\ ei,InE licl floodplain
0
2)I
El. Depositional t ars cm tEinct EIS
0
0.:
1
1.9
71. RElcenl alluvial dEiposils
(
1
a
1.5
E. HE ac cuts
(
1
3
S. Grace canlrai
(
(.E
1
1.5
1C. Naiunai galley
(
(.E
I
1.
'11. SE cant ar gnealer c nc eii channel
No= 0
YES = 3
or iiia rdr unare: aie riot nt;[eo; suEl orscussrons in mi nuai �✓
R. Hvdroloov (Si,F inial =. % . )
'I . Pnesence o f aseflow C
I 2
3
13. 1rar axis izing bac E ria C
2
3
14. deaf litter 1.E
CI.5
0
15.: Edin Eini on plants cm CE tris C
C.
1.5
'I EI. C rganic c ad itis lines ou piles C
C. 19 '1
-1.5
171. Sail-tasec evidence of high wa1En bie? INC =C es _ 3
U. t:510iOQv (SMctal = 1, : f. ;7 )
1E, Flibnaus raciis in stiearribEd
3
2
19. Rcotec upianc plan s in stl nE anit ec
2
1
�0. Naarat ONE as (note diversity and abundance)
'I . Aquatic N c 11L sks
�I
�2. Rish
213, Crayfish
0.:
1
1.9
214. Amphibians
C102
1
1.5
215. Algae
0
2E1. We' land pianls in shaambEid
FACM = O.a9 C El = '1.9 Otlheir'=
`penenni� i sbei rris may also be identifies using oihen method:. FIs E
pl. 35 of manual.
No-
ED
snah001
aa1
0
M

snah001
Waterbody snah001 facing east upstream
Waterbody snah001 facing west downstream

i»�
w r #R
� r ,

USACE AID#.
DWQ9
(i 46U
Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following ikformation for the stream reach under assessment.
1. Applicant's name: P ttt+l�rd�- 2. Evaluator's name: [ y
3. Date of evaluationAks 6 2 t 4. Time of evaluation: d
5. Name of stream: 10I k 6. River basin: ' ►°Fs Q
I�U�Nt s�
7. Approximate drainage area: t✓ � $. Stream order:
9. Length of reach evaluated: Z () 10. County: Ai.+
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): 74 G V q Longitude (ex. -77556611):
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):
V.- r, J 6Y S 6e- ta i -i Z19
14. Proposed channel work (if any): am
t
15. Recent weather conditions: 41'
16. Site conditions at time of visit: ,2� '��' d
17. identify any special waterway classifications known: `Section 10 °Tidal Waters ,Essential Fisheries Habitat
Trout Waters �Qutstanding Resource Waters _ Nutrient Sensitive Waters Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES 40 If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? Y N4 20. Does channel appear on USDA Soil Survey? NO
21. Estimated watershed land use: %o Residential _°/s Commercial _% Industrial °Ia Agricultural
% Forested �% Cleared / Logged _% Other
22. Bankfull width: :2 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 N 0%)
25. Channel sinuosity: Straight _Occasional bends requent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
r
Total Score (from reverse): Comments:t?rCP��I"r
Evaluator's Signature IV Date/Ll
_ �`5�'- � Q
This channel evaluation form is Intendedto ht used only as a guide to assist landowners and a roman assestalsment
ment f -professionals m
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.

SWA-H6zl
STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams,

50A N62g
NC DWQ Stream Identification Form Version 4.11
Date: �. d �¢f�
ProjectfSite:
Latitude: dQEc/;0, 2-ly
Evaluator: � L-
County:
Longitude: 77. 3 t '3F,1
Total Points:
Stream Determination {circle one)
14T ea
Other
Stream is at least rntsrminent
r z 19 or perennial if z 3Q'
Ephemeral Intermittent Perennial
e g Quad Na e:
A. Geomorphology {Subtotal = � 111( )
Absent
Weak
Moderate
Strang
1'Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
0 0.5
3
3. in -channel structure ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
1
2
1.5
5. Active/relict floodplain
0
1
1
3
6. Depositional bars or benches
0
1
2
3
7 Recent alluvial deposits
0
1
1
3
8. Headcuts
0
1'
2
3
9. Grade control
0
0.5
C 1
1.5
10 Natural valley
0
0.5
1.5
11 Second or greater order channel
No
0
Yes = 3
Sketch: 1
artificial ditches are not rated; see discussions in manual
B. Hydrology Subtotal
12. Presence of Baseflow
0 1
2 3
13. Iron oxidizing bacteria
0 1
3
14. Leaf litter
1.5
0 0
15 Sediment on plants or debris
0 0.5
1 1.5
16. Organic debris lines or piles
0 0.5
1.5
17 Soil -based evidence of high water table?
No = 0
Yes 3
Cr Biology Subtotal = 1 o In
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
LV2
1
0
20. Macrobenthos (nate diversity and abundance)
0
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0.5
1.5
25. Algae
0
0.5
1
1.5
26 Wetland plants in streambed
FACW = 0.75;
OBL z 1.5 Other' = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes. -
Sketch: 1
K

1
�+
*ok
5 W
it. 'Y Al
//

snah028
Waterbody snah028 facing east cross stream

J-//-�I.—loves
USACE A ❑# ❑wQ 11 Sile Al (Jin( icate or, atached map)
M] S TREA MI QUALI TAY AS S ESS MIHNTI WORKS HEET
F i ov is a the fo llowk gl it formal ion fc r it h e : II m am reaa H under assessmer it :
1. Applicant's name: 1)-"/� c 1 Evalualoii's narr e: �O
n_Ll:1. Dale of evaluailiar : 7 ( . Titre of evalua1ian: ( Z
J. Name cif viieam:_0�1 r1'p t„A n E (. idiveii basin: 'V
I. A um irriate duaina e auea: �%
pP g � c° � Q� fl. Stream ouder:
SI. Length ofueach e\ all 101. County: �
11. Site ccu idir ales Of know n:: prefer in decirr 2 1 deglraas. 11. Subdiv inion name (if an),:
/ � 4
Lalitude(ex.1,1.8111u): Y�ci ZW �� 21y� 1 C Longihideilex. -77.'I:Itltl1l): ��� �/9
Metlu d loo: tion datennined ilcircle): (IPS) Topo Shat t Clyd o 1lAarial) I t oto/GIS Other GIS 01her
131. Lacatior afiieacH under evaluation (vale nearby tioacs arc lancmarb3 and attach mal idertifying slream(s lcicalian;:
14. Frapased channel wank (i
15. Recent weather candition
16. Site acinditions at titnie cif
171. Icentify an) special Aaterway classifications knawn: ��Jealicin 10 /Aida) Waters E- s3an1ial flisheries Hatlilat
6ti�iaut Waders N)i4 Culslanc ing Resauuce Walt is L�"rienl Sensilke Waters 1 6i—Avaleu Supply WalenshadP('/„( -IV'
181. Is there a pore ar lake kica1ad upstueari of the e\ alt ation pc int? YES ]f) es, estinale Vhe water surface area:
19. Dlaas channel appear cin USGS c uad mall?, 09 210. Dlaas channel appear an USDA Jail Surve)l YES CNC
211. 93tirrl waleistlec land use: %Residential _% Ccitrmercial _% ndustrial SLD/ Aguiaulttral
% Haresled _% Cleaned / Lag€led _% C iHei ( _)
22. Bar kfull wicih: 23. Bank Haiglhl (1fram tlec is lcip of banN;:
214. Channel slope dav<r center of stream: Flat ((I la 2%) _Gentle (12 Ila z'/o; —Mac ei ale (14 to 1Clora) _Steep (j>1CI0/a)
215. Channel sinuosily: Stiaighl _ZOccasianal benc s _Frecuent meanceii _Ver) sinuous _Braided chanrel
lrAructiors fon complelior of NwrksHeell (located on page 21): Begin by deteurriiningl the mast apprapuiale ecareglian based an
kicalian, teniair, \egetailian, stitarri classification, etc. Every characteiistic must be scares using the sane eccmegian. Assign paint!
la each chaiaateris^lic within the range shawl fai 11he eccmegicin. Fage 3 preview a Hrief ce:ciipticin of hciw tai review the
chauacterislics i(entified in the warldsheet. Scaues should reflect an overall assessment of the stiearr reach tncei evaluatian. fa
chauacterislic cannot He evaltatec due 1a site ou weather cancilians, entei 0 in the scaring bay arc pia\ice an e)planalicin in the
comment seclian. Ahere Iheue are abvicu: changes in 11he character of a stat art unc ei review le.g., the stiearr flows from a pasture
into a fewest:, the stream ma) He diviced into siralleu ueaclies Thal ci:play rroia conlinuity, and a separate farrr tsed to evaluate each
ntach. The total scone assignad la a stiearri reach Must range betwet 0 and 100, with a snare all 1001 uepreserting a stream of the
highe! t quality.
'Molal Sc( re (Ifr( mi reg erne): C29 Cc mimier Is:
Ev alualar's c iglnatu re � 1 , `""-�.��e..`L Date % — 2_ llt / L
Tl is a h ar nil er alu atior form is in tended tc i -C used only as a gu is a la assist lard own ens and `er v ire n mental prdfessionals in
gathering ilhe dada required by ilhe United Silales Army Ccnps of Engineer: to make a lreliminar) assessmerd of stream
quality. "DH a total , ae re resulting from the corriplletlic n of flis form is su h jest to Ill aplpli of al ar d dues tot imply a
parilicular mitigaliar rallio ar requiremiant. Hanri sudject to change — teusian C16103. To Carrirrent, pllease call SI1SI-871(-8441 x 2C

S-FREIA M QUALITY ASISIEISSIMEN T WOMIKSIHIEIEIT
PA
* '1Ihese ci-atactei istlics are ncit assessed in coast I sItean's.

NC DWQ S1realm Idelrtiflcallion Fclrm VflrSlon 4.1111 <1 fl. /-,) l c 6 -2 -----
Dater _ r i� �L-
Prajeict Siler
L aililue e:
Evaluatar:
Caurt�:
Landilimei:*�.7
Totall Pciinls:
Shneam is at least li to u, ittent
31
Stream l]eteirmiriatiari (clir 7__oe) �
EpE ernemal lrite nrnittent Pelrenr ial
CtFer
Cluac Name:
if >_ 19 or perennial ill >_ 30'
2. flinuosity of channE I aking thalweg
e.g.
A. Clelomor holo (Su t tcdal = E )
A t sent
W ea Y
Moderate
Strcing
la Continuity o ahanne) bEc anc bank
CI
1
�`2_
3
2. flinuosity of channE I aking thalweg
CI
19. Se dirrient on plants ou dEibuis
CI 9
3
3. In-ahanne I slrucdure: ex. riffle -pool, slE p• plaol,
i i le- ool sequence
CI
-,
2
3
4. FlartialE size cif silream subsilrale
0
1 )
2
3
9. Acdivelrelicit f oodplain
r0)
1.5
2
3
EI. Depositional bans cin been rhes
CI
2EI. "eitlan c plants in stie arribec
_2 -
3
7. Reicent alluvial deposits
CI
1
a
3
8. Hcac outs
CI
2
3
9. Grace canticil
CI
CQ
.1
1.9
I(I. Nalural vallcy
CI
CI.9
1 '
'1.9
'11. Scocinc an greater crcei channel
No = 0 ,
Yeas = 3
"arlificial Glitches are not nated; seei ssin ma nual
B. Hydrology Sublolal
J. Preseincie cif Baseflm
CI
2
/2
3
'13. Iran awidiaing bacteria
CI 1
}
3
1z. Leaf litieu
1.9 _)
CI.9
0
19. Se dirrient on plants ou dEibuis
CI 9
I
'1.9
'I El. Organic c ebris lines cu pileis
CI CI.5
CI.5 CID
'1.9
'17. Soil -based civic ence of l igh water -,table?
N a = CI
__ e s = 3'
'.5
C. Biology Sublolal = JU,5 )"-
18. Fibrous loots in s1InEarribEid
2 I
(I
'19. Roclec upland plants in slnEiarribeid
.I
(I
2CI. N acrcbEinthos (note diN a nsity and abundance)
CI
'I '
3
21, Aquatic M cllusks
CI
.1 0
3
22. F ish
CI
CI.5 CID
A
23. Crayfish
CI
0.5 rJO
'.5
2e . Amphibians
CI
0.5
1.5
25. Algae
CI
0.v 1
1.5
2EI. "eitlan c plants in stie arribec
FACVA = 0.79; C BL = .5 CthEir =0
'pere nnial stre ams may also be identified using ott en nt ethod:. E ee p.
3;1 of manual.
Notes:
I
f
f i
gnahUO2;

k ` ,vo"dt- .,
3�_

snah002
�<��• 2. \ � .. : \ \AE I
. y
»!
. .,. . . . .
Waterbody snah002facing east cross Stream

— ----- -----___Q dreate on at ached map) 1
Ill AI04 l3W AI IileAl I_r
STREAM QUAL] TY AS S E SS MENT WORKS HIE E T
At odic a the followir g in formall ien fc n ilhe 3111 eam reach u nder assessmentl:
1. AF Plicart's name: �C��Yyt t (5�1_I. Evaluallor's name:
7 ' t �:Dada afevalualian:
Titre cif t >
5. Name of! treamr S'ZA I. Riv eu basin: 1 ! F t t q7
7. Approximate dnainage area: ter' (5 -Dr) r) t �� £I. Stream order: Z�
SI. Lenllth of ueach eN al tared: 1. 10. County:
11. Site ccordir les (if krl n): prefer in deeiiT, l degrees. 1121. Subdivision name (if anN
Latitude (ex, 3,.V: 3 l: ):.� !/ / .�- >� 1 �� Llongitude (ex. -77.776611):
Method too, tion determined (Icircle): FS) Topo Shaat Clrt o ilAarial) I hoto/GIS Clther GIS Other
131. Ideation ofneach under evaluati( n (nalle reauby uciacs ane lancrrianbs and attach ma111 idertifyirg silneatri(s; lacaliar;:
14. F rapased channel m ark (lif ar :
15. Recent %Aeathen coir diti( ns: )LI) i
16. Site cariditicros at lime of visit:
17. 1(entify arN :pleaial waterway classificatieins known: Vi Section ICIVidal Walers I i E:;ertial Fisheries Habitat
rcut Walaus *— Upstanding Resauuce Waleus k2 _' ulrient Slensitive'A aters ateu 9uplply Waleusltec
181. is there a pond c r lal(e localec upstueam (if the aluatian p( int? 11E9ri 1\g- If yes, estimate the Aateu Surface area:
19. DlaeS ch ar nel appear un Ill S qu ad map? 11E,S 0 210. DlaeS cls ar nel appear un Ill Sail Su rveN 9, Y E:S NC
211. E stimalec walenshec lane use: "/oRe! iceniial %Ccimimereial _"ioIndustuial �%Aguieill unal
F crested _% Cleaned / Lugllec _"io Other ( )
}/
212. Hankfull wicth: �)- 21 .Hank 11eigh1 I1fram bee 1( top oifbar k;:
214. Chanral slepa conn center of stream: _HIal (1(I l(i:l ell lie (1711c 4"io —Mc derale (141e ICI%) _9leep il> ICI%)
215. Channel sinto1ity: 91raigh1 _Occas ianal bents Hrequerit meancau _Mery sintous _Hooked channel
Ir3lruetion3 ler lampletlian of morksheeil (Ilocalled (n page 21): Hegin by cetermiuinll the rrioSt apprcpinialle eearelicn based en
location, leruain, vegetalian, stream classificallieir, etc. Every chariacterislic mull be 3carec using the same eccmegion. Assign pains
to each chauacleristic villin tlhe uanlle shown for the eccmegian. Fage 3 plrcvides a thief ce:cription of hcw to review the
cllanacleristics identified in the wcnNsheet. Sacres:h(uld ueflecl an overall assessment of Ile stream reach uncei evalualiein. If a
chauacleristic cannot be evaluated cue to side au vreatlleu con(illicim, enter a in ilia sacrinll flax arc provice an explanation in the
c(mmenl Seclian, Where lheue ane abNiauS changes in the chauacler of a Stream under review (e.g., the stnearr flows frcm a pasluue
int( a fone3l , the !Cream may be divic ec inl( smaller reaches that c isp lay{ nn eire carl anc a seplarale farm u s ec to eN aluate each
reach. The total same assiglnec to a stneart neaah rrius'l range betmaer (I and IO(1, with a !cane of LOCI replresenling a stream of the
highest qt ality.
C C
Tc 131 Score 11fr(m reverse): Commer ds: C
Enialualor'3 Slignalure�` "� Dalle
THis channel enialualior fo s mtende tc be used only as a guide to assisil larcawners an9d enniircinmienlal professionals in
gallhe1ing the calla recluirec by the Uniled States Army Carps of Engineers llo mane a preliminary assessment of silream
cluality. The tetal scare resulting flloim the ccimiplleticm of this farrr is suhjeal to USACE aH1lre)ial anc does neit imply a
particular midigallien 1allia air requirement. Harnt subjeat lei chanlle—veision (16JCI3. Tei Corrunanl, pllease call SI1SIlz I x:16.

ST REAM QUAIJIITY A S S DS S MEN T WORMS HEET 5—,,() "
NJ
,3
*I hese chaia( IerisVics ate nat assessed in caasIal stieams.

NC DWO Staearr ldcntificatialr Foam Vensfor 4.11
L it
AnoluallYSille: <c_.�<-
Latitudes °�
9valu alor: (/
Clciu ri ty: L,\,)
Lcin gitt, der. 72 r,
TClteIPointE:
Stream is at least intermittent
Strearr Detarminatior I1circl pe)
Ctller
if � 19 or erennial id z 30t
Sp he m(nal Ir lenmitter 1 erenr ial
e.g. Quad Name:
c)(,�
A. Geomorphology (Sut lolal = _)
A t E elnt
A elak
Mac enalle
Str ng
1"Continuityofahannelbedtint banV
(I
1
2
(Z 3
2. Sinuosity c it cheinneil along thalweg
(I
1
CI
`
3. In-ciheinnol structures: ex. riffles-pciol, sleep -pool,
ripple -pool sequence
(I
1
2
3 }
�. PaMiale size cil sireiarri subsineite
(I
1
2
21,e. Arniphibians
5. Acflive lrelli(It float plain
(I
1
2
0
EI. Deposilioneil beans of beinciheis
(I
2EI. V\edlanc plants in stiwaimbec
2
;
1. Rccenl alluvial deposits
CI
2
3
EI. Heeu cuts
(I
f
2
snahO(O
f . C roc ei aantncl
(I
CI.5
1
10. Naluial valley
(I
C1.5
I=
1.5
III. Seiaonc an greater one eu ahannel
6 a = 0
<y es = 3
anmaai aitcnes ane not naiea; see aicus ions in manual --
B. Hvdroloav (Sr.h1irl;:il =
12. Rreisence c it BaSEIfia\A
(1 1 2 3 1
13. Iran cixicizing beialenia
(1 1 2
k . Lead Iitleu
1.5 1 C1.5 Q
15. SEldimelnl cin plants ou dEibuis
(1 C1.5
IEl. Organic c ebris lines ar piles
(I I C1.5
'17. Sciil-b8ISEld evic ence oil hig ater le?
I Na = (I Yes =
C,. blCllogy (Sublollal = ( _[ 1 '�, ) ,<- 11, �-
'18. Fibrous racits in slneiarribeid;`
2
1 0
'I � . Rootec upland plants in stwarnibcc
_� !
21
1 0
21(1. Maerclbelnlhas (note diveisity and abundan(e)
CI
2 y
21. Aquatic N ollusks
CI
2
212. Fish
CI
C1.5
1
213. Crayfish
CI
01.51
1`
21,e. Arniphibians
0
C1.51
1
219. Algae
0
C1.51
- 1 '1.5
2EI. V\edlanc plants in stiwaimbec
FAC W = C1.15 CBL = 1.5 bther= (I
`perennial stre ams ma y also be identified using othen rn ethods .:lee p. 39 oil ma nual.
Notes:
f
snahO(O
II,

WNS -IN19.1
M
s
rx
WNS -IN19.1

snah003
Waterbody snah003 facing west cross stream

USACBI AMM Dw1�� M_
�.,�Site # (in( icate ar altacHcc snap
ST REAM QUALITY ASS11SISLMIOnT WORKSIHEEZI
I rcvide Lhe 1c 110 wit Mir forma tic in 1c r tile stream ri aich under assessmen I:
ll. Alipllicanl's r an e: Larti'�A.,�„ na- 2. Evaluatar's nan-e:_
'L Dale c1f(valuatiar: ��— 4.Tir afevaluaticnl:
FI. Nann e c f Flrearn: �h je1"�1 � �y ( (�� ` I
� iiL_—_��r � b. ,IZtver � assn: t VA C
1. Appliaxirrale drainage arica: ( 8. Stream order:
91. Length c f reach evalualed:
�- 110. Cou nry: �..
I1.Sileeocnchales (Jif krewr): pneforindecimaldegracr. 112.'Hu bciv6ianrarse(if anN):
z,�
Latitude (ex. l2): �} D �I� Ilcngitude(ex. '.556611 D
Met[ od location deterni ined (1circle): GAS l opo Sheet Ortho (IAarial) 1111otoACIIS Other GIS Other
13. Laca liam all reach under evaluation (no I e ii( art) roads ar c ]an crnark;- ar d all,, ah niap is eniitifying s treannil la( al ioi
14. Frcpcsed cliannel wcrk 1IiJ'aty
J. Recent weather a cit titian r:_—-
4. Site cc ndiiic ns at tan c c f insist: Ill 7<
l 1]�. ildenlify any ,pedal wiatcrway alassiftcaliamis kncwin: Sccti�i>n ICI f'`` tical Water, -ssenlial Fiisheries Haff llat
'' I'cul Waters—Culslardin g Rescuree Waterr LEN Nttrient Sensitive Wiatere t1A alen Sur lll) Walershec 1 -'vi)
1H. Is there a perk cr lake Ic( ated urFNeam of tl-e evaluaticn p tint? YIES(_J�b If yes, estirrate tha wiater surface area:
J! 1. Dc c,- channel aplpear cni USES quad mapl? D NO 20. l7 ares• chanalel appear or USDA Soil Survey'? llE NO
21.Es'[iniatod watenhec ]an( tse: ____o/ Residential '�oCommercial _
—,— "iolndt,'ri-ial ��%AgpriaulOnnal
o/a Aloraited `% Clearer ,1 Ucgged _% Other iI
22. Bankilull wiidth:�� 23. Bank height (front fled tc tap of Hank,:
24. Channel ai(pc dcw7cen n ofstlrean : _ZHla1 110 tai ?Jo/a) _G 2 tc 4%entle( ) _Moderate (1-'10 ]0°ia) _gleepl (>10'io)
25. Channel ,irucisill:t", iglhl _Ccoasi( nal Herds _Frequent meander —Very ,-itiucus Braicec chanrn(1
llr,truetior, 11'(r ecrrFlleticn of wcrHst(cl (Ilocailed on Plate 2;: Begin Hy ceterrtining Idle rrest <pjllropriatc eaareglicni basec cn
lc(alicrt, terrain, vegelatior, slnearr classification, etc. 11very ellarael(rioi( mugs be rccred using Ilse ;•acre eccregicn. Assiglt points
to each elrnacleni,tic wi9hin the range spawn for the eccregicn. Page 3 provices a lrniief deseriptian cf liowi to reviews Ilre
etraraeterislics identified in 011e w(ikslieell. Secre, ,•hould rcf eel an aiverall assessment cf Ile stream u(acll under eualuatian. if a
characteristic eannoll be evalualled cue tc site ar weather cur(itians, enter U in the scaring be> enc prcvice ail explanaticn in Ilre
conrrlent seclion. Where there are (tvicus cliantlles in ilhe chainaeler of a streams uncen review (e.g., ilhe,trean-i flaw: from a pasurc
ink a fdrest,, 11 e stuaanr may be divided in1e smaller neache9 That c isplal mere curtinuily, and o separate Rrrn tiec I( evaluate aach
reach. 11he ilolal score assignee i10 a ,,lream ncaclr mu,t rangle between U anic NO, wiillt a score of ]UCO rapresenlir,g a smears of the
E iglhestl qt alit}.
T(ft I Sc( re 111rom reverre' : C
C or int en ts:�
Eva Ill ail or's Sig natt re_( Dale l y
This channel ev�ltation fisfYm is inlended ilo a used only as a guide ila assbl hndctvnei, indl emircnmenlal professional, in
gatherings the dila required ty the Lnhedl ;I�leii Arniy Ccnp,i of Engineers to trlake a preliminar] assessm(nl of ,dream
cuilili. The IDllal score resulting) from ile completion cif tHis farn is subject Oo LhACE aplplruial aril does nol inF11j a
particular n itigation ratio or rec siren en1. Farm sul'jeel to charge— veriiain 06/CI3. 11c Ccnnlienl, please pall 919-876-•8241 x 36.

��REA QLALITIYASSES
SMENT WpR
KSS HEE T
J A s
Theso cl araa•tcristic9 aia natl as;iesscc in coasilal 9tica m9.
2

NC Civisior of waters
Qualilly "ME ilt odology for Ides
Q
Periernial Sltneams and 1Helir ilification of Inllermitllart and
NCI UVb Origins v. 4.11 Stneiam Idenlificatioli Forty Version
Daile: �i _
ZS
Evaluilor: Prciacll/,Lille: c
� �,� Lafitu �t
S e e: ,
tali I Point.: Ccunly: i 4 C>
SAI 61 is a 1 'be lS1 inilerMh1i1ent � ��
ifs 19 oriperennialffl ,1' Lcin9itUce; /�
I(I' -7. CL �j Stnea m DEitElrmina tion circt , r 2
E F helrr era I Interrn ittent< Oltlar
. Geom erennial e.56 c uac Name:
c1r holo (SLblcltal
Con tinuityoi channiel bEid enc barik A HS ant
�L Sinuosity 01 chaninial alc n WEia k Modara to
3, in-charinel structure: g thalweg CI Strong
ri le- ax, nifila-Flaal, ste (I �I 3
ool se uence FI• dual,
4. FlarticiEl site of stmarr substnata 0 2 3
C. ACtivEl/rEllict fl --Pain �J 2I
0 1 3
6. Depositional bars an bEinches0
2�
� . REicant alluvial deposits 1 3
CI � 2 3
9. Heac cuts
. Gnaide cc ntral 1 i c 3
CI a 3
'I0. Natunal valley a
1111 9econd c n greater crcei cl-anrliel 0'5 3
CI 1 1.5
artiflraiai ditches E ne not uated, see did N(I %
sion; irl mar ual o (I
i
B. F-1 drolo Sublolal = Yas = 3
l ISI. Presence oll EasE1flaw
13. Ivan axidi2ing bacteria
14. I-Eiai litters - --
'15, SEiainlent on plants ar c afinis 2 3
. Organic cEibris lines c (I CLC (1
piles 0.;
1 . 60d-basac eviaEinlce c I high AatEir table? 0 1.5
__ CLC 1
C. B(OIO (SLbtatd)---____— __ T_ No= Cl '1.5
—..� -- -- ___ Yas a
18. Fbious coat; in stmarritEic - i
19Roatac upllL3
and plants in stnaarr Eid --—
i. �M-rLlUar thcs (note diver; its and abundance)
(1 1 (I
I I. Aquatia McHusks I 2
EI2 0 3 risk 1I a 3
2;1.' Crayfish a (1.5 � 'I '1.5
24-'ArT Oitians 0.5
29. F lgae Q (1.5
_ '
9. Wall land plants in stnearrid ad O.E I >
-- -- 1.5
'pe renr ial stnet ms Mt y also t a identified usin othen methods. Sea p. 39 011 manual. F AICW ] OBIL _ 1. OthElr = 0
Nates: _
Sketcf-
41

