20140957 Ver 1_U-03_Appendix B_Wilmington_Northampton NC AP2 waterbodies_20170227

SNet1l00S
ACE AID# _-_---__--
DWQ # Site # (indicate on attached map)
FM
STREAM QUALITY ASSESSMENT WORKSHEET
i
Provide the following information for the stream reach under assessment:
--AW
1. Applicant's name:- wl i 4A (Cz7n 2. Evaluator's name: DID WIES3--
3. Date of evaluation: 7Z-1 ' I z-( 4. Time of evaluation:
5. Name of stream
7. Approximate drainage area: % lift -S
9. Length of reach evaluated: t Ute' � -
6. River basin: kQ
8. Stream order:
10. County: -�-IL30
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.&72312):� �%j �'t { j, Longitude (ex. —77.55661 1): ! .� © �� j' �� 12— 2—
Method location detennined (circle):? Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any): rC? l'LO
15. Recent weather conditions:_
16. Site conditions at time of visit: (\ � r ; — U,
17. Identify any special waterway classifications known: Section 10 Nidal Waters IN' Essential Fisheries Habitat
A` K'Trout Waters ��Outstanding Resource Waters (/i l-1$ Nutrient Sensitive Waters -Water Supply Watershed lV (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES 00 If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YEl NO 20. Does channel appear on USDA Soil Survey? Y NO
21. Estimated watershed land use: % Residential % Commercial % Industrial 2 %%—Agricultural
76 % Forested —% Cleared / Logged _% Other ( )
22. Bankfull width: 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: lat (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):_ C nts:
MIq4
Evaluator's Signature Date
This channel evaluation fo is mtende o be use only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change — version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
. --t Dual aucI iaucs arc uvr assessed In Coastal streams.

NC T)WO Cfrvam T`lnn*.f:....*:,,., V,,..... v
Date: -7 -- _ i
!
Project/Site: (�Q ��
Latitude: • : 3� ` �� 4•
Evaluator: ��
ou
Longitude*-77`� 3o I
Total Points:
1
/ 1
2
2
Stream is at least intermittent
� �
i circle one)
Stream Det71ntermitte2t)Perennial
E hemera
Other
if z 19 or erennial if >_ 30"
pg.
e. Quad Name:
i rviu
1 a. Continuity of channel bed and bank
Absent
0
Weak
1
Mod ,ate
Strong
3
2. Sinuosity of channel along thalweg
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
0
1
/ 1
2
2
3
3
4. Particle size of stream substrate
0
1
0.5
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
es = 3
3
7. Recent alluvial deposits
0
1
1
3
8. Headcuts
0
1
2
3
9. Grade control
10. Natural valley
0
0
0.5
1�
1.5
1.5
11. Second or greater order channel
a arfifiri al riitrhoc o ...., ...a...
No = 0
ACW = 0.75;
Yes = 3
B. Hvdrnlnnv (Suhtntal = -7 V"vN 1114 u�
12. Presence of Baseflow
0 �'
2
3
13. Iron oxidizing bacteria
0 1
2
3
14. Leaf litter
1.5
t5.
0
15. Sediment on plants or debris0
0.5
1
1.5
16. Organic debris lines or piles
0 .5
1
1.5
17. Soil -based evidence of high water table?
No = 0
0.5
es = 3
18. Fibrous roots in streambed
3
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
0
1
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. Algae0.5
1
1.5
26. Wetland plants in streambed
ACW = 0.75;
OBL = 1.5 Other = 0
'perennial streams may also be identified using other methods. See
p. 35 of manual.
Notes.-
otes:Sketch:
Sketch:
/2,-2-,-

snrh005
JP,bow-
a
s �
N S'
{A .
• l _
+t "I Y
it
Waterbody snrh005 facing east upstream
Waterbody snrh005 facing west downstream

snrh005
O"A
7-1
Waterbody snrh005 facing south cross stream

I USACE AID#
i
STREAM
-011
DWQ4
Provide the following information for the stream reach under assessment:
1. Applicant's name: V�:,b ff7Q
3. Date of evaluation: P)
5. Name of stream; Ut�� v o (>,�� Jacks Swamp
7. Approximate drainage area:
9. Length of reach evaluated: (�
Site # (indicate on attached map)
2. Evaluator's name: b (b 5
4. Time of evaluation: 3 LD -2-
6.
--
6. River basin: IC �� i� ��� Chowan
8. Stream order:
t
10. County:—PG t V� lv
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): / p
Latitude (ex. 34.872312): �, " 3 )' Z-/� • �— -7 Longitude (ex. —77.556611): 1
Method location determined (circle); �S) Topo Sheet Ortho (Aerial) Plioto/GIS Other GIS Other
13. Location of reach under evalua6rit note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel woi
15. Recent weather condi
16. Site conditions at timf
17. Identify any special waterway classifications known: OA -Section 10 N 4Tidal Waters A�Essential Fisheries Habitat
AE rout Waters ��utstanding Resource Waters i=66—Nutrient Sensitive Waters PAVater Supply WatershedA��(I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES � If yes, estimate the water surface area:
19. Does channel appear on USGS quad trap? 6ES NO 20. Does channel appear on USDA Soil SurveyYES NO
21. Estimated watershed land use: _% Residential _% Commercial _% Industrial 16 % Agricultural
?L)/o Forested _% Cleared / Logged _% Other
22. Bankfull width: 11 23. Bank height (from bed to top of bank):��
24. Channel slope down center of stream: Flat (0 to 2%) _Gentle (2 to 4%) ,_Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: Straight _Occasional bends _Frequent meander A 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 Scorefrom reverse): ( ) Comments:
Evaluator's SignatureDate e � ( q — / `�
This channel evaluation f#misintende a used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.

Milli,' rl! �.
ill-- -lal actci isuos are not assessea in coastat streams.

NC Division of Water Quality -Methodology for Identification of Intermittent and
(perennial Streams and Their Origins v. 4.11
NC DWQ Stream Identification Form Version 4.11
Date:Cz � Z. Project/Site:
1 Latitude: ��
Evaluator: County e
Longitude ar �f
Total Points:
Stream is at least intermittent Stream Deter }mat' circle one) Other UNT to Jacks Swamp
if z 19 or perennial if? 30" Ephemera tnt=itten Perennial e.y. Quad Name:
1 a. --- - ,-uu,ULQH - /
Hosent
Weak
Moderate
Strong
Continuity of channel bed and bank
p
1
2.. Sinuosity of channel along thalweg
0
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
--
1
3
ripple-pool se uence
01
2
3
4. Particle size of stream substrate
1
2
3
0
5. Active/relict floodplain
0
2
3
6. Depositional bars or benches
0
7. Recent alluvial deposits
0
1;�i
2
2
2
3
3
8. Headcuts
0
9. Grade control
0
3
10. Natural valley
01.5
0.5
_ 1.5
11. Second or greater order channel
No
0.5
0
1
artificial ditches are not rated: see diarucsf�nc �n „� .,�
Yes = 3
B. Hydrology (Subtotal = -
12. Presence of Baseflow 1 2 3
13. Iron oxidizing bacteria - --
1 2 3---
14. Leaf litter 1 5 0.5
0
15. Sediment on plants or debris 0 0.5 1.5
16. Organic debris lines or piles 0 0.5 1 1.5
17. Soil -based evidence of high water table? No = 0 Yes = 3
----..
C. Biology (Subtotal = --
18. Fibrous roots in streambed O
19. Rooted upland plants in streambed 3 ----.-_- -- -- 0
20. Macrobenthos (note diversity and abundance) 0 1 2 3
21. Aquatic Mollusks 0 1 2 3
22. Fish 0 0.5 1 1.5
23, Crayfish 0 0.5 1 1.5
24. Amphibians 0.5 1 1.5
25. Algae 0 0.5 1 1.5
26. Wetland plants in streambed FACW = 0.75; OBL. 1.5) Other = 0
*perennial streams may also be identified using other methods. See p. 35 of manual
Notes:
Sketch: N
41

snrh007
Waterbody snrh007 facing west upstream
Waterbody snrh007 facing east downstream

