20140957 Ver 1_U-03_Appendix B_Wilmington_Northampton NC AP3 waterbodies_20170227

USACE AID#
DWQ #
Site # (indicate on attached map)
M-10 STREAM QUALITY ASSESSMENT WORKSHEET
5 N KCW 9, LAOUP
Provide the following information for the stream reach under assessment:
1. Applicant's name: Darn: o +b (�
3. Date of evaluation: � /,qqr 15
5. Name of stream: O(Am ec'
7. Approximate drainage area: A S c%c (e5
9. Length of reach evaluated: loo,
11. Site coordinates (if known): prefer in decimal degrees.
Latitude (ex. 34.872312):
2. Evaluator's
4. Time of evaluation
6. River basin:
�6-
91.00 '?/V\
8. Stream order:
10. County:
12. Subdivision name (if any):
Longitude (ex. -77.556611):
Method location determined (circle):GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any): mine
15. Recent weather conditions: �Ze&Alr AJ: §
16. Site conditions at time of visit: N 6 ('(AC4
17. Identify any special waterway classifications known: NA Section 10 IgLTidal Waters NA Essential Fisheries Habitat
, Trout Waters NAOutstanding Resource Waters ISI Nutrient Sensitive Waters N Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES 0 If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES
21. Estimated watershed land use: % Residential
�� %Forested
22. Bankfull width:
20. Does channel appear on USDA Soil Survey? YES N
_% Commercial % Industrial 25 % Agricultural
_% Cleared / Logged _% Other (
23. Bank height (from bed to top of bank): Y
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)
c1nA Fe. (r )
CJ
(�I 3
+ (-r- c.,
Comments:
Cec;e,/@S rj()O�- �co(V) C,
« § (6nu nvl-C:e-n4 VU+3 e.n I
Evaluator's Signature a CC Date
This channel evaluation form is inte d to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change — version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
t, 1d1dkAV1 saws arc nuL assessed to coasiai streams.
2
#
CHARACTERISTICS '
EGOREGION PC1IN'I
Coastal`;
F;NGEOR
Piedmont
� Mo>tnta�n
._>
I
Presence of flow / persistent pools in stream
0 _ 5
0 4
0 5
(no'; flow or saturation = 0; strong'flow — max points)
-
,
2
Evidence of past _humans alteration
(extensive alteration = 0; no alteration =max points)
0-6
3
;Riparian zone.
(na buffer = 0; contiguous; wide buffer = max points)
0-6
0 --4
4
Evidence of nutrient or chemical discharges
0-5
�`
0-4
0-4
(extensive discharges 0; no disclar es ='max points).
a
5
Groundwater discharge
o— 3
o-4
(no discharge =;0; springs, seeps, wetlands, etc. = max points)
6
,Presence.of adjacent floodplain
(no floodplain = 0; ,extensive floodplain :# max points)
0 — 4
�0 4"0
��
Entrenchment l floodplain access
a'
'(deeply entrenched = 0; frequent flooding = max points)
0-51,
0 — 4
0
8
'Presence of adjacent wetlands
(no wetlands — 0; Large adjacent wetlands = max points)
0 — 6
9
Channel sinuosity
0 5.,.
�0 4.
0 3
extensive channelization = 0; natural meander — mai points)'
10
Sediment in11, ,..;
(extensive deposition=;0; little or no sediment — tnax'points) "
0 5
1 P
Size & diversity of channel bed substrate
(fine, homogenous = 0, large; diverse sizes.= max points)
l�
0 4 1
> ;
x t�
Ill
12
Evidence ofchannel incision or widening
w;.,..
�+
(deeply incised ,. O; tabfe bed:& banks = max points)
0 ` 5
13
Presence of major bank failures
0
:(severe erosion — 0; no erosion, stable banks makpoints)
_5
0 — 5
1�4
Root depth artd densityon banks
0-30-4
H,
(no visible roots — 0; dense roots�throughout = max.pomts)
0-5
I5
Imliact by agriculture, livestock, or iiiriber production
ubstaitislpndevidence— max(pctitrt ,
77
16
Presence of riffle pooUrippte-poo! complexes
no riffles/ri Les or Dols.= 0 well=deve Io ed— max Dints
3 `
0
e!♦"
1.7
Hac[�itat complexity -
0 6
(utile or no habitat = 0; frequent, varied habitats =� max points);
18
C topy.co�em
rage
no shadin ve etaiiort = 0 continuous cavo
( g g py — max points)
0 5,
0 5,
lg
Substrate embeddedness
(deeplyiribedded = 0; loose structure = max)'
`
0 — 4
0 4
20
Presence'ofstiearn invertebrates (seepage4)
'
(no evidence'= O, common; -numerous types =max pontis)
4
5
0 5
O(no
Zl
Preseitceofamphibians
evidence cotnmorz; numera,,us types = max. points)
O'
22
Presence offish
e = 0; common,
(no evidencnumerous types =max points)
0 4
0 4
?77 4
23
Evidence of wildlife: use
— 6
_ 5
`� 5
,.(no
evidence = 0; abundant evidence =max points)
Total Poi>iifs possible
l Od
fbQL
1OQ
ry
t, 1d1dkAV1 saws arc nuL assessed to coasiai streams.
2

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Oriqins v. 4.11
SN ( Coola
NC DWQ Stream Identification Form Version 4.11
Date: 3 /Aq / 1 -5
Project/Site: A C P
Latitude:
Evaluator:
County: Nz)C+k 0' M iDA
Longitude:
Total Points:
Strea etermination (circle one)
Other
Stream is at least intermittent
p:hemer Intermittent Perennial
e.g. Quad Name:
if >_ 19 or perennial if >_ 30'
2
1
A. Geomorphology (Subtotal = )
Absent
Weak
Moderate
Strong
1" Continuity of channel bed and bank
0
1
14. Leaf litter
3
2. Sinuosity of channel along thalweg
0
1
2
1
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
01
0 0.5
2
3
4. Particle size of stream substrate
0
Yes = 3
2
3
5. Active/relict floodplain
1
1
2
3
6. Depositional bars or benches
G1
26. Wetland plants in streambed
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
1
2
3
9. Grade control
60.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
Qff_:0
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal= )
12. Presence of Baseflow
0 @
2
3
13. Iron oxidizing bacteria
0 C15
2
3
14. Leaf litter
1.5
0.5
0
15. Sediment on plants or debris
0 0.5
1
1.5
16. Organic debris lines or piles
0 0.5
1 1
1.5
17. Soil -based evidence of high water table?
o = 0
Yes = 3
1 1.5
C. Biology (Subtotal =
18. Fibrous roots in streambed 3
2
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish 0
0.5
1
1 1.5
24. Amphibians 0 1
0.5
1
1 1.5
25. Algae 0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75;
OBL = 1.5
r = 0
"perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:>�
-
fi ,Jj
C4.'c fen
41

Waterbody SNRC002 facing east upstream
Waterbody SNRC002 facing west downstream

Waterbody SNRC002 facing south across

USAC E Ali)# L)WQ # Site # (indicate on attached map)
M
STREAM QUALITY ASSESSMENT WORKSHEET
SN RC00
Provide the following information for the stream reach under assessment:
1. Applicant's name: Dom-, cl"C) o 2. Evaluator's name: NR
3. Date of evaluation: /0 i e 4. Time of evaluation:_1 = UQ ?m
5. Name of stream:
7. Approximate drainage area: a5
9. Length of reach evaluated: 160
11. Site coordinates (if known): prefer in decimal degrees.
Latitude (ex. 34.872312):
6. River basin:
8. Stream order:
10. County:
12. Subdivision name (if any):
Longitude (ex. —77.556611
Method location determined (circle): PO 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): Nm
15. Recent weather conditions: ?C &Cid
� -6f ,� F": n c.Ji 14N./\\"\S� �t( Lioo r5
16. Site conditions at time of visit: 1 Cb cmc, \ A p
17. Identify any special waterway classifications known: NAS ection 10 ! ATidal Waters Nh Essential Fisheries Habitat
_ATrout Waters outstanding Resource Waters A Nutrient Sensitive Waters JVAWater 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 20. Does channel appear on USDA Soil Survey? YES 0
21. Estimated watershed land use
1
22. Bankfull width:
% Residential
75 % Forested
% Commercial _% Industrial q15 % Agricultural
_% Cleared / Logged % Other
233. Bank height (from bed to top of bank): '31
24. Channel slope down center of stream: _Flat (0 to 2%) ✓ Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: Straightv'/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): l' Comments: '51"CCti() 01C:QVe5 C�aft6 �ft�r� q
ck:asen C',,(M 0E 5-1iee In C, ac, 1-tOs cc) rig no)-c;cAl 1ne!215
A 01 0, cQ - l a c o J 1-,
Evaluator's Signature l�ue Date 3/.?, q
This channel evaluation form is mte Od to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by thnited 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 nese characteristics are not assessea in coastal streams.
2
#�
CHARACTERISTICS
ECOREGION POINT
RANGE
CORE`;
�
CoastaE�
Piedmont
Mounfaen,:
"
l
Presence of flow /,persistent Pools in stream
(no flow or saturation = O'strong flow = max points)
0-5
A 4.`
0 5
2
Evidenceofpast"human alteration
,
(extensivealteration = 0; no,alteration = max points)
0-6
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 dischar es = max points)
0-5
0-4
0-4
a
5
Groundwater discharge
(no dischar
0 —
0— 4
0 4
e = 0; springs, seeps, wetlands, etc. = max points)
6
Presence,of adjacent floodplain
(no floodplain = 0;;extensiYe floodplain = max points)
0-4
Entrenchment l floodplain access
a
(deeply entrenched= 0• fre . uent floodin
q g - max points)
0-5
0 — 4�
� � �
0 — 2,
> . .
q
8
Presence of adjacent wetlands
0 — 6
0 `
0 2` '
(no wetlands= 0, Iarge adiacentwetlands =.max points) .
.4
9�
Channel sinuosity
(extensive chamielization = 0; natural.; meander = max points)
'0—.5
Sediment input
extensive deposition= 0;°utile or no sediment max points),-
points);
0 - 5
4
11
Size& diversity ofchanneI bed substrate
NA*
0 4".'
�.
NA
(fine, _homogenous = 0; Iarge, diverse sizes = max points)
12
Evidence of channel incision or widening
(deeply incised = 0 stable bed 8c banks =max points)
- 5
0 4
0 5
13
Presence of major bank failures
(seuere erosion = 0; no erosion, stable banks -= max points)
0' 5
0 5
0 5
5
14
_ Root depth,and density banks
.on
0-3
0, 4:
0 5
�.
(no visible roots = 0; dense roots throughout-- max points)
I5
fmpact by agriculture, livestock, or timber production
(substantiat impact -0; no evidence =max points)
0 — 5
16
Presence of riffle-pooUripple-pool complexes
'b
(no riffleslripptes or pools = "0; well-developed = max points)
0-3
,0
6
a'
17
Aabitat complexity,' .
(little or no habitat= 0; frequent, varied habitats = max points}
0 6
0 6
0 6 4
1
Canopy -coverage ower streambed
(no shading ve ptation = 0; continuous canopy= max points)
5
0
"
19
Substrate embeddedness
(dee lyembedded= 0- loose structure = max}` "�
e
,0 4,
© 4
20
Presence "of stream invertebrates (see page 4)
(no evidence= 0; common; numeroustypes=max points) +
�.
©
21
Presence of amphibians
(no evidence = 0; common, numerous types = max points)
4
Q 4
'0 — 4
C�3
22
Presence of fish
(no evidence = 0;� conunon, numerous types = max ints)
23
Evidence of wildlife use.,.
-
.0
nts)
(no evidence = 0abundant evidence =max poiNO
6
�
o
TOTAT; SCE�RE (also enter onfirs�,page) _, ' y z � �`�
t nese characteristics are not assessea in coastal streams.
2

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Oriqins v. 4.11
5NMW(
NC DWQ Stream Identification Form Version 4.11
Date: � /A
ProjectlSite: ACP
Latitude:
Evaluator: N R&
County: 1�00- ,O'Wloor\
Longitude:
Total Points:
ermination (circle one)
Other
Stream is at least intermittent
if >_ 19 or erennial if >_ 30*g'
"phemeralIntermittentPerennial
e. Quad Name:
✓7
A. Geomorphology (Subtotal = �`
Absent
Weak
Moderate
Strong
1aContinuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
0.5
0
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
0.5
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0.5
1
2
3
6. Depositional bars or benches
0.5
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
1.5
11. Second or greater order channelo
E-00
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = ' )
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
Tj
1 0.5
1
1.5
17. Soil -based evidence of high water table?
0.5
No = 0
Yes = 3
24. Amphibians
C. Biology (Subtotal= )
18. Fibrous roots in streambed
3
(2)
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 63 1
1.5
26. Wetland plants in streambed
ACW = 0.75; OBI = 1.5
"perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
ct'�Ce
en F
�,;CIS��
41

Waterbody SNRC001 facing northeast upstream
Waterbody SNRC001 facing southwest downstream

Waterbody SNRC001 facing southeast across

�'t i��hk
r yy PO- rf
y} y ,o-
`a

Environmental Field Surveys
Waterbody Photo Page
Waterbody snrp002 facing south across bank.
Photo Sheet 2 of 2

t i a
� .nom' ,�-•� •-_ �'�
JU
r - .m'• �•i�� �` ... P rte• � .L �. "E a�•
i 7AF
Ar
y
if
9
�k Y
^� his•- ,. .,� !

