20140957 Ver 1_U-03_Appendix B_Wilmington_Cumberland NC waterbodies_Part3_20170227

t SAC E .AIP ' DM Q = site = i indicate on astached film, o
,l:21 STREAM QUALITY ASSESSMENT NVORKSHEET
Prot ide flee follolt inr information for the strewn reach tinder assessment:
1. Applicant's name: ['t n -� O n 2. Evaluator's name:
r0
3. Date of ev aluation: �'� ��' 1 4. Time of et alttatir,n: � 3 `
Name of stream: P IVT + l ' t6. Ri\er basin: C.t' pf- F M ve'
7. Approximate drainage area: ,5 SCCC 8. Stream order:
9. Len',th ofreacli evaluated: 6041-- 10.County:
11. Site coordinates (if Lnown): prefer in decimal degrees. 12. Subdivision name (if tiny):: 1J i
I.ntltude iex. 34.872312): _ _A o vM 1. ongftude(ex,-77.556611):
Atetliod location determined (circle):,G opo Shcet Onho (Aerial) Photo:GIS Other GIS Other
13. Location of reach under evaluat note nearby roads and landmarks and attach map identiKiq streams) location):
14. Proposed channel work (if any): p0) ()Z);e' A 4E -
1a. Decent weather conditions: 6an(\'-1
16. Site conditions at time of %isi1: 111016 ,S'tv'f �O-C6
17. Identify any special watenvay classifications kno`vn: Section 10 ___Fidal Waters _,Essential Fisheries Habitat
_Trout WatersOutstanding Resource Waters, _Nutrient Sensitive Waters ^Water Supply Watershed (I-IV)
18. Is there a pond orlake located upstream of the evaluation point? YES 10 if yes, estimate the water surface area:
19. Does channel appear on USGS quad trap? YES NO 20. Does channel appear on USDA Soil Surt e}-? YES
21. Estimated vi atershed land use: ( °'e, Residential 0'6 Commercial a.a Industrial 1 [.P p ARrfculturai
[ $ ° o Forested Po Cleared 1 Logged _9 o Other [ )
. BaP) f lF tot �: � 4 23. Bank height ( froth bed to top of bank): Q S' �
24. Channel slope dmim cent f stream: VFlat (0 to ?9 a) .Gentle Q to 4p a) _Moderate (4 to 10"0') --Steep NON
35. Channel sinuosity: Straight `Occasional Mends ,Frequent meander Ven sinuous —Braided channel
Instructions for conlp,Ietion of vvorl:sltest (located aft Mage 2): Begin by deterininino lite mast appsopriale ecoregion based on
location. terrain, vegetation, stream classification, etc. Even characteristic must be scored using the same ecoregion. assign points
to each characteristic %t ithin the range shottn for the ecoregion. Page 3 provides a brief description of hots' to review lite
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
comnlesvt section. i'n'here there are obvious changes in the character of a stream under review (e.g., the stream #lou s frtim a pasture
into a forest). the stream may be div ided into smaller reaches that display more continuity, and a separate form used to ev aluate each
reach. The total score assi-ned to a stream reach must ranwe between 0 and 100. Niith a score of 100 representing a stream of the
highest quality.
Total Score {from reverse): Contnlents:
Evaluator's Signature r Date_ 1 f 04 h &
This channel evaluation fornt is intended to lie wd only as a guide to assist landowners and int ironmenfal professionals in
cathering the data required by the United States Armv Corps of Eliginee=rs to make a prellminary assessment of stream
quality. Tile total score resulting front the comptletion of this forth is subject to US.ACE approval and does not imply a
particular mitigation ratio or requirement. Fc'n:t �LtL}eC't tL' cit nye — ertt�n �J }4. 1 o Coalmen. plers: call 919-976-9441 v =c.

STREAM QUALIT17 ASSES&MENT NVORI�SHEET
z
Ci�IC�ATI;RISTIC� ` k ` f ECQREGLGN, ,PQITT R �R
`�oasta�l`
,l'pedrnarit
P41b�trla:Rn �
�,�;�; �
Presence of flow I persistent pools In stream
0 — J
0-4
0-5
1
(no flow or saturation = 0: strong low = max oin!L
Evidence of just l urian alteratioI
0 — 6
0 — $
0 ,•, 5
(extensil-e alteration = d: no alteration = max points
3
Riparian zone0—
d
0— 4
0— 5
It
(no buffer= 0. conte nous ,, Ide buffer = rnd points)
4
E-vidence of nii6leit or chernlcal discliar es
0 — $
0
—4
}—
l^}
(extensive dischars 6s = D; no dischar es max pints
=s s
Groitnd`i�aterdischarge
0-3
0-4
0=4
lJ
5
(no disci ar e = 0 s ctrl s see s, wellands. etc. = max points)
Presence of adjacent floodplain
0-4
0-4
0-2
(no flood lain = 0; a %teltsive fldod lain = I taxpoints)
Entrenchment I floodplain access
0-5
0-4
0-2
T
(deeply entrenched = 0• frequent flooding r max oints
Presence of adjacent `vetlands
0—
0 — 4
0 —?
(�
.:
S
(no wetlands = 0 lar a adjacent xvetlands w max Points)
Channel sinuosity
0-5
0-4
0— 3
(extensive channelization = 0; natuzai meander maxaints�l
10
Sediment input
0-5
0-4
4-4
extensive de osition= 0; little or no sediment = rnax oints)
t#;
11
Si7e S diversity of channel bell substrate
A�
0-4
0-5
(fate homogenous F 0; lar e, diverse sizes =.coax pints
Evl&nce of channel incision or ►t idening
0 —5
0-4
0-5
12
(deeply incised = 0; stable bed & banlcs = maxpoints)
Presence of major bank failures °
0-5
0-5
0-5
severe erosion = 0• no erosion stable banks =max Dints
�1Root
E14
depthand density on banks
0-3
0-4
0-5H(no
visible roots = 0; dense roots throe houi = mai points)
V1
impact by agriculture, livestock, or timber production
0—$
0--4
0-5,
1$
(substantial impact =0° no evidence= max oints
°
Presence ofriffle-poollripple-pool coinplexes
0-3
6-5
0-6
H1
no riffies.'ri les or pools = 0; well-developed ed = m x pints}
Habitat complexity
0-6
0-6100-617
(little or no habitat = 0• fre uent, varied habitats = max oints)`�`p
Canopy co`erage over streambed
5
0-5(no
18
shadin ve etation = 0; continuous cano y = max pints)
19
Substrate embeddedness
NA*
0-44
�—
(dee lv embedded = Q; loose structure = max
Presence of stream invertebrates (see pate 4)
0 _ 4
0 _ ]
0-5
"
20
(no evidence = 0: common, numerous es = max points)
1
Presence of amphibians
0-4
0-4
0-4
Q
(no e�°idence = 0; co [non, numerous es --max points}
a<
0.
22
Presence of
0-4
0-4
0-4
+--t -
(no evidence = 0; conunbri, numerous types = Mix Point
-230-5
Evidence of,%vildlife use
0-5
0-5
(no evidence = 4: abundant evidence =coax points)
`
Total Poittfs i'ashle _
1 00
l00
11(1
kq �., 7.E 7.x+
TQit
AL1 WS elller i �t
r'4 ti?CQL�
These characteristics are not assessed in coastal streams.

NC DVC} Stream Identification Form Version 4.11 5C -Me (35 1
Date: f ��il (tj
ProjectlSiW A
Latitude: _311f 1 p S
Evaluator: _ I Y 1GtP ISiYI �i(f (
county: C6j('t\(-(6A6
Longitude: --i M6,00
Total Points:42
Stream is at least intennittent 1(c7
S re termination (circle one)
C([o'IC,r_
Other C
if 2:19 orerennial if a,30*
Ephemeral Intermittent Perennial
I e.g. Quad Name:
A. Geomorphology Subtotal = b'
Absent
Weak
Moderate
Strong
1"Continulty 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/+
10
2
3
4. Particle size of stream substrate
0
12
Yes -(T)
3
5. Activelrellet floodplain
1
1
2
3
& Depositional bars or benches
Q0
1
2
3
7. Recent alluvial deposits
({1
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
Co
0.5
1
1.5
10. Natural valley
0
X0.5
1
1.5
11. Second or greater order channel
No
0
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. Hvdrolo©v (Subtotal = 5! 5 )
12. Presence of Basefiow
0 1
2
3
13. Iron oxidizing bacteria
{] 1
2
3
14. Leaf litter
1.5 1
0.5
0
15. Sediment on plants or debris
(0 0,.5
1
1.5
16. Organic debris lines or piles
0 0.5
1
1-5
17. Soli -based evidence of high water table?
No = 0
1
Yes -(T)
C. Bialoav fSubtotal = t ]
18. Fibrous roots in streambed
3 2
1
0
19. Rooted upland plants In streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
0 1
2
3
21, Aquatic Mollusks
(0) 1
2
3
22. Fish
(0 ) 0.5
1
1.5
23. Crayfish
) 0.5
1
1.5
24. Amphibians
0 0.5
1
1.5
25. Algae
0 0.5
C 10
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Other r 0 t
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
scree 65
�
4
Sketch; Ir"
r i0! _G -
4
�'
4�4tlVCR_r
C L
U' ��M W164

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmp051 facing south across.
Photo Sheet 2 of 2

U.S. -ACE TDA
D\N t) = Site v i indicate on attached nig 1
'5C -^F654
Q
STREA11M QUALM? ASSESSMENT NVORKSHEET
Pral id the foilwi in inforinat!oil for the strenru reach ltnder assessnloil t:
1. Applicant's name: D'}(t1 i X110 0 2. EN aluator`s name: 141 AIM
/ rn
3, DEile ail etalnatitzn: ��+� _ -1. Time Of eYaluation: 10.1 4) 0 A�
Name of strealn: [�(n� l � c� IL � '"1� G. RiNer basin: C ��
r Ili
7. Approximate drainage area: off• 8. Stream order:
9. Lenath ofreach el.ahtated: _,O 1(l. County: C(�lY�be�f4sr+C�
11. Site coordinates (if known): prefer in decimal deemes. 12. Subdivision nam(d
e (if any): A
La itude (o-,. 34.872312): 3 t • F 0-7 AG l on2itttde (ex. -77.55651 t ): "
hiethod location delermined (circle):Gi'S Topo Sheet Onho (Ac ial) Photo.'GIS other GIS Other
13. Local ion of reach tinder evaluate (nate nearby roads and landmarks and attach map identifying streanl(s) location):
+Gf�Cc e c� yq,f+1, yA if.) MA. I e\ 4A Al b& 10 r CO. G
14. Proposed channel work (if any): t&Va- ?A Pv Peii n e
15. Recent weather conditions; inn 6l'
16. Site conditions at time of%isit: Gtnl aSt�tr-
17. ldeniify- any special waterway classifications knomn: ,rSection 10 Tidal Waters Essential Fisheries Habitat
Trout Waters ^Outstanding Resource W'aters _Nutrient Sensitl%e Waters __Water Supply° Watershed -(I-IV-)
IS. Is there a pond or lake located upstream of the evaluation point? YES 'O lfyes, estimate the water surface area:
19. Does channel appear on L.1SGS quad map? YES 20. Does channel appear on USDA Soil Survey? YES ltiO
1. Estimated li atershed land use: 1 C] 10 Residential ^°o Commercial —11.o Industrial ° o Agricultural
° a Forested . o Cleared /Logged _° 6 Other ( 1
22 ankfu ��`� - 23. Bank height (from bed to to of .2
ankful �vld P 3�--
2-t. Channel slope down ceme of stream: Flat (0 to 2° o) ,Gentle (2 to 40b) _Moderate (4 to 10" 'D') „Steep (>I 0",o)
25. Channel sinuosity. " Straight _—Occasional bends Frequent meander — Very sinuous `Braided channel
Instructions for completion of iiorksheet (located on page 2): Begin by detenlllning the tllost appropriate ecureglon based on
location. terrain, vegetation. stream classification. etc. Eery characteristic must be scored using the same ecoregion. assign points
to each characteristic xt ithin 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 tv. aluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious chanLTes in the character of a stream under renew (e.g... the stream floats from a pasture
into a forest). the stream may be divided into smaller reaches that display more continuity, and a separate firm used to eN aluate each
reach. Tile total score asci--med to a stream reach must range between 0 and 100. «ith a scare of 100 representing a stream of the
highest qualiri.
Total Score (front reverie): -3-7
Comments:
Evaittatar's Signature B'at'e
This channel cvaluatialt form is intended til ile used oniv as a gnlde #o assist landowners and t:ntironm nial profes-sionals in
gathering the data required by the United States Army Corps of EngineErs to make a preliminary assessment of stream
quallts-. The total score resulting front the completion of this form is subject toUSACE approval anti does not imply a
particular mitigation ratio or requirement. Fc-imi subject io ch-ence - N ersion 06 0-- Y. 1 o Commera. pleas: call 919-576-5'-I1 X 26.

STREAM QUALITY ASSESSMENT «'ORKSI-IEET
z. N AN Yo-
#t CIARTERISTICS •C©astat maria tt5infain. f
-
Presence of fiat►• 1 persistent pools in stream
0_5
0-4
0-5
(no flaw or saturation = 0: stronn float = ma4 oints7
Evidence of past human alteration
o-6
0-5
0-5
7
(extenshYe alteration = Q: no alteration = maxpoints)
3
Riparian zone
0 -- 6
p— 4
0— 5
(no buffer = 0; contiguous, wide buffer = maxpoints)
D-fdence of nutrient ar elieitsical discharges
0 — 5
0-4
0-4
r 4
4
(extensive discharges = 4 na discharges — niax amts
='
G discliarge
0-3
0-4
0=-4
t
S
(no discltar e — 0- s 'rin s sees ti etlands etc. = maxpoints)
Presence of adjacent floodplain
0-4
0-4
0-2
b
(no floodplain = 0; ex teitsive flood lain = mai points)
Entrenchment Ifloodplain access
0-5
0-4
0--2
7
(deeply entrenched = 0• fre cent floodingi6: maxpoints)
Presenceofadjacenttsetlands
0-6
0-4
0-2
8
(no wetlands = 0; large ad;acent tt etlands w mate Dints)
Channel sinuosity
0-5
0-4
0-3
(extensh,e channelization = 0• natural meander = maxpoints)
10
Sediment input
0-5
0-4
0---4
(extens%tre deposition 0" little or no sediment = max Minis)
rn.
t ; •
11
Size & diversity of channel bed substrate
0-4
—5
(fine homogenous = 0• large, diverse sizes = maxpoints)
Evidence of channel incision or ti idenin
0 $
p —4
0 —5
Y
12
(deeply incised= 0; stable bed & banks = inax pints
bank failures
l3
Presence of major
0-5
0 —5
0-5
severe erosion = 0• no erosion, stable banks = maxpoints)
p
Root depthand density on banks
0-3 3
0-4
0-5
14
(no visible roots = 0; dense roots throughoui = magic points
impact by agriculture, livestock, or timber production
0 _ 5
0 —4
0 —5
t
15
(substantial im act =0- no evidence = max oints)
Presence of riffle-poollripple-pool complexes
0-3
0-5
0-6
t.J
16
(no riffles)ri les or aols = 0' t ll-develo ed = max oints)
Habitat compfeaity
0-6
0-6
0— 6
1
(little or no habitat = Q: frequent, varied habitats = max points)
Canopy coverage over strearnbed
0-5
0-5
0-5
18
(no shadingvegetation = 0• continuous canopy = max points)
I9
Substrateemheddedness
1A*
0-4
0-4
(dee iv embedded = 0; loose structure = max
Presence of stream invertebrates (see page 4)
0 -.4
0 — 5
0-5
�0
(no evidence = 0: common, numerous es -- max points)
r�
1
Presence of amphibians
0-4
0 —4
0-4
0
(no evidence = 0; common, numerous es = inaxpoints)
Q
22
Presence of fish
0--4
0-4
0-4
(no evidence = 0: common numerous types = max oints}
"
�3
Evidenceaftt'1ldlffeuse
0--6
.0-5
0-5
�r
(no evidence = 4; abundant evidence = maxpoints)
Total l ointsFn Bible
: 100
TOTAL SCflTE algia eater On fust page)
:. _
_.r
These characteristics are not assessed in coastal streams

Nr nwn �trc�.,rn Crlc�ntifirsitinn Fnrm Vercinn d_i 1 SCM1 PC 5
Date: I
Project/Site: A C. 1-
Latitude: 'EA I (10 G
Evaluator: 1("
County:
Longitude:
Longitude:
Total Points:
Strearn is at least intermittent �j
Stream Determination (circle one)
Other [�tjtaY [trfC
r
? Igor perennial if z 3r?"
phemera Intermittent Perennial
e.g. Quad Name:if
A. Geomorphology (Subtotal=
Absent
Weak
Moderate
Strong
1 a. Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
(0.5) 0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
i:,1
( J
1
2
3
4. Particle size of stream substrate
0
1
(2)
3
5. Activelrelict floodplain
Co
1
2
3
6. Depositional bars or benches
CO)1
0.5
2
3
7. Recent alluvial deposits
(00
1
2
3
8. Headcuts
FACW = 0.75; OBL = 1.5
1
2
3
9. Grade control
4.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No
Yes = 3
"artificial ditches are not rated; see discussions in manual
R l4wriminnv l.qiihfnf=l = (n. S 1
12. Presence of Baseflow
0
1
CP 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
1.5
16. Organic debris lines or piles
1
0.5
1.5
17. Soil -based evidence of high water table?
No = 0
Yes tpj
r'. Rinlnnu tSi ihtnfnl = 1--) 1
18. Fibrous roots in streambed
3
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
U6
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
0.5
1
1,5
24. Amphibians
('0)
0.5
1
1.5
25. Algae
0
0.5
1
1.5
26, Wetland plants in streambed
FACW = 0.75; OBL = 1.5
Other ;'b j
'perennial streams may also be identified using other methods. See p. 35 o1 manual.
Notes: sty,
p5 It
Sketch:-
,___._
AC'
'
r
V"
S C n, e o S .�
ONM
5 14

USACL- AID DNL 0 = Site i indicaw or it inched nmp)
5e --m e d 5
STREAM QUALITY ASSESSMENT NVORKSHEET -AQP
Pro► ide the follovr Ing information for ilte stream reach under assessment:
L Applicant's name: "o fin 2. Eealuators name:E' jj_ f"�•il(iWi(! }��E'
3. Gate of ev aluation: n I C1 4. Time of evaluation: � ' 3OArA
N"11110 of stream: u4T � � . Nk\K p 6. R'iv er basin: Cts 6{}�'(
7. Approximate drainage area: Y"E 8. Stream order:
y. Leneth of reach ev aluated: A- 10. County: �CflU°f l6kr6
11. Site coordinates (if known): prefer in decimal decrees. 12. Subdivision natne (if anv): A
LaliiudeZea.34.872312t: 5-T,907219 L,ongitude(ex.-77.556611): G . % ¢
Method location determined (circle), wlt� Tope Sheet Onho (Aerial) Phota.�G1S 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):(D ' Ct i t9e(r #1 e
15. Decent weather conditions: t
16. Site conditions at time of v isit: C �atn na-I dt alt A-cl,
17. Identify any special Nvatenvay classifications known: Section 10 7 idal Water- Essential Fisheries Habhat
Trout Waters _ Outstanding Resource Waters Nutrient Sensitive Waters _ _Water Supply Watershed (I -]V)
13. Is there a pond or lake located upstream of the evaluation point? YES 0Ifyes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES 20. Does channel appear on USDA Soil Survey? YES
i 1. Estimated watershed land use: i0 °5 Residential°6 Commercial °o Industrial °b Agricultural
SO -6 Forested No Cleared / Logged �° o Other ( )
22 an ° uh"Id Ia 23. Bank height (from bed to top of bank-):
altl:ful vvtd 1:
24. Channel slope down 7",
of stream: `Flat (0 to 2%) t Gentle (2 to 4° a) ^Moderate (4 to 140 0) __Sleep (> IV 0)
2S. Channel sinuosit, : raight ^Occasional bends Frequent meander ,Ven• sinuous _Braided channel
Instructions for completion of ►iorksheet (located on page 2): Begin by detenninin+ the most appropriate ecuregion based on
location. terrain, vegetation, stream classification, etc. Even characteristic must be scored using the same ecoreaion. Assign points
to each characteristic vv ithin the range shovwn for the ecoregion. Page 3 prow ides a brief description of how to review the
characteristics identified in the v+orksheet. Scores should refect 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 chanLues in the character of a stream under review (e.u., the Strea111 flows from a pasture
into a forest). the stream may be divided into smaller reaches that display more continuity, and a separate fonn used to evaluate each
reach. The total score assLped to a stream reach must range between 0 and 100. vv ith a score of 100 representing a stream of the
hig"hest quality..
Total Score (from reverse): VI 0 Comments: L%n nod z -e cL J , 4 C ,
Evaluator's Signature DateThis channel evaluation form is lntettded to be used onlw as a guide to assist landowners and em lronntental professionals In
gathering the data required hr the United States Arm\ Corps of Engineers to snake a preliminari assessment of stream
qualit3% The total score resulting front the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio of requirement. FC'11:1 sttl}rLl lC c�7wtl�'r— �ct'siC+n f ilk. To Ccntnlent. please call 40-87764-141 x _'6.

STREAM QUALITY ASSESS;lIENT NVORKSHEET
#
I;COREGIDN'P-OF�T�ItAItiI�(}It
CHAi + JERISTICS "tvoastal
{t "
1'tedmnrt.
�4lbuni�in
Presence of flow l persistent pools in stream
0-5
0-4
0-3
(no flow or saturation = 0: strop flow = tnax pints)
Evidence of past lhuthtan alteration
0-6
0-5
0-5
(emensive alteration = 0; no alteration = max pints)
3
Iujiarianzone
0-6
0-4
0-5
(no buffer = 0; coati uous. wide buffer= mmx points)
kJ
4
tvidence of hiutrlent or citemkal dsscharges
0-5
0-4
0-4
( —
}
?
(extensive disebaraes 7 0• no discharues — mAx point)
`
5
Grnurhdwater discharge
0-3
0-4
0 —4
(no discbar e = 0 s Orin s sees Nvetl Inds etc -= max pints
Preseneeofadjacent floodplain
0-4
0-4
0-2
(no flood lain = 0, exieststve #lord Iain =max oirtts)
7
Entrenchment f floodplain access
0-5
0-4
0-2
C
(deeply entrenched = 0' frequent f7oodiniz �= maxpoints)
#"
Presence of adjacent wetlands
o-6
0_4
0-2
Y
(no wetlands = 0• large adjaeent wetlands = maxpoints)
Channel sinuosity
0-5
0-4
0-3
(extensive ebannelization =� 0• natural meander = maxpoints)
r y'
10
Sediment input
0-5
0-4
0-4
extensive deposition 0 little or no sediment = max points)
t x;
11
Size & diversity of channel bed substrate
NAt :
0-4
0-5
�—
(fine, homogenous = 0- large. diverse sizes =.maxpoints)
Evidence of channel incision or ifldening
0 _ 5
0-4
0-5
1
(deeply incised =-q, stable bed & banks = max points)
13
Presence of major bank failures
0-5
0-5
0-5
severe erosion = 0• no erosion stable banks = max pints
q
14
Root depth and density on banks
0-3
0-4
0-5
rl
(no visible roots = 0• dense roots throughout =max Dints
V1
Impact by agriculture, livestock, or timber production
0-3
0-4
0-5
15
substantial impact =0• no evidence = max POints
" -
Presence of riffle-poollripple-pool cornplexes
0-3
0-5
0-6
16
(no riffles/ripples �; les or pools = 0; well-developed = max points)
17
Habitat complexity
0-6
0-6
0-6
Er`
(little or no habitat= 0, frequent, varied habitats = maxpoints)
q
Canopy coverage over streaml ed
0-5
0-5
0-5
18
(no shading vegetation = 0; continuous _canopy = max oiLms
19
Substrate embeddedness
NA* .,
0-4
0-4
(deeply embedded = 0, loose structure = max
Presence of stream invertebrates (see page 4)
0 _ 4
0 —5
0-5
.
20
(no evidence = 0: common. numerous es = max paints)
Presence of amphibians
0— 4
0_ 4
0-4
p(no
evidence = 0: common. numerous types = maxoints
N23F
Presence of fish
0-4
0-4
0-4
(no evidence = 0: cohrun6n, nutr�erous n es = maxDints)
Evidence of wildlife use
0-6
0-5
0-- 5
(no evidence = 0. abundant evidence =max pints)
Total Points Passible
` lflfl `
104
IQ
TC]TAL SCORE (a1Sb enter ,bn fir.t pale)
r l
These characteristics are not assessed in coastal streams.

NC DWO Stream IdentiCcittion Corm Version 4.11 SC_v+n (353
Date: I -�!�,�
Project/Slte: A Ce
Latitude: cf Q 73 9
Evaluator: � - y (j °(���>Y'lf,rfbrE,7
county: (rAtY\bE'+ &c. cL
Longitude:_79.7(013 -,-
Total Points:
Stream is of feast intermittent
Stream Determination (circle one)
Other CLp6 af- C[Cef<-
3
Ephemeraltermsent erennial
e.g. quad Name:
if 2:19 or perennial if a 30'
2
3
A. Geomorphology Subtotal =
Absent
Weak
Moderate
Strong
1a Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
C
2
3
4. Particle size of stream substrate
0
1
2
3"]
5. Activelrelict floodplain
0
1
2
3
6. Depositional bars or benches
i`0 :
1
2
3
7. Recent alluviat deposits
0
1
2
3
8. Headcuts
0
2
3
9. Grade control0
0.5
1
1.5
10. Natural valley
(b)
0.5
1
1.5
11. Second or greater order channel
No 0
Yes = 3
artificial ditches are not rated; see discussions in manual
B. Hvdrolopv (Subtotal = 16 )
12. Presence of Baseflow
0 1 2
19. Rooted upland plants in streambed ( 3
13. Iron oxidizing bacteria
0-1 1 (2)
3
14. Leaf titter
1. 1 0.5
0
15. Sediment on plants or debris
0 0 1
1.5
16. Organic debris lines or piles
0 1 0.5 1
1.5
17. Soil -based evidence of high water table?
No = 0
Yes .3
C. Biolo Subtotal ='
18. Fibrous roots in streambed
2 1 0
19. Rooted upland plants in streambed ( 3
2 1 0
20. Macrobenthos (note diversity and abundance) 4 )
1 2 3
21. Aquatic Mollusks
2 3
22. Fish
0.5 1 1.5
23. Crayfish
0.5 1 1.5
24. Amphibians
0.5 1 1.5
25, Algae 0
(0.5 1.5
26. Wetland plants in streambed
FACW = 0,75; ©BL 1.5 )Other= 0
"perennial streams may also be Identified using other methods. See p. 35 of manual.
Notes: SCM ¢ d 1
Sketch: }
Celt W 4ih a (of --,-
o P
Uf-ioP u 061KW' 0

Environmental Field Surveys
Waterbody Photo Page
44
y'�fyNG�Y
Waterbody data point scmp053 facing north upstream.
Waterbody data point scmp053 facing south downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmp053 facing west across.
Photo Sheet 2 of 2