USAGE A1D#
DWQ #
:9Vk no
Site # (indicate on attached map)
M STREAM QUALI'T'Y ASSESSMENT WORKSHEET -AQF
Provide the following information for the stream reach under assessment:
I. Applicant's name: t In 2. Evaluator's name:��
3. Date of evaluation:- L L 4. Time of evaluation:'_3*2
5. Name of stream s l $:}c > a , Wr :: Chowan
���River basm:_�� ,� �
7. Approximate drainage area: �7 8. Stream order:
9. Length of reach evaluated: ' ap 10. County:--Or 4 A, �
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name if any):
Latitudeex. 34.872312
-
( ' Longitude (ex. -77.556611): -,77
Method location determined (circle): GPS "Popo Sheet Ortho (Aerial) Photo/GlS Other GIS Other
13. Location of reach under evaluation note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any):
15. Recent weather conditions:
16. Site conditions at time of visit:
17. Ide itify any special waterway classifications known: _Section 10 _Tidal Waters
�� 6lrY�-'Essential Fisheries Habitat
Trout Waters `�— utstanding Resource Waters rWNutrient Sensitive Waters L�Water Supply Watershed L*- I-IV
18. Is there a pond or lake located upstream of the evaluation point? YES O f yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES NO 20. Does channel appear on USDA Soil Survey< YES NO
21. Estimated watershed land use: _% Residential _% Commercial _% Industrial 26 % Agricultural
:% Forested % Cleared / Logged _% Other ( )
22. Bankfull width: 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: Straight ecasional 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.
-7
Total Score (from reverse): -- t Comments:
Evaluator's Signature l /\„ ��.� = Date n - t (` /9
This channel evaluation form ,s ntended to be only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.

5 N g g 6,DL
STREAM QUALITY ASSESSMENT WORKSHEET

NC DWQ Stream Identification Form Version 4.11 � (-q C' ' �'
Date: _ G-� Lt
L(
Project/Site:-��
Latitude:,
t
Evaluator:!
County: b�
Longitude
0
1
2 ,;
Total Points: Lp J
Stream is at least intermittent J /
Stream Determination (eir ne)
Ephemeral Intermitter Perennia
Other Tacks Swamp
if 19 or perennial if z 30` !j
2
e.g. Quad Name:
J
H. veomor holo (Subtotal = )
Absent
Weak
Mod to
Strong
1a. Continuity of channel bed and bank
0
1
2 ,;
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
1
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 j
0
3
9. Grade control
00.5
1.5
1
1.
10. Natural valley
0
OBL = 1.5 Other - 0
1
1..5
11. Second or greater order channel
a
manual.
=fe
Yes = 3
di unuai ditches are not rated; see iscussions in manual
B. Hydrology (Subtotal = -- - )
12. Presence of Baseflow
0
1
2 3
13. Iron oxidizing bacteria
0
1
3
14. Leaf litter
1.5
1
0. 0
15. Sediment on plants or debris
0
0.5
1 1.5
16. Organic debris lines or piles
0
0.5
1
17. Soil -based evidence of high watertable?
1
No = 0
Yes =
u. t5ioiogy (Subtotal = I .'S t 5 )
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
i,�
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0.5
1.5
25. Algae
0
0.5
1 11
1.5
26. Wetland plants in streambed
CW = 0.75
OBL = 1.5 Other - 0
"perennial streams may also be identified using other
methods. See p. 35 of
manual.
Notes:
Sketch:
4
snrh006

snrh006
Waterbody snrh006 facing north cross stream

USACE AID# DWQ # Site #_ (indicate on attached map)
L" I a U AQP
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: iiYU m \
2. Evaluator's name:
�)l � d
3. Date of evaluation: R`-- LJ - 141
4. Time of evaluation: J
5. Name of stream: U rnU J C GLEFI� CCK
6. River basin: !ep(_M�i
lD p
7. Approximate drainage area: `l
8. Stream order:
9. Length of reach evaluated:
10. County: &JIM4
hrrY -
11. Site coordinates (if known): prefer in decimal degrees.
12. Subdivision name (if any):
Latitude (ex. 34.872312): (��
Longitude (ex. -77.556611):
nc L,
7 7 3 3' 3 2— ! d 7 1 �_
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation note nearby roads and landmarks and attach map identifying stream(s) location)
14. Proposed channel work (if any): V t.SL
'F
15. Recent weather conditions: 10-!' f-IG4 M —
16. Site conditions at time
1��7�. pII..dentify any special waterway classifications known: OW -Section 10 -Kidal Waters w aEssential Fisheries Habitat
A Trout Waters Outstanding Resource Waters V) Nutrient Sensitive Waters 4LkVater Supply Watershed I " V (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 20. Does channel appear on USDA Soil Survey? YES 0 -
21. Estimated watershed land use: % Residential _% Commercial % Industrial _ J U % Agricultural
Z % Forested _% Cleared / Logged _% Other (
22. Bankfull width: c� x/23. Bank height (from bed to top of bank): D
24. Channel slope down center of stream: _Flat (0 to 2%) /K 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 7 -dT —� J
This channel evaluation fort r intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data requir 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 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.

SN21-%6ra
STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
#
CHARACTERISTICS
ECOREGION POINT RANGE
SCORE
Coastal
Piedmont
Mountain
1
Presence of flow / persistent pools in stream
no flow or saturation = 0; strop flow = max points)
0-5
0 — 4
0-5
2
Evidence of past human alteration
extensive alteration = 0; no alteration = maxpoints)
0-6
0-5
0-5
3
Riparian zone
no buffer = 0; contiguous, wide buffer = maxpoints)
0-6
0-4
0-5
4
Evidence of nutrient or chemical discharges
extensive discharges = 0; no discharges = maxpoints)
0-5
0-4
0-4
5
Groundwater discharge
no discharge = 0; springs, see s, wetlands, etc. = max points)
0— 3
0— 4
0— 4
U
�
6
Presence of adjacentfloodplain
no floodplain = 0; extensive floodplain = max points)
0-4
0-4
0-2
l
Entrenchment / floodplain access
a'
(deeply entrenched = 0; frequent flooding = maxpoints)
0-5
0-4
0-2
I
8
Presence of adjacent wetlands
no wetlands = 0; large adjacent wetlands = max points)
0-6
0-4
0-2
9
Channel sinuosity
extensive channetization = 0; natural meander = max points)
0-5
0-4
0-3
10
Sediment input
(extensive deposition= 0• little or no sediment = max points)
0-5
0-4
0-4
I
11
Size & diversity of channel bed substrate
fine homo enous = 0; laz e, diverse sizes =max oints
NA*
0-4
0 — 5
12
Evidence of channel incision or widening
F(deeply
incised = 0; stable bed & banks = max points)
0-5
0 — 4
0-5
13
Presence of major bank failures
severe erosion = 0• no erosion stable banks = max points)
0-5
0 — 5
0-5
I
14
Root depth and density on banks
H
no visible roots = 0; dense roots throughout = max points)
0-3
0 — 4
0-5
U'I
F Impact by agriculture, livestock, or timber productiou
S
substantial impact =0; no evidence = max oints)
0-5
0-4
0-5
y
16
Presence of riffle-pool/ripple-pool complexes
F
no riffles/ripples les or pools = 0; well-developed = max points)
0-3
0-5
0-6
17
Habitat complexity
0— 6
0— 6
0— 6
little or no habitat= 0; frequent, varied habitats= max points)
18
Canopy coverage over streambed
.�,
no shadingvegetation — 0; continuous canopy= max points)
0-5
0 — 5
0-5
19
Substrate embeddedness
(deeply embedded = 0; loose structure = max
NA*
0-4
0-4
20
Presence of stream invertebrates (see page 4)
0-4
0-5
no evidence = 0• common numerous es = maxpoints)
0-5
21
Presence of amphibians
0-4
0-4
0-4
O(no
evidence = 0; common, numerous types = max points)
220-4
Presence of fish
0-4
0-4
f�
no evidence = 0; common, numerous types = maxpoints)
(J
23
Evidence of wildlife use
0-6
0 — 5
0-5
no evidence = 0; abundant evidence = max points)
Total Points Possible
100
100
100
-
TOTAL SCORE (also enter on first page)
l
* These characteristics are not assessed in coastal streams.