Environmental Field Surveys
Waterbody Photo Page
=ti
Waterbody snrp003 facing east across bank.
Photo Sheet 2 of 2

USAGE AID.'=' DWIQ=
m STREAM QUALITY
Site =_ (indicate on attached map)
5nrp 017
ASSESSMENT NVORKSHEET
Provide the following information for the scream reach under assessment:
MMPI
1. Applicant's name: IM(n t 0 r1 2.'E\aluator's name:ESE Ktoc-irPt.
3. Date of evaluation: 7//0%5 4. Time of evaluation: k N - AM
Name ofsi ean, I 4-o _Gy1 v -S-s Cret G Ri\erbasin: GhoLyerx
7. Approximate drainage area: �3Ci aae- S
9. Length of reach evaluated: 6� F -4-
11.
k11. Site coordinates (if kknoxNn`): /prefer in decimal degrees.
I.arilude(ex.3J
4.872312): (� • 2
S. Stream older:
10. County :,lYO1+1`l VYi } D✓F
12. Subdivision name (if any): AJ A
Lon2itudelex.-775566111: --J7,+060-9
Nlediod location determined (circle): GPs ropo Sheet Onho (Aerial) Photo/GIS Other G1S Other -
13. Location of reach under evaluau n (note nearby roads and landmarks and attach map ideniifviq stream(s) location):
Lacr��e� n1or Jr�r�rm Mali
(26&c
14. Proposed channel work df any ): P(bP6 �Cr(
15. Recent weather conditions: R4 1 O t / dN 1 �6x� I o2c ( 1n66, rS
16. Site conditions at time of visit: 1A(18S'4-Gtff- e(
17. Identify any special \vate\vay classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters Nutrient Sensitive Waters _Water Supply Watershed
18. is there a pond or lake located upstream ofthe evaluation point? YES <'O If yes. estimate the water surface area:
19. Does channel appear on USGS quad trial)? YES NO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated ttatershed land use: 10 Ob Resideuial °u Commercial _% Industrial 3f2i°o Agricultural
MoD ""o Forested _4o Cleared ) Logged % Other ( )
22. Bankfull width: h H 23. Bek -height (from bed to top of bank): a *-%
24. Channel slope down center of stream: Flat (0 to 200) _r/Gentle (2 to 4%) _Nloderate (4 to 10%) _Steep (>i0%)
25. Channel sinuosit\: _Straight ��ccasional bends _Frequent meander _Vete sinuous _Braided channel
55585E"IS C'tfotiS fol' crinipleiion of wa•ksheH (located tit Mage 2): Begin b\determining [lie most appropriate ecoregion based,on
location. ierrain. \'egetailon. stream elassifiealiont etc. E\el characteristic ]dust be scored using the salve ee0region. `Assign points
to each Characteristic \\ithin the range shown for the ecoregion. Pape 3 provides a brief description of how to re\iew the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under e\aluation. If a
characteristic cannot be evaluated due to site or meather conditions, enter 0 in the scoring box and provide an explanation in the
conn enl section. \3, here there are obvious changes in the character of a strean under re\lew (ae., the stream flo\\s fi"om a }assure
into a forest). the cream may be divided into smaller reaches that display more eontinuii}. and a separate form used to e\ aluaie each
reach. The total score assigned to a stream reach must r:u;ge between 0 and 100. with a Score of 100 representin•, a siresmh of the
highest qualitN.
Total Score (front r(verse): / D Conttncnts: W t' -I k In We -i (an d
Evaluator's Signature-�/ W 1� ��d Lam/ Date 7/U // 5
This channel evaluation farm is intended to he used onh as a guide to assist landor\ncrs and eu\ironnhental professionals in
gzthering the data required by the United States ArnrN Comps of Engineers to make a preliminary assessment of stream
quality. The total score resulting front lite eompk7tion of this farm is suhjcct to USAC'E approyai and does not imply a
particular mitigation ratio or r quire ueti. Fon'.1 SLKJi C! x c!Sion uo .Ip. 1 -1 C(vnilhein. pleat, call 41°-i A -i=4 i l '6.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
CHAIL��TERIST w;
ECO GflN'T12 i,G�SOE
3
i xYR
Coastal u7?tedmon 'A ountatn
z
d.
„
`
1
Presence of flow I persistent pools in stream
0-5
0-4
D — 5—
(no flow or saturation = 0; strong flow = max points)
#
Evidence of past human alteration
0-6
0 — 5
0-51
CO
r sf
2
(extensive alteration = 0: no alteration =max points)
lRiparian
3
zone
0-6
0-4
0-5
C)
(nobuffer, - 0; contiguous, verde buffer =max chits
Evidence ofnutrtent or.chemical, disc har g "es
0-5
0-4''
0=4
G
.
vj
4
(extensive discha= 0; no discharges = max points)
r es
7
5
Groundii2ter discharge." ".
0 3
0 =4
01=4"
(no dischar e 0 spines, see s, wetlands, etc max points)
'..::" Presence ofadjacetitfloodplain
0 4D-4
0-2
*
6
(no flood lam =. 0; extensive floodplain = max points)
" t
,;.
Entrenchment / fioodptain access
0-5
0-4
0-2
1 f
a'
(deep] entrenched = 0; frequent flooduig max points
g
Preseuce of adjacent wetlands
0-6
0-4
0-12
kt,:

Sv1rp017
NC DWQ Stream Identification Form Version 4.11
Date: -211011 S
Project/Site: ,�
Latitude: 361 5a1t� 2
Evaluator: GSZ_i<.MU1fKhafl�,(�./11c�t,Y�
RC1 i
County:;�O� grnp}oYt �.
Longitude: 7/ 406,[65!
Total Points:Strea�LL 5
isatleastintermittent
Stream Determination (circle one
Other Ma(p(e+SQ( tt-e-
ifa19
if >_19 or perennial ifz30`
Ephemeral Intermitten erennia
e.g. Quad Name:
A. Geomorphology Subtotal = ( a"
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
01
0 0.5
2
3
4. Particle size of stream substrate
0
1
U-)
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0)
1
2
1.5
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
to-)
FACW = 0.75;
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
_ C.V
1
1.5
11. Second or greater order channel
No 10
Yes = 3
Sketch:
-v -i(
_-
NV
w NKIP0 9,
artificial ditches are not rated; see discussions in manual
B. Hvdrolociv (Subtotal = 1\ - S )
12. Presence of Baseflow
0 1
2
3
13. Iron oxidizing bacteria
0_ 1
(2 )
3
14. Leaf litter
01.1 1
0.5
0
15. Sediment on plants or debris
0 0.5
(9
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 w,!3 )
1
C. Biology (Subtotal = ( 4 )
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
3)
2
1
0
20. Macrobenthos (note diversity and abundance)
1-0'
1
(2)
3
21. Aquatic Mollusks
(0)
1
2
3
22. Fish
(10)
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 =(1.9 Other = 0
`perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
-v -i(
_-
NV
w NKIP0 9,
srvt�l' a (�'
CL

fil-
� At-
Wellotl
t
t
� i 44 ti
_ d r fig `M'

*•
� _ �'`. ...y.
�
..
- � � ��'~
Tl. � �
� _ _ _e
��ir-:.
�' fib -�5 -�
�1�icd
' ` r'a't - � : y �_• �
�-
_# ��w.
c.
� � � •�`` � �. kyr
.�`ar
f
_ ..
.. -
. ,'"T�
e

USAGE AID= D\\ -Q
STREAM QUALITY
Site =_ 1 indicate on attached map)
SV)r1(J0l(0
ASSESSMENT WORKSHEET
Provide the following information fm• the stream reach under assessment:
1. Applicant's name: t7DCY\ rl /Uc�
3. Date of evaluation: 7/fid/ S
S.Nameofineam: CAN) -T iv Cress G te.fc
7. Approximate drainage area: 30 '`RGA �
9. Length of reach evaluated: Q)Ft
tM,
2.Evaluator'sname:ESz`K.MuWK(eyIK/, OY-AneK)
4. Time of evaluation: I a Q M
6. Ricer basin:.CV\JWat1
S. Stream order:
10. County: .I� UYkha m tp�0 t1
11. Site coordinates (if Rnotcn): prefer in decimal degrees. 12. Subdivision name (ifany): N�
Latitude (ex. 14.572312): JG '5'a4 1K I Longitude (ex. -71 ;56611): —7 7,40& , `6& P9
Method location deremtined (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 identif. ing, streann(s) location):
Loco.\e� rlC)Y+(­) o-'- Sordoc, rn,'tl R06c
14. Proposed channel work (if any): e fu p0kc( 'Q i e --el ;op -
15.
o@15. Recent weather conditions: RA's w 1 ^'^ Pei + a� � tic- y, S7
16. Site conditions at time of visit: �n�' S Fit Cb eco
1?. IdenfiN any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Troth Waters _Outstanding Resource \raters —Nutrient Sensitive Waters —Water Supply Watershed _0 -IV)
13. Is there a pond or lake located upstream of the e\ aluation point? YESNO ]f yes. estimate the tater sm face area:
19. Does channel appear on USGS quad map? YESNO 20. Does channel appear on USDA Soil Survey? YES NU
21. Estimated watershed land use: Residential _% Commercial _°'° Industrial 0/0 Agricuhu al
60 °'o Forested _°'° Cleared i Logged _°6 Other ( )
22. Bankfull width: 10 �' 23. Bank height (from bed to top of bank):
wmr
24. Channel slope don center of stream: _Flat (0 to 2° o) I-.B�Gentle (2 to 4%) _hloderate (4 to l0°'°) _Steep (> 109u)
25. Channel sinuosity: _Straight occasional bends _Frequent meander _VeIA' sinuous _Braided channel
i aSulii'tIOUS fol' C01-hplEt1611 of tvoi•lsheet (located on pave 2): Begin bt- determining the most appropriate eeoiegion based -on
location. terrain. vegetation. stream classification. etc. Ete.� characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 pro ides a brief description of how to re\iew the
cliaracieisiies identified in the worksheet. Scores should refiect an overall assessment of the stream Peach under ex aluation. If a
characterinie cannot be etaluated due to site or heather conditions. enter 0 in the scoring box and provide an explanation in the
cominem section. \\ here there are obvious changes in the character of a stream under retie\, (e.g., the stream iloh s from a pasture
into a forest). the stream may be divided into smaller reaches that display more cominuity. and a separate form used to et aluate each
reach. The total score assigned to a me -m reach must range between 0 and 100. with a score of 100 representing a stream of the
highest qualiti. pp
Total Sem•e (front reverse): Comments:
Q,e-kL0^A
Evaluator's Signature / W / Date
This chanucI evaluation forst is intended to Ke used ones as a guide to assist landowners and em ironnental professionals in
gathering the data required by the United States ArruN Corps of Engineers to make a preliminary assessitcitt of stream
quality. The total score resuhhI2 front the ccanp}ction of this fora is subject to USACE approval and does not imply a
particular mitigation Patio or requit'enieill:. Torinn subjc-ct to (hams - t c5lotn V6 (i:, 10 Li•iinittein . plea_.' i'::Ii 01 "-$?h-S-ij i ', _6.