USAC E AIDD\\ t, = Site = 1 indicate on attached map)
STREA71\1 QUALITY ASSESSMENT WORKSHEET W
Pro►ide tate follotiing information for the stream reach underassessment:
1. applicant's name: UO(n`D' o 0 2. Et aluator's name: 14. ���
;. l7,tte ofe►afuatinn:
4. Ti ineofe�aIuaIion : � �oyA
carne of stream: LAAk'+v i r`� G. R i� er basin: CIS "` 1r
7. ,approximate drainage area: 5 `'�`C f 8. Stream order: '
rt
9. Len�Yth of reach e,. aluated: 10. County: be ' �'
11. Site coordinates (if kno�%n): prefer in decimal decrees. 12. Subdivision name (if any):,i A
latitude (e-4.34.872312): 3'q. 070 1.oncittide (ex. -77.5566] 1): =7g . 1� 0
Ateiliod location determined (circle): GP, Topo Sheet Ortho (Aeria]) Pholo'GIS Otber GIS Other
13. Location of reach under eN aluatt note nearby roads and landmarks and attach map identiA-ing streams) location):
L Q CAk C'6 SOIL Ok Due" ". sn CJAM'Pfl'lar"� tom' nI c
14. Proposed channel wort; (if any):
tW1a'rit
155. Decent weather conditions, �!jtfl(1
16. Site conditions at tithe of visit: -244 e -A C""d
17. Identify any special waterway classifications known: .Section 10 __;i'idal Waters __Essential Fisheries Habitat
_Trout Waters Outstanding Resource Waters Nutrient Sensitive Waters ____Water Supply Watershed iI-IV)
IS. Is there a pond or lake located upstream of the evaluation point? YES ' 7 If y es, estimate the water surface area:
19. Does channel appear on USES quad map? YES NCI 20. Dues channel appear on USDA Soil Survey?'ES NO
21. Estimm
ated watershed land use: 0o Residential °u Commercial 1."o Industrial 'Iva
22P'o Forested o.o Cleared J Lowed 11"0 Other
ankful ivi ilk 23�. Bank height [from bed to top of hank): ��� A
24. Channel slope clown center of stream: Flat (0 to 2� o) t✓Gentle (2 to 4%) (4 to 10") Steep (> I08:.,)
2a. Channel sinuosity: Straight —2:Llbccasional bends __-_Frequent meander Very sinuous Braided channel
Instructions for completion of tiorksheet (Iocat&i on page 2): Begin by deterinining the most apprupriule ecoregion based on
location. terrain. vegetation, stream classification; etc. Exert characteristic must be scored using site same ecoregion. Assign points
to each characteristic %%ithin the range shmin 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 ex aluation. ] f a
characteristic cannot be evaluated due to site or breather 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 floc; s from a pasture
into a forest), the stream may be divided into smallerreaches that display more continuity, and a separate form used to e3 aluate each
reach. The total score assigned to a stream reach must range between 0 and 104. %N ith a score of 100 representing a stream of the
highest quality.
Total Score (front reverse) [ Comments: �117'tlrr#? t��� I✓r-�s Inea�
1\0 01ral;Z
Evaluator's Slgnatare4ai& Bate
This channel evaluation form is intended to lie used on!} as a guide to assist landowners and ens iroumental professionals It,
gatlt+ering the data required by the United States Arnt� Corps of Engineers to make a prelintinaQ assessment of stream
quality. The total score resulting from the completion of this forth is subject to USACE approval and does not Imply a
particular mitigation ratio or requirement. To CornmEnn. plea5t cell 904764-1.41 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
} EC )REGICI i,p9i
�
�RE
CHAI2ACTERISTICSr � �
r v. i +fid
`�oAsta 'v `
Pie[�InoriG
; �4 btiittair zx �
lt
Presence of fluiv f persistent pools in stream
0-5
0-4
0-5
(no flow or saturation = 0: strong flow = max amts)
1=i idence of past human alteration
0-6
0-5
0-5
I extensh e alteration = 0. no alteration = maypoints)
�t
3
Riparian
4-6
0-4
0-5
(no buffer - 0; contiguous. wide buffer = maxpoints)
Evidence ofn. r
0-5
0_4
0 4
d.x
W:tchsive discharees = 0; no discharges = maxpoints)
-t
5
Ground.} ter discharge -
max
0-3
0-4
0- 4
(no discharge = 0; strings, sees wetlands, etc. = Points)
6
Preseuec of ad,lac6 t floodplain
0-4
0-4
0—
(no flood lain = 0; extensive flood lain = may points)
lEntrenchnient I floodplain Access
0-5
0-4
0-2
0
(deeft entrenched = 0- frequent flooding_'-- maxpoints)
r
8
Presence ofadjacentnetlands
0_6
0-4
0-2
k
(no wetlands = 0- lar¢e adjacent wetlands = maxpoints)
{-.
Channel sinuosiiy0—S
0-4
0-3
(extensive channelization =z 0; natural meander = maxpoints)
10
Sediment input
0-5
0-4
0-4
-
(extensive deposition-- 0- little or no sediment = max oints)
I I
Size & dij'ersity ofchannel bed substrate
0-4
0—S
—�
(fine, homogenous= 0• lar e, diverse sixes = maxpoints)
Evidence of channel inision or widening idening
0-5
0-4
0-5
��
12
(deeply incised = 0; stable bed $ banns = max is
Presence bank failures '
t
13
of major
0-5
0-5
0-5
�-1
(severe erosion = 0• no erosion stable banks = max oints
~
�.
14
Root depth and density on banks
0-3
0-4
0-5
(no visible roots = 0; dense roots tltrou bout = maipoints)
Tntpact by agriculture, livestock, or timber production
0-5
0-4
0 — 5
I S
(substantial impact =0• no evidence = max points)
Presence of riffle-pool/ripple-pool complexes
0 _ 3
0 — 5
0-6
r.
16
(no riffles," i les odols = 0; well-developed = max points)
r
Habitat complexity
0-6
0-6
0-6
'
l
(little or no habitat = 0; fre uent varied habitats = max pints
l 8
Canopy coverage over streamlied
(no shading vegetation = 0• continuous canopy = tnax dints).
0-5
0-5
0-5
19
Substrate embeddedness,
NA*
0--4
0-4
Neeply embedded = 0' loose structure = max
Presence of stream invertebrates (see page 4)
0-4
0_5
0 — 5
�0
(no evidence = 0; common. numerous es = max points)
Presence of amphibians
C'
-)I
0_4
0--4
0-4
Cy
(no evidence = 0; contmon, numerous nes = ma.xPoints)
<
22
Presence of fish
0-4
0-4
0-4.
(no evidence = 0: common, numerous es =- mix points)
=-
�3
Evidence af-%vildllfe use
o-6
0-5
0—a
Yfr
(no evidetice = 0. abundant evidence = max points)
Tota faints Possible
l0� F
ifl(I
li [1
TOTAL SCORE also enter oft fiat page}
These characteristics are not assessed in coastal streams.

NC DW Stream Identification Form Version 4.11 C6N pD 5z
Date:
Project/Site:Ace
Latitude: ��-,( owro
Evaluator: ;CI- C'+f ,tf � A)I- f«tl(el-7
County: �i !fi'31a if(:('+-{
Longitude: 7 Ai C2
Total Points:
Stream is at least intermittent
Stream Determination (circle one)
Other'
if ? 19 or perennial if a 30'
Ephemeral lntermittentiPeerennial ' >
-- ----.� -r
e.g. Quad !Name:
A. Geomorphology (Subtotal=
Absent
Weak
Moderate
Strong
1s Continuity of channel bed and bank
0
1
2
(3_}
2. Sinuosity of channel along thalweg
0
/I1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ri le- ool sequence
0
1
41-2 -J
3
4. Particle size of stream substrate
0
1
2
1.5
5. Active/relict floodplain
0
1
2
3
6. Depositional tzars or benches
( 01
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
D
W
2
3
9. Grade control
0
�0 t
1
1.5
10. Natural valley
0
1 (0..
1 1
1.5
11. Second or greater order channel
No = 0
Yes =`3
"artificial ditches are not rated; see discussions In manual
B. Hydrology (Subtotal = S )
12. Presence ofBaseflow
0
1
2
iI-3_s
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
V.
1
0.5
0
15. Sediment on plants or debris
( 0 )
0.5
1
1.5
16. Organic debris lines or piles
0Q,S
.5.)
1
1.5
17. Soil -based evidence of high water table?
0
No = 0
1
Yes= 3
C. Biology Subtotal = Cl .5
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
01
2
3
21. Aquatic Mollusks
((})
1
2
3
22. Fish
.5.)
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
( 01
0.5
1
1.5
25. Algae
0
1
1.5
26. Wetland plants in streambed.
FACW = 0.75;
OBIL = {5.5)Other = 0
`perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: _5r_ 45
Sketch:
v _
tw
d
U �7 ' 1;g fit t_4,C�4 " 1�.�� V)

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmp052 facing east upstream.
Waterbody data point scmpO52 facing west downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmp052 facing north across.
Photo Sheet 2 of 2

F, n aached w it e
_S1};Site n
seed. p (jai
STREAM QUALITY ASSESSAIENT WORKSHEET
Prow lde the foil tlww ing iltformation for the stream reach under assessment:
1. Applicant's name: n-lan 2. Evaluator's name: " � i
3. Dale of evttlnalion: ` ■ r a. Time of c= alllation: '
Lame of stream: [NTL �y et+1tic�csTtyQ`r],�•� 6.1tiv er k+asin:''�
7. Approximatedrainage area: 11 fA�� �° 8. Stream order:
9. Lenarth of reach e,. alualed: 5Q lir - 10. County : CUrnibC ri br\8
1 L Site coordinates (ifknmNn): prefer in decimal decrees. 12. Subdivision (same (ifany): INA
Latitude Iex. 3a.8f 3121: 2 1 1I S l.nneitude [ex. -77.556511): —
Method location determined (circle):F'S Topo Shed Ortho (Aerial) Photo,G1S Other GIS Other
13. Location of reach under evaluation note nearby roads and landmarks and attach map identify-ing stream(s) location):
LQ Ote6 nrof-In of JOW150- w k A i n cr�t�n � 1 � N G • _
14. Proposed channel work (if any)- P(b PoSetl' , (?(f +
1-5. Recent weather conditions:
6. Site conditions at time of visit: i h --A
17. Identify any special watenvay classifications kno«Nn: Section 10 _tidal Waters —Essential Fisheries Habitat
_Trout \Waters Outstanding Resource Waters Nutrient Sensitive Waters_Water Supply Watershed (l -IV)
18. is there a pond or lake located upstream of the evaluation point? YES 'U if yes, estimate the aster surface area:
19. Does channel appear on USGS quad neap? YES 20. Does channel appear on USDA Soil Survey? YES lyC1
1. Estimated watershed land use: L-�' °o Residential _ _°o Commercial °o Industria] °o Agricultural
59 16 Forested °6 Cleared f Logged 96 Other ( y
ankful tiw•td l �>k 23. Bank height (from bed to top of flank):
24. Channel slope dmmii cent of stream: ,,,,,Flat (0 to 2G'a) � Gentle (7 to 4°o):Moderate (4 to 10°0) --Steep (>10°0
25. Channel sinuosih : Straight ! tJccasional bends Frequent meander Very sinuous `Braided channel
Instructions for compiction of wworksheet (located on page ?): Begin Uy detenuining the most appropriate ecuregion based on
location. terrain, vegetation. stream classification; etc. Exert' characteristic must be scored using the same ecoregion. :assign points
to each characteristic within the range sho"n for the ecoregion. Page 3 provides a brief description of how to re4iew 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 re\iew (e.2., the stream 11ovws from a pasture
into a forest). the stream ma,, be divided into smaller reaches that display more continuity, and a separate farm used to evaluate each
reach. The total score assigned to a streanl reach must range between 0 and 100, i0h a score of 100 representing a stream of the
11M, lest qua]im.
Total Score {front reterse): '36:9 Comments:
Evaluator's :Signature V&O/ �Y Date c�� I6
This channel evaluation form is intended to he used only as a guide to assist landowners and em1ronmental professionals in
gathering the data required by the United States Arnty Corps of Engineers to tnal;e a preliminary- assessment of stream
quality. The total score resulting front lite completion of this forth is subject to USACE approval and does not Imply a
particular mitigation ratio or requirelltEltt. Folml subject to cit iY`_e — %Ersion 06 [t'. To Conlntern. please -call 919-876-$-141 x 26.

STREAM QUALITY ASSESSMENT 1'i ORI'SI-IEET
, a „FEQ0RL�WQN, X -OR —1.11-
a r
r�T fir• ° �l7RE
X777' 2 t
C11ARACTERISTIC
a ' ► r v� k
' �9aSta��CIntlilE
w
• ..
_ _
_.
_
�b'llflaln. ;
i
a�
Presence of now 1 persistent pools in stream
o-5
0_4
0-5
(no flow. or saturation = 0: strong flow = inaxpoints)
Ev-ideiree of past human alteration
0-6
0-5
0-5
(extensive alteration = : no alteration = max oints)
";
Riparian zone
0-6
0-4
0-5
{no buffer= 0; Conti nous, ,,v buffer= ntax pints)
4
ti-idence of itutrrent or chemical discliirges
0-5
0-4
0-4
(etitensive diseharees D: no discharees = mast dints
3.
5O
Groundwater discharge
maxpoints)
0-3
�-4
0 _4
(no discharge = 0;.M -rings, sees wetlands etc. =
;' Presence of adjacent< floodplain ,
0-4
0-4
0-2
(no floodplain = 0; extensive flood Iain = max dints
I
.
Entrenchment floodplain access
0-5
0-4
0-2
7
(deeply entrenched= 0• frequent floodini '�= maxpoints)
'.
Presence of adjacent wetlands
0-4
0-2
s
80--6
(no -,wetlands = 0• large adjacent wetlands= maxpoints)
Channel sinuosity
0-5
0 —4
0-3
f;
(extensive diannelization = 0, natural meander = maxpoints)
10
Sediment input
0-5
0-4
0-4
extensive deposition= 0• litt3e orno sediment =max oinLs)
`
Size & diversity of channel bed substrate
11
(fine, homo enotis = 0; large, diverse sizes— max points)
T=
Evidence of channel incision or A ideaing
0 _ 5
0 —4
0-5
'.
1
(dee 1 incised = 0• stable bed & banks = max points)
Presence of major Bank failures "
0-5
Q-5
0-5
,-�
13
(severe erosion = 0; no erosion stable banks = maxpoints)
14
Boot depth and density on banks
0-3
0-4
0-5
(no visible roots = 0; dense roots drougbout = maipoints)
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
15
(substantial impact =0• no evidence = maxpoints)
Presence of riffle complexes
0— 3
Q— 5
0— 6
16
no riffles`ri les or Dols = 0' well-developed = max pints)
.�
17
Habitat complexity
p; y
0-6
0-6
0-0
.-®--�
E�
little or no habitat = 0• fre uent, vF ed habitats = max dints
p
Canopy coverage over streambed
0-5
0-5
0-5
18
(no shading vegetation = 0` continuous canopy = max points)
�.�
A '.
l9
Substrate embeddedness
14A*
0-4
Q — 4
---
(deePIN, embedded = 0• loose structure = max)
Presence of stream invertebrates (seepage 4)
0-4
0-5
0-5
?Q
(no evidence = 0: common, numerous es = max Dints)
C�
Presence of amphibians
0_:1
0-4
0-4
..L
Q
�l
(no evidence = 0; common numerous es = max Dints)
4:
2
Presence of
0 -4
0-4
0-4
C
+--�
(no evidence = 0: conunon, numerous types = maxpoints)
o 3
Evidence of wildlife use
Q_ 6
0— 5
0— 5
F-
~
6f
(no ev�ideiice = 0; abundant evidence = max paints)
s
_ Total Points Possible
l00
1Q0
l(1
TOTAti SCARE {aiso entei onfir�tpaee
* These characteristics are not assessed in coastal streams.

M
NC ❑WO Stream Identification Form Version 4.11 5cmpd �4
Date:.
Project/Site:
Latitude: j �-�-.
Evaluator: _.�� 4t'5VbZttt 1,C pACArp11(+#(.).
County: Cfrj L;111 nn�
Longitude: 7 $, Ir 1 ! t j
Total Points:
Stream Determinatlion (circle one)
Other codas{
Stream is at least intermittent
if? 19 orperennial if a .3©`
Ephemeral,f n rml era perennial
.
e.g. Quad Name:
A.Geomorphology (Subtotal ='I%
Absent
Weak
Moderate
Strong
1s Continuity of channel bed and bank CkA
0
1
2
3
2. Sinuosity of channel along thalweg
U5
1
2
3
3. In -channel structure: ex, riffle -pool, step -pool,
ripple -pool sequence
0
0.5
2
3
4. Particle size of stream substrate
0
1
2
1.5
5. Active/relict floodplain
0
1
2
3
6, Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
4
1
2
3
S. Headcuts
1
2
3
9. Grade control
! 0
0.5
1
1.5
10. Natural valley
0
i 0.5
1
1.5
11. Second or greater order channel
No '0 _
Yes = 3
- artificial ditches are not rated, see discussions In manual
R Hurirnlnnu lSi:hfntal w 7 C
. 7 1
12. Presence of Saseflow
0
1
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1,0
1
0.5
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0
0.5
1
1.5
17. 'Soil -based evidence of high water table?
No = 0
Yes63)
1.5
C: Rintnnv t iihtntal = I 1
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
4
0.5
CiP
1,5
25, Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75;
OBL = 1.5 Other id
`perennial streams may also be identified using other methods. See p. 35 of manual.
Motes: s 5
V
J �
s� a50
lc_y
C
Top 6� pcv-' V4, 3�s

rnYX< < y
w�
$v yr P
Id
t

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point semp056 facing west across.
Photo Sheet 2 of 2

USACE.%[D�' D W 0 N,
Site " (indicate on attached map)
5[. vtnd 0.1 F
M-1 STREAM QUALITY ASSESSMENT WORKSHEET
I'ro► icic the follo►iing information fur the stream reach under assessment:
1. Applicant's name: 'Dp n't Y1't fln- 2. Exalualor's name.(.+ rte Pith
3. Date cif evaluation: -l. Time of evalualion: llta. lrV"t
5. Name of stream: t Q A;r car rz t 6. Itiver basin: C&,
-p&e Rzwr-
7. Approximate drainage area: F; rX L S. Stream order: V
9. Length of reach evaluated: zo 10. County:. Com lUr1
11. Site coordinates (if known): prefer in decimal degrees. 12.. Subdivision name (if any): Y)On-
latitude (ex.34.872312): C1 131 [-ongitude (ex. -77.556511): — -7 9, -�-73 a'ta
Method location determined (circle):GPS Topo Shect Onho (:serial) I lloto;GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying streams) location):
Wo, i- 0-DQt 1C.ti4 a:n A Tahn son Rd
14. Proposed channel work (if any): �
15. Recent weather Condit
16. Site conditions at time
17. Identify any special waterway classifications known: iSection 10 _Tidal Waters „rEssential Fisheries Habitat
Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters tV Water Supply Watershed -LV (i -1V)
18. Is there a pond or lake located upstream of the evaluation point? YES l&Ifyes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: °Q residential °e Commercial _% Industrial -9T3 "'o Agricultural
,�09,1, Forested _°`n Cleared 1 Logged % Other (
22. Bankfull width: 5 4 23. Bank height (from bed to top of bank): "
24. Channel slope down center of stream: —Nile -flat (0 to 2° e) _Gently (2 to 4%) _h4oderate (4 to 10°o) _Steep (>l0°0)
25. Channel sinuosity: Straight --Z—Clccasionni 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 m orksheet. Scores should reflect an overall assessment of the stream reach under evaluation. if a
characteristic cannot be evaluated clue to site or N►eather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. 'Ahere there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into u forest), the stream may be dividedinto 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 tile
highest quality.
Total Score {from reverse): �- 15
Es aluntor's Signature Date "f f L I I[ 7
This channel evaluatio f rm is intended to be used my a guide to assist lando►►ners and en►trountental professionals in
gathering the data req tred by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total scare resulting front the completion of this form is subject to USACE approval and floes not imply a
particular mitigation ratio or requirement. form subject to change- version 00103. To Comment, please call 919-876-8441 x 26.

3
4
U
6
7 c.,
S
9
IN
12
04 13
14
d
F-
15
16
F
17
18
19
20
21
C 22
23
STREAM QUALITY ASSESSMENT VI ORKSHEET
CHAIUC:TERISTICS
Presence of flow f persistent stools in stream
no flow or saturation = 0; strong flow = max pai!
Evidence of past human alteration
(extensive alteration = 0. no alteration = max noir
tupartan zone
(no buffer = 0; contiguous, wide buffer = max points)
Evidencc of nutrient or chemical discharges
(extensive discharges = 0, no discharges _ maxpoints)
Groundwater discharge
o discharge = 0; springs, seeps, wetlands, etc. = max po's_nis
Presence of adjacent floodplain
(no floodplain = 0; extensive floodplain = max points)
Ent rencliment f floodplain access
(deeply entrenched = 0; frequent flooding = max points)
Presence of adjacent ►vetlands
(no wetlands = 0; large adjacent wetlands = maxpoints)
Channel sinuosity
extensive channeliza_tion = 0; natural meander = max poin
Sediment input
,'extensive deposition-- 0; little or no sediment = max points
Size & diversity of channel bed substrate
(fine, homogenous - 0; large, diverse sizes = max points)
Evidence of channel incision or widening
(deeply incised = 0; stable bed & banks = max points)
Presence of major bank failures
(severe erosion = 0; no erosion, stable banks _= max points)
Root depth and density on banks
(no visible roots = 0, dense roots throughout = max points)
Impact by agriculture, livestock, or timber production
('substantial impact =0; no evidence = max points)
Presence of riffle-poollripple-pool complexes
no riffles/ripples or pools = O; well-developed r max points
Habitat complexity
little or no habitat = 0; to cent, varied habitats v max point
Canopy coverage over streambed
no shading vegetation = 0; continuous canopy = max points
Substrate embeddedness
(deeply embedded = 0; loose structure = max
Presence of stream invertebrates (see page 4)
(no evidence = 0; common. numerous types = max points)
Presence of amphibians
(no evidence = 0; common, numerous types = max points)
Presence of fish
evidence = 0; common, numeroutypes = max points)
ECOREGION POINT
RANGE,,.
Mountain
SCORECoastal
0-4
Piedmont
0-5
0-4
0-5
0-6
0-5
0-5
0--6
0-6
0-4
0-5
0-5
0-5
0-4
6-4
0-3
0--4
0=4
0-4
0-4
0-4
0-2.
0-4
0-5
0-4
0-2
0-6
0-4
0-2
0-5
0-4
0-3
2-
0-5
0-4
0-4
�
NA*._
0-4
0-5
0-5
0-4
0-5
0-5
0-5
0-5
+-
0-3
0-5
0-3
0--6
0-S
NA*
0-4
0- 4
0-4
Evidence of `vildlife use 0 G
(no evidence = 0; abundant evidence = max points)
'total Points Possible 100
TOTAL SCORE (also enter on first page)
Tlicse characteristics are nut assessed in coastal streams.
0-4
0-5
0-4
0-5
0-5
0--6
(�
0--6
0-6
0-5
0-5
`y
0-4
0-4
0-5
0-5
0-4
0-4
(�]
0-4
0-4
0-5
0-5
100
100

NC DWO Stream identification Form Persian 4.11 St-Yy'+D 0-1-S
Date:11 IL
Project/Site., I� C?
Latitude: 3% B q 131
Evaluator: �: (
County:Mbe.rI - 0
Longitude: --7 .711�3
Total Paints:
Stream Determination (cIrqLt_QaW
Other cecu r
Stream is at feast Intermittent � 3
Ephemeral intermittent erennla
e g Quad Name: Cf e�
If o 19 or perennial if a 30'
0
3
A. Geomor holo (Subtotal =!� , -5-_)
Absent
Weak
Moderate
Strong
13 Continuity of channel bed and bank C r,
0
1
2
i
2. Sinuosity of channel along thalweg
0
1
0
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
�
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
1
2
3
6. Depositional tsars or benches
1
2
3
7. Recent alluvial deposits
0
1
2
3
S. Headcuts
0
1
2
3
9. Grade control
€'h 'F inn a I
0.5
1
1.5
10. Natural valley
0
.5
1
1.5
11. Second or greater order channel
y 1_�dGMCt lyd.��v.�a lr�.4nrt�
rt
No = 0
Yes = 3
a artificial ditches are not rated; see discussions in manual
R Hvrirnlnnv f5uhtntal = 76.5 }
12. Presence of Baseflow
0 1
2
1
13, iron oxidizing bacteria
6j 1
2
3
14. Leaf litter
i
0.5
0
15. Sediment on plants or debris
0.5
1
1.5
16. Organic debris lines or piles
i 0 0.5
1
1.5
17. Soil -based evidence of high water table?
No = 0
0.5
lies = 3
(' Rinlnriv fSuhtntal = ! }
18. Fibrous roots in streambed
3)
2
1
0
19. Rooted upland plants in streambed
3.t
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
2
3
22. Fish
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants In streambed
FACW = 0.75;
t7BL = 1.5 r =
'perennial streams may also be identified using other methods. see p. 35 Of manual
6,KSc e4 w d ! i a+v, d e
€'h 'F inn a I
Notes: SCvv%o 02-5 Wc� s e4e;ffw -',cE
ld We- V1eA %rJr-%l
dtAV,, w-
R(! v' >, s
OnF.i 1,i,AcRii Yti@i4LC rld rC4 uyfo»t Df �J i'lOIuR'� C41 e_n te_ i. �'3 Sric
c[r.at
�{ai 'f ttlr,! 1reieocc of-
C�;,lal, „�,{gyp h Priutc.#[-e� in-3i•,r-�,w F.cc..kh
Sketch:
y 1_�dGMCt lyd.��v.�a lr�.4nrt�
rt
pluror..rp d��lvlra�Sts.lt#rk�
d
_Zwr - wfJ4 h BT�
0Hw": 54

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmo028 facing northwest upstream.
Waterbody data point scmo028 facing southeast downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmo028 facing southwest across.
Photo Sheet 2 of 2

LtSAC'E AID# Dk'4 Q Site a i indicate on attached map)
SCYmrD Qd,9
FET11
STREAM QUALITY ASSESSMENT NVORKSHEET —AQP
Provide the fnlloning information for the stream reach under assessment:
I. Applicant's name: DDYr+t t"► Ir in 2. Evaluator's name:. L► �-O t- er -
3. Date of m aluation = _ 4. Time of evaluation: Dvv-\
5, dame of stream: 4a I V\A G. River basin:
ftoLr-
7, Approximate drainage area: 0 8. Stream order:
9. Length of reach evaluated: �D f � 10. County: CA.)no lgef 1 r,.lr'j
11. Site coordinates (if known). prefer in decimal degrees. 12. Subdivision name (if any): r'l lit
Latitude (ex. 34.87231): 31 B -t b 1 - _ — Longitude (c\ -77.556611):
Method location determined {circle}; CCWS Togo Sheet Ortho (Aerial) Photo -'GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identify-ittg stream(s) location):
SoLAK I\Je.s� D� 0091t'l PLS, C", -\A lohnspn
14. Proposed channel \kork (if any):,
-5. Recent weather coedit
16. Site conditions at time
17. Identify any special waterway classifications known: _ Section 10 _'Tidal \Vat Ts _Essential Fisheries Habitat
Trout Waters _Outstanding Resource Waters � Nutrient Sensitive Waters Water Supply Watershed -L\/-(]-Iv)
18. Is there a pond or lake located upstream of the evaluation point? 'E. NO If yes, estimate the water surface area:ICL
19. Does channel appear on USGS quad map? &NO 20. Does channel appear tin USDA Soil Survey? 0 N
21. Estimated vk atershed land use: 2-0 °`n Residential _1° o Commercial °o Industrial -L0% Agricultural
60% Forested "o Cleared/ Logged —% Other
22. Bankfull width: 1,54 23. Bank height (from bed to top of bank):
21. Channel slope down center of streaFlat (0 to ?°o) �Gent[e (3 to °ia) Moderate (4 to 10%) Steep (>10` ,
2-5. Channel sinuosity: Straight m: 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 vv'ithin the range shown for the ecoregion. Page 3 provides a brief description of how to revie%v 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. N�Iiere there are obvious changes in the character of a stream under review (e.g,, the stream flo%Ns 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 scare assigned to a stream reach must range between 0 and 100, NN ith a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): r Comments: &A4"J(k ; -CnTJSZ
Evaluator's Signature
Date + 1t11
This channel evaluation f r i ttended to used only s a ide to assist Iandoi ners and 6ironntental professionals in
gathering the data requitoby the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting front the completion of this form is subject to LISACE approval and does not imply a
particular mitiga#lon ratio or requirement. Forth 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.
ECQRCGIQN ]JOINT
RAINGE:
##
CHARACTERISTICS
SCORE
—
Coastal
Piedmont ,_
. Mountain
1
Presence of flow 1 persistent pools in stream
0 - 5
0 _4
0 - 5
(no flow or saturation = 0; strong flown = maxpoints)
Evidence of past human alteration
0 -6
0- 5
0 - 5
(extensive alteration = 0; no alteration = maxpaints)
3
Riparian zone
(1 - G
0-
0- 5
(no buffer = 0; contiguous, wide buffer = max points)
4
Evidence of nutrient or chemical discharges
0-5
0-a
0-4
(extensive_ discharges = 0; no dischar es = maxpoints)
5
Groundwater discharge
0-3
0 _, a
0-4
no discharge = 0' springs, see 5 xvctlands, etc. = max points
6
Presence of adjacent floodplain
0-4
0-4
0-2
1
„
(no floodplain = 0; extensive floodplain = ma`points)
i
Entrenchment I floodplain access
0-5
0-4
0-2
(deeply entrenched = 0; frequent flooding = max pints)
Presence of adjacent wetlands
0-6
o-4
o-2
(no wetlands = 0; large adjacent wetlands = max dints)
9
Channel sinuosity
0-5
0-4
0-3
(extensive channelization = 0; natural meander = maxpoints)
10
Sediment input
0-5
0-4
o-4
(extensive deposition= 0; little or no sediment = max pints)
11
Size & diversity of channel bed substrate
N,* .:
0-4
0-5
(fine, homogenous = 0; large, diverse sizes = maxpoints)
12
Evidence of channel incision or widening
0-5
0-4
0-5
(deeply incised = 0; stable bed & banks = maxpoints)
13
Presence of major hank failures
0-5
0 - 5
0-5
severe erosion = 0; no erosion, stable banks = maxpoints)
p
14
Root depth and density on banks
0-3
0 4
o-5
l✓
(no visible roots = 0; dense roots throe bout = max points)
15
Impact by agriculture, livestock, or timber production
0-5
0--4
0-5
(substantial impact =0; no evidence = max oints
Presence of riffle-paoliripple-pool complexes
0-3
0 - 5
0-6
16
no riffles/ripples or pools = 0; we] kdeveio ed = maxpoints)
17
Habitat complexity
0-6
0-16
0-6
(little or no habitat = 0; frequent, varied habitats = maxpoints)
18
Canopy coverage over streambed
0 - 5
0 - 5
0-5
(no shadingvegetation = 0; continuous canopy = max points)
10_
Substrate embeddedness
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 DMes = maxpoints)
21
Presence of amphibians
0-4
o-4
0-4
p
(no evidence = 0; common. numerous types = maxpoints)
32
Presence of fish
0-4
o-4
0-4
no evidence = 0; common, numerous types = maxpoints)
�3
Evidence of wildlife use
0-6
0-5
0-5
1
(no evidence = 0, abundant evidence = max points)
Total Points Possible
100
100
1 100.
r_ TOTAL SCORE (also enter on first pa -e)
7
* These characteristics are not assessed in coastal streams.