NC DWO Stream identification Fnr..r vo.a;.,., a 11
5Np-(46 io
Date: ra . - (
Absent
Pro'ectfSlte: ApP
Latitude:3�
Evaluator:
county:Longitude:
`
?2
Total Points:
Stream is at least intermittent a 5 ,
Stream Deter ' circle one)
Ephemeral
OtherUAYi
£�
if i 19 or ersnnial if z 30"
p ntermitte erennial
e.g. Quad Name:
A 2
Geomorphology ( Subtotal =
Absent
Weak
Mod
to St
1' Continuity of channel bed and bank
0
1
0
15. Sediment on plants or debris
16. Organic debris lines or piles
17. Soil -based evidence of hi h water table?
2. Sinuosity of channel along thalweg
0
1
2
3. In -channel structure: ex. riffle -pool, step -pool,
20. Macrobenthos (note diversity and abundance))
3
ripple -pool sequence
0
1
3
3
4. Particle size of stream substrate
1
1
2
5. Active/relict floodplain
3
22. Fish
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
13
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
1
No = 0
1.5
Yes = 3
p. 35 o manual.
ACW = 0.75
BL = 1.5
Other = 0
aeons m manual
B. HydrologV (Subtotal = 1
12. Presence of Baseflow
0 1
2 3
13. Iron oxidizing bacteria
0
2 3
14. Leaf litter
1.5
0
15. Sediment on plants or debris
16. Organic debris lines or piles
17. Soil -based evidence of hi h water table?
01
0
No = 0
1.5
1 1.5
Yes = 3
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 M_ ollusks
1
2
3
22. Fish
0
0.5
1
1.5
23, Crayfish
0
0.5
1
1.5
24. Amphibians
0
0 -
1
1.5
25. Algae
0
0.
1
1.5
26. Wetland plants in streambed
"perennial streams may also be Identified using other methods. as
p. 35 o manual.
ACW = 0.75
BL = 1.5
Other = 0
Notes:
Sketch: �Jn�
C
L
l
IC(
oec n

r�
zc
NNS
AA

-_
�, �b q_ d'a �r,y:�. 1�� M T M,�
fir. � - _ .. .. ut I

USACE AID#
DWQ#
Site # ✓ (indicate on attached map)
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: ) A) JO A" 2. Evaluator's name:
3. Date of evaluation: �, r K 4. Time of evaluation_: /� 0
S. Name of stream:1r` �+ ��cw+�l�+� tsi G rC 6. River basin: 1 ioG(7Ct n G'k t-
7. Approximate drainage area: >60 e=rz . 8. Stream order: l S t
i
9. Length of reach evaluated: 7 10. County:V 7. 4A -1102 -0
11. Site coordinates (if known): prefer indecimal /degrees. 12. Subdivision name (if any):
3 2- ! �/
Latitude (ex 34.872312): C�, U � l �✓" Longitude (ex. —77.556611):`% ��� /• 6 /%�%
Method location determined (circle):PS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
/moi i t- 360 :11
14. Proposed channel work (if any): Ak/11
15. Recent weather conditions: —/Vl rw,
16. Site conditions at time of
f /!ti! t
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? 'F NO If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? NO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: -L% Residential _% Commercial % Industrial )b/o Agricultural
G AL% Forested _% Cleared / Logged _% Other
5 ( )
22. Bankfull width: 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: Straight Occasional bends _Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): ,5,� Comments: i) r' p9r1 a'c _h t�
Evaluator's Signature T _.. / f-4, Date • /, -3, -r
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
ECOREGION POINT RANGE
SCORE
Coastal
Piedmont
Mountain
#
CHARACTERISTICS
Presence of flow / persistent pools in stream
0 — 5
0-4
0--5
1
no flow or saturation = 0; strong flow = maxpoints)
Evidence of past human alteration
0-6
0-5
0-5
2
extensive alteration = 0; no alteration = maxpoints)
3
Riparian zone
0-6
0-4
0-5
no buffer = 0; contiguous, wide buffer = maxpoints)
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
4
extensive discharges = 0; no discharges = max points)
5
Groundwater discharge
0-3
0-4
0-4
2
(no dischar e = 0; springs, see s, wetlands, etc. = maxpoints)
Presence of adjacent floodplain
0-4
0-4
0-2
6
(no floodplain = 0; extensive floodplain = maxpoints)
Entrenchment / floodplain access
0-5
0- 4
0-2
a
(deeply entrenched = 0; frequent flooding = maxpoints)
Presence of adjacent wetlands
0-6
0-4
0-2
8
(no wetlands = 0; large adjacent wetlands = maxpoints)
Channel sinuosity
0-5
0-4
0-3
L4
9
(extensive channelization = 0; natural meander = maxpoints)
Sediment input
0-5
0-4
0-4
_
10
extensive deposition= 0; little or no sediment = maxpoints)
Size & diversity of channel bed substrate
NA*
0 — 4
0-5
11
(fine, homogenous = 0; large, diverse sizes = maxpoints)
K
_
Evidence of channel incision or widening
0-5
0-4
0-5
�.,(deeply
12
incised = 0; stable bed & banks = maxpoints)
Presence of major bank failures
0-5
0 — 5
0-5
a
13
n
(severe erosion = 0; no erosion, stable banks =max oits)
�
Root depth and density on banks
0-3
0-4
0-5
Z
14
visible roots = 0; dense roots throughout = maxpoints)
E,(no
Con
15
Impact by agriculture, livestock, or timber production
0-5
0 — 4
0-5
-
7
substantial impact =0; no evidence = maxpoints)
Presence of riffle-pooltripple-pool complexes
0-3
0-5
0-6
16
no riffles/ripples or pools = 0; well-developed = maxpoints)
F
Habitat complexity
0— 6
0— 6
0— 6
17
(little or no habitat = 0; frequent, varied habitats = maxpoints)
Canopy coverage over streambed
0-5
0-5
0-5
18
(no shading vegetation = 0; continuous canopy = maxpoints)
Substrate embeddedness
NA*
0-4
0-4
19
(deeply embedded = 0; loose structure = max)
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
2
>14
20
no evidence _0• common numerous types = maxpoints)
0
Presence of amphibians
0-4
0-4
0-4
p
21
(no evidence = 0; common numerous types = maxpoints)
a
O
22
Presence of fish0-4
0— 4
0-4
a
(no evidence = 0; common, numerous es = max points)
Evidence of wildlife use
0-6
0-5
0-5
3
23
(no evidence:-- 0; abundant evidence --max points)
Total Points Possible 100 100 100
11- All
* These characteristics are not assessed in coastal streams.