STREAM QUALITY ASSESSMENT WORKSHEET
.. r
'"= e ._� ' , , ..�-sX rS. ii,~*2F'`� z�''h� 4�,E••COSIL'
ITUi�`I.a+r��`Li #Y'O�Y,
::
#
t x CITAI2A.�TETZISTIC
`:� 41,
-
r
Presence of flow / persistent pools in stream
0-5
0-4
0-5
(no flow or saturation = 0; stron flow =max pontts)
yrs
EN Wnee of past human alteration
0-6
0-5
0-5
c
=;r
2
(extensive alteration = 0; no alteration = max points)
-- Riparian zone
0-6
0-4
0-5
(no buffer =0:configuous,tvidebuffer=max points
4
ges
Evidence of uirtrient or chemical discharges
0-5
0-4
0-4,
s,
x
(extensive dtschar es – 0; nb dtscharacs =max points)
5
Groundwater discharge _ ".
0-3
0-4
0_ 4
3
d
(no discharge 0 springs, seeps, wetlands, etet max points
U3
6
Pr esence of adjacent floodplain
0-4
0-4
0-2
(nofloodplam=O;extensive flood Iain=max points)
-
_
Entrenchment /floodplain access
(deep] v entrenched = 0- frequent floodnto =max oints)
l
8
Presence of adjacent wetlands
0-6
0-4
0 –,2
5
`<
(no wetlands = 0; large adjacent wetlands –max "points)
Channel sinuosity
0-5
0-4
0-3
9
(extensive channedization=0;nahualmeander=maxpoints
R
0
Sediment input
0 5
(extensive de osition= 0• little or no sednnent =max oints)
tu.'
11
Size & div rsity of channel bed substrate
NA *
0-4
0-5
__
(fine liomogenous = 0: large; diverse sizes =max points)
Evidence of channel incision or ividening
0-5
0-4
0-5
Z+
ti.
12
(deeply incised = 0; stable bed & banks = max points)
N`
13
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
Fy'
(no visible roots = 0; dense roots throu, out =max oints)
15
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
j t^
(substantialnn act =0; no evidence = max po nts)
Presence of riffle-pool/ripple-pool `complexes
0 – 3
0-5
0-6
16
(no rifflesirip les or pools = 0; well-developed = max oints)
1J
17
Habitat complexity
0-6
0-6
0–T4—
(little or no habitat = 0• frequent, varied habitats =max points18
Canopy coverage over streambed
0-5
0-5
0–
(no
shadn� ve• etation= 0; continuous canopy =max points)19
Substrateembeddedness
NA*
0-4
0–(deepl
y embedded = 0; loose structure = max)
of stream invertebrates (see page 4)
0-4
0-5
0–
_0Presence
(no evidence = 0; conunon, numerous types =max points)
Presence of amphibians
0-4
0-4
0-4
3
O.p21
(no evidence = 0: conunon. numerous tv es = max points)
O'
Presence of fish
0-4
0-4
U-4
O
(no evidence = U: common. numerous types = max points)
Evidence of wildlife use
0-6
0-5
0-5
3
;.
(no evidence = 0. abundant evidence = max points)
Total Points Possible
100
100
.100
{
TOTAL SCORE (also enteron #irst page)
l S
* These characteristics are not assessed in coastal streams.

NC DWO Stream Identification Form Version 4.11
shrp 0 t(0
Date: -7//10/15
Project/Site: G �%
Latitude: 36 5A If yj 9-
EvaluatorCE _I/v,MuYPtit`e°1/I< ffi6v-lcV%Acn
County:14
Longitude: -7�' k0&
Total Points:��
Stream is at least intermittent
Stream Determination (circle one)
Other MW'5gfC{Sv ((r_
ff? 19 or perennial if t 30-
Ephemeral lntermlttentdPerennia
e.g. Quad Name:
A. Geomorphology ( Subtotal =
Absent
Weak
Moderate
Str ng
1" Continuity of channel bed and bank
0
1�
2
3'
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
V
3
4. Particle size of stream substrate
0
1
2
3
5. Activefrelict floodplain
0
1
2
U
6. Depositional bars or benches
OZ
1
2
3
7. Recent alluvial deposits .
1L�0„%
1
2
3
8. Headcuts
0)
1
_Z
3
9. Grade control
0
0A
1
1.5
10. Natural valley
0
0.V
1
1.5
11. Second or greater order channel
No:(C>
Yes = 3
Sketch: -v 5
�IRPoq _
WNRPo
a artificial ditches are not rated; see discussions in manual
B. H drolo Subtotal = 9, 5
12. Presence of Baseflow
0
1
2
U3
13. Iron oxidizing bacteria
GO
1-
2
3
14. Leaf litter
1.
1
0.5,
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0
0.5
1
1.5
17. Soil -based evidence of high water table?
0
No = 0
1
Yes (3
C. Bioloov (Subtotal = I D 1
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
GO
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2 l
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
Q
0.5
1
25. Algae
0) 1
0.5 1
11
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL
1.5 JOther = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch: -v 5
�IRPoq _
WNRPo
Pmt 6
cL
pal a Io rk

Pr • "!'
a
'All .
- 1 V{ �..T ����_ ..R� 6 '}�'• 4�, 3. .fit f �k
� � d
a•

a
F'
MRV 4z�
G
f s
41,v
A t c

USACE AID=' DWQ
STREAM QUALITY
Site=_ (indicate on attached snap)
snrpo1s
ASSESSMENT WORKSHEET
Proride the following information for the stream reach under assessment:
1. Applicam's name: C N1111VOn
3. Date of evaluation: 7/9//S
S. Name of stream: b4 N 1 tv Cr�PrG85 Cv-eek
7. Approximate drainage area: /�O 0,CY� S
9. Length of reach evaluated: S *f
2. Evaluator's name: ESi- Y• M9 Y1.ligan, l<. M c4 0-k retl
4. Time of evaluation: 1), e M
6. Ricer basin: 607en"16,0e GLvv�✓sn
S. Stream order:— 1
10. County: lv o✓1 `
11. Site coordinates (if kn
own): prefer in decimal degrees. 12. Subdivision name (if an),): N A
latitude (ex.34.S72312): �(�, Longitude (ex. -77.556611): J& t
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):
�OCe,k2,� o� bn &,CCesS i�o&,LA, NOX-A-t� o� �vr�ton rn;tt f2�od,
14. Proposed channel work (if any): Q,(b ('i Pte( )R 2
1.5. Recent weather conditions: (Zal
16. Site conditions at time of visit: end S tat rlG�e Cl
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters Water Supply Watershed _(1-1V)
18. is there a pond or lake located upstream ofthe evaluation point? YES10 f yes. estimate the water surface area:
19. Does channel appear on USGS quad map? YES 10 20. Does channel appear on USDA Soil Suter ey? Y'L$ NO
21. Estimated watershed land use: °'o Residential _90 Commercial _% Industrial °'o Agricultural
-)�24b Forested LO 9'o Cleared / Logged % Other
22. Bankfull width: 5,f+.
24. Channel slope down center of stream: Flat (0 to 29 o)
25. Channel sinuosity: Straight V70ccasional bends
23. B�ank height (from bed to top of bank): I F--
_-Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (> 10%)
_Frequent meander _vete sinuous _Braided channel
instructions for cotmpletfon 01 worksheet (located on page 2): Benin by determining the most appropriate ecoregion based,ot
location. terrain. vegetation. stream classification. etc. Even characteristic must be scored using the sante ecore2ion. Assign points
to each characteristic within the range shown for the ecore2ion. 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 reaiew (e.g.. the Stream flows from a pasture
into a forest). the stream may be divided into smaller reaches that display more co tinuhN. and a separate form used to evaluate each
reach. The total Score assigned to a stream reach must ranee between 0 and 100. with a Scoe of 100 representing a Stream of the
highest qualin.
Total Score (from reverse):_
r -f-4*-
Evaluator's Signature "/�'�'�Date 7f<Z /)G
This channel evaluation form is intended to be used onIN as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Arm} Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is Subject to USACE approval and does not imply a
particular mitigation ratio m requirement. Fiu!nn W ,li-cl IO Cna!n_e - y d"91J!t 116 (Ij, T, Comment. please call y1 a -$%(?-C 141 S'_6.

STREAM QUALITY ASSESSMENT WORKSHEET
Total Points Possible 100 100 100
TOTAL SCORE ,(also enter on first page)
x These characteristics are not assessed in coastal streams.
' it
r tMx
�EC0�2EON,�OLI 12�1CORI
G i2ACTET . STICg �, , t
(oasfal
;
s'?�.�,�.k s ;;
_ �<PaedmonF.. oopau>aY
q _
1
Presence of flow % persistent pools in stream
0-5
0-4
0-5
(no flow or saturation = 0; strong flow = max points)
Evidence of past human alteration
0 – 6
0 – 5
0 – 5
Sts
2
(extensive alteration = 0; no alteration= max ousts)
.
3
Riparian zone: .
0-6
0-4
0 -= 5
(no buffer= 0; contiguous. wide buffer =max points
F
Evidence of nutrient or chemical discharges =
0 5
0 4 `'-
0=4
k
, 4
e dischar es = 0; no ar es = max omts)
(extehstvdisch
5
Giound�iaterdischarge -
0-3
0=4
0=4
�\
V
(no discharge 0 s nags see s, wetlands, etc max points)
*s.,y
Presence of adjacent floodplain
0-4
0 –4
0-26
6
(no floodplaun = 0; extensive Hood lain – max opts)
Entrenchment/floodplain access
0-5
0-4
0-2
;p
(deep] entrenched =O: fre uent flood n .=max oihts
,t
Presence of adjacent wetlands
0-6
0 –4
0 – 2
�\
V
F
$
(no wetlands = 0; large adjacent wetlands = max onnts)
Tg
9
Channel sinuosity
0-5
0-4
0-3
(extensive ebannelization = 0; natural meander = max points
;-
ins
hx
10
Sediment input
0 5
0 4
0 4
1
`.
{extensive de osition= O; little or no sedunent –max omts)
r4a'
Size & diversity of channel bed substrate
:NA
0-4
0-5
_..
I]
(fine, homogenous - O; large, diverse sizes = max points)
Evidence of channel incision or widening
0-5
0 –4
0-5
j,
12
(deepl incised = 0; stable bed & banks = max oints)
N"
13
Presence of major bank failures
0-5
0-5
0-5
j
(severe erosion= 0; no erosion, stable banks = max oints)
Root depth and density on banks
0-3
0 –4
0-5
14
(no visible roots = 0; dense roots throu out = max points)
'
I S
Impact by agriculture, livestock or timber production
0– 5
0– 4
0– 5
3
(substantial un act =0; no evidence = max points)
Presence of riffle-poollripple-pool complexes
0-3
0-5
0-6
16
(no riffles/ripples or pools= 0; well-developed = max oints)
Habitat complexity
0_6
0-6
0-6
2
'
17
(little or no habitat = 0; fre went, -cried habitats = max points
18
Canopy coverage over streambed
0– 5
0– 5
0– 5
S
(no shading ve etation = 0; continuous canopy= max points)
19
Substrate embeddedness
NA r
0 –4
0 –4
—
(deeply embedded = 0; loose structure =max)
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
Q
20
(no evidence = 0; common, mmmerous hypes =max points)
Presence of amphibians
0-4
0-4
0-4
v
O
21
(no evidence = 0; common. numerous pes =max points)
a= O
" 2
2
Presence of fish
0-4
0-4
0-4
(no evidence = 0; common, numerous types =max points)
±> 2 Evidence of wildlife use
3
0-6
0-5
0-5
ri (no evidence - 0. abundant evidence =max points)
Total Points Possible 100 100 100
TOTAL SCORE ,(also enter on first page)
x These characteristics are not assessed in coastal streams.

