20140957 Ver 1_U-03_Appendix B_Wilmington_Robeson NC waterbodies_Part1_20170227

Waterbody Data Brest«;
('roject Name ­ m—m nterbocly r ne;
Vo_, C d
0, t Z 1
State: County: - --..Y ___ Company: __� _ _Crew Member Initials: Photo ICJ s
j�C t?son
_. �__..__.___v..._-� _
Tract Number(s): Milepost Entry: Milepost Exit: -' Associated Wetland ID(s):
2.4_00
Survey Type:
(crrackono) Centerline ID Ike -Rouge
I Access Road El Other:
Physical Attributes
Stream
(dreckone) FI h
Epemeral ff �t Intermittent
.,, �- v Perennial
Waterbody
(cheekone) Stream River FF Diteti `^,j Pondy Lake
{;j L�Connecting swale F-1 Other:
OHWM �`� _— ------�.._. �-_..--------- - _ _-�_ __.- --- --
CJt-IWM fncticator:
(check ail that apply)
Width: Cj Q Clear line *.]Shelving Wrested Scouring Water
T l.0 pt• °n bank vegetation staining
Height: lent, matted, or E_ 1(frack :� Utter (
Lebri and El Abrupt plant I Soil characteristic
ft. missing vegetation 'line debris community change change
Width of Waterbody Top of C3ani< to Width of Waterbody - Water Edge Depth ofWaYor at Centerline:
Top of Bank at Centerline; Water Edge at Centerline: (Approx.)
g' dv or ft.
Sinuosity: - Water velocity: .,____m Bani< hei, hY--Y -
(checkone) (Approx) g Bank Slope
Straight Flight: Right:i �-- ft. 4L_6 degrees
Meandering -Aa—fps
Left: � � Left:
ft. �_ degrees
Qualitative Attributes — ---___
Water
pearance�• _
(checkone) No water ++ l� Clear tt Turbid
t Sheen �yT Surface Algal �.� Other:
- on surface SCUM mats
Substrate: Bedrock Gravel�_�� Sand Silt/cla
(checkoothatappy) Y Organic Other:
% of Substrate:
1fUidth ofof Riparianone:_ Vegetative Layers:
(checkarl that appy) U]Trees: j,�` Shrubs:
(-Y.-] Herbs
g• Avg. DB1-i of Dominants: '
EI
(app/ox.) in. -- in.
[Dominant Bank Vegetation: �-S(At.
(list) (' ( t � Vii'tt� e, j p
� r" G i t ltS k J Ae-0-1, CU6 uw) 1 V 46 + t}�tl ll tt�`k — fYM- cl 04 i� d �bz-
Aquatrc Habitats (ex: submerged or emerged aquailc vegetation, overhanging bankslroots, leaf packs, large submerged wood, riffles, deep Pods):
�
(rut) `
Sa�avn�c 1� f�,)�
Aquatic Organum Observed: -' -- — — ----
(rst)
PjuY\ f
Invasive and/or T&E Species
(list)
1VjV�
Tributary is: ,_._,
(check one) Natural Artificial, man-made pp ii Manipulated -_
I. _!
Disturbances:
(check all that apphl) Livestocl< _ f t e
�) �� Manure in i.., Waste discharge �� Other:
access waterbody pipes CVC t?rie�4d
Stream C_uality�
(check one) High 9 � Moderate Inc � 1 nvv
Pam Rev. 2/21/2014

10
'Connecting swales are water features that do riot meet the definition of a waterbody (riot an opl lemeral watorbody) in that there is not a defined bed, bank,
and ordinary high water mad<, however, it is a water conveyance feature that is characterized by flow volume, frequency, and duration to make it more than just
an erosional feature and connects two potential waters of the U.S. and thereby may be subject to Section 1104 permitting.
b High Quality: Natural channel, natural vegetation extends at least one or two active channel widths on each side; banks stable and protected by
roots; watercolor 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 channel evidenced by rip -rap; natural vegetation extends 1/3-1/2 of the active channel width on each side; filtering
function or riparian vegetation only moderately compromised; banks moderately unstable; water color is cloudy, submerged objects covered with
greenish film; moderate odor, minor barriers to fish movement; fair aquatic habitat; minimum disturbance by livestock or man.
Low Quality: Channel is actively down cutting or widening; 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 sC! nn, surface sheen); heavy odor; severe barriers to fish snoveinent; little to no aquatic habitat;
severe disturbance from livestock or man.
Notos
Q`JX&VJJe wvx� '_JJVv1wtS G'\ %S k5
co tnV_cAtc,.rw�w\ f
Include north on -ow, rentermi oAdistanro from contorlino, phofio locations, survey boundaly and uniquo /DS of associated feahwes.
11
)kp 11,
r rxC S tic��
Fon, Rev. 2121/2014

oroh003
Open water data point oroh003 facing north
Open water data point oroh003 facing west

USACE Al D#.
DWQ#
}�H-C
Site # (indicate on attached map)
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name:- 2. Evaluator's name:
3. Date of evaluation: — rf 4. Time of evaluation: /C)
5. Name of stream: 1 ,, Li / ' fi' 11 Iver basin: } L
7. Approximate drainage area:_ i C S. Stream order: I
9. Length of reach evaluated:_ 10. County:x
a
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
I
t .6i' " -
Latitude (ex. 34.87�Tf �— 2312): �_ /� -v�� ' Longitude (ex. —77.556611):. � f�: k�
Method location determined (circle): GPS ) Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any):
15. Recent weather conditions:
16. Site conditions at time of visit:
17. Identify any special waterway classifications known: �Secti n 10I idal Waters ssential Fisheries Habitat
rout Waters `Outstanding Resource Waters utrient Sensitive Waters ater Supply Watershed IV(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? YESVO,} 20. Does channel appear on USDA Soil Survey? YES NO
"
21. Estimated watershed land use: _% Residential _% Commercial _% Industrial /o Agricultural
Forested
22. Bankfull width:
24. Channel slope down ce ter of stream: X Flat (0 to 2%)
25. Channel sinuosity: Straight _Occasional bends
_% Cleared / Logged _% Other (
23. Bank height (from bed to top of bank):
_Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
_Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief desc
characteristics identified in the worksheet. Scores should reflect an overall assessment of the strear
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and
comment section. Where there are obvious changes in the character of a stream under review (e.g., t
into a forest), the stream may be divided into smaller reaches that display more continuity, and a sepa
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of H
highest quality.
Total Score (from reverse): Comments:
Evaluator's Signature\ Date
on _
This channel evaluation f s men to be used only as a guide to assist landowners and er
gathering the data requi ed by the United States Army Corps of Engineers to make a prelh
quality. The total score resulting from the completion of this form is subject to USACE apl
particular mitigation ratio or requirement. Form subject to change — version 06/03. To Comment, i
propriate ecoregion based on
me ecoregion. Assign points
ption of how to review the
reach under evaluation. If a
Provide an explanation in the
s stream flows from a pasture
to form used to evaluate each
representing a stream of the
Ca
b- / 4-
,ironrnental professionals in
inary assessment of stream
-oval and does not imply a
ease call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET f) �� ' (� ���% I
20
Presence of flow / persistent pools in stream
0 — 5
0-5
1
no flow or saturation = 0; strong flow = maxpoints)
0-5
0-4
0-5
2
Evidence of past human alteration
0 — 4
0-4
extensive alteration = 0; no alteration = maxpoints)
0-6
0-5
0-5
3
Riparian zone
no buffer = 0• contiguous, wide buffer = max points
0-6
0-4
0-5
r
4
Evidence of nutrient or chemical discharges
23
extensive disahar es = 0• no discharges = max points)
0-5
0 - 4
0-4
5
'Groundwater discharge
no discharge = 0•;s rin s seeps, wetlands, etc, = max pDints
0-3
0-4
0-4
6
Presence of adjacent floodplain
no flood lain= 0• extensive floodplain = maxpoints)
0-4
0-4
0-2
7Entrenchment
/ floodplain access
(deeply entrenched = 0• fre uent flooding = maxpoints)
0-5
0-4
0-2
8
Presence of adjacent wetlands
'no wetlands ='O; large adjacent wetlands = maxpoints)
0-6
0-4
0-2
9
Channel sinuosity
0-5
0-4
0-3
extensive channelization = 0; natural meander = maxpoints)
i 0
Sediment input ;
p- 5
0— 4
0— 4
extensive de osition= 0• little or no sediment = max points)
11
Size & diversity of channel bed substrate
NA*
0-4
0-5
(fine-, homo enous = 0; large, diverse sizes = maxpoints)
12
Evidence of channel incision or widening
(deeply incised = 0• stable bed & banks = maxpoints)
0-5
0-4
0-5
13
Presence of major bank failures
severe erosion = 0• no erosion, stable banks = maxpoints)
0-5
0-5
0-5'
14
Root depth and density on banks
0-3
0-4
0-5
no visible roots r 0• dense roots throughout = maxpoints)
Impact by agriculture, livestock, or timber `production
15
substantial impact =0; no evidence = maxpoints)
0-5
0-4
0-5
16
Presence of riffle-pooUripple-pool complexes
(no riffles/ri les or pools = 0; well-developed maxpoints)0-3
0 — 5
0-6
17
Habitat complexity
0—b
0-6
0-6
little or no habitat= 0• frequent, varied habitats-= max Dints
18
Canopy coverage over streambed
y
no shading vegetation = 0• continuous canopy = maxpoints)
19.NA*..`
Substrate embeddedness
0-4
0-4
(deeply embedded = 0; loose structure = max)
20
A cacua.o v1 au caul uivc► MUZ aLca kacc pdgc -t) ,:
0 — 5
0-5
no evidence = 0• common numerous es = maxpoints)0-4
21
Presence of amphibians
0 — 4
0-4
no evidence = 0; common, numerous es = maxpoints)0-4
22
Presence of fish <
0-4
0-4
0-4
r
no evidence = 0• common numerous types = maxpoints)
23
Evidence of wildlife use
0—G
0-5
0-5
(no evidence = 0, abundant evidence = max points)
2