RC QW Streani Idciititicztion Farm Version 4,11 5 C M d V Z
Date: q/61 16
ProjectlSite:
Latitude: 3q. 810-L3
Evaluator: L, P - 0p o yf
County: CAjrrbC,,(.1Nv,�
Longitude: _-7 6 , -174
Total Points:
Stream is at feast intermittent
Stream Determination {circle one
Ephemeral Intermittent
Other CZJC [l r
e Quad Name:
if a 19 or perennial if a 30`
2. Sinuosity of channel along thalweg
g BLOC
A. Geomor holo Subtotal
Absent
Weals
Moderate
Str ng
1' Continuity of channel bed and bank
0
1
2
Qv
2. Sinuosity of channel along thalweg
0
1
0.5 1
3
3. In -channel structure: ex. riffle -pool, step-pool,0
ripple -pool sequence
No = 0
1
2
3
4. Particle size of stream substrate
0
1
2
3
5, Activelrelictfloodplain
0
1.5
2
3
6. Depositional bars or benches
1.5
1
2
3
7. Recent alluvial deposits
R n 4t
1
2
3
8. tieadcuts
eGnat ++'tw n{�vaMfL 'Lc{4CG3 [Amar �ptD
1
2
3
9. Grade control
SLri 7t!
n7
SL h'ti 0 V f+9 .i.
d'_+C, po"n I�
0.5
1
1.5
10. Natural valley
11. Second or greater order channel
0
No =0
1
es = 3
1.5
® artificial ditches are not rated; see discussions in manual
R_ Hvrfrnlnnu fSubtntal = A 1
12. Presence of Basefiow
0 1 2
3
13. Iron oxidizing bacteria
1 2
3
14. Leaf litter
1. 1 0.5
0
15. Sediment on plants or debris
U 1
1.5
15. {organic debris lines or piles
0.5 1
1 1.5
17. Soil -based evidence of high water table?
No = 0
s = 3
C_ Rinlaau tSuhtntal = k .5
18. Fibrous roots in streambed
3 2
1
0
19. Rooted upland plants in streambed
3 2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0.5
1
1.5
23. CrayfishCO)0.5
1
1.5
24. Amphibians
(0)1
1.5
25. Algae
0
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL =1.5 LOther = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
b+5401 c,., _'dm a7" '7'0i
R n 4t
Notes: ,%Mb 029 i
'Iv be OrfzL
no i At 1 Ll In a
BP dvisi+
eGnat ++'tw n{�vaMfL 'Lc{4CG3 [Amar �ptD
aQ3 A sou c vcl 4�4b.
eaf-�ledt- Y[stwtl..
rctn 43-+ a2LdAC
Sketch:
r
r '
SLri 7t!
n7
SL h'ti 0 V f+9 .i.
d'_+C, po"n I�
prganf Sml; hiy+b.-.t atoght
�hJal#_as ��p p•e�r��,_ce pfi
G�RiGr d.r ir� QtrT+crCY�
Sr.sasaw.s
C) NW M ; a5 -fit
-Bc,--rn'_ V\j i [ �'� 1 ; Z 1E

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmo029 facing northwest upstream.
Waterbody data point semo029 facing southeast downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point semo029 facing southwest across.
Photo Sheet 2 of 2
7,
�' 4M J•
NA
r;.
Waterbody data point semo029 facing southwest across.
Photo Sheet 2 of 2

US. C E AID=
DA 0 = site = 1 indicate on attached ring
M rOOZ
STRFAIM OLIALITY ASSESSAIENT NVORKSHEET la
Pro► icle the falluit inn hiformaIlan for the stream reach under assessment.
L.
2. Etaluator's name: IFV
41
4. Time of eoalu,6i,n: � ��3 � ak,
1. Applicant's name: Da VVL I,^ � r�
3. Dwe+�f eoaluation: 1�
5.\anie ofstream: l &T 'Crops- Eemr Pco-tr
7, Approximate drainase area: 7 ac -r t 5
9. Length of reach eN aluated LiQ �
6. Riper basin: Fear
11. Stream order: t r 4-
10. County: C �
11. Site coordinates (ifl,nootn): Prefer in decimal degrees. 12. Subdivision name (ifany): n on G
Latilude f cv .4.rs7.31<I: S y Z79cob t tmp ittide (ee. -77.556611): % 98 G
Alethod local ion deiermined (circle):GPS Topp+ Sheet Onho (Aerial) Photo GIS Other GIS Othcr
13. Location of reach tinder eo aluatlon (note nearbX Toads and landmarks and attach map identiR in© stre,1111(5) location):
CA .1 4r V. e- c - s� rcr,, eo-s�- o R 0 7� ands S A�, or S',6
14. Proposed channel Ntorh (if any): Pr f.,
15. Recent weather conditions: T�:^ U,rlz
16. Site conditions at time oftiisit: Alr). d 64cQ, 0 1 L20 -)er pa'XA r -n
17. Identif} any special watenvay classifications known: ,Section 10 Tidal Waters Essential Fisheries Habitat
_Trout )Waters _©utstanding Resource it"aters _Nutrient Sensitize Waters mer Supply Watershed 04V)
13. Is there a pond or lake located upstream of the eo aluation point? YES '(a if y es, estimate tIte touter surface area:
19. Dees channel appear alt L;SGS quad map? ) 5 NO 20. Does channel appear on USIA Soil Sur\ey? YES
?1. Estimated «atershed land use: 6 1Q Residential /t16 Commercial �° o Industrial :agricultural
o Forested /Q.116 Cleared 1 Logged _ � o Chher ( )
- Tp °� $' '��` j ` y }� Q 23. Sank bei -flit ( from bed to tots of bank): �-
'1? ���tiL•risll ,i�irlTft- �I! 11 l� � —
24. Channel slope down center of stream: Ast (Oto 2N ____Gentle (2 to 4i°6)_Alod2rate (4 to ]U°a) Steep N0°6)
2. Channel sinuosih :Strai xltt �Occasional bendsFrequent meander _ Ten sinuous Braided channel
Instructions for completion of oiorlisfieet (located on )rage 2): mesio by delennining the utast apprupriute ecareLion lased on
location. terrain, vegetation, stream classification, etc. Eoery characteristic must be scored using the same ecoregion. Assign points
to each characteristic oo ithin the range shoovn for the ecoreg'ion. Page 3 provides a brief description of hoot to re%ieot the
characteristics identified in the %o orksheet. Scores should reflect an oN erall assessment of the stream reach under e% alualion. I f a
characteristic cannot he eNalumed due to site or weather conditions. enter 0 in the scoring box and proNide an explanation in the
comment section. Where there are obvious chanes in the character of a stream under rep ieov (e.ua., the stream floats f ono a pasture
into a forest). the stream ri= be divided into smallerreaches that display more continuity, and a separate form used to eoaluate each
reach. The total Score assigned to a stream reach must ranee bet\ieen 0 and 100. oNhh a score of 100 representing a stream of the
hi hest qualm .
Total Scare (front reNerse). 6 SM ,
Fo altlator's Signaiure Date 5 -5 -IG
This channel ei alustIon forn3 is inttnded to lie useff only- as a Luide to assist landowners and ens ironmentnl profes5lonals in
gathering the data required bN the United States Arntt Corgis of Engineers to make a prellminary assessment of stream
quality. The total score resulting front file completion cf this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Forth subject to cha age - %ersion 06 CI;. To Cara ment. please call :1IO-S`64441 x -'a.

STREAM QUALITY ASSESSMENT rN1'0RKS14EET
pyh` r r CHARAC .l i`li�,l A l 3 r n aC1Cllitalil 1��1.1�i 1 1\:lT { r"Ll.I1F.L' -
,.'.�� 'Coastal: Picdu�titit ilitii�iltain' ,a
Presence of now 1 persistent pools in stream 0 — 5 0-4 0— 5
(no flow or saturation = 0: strong flow = maxpoints)
Evidence of hast human alteration 0 _ 0 _ 5 0 —5
(ev.tcnsive alteration = 0; no alteration = maxpoints)
Riparian zone
-� 3 - 0-6 0--1 4-5
(no buffer = 0; conn uous. vv�ide buffer =max Dints)
Evidence of nutrient or chen]icaI discliargesr
etensiv�e discharges = a: no discharges inav oints
a-5 0——
Gr©undwaterdischarge0_3 0-4 0�-4 3
r
(no discliarge = 0- s Orin s, seeps, vyetlands, etc !!. max Dints
b
Presence afadjacent floodplaisi 0-4 0 — 0-2
.� (no floodplain = 0; estettSive flood lain = max amts)
Entrenchment /floodplain access 0-5 0-4 0--) 3
F!' 7 (deeRly entrenched = 0- fre cent flooding = maxpoints)
w presence of adjacent vv-etlands
t _t, 0-6 0-4 0--2 7
(no wetlands = 0• large adtacent vvetlnnds = maxpoints)
.y Channel sinuosity 0 —5 0-4 0-3
(extensive cliannelization = 0; natural meander= max oints)
Sediment input
0-5 0-4 0-4
10
s* (extensive deposition— 0; little or no sediment= max oints)
Size '& diversity of channel bed substrate
11NA* 0-4 0-5
(fine, homogenous = 0; large, diverse sizes = max oints
Evidence of channel incision or ►v idening4
1 (deeply incised = Q: stable bed &: banks = max oints 0-5 0-4 0-5
Presence of major bank failures ' 0-5 0_5 0-5
i' (severe erosion = 0: no erosion stable banks =max Dints)
p 14 Root depth and density on banks 0 _ 3 0-4
0-5
(no visible roots = 0; dense roots througboui = max Points)
15 Impact by agriculture, livestock, or timber production 0-5 0-4 0-5
(substantial impact =0• no evidence = maxpoints)
16 presence of riffle-poollripple-pool coinplexes 0-3 0-5 0-6N2-
(no riffleslri les or pools = 0, veil -developed = max mints
d
Habitat complexity
0-6 0-6 0-6
17 (little or no habitat = 0• frequent, varied babitats =;nax oints)
18 Canopy coverage over strearnbed 0-5 0-5 0-5
(no shading vegetation = 0; continuous eano v� max mints)
c:
1 Substrate embeddeduess IIIA* 0— 4 0-4
(dee lv embedded = 0; loose structure = max)
a 70 presence of stream invertebrates (see page 4) o-4 0_5 0-5
(no evidence = 0; common, numerous es = nza:x points) MC05
presence 4f amphibians
21 0-4 0-4 0-4 (no evidence = 0; common, numerous tv es = in ax mintspresence of fish 0 22 0-4 0-4 0-4(no evidence = 0: coirunon, nuincrmus tv es = max mints)Evidence of wildlife use0_6 0 5 0_5
P _3 (no evider"ice = 0; abundant evidence = max mts)Total PointsPnsibie100 100TOTAL SCORE (alsoenter on f r� pale)
* These characteristics are not assessed in coastal streams.

NC ©WQ Stream identification Form Version 4.11 SCM(' 003
Date: .5--s-if 6
Project/Site: A
Latitude: ? 879cc)o
Evaluator. �SL (WVi krA)
County: � �Kr+
Longitude: 78.785S2G'
Total Points:
Stream is at least intermittent e)
Stream Determination (circle one)
Ephemeral Intermittent eeir rini E
other Cr -60't Cr[e)r_
e g. Quad Name:
if 2:f 9 or perennial if 2:30*
2. Sinuosity of channel along thalweg
co
A. Geomor holo (Subtotal= Co
Absent
Weak
Moderate
Strong
10 Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
co
1
2
3
3. In -channel structure ex. riffle -pool, step -pool,
ri le ool sequence
42
0
0.5
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
0.5
2
3
6. Depositional bars or benches
0
tA5
2
3
7. Recent alluvial deposits
0
1
2
3
S. Headcuts
1
2
3
9. Grade control
LGD
0.5
1
1.5
10. Natural valley
a r._ o�C. d" !
0.5
1
1.5
11. Second or greater order channel
o =
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal=
12. Presence of Baseflow
0
1
2 3
13. iron oxidizing bacteria
0
1
14. Leaf litter
1.5
1
0_0 0
15. Sediment on plants or debris
0
0.5
1.5
16. Organic debris fines or piles
0
0.5
1.5
17. Soil -based evidence of high water table?
0
No = 0
Yes = 3
C. Biolow {Subtotal = `9.5 )
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
6B
1
2
22. Fish
0
0.5
1
Q .
23. Crayfish
0.5
1
1.5
24. Amphibians
0
tA5
1
1.5
25. Algae
LO 2
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; BL m 1.5 Other = 0
"perennial streams may also be Identified using other methods. See p. 35 of manual.
IVOtBS: r. n 4enn,61
r
4: r re.,c.._ df
a r._ o�C. d" !
tali C_ r- ",ti
r ls,re i AwiL ver 4e -.c
rfv , A ,
r
Sketch:
W C>M>r'C7C
r
OMUM `1 +

■ `... >
-0-1-
41 r�
- F
4��� 3
00

w�
.R.
- t _
x
OR r

Dai C" = Site = I indicate on attached map i
5 c m r ooa
FE271
STREAM QUALITY ASSESSMENT WORKSHEET —AQ#
Prot ide the follmtitstv hifermatlon for the stream reacts tinder assessment:
1. applicant's name: 1.►c�k",1ri l rx ld n ?. Ei aluatnr's nsame: F "` (- , (fl—k(— `7+
3. prise. of e►aluatiort: -�'' ' a. Time of etaluation:
5.Na4e 47
rne of stream; (Aa ` © ("U F�:v +C 6. Riterbasin: +
7. Appro%imate drainage area: Ac 8. Stream order:
9. Lenunh of reach e%aluated: 5c-) 'k 10. County: CV 6 -ergo\
11. Site coordinates (if knmt n): prefer in decimal decrees. 12. Subdivision name (if any): IQ's
° Q
LalitudePex.=4.872312t: ,
I oni!ilLide (ex. -77.556611):
Method location determincd (circle): UP . Tcpo Sheet Ortho (ACri.2.l) i'hata GAS {)lhcr US Chher
13. Location Of reach under et alunttl t note nearby roads and landmarks and attach map identiA,ing stream(s) location):
I o eA wed C.S: `V A' r r...WA cc N Rd
14. Proposed channel it orb, (if any 1: eo Poses Pa pet ` A X
1 a. Recent weather conditions: i1("M
16. Site conditions at time of visit: &And ' 'tcAe�
17. Identify ally, special Nvateni ay classifications known: _Section 10 Tidal Waters _Essential Fisheries Habitat
rTrout Waters ^f?utstandin resource Waters � Nutrient Sensitive Waters v -'Water Supply Watersbed -T—V-(1-iV)
18. Is there a pond or lake located upstream ofthe evaluation point? YES (1WIf estimate the stater surface area:
19. Does channel appear on USGS quad reap? YES NO 20. Dotes channel appear on USDA Soil Sune%? YES' NO
1. Estimated ttatershed land use: l016 Residential _° Commercial °o Industrial 2LC u rieultural
-70'6 Forested _% Cleared / Louned — a Chher ( ]
?. ga l f l 'adtft:_ �?3��Bank height (from bed to top of bank):
3.1. Channel slope down cent fstream: Flat (0 to 20 o) VGentle (? to 4Q _Moderate (4to 10%) ,Steep (>W'o)
'_S. Channel sinuosity: Straight _Occasional bends Frequent meander —Verb sinuous Braided channel
Instructions for completion of iiorksheet (located oil tinge ?): Be2in by detennininY the most apprupriate ecorcuion based on
location. terrain. vegetalion. stream classification; etc. Ei ery characteristic must be scored using the same ecoregion. Assign points
to each characteristic do ithin the ran=4e shmt li for the ecoregiotn. Page 3 provides a brief description of bow to re%ietr the
characteristics identified in the tt orksheet. Scores should reflect an overall assessittent of the stream reach under e'. ahlation. If a
characteristic cannot be ei aluated Sue to site or weather conditions, enter 0 in the searing box and provide all explanation in the
comment section. Wliere there are okn ious chant es in the character of a stream solder retiew (e.g., the stream #lots s from a pasture
into a forest). the stream may be divided into smaller reaches that display snore continuity, and a separate form used to et acuate each
reach. The total score assigned to a stream reach must range benteen 0 and 100. hill a score of 100 representing a stream of the
hiJttst quality.
To►tat Score (front reverse): Comments: O(AiAViZt
Ld Ilk
Evaluator s Signatureq4Q4 ����� Date,
/�) Ma
This channel evaluation forth is intended to he used onl as a guide to assist landowners and eni lronnientai professioItals in
L-atht:ring the data required by the United :States Arm% Corps of Engineers to make a preliminar) assessment of stream
quality. The total score resulting from the completion of this form is subject to US?tCE approval and does not imply a
particular mitigation ratio of requirement. To Cc:niniert. please call �04 76-8 4 I\'6.

STREAM QUALITY ASSESSMENT NVORh.-SHEET
## CTE, R1 ,EcaRGiol
PIT RI1i S�C�RC
�Coastl
Piedmont
i4ltit�nta�n
,•,.
1
Prescuce of flow 1 persistent pools in stream
0-5
0_4
0-5
(no,flow or saturation = 0: strong flMV = irtax Dints)
D idcrtce of past liuman alteration
0 _
0 - 5
0 -5
`
{extensiA e alteration = 0. no alteration = max oints
3",'Points)4_6
Riparian zone
0-4
{}-5
(no buffer = 0; Conti uous. wide buffer = m
L Idence of nu#rien# or cItcn�fcal cliscltarges
0-5
0-4
0� 4
(eNtensive discharges = 0; no discharges = niaxpoints)
Gro6ndwaterdiscliarge0-3
'rings
0-4
0=4
nsa discliaree = 0' s see s. wetlands etc.= rna�ipoints)
'
Presence of adjacent floodplain
0-�
a-4
a-�
l
no floodplain = 0; extensive fi6od lain = mai oints)
1
7
Entrenchment f floodplain access
0-5
0-4
0-2
F`
(deeply entrenched = [1 ftc uent flooding = maxpoints)
g
Presence of adjacent wetlands
0-6
0-4
0-?
(no wetlands = 0 large adjacent evetlands = max oints)
9
Channel sinuosity
0-5
0-4
0-3
(extensive cbannelization = 0: haturai meander= maxpoints)
10
Sediment Input
0-5
0-4
0-4
(extensive deposition= 0' little or no sediment = maxpoints)
r, r.
Size S diversity of channel bed substrateNA*':.
0 -4
0-5
r;
11
(fine,homouenous ;7 0• large. diverse sizes =.maX oints)
_
12
Evidence of channel incision or ifldening
0-5
0-f
0-5
(deeply incised = d, stable bed & banks = max pints)
Presence of major bank failures `
l'
0-5
0-5
0-5
1
(severe erosion = 0; no erosion stable banks = mag Dints
14
Root depth and density on banks
0 _ 3
0-4 4
0-5
moi•
F,
(no visible roots = 0, dense roots throughout = mai amts
Impact by agriculture, iivcstocly or timber production
0-5
0-4
0-5
15
(substantial im act =0• no evidence = max Dints)
-
a
Presence of riffle-poollripple-pool complexes
0-3
0-5
0-6
l
(no riffles,'ri les or ools = 0, «ell-develo ed = rnax Dints
1
Habitat complexity
0-6
0-6
0-6
`
(little or no habitat = 0• frequent, varied habitats = maxpoints)
P2
Canopy coverage over strearnbed
0- 5
0- 5
0- 5
18
(no shading ve etation = 0' continuous cano v = tnav aims)
'
19
Substrate embeddedness
14A*
0_4
0-4
�--
(deeply embedded = 0; loose structure = marc)
Presence of stream invertebrates (seepage 4)
0-4
0_5
0-5
0
(no evidence = 0; common.. numerous types = maxpoints)
2 1
Presence of amphibians
0-4
0-4
0-4
Q
-
(no evidence =+0; common, numerous es = max Dints)
I
d
22
Presence offish
0--4
0-4
0_4
(no ev. idence = 0; common, numerous h es = max pints
03
Evidence of wildlife use
0-6
0_5
0 —5
1
(no evidence = 0: abundant evidence - max pints)
Total Poinfs Possible _; , �
:100 "
_
0
10601
1�0
f
_ ..
a T©T4ti SCORE (also er ler on f.rk pafge)
e
These characteristics are not assessed in coastal streams.

*OHVJfA W�A_+W' -� F4 -
SCMr 001
NC DWO Stream Identific ition Form Version 4.I1
Date:
Projectlsite: � c 1
Latitude0f , (j % 1 6 f
Evaluator: -j ;ir+yiy�(FC ,�
County: Cc trA ,eVtDr)6
Longitude: -7 _/94 p� c-?
Total Points:
Team is at feast
Stream Determination (circle o e
Other Lr �a� Cff�f C
if? 30*rrf#ten#
it� 19 or f �
�f
Ephemeral Intermittent `perennial
e.g. Quad Name:
A. Geomorphology (Subtotal=
Absent
Weak
Moderate
Strong
18 Continuity of channel bed and bank G tin
0
11
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
0.5)
2
3
4, particle size of stream substrate
0
1
2
3
5. Activelrelict floodplain
fl
1
2
3
6. Depositional bars or benches
{ b
1
2
3
7. Recent alluvial deposits
(_t
1
2
3
S. Headcuts
1
2
3
9. Grade control
,�
scR '-.
0.5
1
1.5
10. Natural valley
0
{ 0.5'
1
1.5
11. Second or greater order channel
No
Yes = 3
® artificial ditches are not rated; see discussions in manual
B. Hvdroloav (Subtotal = 11"> )
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
1
ti 72
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?
(1.5'j
No = 0 1
Yes c 3
0.5 1
C. Rioloav (Subtotal = i '�. )
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,
0 2
3
21. Aquatic Mollusks
(0
1 2,
3
22. Fish
0
0.5
1.5
23. Crayfish
fl
0.5 1
1.5
24. Amphibians
�0
0.5
(1.5'j
25. Algae
0
0.5 1
1.5
25. Wetland plants in streambed
FACW = 0.75: OBL ;` 1.5 Other = 0
"perennial streams may also be identifi d usin other methods. See p. 35 of manual.
Nates: ee fprNA A C
4#A -c. rl, r .e_1 T1,C A U 4� C 4
f-
IAtLd
y
Sketch:
,�
scR '-.
a,,csence vP o #c

1_ SAC E AID= DNl Q = Site t Indic tte on anaclteti ntsrl
5Cmr aft 1
STREAM QUALITY ASSESSMENT NVORKSHEET —AQF
Pro► ide the follow Ing information for the stream reach under assessment:
I. Applicant's nain e: nn,rl `�� ?. ENaluator's name: Esq- iSM(Ail Asir"
3. Daie of c\ aluadon : S�!' /1 C�, 4. Time of et aluation: _( :0V A M
5. Naine of stream:G W IQ aR FMOC R i Vt 6. €1h er basin: C&Pe
7. Approximate drainage area: ac 8. Stream order:
9. Lenuth of reach ev aluated- l u. County :
1. Site coordinatcs (if kno%rn): prefer in decimal decrees. 12. Subdivision name (if any): MA
latitude re\..4.87:31'_1: ' 'i� -77 It
hietliod locat'tc>n determined (circle): 62 lobo Sheet Ortho (Aerial) MIWGIS Other GIS Other
13. Location Ofreach tinder evaluation (note nearby roads and landmarks and attach mar identifying streams) location):
L[lclT ENt�S� a T'eMoutr Omfcl,% RA
14. Proposed channel work (if any): COMOW 'P Pet `(\f
H. Recent weather conditions: `&anr\
16. Site conditions at time of visit:_ CAM i S'r62
17. Identify and special N+aterx3,ay classifications known: _._Section 10 Tidal Waters Essential Fisheries Habitat
Trout Watersoutstanding Resource Waters Nutrient Sensitive Waters Fater Supply Watershed :K(I-lv)
I8. Is there a pond or lake located upstream of the evaluation point? YES h f yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YESN0 24. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: Q° o Residential ^° o Commercial "a Industrialo Agricultural
} 'o Forested ^° o Cleared / Logged 4 u Chher ( )
Tcp c F,yn�ti11
22. ankful vrtd t:� A' (f1 4 ?3. Bank hei��ltt (from bed to top of bank):
24. Channel slope down cen of stream: Flat (0 to ?°o) Gentle (2 to 4°a) ___, R9oderate (4 to 10°'0) _steep (>l0°0)
25. Channel sinuosity: Straiaht -Occasional bends _.Frequent meander ---Very sinuous Braided channel
instructions for completion of worksheet (located 4n pag,e 2): Begirt by detertltining lite must app+ruprtale eCU'rCF?tUi7 based on
location. terrain. vegetation, stream classifica;ion, etc. Even characteristic trust be scored using the same ecore-gion. Assign points
to each characteristic vt ithin the range sho%A n for the ecoregion. Page .3 provides a brief description of how to review the
characteristics identified in the %�orkshtet. 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 expianatiott in the
c3mment section. ','here there are obvious changes in the character of a stream under review (e.g., the stream flouts from a pasture
into a forest). the stream may be divided into smaller reaches that display more continuity, and a separate fonn used to evaluate each
reach. The total scare assigned to a stream reach must range between 4 and 100. vt ith a score of 100 representing a stream of the
highest qualit,,.
Total Score (front reverse): 4 Comments:
Evaluator's Signature i Date
This channel evaluation form is intended to be use only as a guide to assist landowners and em ironntental professionals in
gathering the data required by the United States Arnt� Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting front the completion of this form Is subject to USACE approval and does not Imply a
particular mitigation ratio or requirentetit. Fong s'u�,ject 10 ch12.ige - %ersion 06 41_ . Ti! t l'tliltt tit. please call QIP -Su 6-S 141 k'6.

STREAM QUALITY ASSESSMENT NN70RI SHEET
11L.�r` rN
C-ORi'.rISLLJSyyyr�cQ i li.ilt�y�3ii{�w �lJl'\ii'.
# CHIiCTRIS ,r Cc►astal' ` Pemorit lll&uittarn. g
Presence of flog,' 1 persistent pools in stream -'
l 0-5 0-4 0-5
(no flow or saturation = 0: strong flow = maxPoints)
Evidence of past human alteration 0-6 0-5 0-5
(extensh e alteration = 0; no alteration = maxpoints)
Riparian zone o-6 o-4 0-5
3 (no buffer= 0; contiguous. ,vide buffer = max oints)
4 Eti�idence of uutrleiit or chemical discharges 0 — 5 4 —4 0 -4
x° (e -tensive discharges ns discltarces =max Dints
t; 5 Ground►'aterdischarge 0-3 0-4 0=4
(no dischar e = 0• 'rims seeps, wetlands etc = �nax vials
' Presedceofadjaccntflood plain 0-4 q-4 0-2
6 (no flood lain = 0; extensive fleiod la%n = rhax amts)
{+_ Entrenchment f floodplain access 0— 5 0— 4 0— 2
�-� {dee l entrenched = 0' frequent flooding = max points)
r Presence of adjacent iti'etlands 0-6 0 —4 0-2
8
z (no wetlands = 0- large adjacent wetlands = maxpoints)
Channel sinuosity
0-5 0-4 0-3
(extensive channeliaation � 0• natural meander = max oints)
'; ` l0 Sediment 0-5 0 - 4 0-4
(extensive de osition= 0° little or no sediment ints)
Size 8: di)-- hity of channel bed substrate
t, 11 NA'" : 0-4 0-5
(fine, homoeenous .= Q` large, diverse sizes =.max points)
=`
12 Evidence of channel in or widening 0-5 0 —4 0-5
(dee 1 y incised = 0; stable bed & banks = max oints
13 Presence of major bank failures ° 0-5 0-5 0-5
severe erosion = 0; no erosion stable banks = max; points
i4 Root depth and density on banks 0-3 0_4 0-5
(no visible roots = 0; dense roofs throuaout = max oints
15 Impact by agriculture, livestock, or timber production 0-5 0-4 0-5
(substantial iIn act =0• no evidence= max aints)
16 Presence of riffle-poolfripple-pool complexes 0-3 0-5 0— 6
(no riffies,'ripples or pools = 0; We11-developed -max amts
Habitat complexity 0-6 0-6 0-6
' l i (little or no habitat = 0; frequent, varied habitats = max oints
1 Canopy coverage over streambed 0_ 5 0-5 0-5
(no shadingvegetation= 0' continuous canopy = mai pints
19 Substrate embeddedness NA* 0-4 0-4
in
(deeply embedded = 0• loose structure = max
00 Presence of stream invertebrates flee page 4}
0-4 0-5 0 -- 5
(no evidence = 0: common, numerous es = rnaK voints)
U► l Presence of amphibians
_OL— :} 0 —4
(no evidence = 0; common, numerous types = max Dints)
a- Presence of fish}
22
no evidence = 0'. common, numerous h es =may Dints) 0 — 4 0 — 4 0-4
Evidence oftvildlife use
0—fi 0-5 0-5
'3
r r- (no e47defiCe = 0: abundant evidence = max points)
Tota l Points Posihle 100 e-2 cl
100
TATA a SCORE t a1sQ enter on ftr�t pa e)
_a• a
These characteristics are not assessed in coastal streams.