5n r -p O/S
NC DWQ Stream Identification Form Version 4.11
Date: 7/ <D/' S
Project/Site: & C -p
Latitude: 36. 5 a3 G q
Evaluator:EST-iK,AoekL,-M//<,Mof(Phdrel
County: t`oov ckvv\r.y, O✓i
Longitude:--W.3q(o1Lh
Total Points:
Stream is at least intermittent a�'i
Stream Dete min circle one)
Other Mgr9o,rctSJ i 0�
rift 19 or perennial Ba 30"
Ephemeral Intermittent erennial
e.g. Quad Name:
A. Geomorphology (Subtotal= S
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
1
O
3
4. Particle size of stream substrate
0
1
2
C3i
5. Active/relict floodplain
01)
1
2'
3
6. Depositional bars or benches
0
1
2 1
3
7. Recent alluvial deposits
0
1
2
3
B. Headcuts
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No
0
Yes = 3
Sketch:
nj
x artificial ditches are not rated; see dis ussions in manual
B. H drolo Subtotal = 15
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0
0.5
1
1.5
17. Soil -based evidence of high water table?
No = 0
Yes =f 3
1.5
C. Bioloav (Subtotal = G 1 -
1 B. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3 )
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
0)
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75;
OBL = 1.5 Other
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: dt i n w 411 i n 05+ a 4
uwrS
Sketch:
nj
oHW \A

4+ Ste+ ti s
\ X14 l a'�• `-.` .. ` � `... .. . f
F
k# ; dam. * �.f � i(� i+, � � 1 `r' � ' ..� � i ��•�.
• y � ���.yw tC
r
Y
I-
CP
h
..f
a �

Environmental Field Surveys
Waterbody Photo Page
IN
4-1 &r`
TT
WaterbodY rP g sn 015 facing west across bank.
Photo Sheet 2 of 2

1. I ;A
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Environmental Field Surveys
Waterbody Photo Page
Waterbody snrp006 facing southeast across bank.
Photo Sheet 2 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody snrp005 facing southwest upstream.
Waterbody snrp005 facing northeast downstream.
Photo Sheet 1 of 2
.�
Waterbody snrp005 facing northeast downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody snrp005 facing southeast across bank.
Photo Sheet 2 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody snrp004 facing south upstream.
Waterbody snrp004 facing north downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody snrp004 facing east across bank.
Photo Sheet 2 of 2

USACE AID#
DWQ#.
Site # (indicate on attached map)
9, %o\
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: o. n,, ,, �Aco 2. Evaluator's name:=1-� Vr� r - c o.-. � A s c �
3. Date of evaluation: 1
5. Name of stream: <. \A 2 53 t < u NT
7. Approximate drainage area:
9. Length of reach evaluated: 300
11. Site coordinates (if known): prefer in decimal degrees.
Latitude (ex. 34.872312):
4. Time of evaluation: r\4A
6. River basin: P,
8. Stream order:
W. County: - z C, ---}W, NC..
12. Subdivision name (if any):
Longitude (ex. —77.556611
Method location determined (circle): PP To 'o S et Ortho erial) P of /o Other GIS Other
13. Location of reach under evpjaluation (note nearby roads and landma�r{.mks and attach map identifyingstrre_am(s) location): \ gay
Oma �3 i b Si d t�� 'J,+4e,G9
14. Proposed channel work (if any):
15. Recent weather conditions: �,o r >- E ­� °V, NA, r.
16. Site conditions at time of visit: , . (. 5. 0
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 0 If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES 9 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use:% Residential %Commercial % Industrial o %Agricultural
22. Bankfull width: ,
S % Forested % Cleared / Logged % Other
23. Bank height (from bed to top of bank): A
24. Channel slope down center of stream: _Flat (0 to 2%) ?4. Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: Straight )4 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): b Comments: S5vec,5X- I oe`'2," ---10 '1
�.� ''i a.. �,-� a a o,. (:0--,.-1
T i eA s ,� %a Weems k old lvh r 4, h h %f
Evaluator's Signature )'tom Date 'Z 1,2�;Iis
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
�h..ff
5``' S'�>' T'im-"` 3 i g>i ct —G -x,,. > uT �„x.��. h s�'•Y A 3' p2 `k'hv4i
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a K.;.Y,'�J Y
� epic a paws iam J #400,
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�ixy4�2r �
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me/q
l
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u�cs
�"n' sry+. 2
�rtnna��stge 3
En�renchmen� � ilaudptaur aeces�
}
J�cfepeen�ecQ,.regiie�iv�
s rili�iCii tiLpII� a
e
J
��ecs Qi �eTia1E11eresiSe
SAESaZ€
-$E�x3�Sf ptnS f Egli
Zvi eines 4£cLsnnte>e�ittn art�enmg
00 HIM
A
01,x��ti�Ef„LeQlt`$e
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��eeOteX��
a
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4
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a 6
hese characteristics are not assessed in coastal streams.

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Oriqins v. 4.11
VA V -'V 1
NC DWQ Stream Identification Form Version 4.11
Date: -3 I5
Project/Site: IDGVW. " �^ ACT
Latitude:
Evaluator: 0 � ,
County:
N
Longitude:
�.
e ,,e A, Cv-
<D
Total Points:
Stream termination (circle one)
Other
Steam is at least intermittent
if _ 19 or Perennial if >_ 30� 1 a,
phemera Intermittent Perennial
e.g. Quad Name:
A. Geomorphology (Subtotal = (-)
Absent
Weak
Moderate
Strong
1aContinuity of channel bed and bank
0
1
<D
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
16. Organic debris lines or piles
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
0.5
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
Sketch:
SO
(
No = 0
Yes = 3
artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = 1)
12. Presence of Baseflow
0 1
2
3
13. Iron oxidizing bacteria
0 1
2
3
14. Leaf litter
1.5 1
0.5
0
15. Sediment on plants or debris
0 .0.5
1
1.5
16. Organic debris lines or piles
0
1
1.5
17. Soil -based evidence of high water table?
o = 0
Yes = 3
1
C. Biology (Subtotal = 6 )
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)
(9)
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
i
0.5
1
1.5
25. Algae
a 0
0.5 1
1 1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
In
1; n
Notes,c
Sketch:
SO
(
r
� e 1 _
�� �
Y17
VA
41

Waterbody SNRB101 facing north upstream
Waterbody SNRB101 facing east across

Waterbody SNRB101 facing south downstream

Environmental Field Surveys
Waterbody Photo Page
Waterbody snrp014 facing north upstream.
mo
��q
`tel
e Emory{ 3'
Waterbody snrp014 facing south downstream.
Photo Sheet I of 2

Environmental Field Surveys
Waterbody Photo Page
s
. P
rK
Waterbody snrp014 facing west across bank.
Photo Sheet 2 of 2

M

Environmental Field Surveys
Waterbody Photo Page
Waterbody snrp013 facing northeast across bank.
Photo Sheet 2 of 2

USACE• AM= D\% 0 = Site = i indic;tte on attached n1aP1
SYvra 004
STREAM QUALITY ASSESSMENT NVORKSHEET
Prov icle the foil ovv frig information for the strcarn reach tinder asscssntetlt:
I. Applicant'sname: ?. E►aluator's name;
3. Chile of et aluation l 110 �. Tittze cif e�aluati{ n: l
tlnte of stream: n! G. River basin:" 1
7. ,approximate drninaLe area: [tet. 8. Stream order:
9. Len4Lth of reach ev aluated:, cxi R - I0. Count\ : r -�k
11. Site coordinates (if l:novvn): prefer in decimal degrees. 12. Subdivision name (if any): D
latitude tea. r4.8723t:1: —77. 10 -7
hlethod location detennined (circle): PS ropo Sheer Ortho (Aerial) Pholo GIS Other (AS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map idenlif ing stream(s) location):
14. Proposed channel work (if an -IT
15. IZecent weather conditions
16. Site conditions at time of v
17. ldenti v any Special vv'atenvay classifications known: ,Section 10 Tidal Waters ^Essential Fisheries Habitat
_Trout Waters �Dutstandina Resource Waters ZNutrient Sensitive Wal ersWater Supply Watershed j IBJ)
18. is thea: a pond or lake located upstream of the evaluation point:' YES Of 3 es, estimate the water surface area:
19. Does channel appear on USGS quad map? YE NO 20. Does channel appear on USDA, Soil Survey? ES NO
1. Estimated Nvatershed land use: ° o Residential —°a Commercial °® Industrial 10 °o Agricultural
7 DDS' q Forested
Zoo Cleared / Loeaed
_° o Giber (
??. Bank l An t: _
23, Bank heir -ht (from bed to top of bank):
� t T
?d. Channel slope down cemer ofstream: .Flat (Oto 2*0
25. Channel sinuosity: Strni,ht Qccasianal bends
Gentle (2 to 4' )
__f=requent meander
�hloderate (4 to I0`n)
�Very sinuous
_Steep (SIO?6)
Braided channel
I for completion of ttorksiteel (located fill page 2): Begin by detenttining the most uppropriule ecurer,-'sort based on
location. terrain, vegetation, stream classification, etc. Er en characteristic must be scored usingthe Satre ecc+region, Assign points
to each characteristic Nvithin the range shotvtt for the ecore;.:ion. 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
1'1boy; and provide an explanation in the
comment section. 'here there are obvious cltangs in the character of stream tinder revlevv (e.g.. the stream flows from a pasture
into a forest). the stream tray be divided into smaller reaches that display more continuity, and a separate fonn used to evaluate each
reach. The total score assiraned to a stream reach trust range between 0 and 100. with a scare of 100 representing a stream of the
highest qualm. --7
Total Score (front reverse): I Comments:
- r
E- valuator's Signature - i Date 13 2110 -
This channel ev aluatlon rni is intended to be used o lr a# a gulde to assist landowners and em
em lr nmE-nial professionals in
gathering the data required by the United States ArmN Corps of Engineers to ntalie a preliminar` assessment of stream
quality. Tht: total score resulting from the completion of this form is subject to US.ACE approval and does yno{st intplz a
particular ntftigation ratio or requireittfrtit. Fi `fit S:il t it l3 �h:.iZ�C — E CrctL1rj �Il k�?. i o Conimeni. please call 9194764 �4 1 t +.