IVC I)WO g4rParr, TrlPnfifinafinn gi'.,.-.,, 17--: A a e _ r__ 0 0 C)
Date: r °
Pro'ect/Site:Latitudey
Weak
Evaluator: "'`
County:
Longitude: G� C1.
>
Total Points:
Stream is of least intermittent - q .�
Stream Deter ion jcircle one)
Ephemeralntermittent
Other N F 7_6l
t_/-E
ifz 19 or erenniai ifz 30
perennial
e.g. Quad Name: t t Pkt
H. ueomor nolo (Subtotal = )
Absent
Weak
Mo
to Strong
la Continuity of channel bed and bank
14. Leaf litter
1
2
3
2. Sinuosity of channel along thalweg
0)
1
0 0.5 ,'
3
3. In -channel structure: ex, riffle -pool, step -pool,
ripple -pool sequence
O j
1
2
3
4. Particle size of stream substrate
1
2
3
5. Active/relict floodplain
0.5
1
2
3
6. Depositional bars or benches
�r
1
2
3
7. Recent alluvial deposits
24, Amphibians
0
2
3
8. Headcuts
0
25. Algae
2
3
9. Grade control
0
26. Wetland plants in streambed
1
1.5
10. Natural valley
0
5
1
1.5
11. Second or greater order channel
a
No = 0
_
Yes = 3
B. Hvdrolonv (quhtntal =
12. Presence of Baseflow
0 1
21 3
13. Iron oxidizing bacteria
0 1
2J 3
14. Leaf litter
1.5
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 w ter takzle?
No = 0
Yes = 3
Ih^- J1 l...---....,..mw....w....
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
3;,
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Pvlollusks
0'
1
2
3
22. Fish _
0 ,1
0.5
1
1.5
23. Crayfish
0 ,
0.5
1
1.5
24, Amphibians
0
0.5
1
1.5
25. Algae
00
;
1
1.5
26. Wetland plants in streambed
AC = 0.75;" OBL = 1.5
Other = 0
"perennial streams may also be identified using other methods. See p. 35 of manus .
Notes:
Sketch:
I
�...
Ai
�
I
-�
0-

8

sroh011
Waterbody sroh011 facing upline cross stream

USACE AID# DWQ # Site # (indicate on attached map)
;,,,; STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
�r 1
1. Applicant's name: /1 2. Evaluator's name:
3. Date of evaluation:
f
4. Time of evaluation:
5. Name of stream: (/V,) fT� �� �� I 6. River basin: J,fi iy,
7. Approximate drainage area: 8. Stream order:`
j3
9. Length of reach evaluated: Zoo 10. County:
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312):1 - �r� Longitude (ex. —77.556611):1 >'
Method location detennined (circle): GPS,,> Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
fi
14. Proposed channel work (if any):
15. Recent weather cond
16. Site conditions at time of visi
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? YESC - — f yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YE ,'°NO 20. Does channel appear on USDA Soil Survey? YE P NO
21. Estimated watershed land use: % Residential
% Forested
s
22. Bankfull width:
24. Channel slope down center of stream: �r Flat (0 to 2%)
_% Commercial _% Industrial LZ2.1. Agricultural
% Cleared / Logged _% Other (
r
23. Bank height (from bed to top of bank):
Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: 11- 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): - 62 Comments:e
Evaluator's Signature Date
This channel evaluation form is intended to be sed only as a guide to assist landowners and environmental professionals in
gathering the data required by the United .Mates 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.

NC DWO Stream Identification Form Version 4.11
Date: f
Project/Site: _177�rN
�
Latitude:��Lj °
Evaluator:
County: Z-6,'
Longitude: -7
Total Points:
Stream is at least intermittent
Stream Determinatign (circle one)
EphemeraI('fntermitter t Perennial
Other Uig L![TZ �, i1/1tq a
e.g. Quad Name:
if z 19 or Perennial if z 30`
2. Sinuosity of channel along thalweg
0
A. Geomorphology (Subtotal =__L0'_)
Absent
Weak
Moderate
Strong
1 a. Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
(1
0 0.
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1.5
2
3
6. Depositional bars or benches
0 '
1
2
3
7. Recent alluvial deposits
0..
1
2
3
8. Headcuts
0
i
2
3
9. Grade control
y0
0.5
1
1.5
10. Natural valley
0
0.5
1'
1.5
11. Second or greater order channel
N = 0!
Yes = 3
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.
1
1.5
16. Organic debris lines or piles
0 0.5
d) 95 1 1
1.5
17. Soil -based evidence of high water table?
No = 0
es
1.5
C. Biology Subtotal =
Zq
W
18. Fibrous roots in streambed
2 1
0
19. Rooted upland plants in streambed
3 2 1
0
20. Macrobenthos (note diversity and abundance)
0 1 4 2
3
21. Aquatic Mollusks
0 1 2
3
22. Fish
d) 95 1 1
1.5
23. Crayfish
0 0 1
1.5
24. Amphibians
0 ,, 0.5 1
1.5
25. Algae
0 5 1
1.5
26. Wetland plants in streambed
FACW = 0.75; BL = 1. Other = 0
`perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:

Y'K 1 ai
~ 1 f r t ,� � �`-� �'�' 'ice' , \�'`� x�-`� vY`•° ! C���, �/ .
Fdk
t �
*VK 4
WWI
-5-
yl�
_
1 � Y
4--5-
sit///

USACE AID# DWQ # Site # (indicate on attached map)
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: ACP
3. Date of evaluatioA�Vccfe
i
5. Name of stream:ro
Approximate drainage
9. Length of reach evaluated:,)
2. Evaluator's name:_, �' . P O
4. Time of evaluation: 46 p _
6. Liver basin:f"i t; ©wCr J 2
8. Stream order:_
10. County:-. S(p r\
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.372312): 3 (�• n -53 Longitude (ex. —77.556611): �` 1
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GTS Other
13. Location of reach unr evaluation (note nearby roads and landmarks and attach map identifying streams) location):
V fnf n .+ t`i de
14. Proposed channel work (if any))::
15. Recent weather conditions: - `Ill`
16. Site conditions at time of visit: -� UWnz .fid`('
17. Identify any special waterway classificions 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? YE6 NO If yes, estimate the water surface area:
19. Does channel appear on USGS quad map?20. Does channel appear on USDA Soil Survey? YX,S NO
21. Estimated watershed land use: T% R tdential % Commercial _% Industrial _% Agricultural
% Forested % Cleared / Logged % Other (
22. Bankfiull width: 23. Bank height (from bed to top of bank): _
24. Channel slope dow2cener 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): 60 Comments:
Evaluator's Signature Date
is
This channel evaluation form inten e(�' 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
1 ,;
Presence of flow / persistent pools in stream
0 — 5
0-4
0'- 5
(no flow or saturation = 0; strong flow = max points)
2
Evidence of past human alteration
0_6
0_ 5
fl -5,
extensi, egAteratiori = 0; no alteration rawpoints)
3
Riparian zone
(no buffer"= 0, contiguous, wine. buffer = maxpoints)
0-6
0 -4
0— 5
4
Evidence of nutrient or chemical discharges
0-5
0 = 4
0 = 4_`
(extensive discharges =, 0�; uo dischar es-= max pints)
Groundwater discharge
0-3
0'— 4
0 - 4
(no discharge = 0,,springs, seeps, wetlands, etc. = max points)
6" ;
Presence of adjacent' floodplain
0 — 4
0 — 4
0-2
(no floodplain = 0; extensive flood lain = max points)
7
"Entrenchment/ floodplain access
0-5
0— 4
0- 2
dee ly entrenched = 0; frequent flooding = max points)
8
Presenceof a'djacentwetlands
"(iiowetlands
0 — 6
0-4
0 = 2
='0; large adjacent wetlands= max.points) `-
Channel sinuosity .
(extensive channelization = O; natural meander = max pints
0— 5
OL4-
0 -- 3
10 _'
Sediment input
"0 —5,
0 — 4
0 - 4"
(ektenstve:deposition= 0; little or no sediment = max pints)'
11
Size' &i diversity of channel bed substrate _
NA*
0'- 4_..,0-5,`
�-
(fine,`homogenous. 0;.large, diverse sizes = max points)
-_
,.;
12
Evidence.of channel incision. or widening
-incised
0 5
0= 4
0 5
" dee I = 0; stable bed &;banks = max points),
13
Presence of major bank -failures
0-5
'0=5
0=5
(sever`e erosion = 0 no erosion, stable banks =max -points)
14
'Root depth and density_on banks -
i
0=3
6-'4
0-5,
. (no visible roots = 0, dense` ots throughout= max points)
I S
impaet,by;agr'icuiture, livestock, or timber, production -:
a-5
0 = 4 "
0 = 5
(substa tidal impact =0;, no evidence --max points)
t6.
Presence of riffle-pool/ripple=pont complexes
0 30-.5
" 0-6 "
no riffles/rife les ori' ools =:O; ,well-develo ed =mak pints):
17
Habitat complexity
0— 6
0- 6
0= 6
,(little or no habitat ='0, frequent, varied, habitats inax points)
�0
Canopy coverage averstreambed=
.., _
0 `5'
0=5
"(na shadmg-vegetation= 0; continuous canopy—mak points)
Substrateembedde
(deeply"eimbedded —0; loose sl
Presence of stream invertebra
no evidence = O;:commom numerou
Presence of amphil
a a cac�i�c va a��u .
-t 2 (no evidence 0; common; numerous types — tnax points)
0="4 0-4 0 4,
23 Evidence of wildlife.use
(no evidence =;0; abundant evidence max points) 0 — 6
1 hese characteristics are not assessed in coastal streams.
PJ

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWQ Stream Identification Farm Version 4.11
Date: 7"
Project/Site: ACIP
Latitude: �j, ��33
Evaluator: ��
ti
Strong
County: 7
.surN
Longitude:
Total Points: 1 Q.��
Steam is at least intermittent � 1 c7
Stream Deter circle one)
Other
if _ 79 orperennial if >_ 30*
Ephemera Intermittent Perennial
e.g. Quad Name:
el)
A. Geomorphology (Subtotal = '1 )
Absent
Weak
Moderate
Strong
1a' Continuity of channel bed and bank
0
1
2 l
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
ro
1
2
3
4. Particle size of stream substrate
0
0.5 1
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No = 0
artificial ditches are not rated; see discussions in manual 5.5
B. Hydrology (Subtotal= A# (/)�j
12. Presence of Baseflow
0
2 1
3
13. Iron oxidizing bacteria
0 1
2
3
14. Leaf litter
1 5 1
0.5
0
15. Sediment on plants or debris
0 0.5
1
1.5
16. Organic debris lines or piles
0 0.5
1
1 1.5
17. Soil -based evidence of high water table?
No = 0
0.5 1
C. Biology (Subtotal =
18. Fibrous roots in streambed
3
2 1
0
19. Rooted upland plants in streambed
3
_
2
0
20. Macrobenthos (note diversity and abundance)
0
1 2
3
21. Aquatic Mollusks
i0
1 2
3
22. Fish
0
0.5 1
1.5
23. Crayfish
0
0.5 1
1.5
24. Amphibians
0,
0.5 1
1.5
25. Algae
0
,
1.5
26. Wetland plants in streambed
KACW = 0.75)OBL = 1.5 Other = 0
*perennial streams may also be identified using other methods. See p.
35 of manual.
Notes:... j
i4
Sketch:
KV
_ � s
�` //if l M
1
.W -V*
41