,4� t
y - f :
Ak
4•
"0.4; .MIN Ak
r
� ,R .�},� ,� � T
►� ,;,yam
.,`s � _ �'

snahOO6
qj
Waterbody snah006 facing south cross stream

I USACEA1DAI
WQ#
�R — -------------
STREAM QUALIT 0110 icate c n attached ma
F r ovrde 1t a follo'ASSESSM�+JN71 IL
s rn g in far
mention for ilhealncaimre�IcF Lnder ORK`�E��
A-IF,licancs name:
aissessment: � }` �
3.1Jateofetialu<lion. �.Ev
aluatcr',y name: 7--
�. Name aifsltcam: 1t C
o 4. Time et aluatian
f���{ �- `.2.
Appraxirrate drains e FC n
g area: .+ �� �� 4. 11 r asm:
5 • Length c f ren cl, et
hl. Stream u -der:
luated:�_ U-���t--
Site accrdinatev Iji;fWncwn,. 1a• CCU nty:
i
Latitude y f refer it decimal dogree,
Ilex.34.t3723rzj: �I� � b 1121. Su(ldivisicn name Ilri'any]:
Method locati<i11 1ILtl11,
"'lied �2� ��
1;L Locatic n oit reach uncdrrervalualrarp a nginrde (r.. ',,.55661 1):
70po Sheet Ortho (Aerial; Photo,ICIIS2 3 2�
Ilnote nearly reads enc lancinarP and attlarOtlrnap ie'ent�let' atrearn ,
114. Iraporec channel wark f ). Iw) Iccation):_�_
(i an}lr.____�_
15. Recent v7eatiler, e enditions: I'
16. site cancitll at lime ofvrsit: r:`
;I.Ideml f}'an., pedal 'vaterivay Classifications knaAn: �J4c >, �
ectran ICI
dr `��_ut��'ater� ���Y C)utstancin7 �r r��lrcail Water:-
b Ras'ouriae Waters L�utricnt Sen,itive VUalers ` ssential Fisheries- Hahilat
there a plcrnc ar lak e laettec upstrean of the e���gGater ❑ 1
aluatian pc int? YIEI pP Watershed
51. >:ves channel appe rr on USGS ��,. f y,es, esfimate the wailer surfer e area:��
quad mapl? NC 2(1.17 sea char,ri el a UN
EA walershec land Lse: o appear U,IL1A Soil Survey; � NC
Residential �/„ Conune'ueiai �
�`A ]ncuslrial ?�j, Agricutlural
f/ `A Farestec ____ON Cleans / Lc ec
22. Baal:full width: � gll %Other (
�' X. Bank height Vrerl bec is tcp of Hann':
24. Clta,r:nel :�laipe ala�rn center of stream: l �l tat IAC) to 2"r�
____Gentici i12 to 401c) _Mc Cerate (4 io 10%1 c - o
-'�. Channel sinucsitrl: 9triai ht ____.,�Iteep (� 1(II/�;
ti ____OccaaianalHencs Frequent11cancel,
lnstneticros for ceirnplellion of worlksheel (located ciin ai�e Zme'r'simrans ____Braidec channel
tile
racatiori. terrair, ve(letaticn, stream a lass]ficatian, etc. Evary characterislricbriudst berscores lrsinrllcthe same ecaregionr.e Assigr1 noires
Alpl p
wd� ach charucteristie within the range ,hcrwn far rhe cr crellian• hags 3 l rovides a brie) description oa' haw to review the
karlac:ear,trc, racntifiec ill ilhe worksheet. Scores s-hauld reflect all overall assessment of the stream reach under eaaluEll If -
�haaa,tcristie cermet be evaluates due to site cr weather eonditicu�s, ender (I in the scaringbay Eine a
mrvr '£t 9e; tion. Where '.fl ere are obvicnrs changes in the character of a sircarnr L neer reviw (c -g-,
rravide an ext lanaticn in the
ir�lo a farestj, the ;cream may be divides rola ;matter ucaiehaa that cisllayl more ecntinuil ( g , 11re 'Ircarm flow,• from a plaalule
reach. The Mental ,cane assignee ilo a ,•trealli rash must range Y, and a separate Icrrn uses la evaluate each
highest qualit} .
de betwear (I Enol 1Q(I, with a score of WO represenlinll a stream aflhe
Tolal Score 111ronrre'et9e':
— C or rmentr:
Elalwillou'a Sigrnature
This char nel evaluatlion rm is inter de r]atle—
guid(
gartl ering If e c atz required by the United Slleates Army Cc rf r of Engito neer iiatlo milk( a prelirnir ary aFsvi rr enit of
l is m
quality. Tile toted score resuhirg from 11he corn ledionl of Ihis farm i,• , p l a i,ry n of ,tree a
PO r diet It r milligallion r atic c r requirement. F orrr P b ract to change —version (16/03. To Cmn Eerathl pllea,e X11 9and 1 ii g7� 84�mp12Ga
1

sp) /,I Hf 666
S7IREAM QUALITY ASSESSMENT! WORIKSHEDT

NC Di% ision of Water Quality —Metl- odalogy for Iderltificlalion of Intermittent and
Perer vial EIrElams arid Their Origins v. 4.1'
NCI DIN Strum Idanllificaltlion Fanm Ve,-sian 4.111
DaIEI: — I
vh�
—
_
F nojeciblSitcl: a .
9valualcn: F �1iJt � t
t
_- a
Ccunlly: /,t
�T
Tclal Poirls:���'��
1'
Stream is � t least intew�iittent l
�?
Slllearn DEItElliMillalian (attic
if � 19 ori erennial iAz 30' (
'I3. Crayfish
EpIF ememal Ir temmil ler 11
P . Cleomar holo (Subtotal = 1, )
9
Absor l
A eak
'I a' Cantinuity of channE 11: ed and bank
25. Algae
2. Sinuasity cm Cf an nal alang thalweg
0
0
1
2E. Welland plants in sinElarniked
3. In-channEil structure: Elx. uifllEI-ghat, stopl-placll,
(1.9
1.5
ri le- ool se uence
(I
RACW =° (1.7,11; OBIT = •1.9 01hEln- CI
�.Par ICIEI3iZElafslrElan SubslnatEI
cl
9. ActiVEI/nElliCl floodplain
E. DElpositional leans an benches
(I
I RE cent alluvial deposits
CI
E. HEladcuts
0
1
S. Grade canuol
a
'ICI. Nalunal valley
0 0
CL9
'I'I. flecand on guealEr andChannEll
a
Nci
0.5er
CI
ar i ficial ditc f es are not natec I; see discu sions in manual
E . H drolo Sublolal
'I2. FnesenCEI aI E1asellluw
J. Inan oxidizing kaClenia —
0 1
------ --- -
I ,� . 11 Ball lltier
5. SEdimant an plants ar debnis (1
IE. Organic dekris linES an piles (1
1171. flail-bEISEI[I Elvidence al high water tablo':
C. E iolo (Sut lolal = — — ------ �—
LatilludElL i
Ilcndi9adEl:7
C -Ter
e.q. Cluac Name:
MCC
it
Yes = 3
s'i r
is
Stror g
W.
(l.9 (1
C1.9' 1 5
0.5 I✓ 11.5
--Na = 0Yes = --
18. Rib nclus nclals in strearrbEld
1I . Roatad upland plants in slnEan IrEld —
20. N acnabElnthas (note diver; ity and abun(lance)
3 .....-- -
—
_
—
0
3 L1 —
a
_- a
21. Aqualic Mallusks
3
,12. Fish0
`l
0
'I3. Crayfish
(1
0.5 1
9
214. Amphibians
C1
25. Algae
CI
2E. Welland plants in sinElarniked
CI
(1.9
1.5
"perennial s tnean s ma)I als o be identified using c ther metf ods. See
p. 35 o1 man ual.
RACW =° (1.7,11; OBIT = •1.9 01hEln- CI
No1e�
SkE ltlr : ��aY"V-
H

116
�..� a __ � � � • 4 `{r
Ir
■e 1 -.-
-4F_
_ . ow -
AK IwoOL,
� -
r
i

4z -
a
.� was# h `'
!. '`K, w
61� YL-i`e

WA AJDAI
_ -- EWQ#
� )I o C u
Site �
_ 011Cicate or,
S T1 REI A Nj _ -_
Provide the folio QUAIJITy AS Itacheci n-ap
SESISI
�rng infar'nailfoir fcu• tlhe, M.E1�T �,ORK�HFIE7
-1• ApAlican,l's Warne: lraanl reach tnder
asse99m al- 11:
31.Lale ofettluailia
A.111,aluatcr';"ranra:
�• 1\Ua,
an,L ofstream:
C, _ % f 4. Til- of et a luatian :
1, Apprcxi'rate _: �o :JL_ 1. Z C�
d'o'nate area: a/
'} IIL.� � asin;
51. Length c f lea eh e� a iva ted:_ �2r� H. Stream ruder:
1 ��I
1i1. Site cacrdinate, Ili;l,ldncwn`
r• 1u'efa�r' in decimal de� 10' County: � ,�
Latitt de (lex, 14.872112): bticel.
1� Sulldivisian name divan
Netf od location detc°nmined y.
Location of reCIPSD
act' enc erre aluatren f on�itude (ex.—�a.ssn6t 1):
Toto Jha'et Ortho (AcrialJ PhotoJG1J
Inc ter car -Hy rcads anc lancn,arl,l,' and attaOtln aG15
Other
p idenilifyingl strear 1W') location):��
la It'ogasec ehannelw(rk(if
any):
i
JI-` • Reee;' l wea Ther conditrc ns:
I f
Site conditions at time of
1%%���}}• ldentif) any sl:ecial waterway classificatrorni, ]dmawr: -------
,JWL__�i-out NV' ters lsitardin g Res cctiar 10
f Resource Waters ��lydal «atcrs �%�SSerttal B'isheries I4arbi1al
18• IS there t W -N, irien'�l Sensitive Waters pend or lake lata ted urstre<u-' of the evaltialicn foil t-1 ygq � ""ater Sr 1
—a, 1!a } VUttershec
1151. r acs ell appear on USCS glad ma v � C 1173 es', e,•timate the water surface t rda:�_ii
21I, Esfinnatac )rater;-hed lane u;e: op �IjS C 20. Doasi ell annel appearor US[7A Soil Snrve r ' c �
_/a Residemit l a y'• YYF NC
_ /� Conmlercial _ a/o lndrstr-ial z 60
Fonestec —/1 Aglricultursil
22, IRaOlfull °victhe Clea rec / Loggec —% Cther
:31. Bank heiglhl (If roll bet to taf of banl•I;:-_____`� )
24Clr,,tnr4tl;kfedowr ccnter(if stream:
Z Mat (IQ to 2111/01 entle 112 tc 4%)
25 Cl aaUl sinuosi �) _ Madcrate (4 to 10%] _ Stec
h- S ftiaiZ P t ____Occa,•icural bent; P h 1(I
I1 s�lruclicros for rumple lion a9l warkspeet ihoa ated am alae 2 Iiregc c�r,t n ear ter ____-�lery simtati
_ Braider c1 al- Wel
I terrain, vcgeta[ian, , fieari classiflaa[ian, etc. Eery char�ac eristic n us1 be scared using) dhe cane ecare icm
I din by c ctrl' lining the most appral riaw acoregion baser on
to each charactauistia within tl c range shawl- far the ecaregian• Page 3
characteristics annot teal in ilia wocuc cet. Scores• should ref cc1 an overall arsessnert of thea hean� react rider e� al�r plaints
g trovides a brief'descriptior of laws to review tIe
characteristic cannot be eNtltated cue to site at wewher conditicna, enter (I in the ertscol(Ig bora anc gravida al- r c-val-a
cotrrtent scct'or h here thera are obNious chap€la,• to the character of a sttcartt under revraw q,• on If e
inta a :farest), the sdeari tna) be civiced into sr tallerrcaehes 1haCdispf n arc c ofoi ceill i I al- s the
11 g., the stream fill fiorr a Pasture
'cacti. T1 c tat,al score asridncd tc ra silrcan' reach trust large betweer 0 and 3CGI, with a :•care of ora re reg
�, and a sefarate foam used to etalcatc each
highe, t quality.
I c nting a "cream of tile
T011al Scare Ifrum reverse]:..
COUlmenlc. n
Evnilu ailat's Siginallure d
aile
This channel P,,alualian, Jormlfs imlerded ilo be used only as ai gu ide to aissirl laondri��ners and n�rr� �
gla9herin€1 the dally reyuirPc h the Lnilaal Slade, Army cmimer lal F rofessior ails in
qualily. The total scare resulting from the eompleliar mf tHissl'orrrof rigireejs tctle� LSACEreliminaryd�sessment of stream
pardieularrritigaticn ratio Iwreyuirement. iarrisrbjeeltochan€le—�et•siian(16,I03. To Cla,nnmcri,rlleasecallS191-8761-81241 � 26.
PIP dl does not irrIP11y a
1

STREAM QUAIITlYA cIcIESSIVIENT WpRKSIHEET �fv/,-� f�C�Z (I
' These characteristics ane not assusad in coastal streair,s.

NC Division of Water Qua lily —ME if odology for Idc r tificlz 11ior of Interrr iltenl and
Rerennial SlireE rr si and Their Origins %. 4 .'1,I
NC DWQ Strcialn Idcnllif lo11ion Rim Veisicn 4.11
Da1c: ` FlrojflcttISitEI: j
Elvahallcr: (�� �5 j— �}
Ccunly: '�4�S f
Tctal Poirils:
Stream is at least inteitmittent Siliciam C Eiterminatior (ai
ifL, 9 or perennial if z 30" 9FIh erriEual IritEirmitllevil ,
A. CIEIOmornhnl
j /1.�O4-j C�C� 4
Latif a de: * Z 6�z F , 4Ci
Lcnc ill udEi:
011hal
e.g. Quao Name:
annecial ditches ate rot rated; s( e

snah004
f7;
40-
ji'
Waterbody snah004 facing west upstream
Oii; 411
AO
17
f:iz
9�
*V
Waterbody snah004 facing east downstream

snah004
Waterbody snah004 facing south cross stream

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

USACE AID#
DWQ#
Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: 2. Evaluator's name:
3. Date of evaluation: 4. Time of evaluation:
5. Name of stream:
7. Approximate drainage area:
9. Length of reach evaluated:
11. Site coordinates (if known): prefer in decimal degrees.
Latitude (ex. 34.872312):
6. River basin:
8. Stream order:
10. County:
12. Subdivision name (if any):
Longitude (ex. -77.556611
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any):
15. Recent weather conditions:
16. Site conditions at time of visit:
17. Identify any special waterway classifications known: Section 10 Tidal Waters Essential Fisheries Habitat
Trout Waters _Outstanding Resource Waters Nutrient Sensitive Waters _Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES NO If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES NO
21. Estimated watershed land use: % Residential
% Forested
22. Bankfull width:
20. Does channel appear on USDA Soil Survey? YES NO
% Commercial % Industrial % Agricultural
% Cleared / Logged % Other ( )
23. Bank height (from bed to top of
24. Channel slope down center of stream: _Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: Straight _Occasional bends _Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse):
Comments:
Evaluator's Signature g / ' -A-- Date
This channel evaluation orm is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change — version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
#
CHARACTERISTICS
ECOREGION POINT
RANGE
SCORE
Coastal
Piedmont
Mountain
1
Presence of flow / persistent pools in stream
0-5
0-4
0-5
(no flow or saturation = 0; strong flow = max points)
2
Evidence of past human alteration
0-6
0 5
0-5
(extensive alteration = 0; no alteration = max points)
3
Riparian zone
0-6
0-4
0-5
(no buffer = 0; contiguous, wide buffer = max points)
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
(extensive discharges = 0; no discharges = max points)
5
Groundwater discharge
0-3
0-4
0-4
U(no
discharge = 0; springs, seeps, wetlands, etc. = max points)
6
Presence of adjacent floodplain
0-4
0-4
0-2
(no floodplain = 0; extensive floodplain = max points)
x
7
Entrenchment / floodplain access
0-5
0-4
0-2
(deeply entrenched = 0; frequent flooding = max points)
8
Presence of adjacent wetlands
0-6
0-4
0-2
(no wetlands = 0; large adjacent wetlands = max points)
9
Channel sinuosity
0-5
0-4
0-3
(extensive channelization = 0; natural meander = max points)
10
Sediment input
0-5
0-4
0-4
(extensive deposition= 0; little or no sediment = max points)
11
Size & diversity of channel bed substrate
NA*
0-4
0-5
(fine, homogenous = 0; large, diverse sizes = max points)
12
Evidence of channel incision or widening
0-5
0-4
0-5
>�
(deeply incised = 0; stable bed & banks = max points)
,F'.,
13
Presence of major bank failures
0-5
0-5
0-5
a
04
(severe erosion = 0; no erosion, stable banks = max points)
M
�
14
Root depth and density on banks
0-3
0-4
0-5
(no visible roots = 0; dense roots throughout = max points)
15
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
(substantial impact =0; no evidence = max points)
16
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
(no riffles/ripples or pools = 0; well-developed = max points)
17
Habitat complexity
0-6
0-6
0-6
�
(little or no habitat = 0; frequent, varied habitats = max points)
a1
18
Canopy coverage over streambed
0-5
0-5
0-5
x
(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 = max points)
21
Presence of amphibians
0-4
0-4
0-4
O
(no evidence = 0; common, numerous types = max points)
O
22
Presence of fish
0-4
0-4
0-4
(no evidence = 0; common, numerous types = max points)
23
Evidence of wildlife use
0-6
0-5
0-5
(no evidence = 0; abundant evidence = max points)
Total Points Possible
100
100
100
TOTAL SCORE (also enter on first page)
El
* These characteristics are not assessed in coastal streams.

snah029
snah029 facing upstream
snah029 facing downstream

snah029
snah029 cross stream

USACE AlD#
DWQ#
S`0A9J 2,,5 --
Site # (indicate on attached map)
M STREAM QUALITY ASSESSMENT WORKSHEET A4P
Provide the following ii/n��formation for the stream reach under assessment: %%
1. Applicant's name: rl0%. 2. Evaluator's name: 4L) P,
3. Date of evaluation: 4. Time of evaluation: d" 7
5. Name of stream: r+. a P.� �` ►. River basin: 1- —
7. Approximate drainage area: D b 1 +► 8. Stream order: !—n at
9. Length of reach evaluated: 4® F 10. County:-
11.
ounty:-11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex.34.872312): a Q1 3. 2 3 !i Longitude(ex,-77.55&fill):_
Method location determined (circleCPiun
Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evanote nearby roads and landmarks and attach map identifying stream(s) location):
-w I . I r _ -A J.
14. Proposed channel work (if
15. Recent weather conditions:_ KA
16. Site conditions at time of visit:o 0 I&Ji s At J
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 -M
18. Is there a pond or lake located upstream of the evaluation point? YES NO If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? ES O 20. Does channel appear on USDA Soil Surveyor?-� NO
21. Estimated watershed land use: _% Residential _°/n Commercial°fo Industrial % Agricultural
�°lo Forested % Cleared / Logged ,°/a Cather
22. Bankfull width: Q 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: ?' 41at (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: Straight _Occasional bends y- Frequent meander _"Very sinuous Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation, If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and ,provide an explanation in the
comment section. Where there arc obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality. r, 1
Total Score (from reverse).
Evaluator's Signature Dates � Zd �
This channel evaluation orm is intended to be used only as a guide to assist landowners andne vtr no mental 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 919-876-13441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
ECOREGION POINT
RANGE
#
CHARACTERISTICS
SCORE
Coastal
Piedmont
Mountain
1
- Presence of flow / persistent pools in stream
0-5
0-4
0-5
(no flow or saturation --0; strong flow = max points)
2
0-6
0-5
0-5
Evidence of past human alteration
(extensive alteration = 0; no alteration = max points)
3
Riparian zone
0-6
O-4
0-5
(no buffer = 0; contiguous, wide buffer = max points)_
-
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
(extensive discharges = 0; no discharges = max poinis)
5
Ground)~ ater discharge
0-3
0-4
0-4
Q
(no discharge = 0; springs, w eps, wetlands, etc. = maxpoints)
6
Presence of adjacent floodplain
0-4
0-4
0-2
no floodplain = 0; extensive floodplain = max_points)
7
Entrenchment 1 floodplain access
0-5
o-4
0-2
(deeply entrenched = 0; frequent flooding = max points)
8
Presence of adjacent wetlands
0-6
0-4
0-2
(no wetlands = 0; large adjacent wetlands = max points)
9
Channel sinuosity
0-5
0--4
0-3
(extensive channelization = 0; natural meander = maxpoints)_
10
Sediment input
0-5
0-4
0-4
(extensive deposition= 0, little or no sediment � max points)
11
Size & diversity of channel bed substrate
NA*
0-4
0-5
fine, homogenous = 0; lar e, diverse sizes = max poin s
12
Evidence of channel incision or widening
0-5
0-4
o-5
(deeply incised = 0; stable bed & banks = maxpoints) _
F"
13
Presence of major bank failures
0--5
0-5
0-5
(�
a
(severe erosion = 0; no erosion, stable banks = maxpoints)
14
Root depth and density on banks
0-3
0-4
0-5
(no visible roots = 0; dense roots throughout = max points)
15
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
J
—1
substantial impact =0; no evidence = maxpoints)
16
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
no riffles/ripples or pools = 0; well-developed = max onus)
dHabitat
17
complexity
0-6
0a6
0-6
(little or no habitat = 0; Crec uent, varied habitats = max points)
1g
Canopy coverage over streambed
0 5
0 5
0-5
�j
`�
no shadingvegetation = 0; continuous canopy = max points)
19
Substrate emheddedness
NA*
0-4
0-4
(deeply embedded = 0; loose structure = max)
-
0-4
0 - 5
0-5
Presence of stream invertebrates (see page 4)
_0
no evidenee = 0' eammon numerous es =max aints
21
Presence of amphibians
0-4
0-4
0-4
Q
(no evidence = 0; common, numerous types = maxpoints)
-
22
_
Presence of fish
0-4
0-4
0-4
(no evidence = 0, common, numerous es = maxpoints)
-
23
Evidence of wildlife use
0-6
0-5
0-5
(no evidence - 0; abundant evidence = maxpoints)
Total Points Passible
100
100
100
i
TOTAL SCORE (also enter on first page)
* These characteristics are not assessed in coastal streams.

�t�AHr�2�
NC DWQ Stream Identification Form Version 4.11
Date; i � I ProjectlSite: rj t' f ; Latitude: 6 �3 ('7' `1Loel '
Longitude:oun : f �Y
'Z�
Cv- O' rr
Evaluator: � � � _ h' V,�
Total Points: Stream Determination (circ Othsr� vT
Stream is at least intermittentLf Ephemeral Intermittent erennial e.g. Quad Name: lf�
irk 19 or perennial it a 30'
A. Geomorphology (Subtotal = G ' )
Absent
Weak
Moderate
Strong
1n Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
1
3
3. In -channel structure: ex. riffle -pool. step -pool,
0
1C2
3
ripple -pool sequence
3
4. Particle size of stream substrate
0
1
2)
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
2
3
7. Recent alluvial deposits
0
2
3
8. Headcuts
0
1
3
9. Grade control
0
0.5
E�
1
1.5
10. Natural valley
0
0.5
1
.5
11. Second or greater order channel
No = 0
Yeq= 3
artificial ditches are not rated: see discussions in manual
B. H drolo Subtotal = Sf
12. Presence of Baseflow
0
1
_ 2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1
0.5
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0 1
0,5
Yes a
1.5
17. Soil -based evidence of high water table?
No = 0
-
C. Biology Subtotal =
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
Cv
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
3
21. Aquatic Mollusks
0
T
2
3
22. Fish
0
0.5
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0.5
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75;
OBL = 1.5 Other
"perennial streams may also be identified using other methods. See p. 35 of manual.
Nates:
Sketch: r r
✓ f l I�
DP. � S►�A X16 �'

snah025
Waterbody snah025 facing south upstream
Waterbody snah025 facing north downstream
w
. \�\�
\\ \
\/��\
A
Waterbody snah025 facing north downstream

snah025
Waterbody snah025 facing upline cross stream

_54 HQ -4
LiS.A('E AID# DWQ # Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following Inf mation for the stream reach under assessment:
1. Applicant's name:_ a M" h.- A ^ 2. Evaluator's name:_ S ~
3. Date of evaluation: b 4. Time of evaluation:
3. Name of stream: , 6. River basin: rcrt
7. Approximate drainage area: is 8. Stream order::11 S`
9. Length of reach evaluated: a o (- 10. County: IDS .1
11. Site coordinates (if known): d prefer in decimal degrees. 12. Subdivision name (if any):
C3 r
Latitude (ex. 34.872312): 6 � 16 t Longitude (ex,-77.55(fii i):_
Method location determined (circle): P Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying strearn(s) location):
14. Proposed channel work (if any): lVo
15. Recent weather conditions:J
16. Site conditions at time of visit:
17. Identify any special waterway classifications known: Section 10.Tidal Waters :Essential Fisheries Habitat
Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters Water Supply Watershed (I-IVj
18. Is there a pond or lake located upstream of the evaluation point? YES C If yes, estimate the water surface area:
19, Does channel appear on USGS quad map? 6NO 20. Does channel appear on USDA, Soil Survey? (9 NO
21. Estimated watershed land use: Residential �% Commercial �% Industrial �C n Agricultural
% Forested ,% Cleared 1 Logged —% Other ( )
22. Bankfull width: 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: _Flat (0 to 2%) �<�Gcntle (2 to 4%) _Moderate (4 to 10%) !Steep (> I0%)
25. Channel sinuosity: Straight —Occasional bends requent meander ,Very sinuous _Braided channel
Instructions for completion of worksheet (located an 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 iinto smaller reaches that display more continuity, and a separate form used to evaluate each
reach, The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality. /I
Total Score: (from reverse): C
Evaluator's Signature -4J 7 Date '��'d el
This channel evaluation fori is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form Is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06103. To Comment, please call 919-876-8441 x 26.

-�Pfi N © 24
STREAM QUALITY ASSESSMENT WORKSHEET
* Thcsc chairactcristics are not assessed in coastal streams
#
CHARACTERISTICS
ECOREGION POINT RANGE
Coastal Piedmont Mountain
SCORE
1
Presence of now 1 persistent pools in stream
0-5
0-4
0-5
(no flow or saturation = 0; strop flaw- max points)
-
Evidence of past human alteration
0-6
0-5
0-5
2
(extensive alteration = 0; no alteration =max oints)
3
- Riparian zone
0-6
0-4
0-5
(no buffer = 0; contiguous, wide Buffer = maxpoints)
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
4
{extensive discharges = 0; no discharges = max points)
5
Groundwater discharge
0-3
0-4
0-4
2—
(no discharge = 0; s rips see s, wetlands etc. - maxpoints)
U
6
Presence of adjacent floodplain
0-4
0-4
0-2
Z
(no floodplain = 0• extensive flood lam - rnax paints)
7
Entrenchment 1 floodplain access
0-5
0-4
0-2
(deeply entrenched = 0; frequent flooding - maxpoints)
H
Presence of adjacent wetlands
0-6
0-4
0-2
3
(no wetlands = 0; large adjacen( wetlands = max points)
-
Channel sinuosity
0-5
0-4
0 -- 3
9
(extensive chane_ elization = Q; natural meander = max points)
10
Sediment input
0-5
0-4
0-4
extensive deposition 0; little or no sediment = max points)
& diversity of channel bed substrate
NA*
0-4
0-5
1 ISize
-fine, homogenous = 0, large, diverse sizes =maxpoints)
Evidence of channel incision or widening
0-5
0-4
0-5
i(deeply
12
incised = 0; stable bed & banks = max pints
Presence of major bank failures
0-5
0 - 5
0-5
d
13
_ (severe erosion = 0: no erosion, stable banks = maxpoints)
Root depth and density on banks
0-3
0-4
0-5
14
(no visible roots = 0; dense roots throughout = max points
l
CA
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
15
Substantial lm act =Q; no evidence = max pints
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
2-
16
(no riffles/rippics or pools = 0; well-dcvcloped =max pints)
17
Habitat complexity
0-6
0-6
0-6
3
(little or no habitat = 0; Frequent, varied habitats = max points)
18
Canopy coverage over streambed
0-5
0 5
0 5
(no ;hadin = vegetation = 0; continuous canopy = maxpoints)-
-
Substrate embeddedness
NA*
0-4
0-4
1
deeply embedded = Q; loose structure = max)
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
20
no evidence = 0• common numerous es = maxpoints)-
21
Presence of amphibians
0-4
0-4
0-4
�}
no evidence = Q; enrronon, litunerous types =max points
G
22
Presence of fish
0-4
0-4
0-4
(no evidence = 0; common, numerous nTes = max points)
23
Evidence of wildlife use
0-6
0 - 5
0-5
(no evidence = 0; abundant evidence = maxpoints)
-
Total Points Possible
100
100
100
TOTAL. SCORE (also enter on first page)
j
* Thcsc chairactcristics are not assessed in coastal streams

NC DWO Stream Identification Form Version 4.11
,f0kH 6 2- c
Date: T _ ? O� �r
RrojecUSite:
Latitude: Tg ¢p 3 016 - 4
Evaluator: �
County:
Longitude:
Total Points:Stream
Determination (circle ane)
Other[,
Stream is at lease intermittent
if 2:19 or erennial if a 30'
Ephemeral Intermittent Perennial
e.g. Quad Mame:
A. Geomorphology Subtotal = 1
Absent
Weak
Moderate
Stra g
1a. Continuity of channel bed and bank
0
i
0
15. Sediment on plants or debris
2. Sinuosity of channel along thalweg
0
1CD
@ 1 0.5
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool s uence
0
1
2
l 3
4. Particle size of stream substrate
0
1
1
3
5. Active/relict floodplain
0
1
3
6. Depositional bars or benches
0
1
3
7. Recent alluvial deposits
0
2
3
8. Headcuts
0
FACW = 0.75; ❑BL = 1.5
2
3
9. Grade control
0
0.5
Notes;
1.5
10. Natural valley
0
0.5
1.5
11. Second or greater order channel
No 4N
Yes = 3
. artificial ditches are not rated; see discus ons in manual
13- Hvdroloav [Subtotal = 3
12. Presence of Baseflow
0 1
2 3
13. Iron oxidizing bacteria
0 1
3
14. Leaf litter
1.5 1
0
15. Sediment on plants or debris
0 OT31
1.5
16. Organic debris lines or piles
@ 1 0.5
1 1.5
17. Soil -based evidence of high water table'sNo
= 0
YeSt 3
C Biola Subtotal
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
Z55
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21, Aquatic Mollusks
ITD1
2
3
22. Fish
0
1
1.5
23. Crayfish
0
0.5
1.5
24. Amphibians
0
0.5
1.5
25. Algae
0
1
1.5
26. Wetland plants in streambed
FACW = 0.75; ❑BL = 1.5
Othe z 0
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes;
Sketch:
pt. S I��H 62 c
3or -10

P,
*o4,t,

snah026
*71
Waterbody snah026 facing downline cross stream

USAC E A1114 DWQ # Sile h (Jirid cafe or attachcld mar)
-,5 �4 AM 10"1
M SITRY AM QUA IJITY ASSY SSMY NT WC RKSIH EET
PlnavWci the fallowing information fdln the slrezim rezich under assessment:
y
1. Arlplicarl's niame: e 6 `, i A6-7 3. Evalualcn's PIS
31. ❑al a of eva1L al ian: 3 9 1141; 4. Time of evadu al ion: 'ACJ
9. N ame of 9troa rri: St4 YN164 0 %j tyr A o V \ ,- T- elIVr, (.Rimer
1. AT prax ima:l a dlnainago arch : E . Shleam ore er : J
S1. Leriglh of react evailLaled: b 1 CIO' 101. Cor;nty:
11. Site caorc iriale9 (if kr awn': Ipnefern in decimal de€pees.
13. Su be ivisicn name (if any':
Lal ituc e (lex. 34.872112): Ilor€lilude ilex, — 7.556611):
Melhoc loc alion delern fired ilc ire le : GP ➢o o II Ort erial' fl �� I� 01Nau GIS Other
131. Location of ueach unceli evaluation (male nmads and lancmiar`bs and attach mar idelnl ifyirig strleam(s; Iocartiani;:
V-�
14. Prapa9elc chasm ell w
any;
19. Accent weabor conidit sans: 3
](. Situ canditiorisatlimeafvisil: aL4 .. — SS
11. Icanitify anN sfllecial waeimaN classifications knawn: Seel icin 1(I Tidal Wartelrs Esselnlial Hisherie9 HaHilal
TraulWalen9 Oulstar dirigRelsourcaWaters NuttlieniSlanisiliveWaters _WalerSurply Walershed Ill -Iv
11E. Is theme a plane cir lake located urstroaim al the evalual icn paint? YHS If Nes, eslimallle ti-cl wialllen surface area:
? ]ISI. Duels channel appez,ir an USC19 quad mar? MES NC
21. Estimal c Id wale, shed lane c se: 15 °ra Mes idelnrtial
20. Daes channel applear on USDA Sail Survey? NO
ON Commercial % Incustl sal -15 % Agricultural
So 0/a Fares ted ^°ra Clearrcld / Lagded % Other (I )
211. Bank full w:idilh: 221. Bank heiight (filam bed to lop of bank;
24. Cbarincll slape c awri cerlelr of sftearrl: fIlart ((1 to Mase) -�g Genlle (12 to 4%; Maderarte (4 is 1(1%0) _Steep (>1 CI°/;
W. Cbanincll sinuosity: Slrai€11-t Occasiar ail Harid s >eFrequient meaner x filar}{ 9inLiouis Brak& channel
]Irnslruictiaris flan camplellicmi oflwiarksheet I1Iacatedl on page ?J): Begin by duelrmiiningl the mast aprroplr lle ecoreglian based an
lacationi, terrain, vegetallian, stuclam classificarlian, etc. Ever}{ characteristic must be scorec usin€1 the same ecarlegicn. Assigln ploinls
la each characteristic wilhin lhel raride shown for the acoregioni. Page 3 provides a brlief cescriplicn of how to review the
cbaracterist:ics idelnlified in the warkshoet. Scones should lieflecl an avernall assessmerit al Ilia stueam reach under evaluatiani. if a
cbaracter:ist:ic cannat He clvaluiarted cuicl la side ar wealher concilians, crier (I it the scoring) bax and rrovice an erplarialicn in lhcl
carrlmelnl section. Whercl these are otviaus changes in the character of a stream unidclr relviclw Ile.g., llhe stream flaws from a pasturEi
inlo a fouesl), ilhe st[leam niaN He divided into smalleir rclaches lha display, marc) cantinuity, and a separate farm used to evakiale each
reach. The fatal scare assigried la a sttleam rleach mu9l range between (I acrd 10(1, wiilh a score) of 1(I(1 represeril: ng a sttleam of ilhe
higlhclst quality.
Total Score (flromneversei): ra` Cammerills:V%; "a � ai
Hvaluallar'sSligniature Data 3 /-F1IS
This channel evadualliani Itirm is initerndledl to be used only as a guide to assist ]lanidlawnersi and ne iviranimental blraflessianialsi ini
gathering the da11a required by ilbei Uniited Stales Anmy Corps at En14ineers 11a make a Plreliminiary assessment cif stream
qua lily. The lotal scare res uilting flrom the camrlletion ofltbis ikirm is subject to USIA CH ablblravoI at dlaesi niat imply al
pa rticuila r mitiga licm radio ar recluiinemfmt. Farm) act act arige - vcrosian C16I03. Ta Comment, plleasie calls 19-87(-8441 x26.