SC rn r©O
NC DWQ Stream Identification Forin Version 4.11
irate:,51 t&
Project/Site: A C e
Latitude: 31t, 87A J
Evaluator:F g;„WA Ce (I
County:C(,4Mib-e(w6
Longitude: -7?, 7 f&
Total Points:.'c"40
Stream is at least intermittent
Stream E}eterrnfnatfon (circle one)
Ephemera l(E-ntermittenI erennial
Other C r cr�f
e.g. Quad Name:
if? 19 or perennial it? 30*
2. Sinuosity of channel along thalweg
0
A. Geonnor holo Subtotal = S' 5
Absent
Weak
Moderate
Strong
1a' Continuity of channel bed and bank r+c{n
0
1
2
3
2. Sinuosity of channel along thalweg
0
1)
2
3
3. In -channel structure- ex. riffle -pool, step -pool,
6 le- ool sequence
0
r, �
►.,!J
2
3
4. Particle size of stream substrate
0
1
2
( 3
5. Active/relict floodplain
(9
1
2
3
B. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
ft. Headcuts
(}
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
S952
1
1.5
11. Second or greater order channel
No f
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. Hvdrology (Subtotal= �)
12. Presence of Baseffow
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
15. Organic debris lines or piles
0
%.5 2
1
1.5
17. Soil -based evidence of high water table?
1
No = 0
Yesi 3
0.5
C, Biology (Subtotal = r7_]
1 B. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed 3
2
1
0
20. Macrobenthos (note diversity and abundance) 0
1
2
3
21. Aquatic Mollusks f l
1
2
3
22. Fish 0
0.5
1
1.5
23. Crayfish ( 0)
0.5
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae 0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75;
OBL = 1.5 Other [
"perennial streams may also be identified using other methods. See p. 35 at manual.
Notes:
Sketch:
. m -
U

USACE AID4 DWQ 4 Site 4 (indicate on atwchL�d m-,11)
sr -m P bq 9
En
STREAM QUALITY ASSESSMENT WORKSHEET -AQF
Provide the follo►4 ing information for the stream reach under assessment:
1. Applicant's name: 311AViWa, 2. Evaluator's name: S, -r- :r1 Nr'A0-tr Hl&rA„re
3. Date ofevaluation: ! Q�(� 4. Time of evaluation:
S. ?game of stream: P,, E&C f. Riper basin: t.Aec
7. Approximate drainage area: 1 8. Stream order:
r>~
9. Lengthof reach evaluated: 30 L . 10. County: C wuw �• .ted" __
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): Cf Cr
I.alitude(ex.34.872312): • %-79 Longitude (ex. -77.556611): A
Method location determined (circle): G1'S Topo Sheet Ortho (Aerial) i°hoto/GIS Other GIS Cather
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying streams) location):.
For;- A Ma tF H,,r 4,-A
14. Proposed channel work (if any)T(0�=����'
15. Recent weather conditions: S&A(\^+!1
15. Site conditions at tinge of visit: MOM- MA d L d'lkcryre r g irk+
17. Identify any special waterway classifications known: _Section 10 Tidal Waters ,____,Essential Fisheries I labitat
_Trout WatersOutstanding Resource Waters _Nutrient Sensitive Waters Water Supply Watershed =d
18. Is there a pond or lake located upstream of thvaluation paint? YES ,Q ]f yes, estimate the water surface area:
19. Does channel appear on USGS quad map YES)� d 20. Does channel appear on USDA Soil Survey? YES(9)
21. Estimated watershed land use: `% Residential _° o Commercial ___% Industrial _° Agricultural
Forested 10-0.10 Cleared / bogged �% Other ( i
22. Bank full Nvidth: L+ 23. Bank height (from bed to top of bank):
2.1. Channel slope down center of stream:Flat (0 to 2°cif) _Gentle (2 to 4%) ____,Moderate (4 to 10%) _Steep (> 10%0)
25. Channel sinuosity: --"'Straight _Occasional bends —Frequent meander Very sinuous _Braided channel
Instructions for completion of worlcslieet (located OR page 2): Begin by determining the most appropriate ecorrgion 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 weatlter 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 trust range between 0 and 100, «ith a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): Comments: yngrs 4N,-,., atm -t �'� '�►'� , —
l
E►aluator's SignatureDate
This channel evaluation form is intended to be used only as a guide to assist lattdor►ners and environmental professionals in
gathering the data required by file 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 chan�-le- Version 06 03. To Comment, please call 919-876-8441 x26.

STREAM QUALITY ASSESSMENT WORKSHEET
* I hese characteristics are not assessed in coastal streams.
ECOREGION POINT
RANGE,
CHARACTERISTICS.
SCORE
Coastal
Piedmont..
Mouninin,
Presence of flow C persistent pools in stream
0-5
0-4
5
(no flow or saturation = 0: strong flow = max noints)
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 discha!Bes = rfiax points)
5
Groundwater discharge
0-3
o-4
0-4
(no discharge = 0; sprinjgs, seeps, wellands, etc. = max points)_
6
Presence of adjacent floodplain
o-4
0-4
0-2
fl
(no floodplain = 0; extensive oodplain = max points)
7
Entrenchment / floodplain access
0-5
0-4
0-2
(deeply entrenched = 0; frequent flooding = max points)
8
Presence of adjacent wetlands
0 - 6
o-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
o-4
0-5
(deeply incised = 0; stable bed & banks = max points)
r
13
Presence of major bank failures
0-5
0-5
0-5
(severe erosion = 0; no erosion, stable banks = max points)
e
14
Root depth and density on banks
0-3
0-4
0-5
(no visible roots = 0; dense roots throughout = max points)
cr_
15
Impact by agriculture, livestock, or timber production
0-5
o-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 poi
17
Habitat complexity
0-6
o-6
0-6
(little or no habitat = 0; frequent, Varied habitats = max points)
PC
18
Canopy coverage over streani6ed
0-5
0-5
0-5
(no shading vepetation = 0; continuous canoRy �: max points)
19
Substrate embeddediiess
NA*
o-4
0-4
(deeply embedded = 0; loose structure = max)
20
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
(no evidence = 0: common, numerous types = max points)
Presence of amphibians
0-4
0-4
0-4
(no evidence= 0; common,_ numerous types= inax. points)
22
Presence offish
0-4
0-4
0-4
(no evidence = 0. common, numerous types = max points)
23
Evidence of wildlife use
0-6
0-5
0-5
(no cN iderice = 0-, abundant evidence = may points)
Total Points Possible
100
100
100
TOTAL SCORE (also enter on first page)
* I hese characteristics are not assessed in coastal streams.

NC 11Wn .'qtrPnni 1rInntifir9tion Fnrni Lrersinn 4.11
! cw6mp q?
Date:
Projectl5it/e': k
latitude: 3"t. S 7� 3 t j
Evaluator: 5S - kxe6 t,,, �C. by rp(,Ar€tj
County: 1..�umberlanck
Longitude: -7?. 8(j
Total Points;
Stream is at least irterrnittenf 1-3-S
reauLpeterminatlon (circle one)
Ephemeral Intermittent Perennial
Other CtAt, Cree kF IJ
e.g Quad Name;
if 2 13 or perennial if ? 30*
-1a
2. Sinuosity of channel along thalweg
0
A. Geomorphology (Subtotal = -S.5 )
Absent
Weak
Moderate
Strong
Continuity of channel bed and bank A, Ah [j„
0
1
2
3
-1a
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step-pool,nl
ripple -pool sequence
16. Organic debris lines or piles
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Activelrelict floodplain
W
1
2
3
6. Depositional bars or benches
1
2
3
7. Recent alluvial deposits
0
1
2
3
B. Headcuts
0
1
2
3
9. Grade control
00.
1.5
1
1.5
10, Natural valley
0
'perennial streams may also be identified using other methods. See p. 35 of manual.
1
1.5
11. Second or greater order channel
Notes:
No 0
Yes = 3
- artificial ditches are not rated; see discussions in manual
R Wwriminntr Mi.kfnfnl = 4 1
12. Presence of Basefiow
0 1
2
3
13. Iron oxidizing bacteria
( 1
2
3
14. Leaf litter
1. 1
0.5
0
15. Sediment on plants or debris
0j 0, 5,
1.5
16. Organic debris lines or piles
0 (0.5)
21. Aquatic Mollusks
1.5
17. Soil -based evidence of high water table?
No = 0
2
Yesy= 3 j
P Rinlnnti lCiihfn+tel = S 1
18. Fibrous roots in streambed
3
2
1
0
19. Rooted Lapland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
W
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24_ Amphiblans
(0
0.5
1
1.5
25. Algae
1.'0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL =1.5
Other0'.I"
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
L fN�
Tod' of $an'-( W, � y =+ �� t�

USACE AiD
LK
DWQ 4 Site (indicate on attached inip)
sc.,u p64 S
STREAM QUALITY ASSESSMENT WORKSHEET I&
Pro► id the followw in,, in form at!on for the stream reach under assessment:
1. Applicant's name: r 2. Evaluator's name: &ST 1Vypd'wi �•.11flw fill, Ire
3. Date of evaluation: 4. Time of evaluation: T --WA/YS
5. Name of stream: LAMT 6. (,qpm F'L*, K 6. River basin: CI -AP£' E'Lt
7. Approximate drainage area: acres 8. Stream order: ?-
9.
9. Length of reach evaluated: "TO l-4 10. County: CC, MV:)e�i B�
11. Site coordinates (if known): prefer
prefer in decimal degrees. 12. Subdivision name (if any): 14
I: 11itUde (ex. 34.872312): , T A --] Longitude (cx. -77.556611): `-"7
hfethod location determined (circle): Gl'S 'apo Sheet Ortho (.aerial) I'holo/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: SIA t1 �
16. Site conditions at time
17. Identify any special waterway classifications known: Section 10 _Tidal -'Paters _Essential Fisheries Habitat
_Trout Waters ,Outstanding Resource Waters ^Nutrient Sensitive Waters +4 1 -Vater Supply Watershed -9:(1-1V)
18. Is there a pond or lake located upstream of the evaluation point? YES NEDIfyes, estimate the water surface area:
19. Does channel appear on USGS quad map? (P NO 20. Does channel appear on USDA Soil Survey? NO
21. Estimated watershed land use: % Residential _q a Commercial 16 9,0 Industrial % Agricultural
0 % Forested Cleared 1 Logged % Other { )
22. Bankfull width: kt 23 Pan, height (from bed to top of bank):
2.1. Channel slope down center of stream: Flat (0 to 2%) V Gentle (2 to 4%) _Moderate (4 to l0%) ,,_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 i.n the work -sheet. 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 flmv s from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. Tile total score assigned to a stream reach must range between 0 and 100, wvith a score of 100 representing a stream of the
highest quality.
Total Score (front reverse): 0 Comments:
Evaluator's Signature Date
This channel c►aluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Foran subject to change- version 06'03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
* I liese cliaracteristics are not assessed in coastal strcanis.
I+,COR1 XNON POINT
RANGE j
#i
CHARACTERISTICS
-
;SCORE
COastal Nedni int _.
Mountain
Presence of flow I persistent pools in stream
0-5
0--4
0-5
(no flow or saturation = 0: strong flow = maxpoints)
2
Evidence of past human alteration
0-6
0-5
a 5
(extensive alteration = 0; no alteration = maxpoints)
3
Riparian zone
0-6
a- 4
0- S
�-�-
(no buffer = 0; contiguous, wide buffer = maxpoints)
4
Evidence ofntrient or chemical discharges
0-5
4 4
0 - 4
-I
(extensive dischar es = 0, no discharges = maxpoints)
,a
5
Groundwater discharge
0-3
o-4
0- 4
no discharge = 0; springs, seeps, wetlands. etc. = maxpoints)
.
fi
Presence of adjacent floodplain
0 �. q
a- 4
0- 2
(no flood lain = 0; extensive flbod lain = max oints)
Entrenchment I floodplain access
0 5
a 4
0- 2
r'(deeply
entrenched = 0• frequent flooding= max oints
Presence of ad jacent wetlands
0-6
0 _ 4
0-2
(no ►vetlands = 0; large adjacent wetlands = max points)
9
Channel sinuosity
0-5
0-4
0-3
(extensive channelization = 0; natural meander= maxpoints)
la
Sediment input
0 - 5
0-4
0-4
{extensive de osis on= a; little or no sediment = max oint5
11
Size & diversity of channel bed substrate
NA*,
o-4
a-5
fine, homogenous- 0• large, diverse sizes = maxpoints)
1?
Evidence of channel incision or widening
0-5
0-4
0-5
(deenly incised = 0; stable bed & banks = max amts
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 � maxpoints)
15
Impact by agriculture, livestock, or timber production
0-5
0 4
0-5
']
substantial impact =0- no evidence = maxpoints)
16
Presence of riffle-paot/ripple-pool complexes
0-3
0-5
0-6
no riffles/ripples or pools = 0; well-developed = maxpoints)
:Q
1
Habitat complexity
0-6
0-6
0-6
1- -
little or no habitat = 0; frequent, varied habitats = max amts
0:
18
Canopy coverage over streamhed
0-5
0-5
0-5
(no shading vegetation = 0; continuous canopy = max Dints)
19
Substrate embeddedness
NA*
0-4
0-4
(deeply embedded = 0; loose structure = max
20
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
(no evidence = 0. common, numerous types = max pints)
1
Presence of amphibians
0-4
0- 4
0-4
(no evidence = 0; common, numerous types = maxpoints)
*�
p
?�
Presence of fish
0-4
0-4
0-4
(no evidence = 0: common, numerous es = max.points)
�3
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)
-
* I liese cliaracteristics are not assessed in coastal strcanis.

NC DWO Stream Identification Form Version 4.11 SC rvv P ©q S
Date: '
Project/Site: � C [�
Latitude: 3'tr 7 9jj `> 6
Evaluator:�y ► l i ;. ] t3 �f
County: (f t v, , Ao, �l
Longitude: _7 � , 1502 j
Total Points:
Stream Is at feast iniermitferrtEphemeral
Stream Determination (circle one)
Intermittent erennia
Other CL461 (rctk NC.
e g Quad Name,
if a t9 orperennial if a 3r7"
2. Sinuosity of channel along thalweg
0
A. Geomorphology (Subtotal= " l )
Absent
Weak
Moderate i
Strong
18' Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
15. Sediment on plants or debris
2
3
3. In -channel structure: ex. riffie-pool, step -pool,
ripple -pool sequence
0
ll''
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
m artificial ditches are not rated; see discussions in manual
F3_ Hvdminav (Subtotal = C ]
12. Presence of Basefiow
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
1.5
16. Orgariic debris lines or piles
0
17.5
1 1.5
17. Soll-based evidence of high water table?
0.5
No = 0
Yes 3
C_ Biology (Subtotal = `? _ `.i 1
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed 3
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks Q0
2
3
22. Fish CU
0.5
1
1.5
23. Crayfish M
0.5
1
1.5
24. Amphibians
0.
1
1.5
25. Algae 0
.5
1
1.5
26. Wetland plants in streambed
FACVV - .75)
OBL = 1.5 Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch: � �-5-r oiOL4 5'
Nla�d- i-le�;r Ka -•t
ok� vi in vv
TUB - abn K- w'r'y�-

Environmental Field Surveys
Waterbody Photo Page
Waterbody scmp045 facing northeast upstream.
Waterbody scmp045 facing southwest downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody scmp045 facing east across bank.
Photo Sheet 2 of 2

USAGE A1134V DkVQ 4 Site 4 (indicate on attached limp)
s��,�bt�
EV STREAM QUALITY ASSESSMENT WORKSHEET
Prov ide the folio;ving information for the stream reach under assessment:
1. Applicant's name: nir+iasn 2. Evaluator's name: ESI
3. Date of evaluation: b I _-_ -- 4. Time of evaluation: 1015 AM
5. Name of stream: (AtJ+b C-Ft^r i✓er- 6. RiN er basin: a
7. Approximate drainage area: 11200 ■arcs 8. Stream order:
9. length ofreach evaluated: 'SOa Ft, 10. Count): C-k&nA1 e-ekveat H. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): _ -
Latitude (ex. 34.872312):-Stf0Z( Longitude (ex. -77.556611): - �i $. 9 f
Method location delennined (circle): [' ' Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
1.1. Proposed channel work (if any): Pr.. +s;A
15. Recent weather conditions: sic K-1
16. Site conditions at time of visit: sFreaw, erasccr pis effmss paw. -r( Ke t-aser"";-
17, ldentify any special waterway classifications known: Section 10 _Tidal Waters _Essential Fisheries Habitat
Trout Waters _Outstanding, Resource Waters _ Nutrient Sensitive Waters Fater Supply Watershed T(wv)
18. Is there a pond or take located upstream of the evaluation point? YES (Of estimate tite water surface area:
19. Does channel appear on USGS quad map?<2 NO 20, Does channel appear on USDA Soil Survey? YC NO
21. Estimated watershed land use: _°6 Residential 9 c, Commercial/0 industrial _% Agricultural
-LO�I Q % Forested U ;,Cleared 1 Logged 9' Other( l
22. Bank full width: 4C 4- _- 23. Bank height (from bedtotop of bank): 4,F*
24. Channel slope down center of stream: Flat (0 to 2%) /Gentle (2 to 4%) Moderate (4 to 10°) —Sleep (> 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 some 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. W7iere 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 f from reverse): � Comments:
Evaluator's Sibnature_� -- DaIe ��
Titis channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make u 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 strmuns.
ECOREGION POINT
RANGE
##
CHARACTERISTICS
6CORE
Coastal
Piedmont
Mountain
I
Presence of flow 1 persistent pools in stream
0-5
o-4
0 -5
(no dory or saturation = 0; strong flow = maxpoints)
?
Evidence of past human alteration
0-6
0-5
0 -. 5
(extensive alteration = 0; no alteration = max oints
3
Riparian zone
0-6
0-4
0-5
(no buffer = 0; contiguous, wide buffer_ = maxpoints)
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
(extensive discharges = 0; no discharges = maxpoints)
a
5
Grouudwaterdischarg+e
0-3
0-4
0=4
(no discharge = 0; springs, see s, wetlands, etc. = maxpoints)
6
Presence of adjacent floodplain
0-4
0— 4
0-2
^�
(no floodplain = 0; extensive floodplain = max pints)
Entrenchment / floodplain access
0— S
0— 4
0 -- 2
a.
(deeply entrenched = 0; frequent flooding = max points)
8
Presence of adjacent wetlands
0-6
o— 4
0— 2
��-
(no wetlands = 0; large adjacent wetlands = maxpoints)
}
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 pints)
?'
11
Size & diversity of channel bed substrate
NA *'
0-4
0-5
(fine, home enous = 0• large, diverse sizes = maxpoints)
_
12
Evidence of channel incision or widening
0-5
0-4
0-5
(deeply incised = 0; stable bed & banks = maxpoints)
13
Presence of major bank failures
0-5
0-5
0-5
w,
(severe erosion = 0• no erosion stable banks = maxpoints)_
14
Rout depth and density on banks
0-3
0-4
0-5
I
(no visible roots = 0• dense roots throughout = maxpoints)
f
15
Impact by agriculture, livestock, or timber production
0-5
0 —4
0-5
0—
(substantial impact =0; no evidence = max pints)
16
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
(no es/ripples or pools = 0• well-developed = maxpoints)
1
Habitat complexity
o-6
0-6
0-6
!-
(little or no habitat = 0• frequent, vafled habitats = maxpoints)
18
Canopy coverage over streambed
0 — 5
0 — 5
0-5
(no shading vegetation = 0; continuous canopy = maxpoints)
1
Substrate embeddedness
NA*
o-4
0-4
(deeply embedded = 0; loose structure = max)
--
20
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
(no evidence = 0; common, numerous types = maxpoints)
?1
Presence of amphibians
0-4
0-4
0-4
(�
O
(no evidence = 0; common, numerous es =max Dints
m
[3
��
Presence of fish
0--4
0-4
0-4
r..
(J
(no evidence = 0; common, numerous es = max points)
�3
Evidence of wildlife use
0-6
0 - 5
0-5
no evidence = 0; abundant evidence = maxpoints)
Total Paints Possible
100
1"
100
TOTAL SCORE (also enter on first page)
5-7
* These characteristics are not assessed in coastal strmuns.

NC DWO Stream Identiriration Form Version 4.11 54" (' e)'i4
Date: !/
ProjectiSite: �} [�Q
Latitude: }. ifr -
Evaluator: W ��,j i IC. A1ctIP�,r,'j�?
County: �6401-k>erf AV d
Longitude: -7 X, Ili:
'Focal Points:
71
Stream Determination (circle
Other Ced ,,rCrc�k WC -
Stream is at feast intermittent yy
3`11
Ephemeral lntermlttenf , erennial
r
e g Quad Name:
if? 19 or erennia!ffa 30' _'0
2
3
A. Geornot Bolo (Subtotal = I � - 5
Absent
Weak
Moderate
Strong
"Continuity of channel bed and bank
0
1
2
IN
-1
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
&
3
4. Particle size of stream substrate
0
1
2
3
5. Activelrelict floodplain
0
1
2
3
ti. Depositional mars or benches
0
1
2
3
7, Recent alluvial deposits
0
2
3
B. Headcuts
0
1
2
3
9. Grade control
0
fi rscr��Q��
Sketch: v r 641.
`tel°b`�I
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No = 0
Yes = 3
a artificial ditches are not rated, see discs sslons in manual
R Hwrirnlnriv (RiihtntM = 1
12. Presence of Oaseflow
0 1
2
0
13. Iron oxidizing bacteria
i
2
3
14. Leaf litter
IN
0.5
0
15. Sediment on plants or debris
0 0,
1
1.5
16. Organic debris lines or piles
0 0.5
1
1.5
17. Soil -based evidence of high water table?
No = 0
1
Yes f 3
(' Rinlnnv f5uhtntal =
1 a. 1=ltarous roots in streambed
2
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance) 0
IT
2
3
21. Aquatic Mollusks Oj
1
2
3
22. Fish 0
0.5
1
1.5
23, Crayfish 0
0.5
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae
0.5
1
1.5
26, Wetland plants in streambed
FACW = 0.75; OBI = 1.5 Other -)
'perennial streams may also be identified using ether methods. See p. 35 of manual.
Notes-.
fi rscr��Q��
Sketch: v r 641.
`tel°b`�I
Uk\wm 1� dam►
7-0Q of

Environmental Field Surveys
Waterbody Photo Page
Waterbody scmp046 facing northwest upstream.
Waterbody scmp046 facing east downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody semp046 facing northeast across bank.
Photo Sheet 2 of 2

USACE Alli -i Dlk0 . :i1L .- (indicate on attached map)
0 STREAM QUALITY ASSESSMENT NA70RKSHEET
Proc'sde the follmiffig information for the stream reach under assessment: p
2. Evaluator's name: 3 )1'�r b 4,J r -
4. Time of evaluation: 119 Jr
6. River basin: t"AL Fexrr
1. Applicant's name: -DO 6A il'k%0n
3. Date of evaluation: 3 A —ILO
5. Name of stream: {,t NT }, C -v¢, f7cor
7. Approximate drainage area:ov
9. Lenuth of reach evaluated: 6-0
8. Stream order: 7, "tk
10. County: ►s i kl _
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): '-
u �
Latitude (ex. 34.872312): LA . 8 $ Du ` Longitude (ex. --77.556511 ): — 7 0 + 8 I
Method location determined (circle): GPS opo Shee r4ananimparks
hoto1GIS Other GIS Other
13. Location of reach under evaluation (note n r y roads and attach map identifying stream(s) location):
rasL ry If cle, FE, givtr
14. Proposed channel work (if any): f roeoss4 e,` ftJme
15. Recent weather conditions: r 1544
16. Site conditions at time of visit: C-kannxj crest -f 4ZJC; rte ; JRTWt.,1f +ne r-^fT-rAC1'-G'
17. Identify any special waterway classifications known: _Section 10 Tidal Waters _Essential Fisheries Habitat
_Trout. Waters iOutstanding Resource Waters _Nutrient Sensitive Waters eater Supply Watershed '15(1 -IV)
18. Is there a pond or lake located upstream of the evaluation point? YES ; If yes, estimate the water surface area:
19. Does channel appear on USES quad map. YY NO 20. Does channel appear on USDA Sail Survey? ES NO
21. Estimated watershed land use: ^°,o Residential �% Commercial s' % Industrial �% Agricultural
71 IN' Forested W O.S Cleared / Logged —1/6 Other ( )
22.Bhnkp�ft ll idth: �k, e5i wt -*d CTWOA 23. Bank- height (from bed to top of bank):s,� +' -
2a. Channel slope down center of stream -
(0 to 2° o) _Gentle (2 to 4%) _Nloderate (4 to 10%) Steep (> 10° p)
25. Channel sinuosity: Straight V 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 flotiks 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, ►N ith a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): Comments:
Evaluator's Signature Date �31 0140
This channel e►aluation rnt is intended to be used only as a guide to assist landoA tiers and environmental professionals its
gathering the data re red 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 IUSACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to chanLue - version 06 03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
ECORrGION POINT
-
RANGE
--_
CHARACTERISTICS
SCORE
Coastal
Piedmont
Mountain,
Presence of flow / persistent pools to stream
0 5
—4
0-4
0-5
(no holy or saturation = 0; strong flow = maxpoints)
Evidence of hast human alteration
0 6
0-5
0-5
q
(extensive alteration = 0. no alteration = marpoints)
3
Riparian zone
0-6
0-4
0-5
(no buffer = 0; contiguous, tide buffer = maxpoints)
4
Evidence of nutrient or chemical discharges
0-5
0-4
0--4
(extensive discharges = 0; no discharges =max Dints)
�.
5
Groundwater discharge
0-3
0-4
0-4
d
(no discharge = 0; springs, see s, wetlands. etc. = max flints
60-4
Presence of adjacent floodplain
0-4
0-2
(no floodplain = 0; extensive floodplain = marpoints)
Entrenchment 1 floodplain access
0-5
0-4
fl -?
"
(deeply entrenched = 0; frequent hooding, = maxpoints)
S
Presence of adjacent wetlands
0-6
0-4
0-2
(no wetlands = 0; large adjacent wetlands = maxpoints)
9
Channel sinuosity
0-5
0-4
0-3
(extensive channelization = 0; natural meander= maxpoints)
s.
10
Sediment input
0-5
0-4
0-4
(extensive deposition= 0; little or no sediment = max dints)
Size & diversity of channel bed substrate
(fine, homogenous = 0; large, diverse sizes r-- maxpoints)
1
Evidence of channel incision or widening
(} _ S
0 - 4
0 -5
(dee 1 incised = 0; stable bed & banks = max points)
i3
Presence of major bank failures
0-5
0 - 5
0-5
(severe erosion = 0; no erosion stable banks = maxpoints)
'
14
Root depth and density on banks
0-3
0_4
0-5
3
(no visible roots = 0; dense roots throughout = max points}
C
15
Impact by agriculture, livestock, or timber production
o-5
0-4
0-5
(substantial im act =0: no evidence = maxpoints)1
16
Presence of riffle-pooUripple-pool complexes
0-3
0-5
0-6
(no riffles/ripples or pools = 0, ivelkdevelo ed = maxpoints)
17
Habitat complexity
0-6
0-6
0-6
(little or no habitat = 0; frequent, varied habitats = maxpoints)
111
Canopy coverage over streambed
0-5
0 - 5
0-5
(no shadin ve fetation = 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 tv es = maxpoints)
1
Presence of amphibians
0-4
0-4
0-4
(no evidence = 0; common. numerous types = maxpoints)
Presence offish
0-4
0-4
0-4
'i
+-w
(no evidence = 0 common, numerous types _ maxpoints)
vc
p
3
Evidence of wildlife use
0-6
0-5
0-5
(no evidence = 0; abundant evidence = max points)
Total faints Possible
IN
100
100b3
a
;a..
TOTAL SCORE; (also enter on first page)
* These characteristics are not assessed in coastal streams.