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Oriqins v. 4.11
NC DWQ Stream Identification Form Version 4.11
Date: ' �
Project/Site: AU
Latitude:
Evaluator:
County: k C; e: U r\
Longitude:
Total Points:
Stream etermination (circle one)
OtherO t
Stream is at least intermittent s�
if >_ 19 or perennial if >_ 30' 1.
emer °Intermittent Perennial
e.g. Quad Name:
A. Geomorphology (Subtotal =)
Absent
Weak
Moderate
Strong
1a' Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
CO)1
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
0.5
2
3
5. Active/relict floodplain
w
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
1
2
3
9. Grade control
d "
0.5
1
1.5
10. Natural valley
`g
0.5
1
1.5
11. Second or greater order channel
o = 0
Yes = 3
Sketch:
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
j0
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
1.5
17. Soil -based evidence of high water table?
0
No = 0
es =
1.5
C. Biology (Subtotal = 1,5 )
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
0
0.5
1 _
1.5
26. Wetland plants in streambed
FACW =
0.75; OBL = 1.5 her
'perennial streams may also be identified using other methods. See p.
35 of manual.
Notes: _rte- C � rw c 1a � 1 i j,,,
_
`g
o . (ut'✓
Sketch:
,
614 ;'
41

_ --- _ . _ _ — -.._.. _.- _- -- -- -- -- - --, .
I USACE AID# DWQ # Site # (indicate on attached map) j
13 STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: Dominionhen Hoffman
p 2. Evaluator's name: Ste
3. Date of evaluation: � �///1S- -.. 4. Time of evaluation: lu i
5. Name of stream: (N�lTJ'�J �-f �
16 R& �i Ia"'t� 6. River basin: r! .`J V t? �go,
7. Approximate drainage area: // 8. Stream order: I S
9. Length of reach evaluated: �IJI 10. County: Q�OecG!1
11. Site coordinates (if known): Q`prefer in decimal degrees. 12. Subdivision name (if any): 1
Latitude (ex. 34.872312): 3 (` l 0 a` U Longitude (ex. —77.556611): y ! t oo 5 -
Method
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): �Idlr
�0,15. Recent weather conditions: �/� 1
16. Site conditions at time of vi
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _Nutrient Sens' 've Waters Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the. al tion point? YEON' If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? (YE NO 20. Does channel appear on USDA Soil Survey? 'YES NO
21. Estimated watershed land use: Q5-% Residential % Commercial _% Industrial tf % Agricultural
f c
% Forested `X)% Cleared / Logged % Other
i
22. Bankfiill width: 23. Bank height (frown bed to top of bank):
24. Channel slope down cen er 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): /L/ Comments:
Evaluator's Signature Date/ �fJ
This channel evaluation form,1 int de to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.

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

XT
'�
10,1 �a10 u

�V USACE AID# DWQ # Site # (indicate on attached map)
1--- -- - --- --------- - — -
----------- ­- --- - - . , - - - - - - .. - - ---------
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: Dominion
3. Date of evaluation:
(r _
5. Name of stream:
7. Approximate drainage area:
9. Length of reach evaluated: zoo r
2. Evaluator s name:
4. Time of evaluation:
6. River basin: r_�
8. Stream order.
10. County:
11. Site coordinates (if known)): U prefer i�—
nd(e�cimal degrees. 12. Subdivision name (if any): �y
Latitude (ex. 34.872312): 3 `C : T"'" `Fo Longitude (ex. —77.556611): -1t Gj , ®� G
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): Q�gek1 r, f
15. Recent weather conditions: l rc:A
16. Site conditions at time of visit: ��S4 /60"S
17. Identify any special waterway classifications known:
_Trout Waters _Outstanding Resource Waters
Section 10 Tidal Waters Essential Fisheries Habitat
_Nutrient Sensit' e Waters _Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? NO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: % Residential 10 % Commercial _%o Industrial % Agricultural
Forested Cleared / Logged % Other
22. Bankfull width: 3` 23. Bank height (from bed to top of bank): I-
24. Channel slope down center of stream: Flat (0 to 2%) Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
V
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 ail explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): -� Comments:
Evaluator's Signature Date������
This channel evaluation fo ` intende a used only as a, guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion: of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change – version 06/03. To Comment, please call 919-876-8441 x 26.
1

STREAM QUALITY ASSESSMENT WORKSHEET
p
IN
* These characteristics are not assessed in coastal streams.

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Oriqins v. 4.11
NC DWQ Stream Identification Form Version 4.11
Date: I
f
Project/Site: Ace
Latitude:
Evaluator:
County: c Z'_
Longitude: -11q, 000 f
0
1
2
Total Points:
Stream Deter on (circle one)
Other��/
Stream is at least intermittent j
if 2t 19 or erennial if>_ 30* i,
Ephemeral termitten Perennial
e.g. Quad Name:
A. Geomorphology (Subtotal =)
Absent
Weak
Moderate
Strong
1a. Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
(0
3
3. In -channel structure: ex. riffle -pool, step-pool,��
ripple -pool sequence
L./
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
(1)
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
Cl
0.5
3
8. Headcuts
0
-)2
1
2
3
9. Grade control
0aL
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
Notes:
No = 0
A r4A 34
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = )
12. Presence of Baseflow
0
13
2
1
13. Iron oxidizing bacteria
770
1
2
3
14. Leaf litter
1.5
10.5
(0
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0
0.5
1
1.5
17. Soil -based evidence of high water table?No
0.5
= 0
1.5
es - 3
C. Biology (Subtotal = Vit, -L )
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
(0
QB
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
-
OBL = 1.5 Other = 0
`perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
A r4A 34
, :P'Y &
Sketch:
t
41
,;�^

r i
-
1
y W,
l' 10
r
1 �
OW !'

. � ; .� _ Y
—'rr _ ,.
�, •
�. 'L �
,.�..•
�, ,: ,
• �� ,� " y
I :• �a�E � ,a_
i.
',a R�#����� � t y�:%�"tip �-�
Lp i1 y� n
�, � ,� '-. � . a,

Open Waterbody Data Sheet
urvev Descriotion
Project Name.
Waterbody Name: �]
aterbody Iia:
Gate: r
State;
County:
Company:rew
Member Initials:
Photos:
N c_,
I � l -1
�--P-
IC
L' L
+,..o
Tract Numbet (s7):
Nearest Milepost:Associated
Wetland ID(s):
Survey Type:
{check one) ❑Centerline ❑Re -Route ❑Access Road ❑other.
Physical Attributes
Waterbody Type:
(check ane) `WStock Pond ❑ Natural Pond ❑ Lake ❑ Reservoir 13 Impoundment ❑ oxbow ❑ Other.
Hydrologic Regime:
Permanently Flooded ❑ Semipermanently Flooded Q Seasonally Flooded ❑ Temporarily Flooded
©HWM
OHWM Indicator:
(check
a+llhatapply) U1 Clear line 05helving ©Wrested ❑Scouring ❑Water
Height: ?
on bank vegetation staining
R.
❑Bent, matted, or missing []Wrack ❑Litter and ❑Abrupt plant ❑Soil characteristic change
vegetation line debris community change
Depth of Water:
Bank height (average):
Sank slope (average):
L n,
1 degrees
lAEJ
aloo { 5U -r. -%CC
Qualitative Attributes
Water Appearance:
(Check Ono) ❑Nowater Clear ❑Turbid ❑Sheen ❑Surface ❑Algal ❑Other.
on surface scum mats
Substrate: ❑ Bedrock ❑ Boulder ❑ Cobble © Gravel 13 Sand Silt/ clay ❑ Organic El Other.
{check all )het apply) 7�,
o% 1z) %
% of Substrate: �� o� % % %
Width of Riparian Zone:
Vegetative layers:
check astha(apply) �T+rees: ,trSaplings/Shrubs: Herbs
Avg. DSH of Dominants: In. in. in.
NIA
ap,crox)
Dominant Bank Vegetation (fist):
Aquatic Habitats (ex: setrmergedor emerged aquatic vegetason, overhanging tanWroots, leaf packs, large sub"tged mod, rimes, deep pools, etc }:
kn OVA Cr
Aquatic Organisms Observed {fist):
Yi .0 `Al C
TBE Species Observed (list):
Disturbances (ex: livestock access, rnanure in watereody. waste dischargepipes) :
``
Waterbody is:
(check one) ❑ Natural �6 Artificlal, manmade ❑ Manipulated
Waterbody Quality':
(check one) ❑ High ❑ Moderate f Low
f

' High {duality: 'Natural, natural bank vegetation around entire waterbody; banks stable and protected by roots; watercolor is clear to tea -colored; no
barriers to fish movement; many fish cover types available; diverse and stable aquatic habitat; no disturbance by livestock or man.
Moderate Quality: Altered by rip -rap; natural vegetation extends 113-112 of the active channel width on each side; filtering function or bank vegetation
only moderately compromised; banks moderately unstable; water color is cloudy, submerged objects covered with greenish Ftm; moderate odor; minor
barriers to fish movement; fair aquatic habltat; minimum disturbance by livestock or man.
!_ow Quality: Rip rap and channel°Ization excessive; natural vegetation less than 1f3 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 gnats, surface scum,
surface sheen); heavy odor; severe barriers to fish movement; little to no aquatic habitat; severe disturbance from livestock or man.
Waterbody Sketch (include north arrow, centerfina distance from centerline, data point locations, survey boundary, and 10s of associated features)I
ort ouui
Form Rvv: 04.30 2013

t `� Y`z
� �
a
i;,
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1ti
p� 1 �
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i
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=. � �
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- � ���a.
y,. �,��.
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f
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Open Waterbodv Data Sheet
Survey Description
Project Name:
Waterbody Name:
Waterbody ID:
Date:
Southeastern Reliability1
State:
County:
Company:
Crew Member Initials:
Photos:
iAJL-.
��L_ i � L
j
Tract Number(s):
Nearest Milepost:
Associated Wetland ID(s):
Survey Type:
(check one) ®Centerline ❑Re -Route ❑Access Road ❑Other:
Physical Attributes
Waterbody Type:
(check one) ,Stock Pond ❑ Natural Pond ❑ Lake ❑ Reservoir ❑ Impoundment ❑ Oxbow ❑ Other:
Hydrologic Regime:
Permanently Flooded ❑ Semipermanently
Flooded ❑ Seasonally Flooded ❑ Temporarily Flooded
OHWM
OHWM Indicator:
(check
all that apply) Clear line ❑Shelving ❑Wrested ❑Scouring ❑Water
Height: L_1
ft.
on bank vegetation staining
❑Bent, matted, or missing ❑Wrack ❑Litter and ❑Abrupt plant ❑Soil characteristic change
vegetation line debris community change
Depth of Water:
Bank height (average):
Bank slope (average):
ft.-
ft.
degrees
N/A❑
Qualitative Attributes
Water Appearance:
(check one) El No water ❑ClearTurbid ❑Sheen ❑Surface ❑Algal ❑Other:
on surface scum mats
Substrate: ❑ Bedrock ❑ Boulder ❑ Cobble ❑ Gravel NrInd ilt/ clay ❑ Organic ❑ Other:
(check all that apply)
% of Substrate: % % % % % % % %
Width of Riparian Zone:
Vegetative Layers:
� �
(check all that apply) %.Trees: Saplings/Shrubs: ❑ Herbs
ft.
WAD
Avg. DBH of Dominants: f" in. in. in.
(approx.)
D mtnant Bank, Vegetation (list):
Aquatic Habitaf:s (ex: submerged or emerged aquatic vegetation, overhanging banks/roots, leaf packs, large submerged wood, riffles, deep pools, etc.):
Aquatic Organisms Observed (/(st):
(i 's
T&E Species Observed (list):
Disturbances (ex: livestock access, manure in waterbody, waste discharge pipes):
�_.. r
j y .;
IL
Waterbody is:
(check one) ❑ Natural N Artificial, man-made ❑ Manipulated
Waterbody Quality a:
(check one) ❑ High ❑ Moderate �ow
Fo nn Rev, 04/30/2013