STROMA QUALITY ASSESSAIENT NVORKSHEET
#> CI'fr� ACTERISTICS `'� LCC?REGIt7h� CiI T G i 'ORE.
Coastal 1'iedtno�it
I Presence of flow 1 persistent pools in stream 0 — 5 0-4 0-5
C�-
(no flow, or saturation = 0: strong flow = Ina, paints)
Evidence of past human alteration 0-6 0-5 0-5
(extensit a alteration = 0: no alteration = max aints)
Riparian zone
3 Q-6 0-4 fl -5
(no buffer = 0; contiguous, wide buffer = max oints)
�i Evidence of or cheiizfcal disclial
>: 0-j 4— 0--4
r (extensive discbarees = 0; no discharees = max oints)
Y` Groundwater discharge 0-3 0-4 Q=�}
(no discharge = 0; s 'r�si Vis, see s, wetlands, etc = max points)
l . Presettee of adjacent floodplain
r 6 Q-4 0-4 0—?
(no floodplain = 0; extensive flood hitt mar Dints)
Entrenchment I floodplain access 1 0-5 0-4 0-2
F ' 7 (deeply entrenched = 0- frequent flooding max Dints
'Presence ofadjacent1►eflands 0-6 0_4 0-2
, (no wetlands= Q; larRe ad`acent wetlands = maxpoints)
Channelsirsuosity� 0_5 D-4 0--3
(extensive channelization =� 0; natural meander= maxpoints)
F Sediment input
10 0-5 0-4 0-4
Y.
{extensive deposition-- 0• little or no sediment = max oints]
t 1 i
Size '& diversity of channel bed substrate NA* 0-4 0-5
.-�—
(fine homogenous = 0; large, diverse sixes = maX oistts
1 Evidence of channel incision or ►r idening 0-5 0_4 0-5
(deeply incised = 0; stable bed & banks = max oints)
Presence of major bank failures " 0-5 0-5 0-5
13 (severe erosion = 0; no erosion stable banks =maxipoints)
14 Root depth and density on banks 0-3 0-4 0-5
b { (no visible Toots= 0; dense roots tbrou hoot = max poijqts
I S Impact by agriculture, livestock, or timber production 0 _ $ 0-4 0 — 5 L
{substantial impact =-0; no evidence = maxpoints)
16 Presence of riffle-pool/ripple-pool complexes 0-3 0-5 0-6
(no riffles.fri Ies or pools = 0• )� 11-develo ed = ntax Dints)
Habitat complexity 0-6 0-6 0 -- 6
i l7 (little or no habitat = 0• frequent, varied habitats = maxpoints)
p I8
Canopy coverage over streambed 0-5 0-5 0-5
(no shadina veeetation = 0; continuous canopy = maxhints)
Substrateembeddedness NA* 0-4 0-4 �
(deeply embedded = 0• loose structure = m
�0 Presence of stream invertebrates (see page 4) 0 —4 0 —3 0-5
(no evidence = 0; common, numerous types = maxpoints)
Presence of amphibians
Q-4 0-4
7I 0-4
C' (no evidence = 0: common, numerous n es = max oints)
Presence offish
Q? (no e�'idence = 0; coantnon, ntFmerous tti es = max oints) 0-4 0 — 4 0 — 4 C
3 Evidence of z� ildlife use 0 — 6 0 — 5 0 -- 53
(no evidence = 4; abundant evidence = max points)
Total Points Possible 100 100 _ _ 100
TOTAL SCORE (also eater on firCt Pa°e�
* These characteristics are not assessed in coastal streams.

NC DWO Stream Identification )corm Version 4.11 '� h ra V O_f
Date:Project/Site:
1
^
Latitude:,3 6, cJ 3.39 -3
Evaluator: " �. , p ey-
County: �Jo(-PrtvJ'vn ��
Longitude: -_7 7.33 i
Total Points:
Stream is at least intermittent 'S � SEphemeral
Stream Determination (cir
Intermittent
Other F'
Name.
a
if? 19 or perennial if? 30•
eren
e.g. Quad
A, Geomorphology Subtotal =
Absent
Weak
Moderate
Strong
1" Continuity of channel bed and bank
4
1
2
2
2. Sinuosity of channel along thalweg
0
1
( ]
3
3, In -channel structure: ex, riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
2
2
3
5. Active/relict floodplain
0
1
2
1.5
6. Depositional bars or benches
a
1
3
7. Recent alluvial deposits
24. Amphibians
0
2
3
8. Headcuts
fl
25. Algae
2
3
9. Grade control
0
1.5
1
1.5
10. Natural valley
fl
8
1
1.5
11. Second or greater order channel
otes:Sketch:
No = 0
es = 3
"artificial ditches are not rated; see discussions In manual
B. Hvdroloav !Subtotal = 11 1
12. Presence of Baseflow 0 1 2
13. Iron oxidizing bacteria 1 2 3
14. Leaf litter 1- 0.5 0
15. Sediment on plants or debris 0 0 1 1 1.5
16. Organic debris lines or piles 0 0.5 1.5
17. Soil -based evidence of high water table? No = 0 Yes = 3
C. Bioloaly [Subtotal = i ,5 ] `�
18. Fibrous roots in streambed
2
1
4
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
( ]
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0
0.
1
1.5
23. Crayfish
0
1.5
24. Amphibians
0
0.5
1.5
25. Algae
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.78; OBL = 1.5 (Other= 0
"perennial streams may also be identified using other methods. See p. 35 of manual.
otes:Sketch:
-Notes.-
Sketch:
50rom
J/
41
©flWIV) : 8
V_ 10 ,Ft

�,�yR r
�w
s
�
�t�,
i•
' • • �.
..
r
SY JW
f tot•'
rf
' • • �.
..
SY JW

I ISACE AiD
D1' Q R Site K (indicate on attached map)
Shro 003
M
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the foIlois hm informat !on for the stream reach un tier assessment:
1. Applicant's name: Q QVY►+ V!1 t 0 r- 1 2. Evaluator's name: FSS,- L, leo o,,—vo-
3. gate of evaluation: 6 1 13 116 4. Time of evaluation: - t --
5. Naine of stream: reSS CrreC 6. River basin: 1''`ie h i()
7. Approximate drainag=e area: I It C) Do CL' € . Stream order:
9. Length of reach evaluated: 3 0 k 10. County: N Of k)iv u~
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): ov%
Lalitudetex.34.872312): '56 53380 Longitude (ex. -77.556611): 33 S
Method location deiennined (circle): PS _ Toper Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach snap identifying streams) location):
SOO+K O� NL -186
1.1. Proposed channel work (if any): YD
15. Recent weather conditions: W - r Vv% 40
16. Site conditions at time of
17. ldentify any special vNaten►ay classif-ications known: .^_Section 10 Tidal Raters Essential Fisheries Ilabitat
+�''
_Trout Waters Outstanding Resource Waters Nutrient Sensitive Waters _Water Supply Watershed (i -IV)
18. Is there a pond or lake located upstream of the aluation point? YES goDf yes, estimate the water surface area:
19. Does channel appear on USGS quad map`? YE O 20. Does channel appear on USDA Soil Survey?
'_l, Estimated watershed land use: —Pb Residential -% Commercial _ % Industrial 1❑0a Agricultural
7D9,o Forested Zv 0,10 Cleared / Logged % Other ( 4
Crop erg Palo)
22. Banff:full width. 23. Bank height (front bed to top of bank): T
24. Channel slope down center of stream: _,Flat (0 to 2%) Gentle (2 to 4%) _Moderate (l to 10%) _Steep (>10%)
25. Channel sinttosiry: Straight _-_Dccasianal bends_ZFrequent meander Very sinuous Braided channel
instructions for completion of worksheet (located on page 2)t Begin by determining the must 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 v\orksheet. Scores should reflect an overall assessment of the stream reach under c%aluation. if a
characteristic cannot be evaluated due to site or L4eather 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 (front reverse): -7 2, Comments:.
�1I31I�
Evaluator's Signature � � aDate�
This channel evaluation f rm is intended to be used oh as(A guide to assist landowners and envirodmental 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 06103. To Comment. please call 919-876-8441 x26.

STREAM QUALITY ASSESSMENT NVORKSHEET
* These characteristics are not assessed in coastal streams.
ECOREG ION. POINT
RANGE,
#
CHARACTERISTICS
SCORE
coastal
Piedmont,.
ltitountain
Presence of floc 1 persistent pools in stream
0 -5
0-4
[} -.
(no flog; or saturation = 0: strong flow = maxpoints)
Evidence of past human alteration
0-6
0-5
0-5
(extensive alteration = 0; no alteration = maxpoints)
t"
3
Riparian zone
0-6
0-4
0-5
(no buffer = 0; conte �uous, wide buffer o maxpoints)
4
Evidence of nutrient or chemical discharges
0-5
{}-4
0-4
w:
(extensive discharges = 0. no dischar es =maxpoints)
'5
Groundwater discharge
0-3
0-4
0-4
2)
(no discharge = 0; springs, see s, wetlands, etc. = maxpoints)
Presence of adjacent floodplain
0 4
0 -4
0- 2
> .
(no floodplain = 0; extensive floodplain = max points)
Entrenchment 1 floodplain access
0-
0_ 4
0 _?
(deeply entrenched = 0; fre tient flooding = max points)
Presence of adjacent wetlands
0-6
0 - 4
0 -�
(no wetlands = 0; large adjacent wetlands = max oinks)
Channel sinuosity
0-5
0-4
0-3
(extensive channelization = 0; natural meander = max oints)
10
Sediment input
0-5
0-4
0- 4
(extensive de osition.= 0; little or no sediment W maxpoints)
1 1
Size & diversity of channel bed substrate*
0-4
0 5
.�
(fine, liomoaenous = 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)
failures
13
Presence of major Bank
0-5
0-5
0-5
*�
(severe erasion = 0; no erosion, stable banks = maxpoints)
C�
14
Root depth and density on banks
0 -3
0 -4
0 - 5
r1
(no visible roots = 0; dense roots throui;hout = max points)
U
15
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
substantial impact =0; no evidence = maxpoints)
1
Presence of rife-pooVripple-pool complexes
0- 3
0-5
0-6
(no riffles/ripples or pools = 0; well-developed = max Dints)
17
habitat complexity
0-6
0- 6
0-6
tj
H
(little or no habitat = 0; frequent. varied habitats = max points)f
18
Canopy coverage over streambed
0- 5
0-5
0-5
(no shading vegetation = 0; continuous canopLf maxpoints)
19
Substrate embeddedness
''
0-4
0-4
(deeply embedded = 0; loose structure = max)
20
Presence of stream invertebrates (see page 4)
0-4
0---5
0-5
(�
(no evidence = 0; common, numerous types = max Dints)
U►.
21
Presence of amphibians
0-4
0-4
0-4
Q
T
(no evidence = 0; common, numerous types = maxpoints)
?7
Presence of fish
0-4
0-4
0-4
(�1
(no evidence = 0; common, numerous t es = maxpoints)
n3 —r
Evidence of wildlife use
0--6
0 -- 5
0-5
(no evidence = 0; abundant evidence = max points)
I
1
Total Points Possible
100
loo
100
TOTAL SCORE= ( also enter can first page)
72.72.�
* These characteristics are not assessed in coastal streams.

NC DWQ Stream Identification Form Version 4.11 .Sh rQ N
Date: G/13/17
Project/5ite:
Latitude: -3 ,x;.533 B 8
Evaluator: E5 :E - L' (Lop-cv-
County: y�. �j� y-yy p�
Longitude: -_? 7ij, -SS 676
Total Points:
Stream Is at least intermNent t
Stream Determination (circl
Other MAY7�-ehrh
j
if ? 15 or perenni2l if � 30'
Ephemeral Intermittent P renni
e.g. Quad Name..
A. Geomorphology Subtotal = )
Absent
Weak
Moderate
Strong
18 Continuity of channel bed and bank
0
1
2
15. Sediment on plants or debris
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
4
1?
2
3
4. Particle size of stream substrate
0
0.5
2
3
5. Activelrelict floodplain
0
1
2
1.5
6. Depositional bars or benches
011
0.5
V
3
7. Recent alluvial deposits
' 9z
(1e2
2
3
S. Headcuts
1
2
3
9. Grade control
0
.5
1
1.5
10. Natural valley
0
1
1.5
11- Second or greater order channel
No = 0
Yes = 3
4/
a artificial ditches are not rated; see discussions in manual
B. Hydrology Subtotal = ct
12. Presence of Baseflow
0 1
23
13. Iron oxidizing bacteria
{ _ 1
2 3
14. Leaf litter
1.5 1
5 0
15. Sediment on plants or debris
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
Ye
C. Bioloqy (Subtotal = &_-)
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0
0.5
1,
1.5
23. Crayfish
0.5
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
' 9z
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75;
OBL = 1.5 them
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
�Y1f'OV� i
h 1
•V
4/
pt fY
dK j
f �jv%�11L)Z-
C)�Avqr 3o ff.
✓)Z.