STREAM QUALITYI ASSESSIMENT WORKSHBE-B
* Those aharaalenislicis are nc t a,, scissud it cic asilal strem,, .

NCI Civisier1 oft Water C uaMy —Meth oda Iegy flor Identificatior oft Inilermiililent and
Rerer nial Streams and Their Origins v. 4.11
NIC UWQ Stream k c ntificlation filunm V(nsiun 4.11
Date: c (�
Projecit Ei9e: Aa ,A 6 v ��
Lall i1 ude:
Eva I altar ---T"�
Cau my :
Longitu de:
Total Points:
Stream Detenrnination Qairole ane)
Oil her
Silreem is at least it leirnittent
if >_ 1 f I or perennial if > 5 ( ' L' `
E heinlemal Intermittent P sal
p
e. Gluad Nan e:
6 "
A. Geomorphology (SLIrtaial =as -S )
Absent
Weak
Modeiate
Strong
1' Cardinuity oilahanried bec anic bank
Cl
1
21
3
21. Sinuosity of ahanriEll along IHalweig
Cl
1
21
Cl
3. Int-aflanrled siruaiune: ea. riffles-rocd, stein-rloctl.
ripple -pool se ueinae
Cl
1
L
CI
�. Rartiale sizes cdstnearri suldsirate
Cl
1
C9>
3
. AciNeJnellicd flaac plain
Cl
1
21
214. Amphibians
EI. Depasiiiorial bans cuff benches
Cl
1
21
X. Algae(02
a. Record alluvial c eposits
Cl
1
21
21E1: VAeilarld plants in sireambec
El. F elac oui s
Cl
21
3
fl. C nac ei acirrinol
Cl
CLE
1
1CL Naiunal valley
Cl
CIA
1.E
11. SElacirlc on gneiaier cuic ein chanriel
Na = Cl
Yes 3
a ar ificial diicl as anei not naffed; seei discussions in manual
B. Hydrology (Subs atal = A . S )
121. Presercie of Basefla%A
Cl
1
21
3
13. Iran o)(idiaing Uaciteinia
1
21
3
14. UEMI litieui
1.5
1
CLE
Cl
19. Seicimerit or plants ar c eibris
Cl
C1.9
3
1.E
1El. Organic celd nis lirlEls an piles
Cl
(LE
1.E
1.9
171. Sail -based ev idericei cd H igh wafer lald le?
Na = Cl
Y s =3
214. Amphibians
C. Bicdogy (SL tloia[ = a )
18. Flitnaus naois in silneiamtleid
3
21
1
Cl
19. Roateid upland plants in slneiambeid
21
1
Cl
'ICL N acwtardlicis (r oie divemsiiy and abundance) Cl
Cp
21
CI
21'1. Aclualia N allusks
1,
21
3
2121. Flish
Cl
1
1.E
213. Crayfish
Cl
1
1.9
214. Amphibians
Cl
X. Algae(02
0.9
1 1
1.9
21E1: VAeilarld plants in sireambec
FACW = 0.7E;
C BU = 1.9 01hen = a
' perennial slreanis may also bei identified using)
oil aii nmedhods. aeei p. 35 of manual.
IN cfleEr
Skeiah:.�3luig
1.5 ci -- I 1 CL "50
N
41

Waterbody SNAB102 facing west upstream
Waterbody SNAB102 facing north downstream

Waterbody SNAB102 facing northwest across

Ll SAC B AIII4 L1Vbil��
Sile Al (Jiridicale ori attached map)
cN� 1g3
M SIZIREAM QUAI IZIY ASSDSSMDNT WIORKSHEET
Plromidei llhc itllowing information Itir thea 911 ream reiaich under aisseissment:
1. Applieairlt's nlame: �orvgti„� ;oma 21. Evaluadan's panne: Ire w��_�
3. Dade of evadualian: Ct ! 4. Tinge of eVMLWicin:
'. Naunc of stream: o a - u Wr -Vo V► $ � �� E. Aider basin:
i. AplplrciNimale drainage area: i . Shleam orceir t =�
S1. Lerigih cif rc acili c valuialed: -1— '
1f1. COLnity:
11. Site ecicirciniales (if kr ciwnl;: prefer in decimal de€pees. 121. Subc iiiisicin name (if zlny :
Lalituda Qex. 34.8,: 112': Dongliludeilex.–".556611):
Melhod lacalian delermined ilii ale': a'po heel Cnitro erial' FICO, a/G O1Har G119 Cther
13. Loczdicin of peach unceli eiialuation (mole nczulbN reiads and. lancmarks ni attacih map idenlifyir.ig slneamlls; location":
14. Prapased chznnel wiarld (if ainj] :
15. Aec(rd we zither eonid it icins: %,,, m' -k - % a sk c1 �,^ 1,-), u, < S
lb. Site canditionis at lime cifvisil: 0-J 1 41 0 ”'
til, Icendify anj special walerwaN classifii✓ tions bnown: _Seclicin 1C1 _Tidal Waiters Essenlial Hisherics I all ill asl
Troull Waters Outslaniding Rescurcie Wzders Nutnienl Serisi:live Wzdcrs _Water Supply Watershed 111-I`l;
lir. Is thara a plane cir lalkci headed upstlleaim cifthe evzluialianpciirl? YHS (9 If Nes, eslimale the wailer surface area:
11 SI. Doles channel zippeizu' en USC S quaid map? YES NCI U. Daas cihanmel alpplearc on USDA ``tail Sulivey? NO
21.Estinlaledwial(iushcidlam user 15 ON Rlesidenlial
ON Commerc'al
%Incuslrial IIS'
%A€piicultural
sa ON, Fcircistcid
ON Clearcid / Lo€18ed
% 01 ter (I
2'I. Bank fual width: 3
221. Bank height (filam hcid to lop of hank; : e, -i S
24. Chanrel slaplei cawni cenleli cif sitreann: —Hl zit (CI 10 20/o)
—CI Genlle (] 1 c 40/;
Maderme (z :la 1(1%
_Stacip (>l ao/a;
25. Chanrel sinuosity: Sttaiglhl Oecasianal bends
_Frequierdmearider
`lery siruousi
Bra'd(id channel
lnisitlructions far campleliam of worksheet 111acailedl an page 2): Begin by c elleliminingl the mast apprcipldwe ecciia€liar bascid cr.i
locadiori, terrain, vogelallicin, sirciam clasisiificalicin, cite. ENiery chairacterisitic musl be scorec using) the same ecculegicin. Assign pciinls
to each charactaristic wilhin tho aarigci shawn far the eeoregior. Pagel 3 pravides a bnicif cescriplicin of howl to reiiiciw 1he
cbaractcristics idenlified in lhei wcirksheel. Scones shaiuld aefleci an civerall assessment afllho stlleam mach under eiialwitioni. if a
chalractcristic cannot he eiialuzded cuci to rile ur wcialhor conditians, cinler Cl in the scoring) bax avid plravkt an eNplanialicn in the
cummeini suclian. Where llherci arca cihvicius charigesi in 1he charalctor cif a strciarn unidcir raview 11e.g., the stream flaws filam a paslurci
into a f(mesl), the sttleam map{ ba dividcid into smaller reacheis Thal display mare condinu4y, and a scipzirzde fbra used to evaluiato eiach
lnaacih. The icital scarce ws igncid to a slAciam lieacih musl rangci bcdwleen Cl and ICICI, wiilh a scora cif lq(1 repreisenilirg a stream of the
higlhest quality.
Total Score Qf loom revejirs ei : V S Cc mm(it 1 s:',r><� N.')
T' •l � l b ®6 � ! Y i°�P ros � 'i'!' I � �. �9 ba rs � � ,"
Evaluailcr's fligniaitute Tlartei L
'Ibis ehairrel evalualllicml flalrm is intemdeidl tc be usedl anlly as ai gluiclei ile vssist la ndlewncrs adcl environmental Plrafessicmals int
gathering ttei dada required b3i the United Stades Army) Corps of Enginceirs to makes ai preiliminlary assessment cf stleaim
quadily. '11hei lotal score resuililing f1rum t1le camplletien of 4is krm is subject to LISACE aiP1P1reval amidl dloeis not imply ai
pairtieulalr mitigailic n raitlia ar req uirfimeint. Farm subject to ehanlge – version 0(/(13. To Comment, please call SI1 SI -81(-i1441 ), 16.

STREA M QUA L ITY A �ISD�ISMIHNT WIC RKSIHEET
* These charaderisl ics ane nci u s s essed in caasila] strep ms.

NC Divisic n of Water Quality -Methodology fc r Identificatic n of Iritermittent and
Penelnriial Streams and llheir Criciinsl v. 4.11
IN C UNN QS tr clam Identification Form Mersion 4.11 ' h A'v- %c 3
Date: q I
Pra,leiat/SiterLatiilude:
Weak
Evalualan. ��
Counily:.
Lanigituca:
j
2 I
2. Sinuosity a1 ahanriel along Ihalweg
Total Points:
Sireiam Delermination Ilairclei oriel)
Oter
3hearr is ail leash inlarmidenE
•19
E �Ih emeral Initermi n1 Peureniniial
e.g. Quae Name:
ill 2. cul perennial ill _ 3G"
4. Panicle side of silneam sr,bsinale
0
A. Geomorphology (St, k total = )
Alb sielnill
Weak
Moc orate Strong
'la Caniinuitycdaharinielljec an( Bank
0
1
2 I
2. Sinuosity a1 ahanriel along Ihalweg
0
1
2 CI
3. Iri-charm I stnucilurE: ex. riffle-K1aol, sie pl-rlaol,
ni le- ool se ueriae
0
1.9
2 CI
4. Panicle side of silneam sr,bsinale
0
1
2 CI
5. AciliVE/IlEliat flaadplairi
0
D
2 CI
6. De rlositianal N ars or b Eniah E s
0
1
2 CI
7. Re ae rii ally u ial deposits
0
1
2 I
8. Heacculs
0
1
2 I
9. Cnade aandral
0
0.9
1.9
1 G. IN al u ral valley
0
0.9
CD 1.9
11. Seaonic ar gneEkln ondem ahanriel
Cl
Yes = 3
a artificial ditcheis are not iiated; see discussions iri rric nual
B. H dralo (Sl.btalal = '4 - S )
1 J. PnelSe nuc of BEISElflCIW
0 1
Q:� d
1 CI. Inan cu icizing baalenia
1
2 111
'1 2 . LElaf liber
1 1
0.9 CI
19. Sec irneni an planils an debris
0.9
1 1.9
'IEI. Orgariic c Eibris linel5 cm piles
0 0.9
1.9
'I a. Soil t asec eivic er ica cd Nigh wafer 1aN le?
a = 0
Yes = 3
C. E iology (Sub1lotal = -)-.--5 )
1 EI. FiN nous mails in stnearnbeid 3
J
1
CI
19. Raolec Lplarid plants in sinearribeic
CI
2CI. Maarabeiniihos (note diversity c nd abundances)
21. Aquatic Mollu sks 0
2J. Fish CO
CL9
1
1.9
213. Crayfish 0
r11
1
1.9
24. P mph it iaris CI
ti'0.5
1
1.9
29. Algae 0
GA
1
1.9
20. Wellanc plants iri siriaamNec I
FAV = 0.75'
BL = 1.9 Cihem = CI
*penenri ial stneiarris may also be identillied using oiheir rriesthods. See p. 35 of manual.
Noll Els: .,
„M a " �A•
Sketcih: r4.1ar,1,v,
I -- IMj R
S N A9 1 V+I.j 9 pyJzr ID
--
41

Waterbody SNAB103 facing east upstream
Waterbody SNAB103 facing west downstream

Waterbody SNAB103 facing north across

Open Waterbody Data Sheet
Survey Description
Project Name:
Waterbody Name:
Waterbody ID:
Date:
Atlantic Coast Pipeline
Unnamed Pond
ONAC001
3/9/2015
State:
County:
Company:
Crew Member Initials:
Photos:
North Carolina
Nash
NRG
CR, AS
ONAC001_001-003
Tract Number(s):
Nearest Milepost:
Associated Wetland ID(s):
18-058-AO04
338.5
None
Survey Type:
(check one) ❑Centerline ORe-Route ❑Access Road ❑Other:
Physical Attributes
Waterbody Type:
(check one) OStock Pond ❑ Natural Pond ❑ Lake ❑ Reservoir ❑ Impoundment ❑ Oxbow ❑ Other:
Hydrologic Regime:
❑ Permanently Flooded ❑ Semipermanently Flooded O Seasonally Flooded ❑ Temporarily Flooded
OHWM
OHWM Indicator:
(check all that apply) ❑ Clear line ❑Shelving ❑Wrested ❑Scouring DWater
Height:
on bank vegetation staining
NA ft.
El Bent, matted, or missing ❑Wrack []Litter and ❑Abrupt plant ❑Soil characteristic change
vegetation line debris community change
Depth of Water:
Bank height (average):
Bank slope (average):
2.5 ft.
8 ft.
60 degrees
N/A❑
Qualitative Attributes
Water Appearance:
(check one) El No water ❑Clear DTurbid ❑Sheen ❑Surface ❑Algal ❑Other:
on surface scum mats
Substrate: ❑ Bedrock ❑ Boulder ❑ Cobble ❑ Gravel 0 Sand 0 Silt/ clay ❑ Organic ❑ Other:
(check all that apply)
% of Substrate: % % % % 70 % 30 % % %
Width of Riparian Zone:
Vegetative Layers:
(check all that apply) ® Trees: 0 Saplings/Shrubs: 0 Herbs
ft.
Avg. DBH of Dominants:
N/AD
(approx.) Y V
Dominant Bank Vegetation (list):
Loblolly pine, sweet -gum, red maple, wool grass
Aquatic Habitats (ex: submerged or emerged aquatic vegetation, overhanging banks/roots, leaf packs, large submerged wood, riffles, deep pools, etc.):
Downed logs in the pond
Aquatic Organisms Observed (list):
Tadpoles, frogs, water skimmers
T&E Species Observed (list):
None
Disturbances (ex: livestock access, manure in waterbody, waste discharge pipes):
Pond appears to have been artificially dug out over twenty years ago
Waterbody is:
(check one) ❑ Natural 0 Artificial, man-made ❑ Manipulated
Waterbody Quality a:
(check one) ❑ High 0 Moderate ❑ Low
Form Rev. 07/09/2014

Form Rev. 07/09/2014
Waterbody ID:
ONAC001
a High Quality: Natural, natural bank vegetation around entire waterbody; banks stable and protected by roots; water color is clear to tea -colored; no
barriers to fish movement; many fish cover types available; diverse and stable aquatic habitat; no disturbance by livestock or man.
Moderate Quality, Altered by rip -rap; natural vegetation extends 1/3-1/2 of the active channel width on each side; filtering function or bank vegetation
only moderately compromised; banks moderately unstable; water color is cloudy, submerged objects covered with greenish film; moderate odor; minor
barriers to fish movement; fair aquatic habitat; minimum disturbance by livestock or man.
Low Quality: Rip rap and channelization excessive; natural vegetation less than 1/3 of the active channel width on each side; lack of regeneration;
filtering function severely compromised; banks unstable (eroding); water color is muddy and turbid; obvious pollutants (algal mats, surface scum,
surface sheen); heavy odor; severe barriers to fish movement; little to no aquatic habitat; severe disturbance from livestock or man.
Notes:
The soil was not hydric. Pond may be dry during the growing season.
Waterbody Sketch (Include north arrow, centerline, distance from centerline, data point locations, survey boundary, and IDs of associated features)
All<N
d
WNW_
O
�o
Form Rev. 07/09/2014

i
p w
R
�i✓ LSE
"�� " .`- I
�,
FI�y+
Xv
w
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Open waterbody ONAC001 facing north

USAC E AIDA,,
DWQA
Site (ins icado an attached map)
NAT
MSTREAM QUALITY ASISIE SISIMEN T WORKSHE E T
Pruv'ele the follawing intbirmailicni for Ilhe stneaim reauih ur teen aissemsmenit:
11. Appllicaml's name: --p-,"", Nl ',Dril I Aa 2. L va]ualar's name 1 �®tI ,• i�
3. f ale of oN aluadiorr -91101 ! C, 4. Time cif eN a:luadioni: D�
S. Name of stileam:� )Pri�, ),11�-N - �w t� t I A Vo V 13r e 6. Rliver basun:71
c
71. Aplpplaximate crainiage aria: 8. Stream order: 1 Vii}
91. Leng 1H of ueach ev aluailec : 1 c O ' 1(I. Caunt) : N P �-�
11. Silo cocmdinades (if knawni): puefer in deairrial da ghees. 1121. SuHdivisiioni niamo (Jif an N):
11 atiluce ilex. 14.872312): Lori glituc e (ix. —77.99(1611):
Melo& location cetermiried (circle): GAS ToI o Sheet Ortho IlAerial) Aho a1G11S O her GIS 01Ner
13. Llacalian of reach c rider (lush align (nate nearby roads and landmarks and attach map kertifying streaun(s) lacv6cin):
14. Broplased channel wcuk (if aiy):
15. 121ecenl weal her candil ions: Vo.o r-:,-
16.
-; 16. Silo canei1ions at time of visit: c,1­,,tAra , US
171. Identify ary special wateirway classificalians krlawn: _Section 10 �Tlkal W;Aers _Essential F sh(mies Habitat
Arout Walters Clullstancinig Pllesaurce \Maleusi Nltri(nt Sensitive \Malersi \Mallen 9uppIN Waleusbed (I -1V)
18. 1s there a paned ou labo lacalud uplslream of 1ho evaluations plaint? YE NC ]f yes, estimado III wader sunfacci arca:
191.oes channel aplpleau an USGS gcac map? YES NO 210. floes ctlanrel aplpean an USDA Sail 9urveN? YB9 1`O
.)Eslimaded watarated land uau: 1 % Residential % C ammencial o/a Industrial i 5 % Agricuiltunal
Fouesl ec % C loauec it II egged % CItil er
212. Harkfil] wicth: `> 213. Bank height (Ifilam Hcc 10 tap of Hank): y
214. Channel slope dawn center oflst cam: '>< Flal (10 to 2%; _Curflu 112 to z `/o) Madeuale (l4 to loon) 91eep1 (j>7 (I%
219. C hanne I situ asity: X- StllaigHt Clccasiional bents �L reglucnl meander Vary sinuous _Braided channy el
Instructions fen ciompletiou aflwarlc9heiet (located cmi page 21): Bugin bN determining 1he most aplIrappuate acaregioni beset an
localicn, Ileniain, wigetatiori, stream classiflcad:ion, dc. Every cl•auaclenislic mast to seemed using tpc same ecore€liana. Assign plaints
10 eacH chauaclenislic within lho range shown fdr lho ecar(igian. Aage 3 pravices a brief) descriplian of Naw to review the
charactenislics identified in the woukshaet. Scares shauld reflecl ari oveuall assessrrmerd aflthe stream reach urdor evaluialian. Ifla
characlenislic cannal Bei evaduialed due to sites or wieatten ccnditians, enter (I in tho scaring bor and lIrovice an explanation iri the
camment such icn. A h (me th eue aie abv iau s changes it i the ch anacll en off a stiluam unc er raviewi (e.g., the stll earn flaws fi tom a pastuue
irta a f✓,rest;, the stucam may bei civicec into sma len• ueaehes shad cliisplaN mace ecnlliruiit), and a sepaiade farm used to evaluate (each
roacH . TT e tcdal scam assignee to a sUeam roach must range H etwle(in (I and ] 010, with a scars aft 11(10 ueplresentingl a s tream of th e
h:igl1asll quality.
Talal Socirci I1firam newirsei): Comments: u <aN( _ 61 �
Emailuiaitun's Signailure ---,I 6j Mite
This channel evalluialli(mi femm h inilenidlecl to be msec) only ais ai guide to assist Ilanduwners and enmirormentad Elraflessionads in
ganlbering the data required by the Uniledl Spates Arm)) Carps of Eugineieirs to maiLe a Elnelimirairyl assessment afl9llream
quality). the Ilatad scare resuiltiinig from the ciamplellian aflthis form is suflticll to USACE aplflraval arc) cues nal imply) a
plarticulan m'tigatiar ratio ar reiquiremen 1. Forni subject to chanige — veus iari (16103. Tea Comment, pllew e call M9 -87(-8z 411 x2(.

STREA M QUA IJITM A SISIES S MEN -1 WO RKSHDDT
T l nasei orauiaatanstws ara viol assassec in ucas toil stileiams.

NC Division oil Water Quality -Methodology 11or Identification oil Irltermittent and
Penelnrlial S treams and Their Origin: v. 4.11
NC DIVNQ Silneam Idflntification Form Mers ion 4.11
Mile: 1 G
Proje ct/S iter:
`�n°,°anPc
L atiil u de:
%alualor
COL r IN:
L ongitu c 0:
21
�I 3
3. In-aharinEll sinucrlure: Ea. riffles-pocll, s1Eirl-Fain,
ripple -pool se uencEl
Notal Poir it l:
Si laim Determ' tion QciralE ore]
Cll
R2Agl r ail loasenni it i`2 m30deine
iA _ �I91 or erennial if _ 30" � c� -�
Hrlh emeual I ermitt int PE ner Hall
a.S1. Quad Namer
A. Geomorphology (Subtotal= La, 5 ) 1 Alk siaril ( Weak I Modewate I Sltronq
'1" Clontinuity of ahannE11 tec anc bank - xw �;� G
0
0
3
2. Sinuosity al chariniEd along iHalwElg
0
21
�I 3
3. In-aharinEll sinucrlure: Ea. riffles-pocll, s1Eirl-Fain,
ripple -pool se uencEl
00
CI.9
Cl
4. RarticdEl size oil sirEiarri sub si ratEl
CI
1
21 3
5. F alivElPoelicrl floodplain
Cl CI.9
1
21 3
6. 0 Eipasi iarial t ars au h eri& es
0
1
21 3
7. REminii alluvial deposits
CI
21 3
8. Headauls
,.a
1
21 3
9. GradEl aontnol
CI
0.5
1 1.9
ICI. Nalwlalvalley
CI
0.
1 1.9
11H. Seaand or greater anc Eir ahanniEll
N a =
<4
Yes = 3
a ar itlicial ditches ane not naffed; see discussions in manual
B. Hydllology (Subilatsll = 11r6, G )
121. PrEISEIncie of 9asail
Cl
0
3
13. Iran oxidizing tiacdEll
0 I
21
3
14. 0 Eld Hill
1.9
CI.9
Cl
19. SEic imerit or plants or c abnis
Cl 5
1
1.9
1 EI. Organic c eb nis Iinas an piles
Cl CI.9
214. Arl hibiansX00
.1.9
11. Sail-bEISEld av id MCO of h igh %A aler tat le?
Na = 0
(YEis = 3
1.5
C. Biology (SL t 101al = )
18. Rik rau s i ocds in si rEiamt ac
3 3 1
0
19. ROC11Eld uF lanc plants in sirEiamldEid
3 21 .1
0
210. Naciobardhcls (note diversity and abundance)
0 .1 21
3
211. Aquatic Ncdlusks
00 1 2
3
210. FlisH
CI.9 .I
1.9
213. Crayfish
CIA '1
1.9
214. Arl hibiansX00
(1.9 .1
1.5
219. Algae
r: 0 .I 1
1.5
218. "eiland plants in sNeamlCElc
GW = C1.75) C 8L = '1.9 C 111E1r = 0
'perennial s1iiearm may also be identified using olhen melt ods. See p. 35 oil manual.
,.a
�_ -1, -
�. .alai c�..,y s^^:_.�- ,-e- s
Ske1cN:
1^x;;1,1
411lo
<4
fi
Z1
§I

Waterbody SNAB104 facing southeast upstream
Waterbody SNAB104 facing northwest downstream

Waterbody SNAB104 facing southwest across

USAC E AIL]#.
DWQ#
Sita #I (1iridcale or attached mar)
MSTREAM QUAIJITM ASSE SSME Nl W a RK!;_IH EET
F rovide thea fd1lawiiiniq inldrmailioni 1dr the stream reach under assessmenill:
11. Applicant's rianie: ?J. Evaluatar's name:
3. Dale of eivaduaitan: 1 4. Tlme of evaduaitior :
5. Name of streann: S t A)NR m,5 - u V- 1«N + r 6. 14iven Yasin: r- e
7. Arpuaximae crainaga wea: S. Stream corder:
9. Length of react evalluaited:'- I o ci 10. Cauinty: N —u
111. Sita eocmdinates (Jif kriawini): grefer in c c(in al (eglrees. 1:1. Sul c ivision riamc (Jif anN):
llatilude flax. 14.872312): Lori e (lex. —77.3'1(1611':
Iv e1Nod lacatian cetermined (circle): GH' Tollla 11 et CIrtNo IIAeria hotali Other GISOlflen
11?I. Ilccatliari cf rciach unideir evadualxiri (mate e6arhy roads ani 1 mau�ks and attach map keritif} ing slrea m(ls) lacaliar):
W. Bropasad ch annul wank(if anN):
15. Macanl weialhar candi`lianis: LA6 cice;, L a
16. Site eonciticns al time of visit: \
17. Identify any special wadcrway alassiflaad ans krlowni: Sectian 10 _Nidal Waters Essertiad Fisheries Habitat
'raut Waters Clulstancing Mesawice Watens _Nutrient Sensitivei Valens Wallen Suppl]yl Watershed (l -1V)
18. is theira a pand an hike located uplstreairn of tfle evaluatiari roinV? (YES N G If ales, eislimade the wmeir surfacia araa:
19. Llocis channel arpeau cin USGS quiac niafll? NCI 30. Does channel airpeaa an USDA Sail Suirwe q ; NO
211.EslimarledviatenEedIancuise: \S %liesidenlial %Cammeraial %hicuist(lial \5 %Agricultural
% Fcmesled S % C leamec it Lcgglec _% Cltllen l
212. Mnkfu 1 width: °' _c2
214. Chantel slarla dawni aaciteir of shlaann: _Hkit ((I 4a 21/a;
215. Chanrel sinuosity: Stilaight Y— Occasianad 1 encs
213. Bank Height (fram 1: ed to ilap of hank): I . 10
Gent le 112 to 4 %' _Mad enite (14 to 100ru) --Steep (1> 1 CI%;
FraquerI meancen Vaq simicus _Braicec channel
lnslruictions far complcnliani of wiarhsheet Illocaled an pag(i 21): Bagin bN determining) the mast aprrorriarle ecoregion based or
lacationi, lerrair, vegctalian, s)neam c assificalian, da. Evcit-{ aharaclerislic niuist be scored using) the same ecimagicn. Assign points
la aaah characiterislic within the range shown far the ecaregion. Pago 3 pravidas a buicif cescripilicn of lowi to reividW ilhe
charaateiristics identificid in lhei wankshact. Scones shauld neflaal an avenall asscissmanit al lha stream reiach under civaluiationi. lfl a
characteristic carnat to eva united cute to side ar wealhor aoncilicns, enter Cl it the scoring baN and plrovica an wipllanialicin in ilha
comment sectian. Whom ilhare ane o[vicus chanigu� in 1ha aharacler afla shieani under review I1e.g., lha silraam flaws fllom a pastura
into a fonasl), lha straam may, la dividad into smalleir raacheis That displaN, marc eonitinuity, and a saparata fhirm used to evaluate each
reach. 'I1he tata scara assignad la a stilaaom ne,9ah mu sl range hatweicn Cl and IOCI, with a scone cif 100 neplreserting ai stileam aflilhci
h ighast quality.
'llotal Score (from reverse': Cammcmils:'c-ca-
Evaluallor's Signiatur(i_ef:�<_+ ]late 'd 1,�.! 1�
'phis c1lamini(il eivaluialiom floirm is intended to be used anil3l as a guide ila assist lamidlownieirs anic (inimiranimentail plrolkissiainials iim
gatHeiring the data recluiirec bbl lh(i Lluited Stales Army Corps oft Engincers to make a preliminary aasessmemill al stream
quality. The tonal score resullingl Rolm the completion oft 1111is flairm is subject to LISACE approval amid dlocis niot imHlly a
particular rnhigation ratia or miquiircmemt. Harm subjaail 10 change — versicn 0(/(11. 'Ito Cammerit, please cad S1'1 S1-8)6-844 1 N 16.

STREAM Q UTALITYI A SISIESISIMENIT W OHNSHBIOT
* 'Resei ciiaracftiristic: arei nal asseissadl ini coastal sUciams.