Form Rev. 04!30/2013
Waterbo(d"y ID:
a High Quality: Natural, natural bank vegetation around entire waterbody; banks stable and protected by roots; water color is clear to tea-colored; no
barriers to fish movement; many fish cover types available; diverse and stable aquatic habitat; no disturbance by livestock or man.
Moderate Quality: Altered by rip-rap; natural vegetation extends 1/3-1/2 of the active channel width on each side; filtering function or bank vegetation
only moderately compromised; banks moderately unstable; water color is cloudy, submerged objects covered with greenish film; moderate odor; minor
barriers to fish movement; fair aquatic habitat; minimum disturbance by livestock or man.
Low Quality: Rip rap and channelization excessive; natural vegetation less than 1/3 of the active channel width on each side; lack of regeneration;
filtering function severely compromised; banks unstable (eroding); water color is muddy and turbid; obvious pollutants (algal mats, surface scum,
surface sheen); heavy odor; severe barriers to fish movement; little to no aquatic habitat; severe disturbance from livestock or man.
Notes:
F,
�. _CL, \ r }
Waterbody ;iketch (Include north arrow, centerline. distance from centerline, data point locations, survey boundary, and IDs of associated features)
C)�`'s c)
JI
Form Rev. 04!30/2013

i T
\ S6
i
............. ._._.� ,�....-
- .. ..
s.���
.,5 Y i3
u • S
i T
\ S6
s.���
.,5 Y i3
u • S

USACE AID#
L'", ____
DWQ#
Site # (indicate on attached map)
M STREAM QUALITY ASSESSMENT WORKSHEET -AQF
Provide the following information for the stream reach under assessment:
1. Applicant's name: 0',&I I et y Q�, 2. Evaluator's name: 0)d C (, �—
3. Date of evaluation: // 6 d 4. Time of evaluation: c>
5. Name of stream: INT 4-0 JC -A^.,)< t 6. River basin:
7. Approximate drainage area: 8. Stream order: .../
9. Length of reach evaluated: c' F,- 10. County: )�,� �
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
�, Latitude (ex. 34.872312): 17 _Q Longitude (ex. —77.556611):
- h
Method location determined (circle): GP Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any):—N 6 zi e�
15. Recent weather conditions: ALI
16. Site conditions at time of visit: e° �w
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 i If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES (), 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: % Residential
c? % Forested
22. Bankfull width: 3
24. Channel slope down center of stream:Flat (0 to 2%)
_%Commercial _%Industrial� '' % Agricultural
_% Cleared / Logged _% Other (
23. Bank height (from bed to top of bank): L'
_Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: ',< Straight _Occasional bends _Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from ]reverse): Comm lits: i
C`
Evaluator's Signature U,_ - Date 61 � / / 0 / a i `/
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change — version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
sit
CHARACTERISTICS -ECOREG10"OINT
RANGE
"V
Coastal `-
ieclmont„
1Presence
of flow /persistent pools in stream;
no flow or saturation ,= 0; strop flow = max oints
0'— 5
0-4
0 - 5
,
2
Evidence of past human alteration
extensive alteration = 0• no alteration = max points)
0— 6
0 5
0- 5
3
Riparian zone
no buffer= 0; contiguous, wide buffer= max points)
0— 6
0— 4
0 5_
4
Evidence of nutrient or chemical discharges'
extensive dischar es = 0• "no dischar es =+max oints
0-5
0-4
0 - 4
5
Groundwater discharge
no discharge = 0• springs, see s, wetlands, etc. =max
0— 3
0- 4
0- 4
points)
6
Presence of adjacent floodplain
"AZ
no floodplain = 0 extensive floodplain = maxpoints)
0-4
0-4
0-2
z
Entrenchment / floodplain access
deeply,entrenched = 0• frequent flooding= maxpoints)2
0-5
0—'4
0
$
Presence of adjacent wetlands
4 no wetlands = 0; lar e adjacent wetlands = max points)
01-6
0= 4
0 2
9
Channel sinuosity
extensive channelization = 0; naturaImeander = max= oints
0-5
0-4
0-3
10
Sediment input
{extensive deposition= 0• little or no sediment= max points)
0-5
0-4
0-4
11
Size & diversity of channel bed substrate
fine homogenous = 0• large, diverse sizes = maxpoints)_
NAS,
0 —4
0 —5
Evidence of channel incision or widening
dee 1 incised = 0, stable bed & banks = max points)
0 5
0-4
0-5
13
Presence of major bank failures
severe erosion = 0; no erosion stable banks ;= max- points)01-5
0— 5'0-5
14
Root depth and density on banks
no visible roots = 0•' dense roots throughout = maxpoints)
0-3
0-4
0-5,
15
impact by agriculture, livestock, or timber production
substantial impact =0; no evidence = max oints
0— 5
0-4
0 - 5
16
Presence of riffle-pool/ripple-pool complexes
H
no riffles/ripples les or pools = 0; well-developed = max �� points).
0 3
0— 5
0- 6
17
Habitat complexity
little or no habitat = 0' frequent, varied habitats = maxpoints)
0-6
0-6
0- 6
1
Canopy coverage over streambed
no shading ve etation = 0; continuous canopy = max ppoints)'
19
Substrate efmbeddednessA*
0-4
0-4
embedded = 0 Ioose structure-= max)
20
--(deeply
: Presence of stream invertebrates (see page 4)
, ..
no evidence = 0• common numerous, es- max oints
0,-4
0= 5
0-5,
21
Presence of amphibians
C
no' evidence = 0; common numerous es maxpoints)
0-4
0— 4
0 - 4
22
Presence of fish
0-4
0-4
0-4
+-�
no evidence = 0 common , numerous types= max oints
U
23
Evidence of wildlife use
no evidence =,O; abundant evidence = max oints
0-6
0 5
0 - 5
%)
TOTAL SCCIRE (also enter oil,first page)
:
.ice ..Js. . o :•.
.
,.,. ,, �1 ,.
.; .;
nese characteristics are not assessea in coastal streams,
2

;r
NC DWO Stream Identiriientinn Fnrn, Vnreinn d 11
Date: ) ° o /
ProjecVSite: A
Latitude: c act r�
Evaluator:VAJ/ e
County:
Longitude: - f C 6 r
Q
1
2
Points: Strew -7
Stream is at least intermittent (
Stream Determination (circle one)
Other /l i°7-
if z 19 or perennial if z 30' { '2
Ephemeral Intermittent Perennial
e.g. Quad Name: F3 a
.>Aa 1,-
A.
,, -
A. veomor holo (Subtotal = )
1 a. Continuity of channel bed and bank
Absent
0
Weak
1
Moderate
Strong
3
2. Sinuosity of channel along thalweg
Q
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
No = 0
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0 .
0.5
1
1.5
11. Second or greater order channel
a
No -
Yes = 3
�.�.n �..rei viwnco oic 11 i 40MU, JtlC UIOGUSSIUIIS III filanUal
B. Hvdroloav (Subtotal = ({. � �
12. Presence: of Baseflow
0 1
2
3
13. Iron oxidizing bacteria
0`�l 1
2
3
14. Leaf litter
1.5 1
0.5
0
15. Sediment on plants or debris
0 0.
1
1.5
16. Organic debris lines or piles
0
1
1.5
17. Soil -based evidence of high water table?
No = 0
Yes 3
1.5
lr. UIUIUUv IJwtUIHI = __-;> I
18. Fibrous roots in streambed 3
2
1
0
19. Rooted upland plants in streambed 3
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish 0
1
1.5
24. Amphibians 0
(0-4V
1
1.5
25. Algae
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Other 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: Ems -F
Sketch:
6f
w
/ ",Lj

USACE AID# DWQ # Site # (indicate on attached n
STREAM QUALITY ASSESSMENT WORKSHEET �.
Provide the following information for the stream reach under assessment:
1. Applicant's name: IDS`; rru./,ti 2. Evaluator's name:
3. Date of evaluation: ---2 4. Time of evaluation:
5. Name of stream: r\t�cn1 It;1 Its tib tnA �i 6. River basin: � �
7. Approximate drainage area: 5Z x CA-Q�( -
Stream order:,(
9. Length of reach evaluated: 10. County: 112®=� �
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): --
Latitude (ex. 34.872312): � �� ��, 2 . �, Longitude (ex. —77.556611):7F 2 � 6 Method location determined (circle):�S Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any):
15. Recent weather conditions: A
16. Site conditions at time of visit:
17.ntify any special waterway classifications known: Section 10 Tidal Waters PlEssential Fisheries Habitat
04`Trout Waters woutstanding Resource Waters 05Nutrient Sensitive Waters eater Supply Watershed F (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES NO If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES NO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: _% Residential _% Commercial _% Industrial % �—
Agricultural
/o Forested _% Cleared / Logged _% Other ( _ )
22. Bankfull width: 23. Bank height (from bed to top of bank):
24. Channel slope down cc ter of stream: Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: Straight _Occasional bends _Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): �� Comments: �'� CCb�e —Vtn sl
Evaluator's Signature Date �J
This channel evaluation fo m is intende to be used only as a guide to assist landowners and environmentalprofessionals 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.