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWQ Stream Identification Form Version 4.11 _5'o6" , 00;
Date:
Project/Site:
Latitudedg :, - '.y 601'��,(�
Evaluator: J
County: J �
Longitude: c.7 07 N
Total Points:
Stream is at least intermittent 3� S
Stream Determination (circ
Intermittent
Other
Quad Name:
3
Ephemeral erennial
'
e.g.
if >_ 19 or perennial if >_ 30"
0
3
A. Geomorphology (Subtotal = )
Absent
Weak
Moderate
Strong
1a Continuity of channel bed and bank
0
1
TZ
3
2. Sinuosity of channel along thalweg
0
1
0
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
10
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
1
3
6. Depositional bars or benches
0
1
1
3
7. Recent alluvial deposits
0
1
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
.5
10. Natural valley
0
0.5
1
.5)
11. Second or greater order channel
No = 0
Yes = 3
Sketch:
a artificial ditches are not rated; see discussions in manual
Q LJ„rlrnlnnv /Q K+^}ol = { /) 1
u. i vwily S.,.,. .« -
12. Presence of Baseflow
0
1
3
13. Iron oxidizing bacteria
0
1
3
14. Leaf litter
1.5
1 i
0.5 0
15. Sediment on plants or debris
0
0.5
1.5
16. Organic debris lines or piles
0
0.5
1.5
17. Soil -based evidence of high water table?
0
No = 0
Yes 3,
v. u j U "UVLV, -
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
<17
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0;
1
2
3
22. Fish
0
1
1.5
23. Crayfish
0
0.5
1
1.5
24, Amphibians
0
0.5
1
1.5
25. Algae
0
0.5?
1.5
26. Wetland plants in streambed
FA( W = 0.75; OBL =
Other = 0
`perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
41

"rte
INS
t �

�� ��'�-
,� _y: �.
�..-
`� , i
�R�' l.ry� ` i f

LUSAGE AID# DWQ # Site # (indicate on attachcd map)
M-1 STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1, Applicant's name:_-- �DC 1 1..Ll,'U1, -y\ 2. Evaluator's name:
3. Date of evaluation: [ " L� 4. Time of evaluation: F
5. Name of stream: 'UUt%T" LZ F I iZ- 1- QW4. River basin; vtr)
7. Approximate drainage area: '7' 8. Stream order:
9. Length of reach evaluated: Uel 10. County:_
11. Site coordinates (if known):
prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312); t><(D 1 F �f ,i Longitude (ex. -77,556611):'-7-) 3
Method location determined (circle): GP Topo Sheet. Ortho (Aerial) Photo/GIS Other C'rIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any):
15. Recent weather conditions:
16. Site conditions at time of vi
k177,. /Identify any special waterway classifications known: OA -Section l0 {N - l idal Waters �ssential Fisheries Habitat
A'''te Trout Waters _Outstanding Resource Waters Eutrient Sensitive Waters R -A -Water Supply Watershed I-IV}
18. Is there a pond or lake located upstream of a evalu n point? YES Of yes, estimate the water surface area:
19. Does channel appear on USGS quad map? O 20. Does channel appear on USDA Soil Survey?YES O
21. Estimated watershed land use: % Residential _% Commercial % Industrial 9-0-3/6 Agricultural
t % Forested _% Cleared / Logged _% Other }
22. Bankfull width: f 23. Bank height (from bed to top of bank): 1
24. Channel slope down center of stream: 417lat (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
Evaluator's Signature` _' Date' -J —14
-,.
This channel evaluation form is i4M& to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams. �I
+ck Chid' 'C-1JMfr �L4 CI ecru ,
#
CHARACTERISTICS
ECOREGION POINT
RANGE
SCORE
Coastal
Piedmont
Mountain
Presence of flow / persistent pools in stream
I
no flow or saturation = 0• strong flow = maxpoints)
0-5
0-4
0-5
2
Evidence of past human alteration
0-6
0-5
0-5
✓r
extensive alteration = 0; no alteration = maxpoints)
3
Riparian zone
0 — 4
0 5
no buffer = 0; contiguous, wide buffer = maxpoints)0-6
4
Evidence of nutrient or chemical discharges
extensive discharges = 0; no dischar es = maxpoints)
0-5
0-4
0-4
5
Groundwater discharge
0-3
0-4
0-4
2'
no discharge = 0; springs, see s, wetlands, etc. = maxpoints)
--
VD
6
Presence of adjacent floodplain
0-4
0-4
0-2
.
(no floodplain = 0; extensive floodplain = maxpoints)
Entrenchment / floodplain access
�+
(deeply entrenched = 0; frequent flooding= max points)
p_ 5
0— 4
0— 2
8
Presence of adjacent wetlands
0-6
0-4
0-2
no wetlands = 0; large ad'acent wetlands = max poinis
9
Channel sinuosity
0 — 4
0-3
extensive channelization = 0; natural meander = maxpoints)0-5
10
Sediment input
0-5
0-4
0-4
extensive de osition= 0• little or no sediment = maxpoints)
11
Size & diversity of channel bed substrate
fine, homogenous = 0; large, diverse sizes = max points
IIIA*
0-4
0--5
12
Evidence of channel incision or widening
(deeply incised = 0; stable bed & banks = maxpoints)
0-5
0-4
0-5
.'`
13
Presence of major bank failures
0-5
0-5
0-5
severe erosion = 0• no erosion, stable banks = max oinks
14
Root depth and density on banks
0 — 4
0-5
H
no visible roots = 0; dense roots throughout = maxpoints)0-3
15
Impact by agriculture, livestock, or timber production
substantial impact =0; no evidence = max oinks)
0-5
0 — 4
0-5
16
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
no riffles/ripples or pools = 0; well-developed = max points)-
-e�Habitat
1i
complexity
0-6
0-5
0-6
l
"f
little or no habitat = 0; frequent, varied habitats = maxpoints)
18
Canopy coverage over streambed
0-5
0-5
0-5
�J
-
no sbading vegetation = 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)
(�
21
Presence of amphibians
0-4
0-4
0-4
O
(no evidence = 0; common, numerous types = maxpoints)
G
22
Presence of fish
0-4
0-4
0-4
j.
no evidence = 0; common, numerous types = maxpoints)
02
23
Evidence of wildlife use
0-6
0-5
0-5
(no evidence = 0; abundant evidence = maxpoints)
Total Points Possible
100
100
100
TOTAL SCORE (also enter on first page)
* These characteristics are not assessed in coastal streams. �I
+ck Chid' 'C-1JMfr �L4 CI ecru ,

NC DWQ Stream Identification Form Version 4.11
Date: O� - �)_ P-1 Project/Site;
Evaluator: V>C) v[_1
County:
Total Points: Stream Determination (c
Stream is at least intermittent
ifz 19 orperonnfaf if z 30* Ephemeral intermittent'
Latltude� � U ',2 3(
Longitude: 77 Z3 1. +
ttej Uk Other j 7U QQ 11
nial ,1 e.g. Quad Name: ;�-
r,. '_-3vU1 1 iUr nU1U tc)u0101a1 = )
Absent
Weak
Moderate
Strong
1 a' Continuity of channel bed and bank
0
1
13. Iron oxidizing bacteria
0
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex, riffle -pool, step -pool,
15. Sediment on plants or debris
0
0.5
3
-ripple-pool sequence
0
1
2
17. Soil -based evidence of high water table?
4, Particle size of stream substrate
0
1
2
3
5. Acflve/relict floodplain
0
1
1
3
6. Depositional bars or benches
0
1
2'
1.5
7, Recent alluvial deposits
0
1
OBL = 1,5
3
8. Headcufs
0
1
2
3
9. Grade control
0
70. Natural valley
0
0.5
1
1,
11. Second or greater order channel
�j
�
No = 0
Yes = 3
----__ _--____._.__,--- ............. I1 a1
S. H drOlq Subtotal = �
2
1
12. Presence of Baseflow
0
1
-3
13. Iron oxidizing bacteria
0
1
2 3
14. Leaf litter
1,5
1
0.5 0
15. Sediment on plants or debris
0
0.5
1 1.5
16. Organic debris lines or piles
0
0.5
1 1 5
17. Soil -based evidence of high water table?
23. Crayfish
No = 0
-Y=es --= 3
C. 13iolaav (Subtotal =
1.5
24. Amphibians
0
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
3
2
0
20, Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1 e
3
22. Fish _
a
1
1.5
23. Crayfish
0
0.
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
0
1.5
26. Wetland plants in streambed
ACW = 0.75'
OBL = 1,5
Other= 0
"perennial streams may also be identified using other methods. See
-p.35 of manual.
Notes:
�j
�
a
Sketch;
�V
Sfi

snrh009
s q
Waterbody snrh009 facing upstream
Am
Waterbody snrh009 facing downstream