NC Division of Walter Quality -Methodology for Identification c f Interrr itterlt and
Perennial EItrearrs and Theii Origins v. 4.11
NC UWQ Strflam Id unt ification Form Mursion 4.11
Dale: `
Prajecit/She:
Latitu c e:
E%alu ator
Counily:
Larigiluda:
q
- 1
0
Notal Points:
Silnearri Detenmiriationi (thiole one)
Man
Eldriearri is ail leaisl it dermitler'I/
if _ IS or perennial ill _ 3C I' ., ass
EpH emeratl Irllern itllen it PE ren I
ei.g. Quac Narrie:
A. Geomlor holo (Subtotal =
Absent
WeaN
Mod ate
:iluang
'la Canlinuity till charinel HEid and barik
q
- 1
0
3
3. Siriuosily oil al1arinel alang thalweg
q
1
2
3
3. Iri-charinel stnuatunEi: er. nifflEi-paal, siepl-plaal,
ripple -pool sequence
q
( Els'_ 3
2
3
4. ParialEi siae of slnEiam substnaile
q
0
a
3
9. Acrl yahieliat floodplairi
q
(;t 0.5
3
6. Depositional Heins ar HEinahEis
q
0
71. ReClEin l alluu ial c eplasiis
q
I
2
3
El. Heaccu is
RP CIV\ _ (1.715;
2
3
9. Cnade aaritral
q
0.5
1.5
'10: � atural valley
0
1 0.5
1.5
'11. Seaaric ar gnealEui arc en ahanriel
SN EltClh : '
No = 0
Eis = 3
artificial ditches are not rated; see discussions in rr anual
B. Hydrology (SL t ioi al = _)
'IJ. RnEisarice of BasEiflow
0
3
'I J. Iran oxidizing bacileria
2
3
'14. LEiaf lit ler
q.5
0
'I:. SBC irrtEini an plants cut ceb nia
0 0.5
1.5
'I EI. Ongania c Etbris IinEis ar pules
0 0.5
3
'13. Sail-tasec Etvic Einoe oil high walEtn tablEt?
Na = 0
( Els'_ 3
C. Biology (Subtatal = )
18. Fibnous ncials in citnearritec
0
19. Raoiec upland plants in sirearrtbec
2
0
2(I. MaclrclbEtnlhos (note diversity and abundance)
0 '1
2
3
21. Aqualia Mollusks
Q,)
2
3
2J. Fish
0
23. Crayfish
(;t 0.5
.;
2z . P mphibians
0
21. P Igoe
Ct 0.5
.:
2EI. Wel lanc plants in 81110ambEid
RP CIV\ _ (1.715;
CBL = 1.5 C# er = G
*penennial stnearrs may also be idenii ied using other rrethods. See p. 35 of manual.
SN EltClh : '
411

Waterbody SNAB105 facing southeast upstream
ns :r
Waterbody SNAB105 facing northwest downstream
9
i fir
.
w
A
22
ns :r
Waterbody SNAB105 facing northwest downstream

Waterbody SNAB105 facing southwest across

USACIE AIJDtl DWQ #
S' it e tJ 11 and trope ori attar its c d mapl;
I M; STREAM QUA LI -EY ASSDSSM
E NTI WIC RKSHDDTI
NAcm
Arovk a the folllcwin g it forma 11 icor Eton th a stream reach under
11. Appllicanl's nanne: ®(y)
3. Elale cif evaluation: �1 (�
a 9 sessmet ll:
3. Evaluatar's name: N R 6L
4. Tlime of cvaluatian:
5.1,amcofs1neam: 1 I�CG�� �('C
7. Appinaximatte drainage area: �10 0
6.14iverbasin: TCA VQd S:n
S. 111ream ardcr: 0%
91. Lenggh of reach cvah ailec: 100
10. C(it nty: N&S1,
11. Silt coardinales (if known': pia ferrins decim�(al detlrees.
Latitude lax. 14.872312 : 2 6° C I l L g' 6 7�+' �
12. Sulk ivisian niamc (Jif anal,:
Longittdelex.-77.916611 : —776 5,R X 10• (05
Mel llod location de1atiminad (circle):CIA Topo Sliest Ortl10 jAerial) Photo.IG1S OtherC1,11 01he
12. Dacalian ofreacl- Lncer cvahadlan (nate nearby roads and lanicmanks avid attachmap icenitifying slneam(s; locadioni,:
14. Proplast d ch arm el wark (if any): QA12
15. Rlecenl wcalher ciancilians: NO re(c ltd"
16. Sill e cond it ians ad time of v is it: N ® (tY (Al
17.11dcnil ifyany speoialwailerwia)l elassifiealicnsknawn: PO Secitiovi ]a IJA'Bic alWaiers lvA Esscnlialflisileric, Fabilal
A AHRILt Waiters M Oulstancinig Me;aurce Wader: 01 .Nulrierit Sensilivc Walers 6JA Watcr Supply Walershec (111-11VI)
18. 1s there a pant cm lakc lacartcd uplilream of the evalualtion plairit? YES (DIf ycs, cstimade the wialeti surfacie area:
19. Eoes channel appear an USC J gLac map? ES NO 2101. Eaes channel appear an L:ISDA Soil Survey? NC
2111. Eslimatec wialer,hed lane Lse: % Resid eriti al
1 5 % Fore sl ec
212. Bankfulll width: 3
214. Channel slaplc cawn ccnrler of sfticam: v/Flal (Ja to 21%
215. Channel :iniuosity: Straight _Cccimiarial bents
_% C ammet tial _% Iniduslrial % Agriou 11 ural
I % Clearec J Lagged % O1her (J
213. B ank he iglhil (Ifllam b cc iI a tap of bank ; :
Ceritle (21104%) Moceraie (z to 7(I%' _SOeep (= 10°/a)
I Irecluenl meant er v/ Vc ry sir uoL s _ Braided channel
Itsilructions fbr complleflaini oflmarWheet (located an page 21;: Eeglin by detcnnining the mast aplplraplriadc eccmegicn based an
localian, lerrain, vcgeialian, sOtieam classiflcation, clic. Evcry charac-leristie mull be scarcd Lsirg the same eacmedian. Assigns paints
to each characteristic within 1he range shown fru Vhc ecandian. Aagle 3 plrovices a brief dc;cripllian of hawi la tevicw 1he
characicristics idenlifled in the wctrkshect. Scares shack rcflect ani overall assc:smenl of the slrcam reach under evaluatiani. If a
characlerislic cannat be evaluatcd cLe to site or wieatther aanditions, enler 0 in the scaring bax zinc plravidc an explaniatian in 1he
comment seclian. Where ilherc etre oflvicus than€les in the character of a stream Lncer review (c.gl., the slrcam flaw: fram a plasture
imla a foresil), Vhe silream maty, be divicec inta smaller reaches thal di:pllay more ccnilivitity, anc a scparate fora user 4a evaluate each
reach.' 'Me tatal scare as;iglnied Oa a stream reaab must range betwleeni 0 and ]CIO, with a scare of 10(1 represenling a stream cif the
biglhe:l quality.
� 1•na:
T ata 1 Scare (jfrom re` erse' : C amments: SSC&, (n a55 es e,4 8o ' �� G
V4Ieen1- Ckle,(a t- 'AIttuaygtN the i5 ct,-rr`1 b0 e( f( -O(" -t�e t; le°,,r 6,, 41 cActo, ;ortg
'50A, (YIMn otne svnoff cif( ent-ef.:r►cq_ t7�4C -15 en CeS131t;
P— `2
bvalluatar'sSignature Il� �eci n Dalle - Ii
T h is chanin el evaluo tion farm is i n tend d o b e uis ed only as a gui d e to ass's 1 lila ndam niers amid cmivircmimentall praflcissicmials ini
gathering tfie data reclvirecl b31 ilfie Uniledl Slates Army Carpi cif Engineers to make a preliminiary !essmenil of stream
gmil'1y. The Jolla score resuillling from the camp.elliani of thi! fbrtri is suflecil lila UISACE approval amid does niot imp)y a
partf rude r mitigation ra lio or recluiiremEinil. Form subject to change — ver: ions CINC13. Ta C ammerit, please call 91 SI -K6-84/ ] x ?J( .

STREAM QUAMITYASSB,4;I,IMENT WIORMSSIMEET
,_ mese aneiraclerimas are riat assessed rri coastal silreams.
W
ECE}REGION PONT
RANGE
#
SC �'
.CHARACTERISTICS
�oastai :
P>edtnan
Mountain,
t
1
Presence of flow/ persistent pools in stream
0 5
0 5
(no. flow or saturation, -, 0; strong :flow = znax-points)
Evidence of past man alteration
' - 6 "
5
0 5
(extensive alteration = 0; no alteration = max points)
.0 -0
; ,
3
Riparian zone
(no buffer - 0; contiguous, wide buffer = max points)
0-6
0-4.
Evidence of nutrient or chemical discharges
(extensive discharges = 0; no discharges = max points)
-�
a
5
-, Groundwater discharge
0-3- 3°
0 =4 - '
0 4,
no discharge =0; springs, seeps, wetlands, etc. = max points)
-` �
rte,
6
Presence of adjacent floodplain
. (na- floodplain = 0; extensive floodplain = max, points)
0 4
0 4
0 2
I
Entrenchment / floodplain
��
access
0 - 5`0
dee entrenched 0• frequent floodin =
(deeply � 9 g- max points)
�8
Presence of adjacent wetlands
0 - 6
0-4
(no wetlands = 0; large adjacent wetlands= max points)
9 -
Channel sinuosity,
0-5
(extensive channelization = 0; natural ineandet =max points)'
1.0
Sediment input
(`extensive deposition-_O;little or na sedimen(= max.�points)
0
11
Size& diversity of -channel bed substrate
0 -4
0
(VA(fine,
homogenous = ;0; large, diverse sizes = max points) ,;
< , _„�._, ,
-
, r �,; ,-;
12
Evidence of channel ;incision or widening
L�
(deeply incised = 0; stable bed & banks = nax points)
l
Presence of major bank failures
N
(severe erastorf = 0; no -erosion, stable banks ;-max points) ;
` 5
0
Root depth and density -,on banks::
visible toots-= 0; dense -roots throughout =max points)
0 - 30
'
Impact by agriculture, livestock, or timber production
15
(substan"'tial iritpact 0,`" no evidence = max points) ..,
0 4 „
0 5
16 '
Presence of riffle pooUripple-pool complexes
no riffles/ripples ar`-pools - 0; well-developed = rriaX' points),
0
17Ifabitat
comprezity
60
H
Iittie ar 6bitat 0; frequerft, varied habitats =-max points)
18
Campy coverage over streambed
(no shading vegetattan 0, cortinrzgus canopy =max points)”
I
", Substrate embeitdedness
I9
: `(deeplyertmbeddod, .. O;laosesfruature - max)
0 4
0 4
NA
20 -
Presonce 6 It eam invertebrates (see`page 4)
0 4
0 5
0 5
(ria evidence = 0, Cornmom,numerous fypes =max points)
O
21
Presence of amphibians
0 - 4
0 4 _
0 4
c
'
(no evidence = 0; conitnon. numerous types = max points)
�.
22
Presence of flsli.
(no evidence - 0, coinon, numerous ty es= inax. points)
0 4
23
Ev�Bence o f wildlife use.
S0
5
(na.'euidence 0.;abundant.evidence =. max.points)©
,_ mese aneiraclerimas are riat assessed rri coastal silreams.
W

NCI Divisie ri o1 Water Quality -Methodology for Identificatic n of Inteumlittent arid
Peuennial Streamis and T heir Origins v. 4.11
NIC DWQ Stream ldfmltificlation Form Version) 4.11
r2 /t,'(
Daitei: / (� I
CCO f
PrcyEiot/SitEi: �,�Ve1, rid
uartitucel: 36 ()) �%�
Elvaluador: VG-
Cocrly: ����
ucirgilucc: 7705- 1 c 605"
Total Poi rIs: � �
Blream is at lease in leivritterit
Elilnearrn Deilerminalicir Qcircile ore)
8 h emeral Irtenrrritllcirt Einer r i
AI
Others
e. Quac Name:
g'
if? ,I9 cir perennial if >_ 0'
2.: inuosity of ahEinnEd alang thalweg
0
A. Geomorphology (Sudtaial
Albserdl
Vl eak
Mcc eraile
Strong
'Ia Claniinuiiy of aheinnEll tee anc uarik
0
1
2
3
2.: inuosity of ahEinnEd alang thalweg
0
1
2
0.5
3. In-ahannEd Sint cdune: Eix. riffle-poal, s1EiFl-Flaol,
ripple -pool se uEinaei
0
F a = (I es= 3
2
`
4. Fleirtiale size cel sirEIEim suusinate
0
1
2
J4. Amptibiaris
5. Acii Ei/nelicrl floodplain
0
1
2
0
6. Degasiiianeil tans cur tenches
0
1
RC = 0.7 CBL ='1.5 Ctheir = (1
7. REIaElrli eillWal deposits
0
1
Nodes:
8. Heaidouis
0
1
9. Grade aoritnol
0
Qi�®
sfiC�
5 NflC 1
'ICI. Natural valley
0
(I.E
1
1.f
'11. Seaorid or greater ane Ein channel
a
a artificial ditches anEr not nated; see discussions in rna nual
B. Hydicllogy (Subiatal = q )
10. PrEISEinae all E aseiflam
0
1 2
I '�. Inan oxidizing u ac l is
0
1 2 3
'14. ueall Wien
1.5
1 0.5
1E. Secirrieint on plants ar dErbris
0
O.E I.E
1 EI. Organic c eiu nis lines ari piles
0
0.5
171. Soil-LEISEIC e\ ideriae of high waleir laid IE1?
23. Fish
F a = (I es= 3
C. Eiology (SL kloial= � )
18. Fiunaus rads in sinEramued
3
J I
(I
19. Ro(dErd ugllanc plaints iri SinErambErd
3
J I
0
ICI. Naaral ihcrs Inoie diversity and abundancEr)
0
1 2
J1. Aquatic Nallusks
0
1 2
23. Fish
0
(I.E
21�. CnEiy ish
0
0.5 I
1.9
J4. Amptibiaris
0
I
1.9
T1. Algeie
0
0. I
1.9
JEI. Weiland plarits in sireanitec
RC = 0.7 CBL ='1.5 Ctheir = (1
'perennial sireams may also be idenlilied usinc other methods. SEre p. 35 of manual.
Nodes:
Skeiah:
F( �i®1: r,
CI��,fICv �
Qi�®
sfiC�
5 NflC 1
41
1V
A

.y r'4SiiQ� 1'.r_ YT A
Y
iAMR
Waterbody SNAC001 facing south downstream

USACH AIEM
_5A)4(,y 0 ) -2-
I:I)MQ 11 � Site A (inc icate on attache( map)
STREAM QUAIJITY AS,IES,qIMDNT WORKS -SHEET -
Mi
Provide the kdlclWing infarrriaticm for the streg m reach undler assessment:
1. A licanl s name:
pp �D ►� r ,U 1 y �
?J. Elv alu atar's n ane: n Q
%
2.Eale afevaluation: -7, i . S
4. Dime cif evaluation: �2;ocl
'_I. Tama of stnearn:
b. Miveu basin: Tr) �cr,
1. A plliiaximate dnairage area: I rjol QG.
E. Stream arc en:
S1.Lenglthofueachevaluate(: I
10.Caunit}l: AS1,
11. Sile coarndimalles (ifknawn(: prref;rrirn decirrial degnas.
12. Subc ivisiani niarrie (if any): IoA-
Lalitude (lex. 7 .3111 11): ((
Loriigiti de Qaai. —77.]]6611):' /
Meullod loaatiori delerminec (Icircle, : GPS Topo Sheet Ortlo (Aerial) HHolo,IGIS Others GIS Othe i
131. 1] acatian aflueacll under evaluation (made remby macs an( landmarks anic attacll rriapl icenillifyingl stueamlls) lacatiani]
14. Hraplas a d channel mark (if anN, : g �
19. Rlecenll Aeatbeu aar ditianis: t�r,�Q1r C '7� 7-
I C
IC Sile canditionis a1 time (if lvisil: ry 9
111. Identify anlj special walerway classificallians known: _Section la _Tidal Waters _Esseniliad Ehheries Habiut
_Traul Wateus _CuVstarnidinglRlesaurceWateus _I\u(IriZSiveWalers Wallen Sluppl}l Walerslied (1•IM)
181. Is theue apond an lake lacartec ulllslrearn afthe evalualiar plairt?O If }les, estimaile Ilhe wallern sunfiae area: Z C e
I S1. Eoes channel aplpeair cern UK S quad map? O N 0 210. Dues (Hammel appear an USDA Sail Survey??� NC
:I1.Estimate( wiateushec lane use: /LO-11.Fdesicennlial _�/ Carnmercial _%Industrialy� %Aglriaultural
b G'/o Forested _ `/ Cleaned / Laglgla d _% C 1N eu (I )
:121. Bankfull widlb: 12.13. Hank height I�fram tlec la lap of banill): 1 Z
24. Cbaninel slape (awn denten cd strearrr Y- Fllarl (144a'I%] _Gentle Ila to 4'/o _Mac male (14 lo Ia%) _Steep (I>1a°/a
:19. Cllaninel sinuosity: Sllraiggbt _Cccaisiornal bends Hrecluenl meanceu -2�Mer31 sinuous _Buaided cllanmel
Insilruclliolns for camplledian of wairksheet Illacadecl on eagle 21): Heglini by cetertninimg the moil allllpral1uialle ecareglion based an
lacatiani, leurain, vegelatian, stream classificatian, etc. Hvery cllaiaaterisilic musl be scare( using the same ecanegion. Assigln painrls
to each characlenistic miilhin the rarge sfi(mri far the ecauegliam. Rage 3 provides a brief cescriptian of haw to review the
charactauislics idenlified in the Aaiikmheel. 11ccires should ueflecil an avetuall assessment of ille sttueam reach unceu evalualiam. If a
charaicteuislic cannat be evadualled cue to site ar meatfletu canditians, enter Q in tfle scarirlgl flax amc pravice an explanartian in the
camrrenit sectian. Where there aje abviaus changes in the chaiacler of a stream under review (e.g., the stuearri flaws fham a pla:lure
inila a fares)), the stream may be divided imlo smaller reaches tNit display mare cantinuit), and a separaila farrro usad to evaduaite each
reach. the halal scone assiglnec to a slream peach must range betmaeni CI and im, with ai scare of MCI nepresenlingl a stream of the
biglhesil quality.
Tlolal Slcore I1frami reverse); Commend;: �e'--
Evalualor's Siglnalure V / /2 Z Dale ell 7—d r 1,
This cpalnnel evaluation— rf�m"�isintende to a used) only as a guide la alssisll lair&,Aners and ervirammentall prcdessiorals in
glallheringl the dlata regluirecl by the Uniledl Staltes Arnim Ccwpls of Engineers 1c make a plreliminiarM assessmenll of stream
gluaditj. The total scarce resulting) fnalm the camipleticn of this furmi is suh'ect 11ai U'SACE aplproval and dales ncl imipllyl a
plarticular mi(liglalliain railicl olr requiremenil. Harrr subject4a charigge— vernsiari C1 i1C13. Ta Cammenl, pjease call 919-816-8441 x 2E.

STREAM QUALITY ASSESSMENT WORKSHEET
* THesa cflasiaclerislics eine ncit assessed in coeistal streams.
'
EWUREGION "PC1INT
RANGEo
�O
9.N
fCpastal 'Piedmont, `
F Mountain �4
.t.
lno
Preseiaue(if flowiAper.isllentpeolsir slrep m
0-1
(1-4
(1-5
v
flow or saturation = 0'• strong flow = max points)
�E
Evidence of past hrlmaln altera lion
,
0-5
(I - 5
1
extensive alteration = 0• no alteration =max Dints
Riparian s (in e
CI'- 6
Cl -
0-5
F
o
no buffer = 0• cont!us wide buffer = max oints
a 4
Evidence of nutrient cir chemical discharges
CI -5
CI -4
01-4
extensive discharges = 0;' -no discharges =max pots
}-
5
Groundwater discharge
3
CI 4
0 -
no discharge = 0; springs, seeps, wetlands, epic. = maxpoints)(-
6
Preisencie (if aclji aenil f1c odlpl ai n
( -4
(1-4
CI -:

N(' ,nwO Cfrnaim >Irlpmllifiriatinn T1nrw Vpireirmi d_11 :5, to 44 6= %
Dalu: -- 2 -JS
Prc(jeclt/Sitel:Latituc
el: 2[0�f
Evaluataii:
Cou rlty: 1�'1o6 64
Larlgitu de: 7 ' 1512-0
Total) FICIint51:
Sldream is al ler: stl imlermitlen l
Stucam Dell errrlirall ian Icir
EglNemelrall Intermittenerenni
Cifler
e.g. Quad Name:
if Z 19 or perennial if a 30*
2. Sinuosity all channel Along thalweg
(1
n
A. Geomorphology (Sutl lolal = )
At ser t
Welalil
Moc rlratrl
Strong
'I a' Continuity ci l channel bold anc bank
(I
a 0.5 'I 1.E
2 D3
Cl .9 1 A
2. Sinuosity all channel Along thalweg
(1
I
2
3
3. In-clhannell stnucluic: ex riffle -pool, siarl-pocll,
ripple -pool sequence
4. Rarticllel siael a1 stream sut stl ales
(1
(I
(I
2
cl
<I
5. FlclivOlhelicl floodplain
0
1
2
3
a. Depositional bars an li elnclhes
0
1
22. Rish
3
7. Racent alluvial deposits
0
1
3
8. Headcluls
a
1
0
0.5
9. Gnaldel clontnol
a
(1.5
1
1
10. IN alunall valley
a0.:
1
1
1.5
1'I. Secanc an greater clncen channel
Na = 0
Yes = 3
1I
artificial dilchcs are not iatecl; see discussion,�jA manual
R W%Mrnlnnv /Ci ihlln+ml = /1 J _ .4� 1
12. Rnasencel oil Basaf A
Cl 2 3
13. Iran oxidizing talcielnia
Cl 1 2 d
14. Lelall litter
1.9 1 0.5 Cl
'IE. cecirrlenil an plants arcebnis
a 0.5 'I 1.E
I EI. Organic deibiis liners an piles
Cl .9 1 A
17. Elcil-basad elvidem clef of high wallea to lel'I
No = (I els = 3
(,I Rininrni lCiihtntal = Irl D 1
,ii . Ribllous na ois in streambed
2"
Cl
'19. Raoicd uplalnc plants in sirealrrlbeu
2
Cl
2(I. M alarabelnthos (note diversity and abundance)
(I
1
2
<I
21. Acluallicl Nclllusks
0
1
2
<I
22. Rish
0
2'1 Crayfish
0
0.5
2'. Amphibians
0
(1.5
1
1.5
2;1. Algae)
a
0.:
1I
1."I
2(L Welleinc plants in staeamtec
RAC
= (Llr5
OBL ='1.; 01heu = 0
'perennial streams may also be identified using other
n ethods. See p. 35 c f manual.
Ncltacr
Skeltclh:

4r t
y
A PJL
2

SNAGO12
Waterbody SNAG012 facing upline cross stream

Open Waterbody Data Sheet
Survey Description
Project Name:
Waterbody Name:
Waterbody ID:
Date:
Atlantic Coast Pipeline
Unnamed Pond
ONAC002
3/11/2015
State:
County:
Company:
Crew Member Initials:
Photos:
North Carolina
Nash
NRG
CR, AS
ONAC001_001-003
Tract Number(s):
Nearest Milepost:
Associated Wetland ID(s):
18-071
340.2
W NAC006
Survey Type:
(check one) ❑Centerline ®Re -Route ❑Access Road ❑Other:
Physical Attributes
Waterbody Type:
(check one) ❑x Stock Pond ❑ Natural Pond ❑ Lake ❑ Reservoir ❑
Impoundment ❑ Oxbow ❑ Other:
Hydrologic Regime:
❑x Permanently Flooded ❑ Semipermanently Flooded ❑ Seasonally Flooded ❑ Temporarily Flooded
OHWM
OHWM Indicator:
(check all that apply) ❑ Clear line
❑Shelving ❑Wrested ❑Scouring ❑Water
Height:
on bank
vegetation staining
NA ft.
El Bent, matted, or missing ❑Wrack
[]Litter and ❑Abrupt plant ❑Soil characteristic change
vegetation line
debris community change
Depth of Water:
Bank height (average):
Bank slope (average):
3 ft.
5 ft.
80 degrees
N/A❑
Qualitative Attributes
Water Appearance:
(check one) El No water ❑x Clear ❑Turbid ❑Sheen
❑Surface ❑Algal ❑Other:
on surface scum mats
Substrate: ❑ Bedrock ❑ Boulder ❑ Cobble ❑ Gravel
❑x Sand ❑ Silt/ clay ❑ Organic ❑ Other:
(check all that apply)
% of Substrate: % % % %
100 % % % %
Width of Riparian Zone:
Vegetative Layers:
(check all that apply) ® Trees:
❑x Saplings/Shrubs: ❑x Herbs
ft.
Avg. DBH of Dominants: 12 in.
2 in.
N/A©
(approx.) V
V
Dominant Bank Vegetation (list):
Loblolly Pine, Sweet -Gum, Water Oak, Giant Cane
Aquatic Habitats (ex: submerged or emerged aquatic vegetation, overhanging banks/roots, leaf packs, large submerged wood, riffles, deep pools, etc.):
Downed trees within pond
Aquatic Organisms Observed (list):
Frog
T&E Species Observed (list):
None
Disturbances (ex: livestock access, manure in waterbody, waste discharge pipes):
Manmade pond
Waterbody is:
(check one) ❑ Natural ® Artificial, man-made
❑ Manipulated
Waterbody Quality a:
(check one) ❑ High ® Moderate
❑ Low
Form Rev. 07/09/2014

Form Rev. 07/09/2014
Waterbody ID:
ONAC002
a High Quality: Natural, natural bank vegetation around entire waterbody; banks stable and protected by roots; water color is clear to tea-colored; no
barriers to fish movement; many fish cover types available; diverse and stable aquatic habitat; no disturbance by livestock or man.
Moderate Quality, Altered by rip-rap; natural vegetation extends 1/3-1/2 of the active channel width on each side; filtering function or bank vegetation
only moderately compromised; banks moderately unstable; water color is cloudy, submerged objects covered with greenish film; moderate odor; minor
barriers to fish movement; fair aquatic habitat; minimum disturbance by livestock or man.
Low Quality: Rip rap and channelization excessive; natural vegetation less than 1/3 of the active channel width on each side; lack of regeneration;
filtering function severely compromised; banks unstable (eroding); water color is muddy and turbid; obvious pollutants (algal mats, surface scum,
surface sheen); heavy odor; severe barriers to fish movement; little to no aquatic habitat; severe disturbance from livestock or man.
Notes:
Waterbody Sketch (Include north arrow, centerline, distance from centerline, data point locations, survey boundary, and IDs of associated features)
Form Rev. 07/09/2014

r �
•�
ry�e•.
>1�
� f
/
1

Open waterbody ONAC002 facing south

f USACEAIM I7WC hi Site #A (in dicaleon attaclec rriap;
,, ; STREAM QUAL l TY A SISDSISIMDNT NNIORK SIH HDTI
Prov id a l h e follaw in g in flarmatior fair 1 he stream re ach ur c e r a!! e! s trier t:
1. AplplicarVs varve:.. �:�i v1t C-71-11, 21. Evialuatan's narrie: �1
21. Eale afevalualion:_ 4. Time ofevaluatior:
J.1\ arrie of stnea w: River d a sir: - f c
A plppiax irr. ate ( pair age area: SlUearri arc eil:
NJ
SI. Ler g1h of reach (valuated: 10. Cauntyl
111. Site ca(Indir ales (ill knom n': prelen in daairri al deguees. 12. Subc iv isi(In nat'le ilif ar y):
Lati ude (i r. 1,17', 112).' Longiluda (() . - ; ; .91661 1):.
Melhod location daterm ined (circle): GPS Topo Sheet Ortho (lAerial) Photo,ICIIS Other CIIS Othea
13. Lacatian afeeach under evaluation iInole neanNy roads anc landmarks and attach rriapl icenlifyingl stream(!) location):
14. Prapased channel work (if ar y
r
15. Recent weather cordilians:
c.l
16. Site canditicros at line till visit: ll (')�(`� V ���������
17. Identify any !plecial wateimza cla!! ifications known: ��5eclian 10 N)ATical Wateus L? ssenlial Fisheuies Hadilat
M Tnaut Walens ,r__)kCuls1lanc ing Resauece Walens )L�Nutrierit Seri! ilive WatersW en Suplplly Watershed 1I-1VI)
18. Is Ihere a plond ar lake lacaled uplsteear, cif he evaluattian painV: YES Ifye!, eslinnale It walen surfac( area:
19. Dae! chail rel aplpleau cin USIG H qua( tr apl<,�T 1\C 21(1. Does channcI aplplean an USDA Sail Survcy? ,O)1`C
2111. H!timalcd wailershed land u! e: a Residerllial _% Cammercial _Y Indusllrial Aglricullural
A Hare! led _°rc Cleared J 11 egged _`A C th er ( )
212. Bar kfull width: 21.21. Banti Iheiglhl (fnarr bed to tap of bar k):�
214. Channel slope dawn cenlen of stream: Flat (CI to 210rc) C entle (12 lo 2 (A] _Mocenate (2 la 10'io Sleepl (>101io;
219. Chanrel sinuwityl: Sltnai€lhil �Occasianal ber ds _Fuequert rleander Kvery sinuous _Braided channel
!n!Iructior! fcu camplelian of work!heell (located an page 211: Begin by delentniningl the mast aplppiaplriale ecauegian basec on
localicin, terrain, vegletaliar, !tiiaani class ificalion, etc. Every characteni! lic must be scared usin€l the ! arrie ecare€lion. A!!ign plaints
ilo eacli characlerislic within llhe nangle spawn fon Vhe ecanegiou. Page 3 plravides a trief de!cnipllian of haw to review the
clanacieristics identified it the worksheet. Slcaue! !hcwld neflecl an overall assessment of the strearri reach t:nden eualuatior. If a
characteristic cannol He evaluated due la site on weather candiliar!, enlen 0 it the scouirg box and pnaviide an e)ipllanalicul it the
canrmenl !ectian. Where lhenc are abviiau! charges it Vhe character of a !trcarr under review i1e.€., the slneam flaws fiiam a plasture
inla a forest', Ilre !tueam may He divided inla srlaller neache! Thal cispllay rroiie cotrliruity, and a separalle fanr used to evaluate each
ueach. The total scare assigned llo a strearri reach musil uarge between Cl and Wa, with a snare of WC1 neplresertting a strearri of the
IiigHesl quality.
Total Score 11frurri rev erse): Carr trienlls:
Er aluall or's Sidnaluret'i Dale
This eHant el eralualian fore to r s inlende o e used anlyi as a guise to a!!isll [at damnew and environmental prcdlessianals in
gallheuing the (ata requirle( ty the United States Army Coupls of Engineer! to irri a preliminary assessmenll of dream
quality. The total secuie resulting f icim tt a ecitriplletian of this kurr is sr t jecl to USA CE ap p uan al and dice! rail irri a
[articular rriitig ailian natio aw re lc irerrienl. Horni subject la change — vew ian (16,103. Ta Cammenil, pllease call SI1 Sk8716-8441 x36.