:5RoC-,bot l
STREAM QUALITY ASSESSMENT WORKSHEET

NC :DWQ Stream Identification Form Version 4.11
c
Date: -� (�
C
Project/Site: /
Latitude:y
Evaluator:Q�
County: i c�c�� 1
Longitude: `� ' 0 67-' 57
Total Points:
Stream rs at least intermittent
Stream De �n�a,(circle one)
!1!nte
Other
if z 19 or erennial if Z 30`
Epheme t Perennial
e.g. Quad Name:
M
A. ueomor holo (Subtotal =___ 0_)
Absent
Weak
Moderate
Strong
1aContinuity of channel bed and bank
0
1
0 5 0
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0 D
0.5
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
'0
0�
1
1.5`
10. Natural valley
0
0.5
1 1
1.5
11. Second or greater order channel
a
No = 0 F�
Yes = 3
Sketch:Cn
dRillUdi aitcnes are not rates; see aiions in manual
B. Hydroloqy (Subtotal = )
12. Presence of Baseflow
0 1 '
3
13. Iron oxidizing bacteria
p
3
14. Leaf litter
1.5 1
0 5 0
15. Sediment on plants or debris
0 .5 ,_
1 1.5
16. Organic debris lines or piles
0 .5
1 1.5
17. Soil -based evidence of high water table?
No = 0
es = 3
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)
0
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FAC = 0.75;
BL = 1.5 Other = 0
'perennial streams may also be identified using other methods. See p.
35 of manual.
Notes:
Sketch:Cn
m

srog004
Waterbody srog004 facing upline cross stream

USACE Al D# DWQ #
Site # (indicate on attached map)
STREAM QUALITY WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: ? 'i .P, 2. Evaluator's name :� € �-
3. Date of evaluation: ,
4. Time of evaluation:
5. Name of stream: €` �� �. II :,r �,�- 6. River basin:
7. Approximate drainage area: 8. Stream order:
9. Length of reach evaluated:_ t = ,' 10. County:
It. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): r'. €"
Latitude (ex. 34.872312). Longitude (ex—77.556611):
Method location detennined (circle):;G`PS, Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation -(note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if
15. Recent weather conditions
16. Site conditions at time of,,
17. Identify any special waterway classifications known: _Section 10_e 'Tidal Waters 'F Essential Fisheries Habitat
"Trout Waters LI°Outstanding Resource Waters`_,. ;Nutrient Sensitive WatersDater Supply Watershed
18. Is there a pond or lake located upstream of the evaluation point? YES �NO - If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES (NO . 20. Does channel appear on USDA Soil Survey? YES N'o
21. Estimated watershed land use: _% Residential _% Commercial _% Industrial ` - % Agricultural
�3
_' % Forested _% Cleared / Logged _% Other
22. Bankfiill width: "r 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: i�� Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: LStraight _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 106 representing a stream of the
highest quality.
Total Score (from reverse): Comments:_ -i —
Evaluator's Signature ;'; J Date
This channel evaluation ib ► is-hfiended, be'used only as a guide to assist landowners and en
gathering the data required by the United States Army Corps of Engineers to make a prelirr
quality. The total score resulting from the completion of this form is subject to USACE app
particular mitigation ratio or requirement. Form subject to change — version 06/03. To Comment, p
nmental professionals in
inary assessment of stream
-oval and does not imply a
ease call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
1
rresence of flow / persistent pools in stream _,
0-5
0-4
0-5
x
no flow or saturation = 0; strong flow = maxpoints)
0-5
0-4
0 —5
,
2
Evidence of past human alteration
extensive alteration = 0• no alteration = max oints
0-6
0-5
0 — 5
3
Riparian zone
no buffer = 0' contiguous, wide buffer = maxpoints)a`
0-6
0-4
0-5
1
4
Evidence of nutrient or chemical discharges
18
extensive diso'bar 'es = 0; no discharges = maxpoints)
0-5
0-4
0-4
5
Groundwater discharge
NAS
0 - 4
0 —4
no dischar e = 0 springs, see s, wetlands, etc. = max oints
0-3
0-4
0-4
J
6
Presence of adjacent floodplain
no flood lain= 0; extensive floodplain = maxpoints)
0-4
0-4
0-2
Entrenchment / floodplain access
"dee 1 entrenched = 0• frequent flooding= max points)
0- 5
0- 4
0— 2
8
Presence of adjacent wetlands
no wetlands =,0; large adjacent wetlands = maxpoints)
0-6
0-4
0-2
9
Channel sinuosity
extensive chaimelization = 0• natural meander = max points)
0- 5
0- 4
0— 3
10
Sediment input
extensive de osition= 0 little or no sediment =max oints
0= 5
0— 4
0— 4
11
Size & diversity of channel bed substrate
fine homogenous =01 large, diverse sizes = maxpoints)
NA*
0-4
0-5
Evidence of channel; incision or widening
12
dee 1 incised = 0; stable bed & banks = max points
0-5
0-4
0-5
13
Presence of major bank failures
severe erosion 0• no erosion, stable banks = max oints
0-5
0 - 5
0-5
Root depth and density on banks
14
(no visible roots c.0: dense runt. thrmohnrnt = n,av nn;ntel
3
0-4 4
0,-5
,
15
Impact by agriculture, livestock, or timber production
substantial impact =0• no evidence = max-points)
0-5
0-4
0 —5
16
Presence of riffle-pool/ripple-pool complexes
no riffles/ri 'les or pools = 0 well-developed = max points
0-3
0-5
0-6
17
Habitat complexity
little or no habitat= 0• frequent, varied habitats = max points
0-6
0-b
0-6)
1
Canopy coverage over streambed
18
no sba ing vegetation = 0- continuous canopy = max ' points)
0-5
0-5
0-5
19
Substrate embeddedness
NAS
0 - 4
0 —4
(deeply embedded = 0• loose structure = max) '
`
20
Presence of stream invertebrates (see page 4)
no evidence= 0• common numerous types = maxpoints)'
0-4
0-5
0 — 3
Presence of fish 0-4 0-4 0-4
0• common numerous types = maxpoints)
0-5 0-5
e = 0;`;abundant evidence = max points)
Evidence of wildlife use 0-6
;TOTAL SCARE
,1':;3U 1IaiMAUL ,atucs aic uut asscsscu in coasiat streams.
Is enter an first pale)
2

1�� A��V� �trpam Tf�PYl ti4ino 4inn 1<i`n s•Yv. �.7,, ...,: ,, .. A 9 9
Date: b
- �
Project/Site:
�
Latitude
Moderate
2
Strong
3
2. Sinuosity of channel along thalweg
Evaluator:
CountY
(
Longitude: t �°
Total Points:
3. In -channel structure: ex, riffle -pool, step -pool,
ripple -pool sequence
F.0'
Stream is at leastintermittent
Stream Determination (circle one)
Other �� /F.
f a 99 or eronnral ita 30"
EphemeralYermittent= Perennial
e.g. Quad Name:
�. vcurnUr noto (Juototal = )
1" Continuity of channel bed and bank
Absent
0
Weak
1
Moderate
2
Strong
3
2. Sinuosity of channel along thalweg
(11
2 3
14. Leaf litter
3
3. In -channel structure: ex, riffle -pool, step -pool,
ripple -pool sequence
F.0'
1
2
3
4. Particle size of stream substrate
0
6`1
2
3
5. Active/relict floodplain
=0„
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0�,
26. Wetland plants in streambed
2
3
8. Headcuts
�y,
1
2
3
9. Grade control
' 0''
0.5
1
1.5
10. Natural valley
?
0.5
1
1.5
11. Second or greater order channel
/ t
No = 0`;
Yes = 3
F
B. Hvdrolcwav ts„htntai = f
12. Presence of Baseflow
0
1
3
13. Iron oxidizing bacteria
0
(11
2 3
14. Leaf litter
1.5
1
(0.5A 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?
'I
No = 0
Yes 3'
18. Fibrous roots in streambed
3
2 1
1 0
19. Rooted upland plants in streambed
3
1 0
20. Maerobenthos (note diversity and abundance)
r 0
1
2 3
21. Aquatic IVtollusks
: 0'
1
2 3
22. Fish _O�t
-ray
0.5
1 1.5
23. C fish'0
'I
0.5
1 1.5
24. Amphibians
0X0.5`
1 1.5
25. Algae
0
f0.5
1 1.5
26. Wetland plants in streambed
FACW = 0.75;
OBL = 1.5 Other` 0
"perennial streams may also be identified using other methods.
See p. 35 of manual.
Notes:
Sketch: r
"Z
(
/ t
F
_
� G
r'r

sroh015
Waterbody sroh015 facing upstream
Waterbody sroh015 facing downstream

sroh014
Waterbody sroh015 facing downline cross stream

USACE AID#
DWQ#
Site # (indicate on attached map)
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
f
1. Applicant's name: ��VYII 1 t (1 2. Evaluator's name:
3. Date of evaluation: 1-- 4. Time of evaluation:
5. Name of stream: (#!(Aj 6. River basin: L -i vin�C
E�
7. Approximate: drainage area: Vit' `- 8. Stream order: `.
9. Length of reach evaluated: 10. County:�Z>k3�?. c�7TYA
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):Z`�
Latitude (ex.34.872312):��_ Longitude (ex. -77.556611):° 2-3'2.__7,1 72
Method location determined (circle): (PS , Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation`(note nearbyjuoads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any):
15. Recent weather conditions:
16. Site conditions at time of visit:
17. Identify any special waterway classifications known: PNection 10 NiWdal Waters essential Fisheries Habitat
-Lrout Waters outstanding Resource Waters 'Autrient Sensitive Waters Water Supply Watershed �L*14V)
18. Is there a pond or lake located upstream of the evaluation point? YES NO 'If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES t 20. Does channel appear on USDA Soil Survey? YESO
21. Estimated watershed land use: —% Residential _% Commercial _% Industrial f?% Agricultural
2 b % Forested _% Cleared / Logged _% Other ( )
22. Bankfull width: t
6 23. Bank height (from bed to top of bank):
24. Channel slope down ce ter 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
d —
Instructions for completion of worksheet (located on page 2): Begin by determining the most r
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief desc
characteristics identified in the worksheet. Scores should reflect an overall assessment of the strear
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and
comment section. Where there are obvious changes in the character of a stream under review (e.g., t
into a forest), the stream may be divided into smaller reaches that display more continuity, and a sepa
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of H
highest quality.
Total Score (from reverse): Comments:
Evaluator's Signature w' Date
This channel evaluation form s intended to be used only as a guide to assist landowners and em
gathering the data required y the United States Army Corps of Engineers to make a prelim
quality. The total score resulting from the completion of this form is subject to USACE app
particular mitiigation ratio or requirement. Form subject to change — version 06/03. To Comment, p
propriate ecoregion based on
me ecoregion. Assign points
ption of how to review the
reach under evaluation. If a
provide an explanation in the
stream flows from a pasture
to form used to evaluate each
representing a stream of the
imental professionals in
y assessment of stream
I and does not imply a
call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET �3 06a H0 ( _—�
1
Presence of flow / persistent pools in stream
0-4
0-5
0-5
C
21Presence
no flow or saturation = 0; strong 'flow = maxpoints)
0-5
0 -4
0-5
2
Evidence of past human alteration
0-6
0-5
0-5
22Presence
extensive alteration = 0; no alteration = maxpoints)
0-4
0-4
0-4
3
Riparian zone
no buffer = 0� contiguous, 'wide buffer = maxpoints)
0-6
0-4
0-5
4
Evidence of nutrient or chemical discharges
10-6
0 — 5
0-5
_
extensive discharges = 0• no discharges = max points
0-5
0-4
0-4
5
Groundwater discharge
no discharge = 0• s rin s seeps, wetlands, etc. = maxpoints)
0-3
0-4
0-4
6
Presence of adjacent floodplain
no flood lain = 0; extensive floodplain = max points)
0- 4
0— 4
0— 2
7
Entrenchment i floodplain access
0- 5
0- 4
0— 2
dee 1 entrenched = 0• frequent flooding= max oints
8
Presence of adjacent wetlands
no wetlands =,O; large adjacent wetlands = maxpoints)
0-6
0-4
0-2
9
Channel sinuosity
extensive channelization = 0• natural meander = maxpoints)'
0-5
0-4
0-3
14
Sediment input
(extensive deposition= 0• little or no sediment = max points)
0- 5
0— 4
0— 4
11
Size & diversity of channel bed substrate
NA*
0-4
0-5
fine homogenous = 0; large, diversesizes =;max oints)
ET i-
12
Evidence of channel incision or widening
0-5
0-4
0-5
j
—�deeply incised .= 0 stable bed & banks = maxpoints)
1
13
Presence of major bank failures
severe erosion 0; no erosion, stable banks = max,points)
0-5
0-5
0-5
Root depth and density on banks
14
no visible roots t= 0; dense roots throughout = maxpoints)
0-3
0-4
0-5
15
Impact by agriculture, livestock, or timber` production
substantial impact -0; no evidence = maxpoints)
0-5
0-4
0-5
16
Presence of riffle-pool/ripple-pool complexes
no riffles/ripples dor pools = 0• well-developed = maxpoints)
0-3
0-5
0-6
17
j Habitat complexity
0-6
0-6
0-6
little or no habitat = 0• frequent, varied habitats = maxpoints)
Canopy coverage over streambed
18
no shading vegetation = 0• continuous canopy = maxpoints)
0-5
0-5
0-5
19
Substrate ernbeddedness*
0-4
0 —4
(deet)ly embedded = 0: loose structure = max)
20
—1-1 — — cava .0 v VA acus amw �ovu Nage -t) ,
(no evidence = 0• common numerous types = maxpoints)
0-4
0-5
0-5
C
21Presence
of amphibians
0 — 4
0-4
no evidence = 0; common, numerous es = maxpoints)0-4
22Presence
of fish
0-4
0-4
0-4
no evidence = 0• common numerous types = maxpoints)
23
Evidence of wildlife use
10-6
0 — 5
0-5
_
(no evidence = 0; abundant evidence = max Dointsl
I 1 hese cnaracteristics are not assessed in coastal streams.
2