snrh009
Waterbody snrh009 facing upline cross stream

USACE AID#
DWQ #
`- -- -— Site # (indicate on attached map
In STREAM QUALITY ASSESSMENT WORKSHEET -AW
Provide the following information for the stream reach under assessment:
m�
R � r
1. Applicant's na
e: 1� d VN 1�'A,`,,1 2. Evaluator's name:
3. Date of evaluation: ; .//" f 3 /+,� r* f 4. Time of evaluation:
S. Name of stream:_
7. Approximate drainage area: ? 0
9. Length of reach evaluated: .11-d
b. River basin:
S. Stream order:
10. County:
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex- 34.872312): r' a Z L s• f `u 7
Longitude (ex - —77.556611): / -
11
Method location detemnined (circle): GPS Topo Sheet Ordio (Aerial) PhotofGIS Other G[S Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
1/, < L. ; 5
14. Proposed channel work (if any): N -- e
15. Recent weather conditions:
r
16, Site conditions at time of visit:
17. Identify any special waterway classifications known:section 10 Tidal Waters Essential Fisheries Habitat
Trout Waters _Outstanding Resource Waters Nutrient Sensitive Waters ____Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES CT`lpa If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES �a 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: _% Residential _% Commercial �% Industrial f_' % Agricultural
t"t
�% Forested % Cleared 1 Logged ,_„% Other
22. Bankfull width: ; ' "" 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: Flat (0 to 2%) _-L:.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 tite 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 scare 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 Z1
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is suhject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change — version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
I These characteristics arc riot assessed in coastal streams.
4
CHARACTERISTICS
ECOREGION POINT
RANGE
SCORE
Coastal
Piedmont
Mountain
Presence of flow I persistent pools in stream
----_(no
flow or saturation = 0; strong flow = max points)
0-5
0-4
0-5
2
Evidence of past human alteration
(extensive alteration = 0; no alteration max points)
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
(extensive discharges = 0, no discharges = max points)
0-5
0-4
0-4
5
Groundwater discharge -
(n o discharge = 0; sprip Ls, seeps, wetlands, etc. = max points)
0-3
0-4
0-4
6
Presence of adjacent floodplain
no floodplain = 0; extensive floodplain = max points)
0-4
0-4
0-2
7
Entrenchment / floodplain access
gL.1
(deepIX entrenched = 0; firequent flooding = max points
0-5
0-4
0-2)
8
Presence of adjacent wetlands
0-6
0-4
0-2
no wetlands = 0; large adjacent wetlands _= max points)
L
9
Channel sinuosity
0-5
0-4
0-3
(extensive channelization = 0; natural meander = niax points)
10
Sediment input
0-5
0-4
0-4
(extensive deposition=_O, little or no sediment = max
Size & diversity of channel bed substrate
I I
(fine,.hornogenous � 0; large, diverse sizes = max points)
NA*
0-4
0-5
12
Evidence of channel incision or widening
(deeply incised = 0; stable bed & banks = max points)
0-5
0-4
0-5
*W
13
Presence of major bank failures
0-5
0-5
0-5
1--i
-
(severe erosion = 0; no erosion, stable banks = inax points)
M
e�
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
15
(substantial impact =0; no evidence = max points)
0-5
0-4
0-5
16
Presence of riffle-pooUripple-pool complexes
0-3
0-5
0-6
no riffles/ripples or pools = 0; well-developed = max points)
17
Habitat complexity
0-6
0-6
0-6
(little or no habitat = 0; frequent, varied habitats =max points)
18
1 Canopy coverage over streambed
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)
20
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
(110 evidence = 0; coninion, numerous types = max p0ilits)-_
21Presence
of amphibians
0-4
0-4
0-4
no evidence = 0; common, numerous types = max points)
22
P
Presence of fish
0-4
0-4
0-4
no evidence = 0; common, numerous types = max points)
Evidence of wildlife use23
0-6
0-5
0-5
(n evidence = 0, abundant evidence max points)
Total Points Possible
100
100
100
TOTAL SCORE (also enter on first page)
I These characteristics arc riot assessed in coastal streams.

NC DWQ Stream Identification Form Version 4.11
Date: ) , r
Project/Site:
Latitude.
Evaluator:.
County. I r.i.
Longitude; r� �`}�,� ��,2
0
1
2
Total Points;
Stream is at leastintermittentif
Stream Determination (circle one)
Other
if z, 19 or erennra! 3i?z 3` `
Ephemeral Intermittent Perennial
e.g. Quaa ivame:
A. Geomor holo (Subtotal = ` '- )
Absent
Weak
Moderate
Strong
1 e. 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
Yes
2
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
c1 ,
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
(i1.5
1
1.5
11. Second or greater order channel
No
T07
Yes = 3
- artificial ditches are not rated; see discussions in manual
B. Hydrology {Subtotal = )
12. Presence of Basefiow
0 1
2 3
13. Iron oxidizing bacteria
6 1
2 3
14. Leaf litter
1.5 1 .
0.5 0
15. Sediment on plants or debris
0
1 1.5
16. Organic debris lines or piles
0 0.5-
1 1.5
17. Soil -based evidence of high water table?
No = 0
Yes
C. Biology (Subtotal
18. Fibrous roots in streambed
3
2
(11)
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (nate 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
0.5
1
1.5
25. Algae
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75;
OBL = 1,5 Other= 0:
"perennial streams may also be identified using other methods.
See p. 35 of manual.
Notes:
Sketch:.,j�,
"Al
rtf-/t

gid= r� -� a.
- tiA+ '

USAG7A�D#
DwQ
Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: /1/ .' 2. Evaluator's name: 001, r
3. Date of evaluation: ' +� (`0 � e.f 4. Time of evaluation; f
5. Name ofstreant:_
7. Approximate drainage area:
9. Length of reach evaluated; if U
6. River basin: a,
8. Stream order.
1U.County:
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
/r
t.s7 312}: _ b < Q (1 • 6 � Longitude (ex, —77.5566I 1 y f
Latitude (ex. 3
Method location detennined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS 011ier
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying, stream(s) location):
14. Proposed channel work (if any): i -j f —
15. Recent weather conditions: ,z �..e.
16. Site conditions at time of visit: ,A..f�� r
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 1.4 If yes, estimate the water surface area:
19. Does channel appear on USGS quad snap? YES &0, 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use; ��/Q Residential `% Commercial _°to Industrial °fa Agricultural
�% Forested `o/m Cleared / Logged ,°fa Other {
22. Bartkftrll width: 23. Bank height (from bed to top of bank): r
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 oil
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 anality.
Total Score (from reverse): =' Comments: f
Evaluator's Signature " Date �� ' `� . Z-6 f
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change — version 06/03. To Comment, please call 914-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These c}taracteristics ars: not assessed in coastal streams.
CHARACTERISTICS
EC(3REGION POINT
RANGE
SCORE
Coastal
Piedmont
Mountain "
1
Presence of flow 1 persistent pools in stream
no Row or saturation = 0; strong flow maxpoints)
0-5
0-4
0-5
2
Evidence of past human alteration
extensive alteration = 0; no alteration = max poi s)
0—( —
0 _ 5
0-5
j
3
Riparian zone
no buffer = 0; contiguous, wide buffer = maxpoints)
0-6
0-4
0-5
4
Evidence of nutrient or chemical discharges
extensive discharges = 0; no discharges = maxpoints)
0-5
0---4
0-4
o.l
5
Groundwater discharge
no dischar e = 0; springs, see s, wetlands, etc. =rnaxpoints)
0-3
0-4
0-4
Presence of adjacent floodplain
(no floodplain = 0; extensive floodplain = max aints)
0-4
0-4
0-2
7
Entrenchment I floodplain access
dee 1 entrenched = 0; frequent flooding = maxpoints0-5
0-4
0-2)
8
Presence of adjacent wetlands
(no wetlands = 0; lar e ad`acent wetlands = maxpoints)0
—
0-4
0 — 2
9
Channel sinuosity
(extensive channelization = 0; natural meander = inaxpoints)fl
5
0-4
0 — 3
10
Sediment input
0-5
0-4
0-4
(extensive de osiition� 0; little or no sediment = max oints
11
Size & diversity of channel bed substrate
fine homogenous = 0; large, diverse sizes =rnax points)
NA*
0 4
0-5
12
Evidence of channel incision or widening
(dee2ly incised = 0• stable bed & banks =rnaxpoints)
0-5
0-4
0-5
13
Presence of major bank failures
severe erosion _ 0; no erosion, banks =
0-5
0 5
0-5
stable max pints
14
Root depth and density on banks
no visible roots = 0; dense roots throw hour = maxpoints)
0-3
0-4
0-5
15
Impact by agriculture, Iivestock, or timber production
substantial impact =0; no evidence = maxpoints)
0-5
0-4
0-5
16
Presence of riffle-pool/ripple-pool complexes
no riffles/ripples or pools = 0; well-developed = niax pints)
0-3
0 — 5
0-6
17
Habitat complexity
little or no habitat = 0; frequent, varied habitats = snaxpoints)
0-6
0-6
0-6
18
Canopy coverage over streambed
no shading vegetation = 0; continuous canopy = maxpoints)
0-5
0-5
0-5
19
Substrate embeddedness
(deeply embedded = 0; loose structure = max)
NA*.
0-4
0--4
20
Presence of stream invertebrates (see page 4)
no evidence = 0; common numerous types = maxpoints)
0-4
0-5
0-5
U
21
Presence of amphibians
no evidence = 0; common, numerous types = max oints)
0-4
0 —4
0-4
22
Presence of fish
0-4
0-4
0-4
no evidence = 0• common numerous es = rnaxpoints)
23
Evidence of wildlife use
no evidence = 0• abundant evidence = maxpoints)
0-6
0-5
0-5
Total Points Possible
.100
100
100
'T'O'TAL SCORE (also enter on fiat page)
�
* These c}taracteristics ars: not assessed in coastal streams.