... r� ��� ._ -•. �� ■. i"r 'i �3$�r any +"'�' �'+rlt� - ,.= ., £.. �..;
,J
=x. • y YW�i3 'tea y' y
t r. 'a. ■i
k t �t"iii
�p,��rr �� Sir .- f}�.' ���a,y.1 � 1' t��� - 4h.* £��. '� ,. •��.� ' a
10
air 4
Waterbody data point snro0031 1
- %Wm
3
tj
I y
I

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point snro003 facing southeast across bank.
Photo Sheet 2 of 2

Open Waterbodv Data Sheet
Survey Description
Project Name:
r -Di
Waterbody Name:
.
aterbody ID:
dr y+ D
bate:
G/13 11(o
State:
ounty:
Company:
Crew�}Memb-eer Initials:
Photos:
O1' !A live �7V
�.-l� r �3 ]
50159
Tract Number(s):
Nearest Milepost:
Associated Wetland ID(s):
Vv,novn404
I
1NfVACb 1D2 -
Su rvey T ype:
(check one) ❑Centerline $Re -Route ❑Access Road OOtW
Physical Attributes
Waterbody Type:
(check one) Stack Pond ❑ Natural Pond ❑ Lake ❑ Reservoir ❑ Impoundment ❑ Oxbow ❑ Other.
Hydrologic Regime:
IKPermanently Flooded ❑ Semipermanentiy Flooded ❑ Seasonally Flooded ❑ Temporarily Flooded
OHWM
OHWM Indicator:
(check afithafapoy' X Clearline ❑Shelving ❑Wrested ❑Scouring ❑Water
Height:
ft.
on 15-tink vegetation stalning
❑Bent, matted, or missing ❑Wrack ❑Litter and ❑Abrupt plant ❑Soil characteristic change
vegetation fine debris community change
Depth of Water:
Bank height (average):
Bank slope (average):
—�Lft.
R.
.'_ degrees
!A❑
Qualitative Attributes
Water Appearance:
(checkorw ONO water Xclear I3Turbid ❑Sheen ❑Surface ❑Algal ❑Other
on surface scum mats
Substrate: ❑ Bedrock ❑ Boulder ❑ Cobble ❑ Gravel Sand � S€lt/ clay ❑ Organic 0 Other.
(chack air that apply) r
% of Substrate:
% % %
Width of Riparian Zone:
Vegetative Layers:
(checkasthat apy) Trees: ❑ Saplings/Shrubs: Herbs
!A❑
vg. DBH of Dominants: In. in,
approx)
Dominant Bank Vegetation (list):
U V L c P t �l + 77J
Aquatid Habitats (ex; submerged or emerged aquatic vegetallon, overhanging t anksnots, leaf packs, largesubmerged hood, riffles, deep pada, etc.):
dztf Qoc) en- ery'^r `J-E�L4VL� 0'�f' 4fin "CS
Aquatic Organisms Observed (list):
fl
t,.T) C
TBE SperQeJ Observed (lis(}:
Y)Onf,
Disturbances (ex: Irvesttoyck access, manure in weterbody+, weste discharge pipes):
Waterbody is:
(check one) ❑ Natural `Jl� Artificial, manmade ❑ Manipulated
'`
Waterbody Quality' :
(check one) ❑ High ❑ Moderate \Low
Form Rev. (A;X2413

erbody ID:
0 +n CO O
' 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 dp•rap; natural vegetation extends 113-112 of the active channel Wdth on each side; filtering function or bank vegetation
only moderately compromised; banks moderately unstable; watercolor Is cloudy, submerged objects covered with greenish film; moderate odor; minor
barriers to fish movement; fair aquatic habitat; minimum disturbance by livestock or man,
Low Quality, Rip rap and channelization excessive; natural vegetation less than 113 of the active channel width on each side; lack of regeneration;
filtering function severely compromised; banks unstable (eroding); water color is muddy and turbid; obvious pollutants (algal mats, surface scum,
surface sheen); heavy odor, severe barriers to fish movement; little to no aquatic habitat; severe disturbance from livestock or man.
T
N
Sketch (include north arrow, centerfrne distance from centerline, data point locations, survey boundary, and IDs of associated
,,CD3 01
Farm Mr . Ori. 30.':013

Environmental Field Surveys
Open Waterbody Photo Page
Open Waterbody onro001 facing southeast.
Open Waterbody onro001 facing southwest.
Photo Sheet 1 of 1

USAGE AID" DWQ 4 Site Y (indicate on attached map)
5n t.7 00) -
STREAM QUALITY ASSESSMENT WORKSHEET
Pro► ide the fella►wing information for the stream reach under assessment:
1. Applicant's name: �%yx % O r % 2. Evaluator's name: L ` � l0 fa'� V-
3. Date of evaluation: S 12. H 1 15 4. Time of evaluation: rrn
5. Name of stream: r6 QCN►AZZ� G'u.le-o 6. Ri► er basin:, M e he, t- Yl Yl Ale r-
7. Approximate drainage area: a-( S. Stream order:
9. Length of reach evaluated: _ I0. County ^d�Dr�Vw-rr-� Q+to
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): 1 11 -
Latitude (ex. 34.1172312): _ 5 �f Z S' Longitude (ex. —77.556611);-
htethod location determined (circle): (& Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
Sou fh +
14. Proposed channel work (if any): ][6 D -- —
15. Recent weather conditions: �) tun , q VJ
16. Site conditions at time of visit: f
17. Identify any special waterway classifications known: —Section 10 _Tidal Waters ,Essential Fisheries Habitat
iTrout 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 0f yes, estimate the water surface area:
19. Does channel appear on USGS quad map? (9 NO 20. Does channel appear on USDA Soil Survey? 0NO
21. Estimated watershed land use: J°a Residential �% Commercial �% Industrial 20."". Agricultural
70 % Forested _% Cleared 1 Logged Other ( �+ -- )
22.13ankfull width: 23. Bank height (from bed to top of bank):, '#'
24. Channel slope down center of stream: ✓Flat (0 to 2%) Yrrequent
Gentle (2 to 4%) ____Moderate (4 to 10%) _Steep (> 10%)
25. Channel sinuosity; Straight _Occasional bends meander Very sinuousBraided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, ctc. Every characteristic must be scored using the some ecoregion. Assign points
to each characteristic ►within the range shokwn 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 ranee between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): LO C. Comments:
Evaluator's Signature Ate"- — Date Z`-'-
This channel evaluationm isintended to h use only as a guide to assist [an dowwners aafd enwl(on inentaI professionals in
gathering the data reqg-ed by the United tes rnsy Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from Ilse camp etion of this farm is subject to USACD approval and does not imply a
particular mitigation ratio or requirement. Foran subject to change - version 06'03. To Comment, please call 919-876-8441 x 26,

STREAM QUALITY ASSESSMENT (WORKSHEET
* These characteristics are not assessed in coastal streams.
ECORLGION POINT
RANG L
#t
CHAIUWTERISTICS
SC(]IzE
Coastal
Piedmont ,.
, mountain
1
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)
Riparian zone
0-6
0-4
0-5
(no buffer = 0- contiguous. wide buffer = maxpoints)
4
Evidence of nutrient or chernical discharges
0 _
0 -4
0 - 4
(extensive discharges = 0; no discharges = max points)
�.
5
Groundwater discharge
0-3
0--4
0-4
(no discharge = 0; springs, see s, wetlands, etc. = maxpoints)
6
Presence of adjacent floodplain
0 _ �}
0 -4
0 - 2
y
(no floodplain = 0; extensive floodplain = matpoints).
7
Entrenchment f floodplain access
0-5
0-4
0-2
0.
(deeply entrenched = 0; Ge vent flooding = max points}
Presence of adjacent Ivetlands
0-6
0 -4
0-2
(no wetlands = 0; Iar a adjacent wetlands = maxpoints)
Channel sinuosity
p_
0- 4
0- 3
(extensive channelization = 0; natural meander = max points)
10
Sediment input
0_ 5
0-4
0-4
(extensive de osition= 0; little or no sediment maxpoints)
RY
Size & diversity bed
l
11
of channel substrate
NA*
0-4
0-5
fine, homogenous = 0; lar =e, diverse sizes =. maxpoints)
1
Evidence of channel incision or widening
0-5
0-4
0-5
(deeply incised = 0; stable bed & banks = maxpoints)
1'severe
Presence of major bank failures
0-5
0 - 5
0-5
p
erosion = 0; no erosion, stable banks = max points)
14
Root depth and density on banks0
- 3
0-4
0-5
2
no visible roots = 0; dense roots throughout = max points)
.
-
15
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
(substantial impact =0; no evidence = maxpoints)
16
Presence of resile-pool/ripple-pool complexes
0-3
p_5
0-6
no riffles/ripples or pools = 0; well-developed = maxpoints)
17
Habitat complexity
0-6
0-6
0-6
(little or no habitat = 0; frequent, varied habitats = maxpoints)
is
Canopy coverage over streambed
0-5
0-5
0-5
(no shading vegetation = 0; continuous canopy = maxpoints)
19
Substrate embeddedness
. HA*
0 - 4
0 -4
(deeply embedded = 0, loose structure = max)
20
Presence of stream invertebrates (see page 4)
o-4
0 - 5
0-5
]
y
(no evidence = 0; common, numerous types = max pints)
y'
21
Presence of amphibians
0_4
0-4
0-4
Q
(no evidence = 0; common, numerous t es = maxpoints)
a:
C.)
22
Presence of fish
0-4
0-4
0-4
(no evidence = 0; common, numerous tynes = maxpoints)
23
Evidence of wildlife use
0-6
0-5
0-5
(no evidence = 0; abundant evidence = max points)
Total Points Possible
100
100
: '
10000
TOTAL SCORE (also enter on first page)
* These characteristics are not assessed in coastal streams.