� J,�
SITRDA M QUAUITY ASISIESSIMENT WORKSIHDET�
' Thuechaiacle►isIics aiencl wse <.cd in ccastal <tiaam:.

NC DWn Stranm Tdontifiriation Form Vorciirni d 11
Dal(: �� -C,i Iq
PrgjecUSitei:
Latiiludei: 6101 . � (,
E\allatan: V -)V-) LJF,5'T-
County: (,�
LangitudEr c Sill' ?7 -
Total Poirll s: �
SGieam h at least intermittent I
91reanl Delewmlinaliar (circ
Erlhe rr elral Inllermitten ll erE n nial ry'
Cldeir
Quad A
ill z ,19 or perennial iM z 30' a
3. In -channel slruciue: ex. niffle-pool, stEp•Klool,
i i le- ool se uE nce
e.g. a me:
A. ClEiamoroholoav (St hiatal = I P ) I Abs Emil I Weak I N c c Ewatel I Strona
Ia Clontimlity oil channel dec and bank
CI
I
2
3
2. f inuosity of channel along lhaMEg
CI
I
2
3
3. In -channel slruciue: ex. niffle-pool, stEp•Klool,
i i le- ool se uE nce
CI
I
2
3
4. FlarticlE size) of silrearr sudslrale
OI
1
2
3
5. Active lrelict t oodplain
CI
1
2
3
EI. Depositional bars of bEnches
CI
1
2
3
7. Recent alluvial cEiposils
CI
I
2
3
8. Hcac cuts
CI
�.
2
-3)
9. Gnac ei contiol
CI
0.91
S
snah008
1.51
10. IN alunal valley
CI
O.EII
1
1.5
11. SEicon c of greater orc(in channel
o = CI
YEis = 3
anincia i aitcnes ane not natea; see as c ns in marl ual .
B. I•-vdroloav (SLbloial = ) )
12. FlrEisence ofl Ba: Eiflow
CI I
2 3
13. Inon c xic izing baclEinia
CI2
3
14. LEia111itleii
1.5
0.5 ` CI
15. ScciniEinl c n plants ou dEibuis
CI 5 '
1.5
16. Organic c ebnis lines cr piles
CI
1.5
17. Sc it -Ii as(ic evic encei oil 1 igi� a1E n lat le?
No = CI
Yes =
C . Bialoav (Sublolal = _` 't) ) -�'
18. Fibre us rec is in slrEiarr bE d
2
CI
19. Fccleic upland plants in slicanitEic
2
CI
20. Macnc bElnihcs (note diversity anti aburidance)
0
1
2 3
21. Aquatic Mc Ilusks
0
2 3
22. Fish
0-)
CLU
1.5
23. Crayfish
CI
0.5
1.5
24. Amphitiars
CI
CI.5
1 ` 1.51
25. Algae
CI
.5 '
1.5
26.We11anc pianlsinslieamtec
=
CBL = 1.51 01hEr= C1
'perennial s tneams may also t e identified using other n ethods . E ee p. 3E of ma n ua . .
�.
NatE s:
S
snah008
1

� A 4
MMMMLr-
.; a

C pen W ate rk odv Uall z Sheet
Survey D esc ription
Project Name:
WaterboName-
Waterbody lD:
(Date:
SOL IFEiasiern Reliability
�'���"' `
—C_
State:
County
Company.
Crew Mem ber Initials:
Photos:
i ) C.
i\: S
�. z. yrs
,S�; W\ �
Tract h urr ber(s):
IN eares4 Milepost:
Associated ID(s):
/Welll(a�nd
Survey Typ e:
(ahr E.k ane) MC en teiline El Re, Route 11 Access
Road Ci OtF en:
Physical AlIrik L Ies
Waterbody Tyle e: ,
(Ehaak one) )Sto(F Rond 7 I\atw al Rond C1 t ake C Reservoin C Impoundment
-Regi _rr
E Oxbaw C Others:
Hydrologic e:
Renmanently Floode d El Seminenmanently Flooded
ED seasonally Floode d 1 Flooded
emponanily
OHWM
OHWM Indicator.
(�,he, k all Thal all Al: <! Clean line i.Jhelving
El" nested !.=;Scouring CIVlater
Height:
on bank
�egetaltion staining
❑Bent, matted, on n issin g 11Wra6 :-;Litten
and C Plbnupt q lent Cl9oil c hanacte nistic change
vegetation line debris
aomrllulm'ty change
Depth of Water:
Bank heigh9 (average):
Bank slope (average):
G ft
3-- ft
u degnees
N/A❑
Qualitative Attributes
Water App a at ance:
(check ona) ❑po waten [.iC lean )4�unbid 111101 een'-J,9urlace
r]Othe n:
onstrlace
got mals
Substrate: ❑ E ednoal i' Boulder C_ Cobble C Gra vel Sand ASHY clay C1 Organic ❑ Other:
(check all N at i llpl}V
try
% al Sutlslralle:
% °�i �� 145D
1/1, . ,,% % °/at
Width of Riparian Gane:
Vec elalive Layers:
ft•
(ane.F a that pply) Trees:
U] sap lin gs/S Nut s: yaCF erbs
N/A❑
Avg. E UP aid C air inanls: in.
in. in.
(approx.)
Dominant Bank Vegetation (list): ��� L"`"Z.,�.`"F r' 1 Cf
— ---- ----
-
Aquatic Hatl flats (e n: sut marc ed or a ma— rc eil a qt tie vE getdtian, (vi than ging banl Jra °!; Iazf ac4 s, lett a aubr -- e—-- --- �_.—
rgeil— weai if! as, deep nc ols, ( lc.):
Aquatic Organismis Observed
—Species
T& Obsen ed (list):
_
Disturbances (e;l: liv(stock a-ageess, Vont re inWaterb©6l, waste cliscl arse pipes):
fY�CA-t-N��?«�.vti-��?.J ' d...�..7-►� �:.ly'"Y�'Z✓�_,)i'
•
��-2..'�✓t-
Wale rt lad y is:
(ahEal one) IL] I atuna I Ovifiaial, man-made C Manipulated
Waterbody Quality z :
(cher ! one) ' F igt C Modenate XL—.W

Waterbody IDL:
C' high Qualily: I`E tural, natural banl vegetation � round entine waterbod)l; bar! s stable � nd protected b)l roots; w� tei ooloi is alear to tea-aolored; no
bai riens to flis h movement; many M h coven types E Mailable; diverse and stable aqui tic habitat; no distwbance by livestock or n an.
Maderate Quality{ Altered by i ip-rap; natural vegetation extends '1/3-1/2 ofl the active c I annel widtl on eac t : idejiltering luno tia n of tank vegetation
only moderatel)l corn promised; banks modeiatehl unstable; m atei colon iE cloudy, submerged objects cove red with greenish film; modE nate oclor; mir of
t ai riE IS to flis h movE ment; lainaquatic habitat; n inimum dis twt ance b) INE s tock Orman.
Lc,A Qualily. F ip nap and channelization e)n E sshie; natural uE getatian less than 1/3 of the active charnel width on Each side; lack of regE neration;
filtE ming lunctior severely compromised; barls unstable (eroding); water color is muddy and turbid; obvious pallutants (algal mats, surface Baum,
s unace s heen); hea�pl odor; severe barniei E to fish movemer t little to no aquatic hat itat; E evene (R turbance Irom livestoc I or man.
Notes:
Waterbody Sketch ,(dnc Jude nor h arromi, centerline distant a hom aen.letuline, cata p(int locadions, s t rveyl bounc ary, and ADsoJI associatec featurE : )
1&087
1
��nacs
1s ansa
«mama
mehaEF5
h 10
13485

onah004
Open water onah004 facing north
Open water onah004 facing west

Open Waterbodv Data 9haell
/c'1 a i >A [J ^ / 11 <"--
Donn R v. Pd/300013
Survey Description
Project H arc e:
Waterbody H : m e:
Waterbody ID:
Date:
Soulhezlslernl REIHEILMIN
✓ �
, .._ i_
State:
y.
Counlmpa
Cony.
Crew Member Initials:
Photos:
r -o
1 FI -1
�—
Tract Number(s):
Nearest Mil(pas1: Associated Wetland ID(s):
4'F
E urvey Type:
(ahrck ani) XkIente line JRe-F aute CIIFIc(ess Road El Ott er:
Physical Attributes
Water
Waterbody Tyl:
(check a) toy I Rond --- Natt lal Ford J lake L; Reservoir J In poundment " Oxbow C_] Othea:
ydrologic Regime:
14 enmaner tly Flooded ❑ Semipenmanently Flooded l ,feasor ally Flooded C 1 empolanily Flaoded
-HWM
OHWM Indicator:
-
(check �.o ther a;p1j dlean line .�:9heltling DI" rested `iScourirg CVl sten
Heic Htl r� /
on t ank ale getation s taining
11Ber t, matted, on missir g 'JV1 rack -a itter and JPlbrupt I lant J9oil chanacteristic chant e
vegetation line debais c ammt nity chane e
Depth of Water:
Bank height (average):
Bank slope (avers e
=.fl.
� ft.
egrees
N/FI ❑
Qualitative Attributes
Water AF pea(ance:
(cnerknne) CRo\Aatel C Clear Au bid I:_19haer �=lSurfaae CiAlgal OLIOther:
on surface scum mats
Substrate: C Eedrock E Boulder J Cot ble C Graveland Silt/ clad CI Onganic ❑ t7then:
(chock sit that apply)
% al S u h s'h ate: i,l C/o �/
„`/c
Width of Riparian 21ane:
Vegetative Layc is:
(check all u,ar ar pl)p Jlluees: C Sapling2/9hnubs: leets
i t
Avg. DBH c Dam inan9s: in
N/A C
in in
(app.eX.)
Dominant Bank Vec efa-lian (list):
iV Gam% CIV\ I
uatlC Hlanbelt7tS (en: sul malrgei ar emered aqui tic viice}etipn, amerhanc ing b,rk;/ro(ts,Iea(pacI E, large tubmerg e d Hn a d, rif I i s, (l of r pc c I:, etc.):
c
Aquatic Organisms Obsrrvest)
T&E Species Observed (list):
Disturbances (e. is livast ck sa c els, ni: a in waterbod)1, waste disci : r e p iF es):
Waterbody is:
(check ane) -I hatunal artificial, man-made E Manipulated
Waterbody Quality':
(check r neJ F igh ❑Moderate ow
Donn R v. Pd/300013

Waterbody ID:
UIf tM H
a High h uality. Natural, r atural ban[ vegetation � round entine watenbod�l; banl s stable and pnotected bpi noots; wate c olou is c lean to tea aoloned; no
It aerie ns to fish movern ent; many fish cover types available; divense and stable aquatic habits t; no clisturb� nce by livestock or rn an.
Mac euate Qualilly. illtened by nip -rap; n atun� I Niegetatia n extends 1/3-1rl2 of the active al arnel width on eaaf s icle; filterir g 9unc tion on t ank vegetation
only moderately compiorn is ed; banks mode nate ly un E table; water color is cloudy, submerged objects cove ned with greenish film; modenate odou; minou
b� miens to fis h moven ent; Hain aquatic habitat; minimum (Ii, tunbance by livestock or man.
LeK 6 uality. F ip nap and ahannelization e> cee e iva; natural vE getation less tf an 1/3 of the � ative channel width on each side; lack of meganeu� tion;
filtering Ilunction severely con prion ised; banes unsU ble (enoding); water colon is muddy and turbid; obviou pallutants (algal mats, surface s aum,
sur -lace s I een); heavy odor; sevene bamiens to fish movement; little to no aquatic hat itat; : evene die tunbance Irom livestoal on man.
Notes:
U
d '4'
%\, S(I:(A`Y'ZzL 'I1AkL I
i1 .
Waterbody s N etc h ;Illncluc a nor h arrow, center line distance from centerline, oata F pint locations, survey bounc ary, and ICI,, oil associated feature,,
1�
13 -OW
wah809
anahaa4
mah4G5
h 18
48-988

�r
---
A _
6�r a Y
s
,
S a
P.
3"
ih M

LSSA CE A IDAI
D VAI Cel
Site 11 ilindicate ani attached maul,
ST R EAM Q UTA L IT M ASSES SM ENT W ORNSHEDTI
Provide the Ilollomng infer rriatior for the stream reach under assessment:
1. Appllicanll's nairrie:_ /yam ,t -yam 21. l1valuatcr'< name:
?I. Dale of ev alt ation: L 4.11'e c f e�alu atic n:
'_.1\arriecfslteann: c t,`er11win:_Tf\(Z- (�cAll1�L(CC)
i. ApplraximaIe dtainage area: ��Z 3 ��` 8. Stream arc en:
SI. Lengllh ( f teach evaluatec: �( 7� 10. Count:
111. Site eo(rc it ates (if Nn(v♦ n' : puelen in decimal de ghees. lit. St be iv i� is n man- a i f any
L a titudi () a . 1.872312 z Longitude (ax. —77.556611): = : 4/ i %3 , 7 �I [ �J / 1
� r ? � � � � i ��
N ethod location detan-iined (ciiwle;: `+: J Topo Sheet Ortho (Aerial_ Ahoto,IGIS Othan GIS Oil en
13. Location of ueaah under evaluailian ijn(le nearly roads and lanidmai ks and attach n-iarr icenlifying stuaatri(Is) lacatian
14. Prclllcsed cpannel wank ilif any):
15. Recent weather candilians:
16. Site cordiiions al Iirrie cfvisi
,X�17. Icanilify any <pecial klgwq cla:9ificatians kromn: kl actiar R &L-t'tcat Water< 6&- ssential Fist euiesFabitatl
/`° Trout'A aters Outsilanding Re out ca 'A alers �`�It trier I Ser itive Water len 9i pp ly W ater:led t• -IV
18. Is there a rand cr lake lacaled uplstueam of the avaluatian painil`: YES Ifye<, esiliri ale IHe valet sun8ace area:
19. Daes ch annel app am an US GS quac tr ap `: YES NC
2111. 13stimalled walensilec land use: _% Residential
WIX Foiested
212. Bainkfull width:
21(1.I11aeschannelappleauar USDA Soil Survey? YES lrCl
L11),
Cammei cial _V Inc uslrial f L, %)' 8ricultui at
ON Cleauedd Cleaned,IJ agged _V/ C th et
2121. Bank height Qfuotn bad tat(p (fbanE): -
214. Channel store dawn centen of: treani: Flat (Cl t( 3%) C enitle (12 to z%; _Mocenate (z I( 10%' _S1aer 1>101/o,
215. Channelsintosity: Stuaighil _Occwicnal bet cs Fiequentmeander _Very iniu(us _Braidec chanral
lrslructior! fat campletiar of Aorkifoel (located an page 21): Baglin EN deleiminingl the m(st appiaptiate ecoregicn Hasec cr
localian, terrain, viegletatlicn, saaam classificatian, etc. Every aharacteuistic not<t be <carec t<ing the same acaregian. A <ign paints
to each cl anacterislic within the imma shawn fon 1Ihe ecategian. Page 3 provide: a lriaf ce.ciirtian of Ham la review the
cHaiacteristics identified in the wc6sheet. Scores shculd reflect an overall assesstniert cf the stnearri reach uncei evaultation. If a
clwacteristic cannot He evaltated die to site or weatthen canditiars, erten 0 it the scaring boN anic puovice an eaiplaniaticn in the
canunenl : eclicn. Where theca are abNiicu: cliangles it 1Ihe cLanacter of a stnaarn i nc en review le.g., the suearr flaws &cm a pastune
inta a fouast , the :cream maN He divicec int( smaller react es lhal cisrlay rricre corth uity, and ar separalle farm used to evaluate each
peach. The fatal sccme assigned to a stnearri reach rriusil range betwear Cl and IOC, will a scare of MCI uarresentinig a stream cf the
h igll est 911 ality.
'Molal Score Qfrow reverse): a> Corrimer IIs:
Emaluallar'i flignalure DIale f? - q — I'I
This cH am el ei alital'am tori intended sed an ly as a gr ide to ai i isil Ian c awn eri ar d ensircinmelntai professiar als in
gallhering the cats requirefly the Lnilled States ArmM Carry of Engineers Ila malls a prelimirary assessment of 11ream
clualily. Me tcdal scare re�ulling fram the completion of this lartri is srljeal to USACE aflrlraimal arc does rat imply a
particular n iti€laticm ratio or requirerrier II. F arnn subject to change-versian (16,103. To Corrnnanl, please call SC SI -8716-8441 r 216.

ST IR EAM QUAL 17 V ASSESISIMENTWORNSHEBT
* I hese characterisl ic! are no I assesses in coastal sil reani s.

NC DWO'Sllrcatr lclemitificiaition tarm Veirsion 4.11l1
L aite: --�
Plrc je ct : HE : 1C
L allitu c e: .5 E ��
9valualor: cjc "
CcUnty:
Lorigilucer" *7 ,S LJ 'q
',
llcltal Points(:
S Cream is at least intermittent % -
Stieam DEterniratiar (lclirc
gp H emumal Ir termitten even n rail
Cthei
C Name:
ifl z19 or perennial i l z30* l o
2
e.g. uac
A, Geomc r holo (Sut lolal = )
P Id sent W eaA
Moder le
Strong
'I' Coni in uity cif channel hEid and tl anl,
(1 1
2
3
7. Sinuosity all channel along iheilweq
(I I
2
.5' 01
3. in -channel struclunEr Eix, iifflEi-pact, silep-pocl,
nipple -pool se t EincEi
(I
2
1 1.5
4. Rar icle size all stimairri sutstnMEi
(I 1
(1.5
3
5. Active/nEilict floodplain
(I 1
2
3
6. Depositional t ans c r t enchui:
(I I
3
7. RecEini ailluviail deposits
(I 1
2
3
8. F eadculs
0 1
CBL = •1.5 Olher= Cl
9. Giaido cc rnlnal
0 (1.5
1.5
'ICI. Natural valley
0 (1.9
1.5
'11. SElccnd c ri gimarlei eudElr chin nol
Nc = 01
)i es = 3
ar itialai drtat es aie rot n ted; see discussioWn manuP I
B. Hvdre loav (Su t tolal = I f � 1
'12. Pi esEincEi of 9aiseflaw
0
1
2 53
1.1. Ircn Oxidizing liaiceuia
0
1
2
1k. Leaf lit Ell
IA
1
.5' 01
'I EI. SEldirrient c n plants c r c all i is
a
(1.9
1 1.5
•I E . Organic dElbi is lines on piles
a
(1.5
1 1.51
'17. Soil -t �isEid Evidence c t high waiter IaNEi?
a 0. El
Na = CI
ces 775
C. Bioloav (Subtotal = 1 ,4 j 1 3)
•If1. Hitrcus iccis in slreairribec
3
1
a
'I f1. Rc c led upland plants in silnearribEld
3 2
1
CI
2C1. N acre ll enthos (note diversity and � bundance)
a 1'
3
21. Aquatic N cilusks
a 1)
2
21
22. Fish
a 0.9
1
1.51
2:1. Crayfish
a 0. El
1
1.5
2,e. Arriphitriains
a 0. El
1.51
29. Algae
a
1
1.51
2E. Vlefleinc plants in stnElairritec
AM= (1.75
CBL = •1.5 Olher= Cl
'perennial streams rr r y also be identified using other methods. melee p. 35 c 1 mar ual.
No'l E e:
009
ah010
-onahOO
onahoa4
Y/////////X//A 1 1
132- 11

snah009
ke
4t
_� .;��-. ansa► ,+
Waterbody snah009 facing north upstream
L
Waterbody snah009 facing south downstream

snah009
Waterbody snah009 facing upline cross stream

LSACEAIM
❑W� Al Site # (ir dicalle c attachlec miap;
FE -11 ST REAM QUAUITY A SISESISIMENT VN ORNSHEET -AM*
Prov id4IhefollamingWIFmationfarlhe!lreamreach uncermie99rrlenl:
1. A p p licaml's name: L �`r'Y`\.,4 21. Ev ah alc C! n a►rie:
?I. ❑ale of ev alt alicr : 4. Tit e of evaluation:
'_1.1`amiecfst►ear-: %t ''1 L`^�,'�%f 1�, ► (' ��� F�ivertla:in: "' �k LlL��
1. Appltaximate ( mirage auea: / IhC1( F> � EI. Stream one eir.
SI. Length of peach evaluate(:- 10. Caunty: t
111. Site aac t(inales (if krom n; : pea Ilur in daaitral deglnees. 12. Subc Mi ian riam e ilif any):
�y n
Latituda�(an.'4.8 :.12)' C 5- 71 % Loneitud((ui.-9191.``6691):
Method loaation da termined (circle): GPS Topo Shaet Ortho ((Aerial) AholoXIIS Othen CIIS Other
13. L ccatian of ueach under evalualicm Iniole neantly rc ads anc landmarks ani( attach map is on lifyinig s lreamlj:) location):
14. Flroposed channel vvouk (if any): b�/
15. Recent weather cor di I ions: L�r1
16. Site conditians at llimia till visi
171. I(emlify any special vvatervvay classifications kramn: 1 eclion 10 al WaterEssemlial Fisheries s P4 HaHilat
�r IP
uaut Walleus ulslancing Resouuce Walleus L� ulrienl Sen! Waters A)Iwaleu Suplly Walenhed�
`� - 1m)
181. Is there a pont or lake laca4(d upstream till the evaluation pain 11 YIES MC)f Nos, estimate Ille waters suufem area:
19. Dlaas channel app ear on U S G' quad map ?ES NO 20. Doe; cihannf 1 app f au on USDA S ail Su rvf y? AES 1,0
211. Estima4ad waensNec la ° ° 1 G.
land use: / Residential _/ Cc _ /° In<usllt►al X%Agricultural
OX F oresled _% Cleamed .I Loggled �/° C th f n (I )
212. Elankfull v icth: 21 Bank N4 hIl (Ifuam Hec to lap of Hank):
214. Channel slape davun eenillen of stre20cca,,
Flat (( la 2%) _Gentle (12 to z%] _Mccf nate (z 1c 10"i° Sleep (1>I /o
2151. Chanuelsinuosity: Straightianalbencs _Frequentmean den Very :imucus _Braide( clarm( I
In s I ructior s fan (ompleliar of m orks h ► eI (Iota led (n page 21): Begin b}l deteurr in ing the me s t ap prop male ecareg ian base( oni
localicur, leniain, vegetalion, stream classiftcalian, etc. Every aharacteuislic mint be sacrec wing the sanne f cctegian. Assign p oinills
Ito each cl►anaclerislic v<i1Nin Ilhe nangf slcwni fau tlhe ecuiegion. Flage 3 provi(es a Hnief cascuiptiani of Iav to review the
chanacleristics idertified in the worksheet. Scares should nefecl an overall assessment of 1Ne stneami wawh uncen evaluation. If a
cl►anaclenistic cannol Ile evalualed due 1a side ou weather cancillicns, enter 0 in the scaring box anic puovice an e)planalicn in the
comment. seclion. Where 11 eua ane obvious changes in the character of a stream unicer review (e.g., Me stueami flcws frcm a pasture
inl( a fmast ,the :cream maj He divi(ec inila str alleu ueaches'Ihal cisplay more continuit), and a separate formi used tc evaluate each
reach. The Ictal scare assigned lo a stneami reach must rarge betweani C and 10C, wilh a ,ccre cf 1(C of presemling a dream cf the
H ig 11 esl qu ality.
Tc Ial Score Ifr( mi reverse): �11 Carrigenils:
Evialualor's'i€lnalure Uale
This ell aur el evialualion f rm is intended la be u!rd anly as a guide to aasistl lancawn era and erviircnmen tal pr( fessiorals in
glailhetirgl the cats r►quirec by the Lniled States Arm] Ccrpls of Engineers Ila mane a preliminary assessmenil of sir►am
cualily. The tctal secre resulting fuom the eorripheticn of This fcurr is stbjeel tc USACE ,[rPuovial are does nail imply a
N articular ni itiglatl is n t atic cu reqs iretrieu I. F orm su bjea I la than g e — vers ian ( 6,103. Tc Cc m mienV, p lease call SI I SI -8716-8441 x 2( .

S NP, ,f) r
S TRDA M QUALITY AS S ESS MIEN T WORKS HEET
I These chauacileuistics ana roll assessed its coastal stueams.

NC DWQ Stream Idcrilifiaailion Form Velrsion 4.11 sjul+)f-�
Oalle: L. ._
�
Prc{'ectSilc: �ti ti
Lalittde:
Evalualcm:`�.%�
(
ty Cour
Lcir9. t1L de:
Total) Plaints:
Stream is at least it terrniittent %
ce'
Sll(am Dete cilclE cm)
Er Herr er Intern ittcnt'' erennial
ME ii
Quaa Name:
if;-- 19 or perennial iii z 30'
2
e.g.
A. Geomor h olo (Su t talal =
A t ser t WeeiN
Moderate
Strong
1a Continuity of channel bed and bank
CI .I
2 .
3
2. Sinuosity oil Cit annE I along thalweg
CI
2
3
3. In-cihannE I stnucture: ex. riffle -pool, stE p-pcol,
ri le- oc l sequence
CI `
2
3
4. Pan ick size (ill sire am substnate
CI l
2
3
E. ACrlive,lrelici flciodplainCI
.I
2
3
EI. Depositional bans on be riches
CI I
2
3
7. RE can 1 alluvial deposits
CI
C2D
3
El. Feadcuts
CI
2
3
fl. Gnade ccintnol
CI
I
1.°
1C1. � atonal valley
CI
1'I. 9eccnd cir gneate n oriden channel
� a = Cl
Yes = 3
a a rificial ditches ane not nate cl; se discuss' s in manual
B. Hydrology (SLIClcrlal
12. F ne sence of Base floes
CI 1
2 ' 3
13. Incin oxidizing baClle nia
CI I
2 3
14. Le all litter
1.r 1
CL5 CI
15. 9ediME n1 on plants cr cE bris
CI f
I 1.5
19. Organic debriis line s cin piles
CI CL5
1.5
17. Sail• based evide nce cr high H ale ri toe?
o = Cl
es =
C. Biology SLIClalal= 7 L
181. F id acus ncois in strIE anrt E d
3 2` I
CI
19. FCIotE( uplanc plants in sure amt ed
3 2 I
CI
20. MacnotE nit os (note diversity and abr ndanae) 0 I 2
3
29. Aquatic Mcllusks
I 2
3
22. Fist
C1 C1.5 I
1.5
23. Crayfish
CI
1.5
24. Amphibians
CI CI. I
1.°
25. Algae
CI I
1.5
29. Welland plants in staeamded
ACW = Cl.75; ' BL = I.E Cihe n = Cl
"pe rennia I s tneams may also t e identiPoe d using
other methods. e p. 15 oil manual.
NCItEIS:
009
ah010 '. %k
vnarh004
onah005
l

snah010
-
t
AL
Waterbody snah010 facing north upstream
Waterbody snah010 facing south downstream
,;.
JJ
'i
E`
-
t
AL
Waterbody snah010 facing north upstream
Waterbody snah010 facing south downstream

�_ �.
� �
` r
:y� � ti
� -'� -
" 47 1i
y "r

USACE AID#I E1WQ Al Site #A (incicaile an attacllec map;
SITRDQ
A M UABI TY A SISIESISIMEN T NAIORKSIMEET � 14
Provica ilhefollowing irkrmalian forlhe;Iream peach uncera:,,e:±rrenl:
II . A ppliaar I's name: 21. EN aluatc r'! r arrle: -
L Llale of evalualicr : - t_ _3
4. Time of evalualian:
fl. Nani ecf�tuearri: f. River Ill in: 'T� '' 0M— we -'o
L A pl uoxirriate duainage area: ( C*� .a. C./lt2. N FI. cream cmc eir
SI. Length of ueach evaluate(: �� ( � 10. Caunty: j
111. Site cacmdinales (if known;: proper in dacin- al degw as. 12. Subc iv is ion earn a llif any):
Latitude (ex.1,1. ;:312): ���/ -5,3-, 2_ % y Longitude(ar.—. ;.11(1(111): 7 l " 5`1 _ �3 C� (c
Method loci tion d(termined Qeircle): GAS Topa Sha c t Ortio (IAerial) IlholaIGiS Others GIS Other
131. L acatior of leach urider evalualian (mote neauNy roads anc lancmark s anc attach rrar i( entifyingl sireamils,' lacatiani):
14. Hrapased channel wouk (i
19. Recent weather cardiliun
16. Site canditians at ilirie of
171. I(ertify any speciallv%aterway class ificatiars knawn: _ Secilia.��";l'i(n Ia �a[ Water: t' 1, Issenlial Hi!heries Hallilat
LP�Tiiaut Walleus �F4;u1slan( ing Re: auuae Walleus a�&ulrienl Sensiilive Waters waileu Surl IN Water: hed ,ill -IV)
19. is (here a ron( an laWe localad ur�tneanii afthe evaluation paitrl? YES CI ' lfyc;, eslimaile the waileu suuface area:
191. Due: channel arl ear an USGS quad mapl? YES )NO 210. Doe! channel apr eau an USDA Sail Surveyy E Sj NCI
2171.E timet(d wale nsllec land use: _(/o Residential 0/4 Commercial _a/o Inc uslnial °/c Agricultural
f
9�- Haresled _% Cleai ed / Lc gg ed 1/a 011411( )
212. Elarkfiill wicth:
2:1. Bark Hc iglhil (Ifiam Nec tc top of banW):
24. Chanral slopla corn eenilleu of stream: X fllal (0 la 211/4) _Gentle (171 la z%; _Macerate (� to Ia% _,.Steer pIa%
219. Channel sinua: ity: StnaighI Glccasianal bencs krecluentmeariceii —Very sinuous Braidec channel
InArueliow lcr aamplalian of workAiieil (Ilocaled (n page a): Begin by deteutriiniingl the most arpraluiale eaareglian base( or
location, leruain, vegletalian, :cream classiflaalion, etc. Every characteuislic mu!t be score( using the carne eccmegion. A s: ign painV�
ila each cNauaclerislic within Vhe iiangle spawn far the ecanegion. Hage 3 rravi(es a Nuief ce:cuirtiun of Ilaw 'lo review the
cllauaclenistics identified in the warp�heet. Scares should nefccl an avenall assessment of IN �tucani reach uncen evalualian. If a
cliamacleni!tic cannail lle evaluated due la :ile ou weathers can(iliaw, enter 0 it the scaring Nax anc puavice an e�planalian in the
ccmimenl : eclian. Whene lheue ane abviau: changes in the chanaater of a :Uieam un(eu review (e.g., the slreari flaws frcun a Alastune
into a faim t , the !cream may be divi(ec into stnalleu reaches that c isrlay traiie continuity, and a separaile farrl used to evaluate each
leach. The total scare assigltec ilo a stuaarl reach miusil range between CI and 100, with a scare of 1(ICI uerresenting a stream afthe
highest quality.
Tlollal Score Il1ron reverse):5 CorWents t � 11'+ Q 4- I 6 i 1�{
Evaluallar's %gnallure (
This cE ann el ev alualian Xrm is it lenide b
gailheringl the (ata necluired Uy the United S
caahily. 7Uhe tclal sere resulling frem the i
parliaular ntitigaticni ratio cr requirerr enll. Fe
— /L
Dail
used c n ly as a guide Ilo assist Ian( awnie rs ar d env irc nma n tat p rofe! sic naI1 in
tes Army Ccrps of Engineers to maNe a preliminary assessment of 111neam
mpletioni of Ilhis lcrrri is suNjecl t( USACE appreval anc does rat imply a
r subject to ahangle- version (IE/a3. To CorrilTent, [lease call S IS•87E-84� : )1]6.

jail i-&1
STREAM QUALITYI ASSIESSMEN'I1 WORKS -SHEET
I These ch ai acle► islics ane nal asse! s e d in caastal s ti a a►T s .