NC DWO Stream Identification Form 'Voreinn d 'I 1
Date:
Project/Site:
County:
✓,I ¢ R
Latitude: �..
Evaluator ; ,' F M
Longitude:
9
Total Points;
0
Q1
Stream is at hast intermittent
Stream Determ tion (circle one)
Other
if � f 9 or perennial if z 3p' ,. r) r
Ephemeral nterrnlftifn Perennial
p
e. Quad Name:
9
o, ...ti , -- — I— I M -U, AO'C Ulbf A;U blUrIS in manual
B. Hvdroloav (Subtotal = 7 )
12. Presence of Baseflow
0
0
2
3
13. Iron oxidizing bacteria
0
Q1
2
3
14. Leaf litter
1,5
_1)
0.5
0
15. Sediment on plants or debris
0
0.5
l
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
Notes -
C. Fiinlnnv 0q,,htnta1
18. Fibrous roots in streambed
19. Rooted upland plants in streambed
3
3
�'-,
1
1
0
0
20. Macrobenthos (note diversity and abundance)
Qi
1
2
3
21. Aquatic Mollusks
22. Fish
23. Crayfish
. Oj
D�
0
1
0.5
� 0. �
2
1
1
3
1.5
1.5
24. Amphibians
25. Algae
fl
( 0_1
0.5
1
1.5
1.5
26. Wetland plants in streambed
FACW =!0.75? OBL = 1.5
Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes -
Sketch:

Ivij
14,
Om
� nA
4
r

_ _ �4't }

SALE AID# DWQ # Site #
(indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: / , ' 2. Evaluator's name: ' L) , 5 "
3. Date of evaluation: P%
t ' ( f 9 4. Time of evaluation:
-
5. Name of stream:
7. Approximate drainage area:
9. Length of reach evaluated: `
6. River basin: b�
8. Stream order:
io. County: :..
11. Site coordinates (if known): prefer in decimal degrees, r 12. Subdivision name (if any):
Latitude (ex, 34.872312): c f • f �z . e� f Longitude {ex. -77.556610: }: ;-
Mcthod location determined (circle): CiP§) Topo Sheet Oralo (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
)i%r•e (;14�
14. Proposed channel work (if any): /\Je
15. Recent weather conditions: T1s.• -
16. Site conditions at time of visit:
17. Identify any special waterway classifications known:
Section 10 _Tidal Waters _Essential Fisheries Habitat
Trout Waters Outstanding Resource Waters
Nutrient Sensitive Waters :Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES 0 j
20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: _% Residential
�% Commercial _% Industrial %° Agricultural
s
�% Forested
�
� % Cleared / Logged _% Other ( )
22. Bankfitll width: ,�'�
F ,
23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: Flat (0 to 2%)
_
Gentle (2 to 4%) Moderate (4 to 10%) Steep (>10
25. Channel sinuosity: Straight -Lflccasional 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 sante 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 froth 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 140, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): Comments
Evaluator's Signature 7 Date L�J
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USAGE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-$764441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
2
#
CHARACTERISTICS
ECOREGION POINT RANGE
COWS a]
Piedmont
Mountain
SCORE
1
Presence of flow 1 persistent pools in stream
no flow or saturation = 0• strop flow = maxpoints)0-5
0 — 4
0-5
2
Evidence of past human alteration
extensive alteration = 0, no alteration = maxpoints)
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
-
extensive discharges = 0, no discharges = max pints
0-5
0-4
0-4
5
Groundwater discharge
no dischar e = 0; s rin s, see s, wetlands, etc. =max pints
0 — 3
0 — 4
0 -- 4
6
Presence of adjacent floodplain
Un
no flood lain = 0; extensive flood Iain = max points)
0-4
0-4 4
0 —
7
Entrenchment / floodplain access
(deeply entrenched = 0• fre uent flooding = maxpoints)
0-5
0-4
0-2
8
Presence of adjacent wetlands
no wetlands = 0• large ad'acent wetlands = max oints
0-6
0 4
0-2
9
Channel sinuosity
(extensive channelization = 0; natural meander = max pints)
0-5
0 — 4
0-3
10
Sediment input
extensive deposition-- 0• little or no sediment maxpoints)
0-5
0-4
0-4
11
Size & diversity of channel bed substrate
fine, homogenous = 0• large, diverse sizes = maxpoints)NA*
— 4
0-5
12
Evidence of channel incision or widening
�+—(deeply
incised = 0; stable bed & banks = maxpoints)
0-5
0-4
0-5
13
Presence of major bank failures
severe erosion = 0; no erosion, stable banks = maxDints
0-5
0-5
0 — 5
14
Root depth and density on banks
l..
no visible roots = 0• dense roots throuehout = max oints
0-3
0-4
0-5
15
Impact by agriculture, livestock, or timber production
substantial int act =0; no evidence = max points)
0-5
0-4
0-5
16
Presence of riffle-pool/ripple-pool complexes
i,
no rifflqs/rj2R1es or pools = 0; well-developed maxpoints)
0-3
0-5
0-6
17
Habitat complexity
(little or no habitat = 0• fre uent varied habitats = maxpoints)
0-6
0-6
0-6
18
Canopy coverage over streambed
no shadingvegetation = 0; continuous cavo = maxpoints)0-5
0 — 5
0-5
19
Substrate embeddedness
(deeply embedded = 0; loose structure - max)
NA
0-4
0-4
20
Presence of stream invertebrates (see page 4)
(no evidence = 0• common numerous types = max
0-4
0-5
0-5
CJ
21
points)
Presence of amphibians
(no evidence = 0; conmion, numerous types = maxpoints)
0-4
0-4
0-4
O22
Presence of fish
�
(no evidence = 0; common numerous tVpes =maxpoints)
0-4
4-4
0-4
23
Evidence of wildlife use
Ito evidence = 0• abundant evidence = max oints)
0-6
0-5
0-5
Total Points Possible
100
100
100
TOTAL SCORE (also enter an first page)
' These
characteristics
are not assessed in coastal streams.
2