NC DWO Stream Identification Form Version 4.11 _-� nri) Q d Z
Date: 51 zY I I b
Project/Site: R(-,:?
Latitude: 3CU Y_
Evaluator: Esl - el] S arv,1 l\
County: N D+^n
Longitude:- + 1314930
Total Points:
Stream is at least intermittent
Stream Determination (cl
Rgrgnrildl
Other ft1hrgt'M4TyUiY-&_
Quad Name.
if z 19 or erennial if 2 3(i'
Ephemeral Intermittent
e.g.
A. Geomorphology (Subtotal =^_l �J.)
i" Continuity of channel bed and bank
Absent
0
i Weak
10
Moderate
Strang
3
2. Sinuosity of channel along thalweg
0
1
16. Organic debris lines or piles
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
01
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
1.5
6. Depositional bars or benches
0
0.5
2
3
7. Recent alluvial deposits
0
1
2
3
B. Headcuts
(}
i
1
3
9, Grade control
0
0.5
1.5
10. Natural valley
0
1
1.5
11. Second or greater order channel
o =
Yes = 3
a artificial ditches are not rated; see discusslons in manual
B. H drolo Subtotal = 'I w
12. Presence of Baseflow
0 1 2
13. Iron oxidizing bacteria
1) 1 2 3
14. leaf litter
1 0.5 0
15. Sediment on plants or debris
0 1 0.5 1.5
16. Organic debris lines or piles
0 1 0.5 fJ= 1.5
17. Soil -based evidence of high water table?
No = 0 es :,3
C_ Bloloov (Subtotal = 7 l
18. Fibrous roots in streambed
2
1
0
19. Mooted upland plants in streambed
r 3
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
(
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24, Amphibians
0
0.5
1.5
25. Algae
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 er = 0
.perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
NK
yr
snrD
-fDp of- _Lp.nt : q
pHWM;

Environmental Field Surveys
Waterbody Photo Page
Waterbody snro002 facing southeast across bank.
Photo Sheet 2 of 2

USACE AID4 DWQ r
Site (indicate on attached inapt'
Snr"Ua0
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment: �}
2. Evaluator's name: t-51. - L . opt° r
4. Time of evaluation:_, !] tri _-
6. River basin: MO- he rr i +n-
8. Stream order: a rACA
10. County: Nmiolon
12. Subdivision name (if any):
Latitude (ex .33.$72312): 22(.. Sss 6'i22 Longitude (cx. —77.556611): A� ��
Aiciliod location determined (circle): 1' Topo Sheet Onho (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): -
L Applicant's name: t
3. Date ofew,duation:� % �G_
S. Name of stream:cct¢C,�
7. Approximate drainage area:i' '2-
9. Length of reach evaluated: +� o T
11. Site coordinates (if known): prefer in decimal degrees.
1 5. Recent weather conditions: h0ty'%i Q1, f
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 WatersWater Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES &Ifyes, estimate the water surface area:
19. Does channel appear on USGS quad map? (9 NO 20. Does channel appear on USDA Soil Survey?YC NO
21. Estimated watershed land use: 11D °•o Residential _0% Commercial Industrial 2Z% Agricultural
7D %' Forested _° o Cleared / Logged _° o Other ( _)
22. Bankfull width: 23. Bank height (From bed to top of bank): 0
2.1. Channel slope down center of stream:Flat (0 to 2%) ____Gentle (2 to 4%) llvloderate (4 to 10%) _Steep (>101,0)
25. Channel sinuosity: Straight _Occasional bends t/1" 'requent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic N66in 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:
EN aluator's Signature date e) z -
This channel evaluatio f m i . ende to lie use only s a guide to assist landowners andl nviro mental professionals in
gathering the data req red by the United States Army Corps of Engineers to make a preliminary assessment of stream
duality. 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 919-876-8141 x26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
ECOREGIC)N POINT
RANGE
�#
C33ARAC`TERISTIC'S
SCO11E
—
t :aastalPiedmont
lliountain
1
Presence of flat► 1 persistent pools in stream
0-5
Q._4
0-5
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 dints
3
Rifiartan zone
o-6
0-4
0— 5
[.
(no buffer = 0; contiguous, wide buffer = maxpaints)
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
U(no
discharge = 0; springs, seeps, wetlands, etc. = max dints
Presence of adjacent floodplain
0-4
0 _ 4
0 _
(no floodplain = 0; extensive flood lain =max points)
7
Entrenchment I floodplain access
0 ._- 50-4
0-2
dee l y entrenched = 0; frequent flooding ---maxpoints)
7
8
Presence of adjacent wetlands
0-6
o-4
o-2
C{
(no wetlands = 0; large adjacent wetlands = max points)
9
Channel sinuosity
0-5
0-4
0-3
(extensive channelization = 0; natural meander= maxpoints)
1 Q
Sediment input
0-5
0-4
0-4
(extensive deposition= 0; little or no sediment = maxpoints).
11
Size & diversity of channel beta substrate
NA* .:.
o-4
Q_5
fine, homogenous - 0• large, diverse sizes = maxpoints)
12
Evidence of channel incision or widening
0-5
0-4
0-5
y,
(dee l incised = 0; stable bed & hanks = maxpoints)
,.
13
Presence of major bank failures
0-5
0-5
0-5
(severe erosion = 0• no erosion stable banks = max points)
p
.�
14
Root depth and density on banks
0--3
0-4
0-5
—�
(no visible roots = 0; dense roots throughout = max points)
15
Impact by agriculture, livestock, or timber production
0-5
0 — 4
0 —5
(substantial impact =0; no evidence =max Dints
16
Presence of riffle-poollripple-pool complexes
o-3
0-5
0-6
(no riffles/ripples or pools = 0; well-developed = maxpoints)
d
17
Habitat complexity
0-6
0-6
0-6
F
(little or no habitat = 0; frequent, Varied habitats = maxpoints)
�?
Canopy coverage over streambed
0 — 5
Q —5
0-5
18
(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
#
(no evidence =-0; common numerous types = maxpoints)
21
Presence of amphibians
0-4
0— 4
0-4
Q
(no evidence = 0; common, numerous t es = maxpoints)
?2
Presence of fish
0-4
0-4
0-4
no evidence = 0; common, nutnerous es = maxpoints)
3
Evidence of wildlife use
Q— 6
0— 5
Q— 5
(no evidence = 0; abundant evidence W max points)
Total Points Possible lti0 100 100
TOTAL SCO11E (also enter can first pace)
�p
* These characteristics are not assessed in coastal streams.

NC DWO Stream Idcntirication Forni Version 4.11 e h f'7 00 1
Date:rJ
Projectf5ite: i
L
Latitude:. � � �I
Evaluator: L ti p p -p- r
County: Nolr+ho-m.
Longitude:-'
Total Points:
Stream is at least intermittent
Stream Determination (circle one)
Other M+�ctyQ3y�y,
ifs 19 or perennial if? 30-
Ephemeral Intermittent P amnia
e g Quad Nam
A. Geornor holo (Subtotal = 1(O'Lo
Absent
Weak
Moderate
Strong
1" Continuity of channel bed and bank
0
1
0.5 0
3
2. Sinuosity of channel along thalweg
0
1
0 0.5
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
3
3
4. Particle size of stream substrate
0
1
(]
3
5. Active/relict floodplain
0
1
2
24. Amphibians
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0,5
1
2
3
S. Headcuts
0
1
2
3
9. Grade control
0
0.5
1.5
10. Natural valley
0
r2p
1.5
11. Second or greater order channel
No = 0
es = 3
N1
a artificial ditches are not rated; see discussions in manual
B. H drolo Subtotal =
12. Presence of Baseflow
0 1
2 3
13. Iran oxidizing bacteria
CID 1
2 3
14. Leaf litter
5 1
0.5 0
15. Sediment on plants or debris
0.5
1 1.5
16. Organic debris lines or plies
0 0.5
1,5
17. Soil -based evidence of high water table?
No = 0
as = 3
C_ Riolnnv (Slihtotal = I 1 ---
18. Fibrous roots in streambed
2
1
0
19. Hooted upland plants in streambed
C39 2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0 0.5
1
1.5
23. Crayfish
0 0.5
1
1.5
24. Amphibians
0 0.5
1.5
25. Algae
0,5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5
er = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
y
N1
OHVJM,3

e�
f a
1 Y�
.Y..
f
r b
1 f
t Ls
ol
x.
:IN -
_
f _
r
x�
al
.�}._. •w
Y '
r

sVj
V�`�1_r
n,
{
_ "•{'tea. r •yr .�.
ti �

USACE AID# DW Q # Site #_ (indicate on attached map)
0 STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment: pp
1. Applicant's name: (�OMtA O /- 2. Evaluator's name:
3. Date of evaluation: 4. Time of evaluation: /2
5. Name of stream: _U tS1 -i'a a \JaiL 6. River basin:
( 00 aOlc-e
7. Approximate drainage area: C CSS 8. Stream order:
9. Length of reach evaluated: .?S 10. County: A)or/NmkwPFo t
IL Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
7
Latitude (m 34.872312): JCD' SJ Z7'dN Longitude(ex.-77.556611):
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note r)garby roads and landmarks and attach map identifying stream(s) location)
14. Proposed channel work
15. Recent weather conditions: .f' Int / C Y -W i / / Gt^ -I OL- t' / GY 4t o 0 v( SGt o "JC {'S
16. Site conditions at time of visit:nCttS K li bC 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)
O
18. Is there a pond or lake located upstream of the ev ]nation point? YES f yes, estimate the water surface area:
19. Does channel appear on USGS quad map 0 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: %Residential _% Commercial LV%Industrial �%Agricultural
70 L% Forested To Cleared /Logged _% Other
22. Bankfull width: 5!, 3 r 23. Bank height (from bed to top of bank): 3 y
24. Channel slope down enter of stream: lat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity::tmight _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 duality.
Evaluator's Signature IzI44414 �/ Date_ ?/Z:7
This channelevaluatio�i fo�m� s�'n ed e u my as a guide to assist landowners and enviro mental 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
* These characteristics are not assessed in coastal streams.
O
on o
5 0 4 —0-5
Prese of flow / pers�sfenf pools m stream
1
no'fl ,wor,,saturation 0 stron flow=max omts '
: - °
Evidence of pa'st Lainan alteration
P
6
0 5
0 5,
2
exten"sive alteiztion 0 no alteration maz' hints "
0
_'s
Wpanan�zoneyla
noiuffer_,. 0 coni ous vvidebuffer, .:max'bints
h M` .. +N,+. iA .: iLfS4
p�dence of putnent or chemrcal d�schar es
+Y
rl Y
0-1
b11 ty,NV t HNt, •.
1 a
eztensive,',dischar es 0 no',`disciaz es' s max oints
fCrioundwaferdi?charge"F--" �'
S ,d t sero v.
�
0 3'
0 4 }
0
D
r• a, X
no d�scNar e _ 0 s nn s' see s-.welands etc... max ` omts
, Presepce of adlacenfloodplam S.;' i
0q i
>
no,flood lam; ,O exYenst"veflood lam=max oints ,
Otr 4
Entrenchment
(ffo'odplam access : .
0 5
•- 0 4
^
dee `1` eW6nched '
0° fie uent floodm` ='ma`x biai` s
Presence wetlands
`oinfs
"0 6
0' 4
0 2}
O
adacenofadlscent
0 aaz' a `wetlands , max
(no.wetlands_O,
µ, -
F-•. f .w n,. - a.. w .;:znw+ :p.s rr a-�T!
":Channelsmuosdy0
5
w-
0 4
0' 3'�
„9'
_ OR, -'O; nsfuialineander.,max points),,.ate,
,ed7g,sr..<
10 '
Sedrmenfmput
r
` :`
+� �, 6
`
0 5
�,`
0 4.r.,`r
exten'sive,o'sifion 0
httle.ornosediment-max oints
cre & drversrty of channel bed"substrate"' ` �.""
0 4
0 5'0R-
Sne homo enous .0 ]az a diverse.sizes, rhaz oints , ..
12,
�Evrdence of channel ncusron orwidemng
a �x
0 5
0 4 T
0
deed .incised z= 0., able Hed'8obanks �= maz oinis
Presence o mafor bank failures y_ „
t • -
O
seveie erosion .,. 0; no erosio"n= stable.ba"'' 'oints .
lq
Ttoot`'depth and density on banks :...
0 3
0.-4
0-5
D
no visible roots = 0 dense roots throw out . max oints
Impact by agriculture, livestock, or timber production
0 5
0 4 —
0 — S
D
15
substantial im act no evidence maxbinfs , .
16
presence ofr;nffle-poollrpplepoolcomplexes f
0 '3
- 0, 5,
0"6• '
O
noriffles/n lesoools'-0`well-deveto"ed-max pmts
1
11,11 Habitat cowplesit y "
0
ielittleor no hab�fat=0, fre wnt' vaz—'
(
18`
,` Canopy coverage'overstreambed
0 5
0 5
G4
' tinuous cano ='max oints
no shadinve etation 0 con
Substrate embeddedness ' '
, :
0 4
0-4
(deeply embedded = 0' loose structure — max
20-'
pres&ce of stream invertebrates (see page 4)
no evidence _ 0' common numerous es Inas oints
0 4
0.5
0-5 ,
Presence of amphibians
0-4
0-4
0-4
D
O
no evidence = 0• common numerous qpes =maxpoints)
Presenceoffish
O,
22
0-4
6-4
0-4
L/
rtit
no evidence =0; common, numerous qpes =maxpoints)
23
Evidence of wildlife use
(no evidence = 0; abundant evidence= maxpoints)
0 6
0 — 5
0-5
y
'Pints IOSS1
5
v�✓r
s -N
�}��'e?i.,.1./40,WT ;.+e�n.
.,t
NW.Ttal
{-
+
.i�`, F>.
�
•.41-._�Ni�A A #A�zpa.���''n F`,�SiFiK:���.Y* �%#µ�aR '3.
'COTAT�.,SCO (also
y� AiR.
i � y'�
A�H. M
enter�onirst=pag�
�
%.� i
* These characteristics are not assessed in coastal streams.