NC EINN n Stnieiam Identi4inati nr Fn►im Ve►icinn d 11 ""'j"
Date:
Rroluctl9ite:
llaitiilucei:'� �`��
9%aIuaitar:
County:
llangitude:
Tollal Poirls:
ftreami: at least intermittend
Jlreiarr Determination I�circ
9Flheirreral Intermittent
C0or
Name:
ill 2,119 on perennial if 2,30'
rennial
e.g. Quac
A. Geomor Nolo (SLbloisll = ) 9
a5)
Abs ant
Weak
Mcldarrlla
Sticing
'I" Continuity al at annE 11: ed and 1:1 ank
0
1
2
3
2. Sinuosity al channel along thalweg
0
1
2
3
3. In-cihannel stnuctunE: Ex. riffle -pool, step-pacd'
ri le- oal sequence
d
1
2
3
4. F article size a4 slnezim sut stnatE
0
1 ' .
2
3
5. ActivE AHE lict flaadplain
0
1
2
3
E. Depositional tans an benahE s
0
F ACW = (1.7 , OBL = 'I.,' ) C then = 0
3
7. FIEcenl alluvial deposits
0
1
2
3
8. HE adcuts
a
1
3
91. Grade can Inal
0
(1.5
'1.5
-1 CI. Natural valley
0
0.
1
1.5
1. SE card an gnE sten audE n ahari nel
Na =
� es = 3
ar marai ancr es ane r of ratea; see aiscussio s it manua I
B.Hvdrelloav (Su ttoial= %_ 7
'12. PnesEin CE cif E aseflaw
0 1
2 3
'13. Iran axidizing dactenia
0
3
.14. Leaf litiE n
1.5
(1.5 0
'15. SE diment an plants an de bnis
0 (1.5
'1.5
1 E . Organic dE tris line s an piles
0 5
1 1.5
'17. Sail -b dSE d E vide nce o11 hi h w ter laiblE?
o = 0
Yes = 3
L. ti1010av (SII ticd"ll= t "i 1
'18. F ibuous nocils in sireamtled
2 1
0
'l E. Raa'IEd upland plants in slrearritlEd
3
2 1
0
20. Macrabenthcis (note diversity and abundance)
0
n
3
21. Aquatic Mallusks
02
3
22. F ish
0
''(1.5 1
1.5
23. Crayfish
0
C1.5
1.5
24. Amphibian s
0
(1.5
1.5
25. AlgaE
0
(1.5 1
1.5
2EI. "E tland plants in s1nE arrrbE d
F ACW = (1.7 , OBL = 'I.,' ) C then = 0
'pens nnial sfieams mE )I ala o be identified ua iri g othen methods. See p. 35 of manus 1.
Notes:
Skelct
snah612
snah612.

snah012
Waterbody snah012 facing north upstream
iL.v.
F Am-
Waterbody snah012 facing south downstream

snah012
Z L
Waterbody snah012 facing east cross stream

L 9ACF, A ID#i 11 W Q ## Site #1 ilir diaale c n attached mapl'
E' EA l!i
IN
: ST REAM QUALITY ASSIESISIMENTI WORKSHEET
�n. raEt h�
PilletHefallcvvinginfcrrrall for lheArta►n reacH ill wse„rrer1:
1. P Fllllliaartt':• name: l l �tR '� �: `r <
�2. BN alt atur';r it e:
1. 11ate of evalualil '
d% 4. 1 ime of eu ala a1 iam : P
9, h arre cif -tream: �_ % � � �{° 6. River La ,,il
7. Ap1Alrloxitttate drainalle area: 8. Sweat, irrcetr. Z
91. Len MIli ofneach et aluail ed: ��— 1 �A T- IIC. County:
111. Site aacndinatle, tlif kncwn;: prefer in decimal dcgaeea. 1121. SuHcivi,iun narie (if anN),:
llatittld�(cn._1.11':3l?):ems—`—�. ff llongitude(cx.-,,.99(i(611)���
N r thod location determined (circle): GIS Topo Sheet Ortho IlAerial) Photo ,il Other GIS Clther
1;1. Loc atiain of reach under euaIt attan llnaite nearlly roads ail landmark: and at tach narl idertifyin11 sIream (s Ic caIian
I4. Prn1 aged et antler wicrk (it, ally): ��---k'z
'I'_I. Recent weathercanditions: OV` --k
:16. Sile car diIiains at 11irne ofvi,'i1:
117.. denlify any ,•pecial watermiay classifrcalicurs known: i'��ectiurl ICI 6S!`I!ical Wrdter,• %�AssenIial HIM cities lliii at
Nrail Waters N46.0 l:tanding Res( r;rceWaters Nutrienl Jensit ive Watery 1�aifan Supply Wal(r,,hec�1-IM)
]ISL 1, there a plant cu' lalde lacatec uHlrlream air lhe evaluation pain I? 11L8 L .. lf yeF, esil le the wader ,•urface area:
11911. Utes char l appear an USGS gcad map?GNC 30. I4aes cllanniel aplrlear cn ll Sail Scrvey'! 1 ES' NO
:11. Estirrialed wialershed lar d use: '/o Rericcntial _% Curiniencial o/ llncusilrial J/ Agricultural
Yo Farertec _'% CI( arec it LoPlgec _% Clthen ( )
212. Bankfull wll 2:1. Batik height Ifrarn Led la tat of bank):
24. Chars el,•Icpe dcwn eenlen of strearr: lar IJ0 to �'/o Clenire I tai 4%)_Macerate (4 to 10°% _Sltcep (%ICI`%
29. Charuelsit- il StnaillhI CCaasiUraIHerds _>(Frecuent,meancen—Very ,•irucur _Bnaicedchar r.cl
In,lluuclions for comflletior of Aorkslleet (llucaillec at Fla€1► 2': Begin Hy celerrnining the mast ar1lrorriale eccrellicn Laeec cn
locaticn, terrain, ,egetaliarl, m•aarn classifiaatiau, arc. Every characleri,tic rril Le sccred usinll the sane ecarellion. Assign rloirts
to each characteristic within the ranlla shcwr far the eaairellion. Page 3 prcvides a brief deseriplicn of lici to rcviewi the
claracleni,tic, icerriflec ir, the wcrkFheet. Soares sl•ol lc reflect art avcrall assessment of tlhe shear- reach under evaluallictn. if a
citaracileristic aannat Le evaluatec due la ,isle at- weather aanditionF, enter 0 in the scarittll bax and plravide an explanation in the
corrn-enl seetiani. Where there are obvicu, change,, in the characlen of a Ftream under review (e.g., the slrcan- f cws frarn a pasture
inla a llaresl), tha shear- rraN He c Mcec fi la smaller reaches trial di,•pray store cantirnril}l, anc a wranatc, form used to evaluale each
mach. The talal ,care assigred la a stream reach musl range Helweeni Cl anial IOC, witl• a scane all' IT repnereuting a stream of the
itigllesl quality.
Tlc tall Sc( re 11fror r re,r'erme; : C oil Imell ts:
Evaluailcr'! Elilnallure Uall(
This altairniel evailuallion forrh is intenide a u�c(d only ails au guide to aus,i;ll laircuwriers arc environimental prcdessianauls in
gaahermig the c alta rec aired by the Ur ited Stlates Army Corps oil Enigineerai Ito mall a au prelimir airy ai„ emn en tl of anlreairr
quality. The tokil score uemulting from tha carrplletioni of dhi, form is ;utjeel to USACE appIrciwil and dao,, meld imply a
plaurllicular midigladion ratio (r requirement. Alam subject tc change- jersian 06,03. Ta Cornintcnl, pleava call 919-87(-844 1 x 26.

'51C )A �l 6 /"S-
SITRDA M QUA LIT M A SISIESISMIENT Wa RKSHEETI
110
* I hese cl-araalcristics aua ral a:: essec in co astal s1ne� r �.

�&/,i-Alf 0 f _5_,
NC DWQ St realm h urni ificladon Aolrm Velrsion 4.11
Date:_ %
t
Prcl,jelctSilE: � ' �� �
LalitudEl:3�
Evaluator:
ms's'
Courty: -�
Lorgitude:?�Ll C
Tc till PointE :
Streamor
at /erennial �I
StnE am 0ellermir allian (cir
011hE n
niast lhl2!30,ent
if z 79 or erenniai iil z 30' �,.
pes
EpFlemerlal Interrritten erennia
e.g. Quao Name:
WA
A. Geomorphology (Suttcllal= 11 0.)
Atsent WeaM
Mod ate
Sliong
'I' Contir uity of chanr Ell bE d and tank
Cl I
15. cledirrlE nt an plants or c et nis
3
2. Sinuo: ity (01 cif annE I along thalweg
Cl I
2
3
3. In -channel stnuctunEl: ex. nifflE-Flcial, StElq-•goal,
ripple -pool se uenaEl
Cl I
2
3
. Par idle size cdl StnElam sub striate
Cl I
C1.5 1
1.5
5. ActivE.InE list floodplain
EI. DeFlosilionai tans all tE nct ES
CI I
Cl 1
C1.5 OD 1
3 '
7. Reconi alluvial deposits
Cl 1
2
cl
8. f eadauts
Cl I
2
1.5
9. C rade cor tral
Cl CI.5
FACW = C1,75; OBL = 1.5 Other = Cl
1.5
'ICL � alwal valley
CI CL5
1
1.5
1'1. Elecionc on greater one er ahannE I
� a = Cl
YE s = 3
arificial ditches are nat uated; see cliscussions.anual
B. Hydrology (St. t ICltal = _ ,)
12. FIIrIE SE nCIE all Basel ow
Cl 1 2 3
13. lion axidizing taCIE iiia
Cl 1 2 3
14. LE a l IittE n
5 1 C1.5 0
15. cledirrlE nt an plants or c et nis
C1.5 I 1.
I EI. Organic dE t nis ME s an piles
CI C1.5 1.5
'17..Iciil. based EvidE n CIE of high watE n tab
ci = (I YE s = 3
C. Biology (SL ttatdl =
'18. Fibncius naals in stnElamtec
3
2 '1
Cl
19. RootE d upland plants in sNeamt ed
3 ,
2 1
Cl
20. Maanotenthas (note diversity and at undance)
Cl
2
d
21. Aquatic Mollusks
Cl
CL 2
d
22. Fish
Cl
C1.5 1
1.5
23. Cuayfish
Cl
C1.5 OD 1
1.5
24. Flrrlphit ians
Cl
C1.5 1
1.5
25. Algae
Cl
CI.S
1.5
2E. WEtland plants in Strealrnbec
FACW = C1,75; OBL = 1.5 Other = Cl
11 even n ial o trea rn s may a h a be idea tilled using othen met[ a ds. ; ee
p. ; 5 al manual.
h CITE S:
i

a
•;
�.
_ _
gUFAr
Y
1w.
•;
�.
Y

U� A UE A 1DII
DAN Q hl
Site #__ (incicate cn attached map'
a'F SITRDA M QLJ A LITIM ASISESSISIME NTI WOR KSHEBT
Hrenrde the fclllo,'viing informrulion far ilhe scream reach undler avlessnenil:
I Evalualaii's name:
L Allpllicant's i ame:__
3. Date of cv alt < Iiori :
5. Namc of stream:U14 A
7. AHIFIrc ximate ( nainage area:
91.Ilergth cfreaali avaluatec:_
l�
4. Time of evaluation:
,
River basin:— Pay L
M. c Iream order: (�5 t
10. Clcunty:
111. c i I c caorcinates (it known: 1 refenin el ccirnal,degrees. 12. Si bdivision name Ilifany
La'Iitude(ex.34.872312):,3 5 Longi'lude(ex.-77.556611): -77 5,2, -5 L1 c�
Method location deter ined (circle): (IIIS Ilopo Sheet Ortho (Aerial) photo/fll Othen GTS Other
113. Lac atian of reach under evaluation(r_ale raartA roads and landmark';- and attic h map identifying ,tn antllr) localiou):
114.1noplosed charnel work (if an}):__AJO—
15. Recent weather conditions: ),�)h / —
16. Siiie ccncilicrir a1 lura ofvisit:
17.1dentiIA ariy sHlecial watcr"ay classi icailiotir known: k✓ ecitiori 10 �Kdal NNail ars V&ssential Firherier Habital
CL ail WE ters �wllslancliql i, esaurce Wall k*utrienl Sensitive Waters r ter Suppl}l WE lershedil-iV,
181. ]r there a pant cr lake Icca1ad upstream of the evaluaticui Hlain4'. YES 60DIyes, eFiin ate the)AE ter surface area:
1 g. Does charir,el applear on USGS c uad map'? `. H IN V. Deer charniel aFpear on USE A Soil Survey? 'IES .NCS
21. E:limated w atershcd land use:o Rcricenlial
"Pacrestec
:2. Bankfull widilh:
24. (Iharriel :lope dawn center of siream: Flail 0 to :Ioo;
25. Chariiel,inuosilA: Straiplil Cccasianaltlends
°/o Corrrtrercial _%lncuorial t °/o Agricullunal
_o/a Cleared / Laggec _°/o Cther ( A)
2'. Bank heityht ilfi-cur bec ilo lep of bank
C'entle 1I2 to 41io _Moderate iI4 to 1(No; Steep il% ICA:
_Fre quent meant en IvIery siruour _Braided channel
lnclutj(lions for comlletioni of worksHeet (Iocallecl ani place 2 : Bagin ty ceterntining the niost apFnopriate ecoregicnt basad on
locatian, ilerrain, vegetarian, ,,traarr elassifiaaticn, etc. Hlvery characteristic must be sccred usinEl Ilie Maria eciaregicn. Assi€pr plaints
Po aacli characteristic within the range �hciwn far tha eaarccllion. Page 3 provides a brief descriptian of haw to review the
cliaraclarirtiar icenilifle( in 1hc, worksheet. Saares shoulc reflect an overall assessmenl of ilhe slreann reach under evaluatian. if a
cliaracilaristia cannot be evaluated due to rile or weather acnditions, crier 0 in the ,caring bax and plravide an eyplanatian in Clic
ecnirrienl section. Where there are cbvicius changer in tha character (f a ,trean7 urder review (lc.gl., the stream flews cram a pasture
into a laresi), the snieam ma)l be dividec into smaller reaalies Ilial display more cantinuit}, anc a seplarate J'arm used tc eve luale each
reach. The Molal ,care assignad la a stnc,ari react mu,,t range between Cl and 100, witt a sccre of 1CI(I repric;erting ra sirearr cf ilic
highesil quality.
TOM Scare Ifnom reversel : (,:C om men ts:
Evaluailor'sSignattre 171ate
This cHamnet evahatian for i intend d to donlN a' a guide to a ist laurclowners anti envirai memlal profess—� canals it
glalhering the dila regtire by the Unitedl States Army Carps rf Ergineers to make a preliminary{ arressmenil of silrearri
clualily. The iloilal score restlting from the complelion of tHis farm is stHjecil le USACE appruwil ai l die! not ill ai
flarticulam mitig; iliani radii cr regt iretrlenil. Fcrm sub,jecl to change — ver<,iion (ICA13. To Camntert, please call ql 1-876-84z 1 x 2C.

SJ RDA M QUALI TY ASSUSISIMBIN T WOMK,';IHEET
luak u ioLa�ik 11allk a dIL; IILIL d""'L;'1')L;U Ir Ukld"'Ial "Itilcalils.
7
ECORE,GIONTOI.NT,RANG1K,
SCORE�
Coastal
Piedmont
Mountain,
Presence of flow persistent pools in stream
flow or saturation = 0, strong j, 'I iflow -- rn, x poiits)
0-5
0-4
0-5
2
Evidence of past human alteration
01----6
Q - 5
0-5
(extensive alteration = 0; no alteration = max points)
3
Riparian zone
C - 6
0-4
0-5
(no buffer= 0, contiguous, wide buffer= max points)
4
Evidence of nutrient or chemical discharges
011115
CI - 4
0--4
(extensive discharges = 0, no discharges = max points)
5
Groundwater discharge
11-3
(1-4
0-4
(no discharge- 0; springs, seeps, wetlands, etc.= rndX
—K_ points)
6
Presence of adjacent floodplain
a
0-4
0-2
(no p
loud lain = 0; extensive floodplain = max points)
7
Entrenchment / floodplain access
deeply entrenched ,= 0; frequent flooding = max points)
N'-- 5
0-4
0-2
8
Presence of adjacent wetlands
01-6
0-4
0-2
(no wetlands 0; large adjacent wetlands max points)
9
Channel sinuosity
(extensive channelization = 0; natural meander = max points)
a - 5
0--4
0-3
10
Sediment input
---fextensive deposition-= 0, little or no sediment max points)
a - 5
0-4
0-4
I I
Size & diversity of channel bed substrate
'NIA*
0-4
0-5
(fine, -horn geno-us = 0; large, diverse sizes = max points)
12
Evidence of channel incision or widening
(deeply incised = 0; stable bed & banks = max points)
0-5
0-4
0-5
13
Presence of major bank failures
a - 5
0-5
0-5
4*
(severe erosion = 0; no erosion, stable banks = max points)
14
Root depth and density on bks
ensan
(no visible roots = 0; dense roots throughout := max. points)
0-3
0-4
0-5
15
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
{substantial impact =0; no evidence = max points)
16
Presence of riffle-pool/ripple-pool complexes
(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 streambed
05
0-5
0--5.....
.(no shading vegetation = 0; continuous canopy = max points)
19
Substrate embeddedness
N A
0-4
o-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, nurnerous types max oints)
21
Presence of amphibians
0-4
0-4
0-4
(no evidence = 0; common, numerous types = max points)
0�
22
Presence of fish
(no evidence = 0; common, numerous types max points)
0--4
0-4
0--,-4
—
1-37
Evidence of wildlife use
0-6
0-5
0-5
(no evidence 0; abundant evidence = max points)
Total P nts T ossible
1001,
too
too ,
an fifst.pno
luak u ioLa�ik 11allk a dIL; IILIL d""'L;'1')L;U Ir Ukld"'Ial "Itilcalils.
7

NC E WQ Stnelam Identifiaatiani Fonm Version 4.11
Dater: `�
Rriojcict/: i9e: ` L allilu de' &
Evaluall
or:—�
e
�e Cawrt}�; �%��� �� LorGilucel: 'Ralla
Er
SIreal s at
as SheamIellerminallicln(circleone) 011her J
Shlream is at le asd intermidten l � -
if z 19 or erennial hl z 30' > Eq hernlElrial interrnlittent rennla e.g. Quaa Name:
�• UV1 w. tww taur:taro = ✓)
All
Wcak
MacElnatei
Strong
1a Car tinuity aIahannel tlesc an bank
CI
1.5
CIA 01
'19. Seldinlelnt cin plants cirl c eltl leis
IEI. Organics dEIICJs lines on piles0
17. Sail-taSEK EhIcesncic all highw Mr tables?
rRinlnrn. �c. Na .�..� _
2. Sinuosity of ahannell along thalweg
CI
'I. Aquatic) Mallusks
2
3
3. In-ahannell struuluiie: ex. niffle-pcsol, stEirl-rlcicll,
2. Rist
0
2
3
--nipple-pool se uesnae
01
11
2
3
4. Rarticdel size) cif stream : ut sluatEI
0
2
01
5-12 ativel/Ilieliclt flaadplain
0
LO
3
EI. Depositional Bali: an tienchels
'perennial streams may also be identified using other methods.
See g. 35 of manua I.
2
3
Notes: x
0
2
3
7. Recelni alluvial desposits
0
1
3
8. F Esadcsuts
CI
9. GIIadEI ciantral
CI
C1.5
1
3
I Cl. ll� atuiial valley
CI
C1.5
1.9
7SIE9cicinc Cir greater cult els ahannel
a = CI
Yel: = 3
a rfifininl riitrhaa a ro nA* a• � „ ll:..........:_
B. Hvdrolonv fSi hllnlal
12. Rrelsenae til BaSEIfIOVv
CI
3
13. Incin cl:iidizing bacltelria
0 1
3"
'I Leal lit en
1.5
CIA 01
'19. Seldinlelnt cin plants cirl c eltl leis
IEI. Organics dEIICJs lines on piles0
17. Sail-taSEK EhIcesncic all highw Mr tables?
rRinlnrn. �c. Na .�..� _
0 (1.9
C1.5
cl = 0
0 1.5
11 5
Yes = 3w
'IF, Fibliaus liacits in stneamtec
CI
'ISI. Rcsoleld upland plants instlieamtac
3
2 1
CI
Cl. IVacsuatenIhas (note diversity and abt ndance)
CI
1., 2
3
'I. Aquatic) Mallusks
1 2
3
2. Rist
0
C1.5 1
1.5
3. Crayfish
0
0 9
24. Amrlt itians
01
0.9 1
2 5. Algae
01
0.51
5
2EI. Wetlar c plants in stneian tec
FFCIW = C1.7`I; OEIL = '1.5 ther= 0
'perennial streams may also be identified using other methods.
See g. 35 of manua I.
Notes: x
------------------
i5nah01 O
----------------
Z
S'll

4
PW
JAV

USP CE AID# CIWl�j hI Site # (indicala an attactled map;
M STREAM QL ALITY ASSESISM ENT WC RNSHEE -V
Prc vid a the &I IwAin gl in fonrr atiou for tH a strearr reach tin der assess m4 in t:
1. Applicanll's narrie: �—Doq`y21. Evaluatar's name: > uo
31.Uateofevaluation_ _ 4.11 ineofavaluation:
5.1yarrie of silream:A✓ � �q, `�"� 6. River basin: � P,ra" 1—( �! 1
1. Appraximala drainal a area:�P l(�LN "LCt 8. SIwarri arden:
11 ff3
91. I englll till reach evaluallad: t, - 4— 11 U. Caurit}: � �-
11. Sile caordinale! ilif knawn): prefer in deciiu i l deg`eem. 1121. Subdivisian name Qif anj' :
Ualilude((x.34.872312): � / Hongitude (ex. -77.556611): 7�'�
N t thod localion detemiirad il(ircle):GHplopoShcct Ortto lAeiisI)PhotoilG:IS OtFer GIS Other
1131. Laoalian of reach undau evalua i le noauby uoacs and lancrriauks and attach map identifyinslrearri(s; lacalian;:
114. Fluora!ec channel work Qifan}1;:�
115. Recant AeatHau cariditions:
116. Site canditions at lime of visi
117. ]Identify anN special waterway classifiaalian! knawn: & Seclian la A-Aidal W,,lers �- ) s<anlial Plisheries HaHillat
aul WalensV=F(�luilstandirig Rescwuce Walans fv-1\utrienl Sensiliva Walers 4. len SuppIN NMatersHed/,WVl)
18. Is there a rand an !aka located upstueam afthe evaluation paiirl? YIES IAC IfNes, eslimala tlhe walan suufaae area:
19. Clue! charnel arpear an USGS cluad marl? YES 210. Dae! channel apr ear an USDA Sail Survey? YE NO
--,1j^�
°/a Cam/o mercial 'Inic usilni< l 4d)44' ricullural
:1.1. Hltimaled walanshed land use: I/ Residential
Forested
212. Hankfull Aic lh:
214. Channiel store dawn center of stream: _Flat (CI to ao/()
_% Cle, red .I Logged _% C th a n ( _ )
3?1. Banill height (Ifuarn Had to tap of bank): 4
_C entle (12 to 41/o; _Moceuate (4 la 101io _Silaep (>101i0
215. Channel sinuosity: Stuaillhil _Occasicmal bends _Fliia quer t nneander XVery !muco[! Braidec channel
Inllructious foi complelior of wcrhshecl (located cn eagle 3": Begin bN delauminingl the mast arpuorri:te ecouaglion basec an
lacalion, teruain, vegetailian, lniearri clas! ification, elc. Every characlaristic must be scoued usinll the !arrie eaarellian. Assign roirils
la each characteristic within the range shaven fcw the acarellion. Page 3 puavides a brief descuiplion of how la review the
chauaaterislics icentifiec in 11he warksHeel. Scone! spcmld reflect ar overall asle!srrietrl of the silnearri reach under evaluation. If a
characteristic cannot He evaluatec due to site on weather canditions, eater (I in the scauinll bax and pnavide an explarialion ini the
ccrnnient !action. Where tlieue are abviaus changes in the characleu till a stnean unceu ueviay. I�a.l., the siream f aws fuotr a raslure
inta a ilauesl;, tlhe ltuearri it ay He c iviced rota smaller reaches that display mane continuity, and a ! epauate faun used to evaluatle each
ueacll. Tha talal scare assigned to a slrearri ueach must uanlla between a and 1C10, with a scone of 1010 nepuasenling a stueam of Ille
h igh e! t clualiq . L
Total Slcorne (from reverse;: Comments:
Hvaluaton's Sign atu ne C Haile '
70hi! channel evalual, n fo is iwiended a t!ec ornl3 as a gluide to assist Ian(cwrers arc environrrerlal pnofclsicnals in
gathering) the data required b3 IHe Uniilec Shales Army Corps of Englineers to make a prilirriirary assessment of sllteam
gtaliily. The lolal score ra!ullingl frorr the completion cf this form is sulljeall to USACH approval anc does rot imply a
pain k u lar mitigation ratio or requinemenil. Foram su b; a ctl to ch and e — ver! ion 06/CI3. To Cammenit, r1 lease call S IS -81(-84z I x 216.

STREAM QUALITY ASSESSMENT w a RKSaET
T i nese cnaracIem: tic: ale roll assessec it coasIail sl rear is.