NC DWQ Stream Identification Form Version 4.11
Date:
ProjectfS te;
Latitude.
Evaluator: e
€�
County
Longitude:. -77 -77��r�+
Total Points:
Stream is at feast intermittent :
Stream Determination (circle one)
Other
,
if? 19 or perennial if a30'
Ephemeral Intermittent Perennial
e.g- Quad Name:
ram
A. Geomorphology (Subtotal = }
Absent
Weak
Moderate
'Strong
18Continuity 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
Yes ` 3
2
3
4. Particle size of stream substrate
4
j
2
3
5. Activelreiict floodplain
0
9
2
3
6. Depositional bars or benches
01
_ s
2
3
7. Recent alluvial deposits
0
07
2
3
B. Headcuts
0
1
2
('3 ' l
_-
9. Grade control
0
� ti,5.
1
1.5
10. Natural valley
0
'0,)
1
1.5
11. Second or greater order channel
No tea,
Yes = 3
Sketch: r
aninciai ❑atcnes are not rated; see discussions in manual
B. Hydrology (Subtotal = )
12. Presence of Baseflow
0 1
2 3
13. Iron oxidizing bacteria
0 , 1
2 3
14. leaf litter
1.5 1
0.5 0
15. Sediment on plants or debris
0 0. '
1 1.5
16. Organic debris lines or piles
0 0..
1 1.5
17. Soil -based evidence of high water table?
No = 0
Yes ` 3
C. Biology (Subtotal = `''7 )
18. Fibrous roots in streambed
3
2
1'j
0
19. Rooted upland plants in streambed
3
2'
1
0
20. Macrobenthos (note diversity and abundance)
%
1
2
3
21. Aquatic Mollusks
!0
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
CU
0.5
1
1.5
24. Amphibians
({)
0.5
1
1-5
25. Algae
0.5
1 1
1.5
26. Wetland plants in streambed
FACW =
0.75; OBL = 1.5 Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual -
Notes:
Sketch: r
P "Ov
"Z"1/4'',

SNRGO05 — Cross Stream View

USACE AID#,_
............
DWQ#_
lv�
Site #_ _ (indicate on attached neap)
f STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reacts under assessment:
I. Applicant's name: `
3. Date of evaluation: -7 ` - —`D f
5. Narne of stream:
7. Approximate drainage area: _On
�r-�J
9. Length of reach evaluated: L�C.�
2. Evaluator's name:
4. Time of evaluation: n 0
6. River basin:
8. Stream order: l
10. County:
11. Sitc coordinates if known
( ) ,�✓ prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.R72312)�3Z V f 2.3. (.-gc- f i Longitude (cx. -77.156611): -271 0 _R 3 r 2-7 , ~y
tvTcthad location determined (cire)e): CIPS Ttrpo Slreel Ortho (Aerial) PlrololGlS OtherGTS Other
13. Lcication of reach der cvaluhtron n c nearby roads and landmarks and attac"ap identifying streain(s) location): ,
14. Proposed channel work (if any): 1n
15. Recent weather conditions:_Crl�
16. Site conditions at time of visit: pp,, p�
17. Identify any special waterway classifications known: lNection 10 �idal Waters +"Essential Fisheries Habitat
N�rrout Waters 0 outstanding Resource Waters 1,4S Nutrient Sensitive Waters Pater Supply Watershed i -IV)
18. Is there a pond or lake located upstream of the evaluation point? YE NO If yes, estimate the water surface area:
19. Does channel appear on USGS quad map. O) 20. Does channel appear on USDA Soil Survey? YES NU
21. Estimated watershed land use. �410 Residential �% Commercial % Industrial % Agricultural
`% Forested "f° CIeare 1 Logged Other ( )
22. Bankfull width: 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: ,Flat (0 to 2%) Gentle (2 to 4%) Moderate (4 to 10%) Steep (> 10%)
25. Channel sinuosity: Straight —Occasional bends requent meander Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Everycharacteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ccoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of [lie 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 4n 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): Cornmen
Evaluator's Signature Date`
i"Iris channel evaluation for is intended to be used only as a guide to assist landowners and environmental profe signals 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 06103. To Comment, please call 919-876-8441 x 26.

N P - ll
STREAM QUALITY ASSESSMENT WORKSHEET
#
CHARACTERISTICS
ECO.REGION POINT RANGE
CDa5tal
SCORE
Piedmont Mountain
1
Presence of flow 1 persistent pools in stream
(no flow or saturation = 0; strong flow = max points)
0-5
0-4 0-5
2
Evidence of past human alteration
__ .a -7L
(extensive alteration = 0; no alteration = Max points)
0-6
0-5 0-5
3
Riparian zone
(no buffer = 0: contiguous, wide bul`fer = max points)
0-6
-
0 ` 4 0
4
Evidence of nutrient or chemical discharges
(extensive discharges = 0, no discharges = max points)
0-5
0-4 0-4
P4
5
Groundwater discharge
(no discharge = 0;
0 - 3
15
0-4 4 0 - 4
springs, seeps, wetlands, etc. - ,nax points
6
Presence of adjacent floodplain
0 4
(no floodplain = 0, extensive floodplain = max points)
0-4 0 - 2
7
Entrenchment 1 floodplain access
(deeply entrenched = 0; frequent flooding! =- max points)
0-5
0--4 0-2 ,
8
Presence of adjacent wetlands
(no wetlands = 0; large adjacent wetlands = max points)
0-6
0-4 0-2
9
Channel sinuosity
0
(extensive channeIization = 0; natural meander= max points)
5
0 4 0-3
10
Sediment input
'—
_
(e_xtensive deposition= 0; little or no sediment =max points}
0-5
0-4 0-4
11
Size & diversity of channel bed substrate
_
fine, homogenous = 0; large, diverse sizes = maxpoints)NA*
0 4 0-5
12
Evidence of channel incision or widening
(deeply incised = 0, stable bed & batiks = max points)
0-5
0 4 0-5
*0
13
Presence of major bank failures
(severe erosion = 0; no erosion, stable banks = max points)
0-5
0-5 0 - 5
M
14
Root depth and density on banks
�.{
(noVlstble roots W {i; dense roots throughout =max paints}
0-.-3
0-4 0-5
15
impact by agriculture, livestock, or timber production
substantial impact =0; no evidence max oints
0 5
0-4 0 _ 5
16
Presence of riffle-pool/ripple-pool complexes
(no riffles/ripples or pools = ), well-developed max points)
0-3
0 - 5 0-6 --�
d
17
Habitat complexityY
(little or no habitat= 0; frequent, varied habitats =max points)
0-6
0 $ 0-6
is
Canopy coverage over streambed
(no sus canopy = max points)
0- 5
0 -. 5 0-5
�i
19
Substrate embeddedness
—
— — —
(deeply enabedrlcgl = 0; loose struqure max)
A
0-4 t} - 4 }{ let
20
Presence of stream invertebrates (see page 4)
W
(no evidence = 0• common, numerous t yes = maxpoints)
0-4
0-5 0-5
21
Presence of amphibians
(no evidence = 0; conunoii, numerous types = max paints}
0 4
0-4
} - 4 0-4
0
22
Presence of fish
(no evidence = 0, common, numerous types = max points)
0-4
0-4 0-4
23
Evidence of wildlife use
(no evidence ` 0; abundant evidence = max points)
0-6
0-5 0-5
Total Points Possible
100
100 100
TOTAL SCORE (also enter on first page)
* These characteristics
are not assessed in coastal streams.