NC DWQ Stream Identification Form Version 4.11 SYvr r 00
Date: �- ��- S
Project/Site: GI ;i
Latitude: S3 7 -
Evaluator:
Evaluator: R M / CSM - �� �.
County: Nor rG t.w /tJV,
Longitude:77, 37376
Total Points:
Stream is at least intermittent /�
S rmination (circle one)
phenrera Intermittent Perennial
Other r �tno� AIL<� GA
e.g. Quad Name
if >_ 19 or perennial if 2 30'
2. Sinuosity of channel along thalweg
0
A. Geomorphology (Subtotal = .5 '� )
Absent
Wea
Moderate
Strong
la* Continuity of channel bed and bank
0
104
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool se uence
16. Organic debris lines or piles
1
2
3
4. Particle size of stream substrate
_
1
2
3
5. Active/relictfloodplain
1
1
2
3
6. Depositional bars or benches
0
1
2.
0
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
J r 1.
1
2
3
9. Grade control
0
1
1.5
10. Natural valley
0
0.
1
1.5
11. Second or greater order channel
No = 0
Yes = 3
a artificial ditches are not rated; see discuss. ns in manual
B. Hydrology (Subtotal = -�" 7 )
N
(!"
12. Presence of Baseflow
1
2
3
13. Iron oxidizing bacteria
1
2
3
14. Leaf litter
1. 1
0.5
0
15. Sediment on plants or debris
0.5
1
1.5
16. Organic debris lines or piles
0 0.5
1
1.5
17. Soil -based evidence of high water table?
No = 0
Yes = 3
1 1.5
C. Biology (Subtotal = , _3'6� .rn
18. Fibrous roots in streambed
(1111V 1 2
1
19. Rooted upland plants in streambed
, 3__-', 2
1
1 0
20. Macrobenthos (note diversity and abundance)
1
2
1 3
21. Aquatic Mollusks
1
2
1 3
22. Fish
0.5
1
1 1.5
23. Crayfish
0.5 1
1
1 1.5
24. Amphibians
0.5
1
1.5
25. Algae
iK0 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: Pue. Irl-( ^ a
Cr r-emYr a'fev0-
o
J r 1.
DO f d" ,. w
a
c v/✓r PT
go'TaWt o -F srf°u:rv` a66J�'.
Sketch:-rv10 a c L) l ✓e r7
I � 0.
STr2v
.�IQC C_AJerl
t
t /J (�
W 21 `o,K9
7t)P 0t v3a(-N I<-, ' 3Ft

USACE .AID= D\\'Q
Site # (indicate on attached map)
Sv1'rrUOl
STREAM QUALITY ASSESSMENT \WORKSHEET
Provide the following information for the stream reach under assessment: C S- 4
f.ApplicanVsname: 0j-ml`niyn 2. Evaluator's nare:API-lorxyMAlhW7�Daihnp F1tEacGW�
3. Date of evaluation: i��ti('Y a b lS 4. Tinge of evaluation: 9: 3 0 AM
5. Name of stream: W7,)+0 M,6\eY,.6v , _:V� 6. Rive basin: �OAIjUk2
NT
7. .Approximate drainage area: C S S. Stream order:. _d-
9. Length of reach evaluated: 5flk4 10. County: mDeAn)r\&mP t1 '
11. Site coordinates (if known): C prefer in decimal degrees. 12. Subdivision name (if ally -
): Nf 2
I.atilude ies._4.872M)i 3b.53e 11 Longitude (ex. -77556611): ` 1 �r o,
klethai location delcnnined (circle). GPS Topo Sheet Onho (Aerial) Photo.'GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identiNing stream(s) location):
L_ocAled of-' .1kwc, ISG �_ I/'CSk OF44"t Menerr,'t\ R% _K
14. Proposed channel work (if an ): P ( PO e'A P iQel i is 2- '
15. Recent weather conditions: G[PI )tiro, r,?` kk--' - Clictl1l�Irs'kr
16. Site conditions at time of visit: C i(llt iSAe-tI(Y3G�
17. IdentiA any special \water\way classifications known:
_Section 10 _Tidal Waters _Essential Fisheries Habitat
_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? CYLS' 0 If yes. estimate the water surface area:
19. Does channel appear on USGS quad rap? (2)1\10
20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: °'° Residential
_% Commercial 10% Industrial °'o A_ricultural
%'°oForest ed
_%Cleared/Logged _%Other( )
6C"
`'l jp{"
22. Bankfull width:
23. Bank height (from bed to top of bank):
24. Channel slope do\tn center of stream: Flat (0 to 2°'o)
_Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>i 09°)
25. Channel sinuosity: _Straight X Occasional bends
_Frequent meander _Vett' sinuous _Braided channel
ilistructions fol' compiletion of work-Khm (located of page• 2): Begin b\• determinitl_" the must appropriate ecore_='ton based oil
location. terrain. Vegeta ion. stream classification. etc. E\'ery characteristic must be scored usnL the saine ecoregton. Assign points
to each characteristic \\'ithin the range shown for the ecoregion. Page 3 protides a brief description of how to re\ie\w the
characteristics identified in the \\orksheet. 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 protide an explanation in the
comment section. \\there there are obvious changes in the character of a stream under re\ie\w (e.g.. the stream flo\s from a pasture
into a forest). the stream may be divided into sinaller reaches that display more continuity. and a separate form used to evaluate each
reach. The total score assigned to a si earn reach must range between 0 and 100. with a score of 100 repeseming a stream of the
highest quart`.
Total Score (from reverse):
E\aluator'ssignatuie a"Ur !f� / Date Pv JLJy2015
This channel evaluation form is intended to -be used only as a guide to assist landowners Lind einirotnuntal professionals in
gathering the data required by the United States Army Corps of Engineers to stake a preliminary assessment of scram
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
I;articuler• mitigation ratio oi' rcquii•einent. FiQ'iit S _l ei't t0 cilall_'e—ver51J!h )6 (13, TU oiilhlenl. iilca5e 1811 Gl�h-C;6-S�=1 S �6.

STREAM QUALITY ASSESSMENT WORKSHEET
K These characteristics are not assessed in coastal streams.
y��> 3 k �riiVOiV�ITiy\y^PFY
,llRi\IYL`"q�`
Presence of flow / persistent pools in stream0-50-5
(no floe' or saturation = 0; strong flowmax points)Evidence
of past human alteration2(extensive
71,
0-5
alteration = 0; no alteration = max points)0-6
:l
Riparian zone'
(no buffer - 0; contiguous. wide buffer = maa points)
ay
Ei tdence ofnutrient ore bemical discharges
0-5
0_4 ':_
0 4,..
Z
4
(extensive discharges O; no dischat es =max oints)
I
5
Group dkebarge :- ;"
0-3
0 -4
0 =4
0
(nodischat e 0 splines seeps,eetlands,etc -max points
1
6
Presence ofadjacentfloodplam "
0-4
0_4
0_2
.
(no floodplain =.0; extensive #food lain = max points)
7
Entrenchment 1 floodplain access
0- 5
0 -4
0- 2
(deeply entrenched = 0; frequent flooding = max points)
i >)
Presence of adjacent wetlands
0-4"
0-2
O
! i
80-6
(no wetlands = 0; large adjacent i etlands max points
9
Channel sinuosity
0-5
0-4
0-3
1
(extensive channelization = 0; natural meander.= max outs)
10
Sedimentinput
0 5
0 -4
0 - 4
0
; y
(extensive deposition= 0; little or no sednnent = max points)
Size & dii ersity of channel bed substrate
*
NAs
0-4
0-5
n I n
I1
(fine, homogenous O; large, diverse sizes =max points
IVC
Evidence of channel incision or widening
0-5
0-4
0-5
O
12
(deeply incised = 0; stable bed & banks = max points)
N,
13
Presence of major bank failures
0-5
0-5
0-5
(severe erosion = 0; no erosion stable banks = max points)
P1`
14
Root depth and density on banks
0-3
0-4
0 - 5
(no visible roots = 0; dense roots tbrouhout = max points)
,
A
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
n
15
(substantial nnpact =0; no evidence =max points)
V
16
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
I
(no riffles/ripples or pools = 0; well-developed = maxpoints)
Sk,
17
Habitat complexity
0-6
0-6
0-6
`
(little or no habitat = 0; frequent, varied habitats = max points
?:
18
Canopy coverage over streamlied
0-5
0-5
0-5
(no shading' vegetation = 0; continuous canopy =max points)
19
Substrate embeddedness
s
NA A-0-4
0 - 4
(deeply embedded = 0; loose structure = max)
20
Presence of stream invertebrates (see page 4)
0-4
0 - 5
0 - 5
Q
(no evidence = 0; common, numerous M)es = max points)
21
Presence of amphibians
0-4
0-4
0-4
O
(no evidence = 0- comm�on. numerous types =max points),
C?
22
Presence of fish
0-4
0-4
0-4
(no evidence = 0; common, numerous types = maxpoints)
Evidence of wildlife use
0-6
0-5
0-5
�3
(no evidence - 0; abundant evidence = max points)
Total Poinfs Posstble
100
100
100
TOTAL SCORE (also enter ot; first page)
13
K These characteristics are not assessed in coastal streams.

I
AT r 117n c+..,,.,.,, TA u„+:fi rn tion Fnrni Vorcinn d_11
JV„ly �OI,S,t
Project/Site: Act)
Latitude: 53?11
�,,{ /
:"V� `Y I It`��� l w+�10a tflrcaG64
F
County: Ndr' 1'✓t'p"rD`/1
Longitude: - �"q .31ft9,r3�,
nts:
Stream Determ tion (circle one)
Other
G
t least Intermittent IG
l
Ephemeral ntermitten Perennial
e.g. Quad Name:
rennial if >_ 30"
2
3
A. Geomorphology (Subtotal= -7-5 )
12 Continuity of channel bed and bank
Absent
0
Weak
1
Moderate
2
Strong
V
2. Sinuosity of channel along thalweg
0
®
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool se uence
0
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
1
2
3
6. Depositional bars or benches
0
1.
2
3
7. Recent alluvial deposits
1
2
3
8. Headcuts
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
(0
1 0.5
1
L5
11. Second or greater order channel
No =
Yes = 3
a artificial ditches are not rated; see dispussions in manual
B. Hydrology Subtotal = )
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
1
2
3
14. Leaf litter
1.
1
0.5
0
15. Sediment on plants or debris
0.5
1
1.5
16. Organic debris lines or piles
0
0.5
1
.5
17. Soil -based evidence of high water table?
No = 0
=
C. Biolo (Subtotal = )
18. Fibrous roots in streambed
32
1
0
19. Rooted upland plants in streambed
3 -
2.
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
24. Amphibians
0
0.5
1
1
1.5
1.5
25. Algae
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75;
OBL =1.5 e =
*perennial streams may also be identified using other methods.
See p. 35 of
manual.
Notes:
�(11
Sketch: if 0170K y4JIJL`�
G
2 rte tp
0 170 -pi
DNc YV) WA -h.: S V4-
loP OF" - �

Environmental Field Surveys
Waterbody Photo Page
Waterbody snrr001 facing northwest upstream from culvert
Waterbody snrr001 facing east downstream
Photo Sheet I of 1

Environmental Field Surveys
Waterbody Photo Page
Waterbody snrp012 facing east across bank.
Photo Sheet 2 of 2