NC Dw® Sti-eam Identificition Form Vt rcinn A 9 4 r.,n 1--i f
Date:_`.
Project/Site: L {.j
Latitude:'
Evaluator: 1_----
County: 7
Longitude:
E
Total Points:
Stream is at least intermittent
Stream Deter circle one
1A.n-(.-
Other U I'J / '71) 551) 61-
f Z 19 or eronnial if Z 30* ✓ (
Ephemera( Intermittent Perennial
e.g. Quad Name:
__7
11. veomor nolo (subtotal = )
1' Continuity of channel bed and bank
Absent
0
Weak
Mod rate
Strong
1 2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ri le- ool se uence
0
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1 •,
2
3
8. Headcuts
0
1.5
2
3
9. Grade control
p
*perennial streams may also be identified using other methods. See p. 35 of manual.
1
1.5
10. Natural valley
0
_ '0.5 j
1
1.5
11. Second or greater order channel
o = 0_f__
Yes = 3
u�rer uu"nca are nvi rateu; 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. 0
15. Sediment on plants or debris
0
�.
1� 1.5
16. Organic debris lines or piles
0
0.5°,
1 1.5
17. Soil -based evidence of h water table'?
No = 0 m"
Ye = 3'
C. lnioloqvSubtotal = F_ --
18. Fibrous roots in streambed
3
2
1 f
0
19. Rooted upland plants in streambed
3
2
1
0
20. Maerobenthos (note diversity and abundance)
0
r1)
2
3
21. Aquatic Mollusks
CO�,
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
-9:
0_1
1.5
26. Wetland plants in streambed
FACW = 0.75 fOBL = 1.5 Other = 0
*perennial streams may also be identified using other methods. See p. 35 of manual.
T
Notes:
Sketch: _
-
- -

1
y-
WWW
M1 _t.
�'.tj 't A:!v'.t
_. .✓ +i�
tri
iv

sroh013
Waterbody sroh013 facing upline cross stream

S raQcra3
USACE AID# DWQ # Site # (indicate on attached map)
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: D "P, I d 2. Evaluator's name: fJ n P C
3. Date of evaluation: ZJ 4. Time of evaluation: 2
5. Name of stream: i1,,,► � i p 6. River basin: e—oA A e r
7. Approximate drainage area: r 5 0 oti. C S. Stream order; 157- e r
9. Length of reach evaluated: (26) F 10. County: 0 I - Sd,-
11. Site coordinates (if known); prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 30..672312): � tl o 11& o (, =�, y (/ longitude (ex. —77.556611): -7q 0 rrItr �R V
Method location determined (circle): G S 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):
k�.e
14. Proposed channel work (if any): P 6 lie
15. Recent weather conditions:tl fa'J v r e ; f �r
16. Site conditions at time of visit: r ) a .ft r a_ Y . vo 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 (1 -IV)
18. Is there a pond or lake located upstream of the evaluation point? YES tIfyes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES �S) 20. Does channel appear on USDA Soil Survey? YES NQ
21. Estimated watershed land use: _% Residential _% Commercial % Industrial —0 % Agricultural
,,,_,.,% Forested _% Cleared / Logged L0_1/oOther (Sc�/ sh r-.., 1
22. Bankfull width: G f 23. Bank height (from bed to top of bank);
24. Channel slope down center of stream: Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 100/0) _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): 'L 30 Comments
Evaluator's Signature Date VVILVI
This channel evaluation form is intended to be used only as a guide to assist landowners and a vii onmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change — version 06103. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
i lick U11as ac;MMMUS are not assessed In coastal streams.
#
CHARACTERISTICS
ECOREGION POINT RANGE
SCORE
Coastal Piedmont Mountain
1
Presence of flow 1 persistent pools in stream
no flow or saturation = 0; strong flow =maxpoints
0-5
0-4
0-5)
,
2
Evidence of past human alteration
extensive alteration = 0; no alteration = maxpoints)0-6
0 — 5
0-5
3Riparian
zone
no buffer = 0; contiguous- wide buffer a maxpoints)
0-6
0-4
0-5
4
Evidence of nutrient or chemical discharges
extensive discharges = 0; no discharges = maxpoints)0-5
fl — 4
0-4
5
Groundwater discharge
no discharge= 0; s rip s, seeps, wetlands, etc.= maxpoints)0-3
0 — 4
0-4
6
Presence of adjacent floodplain
y�
no floodplain = 0; extensive floodplain = maxpoints)
0-4
0-4
0-2
r +7
Entrenchment 1 floodplain access
a"(deeply
entrenched = 0; frequent flooding = maxpoints)
0-5
0-4
0-2
8
Presence of adjacent wetlands
no wetlands = 0; large adjacent wetlands = max points)0-6
0-4
0-2
l
�A
9
Channel sinuosity
extensive channelization = 0; natural meander = max oints
0 — 5
0 — 4
0-3
10
Sediment input
(extensive deposition= 0; little or no sediment = maxpoints)0-5
0 — 4
0-4
11
Size & diversity of channel bed substrate
fine homo enous = 0; lar e, diverse sizes = max aints
NA*
0-4
0-5
12
Evidence of channel incision or widening
(deeply incised = 0; stable bed & banks = maxpoints)
0-5
0-4
0-5
13
Presence of major bank failures
(severe erosion = 0; no erosion, stable banks = maxpoints)
0-5
0-5
0-5
14
Root depth and density on banks
E�
no visible roots = 0; dense roots throughout = maxpoints)
0-3
0-4
0-5
Un
15
Impact by agriculture, livestock, or timber production
substantial impact =0; no evidence = maxpoints)
0-5
0 — 4
0-5
II
16
Presence of riffle-pooilripple-pool complexes
H
no riffles/ripples les or pools = 0; well-developed = maxpoints)0-3
0 — 5
0-6
F
17
Habitat complexity
little or no habitat = 0; frequent, varied habitats = maxpoints)
0-6
0-6
0-6
18
Canopy coverage over streambed
no shading ve etation = 0; continuous canga = max oints)
0-5
0-5
0-5
19
Substrate embeddedness
(deeplX embedded = 0; loose structure = max)/
NA*
0-4
0-4
/
20
Presence of stream invertebrates (see page 4)
no evidence = 0• common, numerous types = maxpoints)
0-4
0-5
0-5
21
Presence of amphibians
Qa
(no evidence = 0; common, numerous types = maxpoints)
0-4
0-4
0-4
'
C
22
Presence of fish
0-4
0-4
0-4
t
no evidence = 0• common numerous types = maxpoints)
23
Evidence of wildlife use
no evidence = 0• abundant evidence = max points)
0-6
0 — 5
0-5
Total Points Possible
100
100
100 .
y TOTAL SCORE (also enter on first page)
rT� 30
i lick U11as ac;MMMUS are not assessed In coastal streams.

NC DWO Stream Identification Form Vercinn 4.11
Date. Q1 2-6 t W
Project/Site,
Latitude; , j v a q6' 6 qu
Evaluator: �,f'�
County: t�f0@�oY�
Long ltude:71a J3
Total Points:
Stream is at leastintermittent
Stream Determination {circle one)
UT 4-a � ewe
Other c
e
ifa19or perennialifz34* 19.75
Ephemeral Intermittent Perennial
e.g. Quad Name: 'Te etekJ(e
E
A. Geomorphology (Subtotal = { )
Absent
Weak
Moderate
Strong
18' 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,
ri fie- ool sequence
0
CJ
2
3
4. Particle sire of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1)
2
3
6. Depositional bars or benches
0)
1
2
3
7. Recent alluvial deposits
0
01
2
3
8. Headcuts
0
2
3
9. Grade control
0
(OA
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No
-0
Yes = 3
aniucial aitcnes are not rated; see discus "ons in manual
B. Hydrology Subtotal =
12. Presence; of Baseflow
(f 1
2 3
13. Iron oxidizing bacteria
1
2 3
14. Leaf litter
1.5 1
0. 0
15. Sediment on plants or debris
4.5'
1 1,5
16. Organic debris lines or piles
0 1 0.5
1 1 1.5
17. Soikbased evidence of high water table?
No = 0
Yes
u. Biology (Subtotal = _­�
18. Fibrous roots in streambed 3
2)
1
0
19, Rooted upland plants in streambed
1
0
20. Macrobenthos (note diversity and abundance) 0
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish 0
0 J5
11.5
24, Amphibians 0
1
1.5
25. Algae
0.5
1
1.5
26. Wetland plants in streambed
FACW 0.
OBL = 1.5 Other = 0
*perennlal streams may also be identified using other methods. See p. 35 of manual.
Notes°
Sketch: 1"j V- 0)
r.
POW
063
r'
��r�rJ
7711Lw
5w --- o
(IL