NC DWO Streani Identi6ication Form Version 4.11 Sgc mr (Dq
Date: 31&q11&
Project/Site: AC
Latitude: �1+, t80�7 A-
Evaluator: CS*1-3.0ININVurir
/ � . � til' Q''+�
County: b+f�i/ pfd
CCS lM f
Longitude:•--�
Total Points:
Stream is at resat fntemrittent-30
Stream Determination circle one
Ephemeral Intermittent(
Other Ctd a r C rex.k, N�
e.g Quad
!fa 29 orperennial if>_ 3+7'
_1"
2. Sinuosity of channel along thalweg
0
A. Geomorphology (Subtotal
Absent
Weak
Moderate
Strong
.=
Continuity of channel bed and bank
0
1
2
3
_1"
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -,pool, stets -pool,
ripple -pool sequence
ti -
1
2
3
4. Particle size of stream substrate
0
1
2
UJ
5. Active/relict floodplain
0
QV
2
3
6. Depositional bars or benches
W
1
2
3
7. Recent alluvial deposits
(OD
1
2
3
8. Neadcuts
1
2
3
9. Grade control
0
0.5
0_1 1
1.5
10. Natural valley
0
0.5
1
11. second or greater order channel
No = 0
Yes
2 3
artificial ditches are not rated; see discussions in manual
B. H drolo (Subtotal= 9.5
12. Presence of 6aseflow
0 1
2
3
13. iron oxidizing bacteria
1
2
3
14. Leaf litter
1.5 1
0.5
0
15. Sediment on plants or debris
0.5
1
1.5
16. Organic debris lines or piles
0 0.5
1
1.5
17. Sail -based evidence of high water table?
No = 0
Yes -`3
C. Biolo Subtotal = C3 I
18. Fibrous roots in streambed
3.
2
1
0
19. Rooted upland plants in streambed
2,
1
0
20. Macrobenthos (note diversity and abundance)
0
i
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0
0.5
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
(OD
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5
Other o
'perennial streams may also be Identified using other methods. See p. 35 of manual.
Motes:
Sketch:
�t
t
s�
C
OOWM vV6+&i : r60 ('esk) - �,adedl
`Cc)P CA Gen < vJ;d4-w' fa' 5 JP+

Environmental Field Surveys
Waterbody Photo Page
Waterbody scmp047 facing east upstream (3/30/2016).
Waterbody semp047 facing west downstream (3/30/2016).
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody scmp047 facing north across bank (3/30/2016).
Photo Sheet 2 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmp047 facing north upstream (9/19/2016).
Waterbody data point scmp047 facing south downstream (9/19/2016).
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmp047 facing east across bank (9/19/2016).
Photo Sheet 2 of 2

LISACE AID#
DWO 7
Site = (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
Pro► idc the fo11a"ing infurwa.itiun for the stream reach under assessment:
r-jnp0Z0
1. Applicant's name: �Ti,)t7wti ft 1, n 2. Evaluator's name; L, Imp p ew-
3. nate ofevnIuation: 4. Time of evaluation; 1-2-011
S. Name of stream: 6. Elis er basin: to --Oe, F+PzP-,r
7 100 , w. ke) r
7. Approximate drainage arca: S. Stream order:_ >
9. Length of reach evaluated: 1Q. County: C�U[rYtiPIU-
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any)._ lrli' n Re
Ladiude (ex. 34.8723121: 3 503-1 Longitude (ex. -77.556611): - � L
Alei hod location determined (circle l:Ut'S Topo Shect Orlin (Aerial) 11hotn.GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach trap identifying, stream(s) location):
e0,6+ 0Me-r h Sou rs e,,► l t +�
14. Proposed channel work (if any d: �
15. Recent weather conditions
10. Site conditions at time of
17. identify any special vvatenvav classifications known; _Section 10 Tidal Waters Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters v/Water Supply Watershed 11 0-1V)
1 S. Is there a pond or lake located upstream of the evaluation point? NO If yes, estimate the water surface area: -J, 110Do CC
19. Does channel appear on USGS quad snap? 6NO 20. Does channel appear on USDA Soil Survey?& NO
21. Estimaled watershed land use: _°o Residential _011) Commercial �°rb Industrial _°u Agricultural
_p4 Forested ON Cleared / Logged ti?� °�s, Other ti"t� ° C.4(
22. Bankfull width: 23. Bank height (from bed to top of bank); Io f4
24. Channel slope down renter of stream: Flat (Q to ?9)Gentle (7 to 4�d) Moderate ( to 1 Q°ro) _Steep (>I 0%)
25. Channel sinuosity: Straight ­Zoccasional bends _Frequent meander _Very sinuous —Braided channel
Instructions for completion of i,>,orksheet (located on page 2): Begin by detennining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scares 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 flov►,s from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and IDo, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): Comments:
Evaluator's Signature Date_ � / . / 1(n
This channel evaluation fo is in ended to he used only a g e to assist Ian doivners and nv Ir amental professionals in
gathering the data requdr by the United States Army Corp f Engineers to male a preliminary- assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - v ersion 061:03. To Comment, please call 919-876-8441 x 26.

STREAM [,QUALITY ASSESSMENT WORKSHEET
TOTAL SCORIA (also enter on first page) —73
* These characteristics are not assessed in coastal streams.
EC©REG'1O +F 111Q1NT RAN[=1C.
T
C.I�AR iCT"LRjSTIC
sCQRi;
Coastali'icdnii�nt
..
111uuntain.
1
Presence of flow 1 persistent pools in stream
-
0 -
0
no flow or saturation = 0; strong flow = maxpoints)
Evidence of past human alteration
0-6
0_5
0-5
(extensive alteration = 0; no alteration = maxpoints)
3
Riparian zone
o-,
0-4
0-5
(no buffer= 0; contiguous, wide buffer = max oints
-
4
Evidence of nutrient or chemical discharges
0-5
0 •-4
0-4
(extensive discharges = 0; no discharges = maxpoints)
a
5
Groundwaterdischarge
o-3
0-4
0-4
2—
(no discharge = 0; springs, see s, wetlands, etc. = maxpoints)
C
Presence of adjacent floodplain
0-4
0-4
0_?
y
(no floodplain = 0; extensive floodplain = maxpoints)
7
Entrenchment / floodplain access
0- 5
0-4
0-
(deeply entrenched = 0; frequent flooding = max ointsj
S
Presence of adjacent wetlands
0-6
0_4
0--)
Ll
(no wetlands = 0; large adjacent wetlands = max points)
+
9
Channel sinuosity
0-5
0-4
0-3
S
extensive ebannelization = 0; natural meander= maxpoints)
16
Sediment input
0-5
0-4
o-4
extensive deposition-- 0; little or no sediment = max hints)
11
Size & diversity of channel bed substrate
NA*
o-4
0 5
fine, homogenous = 0; large, diverse sizes - max points)
Evidence of channel incision or widening
0 _ 5
0-4
0-5
12
(deeply incised = 0; stable bed & banks = maxpoints)
F
13
Presence of major bank failures
$
0-5
t3 S
severe erosion = 0; no erosion stable banks = maxpoints)®-
14
Root depth and density on hanks
0-3
0-4
0-5
(no visible roots = 0; dense roots throughout = max oints)
15
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
(substantial impact =U; no evidence = maxpoints)
1f
Presence of riffle-pool/ripple-pool complexes
0-3
p-5
0- 6
riffles/ripples or pools = 0; well-developed = maxpoints)
1~(no
17
Habitat complexity
0-6
0 - ti
0-6
Ll
F
Tittle or no habitat = 0; frequent, varied habitats = maxpoints)
18
Canopy coverage over streambed
0-5
0-5
0-5
(no shading vegetation = 0; continuous canopy = maxpoints)
19
Substrate embeddedncss
NA*
0-4
0-4
(deeply embedded = 0; louse structure = max
20
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
C)
(no evidence = 0; common, numerous es = max oints
31
Presence of amphibians
o-4
o -4
0-4
0
C
(no evidence = 0; common, numerous types = maxpoints)
Q
27
Presence of t5sh
4-4
0-4
0-4
2—
p
(no evidence = 0. common, numerous !nes = max points)
�3
Evidence of wildlife use
0 - G
0 -5
0-5
(no eti idence = 0; abundant evidence = maxpoints)
Total Points Possible
100
100
100
TOTAL SCORIA (also enter on first page) —73
* These characteristics are not assessed in coastal streams.

QVC'_ ❑WO Stream Identification 1'orni Version 4.11 ;Lvv-%C)()
Date: I �
ProjecUSite: PrL I?
Latitude: 3�
Evaluator: L � D
County: Lom bet -16K rj
Longitude: --7B �i 6LJo
Total Points:€'__
Stream Determination (cir
Other ( %,p
Stream isatieastirtermittent� F
perennial
Ephemeral Intermittent erenni
e.g-Quad Name: Cfee�
rfa 19 or if? 30'
2
3
A. Geamo holo Subtotal = )
Absent
Weak
Moderate
Strong
. Continuity of channel bed and bank
0
1
2
3
_1'
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
I_n1%
UI)
3
4. Particle size of stream substrate
0
1
2
3
5. Activelrelict floodplain
0
1
2
0 0.5
6. Depositional bars or benches
1.5
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0.5
1
1.5-
10. Natural valley
0
0.5
1_4,
1.5
11. Second or greater order channel
No = 0
es = 3
a artificial ditches are not rated, see discussions in manual
R HVrirnlnnv fSiihtntai = ,- 1
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
r5.2
1
0.5
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0
0.5
1
1.5
17. Soil -based evidence of high water table?
1
No = 0
Y' s = 3
0 0.5
C:_ Rininnv (Siffitntal =
18. Fibrous roots in streambed
3 2
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthcas (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
1
2
3
22, Fish
0 0.5
1
1,5
23. Crayfish
0.5
1
1.5
24. Amphibians
0.5
1
1.5
25, Algae
0 0.5
1
1.5
26. Wetland plants in streambed FACW = 0.75; 08L = 1.5 C&Ler = 0
'perennial streams may also be identified using other methods. see p. 35 of manual.
Notes: r r
Sketch:
r
s,u,,,o0Z4 c atrti
a

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmo026 facing north upstream.
Waterbody data point scmo026 facing south downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmo026 facing east across.
Photo Sheet 2 of 2

USACE AID;`
DLVci
Site ,!,i (indicate on attached map)
STREAM? QUALITY ASSESSMENT NVORKSHEET
Prmide the follot►ing information for the stream reach under assessment: 5C MD b7-77
1. Applicant's name: 'L�1. DYY1t try t D r'1
3. Bate ofcvaluation: 5-11i4
5. Nance of stream: Q
7. Approximate drainage area: C7 A++
9. Length of reach evaluated: D L
2. Evaluator's name: �-Oer
4. Time of evaluation: '2 a on
6. Riper basin: Ct[ -ae, e.&-�
S. Stream order:
1 Q. County: lam" � 'f 6JNA
11. Site coordinates (if knownn):QQ prefer in decimal degrees. 12. Subdivision name (if any): � 0nd L,
Latitude (ex. 34.872312): 34. U U ()(G7 - - Longitude (cx. —77.556611): -78. R l ll��
Method location determined (circleGI'S Topa Sheet Onho (Aerial) I'hoto+`GIS Other GIS Other
13. Location of reach under evaitsa ` tote nearby roads and landmarks and attach map identifying streams) location):
14. Proposed channel work (if any):
15. Recent weather eondit
16. Site conditions at time
17. Identify any special waterway classifications known: Section Ill _Tidal Waters Essential Fisheries Habitat
Trout Waters Outstanding Resource Waters � Nutrient Sensitive Waters —Water Supply Watershed (1 -IV)
18. Is there a pond or lake located upstream of the evaluation point? YES OIfyes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES & 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: 20% Residential _°'n Commercial % Industrial 30 % Agricultural
°'a Forested _�6 Cleared 1 Logged _°'a Other f )
22. Bankfull width: `D 23. Bank height (from bed *to top of Dank):
24. Channel slope down center of stream: Flat (0 to 2%) entle (2 to 4%) _Moderate (4 to 10%) _Steep (> 10%)
25. Channel sinuosity: Straight��sional bends Frequent meander _Very sinuous Braided channel
Instructions for completion of ivorksheet (located on page 2): Begirt by detertnining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, ctc. Every characteristic must be scored usingr the same ecoregion. Assign points
to each characteristic a ithin 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 flocs 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. Tile 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 (frons reverse):1e = - Comments:
Evaluator's Signature LDate
This channel evaluati rn is intended to lie used my Ya guidelo assist landowners and ciiviro tmental professionals in
gathering the data re red by the United States Army Corps of Engineers to stake a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Fonts subject to change - version 06 03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
I?C[)RrC;iCON PORT
RANGE_
##
CHARACTERISTICS
4COR
Coastal
l icdmont
Mountain,
Presence of flow/ persistent pools in stream
0-5
0-4
0-5
�*
(no flow or saturation = 0; strong flow = maxpoints)
•..]
Evidence of past human alteration
0-6
0_5
0-5
(extensive alteration = 0; no alteration = max pints
3
Riparian zone
fl -6
0-4
ti -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 discliar es = inaxpoints)
r�Groundwaterdiscbargc
5
0-3
0-4
0�4
(no discharge = 0; s rin<(s, sees wetlands, etc. = max Dints
G
Presence of adjacent floodplain
0-4
0-4
0-2
(no hood lain = 0; extensive floodplain = maxpoints)
7
Entrenchment 1 floodplain Access
0-5
0-4
0-2
(dee 1, entrenched = 0; frequent flooding = maxpoints)
8
Presence of adjacent wetlands
0-6
0 -4
0- 2
(no wetlands = 0; large adjacent wetlands= max dints)
9
Channel sinuosity
0-5
0-4
0-3
tt
extensive ehannelization - 0; natural meander = maxpoints)
10
Sediment input
0-5
0- 4
o-4
(extensive deposition= 0; little or no sediment = maxpoints)
11
Size & diversity of channel bed substrate
N�1*
0-4
0-5
--
fine, homogenous = 0; large, diverse sixes - maxpoints)
12
Evidence of channel incision or widening
0- 5
0-4
0-5
(deep](deep]X incised = 0; stable bed && banks = max .flints
I3
Presence of major bank failures
0-5
0-5
0-5
(severe erosion = 0• no erosion, stable banks = max points)
14
Root depth and density on banks
0-3
0-4
0-5
(no visible roots = 0; dense roots throughout =rnax points)
15
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
2-
(substantial impact =0; no evidence = max points)
16
Presence of riffle-pool/ripple-pool complexes
fl_ 3
0-5
0-6
(no riffles/ripples or pools = 0; vvell-developed = maxpoints)
17
Habitat complexity
0-6
0-6
0-6
3
F
(little or no habitat = 0; frequent, varied habitats = max flints)
M
18
Canopy coverage over streambed
0-5
0-5
0- 5
(no shading ve 7etation = 0- continuous canopy = maxpoints)
19
Substrate embeddedness
NA*
0-4
0-4
(deeply embedded = 0; loose structure = max)
20
Presence of stream invertebrates (see page 4)
0-4
0--5
0-5
(no evidence = 0; common, numerous types = maxpoints)
1
Presence of amphibians
0-4
0-4
0-4
Q
(no evidence = 0, common, numerous !Res = max Dints)
C)
2?
Presence of fish
0-4
0-4
0-4]
(no evidence = 0; common, numerous types = maxpoints)
p
EEvidence
of wildlife use
o-6
0-5
0-5
�]
(no evidence = 0; abundant evidence r rnax points)
Total Points Possible
100
100
too
TOTAL SCORE (also ether on firs# page)
* These characteristics are not assessed in coastal streams.

NC DWO Stream Identification Form Version 4.11 sum V -D
Date: � I's- I 16
Project/Site: 0( F
Latitude: 3,If
Evaluator. L.I O
County: Wti rla-M
Longitude:
Total Points:
Stream is at least Intermittent
Stream Determin n (circle one)
Ephemeral Int mitts Perennial
Other �� �
a g. Quad Name: ��jL
if a 9 g or erennial if a 30'
2. Sinuosity of channel along thalweg
0
A. Geornor half (Subtotal = -7 }
Absent
Weak
Moderate
Strong
1a_ Continuity of channel bed and bank
0
1
0.5 0
3
2. Sinuosity of channel along thalweg
0
16. Organic debris lines or piles
2
3
3. In-channei structure: ex. riffle -pool, step -pool,
ri le- ooi sequence
0
Yes =
2
3
4. Particle size of stream substrate
0
0.5
2
3
5. Activefrelict floodplain
0
4.5
2
3
6. Depositional bars or benches
1
2
3
7. Recent alluvial deposits
1
2
3
& Headcuts
1
2
3
9. Grade control
0
1
1.5
10. Natural valley
0
1
11. Second or greater order channel
No = 0
Yes = 3
a adiicial ditches are not rated; seg discussions in manual
R_ Hvdrnlncty (Subtotal= 4 t7 ]
12. Presence of Baseflow
0 1
2 3
13. Iron oxidizing bacteria
0 1
2 3
14. Leaf litter
(1-51)1
0.5 0
15. Sediment on plants or debris
0 01r,
1.5
16. Organic debris lines or piles
0
i 1.5
17. Soil -based evidence of high water table?
No = 0
Yes =
C_ Rinlociv (Subtotal = tri 1
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
4.5
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75;
OBL = 1.5 0her =
'perennial streams may also be identified using other methods. See p. 35 of manual.
!Votes:
Sketch:
�j
-1 s�. � Oz.s
L
nL wic` V% `. � s
QHW M t

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point semo027 facing west upstream.
Waterbody data point scmo027 facing east downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
r4RP . • � , . ..
r ,I 4 .
Waterbody data point scmo027 facing northeast across.
Photo Sheet 2 of 2

t_ SAC r AID= D\� 0 = Sile = ; indic.nie on attached „�r1
SC Mr Q()
STREAM QUALITY ASSESSMENT NVORKSHEETdhhft-
-AW
Prot ide the follott ing information for tale stream reach under assessment,
4
1. Applicant's name: Dam 1!1 3. Ei aluatoCs name: K, AIM 1[
3. mate of et aIuation -I. Time of etaluaiinn:I rte M
�. Name ofsireani: (ANn t e F (Z"VeV Riterbasin: CL
7. Approximate dr;,inage area: Q (?(( 5 8. Stream order:
9. Lenfith of reach et aluated: -SO f4 10. Count)
Il. Site coordinates (if known): prefer in decimal decrees. 12. Subdivision name (if an)'):, 1\1 1� Q
1.alhude re c. 3a.87231'p; t • « L.crn pude (ex. —?7.555631): 12 • $ +
Method location determined (circle):CAPS rono Sheet Onho (Aerial) Phrn4'GIS Ocher GIS Other
13. Location of reach under et nluatt nate nearby roads and landmarks and Attach mals identifying strealii(s) location):
14. Proposed channelwork (ifany):
15. Decent weather conditions:`'
16. Site conditions at time of tisit: nrl
17. Identify any special watenvay classifications known: Section 10 TidalWaters _1<ssential Fisheries Habitat
Trout Waters �Qutsiandinn Resource Waters Nutrient Sensitive WatersAvater Supply Watershed (mv)
IS. Is there a pond or lake located upstream of the evaluation point? YES'O If yes, estimate the water surface area:
19. Does channel appear on LtSGS quad map? YES
NO 20. Does channel appeal on USDA Soil Suney`? -ase
21. Estimated watershed land use: (d 9a Residential ^% Commercial °9 Industrial °a Agricultural
V 94 Forested ^% Cleared I Logged _% Other ( )
VAP c u i'"6 ��+ 23. nk heiuht (from bed to to of bank):
a�ikful tvtd ,: p
24. Channel slope down center of stream: Flat (0 to 29 6) Ggwle(2 to 40 (4 to 10%) _Steep N ()° o)
2-5. Channel sinuosity: Straight --Occasional bends _Frequent meander _Very sinuous „Braided channel
Instructions for completion of ttorlcsheel (located on page 2): Begin by detertniniltg the must apprupriule ecureglon based oil
location. terrain, venetation. stream classification, etc. Every characteristic must be scored using tl,e same ecoreeion. Assign points
to each characteristic %Olhin the ran,,e sbo\vtt for the ecoregiom Page 3 provides a brief description of ho«" to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under ekaluation. if a
characteristic cannot be evaluated due to site or weather conditions, enter 4 in the scoring box and provide an explanation in the
comi„ent section. Where there are obvious changes in the character of a stream under revieti• (e.g., the strean, floss s from a pasture
into a forest). the siream may be divided into smaller reaches that display more continuity, and a separate form used to et aluate each
reach. The total score assigned to a stream reach must range between 0 and 100, titiih a score of 100 representing a stream of tite
highest qualin. ,fr-���
Total Score (front rtverse): `T ( Comments:
Evaluator's Signature • Date
This channel evaluation form is intended to 1,e used only as a guide to assist landowners and cut ironniental professionals !it
gathering the data required by the United States Arm) Corps of Engineers to shake a prelhulnar,, assessment of stream
quality. The total score resulting front the contplt,tlott of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Fc.liat sut,.iec't io chant•: — N erettln c)6 0-;. To C L,mment. plepie call 9H-8764141 x :a.

STREAM QUALITY ASSESSMENT WORKSHEET
l:sk�.lJii.i�0L ly�e�, DRMt
c�.R rR1 S
CT TIC , , x Coastal ttt lltbt�n# ri
* . r �: 6Y ?re. t, P�edlno
Presence of fl I PC]-sistent pools in stream 0-5 0_4 0-5
l (no flow or saturation = 0: strong flow = ma% Poilltsl
Evidence of past huntan alteration 0-6 0-5 0-5
-
(evtescsica alteration 0- no alteration = max Dints
.Riparian zone0-6 0-4 0-5
�-1�-
? 3 (no buffer = 0; contiguous, wide buffer 7 max PDints)
Evide�aceofnutrientorChemical discliar&s C
4Q-5 0- 0- 4
r (extensive discharae5 = D; no discha�rees =max Dints
Grouiadc ter discharge 0-3 0-4 O=4
5 (no discharge 0• s ornt s, seeps, wetlands etc maxpoints) -
1'resenCe of ad acerin flood lain M
b p 0--4 0-4 0-2 i
(no flood lain - 0; eotensxve flaud lain =max Dints)
7 Entrenchment I floodplain access 0-5 0- 0-2
"s
PW (deeply entrenched = 0• frequent flooding = max oints
Presence of adjacent wetlands
8 0-6 0-4 0-2
no wetlands = 0- large ad;scent wetlands = max Dints)
Channel sinuosity 4-5 0-4 0-3�-
(extensive channelization = 0• natural meander = max Dints)
input nput
0--5 0-4 0-4
r 10 extensive deposition 0- little or no sediment = max oints)
C 11 Size & diversity of chancel hell substrate NA* 0-4 0-5
(fuze ho noaenous = 0` large, diverse sizes =.max oints
1 Evidence of channel incision or iv dening
0-5 0 -4 0-5
�! (deeply incised = 0; stable bed & banks = max pints)
Presence of major bank failures
13 0-5 0-5 0-5 3
�4 (severe erosion = 0' no erasion, stable banks = maxpints]
14 Root depth and density on banks 0-3 0 - 4 0-5
(no visible roots 0; dense roots throughout = Max, points)
*mit, ; 5 impact by agriculture, livestock, or timber production 0 - � 0 - 4 0 —5 1
r. (substantial im act =0• no evidence = maxpints
16 Presence of riffle-poollripple-pool complexes
0-3 0-5 0-6
(no riffles/ri les or ools = 0; well-developed = maxpoints)
Habitat complexity 0-6 0-6 0-6
17 little or no habitat = 0; frequent, varied habitats = maxpoints)
18 Canopy coverage over streambed 0-5 0-5 0-5
(no shading ve etation = 0; continuous cans v = max flints)
Ar, 19 Substrate ernbeddednessA 0-4 0-4
(deeply embedded = 0; loose structure = max)
20 Presence of stream inverteb rates (see page 4) 0-4 0-5 0-5
(no evidence = 0: common. numerous nes =max Dints)
'} Presence of amphibians
p
p (no evidence = 0: comu3on, numerous qpes =maxpoints) 0-4 0--4 0-4
Presentee of fish
22 0-4 0-4 0-4
-
(no evidence = 0; common, numerous es = max points)
Er-idence ofvs'ildlife use0_ 6 0-5 0-5
3 (no e+idence = 0; abundant evidence = max oints)
Total Po'in#s 9�oslble 100 ` 104 100
TOTAL SCQI�E ( ho enteron fir!t pale)
# These characteristics are not assessed in coastal streams.

NC I)WO Stream Identification Farm Version 4.11 �)Crrr` 004
Date: 5/&/16
Project/Site: } 0
Latitude 3 6f , � �r 113
Evaluator: E -5-s- 14,,j►(i(A(K("
county: �(�,fy {p i f �3C►�
Longitude: $'. bi 7)�r
Total Points:
Streamisatleastintermitlenf `�
0
Stream Determination (circle one)
Ephemeral 7nte matfen Perennial
Other GadaMF c tf_eeA<
eg. Quad Name;
if > 19 or erenniaf if ? 30'
2. Sinuoslty of channel along thalweg
Q
A. Geomorphology (Subtotal = of 1)f t>
Absent
Weak
Moderate
Strong
1" Continuity of channel bed and bank
Q
1
16. Organic debris lines or piles
3
2. Sinuoslty of channel along thalweg
Q
1
2
3
3. In -channel structures ex. riffle -pool, step -pool,
ripple -pool sequence
0�'
�w
(D
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
1
1.5
2
3
6. Depositional Ears or benches
1.5
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
1
2
3
9 Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
11. Second or greater order channel
No
Yes = 3
d artificial ditches are not rated; see discussions in manual
B. Hvdroloov (Subtotal = %, S )
12. Presence of Baseflow
0 1 3
13. Iron oxidizing bacteria
Ld1 2 3
14. Leaf litter
f79 05 0
15. Sediment on plants or debris
Q 0.5 1.5
16. Organic debris lines or piles
0 1 0.5 1 1.5
17. Sail -based evidence of high water table?
No = 0 Yes U
C. Biolo (Subtotal= 5 T
16. Fibrous roots in streambed
(2
1
Q
19. Rooted upland plants in streambed 3
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians 0'
0.5
1
1.5
25. Algae 0
0.5
1
1.5
26. Wetland plants in strearnbed
FACW = 0.75;
DBL = 1.5 Other
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes.
Sketch: --
t
Op W
-`UP uf den k- wlg+- : +

ILI
r'-
-
- \ �-
. , ,., e: ! fin
�-�-. .tea. i�. L� . +i�5i.►

USAC E AID4 DWQ Site (indicate on attached snap)
r-Vnl) 0;4
i STREAM QUALITY ASSESSMENT NVORKSHEET
Proi ide the follots ing information for [lie stream reach under assessment:
1. Applicant's name: 1rY\ L ninn 2. E.valuator's name: L t l7 0----
3. Date of evaluation: -� 4. Time of evaluation:
5. Name of stream: LLrr+c1j l' rt 6. River basin:
7. Annroximate drainaae area: >1010&LQ0t? L. 8. Stream order: I S f-
9. Length of reach evaluated: D 10. County: irv� ber lo,
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): DML
I_atittrde (ee. 34-872312): 3 1 -7 -1_I I _ Longitude (ex -77 556611):_ -2 6 , R Z 3 Z --
Method location determined (circle):c,l's Topa Sheet Ortho (Aerial) !'hntea CiIS Other GiS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying streams) location):
r h N rr` h C. h e r o- t'z�
14. Proposed channel work (if any): I
la. Recent weather condit
IG. Site conditions at time
17. Identify any special waterway classifications known: _Section 10 „Tidal Waters _Essential Fisheries Habitat
_Trout WatersOutstanding Resource Waters _Nutrient Sensitive Waters _Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? 45 NO Ifyes, estimate the water surface area: I 0,L-
19. Does channel appear on USGS quad map? D NO 20. Does channel appear on USDA Soil Survey? G NO
21, Estimated watershed land use: Residential �9,6 Commercial ,% Industrial 3 0 °". Agricultural
Ra f=orested 9a Cleared I Logged �°io Other ( )
22. Bankfull width: 233.. Bank height (from bed to top of bank):
24. Channel slope dov3'3t center of stream: _Flat (0 to 2°�a) s/' Gentle (2 to �l%) _Moderate (4 to 10%0) _Steep (�1[i1/0
25. Channel sinuosity: Straight /Occasional bends _Frequent meander Very sinuous Braided channel
Instructions for completion of rv►'arf:slteet (located on page 2). Begin by detennining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to cacti characteristic �i ithin the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the vkorksheet. '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 reg iov (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 farm used to evaluate each
reach. The tolaI 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): L _S Comments:
1 Lo
Evaluator's Signature Date 1 I
This channel evaluation f rm s intended to be used my as guide to assist landoisners and nvi nmental professionals in
gathering the data required by the United States A my Corps of Engineers to mare 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 – � ersion 0&03. To Comment, please call 919-876-8441 s ?6.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
POINTRANG:
,
r
CHARACTERISTICSECOREGION
SCORE;
iCoastal
Piedmont
Mountain
Presence of flow ! persistent pools in strcain0
0 - 4
0 5
1
(no flow flow or saturation = 0, strong flaw = maxpoints)
-'
Evidence of past human alteration
0- 6
0 - 5
D - 5
►
(extensive alteration = 0; no alteration = maxpoints)
3
Riparian zone
0-6
Q-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 dischar es = 0, no discharges = maxpoints)"-�
d5
Groundwater discharge
0-3
0_..4
0-4
(no discharge = 0; springs, sees wetlands, etc. = maxpoints)
6
Presence of adjacent fl
0-4
0-4
0-2
(no floodplain = 0; extensive floodplain = marcpoints)
7
Entrenchment ! floodplain access
0 ._ 5
0-4
0-
(deeply entrenched = 0; frequent floodin . = max oints
li
Presence of adjacent wetlands
0-6
0 -4
0-2
(no wetlands = 0; large adjacent wetlands = max Dints)
+f
9
Channel sinuosity
0-5
0-4
0-3
extensive channelixation = 0; natural meander = maxpoints)
l0
Sediment input
0-5
0-4
0- 4
extensive deposition= 0; little or no sediment = maxpoints)
11
Size & diversity of channel heti substrate
NA*
0-4
0 -5
(fine, homogenous = 0; large, diverse sixes = maxpoints)
12
Evidence of channel incision or widening
0-5
0-4
0 - 5
y
(deeply incised = 0; stable bed & banks = maxpoints)
13
Presence of major bank failures
0-5
0-5
0-5
severe erosion = 0• no erosion stable banks = max pints}
p
l4
Root depth and density on banks
0-3
0 _
0-5
`
(no visible roots = 0; dense roots throughout = max points)1
i5
Impact by agriculture, livestock, or timber production
4-5
0-4
0-5
'}
(substantial impact =0; no evidence = maxpoints)CJS
16
Presence or rifilapool1ripple-pool complexes
0-3
0-5
0-6
no r_ iffleslri les or pools = 0, well-developed = maxpoints)
QHabitat
1
complexity
0-6
0-6
0-6
E✓
little or no habitat = 0; frequent, varied habitats = maxpoints)
18
Canopy coverage over streambed
0-5
0-5
0-5
no shading ve ctalion = 0; continuous canopy= maxpoints)
14
Substrate embeddedness
NA*
0-4
0 - 4
(deeply embedded = 0; loose structure = max)
20
Presence of stream invertebrates (see page 4)
0-4
0 - 5
0-5
(no evidence = 0; common, numerous types = maxpoints)
Presence of amphibians
0-4
0-4
0-4
Q
d
(no evidence = 0; common, numerous types = maxpoints)
Pr fish
Presence o22
0-4
0-4
0-4
(no evidence = 0; common, numerous t y es = 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 SCORN, (also enter on first page)
* These characteristics are not assessed in coastal streams.