NC T]VN() Rtieam TrlPnt'fieatif in, Fnlm Un. cirri All
_�A F yv-71 0 / I
Dater ` . - G' j L
F r ojcat/,lille: � +
11 atiluc ei S
9valua9or:�t'�,.
Claunty: l _l% �1
IJandi9ucer` ��"�L 4
a
3
3. In -channel slnuelure: ex. uifflEi-pcal, sleep-peal,CI
nle- ool sequence
llclal Poing:
Stream is at least intermittent
7
Sltreami Derteirrniinaticr Ic'
Spry eimemal Ir teirmitten r ial
othei
J,
iA z 19 oferennial ifz 30"
ei en
e.51• Glc ac Name:
��
H. ueomorpholo (Sutlola] = r I q
la Cc ntinuity cf ahannel bead and tank
Atsent Weak
CI •1
Moderate
2
Strong
3
A. Sinucsity of channel along lhalweg
CI •1
a
3
3. In -channel slnuelure: ex. uifflEi-pcal, sleep-peal,CI
nle- ool sequence
1
2
3
. Panicle size c sinEiarr substrate
CI 1
Yeis = 3
3
5. AalivedrEilial flcodplain
C1
2
3
6. Depositic n al bans oil beiri ahes
CI
2
3
7. Reiaeinl alluvial deposits
CI
2
3
8. Heaidauls
0
24. Amphibians
CI
51. C nac a cc ntnc 1
0 0.5
1.5
1.5
10. Nalunad valley
0 0.5
1
1.5
11. Seiacnc an gueaiteii crcem ahainnel
o = CI
Yes = 3
B_ Hvdrnlnnv (R11l lntal
'1,1. Pueseinae c Baseflcw
0
3
'13. Ircn oxidizing bacilenia
(1 1
3
. z. Leaf litlein
1.5
(1.5 0
'15.. Seidirr ent c n plants c n c ebnis
'16. Organio dEibnis liners (I PHEis
(1 0.
(I C1.5
1 5
1 '1.5
'17.19cil-balSEld evidence cf high wailen tablER
c = 0
Yeis = 3
'IF. F ibnous nc o,ls in stueieimbed
151. RCIOiEId upland plaints in s lneamt ec
3 i
a
CI
20. Macmabenihcs (note diversity and at undance)
(I
1
2
3
2'1. Aquatic Mollusks
0
2
3
23. FlisI
0
C1.5
1.5
23. Clrayfish
CI
C1.5
1
1.5
24. Amphibians
CI
C1.5
1
1.5
25. Algao
CI
0
1
1.5
26. Welland plants in s lneambec
ACW = 0.75 CBL =
'1.5 0hEir = Cl
'penennial : tneam: may also t e identified using other methods.
melee p. 31 of manual.
NatEIS:
-snahOl 7

snah017
Waterbody snah017 facing east upstream
fir�l
Waterbody snah017 facing west downstream

L SIACE AIC#
CWC A
Elite h♦ Oncicala c attache( rrap
STl R EAM QUAM Y ASSBSISIMENT Via RKISH EE11
Pr(lvide tt a f(dlavring infeirtrnadian for tte sdreami react undeu assessment:
11. AIpIicaris name: UC 'r �, m n
3. Dalt cfevalualicn: l; .1•�<,'` Q ,.;at<.
�I
5. Name (f s tt aarr: t i�
7. A pinp(xirriate (tainage auea:
SIL Length cfneaah evaluate(: SO
_AQF
2. Evaluaooi's name: '-J ' ' r-�"
4-Tirrecfevaluailicr: )ate
(. River Has in:
51.Eti(amcn((t:
(1. County: P,)P' -`'
11. Site coclrc inates I Iif known;: lltefrn in decimal depeem. ]I21. Slulldivisien name (lifany :
L atitude (ex, 34.8723 12):
i a ngitude (ex.-�77.55r6 11):_
M ed od location detenmin(d Ilcincle): f GA 110110 Sheet Chrtho ijAanial) Al oto/Gll,' Other GI; Clther
131. L (cation eft( acH uncet evalunoile neat by toacs anc lancmarks anc attach rnlapl i(( ntifyingl;lreamlls) location):
14. Prcpclsed charnel w(iuk ilif arty): A)ate,
15. Recerit weather cun( hiclns: f .If ,fv
lec(m(iliems ail time ofvisit: Nciat,.t,,AI
1171.;denlifj ary sp(cial waterway class iflcalicln; known: —Section ICI _Tidal Waters H; sen lial Flisheries Hallilat
—Traul Waters—Culstandingl Resource Waleus—__-Nulrienil Sensiiva Waters Wal( ii Euplply Watershed Ii -.V)
18. Is thete a plond cui laka located uplatuaatr cif the evaluation plain l? YES i J If yas, eslimaile the wales sur face area:
19. Da(s chanriel aplp(ati an L E GS c ua( it ap 1 YES NC 210. L cies channel app eat an L SDA E ail S urvey? 11HS N 0
211. Eslirr aled walershad land us e: _% Resi(ential % Camtr et a ial
— —% ]nduslrial —°i° Agriculilutlal
Futestec —% Cleared d Loglgec —% Oilher I
221. Bankllull widlfl: C',
f A. E ark height ilfrcim bec 1(1 ilopl cif Hank':
24. Channel slanle dawn caplet cifsilrearri: _Fllal (10 1(1 0%)\N11 Gerilla 12 la 4'i ° E o
I—Mc1(etale(14ilo 101ru) — teenlll>101r°)
215. Chann(I sinuasity: S iraigh l —Occas i0nal bencs —Frec uent meandet —Very s in u( us _Braided charm( I
Imlruetions 1(111 (elmplelian off vrarksheeil (located cin Iage 2.: Begin by del(tmininpl the mast aplptoplriate ecot(gion llasec cin
lacalian, tertair, vegetailicu , stt(ari classification, etc. Evary characilatistic rnlusl He scotled usingl ilhe sarrl( ecaregliati. Assign points
10 each chatacterisilic within the range shown foul the ecclreglian. Palle 3 ltovides a brief descriplicin Of haw 110 u(vi(w the
chat aeterisilics ic(niliflec in ilhe wotlksH(el. Se(11es shaulc reflect an clverall assassrrenl of the stream teach un(et1 evaluailicu. if a
aharacterislic cannot he evaluated cue to site c1r mealieu canditi0ns, enter Cl in the :cclringl Ham and prclvice at- explanation iri the
acinunent secti(m. Wheta there atle ciHvictus cliangas in the cliatlacilet cif a stream under review (e.g., ilhe sUlearr fl(1ws from a lllaslute
in la a faresil), ilia silreatr n -ay be divide( inilo smaller reaches that ( isplay rrlelre eantinuit), anc a separal( fclnr wad tc1 evaluate each
reach. The total scotl( wsiglnec 1a a streani teach trust range Hetmaen CI and 100, with a scare cif 100 tlepreseritingl a strearnl of the
Higlhesil quality.
To at Score (Ifr(irr, reverse): _ Carrimenls:
Evaluailor's Sign: ilure
Daile ) e ) 7 ,
This ct onset evaluation farm is i tende to fi sed only as a g( ide to assisil Iancamners and env ir(inmental professionals in
glailheuingl tte (ata regluirec b the Lnited States Arm3l C(111ps of Englineers ilo male a prelimin.r3l assessmenil of stream
glualill. The teltal sc(we resulting fuolm tte carrtplledi0n of Itis fclrm is sutject to UEIACE approval and dais not imp131 a
1: articular m iiliglatian railicl ar reclu irem(n t. Flarrrl a uH.'ect ilo cl ar ge — v (t sieln 06413. Tc Comment, pll( ase call S119-816-8441 x26.

S'DREAM QUAIJITY ASISESISIMENT WC RNSHEDTI
• ••""" ....•.......... o..w — uM L aaaaaacU Ill W db Ull staca 1119.

NC DWI 'Stream Idf r tiflaition Fanm V(nsion 4.111
Danes: � Prciject Si1c:
_ Lafiiuce: -6
EN aluatar
County: � tnLongituce:
Totall Poin Is: I J l
Jfream isd leasd intemiid lend
:1lrelarniDEllEumiinerliein circleo C1IHEIr
if? 119 on perennial if z 30* 01 47 Sphelrrieral (ntermittenj� F eren n is e.g. Quad A ame:
A. Geomar holo (Sublolal = ' )
A N selnt
eak
Moderallel
Strc
'Ie Contin uity cif chann Ell bEld anc bank
(I
1
. Sinuosity cd ct annEil along thalweg
CI
3
3. In-channEll stnucture: ex. piffle-plaol, stEIp••pcioi,
3
ri le- ool sequence
Cl
2j
3
4. PartiCIIE size cif stream sullstrate
Cl
5. FlolivE )relict floodplain
q
(
/2.
2
3
El, Depositional tlars cm benchE s
0
3
7. F ecent alluvial deposits
0
f1�
2
3
a. F E ac cuts
0
1
3
9. GriadE ocintrol
(I
0.5
3
'I.5
Cl. N atural valley
(I
Cl.a�1.5
11. Seccinc cir greater uric er channE I
_
N o� (I
a a rlificial ditches are not rated; see dis a c s s ions in manual
`�---
YEIs = 3
B.1- drolo Subilolal
:. PresE nce afl Baseflow
Cl
'I3. Ircin oxidizing bacteria
0
1
'I4. Leaf Hurl
'I5.'lEc
'I.5
0.5
3
q
invent cin plants cm c abriis
0
ICl. Organic dElbnis linos un piles
0
t)
5
1. Moil-basec E viden CIE cif hic h wateri table?
N ci = 0
1
9
C. Biology SLtr'latal =
19. Ritlncius nciots in sirlEarritud
3
19. Racitec upland planls in strrelambE c
(I
3
2
2(I. Macnciban thas (note diversity and abun(lance)
Cl
3
21. Aquatic N cillusks
23
22. Fish
a
0.5
1.5
23. Crayfish
0
(1.5
1
24. Amphibians
(I
1
29. Algae
(I
5
9. WEtlanc plants in strearribEc
RACW = C1.7,11; C 8L = 1.5 Otheu = (I
5
'pc nennia I s tnean s may also be identified using other meths ds. ;lee
p. 3 5 o l manual.
Nateis:
Sk
snag006
0$ snac,008
snag007
snag008

c
-
rot
V1
r r
a9!
h7
va
w
c
-
rot
V1
r r
a9!
h7
i
-
it}�.
1
r.
h7

snag008
snag008 side shot

NCI Division of Water Quality —Methodology for Ider 1 ificla tion of Ir IIE rrr ittent and
Pereriniz I Slrearrs and Their Origins v. 4.11 X�
NCI nR C) Sti•na m TdciriCfiris anri A'nrm Vn ;c n 1111 z I) A / /' n ;�
Dale:
PnaJeClUsile:
"eaN
Lalituce:
'I" Cantinuity of channel ted and bank
0
—2 0
,I
3
E%aluE ou:
��.
Cciunty:
��t�� �
LangituceF�+
f
3
Total R ointi :
l
C
it
3
Stream is at least interrnittent
9lream Dete
1 rale or El) ci
Men
3
ii z 'I9 or perennial if 2! 30'
9F herrieral
ntermitlen F erEinr ial
e.g. Quao Name:
3
A. Elomor holo (SL IC ICItE l = )
Ab: aril
"eaN
N ac Elratel
Stror g
'I" Cantinuity of channel ted and bank
0
—2 0
,I
3
21. clinuasity al channel along thalweg
0.5 C
'15. Sediment an plan is ar del: nis
0
3
3. In -channel sinuctune: ex. riffle-paol, step-paol,
ripple -pool sequence
l
C
it
3
4. fllarticle siza Ell stneam sulj slnaiEl
01
Yes j3j
11
3
5. Flclive)lrelicl flaadplain
Co.
'I_
2
3
8. 0 epasitian al bans ar ten( hes
0
1 ~
2
3
71. Recent alluvial deposits
p
d
2
3
8. HEiadcuis
0
snag008
3
9. Gnade cantnul
0
'ICI. Natunal valley
C
>5 5
1
f
'11. Sea and an greaten under channel
r
NO = 0
Yes =
B. Hydrology (SLLtclt€ l )
1�1. PIIeSElnce al BaSElflCI%A
CI
1
C J
'I _1 Iran axidi2iing bactEuia
0
_
—2 0
14. Leaftililen
.
1"
0.5 C
'15. Sediment an plan is ar del: nis
0
C.
E
1 EI. Organic detris lines an piles
C
.5
1.5
1T Flail Lased evidence al high waten table?
Na = C
Yes j3j
V- UTAJlllliV 1.111[11( 111 _. G...-2 l
18. Ribious naats in stnEiamtEid_
3
0
_
19. Raated upland plants in stneamtled
3
_
—2 0
2C. Nacradanthos (note diversity and at undar ce)
C
1"
-1
2'1. Aquatic N allusks
1
2 3
22. Rish
0
1.5
M. Clrayfish
C
(;
I 1.5
X14. Plmphitl ians
0
Co.
1.5
X15. Algae
C
0.
1.5
X16. Wetland plants in stneamtedRACW
= C .A5; OBL
= '1.5 OthEm0`
panenr ial streams may also bE identified using other mett ods. See
p. 39 of manual.
NatE S:
SkE t
$' sna 006
g
snag007
snag008
snag006

o,
USA CE ATE #I]WQ tl __ Site tl__ ilindicale cur attaches map,
SITREAM Q UA IllTY A SISIESSM ENT VNIORNSIHEEIT
�1
F rcivide the to ilo,j it g it formallicin to r tla stream re ach unc er assessment:
11. Applicant's nap e:
2. Evalua1ar's pante:
3. Date aif (valuation: 4. Time of evaluation: % L
t
J. Name of stream: (/ ' _ r F` ,h F. Rig=er basin:
Appuaximate ciairtage area:
Stream order: 1 t
S. Lengltl- of reach evaluates: i(5b.10. Cour ty: )t^_ 51 z�
111. Site cooudinales ijif llnaiun;: Cnciller in dmeitral degrees'.
12. St Lc itiisic r haute (if any
I r titude (Cr.:. 4.9 71: Lor gituda (e; . --77.:: H61 1): ��' ` 7
Method for tion determined Icircle): ,i'GP Topo S1 ect Clrtho i1/Leri: 1) Yhoto,ICiS Other G S Other
I'I. Locati( n of ue ach under evaluation 11r c to neartl y rcoac v ar d lar do auks an( attach mall iden tif) it g stnean- (Is Iccati( u):
Ff F
C
114. Prollased channel wicrk (liif any;
11 °I. Recen t weather ccr diti( r. s_
11(. Sits eanc iiians at tirre (iif,,i,,il: /�),,i'>, k-- e,
1 1).11denitifj any, special wiaterway ciassificaticns kn(wri: �'Hecticn 10 _11ical Water;, _flss(ntial flishariies Hall ilat
_Trc url Water: — C utstar ding Resource Water- _ Nu triew Sensitive Watersi —W ater Suplplj A ail ersh ec III-IV)
18. Is thare a pane or lake lacatad upl,,treari (ftl( evaluaticin point? YES U ;If yes, e:lirrate 111 wiater surfa( e area:
191. Doics chaurel a[ Flear cr USG1 quad mall? YEAS /C 20. Dc e,, ell anr cl appear or USE A Soil Survt y? YES NC
21. E,-tiwatec wiatersl'cd land w- e: _�/„ Resicentlial _°Ic Ccmiicrcial _oio 1r custrial _oia Agluicullwial
—%, Flaresiled __'/o Clleared / Lcgglec _oro other
22. Barllfull wic it : 231. Bank I: eig l l (ftom bec I( it opl of N ark' :
24. Chant el slopla c cwt n < er ter c f s't e am: _FIai ((I b i 2° 4 , ✓Gentle (I2 1 o z a/o; _Maiderale i 4 to 1(11/4; _Steell I1>1 CI%;
2'_. Channcl sinuosity: 1//Straigtt _OeeaFicnal t•enc,, Fregtcnt riearder V(ry simrous _Braidec cl arincl
Instrueilians for cumplell an of worksheet (seated (n page 2): Begun bN delerwining the morC applrcpriale eecucgien based en
loeatian, teruair, viegletatian, stream claes'ificati(n, etc. Every cl-ara<teri,,tic r usl Ile Ftarec using tfe same ecoregior, Asrigln pairts
to each characteristic within the rarge sten lkni the ec(region. Fags 3 Irmicts a grief c(scuipticr cl h(wi to reviiew the
characteristics icertified it tht work!+eel. Sc(re;' slculc refect an cverall w'ee::mier,t of tl-e strcan react- unser a,,aluaitior:. if a
characteristic canrol Ile e",ialtated cue 1a site cr wiealher canciticn;, enter CI in dhe secring ho)a ail( pnaiic( ar explainalioin in tt-c
corrn-ent section. Where IT ere are (hvii(us ctangles it Ii e character of a stream ur ccri renew i�c.gl., 111e stream flus fitorr a plwilure
info a forest), the ,ti(ari may Isle divides into smaller ueaek., that cispllaN more conlinuily, and a separalc Ierru uses tc evaluata cacl-
reach. '111Ihe loilai .Icore assigrec ilo a <Itream reach muet range hetweer (I anc IN, will a scare of 100 replresertingl a shear,- of 1he
it iglhest qu alit) .
Total Score Ifrom reNerse : Canltri Is: g4"��
Hitaluatcr'si Siglnwlure Darla
Tris ehanrel evalualien min'fis tended tdlle used) only as a guidf tcl assist) lakouners anis en rV, orRientlal F rafessianads ins
gatterittg the data recuired bbl the United Silates Arm} Corpi of Enigineem to mane a preliminary wisiessrriemil of sllnearri
quality,. The toluol score rviuhlir8 frons the ccnipletiani o:r ilhi;l form is subject to UISACE applrovad and toes poll imply a
particular mill iglall icmi natio gar requirement. Fortr siibje<t tc (Mange - �crsici Cl6,l(13. Tc Cornn-ent, Flea<e call 9191-8-,C-8441 x 26.

I/
ST REAM QUAL ITY ASSE SSMENT WORKS -HE ET
� uuaic a awuici isuus arc not aS5c990c it CC29fal sircams.

��, t y1 1 f• i M 1�1 71
r 1 h a 41
y 1
1 I'
00 LI 71 RI
R i
1
V

snag008 int
snag008 int side shot

USA CIE A 1D
DWQ #.
Mile tl tlinidicate an at ached marl
071SITiREAM QUALITY ASISIESSIMENITi WORKSHEET -AQP
Piovice iihe followingl infcirmalion feu the stream reach unc er ass essmien 1:
licanl's nail e:
I. Evaluator': nam e:
21. C ale of evalualiar :
� 4. Time of evaluation:
'_. Narre ofsiream:
'A. AprraximaiVa drainagle area:
9. L ( ngph of reaictl evaluated: _'::�,! )
6. Rives basin: r/: -`l
8. 311earr arder: •
IC. Caunty: 'IN M
111 Mi11e caoidinales (if knam n : prefer in deci(ral degre(s. 12. Siubdivisian name (ifan)):
E� /
Latitude(ex.:,I.E7;"17): j°1uy ��
L ongitude Q n. —77.9 96611): �, br
Method loastion daternined Qciraleyl` Topo Sheet Ortho QAeriall Hhoto,IGIS Othan GIS Others
13. Lacatian of reach under evaluatian Iniale nearby raads and laindmauks and at1acb rr, p idenlifyi ng stnaarr (s lacatian):
14. Pt ap ased cl- anni( 1 wark Ilif aniy, :
11(1. Reaent %Aaall en canditions:
16. Sile car ditions a1 lime (if visit: -Ai�i
]q. Idertify an)I special materv%ay classificalians knamni: _Secliat lq _Tidal Waiters _Essential Fisheuies Halbilalt
_Tiaut Waters _Culslanding Resaunce Waleis _Nutrient Sen!illive Water; _Waler Supply Watershed Il14V'
18. Is there a rand ar lake laaaled urs1nean- of tlhe evaluation paint? YES NC 7 f yes, estimate tha v, ater sunfaice anaa:
19. Maes channel aprean an USC SI gluad mar? YES NC MCI. L7aes channel appear on USE Sail Slurveyl? YES NC
21. Estimated matershed land use: _%Residenilial _'/oCory rrencial _%Indu!tuiad _1/ Agricultural
Fares Ied _% Cleaned / Lag€led _% Olhett II
2. Bankfnll wic ib: 13. E ank beiglh l I1fram bec to tar of bank):
i 4. ChannaI slap( dov%n center of stream: _ Flat ((I to 2°/�Genitle 112 ilo z %' _Madanate (z to 10"io _Stae
\ p(1>10'io
2 9. Ch am el sinuos ity: Sltnai€lhil Occas ianal bends _Fuequent ill eainder _Very s inuaus _Braided channel
lnstructions fail completion of warElheel (located cin ragla 2;: Begin b)I delenmining tlhe nasi arptiorriaite eccinegior bas(d an
lacalian, teunain, vegelalian, slrearr classificaitian, etc. Ever)l chauacleristic mush be sccired using lite same ecaregiar. Assign raints
ici each characteuislic wilhini tlia range sho,vn fan ili( eaare€lion. f agle 3 provides a brief descriplian cif haw to review ilia
aharacteuislic; identified in the "onksheel. Slcanes should reflect an aveuall assessment of the stream reach under evalualian. If a
aharactenistic cannot be evailuailad due 1a side ar v,eatl en candilians, enter q in the scaring) flax and pravida an exrlanatian in the
camaenil section. Whane Vhere ane abviaus changes in the char,,cter of a sireaim under review (e.g., the stream flavus from a pasture
imla a fares)), the stream tray be divided inks sinailler reaches than disrlay ryare canitinuiq, aind a sepairalle fairly used to avaluate eaah
reach. The latal score assignec Oa a sift( ani neaah Rush range between CI and MCI, with a saare of im representing a stream of tlhe
highest quality.
i
TOM Secire ((from rev erse): V Camimienis:
Evaluator's S ign<ilure,d
Dale
This channel evalualiain fcirm,i4inlended Ici he used Only as a guide tlo <ssist lancowner: and environmental professionals in
glailheringl tfle cats tagluired ty tl a Uniled States Army Carps of Englinears to mane a prelimin<r} assessmentl of stream
dualill. The total score resultingl flour tfle ccyrirletian cif Itis faurri is subject tai USIACE arprmal and d(es not imrll)
plarticular nAlliglaliain railic air recluiremient. Harry subject 10 change—versicitt (16113. Ta Carrmenl, rlaase call qlq 8'16.824I x 26.

STREA M QUALITY A SISIESSSIMENT WORE SHEET �,r ; �,�

NC DWO Stmalm IdenIificntian Farm 17n-, ni All
SWI Ukly tau L icndl = _,-2 )
A t sen t
a.
Data:
Miclecit/Site1: R
Lath udc:
Evaluail cir:
u
Claunty: ,�
E ,ul},
Lcinlitudu ' �//
f izZ,
IdIal Points:
2. ( : inuosity Cf channEll along 1hal'AElg
C
Stlream is at toast intermitilent
if z 19 or Mi 30' C7" <
Stream Deterrgi QCurClle ore)
E plil arn(mal I�itermitten Flerer ial
C tF er
perennial : ,
r
e.g. Cluac Name:
SWI Ukly tau L icndl = _,-2 )
A t sen t
Weak
Moderate
S1 non g
1` Ccrltinuityc' channel LEK anc bank
C
r1
2
C
2. ( : inuosity Cf channEll along 1hal'AElg
C
'19. SEidirr ent c r plants an dE1bI is
0 0.5j
3
3. In-channElislruclure: ex. riffle-pcol, ; IElp-POC I,
IE1. Organic dElbris lines oI piles
0 0.5,
2
3
ripple -pool sequence
C1�
Yes _ 3
2
3
4. FlartiClEI SIZEI 0' Stream SuljsiratEI
Q
1.9
29. Algae
CI'
9. AC1ivEI/IEIlic1 floodplain
0
1
2
3
61. Depositional bass or benchEiS
q
1
77__ -
3
7. FlacElnl alluvial deposits
0
1
2
3
8. F eadCulS
0
1'
2
2
3
9. Gnad Ei cc r11 rc l
(
C.9
snag007
3
l A
IC. alural valley
(Ii
-. (1.9
1.9
1'1. ecC nc or greater c Ic ar channEll
a
INC = (I )
YEis = 3
a dificial ditchers a ner not aarA,I� c.ra..�,�. ;,.
.�.,us; lois In manual ..,.
B. Hydrology (Su bI o al = I)
12. Aresence o1 BaSEiflow
Cl
2
I3. Incn cxidizing bacteria
Cl
t J2i
3
'I,1 . (leaf libel
C
q.9
CI
'19. SEidirr ent c r plants an dE1bI is
0 0.5j
1 2
3
`I
IE1. Organic dElbris lines oI piles
0 0.5,
1
1.9
I7. I CII-baSEld EIVIdEIncEI 01 high Water table?
INC = Cl
Yes _ 3
1.5
r Rinlnn . rc., L. a.. a,.i _
0
4
1.9
18. Flibnous IC cis in , flicambec
'19. Rco1EId upland plants in slreambelc
'3
2
0
0
ICI. NacnobEinlhcs (note diversity and at undance)
C
1 2
21. Aquatic MC llusk:
(
1 2
3
`I
22. AishCI
f' Cl.
'I.5
23. Crayfish
CI
OF5
2� . Amphibians
0
4
1.9
29. Algae
CI'
CI $
1.9
2E1. VI Olan c plants in stimamt ec
______
FACW = (1.79; CIBII = '1.5 C11har = '0
*perennial stre ams may also be identified using ott en me thod;
. Eee p. 35 a t manual.
77__ -
Nol eE :
_08 sna 008
g
snag008
snag007
snag00fi

F
. ���.
�. .: ,�'
4 l
1" � � .,
A� _ 3-�.
� .. x'r"C � ... \'
i � `
���
N► ��_�� .s z\r � - .,\:Pte t' � I�t �`
r 4�__ z
fi � '.
'�
Tz T '�,
y �
• f.
�
�
c ,
��r 1
F
r
r _
�
a y r.
��'
r
J.,1'
r.. ..
�
_
���.�
•,
��
'�•t
�k �.�
L �}.,
y,. h
y,`
��'
h'
'
.
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snag007 side shot

L SA CE AIDi;
D WQI h1
Site # (ir diaail e ar attaclled map;
Lig
S_ TIREAM QUTA LITIYII ASS ESSMENTI WORK SHEET
Hrctvide tll a fallawing infarmatlian llar tt a stlrealrr react u ndeu assessment:
I . Applicant's rarre: 2. Evaluailoi's name:
3, Dale cif evalualicln: p . 4. Titre cif evaluallicm 'tM
5. Name efslUeant: f.14iver basin:_
7. Appnox irr ate di air age ai ea: 8. Stream cider:
der:
S . Length of tueach e%aluatec : b (I �
10. County:
111. Site eeicmc inales (ill kncmn;: pnaIll in docirnal dogiees. 1:1. Sub civisian narre iIifany):
Ilatituda ((),.34.8723(2): � 0 v ,,><
Longitude (a x. --77.55661 I): '_7 ,I
Method location determined (cii ala): �S _Fopd o Street Ortho (Aei ial) FhotoAGIS Other GIS Od at
I:I. Lcicalien of reach under evalrialioir 1lncite nearbj roads ar d landrraiks ar d a tae h trap ider lifjing sliearri(s
114.l1lioposec chanral work (lifanj':
115. Necenl v<eallieu ecinditiors
IG.Elite ccindilionsal lime cif vis it: "",,JPA, "' d
lc icallicin;
111 Idertify any special u<aterway classifications known: _Seclian i0 Tidal Waters _Hssenilial Hisheries HaHitat
_Tuaut Wailans _Culslanc ing Resauice Wailers —Nutrient Sensiilive Waters _Wailein Supllly Walershed lI-IV)
18. Is there a penc cir lake lacaled upstiearr ciflhe cvaluatien pciinVl YEf!,, NC Afye<, estini ale Ille water swilace area:
19. Does elanrel appaai an UISGS cluac inapt YES NC 21(I. L cies ehanrel appears or LISDA Soil Survey? -Y EIS No
211. Es'litraled walersHed lard us a: —°ru Resider tial
_% Fc a es tec
2121. Bank f ill widltl: �
_%Carntniencial _%Inc usIrial _%Agricuhlunal
_% Cleared il Logged _°ia O'Iher
213. Bar k height ilfrcim bed 1(i lap of dark;:
24. Channel s lclpe c awn centeu of sltearrr NHlal (10 lo -,I%' _Gentle 1121 to 4%) _Moderate I4 to ICI°ru) _Steep II% CI°ru)
2151. Chanrel sinuosity: Straight Ceaasion al Hancs _Hrecluenl meancat —Men sinucius Bruaided ellarnel
Irstrualians for campletiein cd workstleet (Recalled an page 21): He€lin Hy deterrrininll the meed allpralluiaile eccregliar basec on
locaticti, lenrair, veglelalicn, stream classifiaaliar, etc. Every characteuistlic must be accred using the same ecenegicin. Assign llelinis
lot each cllauaclenistic villin Vhe uange shown fan the eccuiegion. Flage 3 pravices a Hricf cesaiipticun of Ioiw ilci review tlhe
cllauaclenistics idertified in the wcirWsheet. Scores should uef ecl an civenall assessrr ert of the sltea rr reach ur der evaluaticin. ]If a
clianacleristic cam-ol Ile evalualec due Icl site cm weather ccncilioirs, well (I it the sccuiirg bcix and puc,vide an explaralioir in the
cclrrmew seclicn. Where lheue are cbviaw changes it the aharacteu of a stuearr unceu ncvia A (a.gl., the stream f cws fiorr a pasture
ince a fcmest;, the stncarmay He c iviced irtc sing Ileo ueaehes lhall display mane ccinlinuity, and a sepauale fcmm usec tlo evaluate each
.eacl. THa tonal sccire assigred to a sgnearr reach rrusl uanglc between a and ILIO, witll a scone of 1CIO nelliesenlirg a sltuearr cif IIle
higlast duality.
Total Scare (from reverse': C ammen
Evaluators Ji nature
This eHannel evalualian fo air rs4frte"d la be used anly as a gtide to assisil landawners and eilvircmmental pralessiarals in
glatheimg the cats regluirec ty tte United States Arn} Coups of Engineers Ito mane a preliminar} assessmewl of stream
q1u alit} . The tatal s ccu a resultingl fl am tt a carrplleticm of tt is farm is sr t ject tei 1i CE app ray a 1 and dues n oll irr p ly a
particular willigalliemrailiaarrequireini Harrrsulljectlacharge—vensian061(13. Ta Carr menl,please call SlS1-8;16-8z 41x26.

SITIREA M QUALITY ASISIESSIMENTI WORKSHEET
I These chanacreriis tics are nal assessed in aaastal stiaanis.

NC C IVIS iorl of Water Qt, Z lity -N ethos ology for Ic entificatic n of Intermill i erit and
Perenriia I Streams E nd T F eel Origins v. 4.11
NC DWQ Sttteam I dell tificlation Norm Version 4.11
Dater:
Prc jecll/9iile:`J , P L aliluc a:
9valLailcr:
Cour 1
w .°I Y .t1 Lonicill uce:^
Tctal Poiris:
SUielam Ileterminatior (cirp one
#trearn is at least intermittent ) 011 hew
if z f9 on perennial it >_ 30' EAIh ernieme I IntelnmitteFnt F erenniz e.g. Qua a Name:
P . ueorncir i c110 (Sl i:tGta) = l Ca. j
Absor 11
0
VI oak
N c c eluate
2)
Stror g
la Ccnllinuity c channel bed and bank
2. Sinuosity oil channel alc ng thalweg
(]
1,n)
3
3
3. In -channel slnuctune: ex. riffle-pcol, steep-pcol,
CI
2
3
ripple -pool se ueince
0
1
3
4. F article size c 1 stneiarni substnatei
0
1:7
2
3
5. Active )1nelict ilc cdplain
0
23. Crayfish
3
9. Depositional bans en be nchei:
1.5
C,
2z. Amphibians
(]
;'0)
2
3
7. F ecent alluvial deposits
'LS
216. Wetland plants in streanibed
FACW = Q.711; 09L = 1,5- --Other = CI
0-)2
p. 35 oll mnual
a
3
8. F eadcuts
CI
1?
2
9. Glade cc ntrc l
cl
0 57
snagOOB
1`5
1 Q. IN atural valley
snag00
rC,
0.5
1 5
1'I. Second c n giieater c rden channeil"
a
No =,0 T
YES= 3
F rtlficlal ditc t es Au not nat—f. moo di, ";___
B. Hydrology Su b lolal
12. Rlreisencei c l 9aseilc w 0 2
'13. Inc n c xidizing t actei is 0 (2� 3
'I . I eal litteir 0
I `I. Seidirniemt on plants c n de k leis 0 CI.5 1
El. Onganic dek nes line s c n pileis 0 Q.91.5
a. Sc it -t ase d evide nce cf high water tables? Nc = CI `Yes -3--)
—
CI. Biology (Sublaicl
10. r- 1011c u! noots in stne armbed
�3�
2
CI
19. Rceteid ufland plants in stneamked
��
_ — -- -----
2 ,1 —..
-- CI --
20. Macrct anthos (note diversity ar d at undar ce)
CI
2
3
2'1. Aquatic M ollus ks
1 2
3
22. Fish
p
0
5
23. Crayfish
1.5
C,
2z. Amphibians
(]
1.`I
29. Algae
q
S 1
'LS
216. Wetland plants in streanibed
FACW = Q.711; 09L = 1,5- --Other = CI
'perennial ; tream; may a I: o be identified using otl en meths cls. flee
p. 35 oll mnual
a
r
snagOOB
snag6t18
snag00
snagOO6

yj .yy
EVI
4�ri
`a, „ars"w`. l � _ T ..}.t a *q J � A �� ' 9TH d• : ..
sr
50
>a.
•
�
* .�,��
�
•
�� 'ice°
•�Y
ti r

snag006
snag006 side shot

USACE AID#
DWQ
Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name:- ti ��,r, ; ,�; v� Z. Evaluator's name:
3, Date of evaluation: S 140 � -Z_C) 1 L1
5. Name of stream:y W-
7. Approximate drainage
9. Length of reach evaluated:
4. Time of evaluation: % U d 0
6. River basin: lar "'r --b:„S.vr
1 §�
8. Stream order:
10. County: (° +l
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex.34.872312): ,31$I ,p , j r a!
Longitude (ex. —77.556611): q-7 ,
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any):
15. Recent weather conditions: L c. t '? No vp
16. Site conditions at time of visit:
17. Identify any special waterway classifications known: —Section 10 :Tidal Waters _Essential Fisheries Habitat
Trout Waters _,Outstanding Resource Waters `Nutrient Sensitive Waters Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES '1Vo-�lf yes, estimate the water surface area:
19. Does channel appear on USES quad map? YES NO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: �/a Residential �% Commercial z%o Industrial �% Agricultural
Forested �% Cleared / Logged _%° Other (
22,13ankfull width: e e �l 23. Bank height (from bed to top of bank):
24. Channel slope down center ofstream�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 Slcore (from reverse):—i Comments;_ r� cUAVetrct5 't
Evaluator's Signature Date SAVv3 it d�014i
This channel evaluation for s intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement, Form subject to change - version 06103. To Comment, please call 919-876-8441 x 26.