srog003
Waterbody srog003 facing upstream
Waterbody srog003 facing downstream

srog003
Waterbody srog003 facing upline cross stream

i'o,-
' 00 2
w
USACE AID# _ �� � DWQ # � _ _ � Site #� (indicate on attached map)
;,a„ STREAM QUALITY ASSESSMENT WORKSHEET —AQP
Provide the following information for the stream reach under assessment:
1. Applicant's name: _ ('LAA ;A) dA 2. Evaluator's name: UD 1,J Q SJ
3. Date of evaluation: q1 lt4 4. Time of evaluation: I' f7 Z C2
5. Name of stream: WIT- 4 u�„ Ott < ��� 6. River basin:
S�
7. Approximate drainage area: a C 8. Stream order: ar P r
9. Length of reach evaluated: ft 10. County: r 01 epe .+
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): Longitude (ex. —77.556611):
Method location determined (circle): GP Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any): Na K)e
15. Recent weather conditions: i-'% a. vy f` .; �, 'v2S� c7r do 1 ..
16. Site conditions at time of visit: 6 v p. o_ p z 0 ? u
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 �f O� If yes, estimate the water surface area::
19. Does channel appear on USGS quad map? YES /[VP 20. Does channel appear on USDA Soil Survey? YESCO
21. Estimated watershed land use: —% Residential _% Commercial % Industrial 100 % Agricultural
_% Forested .% Cleared f Logged % Other ( )
22. Bankfull width: 3 r 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: _Flat (0 to 2%) ,_____:Gentle (2 to 4%) _Moderate (4 to 10%) 7` Steep NON
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 eooregion 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.
Tot l or{from reverse):— Comments: ',
Evaluator's Signature _ Date nz &. /I q
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
nese characteristics are not assessed in coastal streams.
CHARACTERISTICS
ECOREGION POINT RANGE
SCORE
Coastal
Piedmont
Mountain
i
Presence of flow / persistent pools in stream
no flow or saturation = 0; strongflow = maxpoints)0-5
0 — 4
0-5
2
Evidence of past human alteration
extensive alteration = 0; no alteration = max points)
0-6
0-5
5
0-5
,
3
Riparian zone
no buffer = 0; contiguous, wide buffer = maxpoints)
0-6
0-4
0-5
4
Evidence of nutrient or chemical discharges
extensive discharges = 0; no discharges = max points
0-5
0-4
0-4
i-1
5Groundwater
discharge
U
no discharge = 0; springs, see s, wetlands, etc. = max points)
0_ 3
0— 4
0— 4
6
Presence of adjacent floodplain
no flood lain = 0; extensive floodplain 4 maxpoints)
0-4
0-4
0-2
7
Entrenchment / floodplain access
a'
(deeply entrenched = 0; fre cent flooding = maxpoints)
0-5
0-4
0-2
$
Presence of adjacent. wetlands
no wetlands = 0; large adjacent wetlands = max oints
0-6
0 — 4
0-2
I
Channel sinuosity
extensive channelization = 0 natural meander = maxpoints)0-5
0 — 4
0 — 3
y
10
Sediment input
extensive de osition= 0• little or no sediment = maxpoints)
0-5
0-4
0-4
11
Size & diversity of channel bed substrate
(fine, homogenous = 0; large, diverse sizes = max points
NA
0-4
0-5
�+
12
Evidence of channel incision or widening
(deeply incised = 0; stable bed & banks = maxpoints)0-5
0 — 4
0-5
13
Presence of major bank failures
(.severe erosion = 0; no erosion, stable banks = max Dints
0-5
0•-5
0-5
l{
14
Root depth and density on banks
(no visible roots = 0; dense roots throe hout = max oints
0-3
0-4
0-5
is
impact by agriculture, livestock, or timber production
substantial impact =0; no evidence = maxpoints)0
5
0-4
0 — 5
16
Presence of riffle-pool/ripple-pool complexes
no riffles/ripples or pools = 0; well-developed = maxpoints)
0-3
0-5
0-6
@
17
Habitat complexity
little or no habitat = 0; frequent, varied habitats = max points)
0— 6
0— 6
0— 6
18
Canopy coverage over streambed
no shading vegetation = 0; continuous canopy = maxpoints)
0-5
0-5
0-5
19
Substrate embeddedness
0-4
0 — 4/
(deeply embedded = 0; loose structure = max)NA*
20
Presence of stream invertebrates (see page 4)
no evidence = 0• common numerous types = max oints
0-4
0-5
0-5
21
Presence of amphibians
Q
(no evidence = 0; common, numerous types = maxpoints)
0-4
0-4
0-4
'
aPresence
22
of fish
0-4
0 — 4
0-4
no evidence = 0; common, numerous es = maxpoints)FA
23
Evidence of wildlife use
no evidence = 0• abundant evidence = max points)
0-6
0 S
0-5
Total Points Possible
100
100
100
TOTAL SCORE (also enter on first page)
17
nese characteristics are not assessed in coastal streams.

NC DWQ Stream Identification Form Version 4.11
Date: ? s f
Project/Site:
r
Latitude:
Evaluator: r �
Count Y: � ,,.�
Longitude. ° <�'
Total Points;:
Stream is at /east intermittentStream
r
Determination (circle one)
Other , `/ t ,
if Z 19 or perennial if z 30*
Ephemeral Intermittent Perennial
e.g. Quad Name:
1
2
3
A. veomor holo (Subtotal = )
Absent
Weak
Moderate
Strong
la Continuity of channel bed and bank
0
1
i''
3
2. Sinuosity of channel along thalweg
0 ��
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
?
0 �,�
..
1
2
3
4. Particle size of stream substrate
0
`1
2
3
5. Active/relict floodplainb
0
1
2
3
6. Depositional bars or benches
O
1
2
3
7. Recent alluvial deposits
0`
0.5
2
3
8. Headcuts
%"0
1
2
3
9. Grade control
0
0.51
4
1.5
10. Natural valley
C.0_-
0.5
1
1.5
11. Second or greater order channel
a
Yes = 3
artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal= ~1'. ) )
12. Presence of Baseflow
0 1
`
3
13. Iron oxidizing bacteria
1
2
3
14. Leaf litter
1
0.5
0
15. Sediment on plants or debris
0_ 0.51
b
1.5
16. Organic debris lines or piles
€ 0 0.5
1
1.5
Soi
17. l -based evidence of high water table?
t-! No = 0
Yes
1
0. Biology (Subtotal = _ , )
18. Fibrous roots in streambed
3
2
0
19. Rooted upland plants in streambed
3
f'2'
1
0
20. Macrobenthos (note diversity and abundance)
0
2
3
21. Aquatic Mollusks"o"
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
f1'
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
0`
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75;
OBL ' 1. Other = 0
*perennial streams may also be identified using other methods.
See p. 35 of manual.
Notes:
r
Sketch:
r

srog002
Waterbody srog002 facing upstream
Waterbody srog002 facing downstream

srog002
Waterbody srog002 facing upline cross stream

NC DWQ Stream Identification Form Version 4.11 Sroo DD L
Date; E3 f 11,
Projectl5ite: 0•l�.
Latitude: S4, *7tv 4
Evaluator: EST - L, Zopey-
County: �-Dbason
Longitude:
Total Points:{
Stream is at least intermittent 13 � 7
Stre ermination [circle one]
eme ntermittent. Perennial
Other
e.g. Quad Name; k ri n f', rt
if a 19 orperennial if a 30'
2. Sinuosity of channel along thalweg
I
A. Geomorphology (Subtotal= 1 j
Absent
Weak
Moderate
Strong
1' Continuity of channel bed and bank , -
0
1
2
3
2. Sinuosity of channel along thalweg
0
0
2
3
3. In -channel structure ex. riffle -pool, step-pool,�
ripple -pool sequence
No = 0
1
2
3
4. Particle size of stream substrate
0.5
1
2
3
5. Activelrelict floodplain
1
1
2
3
6. Depositional bars or benches
1.5
1
2
3
7. Recent alluvial deposits
'perennial streams may also be identified using other methods. See p. 35 of manual.
1
2
3
B. Headcuts
0
1
2
3
9. Grade control
0.5
1 1
1.5
10. Natural valley
0
0.5
1 1
1.5
11. Second or greater order channel
o = 0
Yes = 3
a artificial ditches are not rated; see discussions In manual
B. Hydrology (Subtotal = 5 r 5 )
12. Presence of Baseflow
0 P 2
3
13. Iron oxidizing bacteria
1 2
3
14. Leaf litter
1.5 0.5
0
15. Sediment on plants or debris
0 1
1.5
16. Organic debris lines or piles
0.5 1
1.5
17. Soil -based evidence of high water table?
No = 0
es = 3
C. Biology (Subtotal = 77
18. Fibrous roots in streambed 3
2
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos mote 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
1
1.5
25. Algae
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75;
BL = 1,5 ther = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: 8 LJ
Sketch: QCthtV� 5fp0��
inJ y''1 Oa'ro� 0 L

USACE AIC)r D14O `:+ Site v (indicate on attached map)
Sr-uo Dd a
STREAM'[ QUALITY ASSESSM ENT WORKSHEET
Pro%ide the folkniing information for the stream reach under assessment:
2. Evaluator's name: E51— L % k
4. Time of evaluation: 530aw
6.Riverbasin: Lurviber-
1. Applicant's name: r^►
3. Dale ofevaluation: 13 to
5. "name of streanti: i )-r io r ,iuiei-yao 5;wa iM ip
7. Approximate drainage area: 0 G
9. length of reach evaluated:_ 10 4_
8. Stream order Q
I O. County: P - o bbs p io
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): 3q,1 (0 - - Longitude (ex. -77.556611): —71, Q S
Method location determined (circle):�S Topo Sheet Ortho (Aerial) i'hoto,'GlS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
v. fl 6 n m ev
14. Proposed channel work (if any):. 'r13 L
1a. recent weather conditions: W&CM Cary
16. Site conditions at time of visit; 0. `t' 0 t
17. Identify any, special waterway classifications known: _Section 10 _Tidal Waters „-,Essential Fisheries Habitat
Trout Waters Outstanding Resource Waters _ Nutrient Sensitive Waters _Water Supply Watershed (I -1V)
Ili. 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 CO) 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: --�.-% Residential
U D'16 Forested
tit. Bankfttll width: (0 4
2.1. Channel slope down center of stream: Flat (0 to 2%)
25. Channel sinuosity: Straight Occasional bends
Commercial Industrial % Agricultural
°6 Cleared / Lagged „_% Other ( )
23. Bank height (from bed to top of bank): q 7
!Gentle (2 to 4%) Moderate (4 to 10%) Steep (> l 01io)
„Frequent meander Very sinuous Braided channel
Instructions for completion of v►trrksheet (located on page 2): Begin by detennining the most appropriate ecoregion based on
location. terrain, vegetation, stream classification, etc. Ever;« characteristic must be scared 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. t
Total Score (front reverse): Comments:
Evaluator's Signature �A date 81 7-� 1.16 _
This channel evaluation Wrm is intended to lie u dly° as a guide to assist landowners and °nviro trental professionals in
gathering the data required by the United States AV 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. Foran subject to change — version 06.03. To Comment. please call 919-876-8441 x 26.