NC DWO Stream Identification Form Version 4.11 SLA -n 0 � L
Date: r
Project/Site: (,
Latitude: JOB -79-7-7
Evaluator: #r
County:
Longitude: --7B.87-333
Total Points:
Stream is at least intermittent
Stream Determination (elrc
Other
if >_ Igor perennial d a 30'
Ephemeral Intermittent erennial
I e.g Quad Name:
A. Geomorphology_(Subtotal = j
Absent
Weak
Moderate
Strong
1'' Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
No = 0
3
3. In -channel structure: ex. riffle -pool, step -pool,
ri le- ool sequence
0
1
2
3
4. Particle size of stream substrate
0
1
Z
3
5. Activelrelict floodplain
0
0.5
2
3
6. Depositional bars or benches
0
1
' 2
3
7. Recent alluvial deposits
0
0.5
I 2
3
8. Headcuts
01
FACW = 0.75; OSL = 1.5
2
3
9. Grade control
0
1
1.5
10. Natural valley
0
5
1
1.5
11. Second or greater order channel
No = 0
Yes = 3
. artiricial ditches are not rated; see discussions in manual
A Hvrlrninnv ISubtntal = i b
12. Presence of Basefiow
0 1
2
13. Iron oxidizing bacteria
1
2 3
14. Leaf litter
15. Sediment on plants or debris
1
0
0.5 0
1 1.5
16. Organic debris lines or piles
0 0.5
Ud 1.5
17. Soli -based evidence of high water table?
No = 0
es = 3
C. Blab Subtotal = ko
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants In streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
1
2
3
22. f=ish
0
0.5
1
1.5
23, Crayfish
0
0.5
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OSL = 1.5
6ther = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
p�yy
ca�,M4 V
kir`
S�rnb pzS
's c��n � v� i � �-Ir► * I �.'
0HW M I U'

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmo024 facing north upstream.
Waterbody data point scmo024 facing south downstream.
Photo Sheet 1 of 2
t -
Waterbody data point scmo024 facing north upstream.
Waterbody data point scmo024 facing south downstream.
Photo Sheet 1 of 2

Opp
�� t

USACE AID7 DWQ 4 :Site 4 (indicate on attached map)
scmo 0215
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the folloi►ing information ror the stream reach under assessment:
1. Applicant's name: D lam 1 y'1 1 [7 n __ 2. Evaluator's name: -
3. Dale of evaluation: 4. Time of evaluation: 3� CJ•l!1+r1
5. Nature of stream: U1,7 CaK 6. River basin: -�
7. Approximate drainage area: o an , - S. Stream order:
9. Length of reach evaluated: '1' lU. Countti : A 7 m `OP � CIwAe
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34-872312):318 0 0 3 Longitude (cx. _77.556611): -6
Method location determined (circle): (::GD Topo Sheet Ortho (Aerial) PhotoiGls Other GIS Other
13. Location of reach under evaluation note nearby roads and landmarks and attach map identif} ing stream(s) location):
Soo 4h, ©� Mo.(bh c__+ nbr--h of chera St-.
14. Proposed channel work (if
15. Recent weather conditions
16. Site condilions at time of 4
17. Identify any special vvatenvay classifications known: —Section 10 Tidal Waters _Essential Fisheries Ha'huat
_Trout Waters Outstanding Resource Waters ^ Nutrient Sensitive Waters _Water Supply Watershed (1 -IV)
18. Is there a pond or lake located upstream ofthe evaluation point? YES (NJO estimate the water surface area:
19. Does channel appear on USGS quad map? YES 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: 20 % Residential _% Commercial T/o industrial 3D % Agricultural
51) 0,6 Forested 9a Cleared 1 Logged % Other { �
22. Bankfull width: 5 23. [lank height (from bed to top of bank):
24. Channel slope down center of stream: Flat (0 to 2"o) ..iGentle (2 to 4%)Moderate (4 to 10%) ____Steep (}i0%)
25. Channel sinuosity: Straight Occasional bends Frequent meander _Very sinuous ,Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be Scored (using the same ecoregion. Assign paints
to each characteristic within the range shaven for the ecoregion. Page 3 provides a brief description of hover 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): 5 a Comments:
Evaluator's Signature 1AA OAA, I 17 Date. �� L
This channel evaluation its in
to be used a4as.ide to assist landowners and nv ira mental professionals in
gathering the data requ d by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this forirt 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
TOTAL SCORE (also enter on first page)
* These characteristics are not assessed in crustal streams.
ECORrGio1'+7 1'()INT RANGE;
CHARACTERISTICS ARACTE SrICS
sCOitr
Coastal Piedmont „ Mountain,
1
Presence of flow I persistent pools in stream
0-5
0_4 0- 5
(no Slow or saturation= 0; strong #loo}° � maipoints)
Evidence of past human alteration0-6
0--5 0-5 �J
(extensive alteration = 0; no alteration = maxpoints)
j
3
Riparian zone
0-6
0-4 0-5
..
(no buffer = 0; Conti }nous, vv ide buffer =max Dints)
4
Evidence of nutrient or chemical discharges
0-5
0 -4 0-4
(extensive discharges = 0; no discharges = maxpoints)
5
Groundwater discharge
0-3
0-4 0-4
*C
(no discharge = 0; srinus, sees wetlands, etc. = maxpoints)
U
6
Presence of adjacent floodplain
p_q
0-4 0-2 i
(no floodplain = 0; extensive flood lain = max points)
Entrenchment 1 floodplain Access
0- 5
0- 4 0- 2
p -.(deeply
entrenched = 0; frequent flooding = max points)
Presence of adjacent 13 -e(lands
p .- 6
0-4 0-2 I
(no wetlands = 0; large adjacent �v`etlands =max hints)
9
Channel sinuosity
0-5
0-4 0-3
extensive channelization = 0; natural meander= maxpoints)
10
Sediment input
0--5
0-4 0-4
(extensive deposition= 0; little or no sediment = maxpoints)
~
l 1
Size & diversity of cliunnef bed substrate
NAS«
0-4 0-5
(fine, homogenous = 0; large. diverse sizes = max poin s
12
Evidence of channel incision or widening
0-5
p_4 0-5
(deeply incised = 0; stable bed & ranks = max . oints
I3
Presence of major bank failures
0-5
0-5 0-5
(severe erosion = 0; no erosion, stable banks = mar points)
14
Root depth and density on banks
0-3
p 4 0-5
�,
(no visible roots = 0; dense roots throughout = max points)
')
impact by agriculture, livestock, or timber production
0-5
0 -4 0-5
15
(substantial impact =0; no evidence = max dints)
l
16
Presence of riffle complexes
0-3
0_5 0-6
no rifflesiripples or pools = 0; well-developed = maxpoints)
17
Habitat complexity
0-6
0-6 0-6
`
(little or no habitat = 0; frequent, varied habitats = maxpoints)
1 S
Canopy coverage over streambed
0-5
0-5 0-5
(no shading ve etation = 0; continuous canopy = maxpoints)
1
Substrate embeddedncss,e,*
0- 4 0- 4 moo--
(dee l embedded = O; 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
C�
(no evidence = 0; common, numerous tti . es = max oints
Pf fisli
resence o
0-4
0-4 0-4 C)
(no evidence = 0; common, numerous types = max pints)
p
73
Evidence of wildlife use
p - 6
0-5 0 - 5 13(no
evidence = 0; abundant evidence W max points)
Total Points Possible
100'
100 1f10
TOTAL SCORE (also enter on first page)
* These characteristics are not assessed in crustal streams.

NC DZWO Stream Identification Forn3 Version 4.11 61-w`cD07,5-
Date: 4 5) f �
ProjectJSite: R 1."?
Latitude: 39, Sao b
Evaluator: L. ke&r
County: Cum
Longitude: .-78, 6 Z3 c/
Total Points:+.�
Stream is at feast intermittent V
Stream Determl i circle one)
eitten Perennial
Ephemeral 1 rm
Other CeetLr
e.g. Quad Name: r'� ti d L
its 19 orerenniafif a 30'
_Gh
2. Sinuosity of channel along thalweg
0
A. Geornor holo (Subtotal rte)
Absent
Weak
Moderate
Strong
1" Continuity of channel bed and bank cj,s
0
1
2
3
_Gh
2. Sinuosity of channel along thalweg
0
16. Organic debris lines or piles
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
e -s = 3
2
3
4. Particle size of stream substrate
0
0.5 1
2
3
5. Active/relict floodplain
0
1.5
2
3
6. depositional bars or benches
1.5
1
2
3
7. Recent alluvial deposits
'perennial streams may also be identified using other methods. See p. 35 of manual.
1
2
3
B. Headcuts
JU
1
2
3
9. Grade control
0
Sketch:
n
,J.
1 1
1.5
10. Natural valley
0.5
1 1
1.5
11. Second or greater order channel
Q = 0
Yes = 3
artificial ditches are not rated; see discussions In manual
B. Hvdroloav [Subtotal = I ]
12. Presence of Baseflow
0 1 2
2 1
13. Iron oxidizing bacteria
0 2
3
14. leaf litter
1 0.5
0
15. Sediment on plants or debris
0 1
1.5
16. Organic debris lines or piles
1 0 1 0.5
1.5
17. Soil -based evidence of high water table?
No = 0
e -s = 3
C. Blolo (Subtotal= ,1 S
1 S. Fibrous roots in streambed
2 1
0
19. Rooted upland plants in streambed
2 1
0
20. Macrobenthos (note diversity and abundance)
1 2
3
21. Aquatic Mollusks
1 2
3
22. Fish
0.5 1
1.5
23. Crayfish
0.5 1
1.5
24. Amphibians
0.5 1
1.5
25. Algae
0
1
1.5
26. Wetland plants in streambed
= 0.7 081_ = 1.5 Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
n
,J.
.. SQ►�OQZ3
v -

LISACE AID-' DWQ Site w (indicate on attached map)
SCmn 0,03
[Fill STREAM QUALITY ASSESSMENT WORKSHEET
Proiide the following information for the stream reach under assessment:
1. Applicant's name: Durr, n i t7 n
3. Gate of evaluation: Ll
5. Name of stream: Cyqti= c,. L
7. Approximate drainage area: Q 0-C.r -
9. Length of reach evaluated: 3 u E
2. Evaluator's name: L% k
4. Time of M'11Llati0n: F Q ck-
b. Rii er basin: CA -f ER![ =C
H. Stream order: D
10. County:
k
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872317): _311'3-791(o Longitude: (ex -77.556611): -
Klelbod location detennined (circle); GI'S Cope Sheet Onho (£lerial)1'hoto GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identif} ing stream(s) location):
51)U�'h D T!M#-t-tri 001(+V1 174
14. Proposed channel work (if any): `` 1
5�. Recent weather conditions: Q.,00 I t fru
16. Site conditions at time of visit:
17. ldcntify any special watenvay 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 lfyes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES 110 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: 2D °`o Residential _°o Commercial _% industrial 37 0,6 Agricultural
Forested Cleared J Logged °o Other
22. Bankfull width: 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: _Flat (0 to 2%) Gentle (2 to 4%) !Moderate (4 to 10%) Steep (>IM° )
25. Channel sinuosity: Straight --3/occasionni bends ,Frequent meander _Very sinuous ,Braided channel
Instructions for completion of worksheet (located on page 2): Begin by detennining the most appropriate ecoregion based on
location. terrain, vegetation, :stream classification. etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scaring 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 nows 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: -D t
ENaluator's Signature Bate q . �►�/�i
This channel evaluation m is intended to Ire use only a guide to assist landowners a�ndtnOroi mental professionals in
gathering the data requi ed by the United States Arm.), Corps of Engineers to make a preliminary assessment of stream
quality. The total scare resulting from the completion of this form is subject to LISACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change- i ersion 06 01 To Comment, please call 919-876-8441 x 2;6.

STREAM QUALITY ASSESSMENT WORKSHEET
TU'FAL SC(]1ZE (also enfer an f rst page)
* These characteristics are not assessed in coastal streams.
POINT
RANGE
#
CHARACTERISTICSEC'C3REC;I.dN
'SCORE. -
Coastal
Piedmont:
Mounfailu
1
Presence of flow 1 persistent pools in stream
0-5
11
0-5 S
(no flow or saturation = 0, strong flow = max oints)
2
Evidence of past Truman alteration
0-6
0-5
0-5
(extensive alteration = 0; no alteration = maxpoints)
3
Riparian zone
0-6
0-4
0-5
(no buffer = 0- contiguous, wide buffer = maxPoints)
4
Evidence of nutrient or chemical discharges
0-5
0 --4
0-4
(extensive discharges = 0; no discharges = maxpoints)
5
Groundwater discharge
0_3
0-4
0-4
(no discharge = 0; springs, secs wetlands, etc. = maxpoints)
U
ti
Presence of adjacent floodplain
0-4
0 -4
0-2
(no floodplain = 0, extensive floodplain = maxpoints)
7
Entrenchment / floodplain access
0-5
0-4
0-2
(deeply entrenched = 0• frequent flooding = maxpoints)
S
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 amts)
1 i
Size & diversity of channel bed substrate
NA*
o-4
0-5
fine, ]tomo enous = 0; lar =e, diverse sizes =max pints)
12
Evidence of channel incision or widening
0 -5
0-4
0 - 5
(deeply incised = 0, stable bed 8 banks = maxpoints)
1'
Presence of major bank failures
0-5
0 - 5
0-5
severe erosion = 0; no erosion, stable banks = max points)
14
Root depth and density on banks
0-3
0 -4
0-5
(no visible roots = 0, dense roots throe bout = max points)
I
CC
Impact by agriculture, livestock, or timber production
0 r 5
0-4
0-5
15
(substantial impact =0; no evidence = max oints
Presence of riffle-poollripple-pool complexes
0-3
0-5
0-6
16
no riffles/ripples or pools = 0; well-developed = maxpoints)
17
Habitat complexity
0-- 6
0-6
0-6
little or no habitat = 0• Lquent, varied habitats = maxpoints)
1
Canopy coverage over streambed
0 ._ 5
0 5
0- 5
(no shadingvegetation = 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
0(no
evidence = 0: common. numerous es = max hints
1
Presence of amphibians
0-4
0- 4
0-4 0
Q
(no evidence = 0; common. numerous types = maxpoints)
Q
22
Presence of fish
0-4
0-4
0-4 D
(no evidence = 0, common, numerous types = maxpoints)
p
Evidence of wildlife use
0 - 6
0-5
0--5
23
(no eN iderice = 0; abundant evidence = maxpoints)
Total Paints Possible _
100
WO
100
TU'FAL SC(]1ZE (also enfer an f rst page)
* These characteristics are not assessed in coastal streams.

NC D«' Stream Identification Form Version 4.11 sclmv X23
Date: j
ProjectlSlte:
Latitude: y $ 7�
Evaluator: [_ , �
County: C y m bt✓tr \&-via
Longitude: _-718 ?_ q
Tectal Points:
Stream Is at least intermittent
Stream Deter (circle one)
Other cee C
,
if a 19 or erenniat ff a 30*
Ephemeral nterm en erennial
e g. Quad Name: Y
A. Geomor hofo Subtotal=
Absent
Weak
Moderate
Strong
1a, Continuity of channel bed and bank AALh
0
1
2
3
2. Sinuosity of channel along thalweg
0
16. Organic debris lines or plies
2
3
3. In -channel structure: ex, riffle -pool, step -pool,
ripple -pool sequence
0
i.lJ
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
00
1.5
2
3
6, Depositional bars or benches
0
2
3
7. Recent alluvlal deposits
1
2
3
8, Headcuts
1
2
3
9. Grade control
0
.5
1
1.5
10. Natural valley
11. Second or greater order channel
No =
0.5
1
Yes = 3
1.5
artificial ditches are not rated; see discussions in manual
B. HvdrofoQv [Subtotal - 5.5 ]
12. Presence of Baseflow
0 1 2
0
13. Iron oxidizing bacteria
1 2
3
14. Leaf litter
5 1 0.5
0
15. Sediment on plants or debris
0 1
1.5
16. Organic debris lines or plies
0 VIn 1
1.5
17. Soli -based evidence of high water table?
No = 0 Y65.--21)
0.5
C. Biology Subtotal = .1
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
1
2
3
22, Fish
0.5
1
1.5
23. Crayfish
0
1
1,5
24. Amphibians
ft5
1
1.5
25. Algae
26. Wetland plants in streambed
0 1
FCW = 0 OBL = 1.5 Other = 0
1.5
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
rJ' Lr Moo
'nY'ilr'� J
6&-r, 1_ Lo 48 4 6 r�
``
5Lf?np10

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmo023 facing west upstream.
Waterbody data point scmo023 facing east downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point semo023 facing north across.
Photo Sheet 2 of 2

USACF AID -1 D",Q Ka Site m (indicate on attached map)
5Cmi7 040
, STREAM QUALITY ASSESSMENT WORKSIiEET
i'ro► ide the fnlloi%int; information for the stream reacts under assessment:
L Applicant's name: D l Vl10 V1 2. Evaluator's name: �-. , ,Avis' M --
3. bate of evaluation: 7 ,.L _- 4. Time of evaluation:, W'30 A M
5. Name of strewn: +U 0i � � 'r ' 6. Diver basin: Pt' V, - —
7. Approximate drainage area: 7-t 8.. Stream order: -
9. Length of reach evaluated: 2 d Pt 10. County: C V VI\ V Ir4 V d�A
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
latitude(ex.34.872313): 39 -57752— Longitude (ex. —77.556611): — —1S . 63 1 12.
Method location detennined (circle): '^� Topo Sheet Ortho (Aerial) photofGlS Other CIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying strearn(s) location):
J a i of M r h 9c4 %ulh a Clrn ear&-t�3 St.
14, Proposed channel work (if any):
`. Decent weather conditions: 0! � '�4A L+t r1L� 4rlltiJ� � t�-�,�.1 � Vt0 V+"S
10. Site conditions at tithe ofvisit: +eL Y s
17. Identify any special vvatenvay classifications known: _Section 10 _Tidal Waters Essential Fisheries Habitat
Trout Waters Outstanding resource NVaters ^ Nutrient Sensitive Waters ,�I1'�'ater Suppl} Watershed ty —o -IV)
18. Is there a pond or lake located upstream of the evaluation point? YE NO if yes, estimate the water surface area: 1 aC
19. Does channel appear on USGS quad map? aNO 20. Does channel appear on USDA Soil Survey? 0) NO
21. Estimated watershed land use: 10% Residential �% Commercial _^% Industrial ? 0°b Auricultural
-%a % Forested —40 Cleared i Logged _% Other ( )
24. Bankfull width:_�d P-� -• -- • — 23. Bank height (from bed to top of bank): --
24. Channel slope down center of stream: IFIat (0 to 2%) Gentle (2 to 4%) _Moderate (4 to I0°•u) _Steep (> 1 t)° o)
25. Channel sinuosity: Straight 10eeasional bends Frequent meander _Very sinuous `Braided channel
Instructions for completion of worksheet (located an (sage 2): Begin by deterntinittg the mast 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 ranee shown for the ecoregion. Page 3 provides a brief description of how to review the
charact eri sties 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 raider review (e.g., the stream flours from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (front reverse): Comments:
E►aluator's:Signature slate 7,22116
This channel evaluation a is intended to be use ly a guide to assist landowvnersan environmental professionals in
gathering the data reit ed by the United States rm , orps of Engineers to make a preliminat-y assessment of stream
quality. The total score resulting from the completion of this form is subject to USAGE approval and does not imply a
particular mitigation ratio or requirement. Forth subject to change - version 06 03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENTWORKSHEET
* These characteristics are not assessed in crustal streams.
ECOREGIIIN POINT,
RANGE.
�#
CHARACTERISTICSCoastal
SCORE
�'irdmont
1ltauntuin.
I
Presence of flow / persistent pools in stream
0-5
0-4
o-5
(no flow or saturation = 0: strong flow = maxpoints)
15
1
Evideucc of past human alteration
0-6
0-5
0 -.5
r]
(extensive alteration = 0. no alteration = may pints)
Gx
3
Riparian zone
fl -6
0-4
fl -5
(no buffer = 0: contiguous, wide buffer = maxpoints)
4
Evidence of nutrient or chemical discharges
4-5
0-4
0.4
(extensive discharges = 0, no discharges = maxpoints)
5
Groundwater discharge
0-3
o-4
0-4
(no discharge = 0; springs, see s, wetlands, etc. = max dints)
U
Presence of adjacent floodplain
0-4
0-4
0
(no floodplain = 0: extensive flood lain = max points}
1
Entrenchment 1 floodplain access
0]
0 -4
0 T
(deeply entrenched = 0. frequent flooding = max points)
8
Presence of adjacent wetlands
0-6
0 -4
0-2
(no wetlands = 0; large adjacent wetlands = maxpoints)
9
Channel sinuosity
0-5
0-4
0-3
3
extensive channelization = 0; natural meander max flints)
I0
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, homo =en+ous � 0; large, diverse sizes = max points)
17
Evidence of channel incision or widening
0-5
4 - 4
0-5
L+
{dee l incised = 0; stable bed & banks = max points)
i
13
Presence of major bank failures
0-5
0_5
0-5
severe erosion = 0; no erosion, stable banks = maxpoints)
14
hoot depth and density on banks
0-3
0-4
0-5
(no visible roots = 0: dense roots throughout = maxpoints)
15
Impact by agriculture, livestock, or timber ,production
0-5
0-4
0-5
(substantial impact =0; no evidence = max oints
1b
Presence of riffle-pooVripple-pool complexes
0-3
0-5
0-6
(no riffles/ripples or pools = 0. vveIl-developed = maxpoints)
17
Habitat complexity
0-6
0-6
0- 6
F'
(little or no habitat = 0; frequent, varied habitats = maxpoints)
18
Canopy coverage over streambed
0-5
0-5
0-5
u
-I
(no shading vegetation = 0, continuous canopy = maxpoints).
i
Substrate embeddedness
0-4
0 - 4
(deeply embedded = 0; loose structure = max)
20
Presence of stream invertebrates (see page 4)
0-4
0 - 5
0-5
(D(na
evidence = 0: common. numerous Nes = max Dints)
I
Presence of amphibians
0-4
0-4
0-4
O
-
(no evidence = 0: common. numerous types = maxpoints)
C?
22
Presence of fish
0-4
0-4
0-4
(no evidence = 0, common, numerous types = maxpoints)
:231—
Evidence of wildlife use
0-6
0-5
0-5
(no evidence = 0. abundant evidence = maxpoints)
Total Points Possible
100
100
1t10
TOTAL SCORE (also enter on first page)
* These characteristics are not assessed in crustal streams.

I:: -C iqu 040
NC DWO Stream Identification Form Version 4.11
Date: `]��� (y
Project/SiW 6r' F
Latitude:. V, 8 � -75 Z
Evaluator: 1 pC)Fe ' I -J-0 fq A 5 6 VI
County: C'UVooe V I a 14 Ci
Longitude: _ _75-830Z
Total Points:
Stream is feast intermittent
Stream 17ecircle one)
Other
at
if >_ 19 or Perennial if a 30'
Ephemera f ntermlttert 'Perennial
._��
e.g. �vad Name:M_`riG
A. Geomorphology (Subtotal = 22
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
13
1
1.5
4. Particle size of stream substrate
0
1
2
3
5. Activefrelict floodplain
0
0.5
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Neadcuts
1}
1
2
3
9. Grade control
0
1
1.5
10. Natural valley
0
Or
1.5
11. Second or greater order channel
(
No =-O-),
Yes = 3
Sketch;
a artificial ditches are not rated; see discussions in manual
B. HYdrolagy (Subtotal =CZ)
12. Presence of Baseflow
0 1
2
ID
13. Iron oxidizing bacteria
0 1
2
3
14. Leaf litter
1. 1
0,5
0
15. Sediment on plants or debris
0
1
1.5
16. Organic debris lines or piles
0 gip,
1
1.5
17. Soil -based evidence of high water table?
No = 0
0.5
es = 3
C. Biology (Subtotal = -I
18. Fibrous roots in streambed
3
2
1
0
19. Hooted upland plants in streambed
3))
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks r
0
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
0�
0.5
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75,
0E3L = 1.5 r ® 0
"perennial streams may also be identified using other methods. See p. 35 of manual..
Notes: u I v l
Sketch;
ego � Wr - l-t'F

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmo40 facing southeast upstream.
Waterbody data point scmo040 facing northwest downstream.
Photo Sheet 1 of 2

0,
4r-
Environmental Field Surveys
Waterbody Photo Page
A"I
Waterbody data point sctno040 facing southwest across bank.
Photo Sheet 2 of 2

USACE AID:=
D\l 0 M Site = (indicate on attached )dar)
5ctitoQ3(Q
STREAM QUALITY ASSESSMENT NVORKSHEET
Proi ide the follmi hig iriformlation for tine strean] reich under assessment: j
?. Ei nluator's name: 1� 5.1 (u). v,, 46,, , L R40- r
1. Applicant's name: Dc)r +inion
3. [lite of ei aluafion: q-16.1 G+
5. "Mame of stream: �4,JzAn CAS
7. Approximate draina�oe area:_ 25( a,cns
9. Length of reach ei altlnied: 2'C) -'4-
q. Time of ei aluation: I " ?O C
6. Riierbasin: r --r
8. Stream order: I-0+
10. Counn: C(r,yvAx'la
11. Site coordinates (if kno%in): prefQr in decimal degrees. 12. Subdivision name (if any): nt0e-
0
i.atilude fca. -4.8723121: -3H. 877 Yt9 _ _ l ongilu8 4de 1ev-77.5566] ij: -7$.139
%telltod location deteranined (circle):taps Fopo Shed Ortho I Aerial) Phnto MS Other GIS Other
13. Location99of reach under evaluation (note{{nearbN roads and landmarks and atlach map identif}ing streant(s) locppation):
not -
14, Proposed channel work (if any): Pro %ea 4a*-1-r%e ----
15. Receril weather conditions: I Go.r J rn
16. Site conditions at time of,, isit: I wX �
17.1dent iify anN special W'Mel-NMclassifications known _Section 10 _Tidal W7\Vaier
rs ,Essential Fisheries Habitat
_Trout )Paters ,Outstanding Resource Waters ,^Nutrient Sensititie aters Supply Watershed -Lv-{I-1V)
13. Is there a pond or lake located upstreani of the evaluation point? YES NQ if yes, estimate the water surface area:
19. Does channel appear on USGS quad map? ES NO 20. Does channel appear on USDA Soil Sun-ey?�S NO
? 1. Estimated watershed land use:
_2% Residential °o Commercial !9a Industrial Z'0 °o Agricultural
$ �} Z°o Forested °6 Cleared J Logged °'o Other ( )
22. 1 f li atdTli: L 23. Rank height (from bed to top of bank):
24. Channel slope down center of stream: _Flat (0 to 210) ' Gentle (2 to 40,6) ,_)Moderate (q to I0° o) __Steep ('= 10° u)
25. Channel sinuosity. Straight �C}ceasion91 bends ✓Frequent meander Ven. sinuous _braided channel
Instructions for completion of iiorkalaeet (located on page 2). Begirt by deterininin the must appropriate ecuregion. based on
location. terrain. vegetation. stream classification, etc, Eien characteristic must be scored using the same ecoregion. Assian points
to each characteristic m ithin the range showi for the ecoregion. Page 3 protides a brief description of ]tow to renew the
characteristics identified in the Scores should reflect an overall assessment of the stream reach under evaluation. Ifs
characteristic cannot be evaluated due to site or heather conditions, enter 0 in the scoring box and provide an explanation in lite
eiz)mment section. Where there are obvious changes in the character of a stream under ret iew (e.g., the stream flo« s from a pasture
into a forest). the stream may be di%ided into smaller reaches that display more continuity, and a separate form used to ei aluate each
reach. The total score assigned to a stream reach must range between 0 and 100. Ni ith a score of 100 representing a stream of the
]oiliest qualin.
Total Score (front reverse): Comments: -
Vii__
1'~r aIuator's. Signature Z � f '� .�r4 I/... -
Date 411-Z 7ftlo-
This channel evaluation form is Intended to lieused onl• as a wide to assist landowners and Cttilronnlental professionals it)
gathering the data required by the United States Arlt} Corps of Engineers to make a prellntlnar► assessment of streamquality, The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requiI enictit. ] s+tilt i�t'�E4"t t�' Li: it�'c- icYtiC�n f �l:. To Ccniment. plewt, gall `90-$76-84'41 \ -26.