��1�G adf
STREAM QUALITY ASSESSMENT WORKSHEET
#
1
2
3
4
5
6
yi
7
8
9
10
CHARACTERISTICS
Presence of flow / persistent pools in stream
no flow or saturation = 0• strong flow = max oints
Evidence of past human alteration
extensive alteration = 0• no alteration = max oints
Riparian zone
no buffer = 0; conti uous wide buffer = max points)
Evidence of nutrient or chemical discharges
extensive discharges = 0; no dischar es = max Dints
Groundwater discharge
no discharge = 0; springs, see s, wetlands, etc. = max points)0-3
Presence of adjacent floodplain
(no floodplain = 0; extensive floodplain = maxpoints)
Entrenchment/ floodplain access
(deeply entrenched = 0; fre uent flooding = max points)
Presence of adjacent wetlands
110 wetlands = 0; large adjacent wetlands = maxpoints)
Channel sinuosity
extensive channelization = 0; natural meander = max oints
Sediment input
(extensive deposition= 0; little or no sediment = max points
ECOREGION
POINT
RANGE
SCORE
Coastal
Piedmont
M
ountain
0-5
0-4
0-5
J
t
0-6
0-5
0-5
0 - 6
0-4
0-5
E'
0-5
-
0-4
0 - 5
0-4
0-4
0 - 4
0-4
0-4
0 - ¢
0-2
0-2
0-6
0-5
0-5
0-4 0-2
0-4 0-3
0-4 0-4
r
11
12
H
13
,..,
14
E.,
15
16
17
18
Size & diversity of channel bed substrate
fine, homogenous = 0; large, diverse sizes = max oints)
Evidence of channel incision or widening
(deeply incised = 0; stable bed & banks = maxpoints)
Presence of major bank failures
severe erosion = 0; no erosion stable banks = max Doints)
Root depth and density on banks
no visible roots = 0; dense roots throughout = maxpoints)
Impact by agriculture, livestock, or timber production
substantial impact =0; no evidence =max .Dints)
Presence of riffle-pool/ripple-pool complexes
no riffles/ri les or ools = 0; well-develo ed = max points)
Habitat complexity
little or no habitat = 0; frequent, varied habitats = max points)0
Canopy coverage over streambed
NA*
0-5
0-5
0-3
0- 5
0-3 3
- 6
0-4 0-5
f
0-4 0-5
0-5 0-5
0-4 0-5
0-4 0-5
1!5
0 - 5 0 - 6
2
0-6 0 - 6
)
14
no shading vegetation = 0; continuous canopy = maxpoints)
Substrate embeddedness
deeplyLdeeply embedded = 0; loose structure = max)
0-5
NA*
0-5 0-5
�J-
0-4 0-4
j
20
i
21
O(no
C 22
23
Presence of stream invertebrates (see page 4)
(no evidence = 0 • common numerous types = max Dints)
Presence of amphibians
evidence = 0, common, numerous types = maxpoints)
Presence of fish
no evidence = 0; common, numerous tvves = maxpoints)
Evidence of wildlife use
no evidence = 0; abundant evidence � maxpoints)
0-4
0-4
0-4
0-6
0-5 0-5
Z
0-4 0-4
0-4 0-4
Z
0-5 0-5
Total Points Possible
100
100 200
TOTAL SCORE (also enter on first
page)
2
* These characteristics
are not assessed in coastal streams.
c,
2

NC DWQ Stream Identification Form Version 4.11
Date:
S AQ Z Fect/5ite:
Evaluator:
ES County:
Total Points:
Stream is at least intermittentStream Determination
iii' f9 orperennial if >_ 34" 30 Ephemeral Intermittei
A. Geomorphology (Subtotal Z )
Absent
1" Continuity of channel bed and bank
0
2. Sinuosity of channel along thalweg
0
3. In -channel structure: ex. riffle -pool, step -pool,
2
ri le- ool sequence
0
4. Particle size of stream substrate
0
5, Activelrelict floodplain
0
6. Depositional bars or benches
1
7. Recent alluvial deposits
3
8, Headcuts
0
9. Grade control
0
10. Natural valley
0
11. Second or greater order channel
a
No=
artificial ditches are not rated; see discussions in manual
0 5
B. Hydrology Subtotal = l
1.5
12. Presence of Baseflow
0
13. Iron oxidizing bacteria
0
14. Leaf litter
1.5
15. Sediment on plants or debris
0
16. Organic debris lines or piles
0
17. Soil -based evidence of high water table?
No =
C. Biology Subtotal =
18. Fibrous roots in streamb d
t
SV) SO s
Latitude: �®�.? S�,SyB "
Longitude:
Other
nnial e.g. Quad Name:
weaK
1
Moderate
Strong
3
1
3
�^
2
3
1
0
3
1
2
`3
1
2
3
1
2
3
0.5
2
3
0.5
l
1.5
0 5
1
Yes =3
1.5
1 2
1} 2
0.5
0.5
Yes =3
e
19. Roofed upland plants in streambed
3
3�
2
2
1
20. Macrobenthos (note diversity and abundance)
0
1
21. Aquatic Mollusks
0
_1
2
22. Fish
0
0.5
2
1
23. Crayfish
0"
0.5
1
24. Amphibians
0
25. Algae
0
0.5
1
1
26. Wetland plants in streambed
`perennial
FACW = 0.75; OBL = 1,5
Other = 0
streams may also be identified using other methods. See p. 35 of manual.
_
-
NntRc
3
0
1.5
1.5
0
0
3
3
1.5
1.5
1.5
1.5
A

110
2410s« � � �� o r �•r + .
,,,•Y } f.F�1A,,� '� w#'� �. .. � .� :fit'„' ., sir
y AAt
r
y . - 4p
,`. �;'^►io.`7-fit.

snag005
snag005 side shot

L MACE AIE#
EW( A
Site hl (linc icate on attachec rr ar)
FM 11 ST REAM QUAL I TY A SSSSESSSSMDNT WORK SHEET it
-A hN
Pr(v id a the fallovmin g information for Ile stream reach under w.4 es swen l:
1.Applicanil'snatre: D dI 21.11va[nator's name:
31. E ate of emalu ation: 4. lirr a of evalu ation:
5. Narrie cfslream: iRtiL a /
,River basin: ThR - UkM, L t Cej
7. Aprrcximatle cramage area: ;` LrzA.'iG�l�_ 9. S'Ine�rr arden:
9. L enb11N of reach evaluated: (� � q-- 1 C. Courty: fj �-
1 1. Siii e cc ordina11es Ilif kr cwr): prefer in decimal degrees. 1121. Suidimisior name (Jif t nil;:
^1
Latitude (ex. 14,11T 11, ): �� � �`7 r '�>~fi. ¢; s �� ��
Longitude (ex. -77.:A(I 11):
Method lovation determined Ilcirclel : GHS Topo Sh(lat Cir he 11Aarial) Allioto/GIS Clther GIS Other
131. LocationafneacN urderevaluation(rotlenearby macs arc lancmarNsanc attach map i(ertifyinblsireamis; I(aalior):
14. Hrapc sed charnel A onk (if any): �--
15. Recer I weather con( itic ns:
16. Site conditic ns at I irrie c f v isi
17. Z any slecial waVerway classifications lIn(v,n: tL eclior 100cal Waters essential Fisheries Elahitall
t i
Tn(ut Waters �,� utslancirnbl Resource Waters tutniert Sersitive Waters &1ler 11upply Watenshec ISI;
Al. I: theme a pond or lake locate( upstream oflhe emalualicm Heim? YEla 6&fyes, estimate the mater surface area:
11SI. Coes channel appear on USCS quad map? MHS G :Ili. Eoes clianinel appear (ini USEA Sc it Survey? YIES
'11.Es1irriatec matershe( lanc use:oResicenllial
/o plc rest ed
2121. E ankfiill wicth: /�
214. Chanr e l slop e c ovv n cenlen of slream: ><1al (01( a%;
215. Clhanrel sinuosity: SUiaibIVI ccasicnal limos
% Corr rriencial—'/olydustrial 30Y.Agpiicultunal
_V Cleared / Lc Mlled _% C 1h er II
2131. E ark Height tlfrern bec tc 1( r of Han N;:
_Gentle 1121 'Io z %] _Mcc enale (I/ tlo 10°ro _Steep (>10°io
_Frequent meariceri _Very sin ucus _Braidec eNnnel
lnslructians fon completion of Nvorksheell (lacaled an page 21 : Beglin bj determinin€1 the most appuorniale ecoregicn basec (r
I(caticu, teniair, vegletallicu, strearr classification, etc. Every characleni:lie must Ile seorec usirli the sarnie eccreblicn. Assigln points
1( each chanaeterislic mitHin the rangle sHcmn fon tllie eccregicn. Page 3 puomices a brief descuiplicn of Hove to remiem Vhe
chtnaateristics icentifrec in the mcrkspeet. Scones sltculc reflect an overall assessrrierl of the stnearr reach under emaluaticn. If a
chanacterisilic cannot He evaluatec due tc site cn weallher ccnditiors, enlen (I in the sc(ring hcx and provide an explaralior in tlhe
ecnmrent seclier. Where tHene are oHvious changes in 11te character cf a stnezrr uncer neviem, te.gl., the scream flows fiiorr a pasture
into a fctiest;, 1he stream tray He cimided irtc smaller retches Ilial display mone cuilinuity, and a separate form usec ilo evaluaile each
peach. Tie IeVal secre assibined tc a stream ueacH must rangle between 0 anc 100, milli a scone of ]CIO nepnesenlirg a stuezrr of 1He
highest qualitN.
Total Scare (fnom i eviers e;: J C omments:
7�
Evaluator's Slipinr Ilure �� ,. Uale
This cH antiel ev alualiairm s intended to be used anly as a guide la assist lainc omm ers and en v ircmmen Ito professionals in
gathering the cats regluirec Hy tie United States Army Ccrpls of Engineers to make a preliminary assessmenil of stream
quality. The total secre resulting from tile ec rrir Ietic n of IN is fa i rri is su h jeet tc USIA CE ar pp avial and does n oil imply a
[articular miliglatiein ralic or requirerrieul. Elcrrri subject to change-mensicn (16103. Tc Ccrrmenl, please call 5119-876-8441 � Y.

STREAM QUALITY A S SIESISIMEN T WORKSIHEET 0 A C 0;,"l

NC DVN Q Stn cam Identificatic r Fon m Ver sion 4 11I /
Date: r, l
t
•N
RnojErct/,lille: �\
U�
IJatilucel 4�
nlv% cn altl
JULI1t�.
31
2. 11inuosity cf ohannEil along thalweg
9valualor:
Cclunq: /v �• j'�--
IJorigiluce:f`.�
Points:
31. In-ohannEll Slul crll u r Eix. niffle-pc( I, StEip-pcc I,
ripple -pool se uence
CI
-
strew
Stream is at least intern iitten�l � '�
if z 19
Sfica m Delerrninalion c
iur
E f h erriarai InterrriittElnt
OilhE
or perennial if 30"
eren nial
e.g. quac Name:
A. C eomorohology (Subtotal = 1 A hcclr 11 11A.... _ .a..
r
la Ccnlinl ity e1 channel tled and bank
---••
CI
�
1
nlv% cn altl
JULI1t�.
31
2. 11inuosity cf ohannEil along thalweg
CI
1
2
31
31. In-ohannEll Slul crll u r Eix. niffle-pc( I, StEip-pcc I,
ripple -pool se uence
CI
CI
2
31
4. FartlolE SIZE csliieam sub91iia1E
a
1
2
3
9. AdivE /uE liat floc dplain
0
1
2
3
6. Deposi'lional bans or benchE s
0
1
X
31
7. F ecant alluvial deposits
CI
3
8, F Eiaduuls
(I
1E#E
3
9. GnadE oc ntrcl
CI
0
'ICI. t aluual valley
CI
C1.5
1.5
1'I .,lea( nd c r greater c nde a ohannE I
a
rlifirini rlitrh- : nt -ta.t•
YE s = 3
B. Hydrology (Su b' (1 2d _ I
12. FrEsence o1 BasEfleuv
CI 1
2 3
13. Inc n c xidizing bac1E ria
CI
2 3
I'. Leat litleu
1.9 1
.5 CI
15. SE dirriE nt on plants ort dE bilis
CI 0:5
1 1.5
'IE . Organic dE tris lines eu piles
17. Soil -base d evidence < 1 h' watertable?
a 0.5
No = CI
1 1.9
YEas = 3
'18. Ribuous nook in slueamilled 3
2 1
a
9. R001Ed upland plants in strearritlEd
2 1
0
20. MaciiiobenIh09 (note diver; it) � nd abundE r ce)
C1 2
3
2'1. Aquatic N ollusl s
1 2
3
221. Rish
CI.9 .1
1.9
23, Clrayfish CI
C1.9 1
1.9
24. Amphibians CI
C1.9
1.9
29. AlgaE CI
1
1.5
'16. Welland Flants in slueamided
A = 0.75; OBL = 1.5 Ctt Er = CI
'perennial s twams n ay also It e identified using othe i m ethod; . See p. 3:1 oil manual.
silri gOl
X

snag011
snag011 facing upstream
snag011 facing downstream

snag011
snag011 side shot

USA CE A IN DIVA Q M Site 11 ilindicate on at aciled man;
STIR EAM Q UA L ITIM ASSESSMENT VG ORNSHEE-V
Provide the lcdlov`ing infcunr atiou for the stream reach under a!se!sment:
1. A pplicanil's r art e: ,` ��Er. ;<' ,� . < 21. E valuator': name: -"; r'°
31. Oal e of ev alu at ian v , , "'� ? ��' 4. Time of ev alu at ion :
9.1v art a all s'I nearr : .t )�:) ` ; + �� � 6. River ba! in: i
7. A ppnaxirrate uiairage area: b. Stuearr cmc en:
SI. Ler gllh of reach eva luatec :1- 0 10. County:
111. Site coon( males (ill knovvn : pre ten in daairral dognees. 12. Subcivi ion rianiie (if any
Lati'It d a i. 3 E 12 p' iB r`"�
Longi) uda
Method location da teriu ined (circle):SSP Topo Sheet Ortho QAerial) F h( to, ICIIS Other CIIS Others
131. Locatian of ueacil urder evalualian )bole neanby toads anc landmarks arc aitacH rr an icen1ifyin€1 <lreamlj:) location):
14. Aroposed channel mock (ill anN):
IS. Recent weathet conditians:
1 C. Site car dition s at 1iniie of visit:
17.ldertify an }I spec ial vvaterway classifical ion, known: _�ec1icur la _Tidal Waters _F<<enVial Phheries Habilat
_Traul Wa1en� _Outstanding Resource Waters _l;ulrienl Sensitive Walers _Wales Supplj 'A aletisi-ed (I -IM)
18. is ti -ere a pond ou lakle located un! cream of ti -a ev alualiar pairt? YES' NOS If}les, estimate the wales ! urface anea:
191. Roes char nel appea r an USC S quad in ap? YE S 1v C XI. Dlaes cle ar nel appear cin UE DA Said Su rveN `: YES NC
21. Est irr atec vv ater! h ec l
221. Bankfitll wid1H:
24. Cli ar nel ! lape (awn
29. Ch an nel ! it uasity
1 nstru c9 isms for completh
Icicalian, teitiain, vegeValion
to each c h aracte iisl is wit)
characteristics icenliftec in
chatiacterisilic cannot He ev
camment section. Where t
irtci a lcuiest;, the �trearr rr
reach. THe ta1a1 : care ass
higfle!I cluality.
TOM Scare Qfrarr rev
use: �'ioRe! icenlial _% Corr rreticial _'/oIndUtniai _t/ Agnicthural
Foties1ec _'/o Clearec / Loggec _oro 01 her
:13. Bank heigl1ti1frambe( loliap of Hark]:
er afs1neam: =Hilal 0 la'1% _Cen11e iI21 to 40/0 _Mcideratle 114 to 1(I0/a) _Steep it%1CI%)
SlraigHt _Cccasiona]Hend: � Atiequenitreancen _'lery sin uciu: _Enaicedchannel
n cif wor(sheet illoeatec on page :1,: Begin by celertniinirg llie rrcisl apptiapriate econegion bayed an
sltiearr cla<<ifrcation, e1c. Ever)II chanacletiistic rrusil be scared using) the game ecaregian. Assign pciirts
n the range shovvn )cin the ecciregicin. Aa€1e 3 provides a brief descriplian of hciw to neview 1He
the morksfleel. Sccuies sHoulc reflect an civerall a!<e<<rrerrl of the stream peach under evalualicin. If a
luated due to site cul meallrer canditians, enletl CI in the sccuiinpl bcix and provide at explaralion in the
ere are oHvious changes in llre characcler of a sltiearr undeti rneview (je.g., the stream flowfticirr a paslune
y be civided into <rrallen neaclie� llial display motie eanlinuity, arc a eparate fcmm used to e)aluale eacH
,tied to a sltiearr reacH rru;l ran€1e between a and RIO, miler a score of ICICI tiepne!enlirg a slnearr al Me
t Carr rr en Is
Evalualor's Signalure � Dale "3 4.�
This clannel evaluayalfform C i to ded Ice be used emly as a guise to as!isll landovinem and er`'vireinmental prolessiorals in
gaVhenirg tle cats required by tle Uniled States Army Coups of Engineers to malie a preliminary assessmenll of!Iream
c ualily. The total : cure resulting fucim tle catriplleticin of This fcmm is su t jecl to U,� ACE ar p naval ar d diel roll implly a
particular tuilig ailian ratio'eui requ iretnenl. Saran subjec 1 1a change —ver! ian (16,103. To Con-rren1, please call SIS -876-8441 r 16.

r
STREAM QUALITY ASSESSMENT VWRIKSHEEI
" These chataaleii! tics aie rof a<<e!!ed in coagtal!hearv.

IS C Division of Water Q1. ality ­Methoc oIogy for Icentification of Intermitlle rlt arid
Pererlrlial Streams and 111 eir Oriains v. 4.11
NC DWQ Sticam Iderllifilaailior Alarm Vei-sicrl 4.11
Dalu
F najecrtdSita: r /
Latitudci:
It
4k
Strong
1'' Conlinuity ofl channel bead and bank
E% atuatou:W Ems'
County: (�� � J t_.
Longituce:
;3
2. Sinuosity c11 channell along lhaltieg
0
Total F e ints:
91rciam Dellerrr iriatiori (circ1q,naeC11hcm
3
St) eam is a I h asil in lerrnittent -
d? 19 or erennial if _. 30' 3 t
BFlhcirr eiral Initeirmiticmt E'erenr ial
e.g. Quao Name:
A . Geomc r f c to (SL tWWI = �)
A li I
eak
N c c errata
Strong
1'' Conlinuity ofl channel bead and bank
0
1
2
;3
2. Sinuosity c11 channell along lhaltieg
0
1
2 -'
3
3. In -channel stnucllune: ex. riffle -pool, SIEIPI-p( al,
ripple -pool sequence
23. Crayfish
11
-0
'
3
�. Particle size alsinearn substnaie
0
1
2
3
5. Ac1ive1lne1liCi floodplain
Cl
1
2
'
6. Deposilional flans an bemches
0
'2""'
3
7. ReCElnl alluvial deiplosits
02
3
El. 1- eadculs
0
1
2
3
CI. Gnadel aminal
Cl
0.9
1'
1.9
10. IN mural vallely
' Cl)
0.5
1
1.5
111.: elcond cm greater ander channel
Na a ,%
Yes = 3
P ar ificial ditc I es are not rated; see discussions in manual
B. H yd11c logy (Scbilateil _ )
`12. Fllnetseince of Ba: eii
0
I 2
'13. (non oxidiaing baclemia
0
2 3
'14. Leaf lits en
1.5i
CL9 Cl
5. Sediment c n plants ar debnis
Cl
0.5? 11.9
6. Organic debnis liners oo pliles
Cl
0.5 _ _ 11.9
7. Soil -t ascid eyJdencei c high waren tablel?
23. Crayfish
No = Cl �`� hes = 3
C. Biology (St,blateil = y ,,
IFI. Fibrcus rccits in stneiamtad
- -- - -.. ---
ICI. Raaled upland plants in siiielambeid
---- � _ _..__..-
2
- - - -- ----- ------ -----------------
2
(I
Cl
20. Nlacrcbenlhas (note diver: it) and abunclance)
0
1 rf2
3
2 1. Aquatic Nl allusk�
0
3
22. F ish
0
a.5
1.5
23. Crayfish
0
0. } 1
1.5
24. Amphibians
P
(I
�.
` 0"�5 1
1.5
29. Algae
0
'a.5)
1.5
2E. Actland plant: in slreiarritEid
FAC" = a.79; 09L = ' .5' Oihein,= 0
"perennial stneam: may a I: c be identified using othen rn ethods.: ee p. 35 of manual
Notes:
snn 009
9/

snag009
snag009 side shot

USA CE A iDAI DIVA Q M Site tl Iindia ate cri attached map;
;,,,; !SITREAM QL A LIMY AS!SIESSMENT WOR KSHEE 11 -
Prc vide ttl a fc Ill win g info rrriail is n 1 c r th a sil ream reach t in deu assessmen t:
1. Appliceinl narre:2. Hvaluator's name:
r
3. Bade c f evaluadi( n: ��.�a �� 4. Time c f evaivalic n: !�
5. Name cfslream: 6. Riven basin:,<
71. Appres imaile drainal e airea: 8. Silwanrl arder:___ t
9. Length c f reach evaluated: I Cl. Cc unty: 1'
111. Sill ( ccardinal(s I1if kncwn): pnefen in decimal degrees. 121. Subdivision name (Iifan)
Al
;:
Latitude ilex. 34.872312): "'" ° � I F 7 Longitude ilex. —77.:1:16611): -z
Method location detenminad Ilcitcle): ! GP� Ioil o Sheat Clrtio ilAarial) Hhoilo/GIS Clther GIS Clther
1131. Lceaulian afreaeh nicer evaduatior (Jwle neanb) ioacs and IancrramN! and attach mat identifyinl slreaiml:; lcaadian):
__..
gathering ilhe data regtired by the Unitec 91ala: Army Carps cl En€lireers tc tualke al plueffivinauy al::essrriant cl strearri
qualit). The ilotal ;acre resulting) from the eemphlien cl this form is :ubjeet to USIACE alpprcvall and tees nct imply a
particc lar miligalior rade or uecuirement. Pourri suH.jecl la change—version 06/G`. Ila Comment, please call 919-£'R-8441 x:6.
14. F ncipa! ed ahannel Nlcrk (Jif any)):
i�Aj v
15. Receno weather acmditians:
16. Site ccnditi( ns at lime of -visit:r"
classifical knawn: _Secticn 10 _Tidal Waters HssenllialRheriesHal
171. Identify any, :retial Aaterwary
_Trcut Wat(rs _Culstandingl
Rescurae Wailers _Nutrient Sensitive Waters _Warleu Slurp]) Watershed II -IM)
18. Is there a pard c n lake 1( cadet
upstream of the evaluatior pc irrl? YES,/NO/ If)( s, eslimalle the wapler suuface eirea:
191. Daes channel apt ear an USGS
quad mat? YES NO 210. Does channel apt eau c USDA Hcil Survey? 'i HSI NC
213. Hstimarled warleushec hind use:
'/o Residential _% Cammercial _1/o Inc usllrial _Oro Agricultural
_`/o Ao rested _% Clemed , I II aggled _(/o C th ei (I
212. E ankfiill Niicth: _
21:1. Banti height (Ifiom Hed tc tcp c f bank):
214. Channel slate d( An center of
stream: N Flat (0 to 20/ C entle Q: 1( 4%; _Moceuate (4 1c IW/o; _Sleep (>1(1%;
215. Channel sinu(sity: Straight
Occasianal bends Fuegluent rneainder _Very sinucus _Braic ec chauniel
Irslructiors fcu eomplelior of
1( caticln, terrain, vegletallicn, stream
i( each chaauaalerislic within the
chauacterislics icentifiec in the worksheet.
orh;heet (located cn palge 2 : Begin b) dell eirniningl the mast arpiopriate ecou(gior tlasec (n
classificatior, etc. Every characlerislic must Ile scored using the sarrie e(arglicn. Assign rol is
mingle shaven for the ecaregian. Paige piovices a brief descriplicn (f how la revievii the
Scones shcul( reflect ani overall a sesirrierrl of the slrearri reach under evaduaticn. If ar
chaiawierislic cannot tle evaluated
ccmmenl seclicn. Where there ar
hill a fcniest;, 'the stueam map Ila diviced
due to site (u weather canciliors, emleu (I in the scauing box and puavide an extllamarlion in the
ativicus changes in the ahairacteu of a stueam unceu ueviev< I1e.g., the stream flaws fiorri ai parslure
into smalleu waehes that display micnie ecn4inuity, and a sepamate f( urri usec 4o evaluate each
ueach. THe tatail scare assigned to
highest quality.
ai stream reach rriusl wangle between 0 and 1(la, with a scone of 1C10 repuesentingl a stueam (if itle
Total Sc( re (Ifrcm reverse :
Ccmrrienis:
Evalualc is Hign att re
Ilalte
Th is eh ann c I evalu atic n fe r i;
ed to d e used on ly al: al flu id a to alssi; t Ian do wr ers an( a lviror rrien lal r i ofe: ; is nails in
gathering ilhe data regtired by the Unitec 91ala: Army Carps cl En€lireers tc tualke al plueffivinauy al::essrriant cl strearri
qualit). The ilotal ;acre resulting) from the eemphlien cl this form is :ubjeet to USIACE alpprcvall and tees nct imply a
particc lar miligalior rade or uecuirement. Pourri suH.jecl la change—version 06/G`. Ila Comment, please call 919-£'R-8441 x:6.

STREAM QLALI'I1VI AS�,;IESSMEN'D WORKSHEETI
* These aharacteui;iIias arencrl w!iessec in cca!Ial sl reams.

NC Clivision of"alle1r Qt, aility-Methoc ology for Ic entification of Intelmitlelnt air d
Perennial Streams and 1 N eir Origins v. 4.11
NC DWO Stream Idenlifiaailion Atom Vewinn 4.11
Dale:
' �`" ��
Hloeat4Sitei: ;°t� C,
J k�
LaudEi:r� 7r
til ,.
fr
1.9
311arc
E%aluatcu:
Claunily:
HcirgitudEi:r7�=© ^_
16. Organic dEibriE lines ar piles
Cl
I
Total Paints:
0
.1
Itreamia at lea:tintermittent _
Etrearri Dalairririallieir (circle'an
CtHer
M? 719 o,i erennial iP! 30' �3
BnNerrieral InlerrnilltElnit''.Penelllrlial
e.cl. Quac Name:
A. GEcimor holo (Sublolal = 2,_, )
Abse nit
WeaH
MocerallE
1.9
311arc
•1' Cantinuity al channel bed and Hank
p
j
16. Organic dEibriE lines ar piles
Cl
I
2. 9inuasity of channel along thalWEi9
0
.1
2
22. Fish
0
3. In -channel structure: ex. piffle-glacil, sterl-paal,
ripple -pool sequence
0
II')
2
4. Farticle si2Ei of stnearri substnale
(I
0.
2,
25. Algae
.I
9. ActiveAnelicl I aodplain
(1
.1
2;'
FIACW _ (1.79; OBH =A..5 OthEr'- Cl
.I
6. Depositianal bans on lcanchEV
(l!
Notes:
2
;I
7. F ecent alluvial deposits
(I
r.
2
.I
8. F eadculs
2
J
9. Gnade contncil
A5)
1.9
'ICL Natural valley
'b ;
CI.5
1.9
'11. Second on greater cinder channel
a
Nci = 0
Yes = 3
ar mcial alta r es are not llatud; see discussions in manual i
B. Hydrcilogv (Sublateil -
12. F Eisen ca of Baseflovt
13. Inon axidizing bactenia
0
Cl
2 3
14. I-Eia'l Ii11Em
1.9
0.9 Cl
19. 9edirrient an plants on clams
Cl
0. Ell 1' 1.9
16. Organic dEibriE lines ar piles
Cl
( 0.5) 1.9
17. Sail-baseid E vidence oll high vA al Em table?
.Ci'
IN ci - 0 Yes`=
C. Biology (Su HIolal _ )
18. Flibnous noco in slrearr bed _
31
2 1
0
19. F ciolE d upland plants in stnE arrib ed
` �
2
0 -
20. IVaciiob enthas (r ote diversity and abundar (ie)
�� 0
(1) 2
3
21. Aquatic MolluE ks
.Ci'
1 2 =
3
22. Fish
0
(I.
1.5
23. (Inaylist
24. Amphibians
0
0.
1.5
25. Algae
0)
0 9
'1.5
26. Welland plants in sinEarribed
FIACW _ (1.79; OBH =A..5 OthEr'- Cl
'perennial stneams may also be identified using other mett ods. See p. 35 o1 manual.
Notes:
ag p
41

w;�
V/4
OL
c If
ME-

snag010
snag010 side shot