NC Division of Water Quality —Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
IVC DWV Stream identification Fol -In l "
Date: 41111 r.ti
Project/Site:iz I 1� Pv, Latitude 0 � t . �j , 7
Evaluator: clD Count ry
�� Longitude
I Points:
stream is at least intermittent 5Stream Determination (circle one) Other
ifs 19 or arennrat ifs 30` �5 Ephemeral Intermittent nia e.9- Quad Name:
anuictai ❑tunes are not rated; see discussions in manual
M
f. H drolo (Subtotal=
3
12. Presence of Baseflow
0
13Ffrown oxidizing bacteria
�-
14. Leaf litter
1.5
15. Sediment on plants or debris
0
16. Organic debris lines or piles
0
17. Soil -based evidence of high water table?
No = 0
C. Btolo Subtotal = ]
M
18. Fibrous roots in streambed
3
19. Rooted upland plants in streambed
3
20. Macrobenthos [Hole di�ersitY and abundance)
{]
21. Aquatic Mollusks
1
22. Fish
3
23. Crayfish
0
24. Amphibians
0
25. Algae
1.5
26. Wetland plants in streambed
2
'perennial streams maY also be identified using ether methods. See p. 35 of manual,
Ns�tes:
1
Sketch:
41
vrteaK
M
to Strong
1
1
3
1
2
3
1
2
3
1
2
3
1
1.5
1
2
3
1
1
3
1
2
3
0.5
1
0.5
1
Yes = 3
es=3
2
1
0
2
1
0
1
2
3
1
2
3
0.5
1
1.5
0.5
1.5
0.5
1.5
0.5
1
1.5
FACW = 0.75;
BL = 1.5 Other = 0

_ nt'�
N'
t
' t i- 4 ^'•its �t
�-
_ nt'�
v
N'
t
jw
AP
IVhoa
v

+���;•�T y k
77W
A y,
x '

USACE AID# DWQ # Site 4 (indicate on attached map)
.......... _...
STREAM QU'ALIT'Y ASSESSMENT' WORKSHEET
411
Provide the following information for the stream reach under assessment. `
1. Applicant's name: _ D� a� 2. Evaluator's name: hz�, L--"�zs�
3. Date of evaluation: 73 - C It' 4. Time cif evaluation: L-
S. Natrte of stream: 0e `�-}' LIL � i� ivcr basin: car o rs�
7. Approximate clraintugc arca: S. cream order: _
9. Length of reach evaluated: srr-) -ST 10. County: y,y1.5 r4
It. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latituudc ta.. 34.8723121:. , - a` -� + Longitude(ex. -77.556611): D 7
Method location detcrntined (circle): GPS Topo Shect Ortho (Aerial) Phow/GIS Other GIS Cather
13. Location of reach under evalua note nearby roads and landmarks and attach map identifying strcatn(s) location):
c &., A-) ...ice .,.V.\..,n ,.._,.TCk- --�-4 ---I.
14. Proposed channel work (if any):
15. Recent weather conditions: Q
16. Site conditions at time of visit: _ _^
17. Identify any special waterway classifications known: /1—Action 10V�Tidal Waters 1/ 6 Essential Fisheries Habitat
-VkTrout Waters V&utstanding; Resource Waters hANutrient Sensitive `Eaters ,eater Supply WatershedV (I-iV)
113. Is there a pond or lake located upstream of the evaluation point"? YE N© If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES NO 20. Does channel appear on USDA Soil Suivey? 1~S NO
21. Estimated watershed land use: —% Residential % Commercial _% Industrial % Agricultural
0 % Forested LZ4L% Cleared / Logged % Other ( )
22. Bankfull width: b --•4!94� �-W 23. Bank height (from bed to top of bank)A 24)
24. Channel slope down center of stream: Flat (0 to 2%) Y-Gcntle (2 to 41/„) _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 biased oil
location, terrain, vegetation, stream classification, etc. Every characteristic inust 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 glow 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 clic
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
hwheCt ouallty-
Evaluator's Signature d date
This channel evaluation for i 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. f=orm subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
I hese charactcristics are not assessed in coastal streams.
CHARACTERISTICS
COREGION POINT
RANGE
SCORE
Coastal
Piedmont
Mountain
l
Presence of now f persistent pools in stream
0-5
0-4
0-5
(no flow or saturation = 0; strong flout, = max points)
2
Evidence of past human alteration
0-6
0-5
0-5
L.
(extensive alteration = 0; no alteration = maxpoints)
3
Riparian zone
(no buffer = 0; contiguous, wide buffer = max points)
0-6
0-4
0-5
4
Evidence of nutrient or chemical discharges
0- 5
0 .4
(extensive discharges = 0; no discharges = max points)
5
Groundwater discharge
0-3
0-4
0-4
(no discharge= 0; springs, seeps, wetlands, etc. = max points)
wr
Presence of adjacent floodplain
_T
(no floodplain = 0; extensive floodplain = max points)
L(
Entrenchment / floodplain access
0-5
0-4
0_2
(deeply entrenched = 0; frequent flooding = max points)
[J
8
Presence of adjacent wed aitds
0-6
0— 4
0-2
(no wetlands = 0; large adjacent wetlands = max points)
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; lar e, diverse sizes = max Dints)
12
Evidence of channel incision or widening
0 — 5
0-4
0 — 5
H(deeply
incised = 0,, stable bed & banks = max points)
..,
13
Presence of major bank failures
0 1_5
0_5
0-5
).4
(severe erasion = 0; no erosion, stable banks = max points)
e�
14
Root depth- and density bks
y oan
0-3
0-4
0--5
(iia visible roots = 0; dense roots throughout = max paints)
15
Impact by agriculture, livestock, or timber production
0-5
0-4
01-5
(substantial impact =0; no evidence = max saints)
16
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
F
(no riffles/ripples or pools = 0; well-developed = max paints)
17
Habitat complexity
(little or no habitat = 0; frequent, varied habitats = max points)
0-6
0-6
0-6
I�
Canopy coverage over streambe d
O...j
0--5
0--5
(no shading vegetation = 0; continuous canopy = inax points)
19
Substrate embeddedness
NA*
0-4
0-4
T(deeply embedded = 0; loose structure = max]
20
-- --
Presence of stream invertebrates (see page 4)
T
0-4
0--5
0-5
(no evidence = 0; comnion, numerous types = max pDints)
[;
21
Presence of amphibians
0-4
0 — 4
0-4
(no evidence = 0; common, numerous types = max points)
Q
22
Presence of fish
0— 4
0— 4
0— 4
�]
(no evidence = 0; common, numerous types = max points)
23
Evidence of wildlife use
0-6
0-5
0-5
(na evidence = 0; abundant evidence = max points)
Total Points Possible
100
100
100
TOTAL SCORE (also enter- on first page)
I hese charactcristics are not assessed in coastal streams.

NC Division of Water Quality -Methodology for identification of Intermittent and
Perennial Streams and Their Origins v. 4..11
NC DWQ Stream Identification Form Version 4.11
Date: _ L
ProjectlSi ' '54eI'A
Latitude: e-
Evaluator: L l
County:
Longitude: 77
Total Points:
Stream is at least intermittent
Stream Determination (circ) a
Other
if :t 19 or perennial if z 30'
Ephemeral Intermittent erenni
e.g. Quad Name:
I A.,
A. Geomorphology (Subtotal = I V )
Absent
Weak
Moderate
Strong
1 aContinuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
1.5
3
4. Particle size of stream substrate
0
1
2
3
5. Activefrelict floodplain
0
1
2
0.5 1
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
2
Notes:
8. Headcuts
0
1
2
3
9. Grade control
0
D.5
1
1.5+
10. Natural valley
0
0,5
1
.5
11. Second or greater order channel
No = 0
Yes = 3
"arlificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = _'P_' , �. )
12. Presence of Baseflow
0 1
2 3
13. Iron oxidizing bacteria
0 1
-- 27 3
14. Leaf litter
5 1
0.5 0
15. Sediment on plants or debris
p
1 5
1 1.5
16. Organic debris lines or piles 0 5
17. Soil -based evidence of high water table"?
No = 0
Yes = 3
L:. Biology (Subtotal = 'e .)
18. Fibrous roots in streambed _
3
2 1
0
19. Pivoted upland plants in streambed
3
2 1
0
20. Macrobenthos (note diversity and abundance) 0
1 2
3
21. Aquatic Mollusks
1 2
3
22, Fish
0
0.5 1
1.5
23. Crayfish
0
.5 1
1.5
24. Amphibians
0 1
0.5 1
1.5
25. Algae
0
0.5 1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Other = 0
.perennial streams may also be identified using
other methods. See p. 35 of manual..
Notes:
Sketch:
` f
U
41
/-Z-
9{0 7

may.
S ii r
.t

SNRH002 — Cross Stream View