STREAM QUALITY ASSESSMENT NVORKSIIEET
#
ILI
CFI,RAC'C QST >lf ate,
� ICSH `Cogs#al� �' �Plec�invik ��4'lw tti in i:Y ��'
r �
1
Presence of flat►' I persistent pools it, stream
o-5
0-4
0-5
(no flow or saturation = 0; strong. flow =)naxpoints)
Evidence of past human alteration
0-6
0-5
0--5 LI
(extensive alteration = 0; no alteration = maxpoints)
3
Riparian zone
0-6
0-4
0- 5
��.:
fno buffer - 0; contignous, Nvide buffer = max points)
5vidence of it. rient or + iierizfcal dtscliar� es
0-5
0-4
0-4
y
4
(extensive discharges = 0; no dischar es - max points)
s*
5
Groundwaterdiscltarge
0-3
0-4
0-4 �
(no discharge = 0• s rings, sees Nvetlands etc = mixpoints)
Uk
; Zil
G
Presence of adjacent floodplain
0-4
0-
0-`?
(no floodplain = 0, extensive flood lain = max points)
m
'
7
Entrenebmenl / floodplain access
0-5
0-4
0-2
(dee l entrenched = 0• frequent flooding, = maxpoints)
$
Presence of ad jacent wetlands
0-6
0-4
0-2
r
(no wetlands = 0` large adjacent -, etlands = max oiisfs)
9
Channel sinuosity
0-5
0-4
(extensive cbaimelization = 0' natural meander = maxpoints)
?.
100-5
Sediment Input
=snax
0-4
0-•4 �
-a
M*
extensive deposition- 0' little or no sediment points)
11
Size & diversity of channel bed substrate
N�*
0-4
0-5
(fine homogenous:F 0: large, diverse sizes =.max points)
Evidence of channel incision or widening
0-5
0-4
4-5
fdee 1 incised = fl: stable bed & banks = max pints
l3
Presence of major bank failures '
0-5
0-5
0-5
(severe erosion = 0: no erosion, stable banks = maxpoints)
Q
14
Root depth and density on banks
=
0-3
0 -4
0 -5
(no visible roots = 0; dense roots throughout Max Points)
Impact by agriculture, livestock, or timber production
0 _ 5
0-4
0 -5
15
(substantial impact =0• no evidence = maxpoints)
f
Presence of riffle -pooilripple-pool complexes
0- 3
0- 5
0- 6
ld
(no riffles!ri les or gals = 0;; Weil -developed ed = max points)
-'
17
Habitat complexity
0-6
0-6
0-6
(little or no habitat = 0; frequent, varied habitats = maxpoints)
p
18
Canopy coverage over streantbed
0-5
0-5
0-5
(no shading -vegetation = 0• continuous canopy = maxpoints)
19
Substrate embeddedness
NA* -.
0-4
0--4
(deeply embedded = 0• loose structure = max)
Presence of stream invertebrates (see page 4)
0-4
0 -5
0-5 L.
(no evidence = 0; common, numerous n es = max oints)
47130
Presence of amphibians
0-4
0-4
0-4 0
d
(DO evidence = 0; conunon. numerous tN es = max Mints
�s
Presence of fish
(no evidence = 0: cormnon. numerous types = maxpoints)
�3
Evidence of wildlife use
p _ ty
0-5
0 -5 I
r`
(no evidence = 0; abundant evidence = max points)
:..
Total Points Possible
100'
.° 100
l00
4
-
TOTAL SCOREaisa enter Mia first paged
_
I
These characteristics are not assessed in coastal streams.

NC DWO Stream Identification Form Versioti 4.11
Date: 9 A(' 4
Project/Site: a CP
Latitude: _�w, 97734 41
Evaluator. E 5 I W . Utxw a s, L1. R_aftcr
County: ,, ,1r, j a_c�
Longitude: 7$ B39 139
Total Points:
Stream is at least intermittent50
Stream Determination fcircl
Other p,4 -
if z 19 or erennial f 2! 30'
Ephemeral Intermittent erenni
a -g. Quad Name: [�j�
Ll
A. Georllor holo {Subtotal = )
Absent
Weak
Moderate
Strong
1 a' Continuity of channel bed and bank
0
1
2
15. Sediment on plants or debris
2. Sinuosity of channel along thalweg
0
1
2
1 1.5
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
0.5
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
00
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
0
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No = 0
Yes = 3
Sketch:
a artificial ditches are not rated; see disco ions in manual
R Hvdminnv Muhtntal = 1
12. Presence of Baseflow
0 1
2
13. iron oxidizing bacteria
1
2 3
14. Leaf litter
1.5 1
0 0
15. Sediment on plants or debris
0 0.5
1.5
16. Organic debris lines or piles
0 0.6
1 1.5
17. Soil -based evidence of high water table?
No = 0
es = 3
C_ Rinlnov (Subtotal = 1
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
C3,)
2
1
0
20. Macrobenthos (note diversity and abundance)
0
l 1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
(00
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.
Other = 0
'perennial streams may also be identltied using other methods. See p. 35 of manual.
Notes:
Sketch:
C)4 -Um: I

�s{1.13
'v" r �G
"}I�i�
>p fs U'I:.
W,�p
ji
;'Oo
e
i
I At
5 'kf. •�tY r. tr A p `
IN
7
.
.r

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmo036 facing west across.
Photo Sheet 2 of 2

NC DWO Stream Identification Form Version 4.11
Date:
-
ProjectlSite.40
Latitude:34,974 2
Evaluator: e -JT cwv
County: 6L'"�er
Longitude.MBS64,42
Total Points:
Stream is at least intermittent 36" S.
Stream Determination (circle one
Other TI��, '
'_" me
if 19 or perennialifa30*
Ephemeral Intermittent erennia
e.g. QuadName:
A. Geomorphology Subtotal :d•�
Absent
Weak
Moderate
Strong
1a Continuity of channel bed and bank
0
1
2
15. Sediment on plants or debris
2. Sinuosity of channel along thalweg
0
1 Ti
2
1 1.5
3. In -channel' structure: ex riffle -pool, step -pool,
ripple -pool se uence
0
0
2
3
4. Particle size of stream substrate
0
1'
2
3
5. Activeirelict floodplain
0
1
2
1,5
6. Depositional bars or benches
0
0.5
2
3
7- Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
QQ.
1
1.5
10. Natural valley
0
0.5
1.5
11. Second or greater order channel
No = 0
qeS=3
Sketch*
a artificial ditches are not rated; see dis ssions in manual
-
B. Hydrology [Subtotal =]
12. Presence of Baseflow
0 1
2 3
13. Iran oxidizing bacteria
a 1
3 -
14. Leaf litter
1.5 1
0
15. Sediment on plants or debris
0.5
1 1.5
16. Organic debris lines or piles
0
1 1.5
17. Sail -basest evidence of high water table?
Na = 0
s = 3
C. Biology (Subtotal= ___=.s5
1 B. Fibrous roots In streambed
2
1
0
19. Rooted upland plants In streambed
2
1
0
20. Macrobenth os (note diversity and abundance)
0
2
3
21, Aquatic Mollusks
1
2
3
22. Fish
0.5
1
'1.5
23. Crayfish
0.5
1
1,5
24, Amphibians
0.5
1
1.5
25. Algae
0
1
1.5
26. Wetland plants in streambed
FA = 0.75; PBL
= 1.5 them = 0
'perennial streams may also be identified using other methods, See p. 35 of manual.
Notes: : r c.nnrgt i
i'
Sketch*
5c'�
1 w`P
of
r~ L
.j, y�
!

lI �Ac E Allj' DIA t7 Site= �f1� 1ecrinatl.iLl1Vdi OP)
C, � �.•►► Q!r
FMJ STREAM QUALITY ASSESSMENT NVORKSHEET —AQP
Pro► isle the follo►s ing information for the stream reach under assessment:
1. Applicant's name: DO r, 2. Lvaluator's name Wm U0..+:. ,,1 Mr%
3. Cale of cv altiation: G - 6
S. Nnine of—stream 1 fQs ra,, r
7. Apprtikiniate draimwe arca: 1817 gc-fGS
9. Len-,th of reach evaluated: t{U 94
11. Site coordinates (if known): prcier in decimal degrco -.
4. "Lime of c%aluation: 10130 Q►sI
6. R er basin: C Q f2e- Co r
S. Stream Order: 2 n ll�
iti. Count\: C(,w��}e.rign
l'_. Subdivision name (ifainy); i10nC.
I alilude fel 34 8723 121: 39,8711268(p I_ont'itude tea -77 5%611 r `7 • �3-S6,4`i?-
Alcthod location deicrinin+ed (circle): PI'S IOP0 Sheet OMNI (:ACTLII) I'lu}to.GIS Other ($1S Other
13. Location �of'rea�c/h Linder evalua tern (note nearby roads and landmarks and ittlach mapJlidentiR i!rng strrSeant(s) location):
Ecksl 4/' idr10L1f[iGgi GeJ We
14. Proposed channel kaorit (if any)--
15.
ny);
I;. Recent weather condilious: rO.ry
� r
16. Site conditions at time ofvisit: I krCr\nlti� C4Sf—"-
17. IdentiR anJ special waterway classifications kiiovvn: TSection 10 ,Tidn) Waters (Essential Fisheries habitat
:7 rout Al aters Outstanding Resource Waters � Nutrient Sensitiv e Waters Water Suppl% Watershed 3—y-- (I.]V)
18. Is there a pond or [attic located upstreamoftlte evaluatioin point? y'L-S 0Ifyes, estimate the water surface area: +' ►
19. Docs channel appear On USGS quad reap" (D NO
21. Estimated watershed land use: l,5 ",)Residential
5S "n Forested
22. Bank Full width: 100- � /
'_-l. Channel slope down center of stream: ±✓ Flat (0 to TO
25. Channel sintiosit) : Straight Zoccasional bends
20. Does channel appear on USDA Sail Suncy?'i� ' NO
_ffo Commercial _°o Industrial '� °U A=-1r'i4ult1lr0l
Cleared I Lo-oted _° o Other ( )
23. Bank heiLght (from bed to top of bank): 2 �
_,Genlie (2 to 41'v) hloderate (-1 to 10"i)) _Steep (- I Wb)
_Frequent meander _Very sinuous ,Braided channel
instructions for completion of iiorksheet (located on page 2): Begirt b� delemilning the most appropriate ecoregion based on
location. terrain, vegetation, stream classification, etc. Even characteristic must be scored using tate same ecoregion. Assign points
to each characteristic %kithin the range sho"n for the ecoregion. fate 3 provides a brief description of how to review the
characterisiics identified in the worksheet. Scores should reflect an overall assessinent of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weaiher 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 (c.g., the stream flow from a pasture
into a finest), the stream may be div ided into smaller reaches that display snore continuity, and a separate form used to evaluate cacti
reach. The total score assigned to a stream reach inust range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from rev erse): GS Comments:
CvaIuatar's Sif:tutture se�� �-� _ Date "(0-(6
This channel cv aluation farm is intended to he'itised only as a guide to assist landory ners and environmental professionals in
gathering the data required by the United States ArinA Corps of 'Engineers to male a preliminary assessment of stream
quality. The total score resulting from (lie completion of this form is subject to USACE. approval and does not imply a
particular mitigation ratio or requirement. Form subJect io chance- version 06 03 Tu Comment. pl<<lsc call 919-876-54-11 t _'U.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastai streams
ECOREG ION POINT
-RANGE
#
CHARACTE RiSTICS
SCORE
Coastal
Piedmont
11'[ot,ntain
l
Presence of flow 1 persistent pools in stream
0- 5
0-4
0_5
(no flow or saturation = 0; strong flow = maxpoints)
_
Evidence of past human alteration
0 - 6
0-5
0-5
(extensive alteration = 0; no alteration = maxpoints)
3
Riparian zone
0-6
0-4
0- 5
L(
(no buffer = 0; contiguous. wide buffer = maxpoints)
4
- Evidence of nutrient or chemical discharges
0-5
0 -4
0-4
(extensive discharges = 0; no discharges = maxpoints)
.04Groundwater
discharge
0-3
0 -4
0-4
�
U5
(no discharge = 0; springs, see s wetlands, etc. = max dints)
UPresence
6
of adjacent floodplain
0�4
0-4
0-?
.
(no floodplain = 0; extensive floodplain = max points)
7
Entrenchment / floodplain access
0-5
0-4
0-2
(deeply entrenched = 0; frequent flooding; = max oints)
4
Presence of adjacent wetlands
0-6
0 -4
0-2
(no wetlands = 0; large adjacent wetlands = maxpoints)
9Channel
sinuosity
0-5
0-4
0-3
(extensive channelization = 0; natural meander= max points)�-
10
Sediment input
0-5
0-4
o-4
(extensive deposition= 0; little or no sediment = maxpoints)
11
Size & diversity of channel bed substrate
A*
0-4
0-5
(fine, homogenous = 0; lar ye, diverse sizes = maxpoints)
12
Ev=idence of channel incision or widening
0-5
0 -4
0-5
(deeply incised = 0; stable bed & banks = maxpoints)
failures
1
Presence of major bank
0 - 5
0-5
0-5
�-
severe erosion = 0; no erasion, stable banks = max oin(s)
14
Root depth and density on banks
0 - 3
0-4
0-5
F,
(no visibly: roots = 0; dense roots throw bout = maxpoints)
15
Impact by agriculture, livestock, or timber production
0-5
0 -4
0-5
(substantial impact =0; no evidence = maxpoints)
1
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
no ri es,'Ti2ples or pools= 0; welkdevelo ed = max oints)
17
Habitat complexity
0-6
0-6
0-6
(little or no habitat = 0; frequent, varied habitats = max pints)
G,
18
Canopy coverage over streambed
0-5
0-5
0-5
(no shading vegetation = 0; continuous canopy = max points)
19
Substrate embeddedness
NA*
0 - 4
0-4
(deeply embedded = 0; loose structure = max)
20
Presence of stream invertebrates (see page 4)
0-4
0
0-5
0(no
evidence = 0; common. numerous es = max points)
I I
Presence of amphibians
0-4
0- 4
0-4
0
O
(no evidence = 0; common. numerous types = maxpoints)
d
22
Presence of fish
0-4
0-4
0--4�
no evidence = 0; common, numerous types = maxpoints)
�3
Evidence ofvvildlife use
0-6
0-5
0-5
(D
(no evidence = 0; abundant evidence max oints)
.=
Total Points Possible —t
100
100
l00
TOTAL SCORE (also enter on first page)
J
* These characteristics are not assessed in coastai streams

t
+F`
Waterbody
data point scmp059 facing
northeastupstream.
«.
- x
pp 1.
P 6 Na
�.
R
VA
61
� r h
d -

x
W
r x�
- •R '� � �
it
r'

5-a iVIV13196
Nr T114'V O Strenm identification Form Version 4.11
Date: g i l 1�
ProjectJSite: fi C
Latitude: '3 . f
Evaluator: Ern (1j. gwck. €,,
County:
Longitude: _7g.
Total Points: n
Stream is at feast fntermitient al
J
Stream Determinatlon (cirplaanal
Ephemeral intermitten •'Perennla
Other
a g. Quad Name: Di -014, MG
rf � 18 or erenniaf if? 30*
2.Sinuoslty of channel along thalweg
0
A. Geomorphology ( (Subtotal=
Absent
Weak
Moderate
Strong
18' Continuity of channel bed and bank
0
1
CZl"
3
2.Sinuoslty of channel along thalweg
0
1CP
0.5
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
[
3
4. Particle size of stream substrate
0
i'11
2
3
5. Activefrelictfloodplain
0
1
2
C3)
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
-1
3
S. Headcuts
COi
1
2
3
9. Grade control
0
JL5`'
-
1
1.5
10. Natural valley -
0
0.5
1
1
11. Second or greater order channel
No = 0
Yes = 3
v,f ckw �1Q� `•
Past+I�J
If
" artificial ditches ars not rated; see discussions in manual
R Hvriminnv fSiihtntnl = 9 )
12. Presence of Baseflow
0
1
2
0
13. Iron oxidizing bacteria
(
1
2
3
14. Leaf litter
(.1.5:-,
1
0.5
0
15. Sediment on plants or debris
0
CM5'
1
1.5
Organic debris lines or piles
0
0.5
1}
1.5
-16.
17. Soil -based evidence of high water table?
(D=a
No = 0
1
s = 3
r- Rininnv r "Wrifal
1 S. Fibrous roots in streambed
3
1
0
Rooted upland plants in streambed
3
1
0
-19.
20. Macrobenthos (note diversity and abundance)
0
2
3
21. Aquatic Mollusks
--a
1
2
3
22. Fish
0
(As
1
1.5
23. Crayfish
(D=a
0.5
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae
0.5
-1
1.5
26. Wetiand plants in streambed
FACW = 0.75; 08L = ..5 Other = 0
"perennial streams may also be Identified using other methods. See p. 35 of manual.
Notes:
Sketch:
v,f ckw �1Q� `•
Past+I�J
If
^'r
mpol9
C L
o)Aww, 2

USAGE AID=! D\\ i:t = Site = iindicnie on attached map)
S c tet ra 0150
FIM STREAM QUALI 7 ASSESSMENT WORKSHEET -AW
Prov ide the follow ing information for Clic stream reacts tinder assessment:
1. Applicant's name:2. Evaluator's name:►• u-
3. hate ofe►aluation: l _ a. Time nfetaluaiinn: :90 f
5. Warne of stream: LAOT �-o .5 wr n 3 Crce L 6. River basin:
7. Approhimate drainaL:e area: S. Stream order: D
9. Lentrtlt of reach evaluated: � k 10. County: t i� �erla
11. Site coordinates (ifknown): prefer in decimal dgwes. 12. Subdivision name (if any): r ori
latitude iex._4.8723121: 34 011 -'10 1 Loneitude(ex.-77.555611): —7& _ 7 i of G $z
Method location determined {circle}:
GPS --'opo Sheet Onho (aerial) photn'GIS OiberGIS Othcr
13. Location of reach under evaluation {note nearby roads and landmarks and attach map identiRing streams) location):
Ucj1 o :r�� .c�-+ o{',6r6rownL l ca,,A cscld,•, std rust- W F.,,- ,t Izd
14. Proposed channel worn (if any): PC2c �. C-
15. Recent Breather conditions: r �
16. Site conditions at tittle of visit: ily".n
17. Identify any special waterway classifications hno\vn: ,Section 10 Tidal Waters Essential Fisheries Habitat
Trout Waters _Outstanding Resource IN"aters —Nutrient Sensitive Waters _Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES NO if } es, estimate the water surface area: q a.erC
19. Does channel appear on USGS quad map? YES 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use. - ab Residential °b Commercial
_226 Industrial Allricriltural
'410 11,o Forested °b Clearest / Locced d % Other f 1
ankful vv id t: 2 � V '_3. Bank height (from bed to top of Dank): [ r
24. Channel slope down center of stream: s1=1at (0 to lob) �entle 12 to 4116) __Moderate (4 to I0"o) ,--Steep 0 09 4
25. Channel sinuosity : Straight --'Occasional bends Frequent meander _Very sinuous Braided channel
Instructions for completion of tvorlcsheet (locates-- on page 2): Begin by determining the most appropriate ecare!Uion based on
location. terrain. vegetation. stream classification, etc. Every characteristic must be scored using the same ecoreeion. Assign points
to each characteristic tkithin the range sho\vtt for the ecoregion. Page 3 provides a brief description of hove to review the
characteristics identified in the \�orksheet. Scares should reflect an overall assessment of the stream reacts tinder etaluation. 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, chanizes in the character of a stream under review (e.�L,.. the stream tloNss from a pasture
into a forest). the stream may be divided into smaller reaches that display snore continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100. tit ith a score of 100 representin�a a stream of the
highest quality..
Total Score (from rercrse): GLI Comillents:
Evaluator's Signature ,.f Date
This channel evaluation form Is intended to be Wised only as a guide to assist landowners and ew ironmental professionals in
gathering the data required by the United States ?.rata• Corps of Engineers to make a preliminan assessment of stream
quality-. The total score resulting from the completion Of 'Ills fot'm Is subject to USAGE approval and does not Instils• a
particular mitigation ratio or requirement. Fora'sub�ject to ch age - version qt; s1=. To Ctanttn2tnt. please Cal! X19-5�+�-5� 1 % 20.
N

STREAM QUALITY ASSESSI E, NT WORKSHEET
jj��
rry7 ``%`i�7,7'��777 �7''�p j'�SY«)�'�E��ft C"^►"J p O
l i"JL\1S 1ICS1iL111LJ
M -i- f','
i'+[S V{f�y�7�7,]1C
Tm-
i
Presence of flow 1 persistent pools in stream
0-5
0_4
0-5
5
(no flow or saturation T 0: strong flow = maxpoints)
Evidence of past human alteration
0-6
0— 5
0-5
LI
"
(extensive alteraiiors = 0: no alteration = maxpoints)
Riparian zone
0—tag
0-4
0-5
LI
(no buffer. - 0; contiguous. wide buffer coaxpoints)
_
Evidencc orni irricnt or chemical dischardcs
.
0-5
0 —
0-4
(caiensive disclzarees = 0; no discharges = A mots
aY
Grnundwaterdiscltarge
0-3
0—
0=
~'
i
= max
(no dcscharge = D; s rings segs. wetlands. etc points)
Q;
PFeienceofadjacentfloodplain
0_4
Q-4
0-2
(no flood lain = 0; cxteusive flbod Iain = maxpoints)
Entrenchment Ifloodplain access
7
0_5
0-4
0-2
L(
!:L�
(deeply entrenched = 0` frequent flooding = maxpoints)
Presence of adjacent vvettands
0-6
0 —4
0-2
x
(no wetlands = 0• large adjacent wetiands = maxpoints)
Channel sinuosity
0-5
0-4
0-3
(extensive cbannelization = 0; natural meander = coax P pints)
�-
10
Sediment input
0-5
0-4
0-4
(extensive deposition-- 0- little or no sediment = max Dints)
f
1 I
Size diversity of channel heti substrate
S
NA* 4'
0-4
0-5
.---
(fine, homo mous = 0; Iarge, diverse sizes = max Points)
Evidence of channel incision or widening
0-5
0 _4
0-5
I
(dee lv incised = 0: stable bed & banks = max points)
Presence of major bank. failures '
13
0-5
0-5
0-5
(severe erosion = 0• no erosion stable banks -= maxpoints)
C�
14
Root depth and density on banks
0-3
0-4
0-5
F(no
visible roots = 0; dense roots throughout = maxpoints)
Un
Impact by agriculture, livestock, or timber production
0-5
D-4
0-5
15
(substantial im pact =0; no evidence = maxpoints)
16
Presence of riffle-pootlripple-pool complexes
0-3
D— 5
0-6
�
(no riffleslri les or pools = 0;°elI-develo ed = max hints)
17
Habitat complexity
0_
0-6
0-6
F`
(little or no habitat = 0; frequent, varied babitats = maxpoints)
l S
Canopy coverage over streamlied
0-5
0-5
0-5
2
(no shading vegetation = 0• continuous canopy = maxpoints)
1
Substrate embeddedctess
f
o-4
0-4
(deeply embedded = 0• loose structure = max)
�0
Presence. of stream invertebrates (see page 4)
0 —4
0-5
0 — 5
3
(no evidence = 0; common. numerous t es -= max points)
� l
Presence of amphibians
0-4
fl— 4
0-4
Q
d
(no evidence = 0; common. numerous types = maxpoints)
p`
22
Presence offish
0-4
0-4
D— #
(no evidence = 0: cominon, numerous types = naax oints)
13
Evidence of vvildlife use
0_ 6
0— 5
0_ 5
f
(no e�-idence = 0: abundant evidence = max points)
Total Points Po
140
100
= TOTAL SCORE (also enter on first P
s
gO
These characteristics are not assessed in coastal streams.
y

,57 rw
�3 -SP04-M

T
a ,
F w
_ w
t e#
wry •����� • v. .
41
i s 1.