STREAM QUALI rY ASSESSMENT'S ORKSI-IEET
* These characteristics are riot assessed in coastal streams.
ECOREG'10N POINT
RANGE,
4
CHARACTERISTICS.—
SCORE
_
Coastal
Piedmont
Mountain
1
Presence of flow f persistent pools in stream
0-5
[1 -4
0 _ 5
(no flow or saturation = 0: strong flow = max points)
Evidence of past Human alteration
0-6
0--5
0-5
(extensive alteration = 0; no alteration =max oints)
Riparian zone
0-6
0-4
0-5
(no buffer = 0; contiguous. wide buffer = max points)
Evidence of nutrient or chemical discharges
-S
0-4
0 4
(extensive discharges = 0; no discharges = maxpoints)
S
Groundwater discharge
0-3
0-4
0-4
no dischar *e = 0; s pin =s, seeps, wetlands, -etc. = maxpoints)
U;
Presence of adjacent floodplain
0-4
0-4
0-2
,.
(no floodplain = 0; extensive floodplain = maxpoints)
7
Entrenchment / floodplain access
0 5
0_ 4
0 `�
[�
(deeply entrenched = 0; frequent flooding = max points)
8
Presence of adjacent wetlands
0-6
0--4
0-2
(no wetlands = 0- large adjacent wetlands = max ppints)
9
Channel sinuosity
0-5
0-4
0-3
(extensive channelization = 0; natural meander= max pints)
10
Sediment input
0-5
0- 4
0-4
(extensive deposition= 0; little or no sediment = maxpoints)
s
1 l
Size & diversity of channel bed substrate*
0-4
0-5
(fine, homogenous = 0; lar�e, diverse sixes = maxpoints)
12
Evidence of channel incision or widening
0-5
0 -4
0-5
(deeply incised = 0; stable bed & banks = max pints)
13
Presence of major bank failures
0-5
0-S
0-5
a
(severe erosion = 0; no erosion, stable banks = maxpoints)
14
Root depth and density on banks
0-3
0 -4
0-5
F,
(no visible roots = 0; dense roots throughout = maxpoints)
15
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
T1
D
(substantial impact =0; no evidence = maxpoints)
16
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
no riff1cs/ripples or pools = 0; well-developed = maxpoints)
d
17
habitat complexity
0-6
0- 6
0-6
(little or no habitat = 0; frequent, varied habitats = max pDints
18
Canopy coverage over streambed
0-5
0-5
0-5
O
�
(no shading vegetation = 0; continuous canopy = maxpoints)
x
19
Substrateemheddedness
pip*
0--4
0--4-^
(deeply embedded = 0; loose stnrcture = max)
20
Presence of stream invertebrates (see page 4)
o-4
0 - 5
0 - 5
(no evidence = 0: common, numerous es = max points)
�.
21
Presence of amphibians
0-4
0-4
0-4
.0
(no evidence = 0; common, numerous es = maxpoints)
'4
Q
??
Presence of fish
0-4
0-4
0-4
t7
(no evidence = 0. common. numerous types = max pints)
p
03
Evidence of wildlife use
0-6
0--5
(no evidence = 0: abundant evidence = max pints)
E-5
Tatal Points Possible
l(10
100
TOTAL SCORE (also enter on first page)
* These characteristics are riot assessed in coastal streams.

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point sroo002 facing east upstream.
Waterbody data point sroo002 facing west downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point sroo002 facing north across bank.
Photo Sheet 2 of 2

USAGE AID# _ DWQ # _ _Site #_ (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET ,
Provide the following(( information for the stream reach under assessment: p
1. Applicant's name: Il rv.) A i o...2. Evaluator's name: 1 t Ot- FAIC&L os
3. Date of evaluation qIJI y 4. Time of evaluation: /0 I LtU�
5. Name of stream -QrlY in �t f ftt �wwonn. h 6. River basin: �- m &ir f F; 0,0 r
7. Approximate drainage area: <5'00,C 8. Stream order:_ 11T order
9. Length of reach evaluated: �00 f + 10. County: Vak e 5dln
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
f
Latitude (ex. 34.872312): 7��y /Yeo. Ff0Srr tV Longitude (ex. —77.556611):
Method location determined (circle):GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluate nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if
15. Recent weather conditions:
16. Site conditions at time
51 erdaY
. r-
17. Identify any special waterway classifications known: —Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters _Water Supply Watershed _(I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES 0 If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES O 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: _% Residential _% Commercial % Industrial T—%Agricultural
_%Forested % Cleared / Logged %
Other( nn,e.l road
, S 1
22. Bankfull width: ,t 3 r 23. Bank height (from bed to top of bank): 91
24. Channel slope down center of stream: _Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) ✓Steep (>10%)
25. Channel sinuosity: ✓traight _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): Z-5 Comments: /k<.A -A,-0-) ,1! in C ; e �i�0.�� f,e
r17 ri .i e^10
Evaluator's Signature i .rr-- Date -t "I
This channel evaluation form is intended to be used only as a guide to assist landowners and 6virlinmental 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 jroF'00 I
* These characteristics are not assessed in coastal streams.
#
CHARACTERISTICS
ECOREGION POINT RANGE
SCORE
Coastal
Piedmont
Mountain
Presence of flow / persistent pools in stream
1
no flow or saturation = 0; strongflow = max points)
0-5
0-4
0-5
2
Evidence of past human alteration
0-6
extensive alteration = 0; no alteration = max points)
0-5
0-5
!�
3
Riparian zone
no buffer = 0t contiguous, wide buffer = max points)
0-6
0-4
0-5
4
Evidence of nutrient or chemical discharges
extensive disohar es = 0; no discharges =max points)
0— 5
0-4
0-4
2
5
Groundwater discharge0-3
Z
no dischar e = 0; s rin s, seeps, wetlands, etc. = maxpoints)
0-4
0-4
6
Presence of adjacent floodplain
�+
no floodplain = 0; extensive floodplain = max points)
0-4
0-4
0-2
rTi
Entrenchment / floodplain aceess
Pw
'dee l entrenched — 0• frequent flooding = max points)0
— 5
0-4
0 — 2
8
Presence of adjacent wetlands
no wetlands = 0; large adjacent wetlands — max points)
0-6
0-4
0-2
D
9
Channel sinuosity
extensive channelization = 0; natural meander = max points)
0-5
0-4
0-3
'
10
Sedimentinput
0-5
0-4
0-4
�..
extensive deposition= 0• little or no sediment = max points)
11
Size & diversity of channel bed substrate
fine homogenous = 0; large, diverse sizes = max oints
NA*
0-4
0 — 5
,�/,�.
12
Evidence of channel incision or widening
Fy
dee l incised = 0; stable bed & banks = max oints
0-5
0-4
0-5
2,
13
Presence of major bank failures
a
severe erosion = 0; no erosion stable banks = max points)
0-5
0-5
0-5
3
14
Root depth and density on banks
F
no visible roots � 0; dense roots throughout = max points)
0-3
0 — 4
0-5
I
Impact by agriculture, livestock, or timber production
15
substantial impact =0• no evidence= max oints
0-5
0-4
0-5
16
Presence of riffle-pool/ripple-pool complexes
E
no riffles/ri les'or pools = 0• well -develop ed = max oints
0-3
0-5
0-6
G'
Q
17
Habitat complexity
rFr
little or no habitat= 0; frequent, vaned habitats = maxpoints)
0-6
0-6
0-6
l
I S
Canopy coverage over streambed
,�.
no shadingvegetation = 0• continuous cavo = maxpoints)0-5
0 — 5
0-5
19
SubstrateembeddeduessNA*
(deeply embedded = 0; loose structure = max)
0-4
0-4
20
Presence of stream invertebrates (see page 4)
!,
(no evidence = 0• common numerous types = maxpoints)
0-4
0-5
0-5
,
Presence of amphibians
2
no evidence = 0; common numerous es = max points)
0 —4
0-4
0-4
10
22
Presence of fish
0-4
0-4
0-4
to evidence = 0; common numerous types = maxpoints)
23
Evidence of wildlife use
0-6
0 — 5
0-5
no evidence = 0• abundant evidence = max points)
Total Points Possible
100
100
100
TOTAL SCORE (also enter on first page)
�S
* These characteristics are not assessed in coastal streams.

NC DWO Stream Identification Form Vercinn d_11
Date; !
1 Q G -
ProjectlSite:
Latitude: ?q��(�r� 41(1
Evaluator; t
County; 0 t f 3 bv.,
Longitude: -7q "' O�'3Z
Total Points:
Stream is at least intermittent
2
Stream Determination (circle one)
Other IJA17 4el � ,
e
if 2! 19 or perennial if 30*
Ephemeral Intermittent Perennial
I e.g. Quad Name:
A. Geomor holo (Subtotal = )
Absent
Weak
Mode ate
Strang
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,1
ri le l s
ooe uence
�D
0.5)1
2
3
4. Particle sire of stream substrate
0
0.5
2
3
5. Activeirelict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
0.5
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No
0
Yes = 3
Sketch:
eo
s
c
anmciar aitcnes are not rates: see [Irscussions In manual
B. Hvdroloav (Subtotal = 1. S 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 p€ants or debris
0
0.5)1
2
1.5
16. Organic debris lines or piles
0
0.5
11.5
1.5
17. Soil -based evidence of high water table?
0
No = 0
Yes 3
1.5
u. tmoiciav (SUbtotal = 1 . 1
18. Fibrous roots in streambed
3
2
;' 1)
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1 'j
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.
(9
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75;
OBL =Cl.t Other = 0
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
eo
s
c
'iItIfr..'/
SQ _r W

srog001
Waterbody srog001 facing upstream
Waterbody srog001 facing downstream

srog001
g~�
Waterbody srog001 facing upline cross stream

USACE AID#
DWQ#,
Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
�
1. Applicant's name 2. Evaluator's name:: � r
3. Date of evaluation I' Or, Az,� 4. Time of evaluation: J
5. Name of stream: "kaNt, !,!L" 6. River basin:
7. Approximate drainage area: i 8. Stream order:
9. Length of reach evaluated 10. County: Vie°
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex.34.872312) �'
�� Longitude (ex. —77.556611):---��—' �
Method location detemiitied (circle): GP Top. 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): Nc�r?,_
15. Recent weather cond
16. Site conditions at time of
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _ Nutrient Senslti�ve Waters _Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the ,,, luation point? YES' If yes, estimate the water surface __
19. Does channel appear on USGS quad map? AYE ��'NO 20. Does channel appear on USDA Soil Survey?(` YESpp NO
21. Estimated watershed land use: „ %Residential X Commercial _% Industrial Jam% Agricultural
% Forested % Cleared / Logged _% Other
22. Bankfall width: �� 4"u"d 23. Bank height (from bed to top of bank): -Pool,,
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.
u�
r�
Total Score (from reverse):, Comm
Evaluator's Signature Dates
This channel evaluation fo m is' intendedJo 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.