SCn'P 649
NC DW Stream Identification Form Version 4.11
Rate: u} �6 I u
Project/Site: ACe
Latitude: 3c,! 707 tzo3
Evaluator:F_S= i�l'..T�.r,.t ,,t)
County: C�. i•�.,,1
Longitude: `78.8 7ZI66gn
Total Points:
27
Stream Determination (circle one)
Other
Stream is at least in[ermittent
Ephemeral Intermittent-Acle
e g quad Name: , r 0 C
if a 19 orperennial if � 30"
2
3
A. Geomo holo (Subtotal = ll. S )
Absent
Weak
Moderate
Strang
1" Continuity of channel bed and bank
0
1Gy
14. Leaf litter
3
2. Sinuosity of channel along thalweg
0
15. Sediment on plants or debris
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
(2)
3
4. Particle size of stream substrate
0}
C0
2
3
5. Active/relict floodplain
0
1
2
1.5
6. Depositional bars or benches
0
(J)
2
3
7. Recent alluvia! deposits
CPU)
1
2
3
S. Headcuts
-
1
2
3
9. Grade control
0.5
1
1.5
10. Natural valley
0
0.5
1
Q:51
11. Second or greater order channel
"-TNo = 0 "
Yes = 3
Sketch:
G�
a artificial ditches are not rated; see discussions in manual
B. H drain Subtotal =
12. Presence of 6asefiow
© 1
2
Q
13. Iron oxidizing bacteria
1
2
3
14. Leaf litter
1
0.5
0
15. Sediment on plants or debris
0
1
1.5
16. Organic debris lines or piles
0 0.5
2
L 1.5
17. Sail -based evidence of high water table?
No = 0
C0
des = 3
C_ Rinlnnv (Suhtntal =
18. Fibrous roots in streambed
3
1
0
19. Rooted upland plants in streambed
C.0
2
1
0
20. Macrobenthos (note diversity and abundance)
0
CZ 7
2
3
21. Aquatic Mollusks
m.
1
2
3
22. Fish
0
C0
1
1.5
23. Crayfish
(�Oj
0.5
1
1.5
24. Amphlblans
JP
0.5
1
1.5
25. Algae
0
0.5)
1
1.5
26. Wetland plants in streambed
FAC = 0.75; OBL = 1.5
Other
'perennial streams may also be identified using other methods. See p. 35 of manual.
Motes:
Sketch:
G�
tiAlc
f
V"
14
1F
�p

USACE AiD DW O
STREAM QUALITY
Site iindicate on attached ntapI
r4 � ( 0,19
ASSESSMENT NVORKSHEET.t r E
P ' I tl ' C-11-0nti= inform aI,on fort lie stream reach under assessment;
rQi tc a tc r
1. Applicant's name: .oj ^✓ ., a n - 2. Et aluator's name:
3. bate of ei aluatiow gJ6/2, 014 - -t. Time of e\ aluation:
5. Name of stream: (AWq )rO SWGy''%S Cre 6-_ 6. RiNer basin;
7. Approtiimate drainage area: 2OL( S. Stream order: � 5�
9. Lenath of reach evaluated: �O 10. County:
I I. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): lrlof4 c-
Laiitude lex. 34,872312): 3V8701/Z63 Loneitttde (ex. -77.556611) �7 �a. $ 7 Z U9 0
Alctitt�d location determined (circle): GP =' Taps 5hcet fnhn fAerial)1'Hato`GIS OtherGIS Chhrr
13. Location of reach tinderevaluation(note nearby roads and landmarks and attach map iden/tifiiinu streant(s) location):_
GkJ4 4, -4- _ ♦; — r r O 1. r n . E- L
14. Proposed channel work (if any):_ 1(/?J?0 r+ at
15. Decent weather conditions: r v
16. Site conditions at lime of visit: til+ 1t w"
17. IdentiA, any special watenvay classifications known: _Section 10 "„_,Tidal Waters —Essential Fisheries Habitat
_Trout Waters Outstanding Resource Waters _ Nutrient Sensitive Nvaters ^lN'aier Supply Watershed _ (I-IV)
13. Is there a pond or lake located upstream of the evaluation point? ''ES NO If yes, estimate the water surface area: 9 aerrc
19. Does channel appear on USGS quad asap? ES NO 20. Does channel appear on USDA Soil Survey? YE NO
21. Estimated watershed land use: �06 Residential ,°it Commercial % Industrial ) oe A=Yricultural
o Forested S °'© Cleared I Lo`ged P's Other [ )
T P o f Part jkt� ^ 2
22. ankful wid t: 1 3. Bank height (from bed to top of bank):
24. Channel slope down center of stream: ____Flat (0 to 2%) ✓Gentle (2 to 406)Moderate (=l to 10%) _Steep (>IV° )
25. Channel sinuosity: Straight t/'Occasional bends _„,Frequent meander Very sinuous Braided channel
Instructions for completion tf iiorksheet (located on page 2): Segni by deterntttttng the must appropriate eeuregion based on
location. terrain, veneration. stream classification, etc. Eier} characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 proxides a brief description of !tow to rexiew the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the sirearn reach under eialuation. 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 stream tinder re,i \v (e.g.. the streattt f1Aws fri�nt a pasture
into a forest). the stream may be dii ided into smaller reaches that display snore continuity. and a separate fonts used to ei aluate each
reach. The total scare assigned to a stream reach must ranee between 0 and 100. ti hli a score of 100 representing a stream of the
highest grtalit}.
Total Score (from reverse), Corttattentsc
Evaluator's Signature 9 Ve Date Y_ 6`1G
This cItannel eN aluation form is intended to I e used only as a guide to assist landowners and emironmt ntal professionals in
gathering the data required by the United States Army Corns of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this fortis is subject to 1, SACL approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - %ersion Obi 03. To Ccmntent. plea.e call 9l g-9 f -5-'.4
N

STREAM QUALITY ASSESSMENT WORKSHEET
I.
r XCOREGIORpI EI
' .. ... ,. 1`�•'
�J�,C ��,y 4�.' T
�V711 fa N.e`
'� Tl�l� 11:JRi4l L 1..r 4L �Y'
�
R,--
1
Presence of flow f persistent pools in stream
0-5
0-4
0--5
(no f1my or saturation = 0: strong flow = maxpoints)
Evidence of past hunian alteration
0-6
0-5
(extensive alicration = 0: no alteration = max Dints)
3
Riparian zone
o-6
0--4
0 5
(no buffer - 0: coati 7uoits. va'ide buffer =max Dints)
4
)✓�idenee of tinfrtent err chemical discharges
0-5
0-4
0"4
�
(c5densiv�e dischar cs = 0; no discltar es = rna Dints)
*.
Groundwater discharge
0-3
0-4
0��-4
i
5
(Do discltar e 0 s ria s, see s sA,etlands. etc =max poi
= Presence of adjacent floodplain
o-4
0-4
0-2
l'rl
6
(no floodplain 0. extensiv=e #laod . Iain = rnax Dints
'
7
Entrenchment Ifloodplaivaccess
0-5
0-4
0-2
(dee I entrenched = U fre anent f]oodin =max pints
Presence of adjacent wetlands
o-6
0-4 4
0—
(no wetlands = 0- large adjacent t� etlands =max Dints}
Channel sinuosity
0-5
0-4
0-3
w
(extensive chaimeiization =i 0; natural meander = maxpoints)
10
Sediment input
0-5
o-4
0-4
-�
(extensive de osition- 0; little or no sediment = max Dints)
Slze & diversity of channel bed substrate
o-4
--
r
l 1
(hue, homogenous - 0' large. diverse sizes - maxpoints)
Evidence of channel incision or widening
0-5
0 —4
0-5
12
(dee 1v incised = 0: stable bed & banks = maxpoints)
13
Presence of major frank failures
0-5
0 — 5
0-5
severe erosion = o' no erosion stable banks = max oints
C�
Root depthand density an bans
0-3
0-4
0-5
14
no visible roots = 0; dense roots throughout = maxPoints)
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
l5
(substantial impact =0: no evidence = maxpoints)
Presence of riffle-poollripple-pool complexes
0-3
0 —5
0-6
I6
(no riffles/ri les or ools = 0: well-developed =max Dints
17
Habitat complexity
0-6
0-6
0-6
2
1-4
(little or no habitat = 0; fie trent, varied habits#s =maxpoints)
Canopy coverage over streambed
0-5
0-5
0-5
18
(no shading v'eaetation = 0• continuous cano v = ma?: points)
19
Substrate embeddeditess
NAS
0-4
0-4
{dee Iv embedded = 0; Doose structure = max
verterates (see page 4)
Presence of stream inb
0 — 4
0 — 5
0 — 5
.
20
(no evidence = 0: common. numerous es = maxpoints)
l
Presence of amphibians
0-4
0 — 4
0-4
t�
C7
(no evidence = 0: common. numerous es = max oints
4
22
Presence offish
0-4
0-4
0-4
(no evidence = 0: common, ntttnerous es = max oints
Evidence of vvildli%use
0-6
0-5
0-5
€
"3
(no ez idetice = 0; abundant evidence = mai; points
Total PQ1nt5 Po$sihle
100
lQQ
10
..
TOTAL SCARE (h$50 entel on (list pap)
€
* These characteristics are not assessed in coastal streams.

,
�4Y�J ',t _ - '•�� t �1r� refs r ,�' f.
f.
VJ,,
�' ! L ars � �� s ,.r � �F.� r��• r +�i�����y'-��,,��\\\

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: floX �,\, { T,
3. Date of evaluation:— 2 L� .l `-1
5. Name of stream:
7. Approximate drainage area: ,W,0 A C ~; e 5
9. Length of reach evaluated: C eN
2. Evaluator's
4. Time of evaluation: 3 �
6. River basin: C-0, (; (�
8. Stream order:
10. County:
11. Site coordinates (if known): prefer l
in decimal degrees. 12. Subdivision name (if any):
11
r.<
Latitude(ex.34.872312): �la5/'—,5�[,��7_: � Longitude(ex.-77.556611): ���-_�/(-/,• ( �'3 7
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 stream(s) location):
ex - tom ,�C i7 E ( f l NSP e d 2c -c J
14. Proposed channel work (if any): C "\, ('
15. Recent weather conditions: \\7 o C �'b C111
16. Site conditions at time of visit: (�v A ✓.y
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 C� If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES NO) 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: 5% Residential _% Commercial _% Industrial c) U % Agricultural
1% Forested _% Cleared / Logged _% Other (
22. Bankfull width: } 23. Bank height (from bed to top of bank): fry
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 Date (6 `yat'�I�!
This channel evaluatio► rm ' irate to be used only as a guide to assist landowners and environmental professionals in
gathering the data required y 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
ITT:,
.. .......FWORE
CI�i�&tRISTICS,
G1,,
ANGE
Cp4st4I,SCORE
led
Presence of flow persistent pools in stream
no flow or saturation -
0, strong.flow =max poin s)
0-5
0-4
0-5
2
Evidence of past human alteration
(extensive alteration = 0; no alteration = max poi ts)
0-6
0-5
0-5
3
Riparian zone
—
--__(no,buffer
= 0; contiguous, wide buffer = max points)
0-6
0-4
0— 5
4
Evidence of nutrient or chemical discharges
lextensive dischMes = 0; no discharges = max points)
0-5
0-4
0-4
5
Groundwater discharge
io d,ischarge = 0; s rings, seeps, wetlands, etc. = max points)
0-3
0-4
0-4
Presence of adjacent floodplain
o floodplain = 0; extensive flooylain.= max points)
0-4
0-4
0-2
7
Entrenchment 1floodplain access
1:64
(de ply fr
entrenched = 0; equent flooding = Max points),
0-5
0-4
0-2
8
Presence of adjacent wetlands
-0-6
no wetlands = 0,• large adjacent wetlands max points)
0-4
0-2
9
Channel sinuosity
(extensive channelization0-5
0, natural meander max points)
0-4
10
Sediment input
(f,,xtensive deposition-- 0; little or no sediment = maxj2oints)
0-5
0-4
0-4
Size & diversity of channel bed substrate
Line, homogenous = 0; large, diverse sizes max points)
A
0-4
0-1
12
Evidence of channel incision or widening
L(dee ply incised =,O; stable bed & banks = max points)
0-5
0-4
Q-5
13
Presence of major bank failures
4*
severe erosion = 0; no erosionstable banks = max points)
0-5
0-5,
0 5''
14
Root depth and density on banks
—
(no visible roots = Oijense roots throughout = max points)
0-3
0-4,
15
Impact,by agriculture, livestock, or timber production
substantial impact =0; no evidence = max points
0 — 5
0-4
0-7,5)
16
Presence of riffle-pool/ripple -pool complexes
—
(no riffles/ripples orpools = 0; well-developed = max points
Habitat
0-3
0-5
0-6)
17
complexity
Ilittle
or no habitat = 0; frequ varied habitats = max
0-6
0-6
0-6
points)
18
Canopy coverage over, streambed
no shading vegetation = 0; continuous canopy = max points)
0-5
0 — 51
0-15,
19
Substrate embeddedness
( deeply embedded = 0; loose structure max)
"T
0-4
0 4,
20
Presence of stream invertebrates (see page 4)
(no evidence O• cornrqon, numerous es max points)
0-5
0-5�
21
Presence of amphibians
no evidence 0; common, numerous types = max points)
0-4
0-4
22
Presence of fish
no evidence 0; common, numerous types0-4
max points)
0-4
0 _A�,
23
Evidence of wildlife use
no evidence 01 abundant evidence max points)
0-6
0-5
0 51
x _ . G SCARE (also enter on lwirst ` '; rs
:;TOTAL
page)
h,
� LV�. � al I, IJUL dSSVSSCU in coasiai screams.
0)

NC i) VV i Y ,qtP'P.nra Y,IIpnti¢i/.afinn L, -n -x7 :_A11
Date: �,/ c�
l6 ��
Project/Site: /�
j
Latitude:�'C�
Evaluator:
}�'o u,, o `) 1
County: CU ,n
Longitude:' k
3 % Lt
Total Points:
.sill
-
Stream is at least intermittent
Stream Deter circle one)
Other
Lf z 19 or erennial if a 30*�
Ephemeral t rmitten 'Perennial
e.g. Quad Name:
�. -1 r rur r ruw (z>umoiai = A }
Absent
Weak
Moderate
Strong
1a. Continuity of channel bed and bank IV
2
3
14. Leaf litter
1.5 1
0.5
0
1
2
3
2. Sinuosity of channel along thalweg
0
1.
2
1.5
es = 3
3. In -channel structure: ex. riffle -pool, step -pool,
-
2
3
3
ri le- ool sequence
0
0.5
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0;
1
2
3
6. Depositiorial bars or benches
0"
1
2
3
7. Recent alluvial deposits
1
1.5
26. Wetland plants in streambed
FACW = 0.75;
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
Sketch:
No = 0
Yes = 3
B. Hvdrolnnv (Rirhtntal = 1
r-
12. Presence: of Baseflow
0 1
2
3
13. Iron oxiclizing bacteria
0
2
3
14. Leaf litter
1.5 1
0.5
0
15. Sediment on plants or debris
1
1.5
16. Organic debris lines or piles
17. Soil -based evidence of high water table? ,No=
(� Qi..l....., In..�a_._i __ �-,
0; 5
0
1
1.5
es = 3
18, Fibrous roots in streambed
2
1 v
0
19. Rooted upland plants in streambed
3 ,
2
1
0
20, Macrobenthos (note diversity and abundance)
p"
11
2
3
21. Aquatic Mollusks
-
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibiirns
0
0.5
1
1.5
25. Algae
0
1
1.5
26. Wetland plants in streambed
FACW = 0.75;
OBL = 1.5 Other = 0
*perennial streams may also be identified using other
methods. See p. 35 of manua .
Notes:
Sketch:
H
M

;R,'
-t <
9�Mrt'6o I.x •k +srw " ,. Y4. 1_ 4-
A
s<
A�• A
1 y

r ia— 3 N
w ^E <
„4
.may' J o �

E
USACE AID#
DWQ#,
Site # (indicate on attached map)
FIM STREAM QUALITY ASSESSMENT WORKSHEET —AQF
Provide the following information for the stream reach under assessment: r^
1. Applicant's name: DC, r"', Av 2. Evaluator's name:
3. Date of evaluation: ?c,;(#
S. Name of stream: U&j!'T Tn�a_S AJs!Pi�
7. Approximate drainage area: ILO A�c Ce5
9. Length of reach evaluated:
4. Time of evaluation:
6. River basin: 0 c��4
8. Stream order:
J.
10. County:-cn , A
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): L� ,) r j 1 //0 Longitude (ex. —77.556611): J' `-5 3 �6 --20-7
�4
Method location determined (circle):GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach tinder evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
kA�C i � Ce ­ D y,,r �A­ IA , e zt
14. Proposed channel work (if any):yc V1-�'
15. Recent weather conditions: ,,'c
16. Site conditions at time of visit: ti r'1 INu
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? YESIf yes, estimate the water surface area:
00
19. Does channel appear on USGS quad map? YE NO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: 5% Residential _% Commercial _% Industrial T, % Agricultural
% Forested _% Cleared / Logged _% Other
22. Bankfull width: l 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: ` -J Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: ' t 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): � ° } Comm
Evaluator's Signature t 1f i„:, Date. w
This channel evaluation form l rnte ded`ta-6 used only as a guide to assist landowners and environmental professionals in
gathering the data required Eby 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
- •---- —........ -- — —L a3Z,wbcu III WASCAI SLI -CAIS.
7
CHARAC'TERiSTICSECOREGTON
FOINT
Oka
Cuastah
SiiE
l
Presence of flow /Persistent pools in stream
no flow or saturation = 0; stron #tow = maxpoints)
0-5
0-4
0-5
21
Evidence of past human alteration
extensive alteration= 0; no alteration = maxpoints)0-6
0-5
0 - 5
3
Riparian zone
no buffer = 0• conti nous wide buffer =max oints
0-6
0-4
0 —5
4
Evidence of nutrient or chemical discharges'
extensive dischE es = 0• no discharges ='maxpoints)0-4
0-5
0-4
�.
5
Groundwater discharge
no dischar e = 0- s rin s, see s, wetlands, etc, = max oints
0-3
0= 4
0-4
i
r4
6
Presence of adjacent floodplain
no floodplain 0 extensive floodplain = max points)
0'=4
0-4
0-2
7
'Entrenchment/ floodplain access
__(deeply entrenched= 0; fre' went flooding = maxpoints)
0-5
0-4
0-2
8
Presence of adjacent wetlands
L o wetlands = 0L lar e adjacent wetlands = maxpoints)
0-6
0-4
0-2
9
Channel sinuosity
extensive channel., --tion = 0• natural' meander = max'points)
0-5
0-4
0-3
10
Sediment input
(extensive deposition --..0; little or no sediment= max ppoints)
0-5
0 - 4
0-4
11
Size & diversity of channel bed substrate
enous = 0; large, diverse sizes = max points)NA*�
Line, homogenous
0 - 4
0 - 5
12
Evidence of channel incision or widening
"
deeply incised = 0; stable bed & banks = max omits
0-5
0-4
0,-5
13
Presence of major bank failures
Wsevere
erosion = 0- no erosion stable banks = max oints
0-5
0-5
0-5
14
Root depth and density on banks
no visible roots = 0; dense roots throw hout = maxpoints)
0-3
0-4
0-51
21
15
impact by agriculture, livestock, or timber production
substantial impact =0• no evidence = max points)
0 - 5
0-41
0 — 5
_
16
Presence of riffle-pool/ripple-pool complexes'
H,
no riffles/ripples 1es or ools = 0; well-develo ed =max oints
O-3
0 —'5
0 - b
17
Habitat complexity
little or no habitat = 0' frequent, varied habitats = max points)
0-- 6
0-6
0 —6
l8
Canopy coverage over streambed
(no,shading ve etation = 0; continuous canopy = max `points)
19
Substrate embeddedness
dee 1 embedded = 0; loose structure =max
NA
0 - 4
0 4
r,
20
;Presence of stream invertebrates (see page, 4)
no evidenced= 0• common numerous types = max points
0-4
0-5
0 —5
21
Presence of amphibians_LL
C.�(no
evidence -.O• common, numerous es =maxpoints)
C22
Presence of fish
no evidence = 0• common numerous es =max oints
0-4
0-4
23
Evidence of wildlife use
no evidence = 0- abundant evidence = max oints
0-6
05
0_$
Total Points po§sable
100
100100v`«
F;
- •---- —........ -- — —L a3Z,wbcu III WASCAI SLI -CAIS.
7

NC DWO Stream Identification Form Versinn a 11
Date: t
Project/Site: �..�
Latitude `rt
Evaluator:
County:
C u IVN� c'E' C,
Lon itude: "� � `
g ��� � ( �
Total Points:
1
2
Stream is at least intermittent
Stream Det one)
Other
if 2:19 orperennial if z 3f' 2
Ephemeral
F5��nnial
e.g. Quad Name:
W
h. veomor nolo (subtotal = 'n )
18Continuity of channel bed and bank
Absent
0
Weak
1
Moderate
2
Strong
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
L
2
3
4. Particle sire of stream substrate
0
9
2
3
5. Active/relict floodplain
p;
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
j
1
2
3
8. Headcuts
0'j
1
2
3
9. Grade control
0
0.
1
1.5
10. Natural valley
0
t5:5
1J
1.5
11. Second or greater order channel
o
es-�= 3'
,•�
-L111-1 umd Mb dEe nvt Edteo; see alb sions in manual
B. Hydrology (Subtotal =
12. Presence: of Baseflow
0 1
2
31
13. Iron oxidizing bacteria
0 1
2
3
14. Leaf litter
1.5 1
0.5
0
15. Sediment on plants or debris
0
1
1.5
16. Organic debris lines or piles
0
1
1.5
17. Soil -based evidence of high water table?
No = 0
es = 3
�.. oiuwyy l.71-10I0Ial _ .-t 1 "-
18. Fibrous roots in streambed
3
1
0
19. Rooted upland plants in streambed
3 2
1
0
20. Maerobenthos (note diversity and abundance)
0
2
3
21. Aquatic Mollusks
0 1
2
3
22. Fish
0 O.P
1
1.5
23. Crayfish
0)
1.5
24. Amphibians
0
1
1.5
25. Algae
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:
,•�

SCM9001
scmg001 facing upstream
scmg001 facing downstream

SCM9001
scmg001 cross stream

-Cab)-
USACE AID# DWQ # Site # (indicate on attached map)
_ ---- - .__._. --- - ---- -------------- --------------------- --------------------- ---- -- - --- - -------- - - - -- --- {
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
CoL
1. Applicant's name: M --p
2. Evaluator's name: LI `t1
3. Date of evaluation: { '2
(Crp 4. Time of evaluation:
5. Name of stream: , e^ lC5
�J e �� 6. River basin: l,AA-e-r l _CA-
7. Approximate drainage area:
8. Stream order:
i
9. Length of reach evaluated:
10. County: C �-) P r � aiy dk
11. Site coordinates (if known):
prefer in decimal degrees. 12. Subdivision name (if any):
°�
Latitude (ex. 34.872312): �)�
r
`� a Longitude (ex. —77.556611):
4 v l )
Method location determined (circle):GPS
Tfopo 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:
r; (
16. Site conditions at time of visit ( t•f',,C!1 0,v - C -z
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: D
20. Does channel appear on USDA Soil Survey? YES NO
_% Commercial _% Industrial % Agricultural
% Cleared / Logged % Other (_
23. Bank height (from bed to top of bank): 3
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.
� 1
Evaluator's Signature �. �` --- `1 Date %- 7 ', (�
This channel evaluation form is intended to used only as a guide to assist landowners and env ir nOmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change — version 06/03. To Comment, please call 919-876-8441 x 26.

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWQ Stream Identification Form Version 4.11 Uv\( (1 `),
Date: 1-' -
r
Project/Site:
Latitude:
Evaluator:'o t L111'_'
County: �
Longitude:`
Total Points:
Stream Determirfation„(circle one)
Other
Stream is at least intermittent
if >_ 19 or perennial if >_ 30*
Ephemeral (. htermitten Perennial
��
e.g. Quad Name:
A. Geomorphology (Subtotal= L�%)
Absent
Weak
Moderate
Strong
1a. Continuity of channel bed and bank
0
1
2
63
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
01
U-)
2
3
4. Particle size of stream substrate
0
)
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
,C6
1
2
3
7. Recent alluvial deposits
"o)
1
2
3
8. Headcuts
'(0)
1
2
3
9. Grade control
0
0.5
1 i
1.5
10. Natural valley
57
0.5
1
1.5
11. Second or greater order channel
No
= 0
''Yes = 3_
a artificial ditches are not rated; see discussions in manual
B. HVdrology (Subtotal = _)
12. Presence of Baseflow
0 1
2
13. Iron oxidizing bacteria
C7 1
2
3
14. Leaf litter
f.5, 1
0.5
0
15. Sediment on plants or debris
0 ltiT
1
1.5
16. Organic debris lines or piles
!(Jo 0.5
1
1.5
17. Soil -based evidence of high water table?
No = 0
'Yes = 3 ..
1
C. Biology Subtotal
18. Fibrous roots in streambed
3
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
0 ''
1
2
3
21. Aquatic Mollusks
ti
1
2
3
22. Fish
i
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
Co
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: I � t �f
- z. �.,� %� '.
6 .iii.
Sketch:
41

�c-- tl�E 0oa
STREAM QUALITY ASSESSMENT WORKSHEET
3
5
'J
0
* These characteristics are not assessed in coastal streams.

s
A 9
L ! l
4
�r

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: T'N 2. Evaluator's name:.
3. Date of evaluation: C L7 ` L_ 1` 14'S 4. Time of evaluation:
-,
5. Name of stream: C rd1�f c '� ,t Iver
M' �''�basin: C 6A-qe,-(
7. Approximate drainage area: � 7 t 61 c.�, via 8. Stream order:
9. Length of reach evaluated: % �`� $ 10. County: , t,vw..f- F ,-t i
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): Longitude (ex. —77.556611):
Method location detennined (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
15. Recent weather conditions
16. Site conditions at time of v
17. Identify any special waterway classifications known: Section 10 1�ATidal Waters LA -Essential Fisheries Habitat
Trout Waters t OutstandingResource Waters r 'Water Supply Watershedk(I-IV)
� Nutrient Sensitive Waters _
18. Is there a pond or lake located upstream of the evalu on point?
YES N�If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES NOS 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: a% Residential _% Commercial _% Industrial _% Agricultural
1%Forested _%Cleared /Logged _% Other
22. Bankfull width: 4,) 23. Bank height (from bed to top of bank):
24. Channel slope down c ter of streamFlat (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.
Totak) core (from reverse):- Comments: rf
f �.
Evaluator s Signature , c -- Date
This channel evaluation for is inten a used only as a guide to assist landowners and environmental professionals in
gathering the data require by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change — version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
2---
.2,
* These characteristics are not assessed in coastal streams.

NC DWQ Stream Identification Form Vercinn I -I I
Date: Ci - 1_
Project/Site:
Latitude:
Evaluator: T-
County:
Longitude:
2
3
2
Total Points:
3. In -channel structure: ex. riffle -pool, step-pool,ri le- ool se uence
0
Stream is at least intermittent
Stream Determination (circle one)
Other
if z 19 or erenniat if > 30'
Ephemeral Intermittent Perennial
e.g. Quad Name:
r
or o o (Subtotal= Y )
1a' Continuity of channel bed and bank
Absent
Weak
1
Mod ate
`1.i
Strong
3
2. Sinuosity of channel along thalwegEt
2
3
2
3
3. In -channel structure: ex. riffle -pool, step-pool,ri le- ool se uence
0
1
2
3
4. Particle size of stream substrate
0
0 0.5'
2
3
5. Active/relict floodplain
0
T
2
3
6. Depositional bars or benches
0
0.5
2
3
7. Recent alluvial deposits
0
0.5-
2
3
8. Headcuts
0
0.5
2
3
9. Grade control
0
FACW = 0.75;
1
1.5
10. Natural valley
Notes:
11. Second or greater order channelNo
a
= 0 "
Yes = 3
anniciai ditches are not rated; see discussi in manual
B. Hydrology (Subtotal = s
12. Presence of Baseflow
0
2
3
13. Iron oxidizing bacteria
01J
2
3
14. Leaf litter
1.5 1
0.5 '
0
15. Sediment on plants or debris
0 0.
1
1.5
16. Organic debris lines or piles
0 0.5'
1
1.5
17. Soil -based evidence of high water table?
No = 0
Yes = 3
1
V. Biology (Subtotal = l/''
18. Fibrous roots in streambed
1
2
1
0
19. Rooted upland plants in streambed
3 ;
2
1
0
20. Macrobenthos (note diversity and abundance)
>
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish _
0.5
1
1.5
23. Crayfish
0%
0.5
1
1.5
24. Amphibians
0
0.5-
1
1.5
25. Algae
0 ;
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75;
OBL = 1.5
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
C��n

•r
yr � 11 � a cat • , . � rl
r
- .
. r
4p
E�z
1 a

scmh001
Waterbody scmh001 facing upline cross stream

Open Waterbodv Data Sheet
Survey Description
Project Name:
Waterbody Name: r
Waterbody ID:
Date:
Southeastern Reliability
Vt��s✓ytn'Ck'
-
State:
County:
Company:Crew
Member Initials:
Photos: x_62 r
f �J
%Q lion: -'s T—
J �� P
'10
I
Tract Number(s): C
Nearest Milepost:
Associated Wetland ID(s):
Vi
Survey Type:
(check one) ZCenterline ❑Re -Route ❑Access Road ❑Other:
Physical Attributes
Waterbody Type:
(check one) Stock Pond ❑ Natural Pond O Lake ❑ Reservoir ❑ Impoundment ❑ Oxbow ❑ Other:
Hydrologic Regime:
CI ermanently Flooded ❑ Semipermanently Flooded O Seasonally Flooded ❑ Temporarily Flooded
OHWM
OHWM Indicator:
(check
Height
Aft.
all that apply) iClearline ❑Shelving ❑Wrested ❑Scouring ❑Water
on bank vegetation staining
_r
❑Bent, matted, or missing ❑Wrack ❑Litter and ❑Abrupt plant ❑Soil characteristic change
vegetation line debris community change
Depth of Water:
.5-
Bank height (average):
�r ft.
Bank slope (avers
v degrees
N/A❑
Qualitative Attributes
Water Appearance:
(check one) No water ❑Clear ''Turbid ❑Sheen ❑Surface ❑Algal ❑Other:
on surface scum mats
Substrate: ❑ Bedrock ❑ Boulder ❑ CobbleGravel Sand Silt/ clay ElOrganic ❑ Other:
(check all that apply) 1 —
/1
% of Substrate: % % % % �l % % %
Width of Riparian Zone:
Vegetative Layers:
/3-Trees:$,
j(check
ft
all that apply) Saplings/Shrubs: Herbs
-
Avg. DBH of Dominants: 6 in. -3 in. �~ in.
N/A❑
(approx.)
Dominant Bank Vege tion (list) -L zuetE Cc .f CIA 14y
}>z.i'}tCE') GL //Z.L yceC/'' ('e J�tJI {�( i�x /�ltw� �1C'g: .brst'kaGlliG.�
Z J
Aquatic Habitats (ex: s merged or emerged aquatic vegetation, overhanging bankStroots leaf packs large submerged wood, riffles, deep pools, etc.):
tE0rGLc�
Aquatic Organisms Obs ed (list):,
J
T&E Species Observed (list):
kyDC .✓
Disturbances (ex: livestock access, manure in Waterbody, waste discharge pipes):
Waterbody is:
(check one) ❑ Natural *4"rtiflcial, man-made ❑ Manipulated
Waterbody Quality a:
(check one) ❑ High ❑
Moderate ow
Foran Rev. 04/30/2013
?�

Form Rev. 04!30!2013
Waterbody// ID:
L j
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:
fil
Waterbody Sketch (Include north arrow, centerline, distance from centerline, data point locations, survey boundary, and IDs of associated features)
1 p
v
r I
Form Rev. 04!30!2013

ocmh001
.01
.� fiR
Open water data point ocmh001 facing west
the4 + F
I
Open water data point ocmh001 facing north