20140957 Ver 1_U-03_Appendix B_Wilmington_Robeson NC waterbodies_Part2_20170227

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
7

NC DWn CtrPAm Idpntifiratinn Rnrm Varcinn d 11
Date: 5 .' �(
ProjecVSite:
Latitude:
Evaluator:
County:
Longitude:'
Total Points:
Stream is of least intermittent
Stream Determination (circle one).,,
Other
if z 19 orperennial if z 30*
Ephemeral Intermittent Perennial '
e.g. Quad Name: e 7 c `t t
� 1 d
A. Geomorphology (Subtotal =_D )
Absent
Weak
Moderate
Strong
la Continuity of channel bed and bank
0
1
2
15. Sediment on plants or debris
2. Sinuosity of channel along thalweg
0
1
2
1 1.
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
?
3
4. Particle size of stream substrate
0
0131'
2
3
5. Active/relict floodplain
0
1
2
)
6. Depositional bars or benches
0)
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
------------------------
i `
1
2
3
9. Grade control
0 '
0.5
1
1.5
10. Natural valley
0
0.
1
1.5
11. Second or greater order channel
No = 0
Yes - s
dwijuai uiLunes are not raiea; see aisc ssionS In manual
B. Hvdroloov (Subtotal = i
12. Presence of Baseflow
0 1
2 �`�
13. Iron oxidizing bacteria
0
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 �&±
1 1.
17. Soil -based evidence of high water table?
No= 0
Yes =;
l:. IlIOIOCty (511r)totA1 = L I ) 1 Y. 1
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
3,
2
1
0
20. Macrobenthos (note diversity and abundance)
0
2
3
21. Aquatic Mollusks
0
1 '
2
3
22. Fish
0
0.5
1 `
1.5
23. Crayfish
0
0.5
1.5
24. Amphibians
0
0.5
1.5
25. Algae
0
0.
1
1.5
26. Wetland plants in streambed
FAC -W= 0.75; OBL = 1.5
Other = 0
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: ,6 c " ,o
Sketch
}r'
��7S,

,. --.� '� .sem ±3`�"s �•�'i ,���� }aW� �t�",
_
AIL
Aw-
=f f b
,fie �-�-vs�_.� - ,j•
ty

soro010
sroh010 side, west

USACE AID# DWQ # Site # (indicate on attached map) I
STREAM QUALITY ASSESSMENT WORKSHEET
Sc OCCO`d
Provide the following information for the stream reach under assessment:
I. Applicant's name:_ n. z3! I 2. Evaluator's name: 9.�yr'u ileScincc, 6ff ,up
3. Date of evaluation: a� /� 5 4. Time of evaluation: 11 -00 A M
5. Name of stream: LIT 1-0 soc'M Q 6. River basin:
7. Approximate drainage area: �5 a cfCS 8. Stream order: 1 s}
9. Length of reach evaluated: 160 FO t 10. County: 9,06 -'son
11. Site coordinates (if known): 1 prefer in decimal degrees. 12. Subdivision name (if any):
,j 7� R ,
Latitude (ex. 34.872312): 1;y q4 la e/ Longitude (ex. -77.556611): '271 0 © /' `� 7. 71 i
Method location determined (circle): CG5`S-3 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): 41-11 k-
15.
15. Recent weather conditions: 1:10- '9ce J i pJs d',"
16. Site conditions at time of visit: bio fm,-)
17. Identify any special waterway classifications known: Nk Section 10 hLA- Tidal Waters AM Essential Fisheries Habitat
i Trout Waters i*Outstanding Resource Waters 144- Nutrient Sensitive Waters 9A -water Supply Watershed IVA (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES (N -D) If yes, estimate the water surface area:
19. Does channel appear on USES quad map? YESO
20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: _% Residential
50% Forested
22. Bankfull width: 3. 5
24. Channel slope down center of stream: u � Flat (0 to 2%)
_% Commercial _% Industrial 50 % Agricultural
_% Cleared / Logged % Other (
23. Bank height (from bed to top of bank):
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.
Score (from reverse) qo Comments: 5f re�M 90 f13
lfbdVA Gv( -c,I)c ('e C,e%, 50, rv%49 .-Ae-%4-)
Evaluator's Signature Date _ 15
This channel evaluation form is inte 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
s r'ocod�,
I these characteristics are not assessed in coastal streams.
OA
I
N
01
=5 r

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWQ Stream Identification Form Version 4.11
Date: AM /ZDt5
Project/Site: AC P
Latitude:Wgq, 10 �Su
Evaluator: ga+i)fCAi ��SDcil'CA G16,T
11S
County: RO�eSO1
Longitude:-7q"07�4i771»
Total Points:
Stream is at least intermittent 105
if>_ 19 or erennial if>_ 30"
Determination (circle one)
P hemera Intermittent Perennial
Other
e. Quad Name:
g
a C
A. Geomorphology (Subtotal = U : J
Absent
Weak
Moderate
Strong
1a' Continuity of channel bed and bank
0
1
C'2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
11
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
BL = 1.5 Other= 0
1
2
3
6. Depositional bars or benches
0
1(D
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
9i
2
3
9. Grade control
0 >
0.5
1
1.5
10. Natural valley
0
-t)
1
1.5
11. Second or greater order channel
No== 0
Yes = 3
artiticial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = A )
12. Presence of Baseflow
0 1`
2
3
13. Iron oxidizing bacteria
U0 1
2
3
14. Leaf litter
1.5 1'Q.
`
0
15. Sediment on plants or debris
0.5
1
1.5
16. Organic debris lines or piles
0 (0'P
24. Amphibians 0
1.5
17. Soil -based evidence of high water table?
&M6 0 .
Yes - 3
L, 1 1.5
C. Bi0i0gy (Subtotal = 5. /S )
18. Fibrous roots in streambed +3'
1 0
19. Rooted upland plants in streambed /13)
2
1 0
20. Macrobenthos (note diversity and abundance)
1
2 3
21. Aquatic Mollusks
1
2 3
22. Fish
0.5
1 1.5
23. Crayfish
0.5
1 1 1 1.5
24. Amphibians 0
0.5
1 1 1.5
25. Algae 0
aft
L, 1 1.5
26. Wetland plants in streambed
ACVV = 0 x
BL = 1.5 Other= 0
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:�t°C�Oi�I^I
�C Cr,\C
t
Uj \
OL) -7
41

e

Seo
USACE AID# DWQ 8 Site #_ (indicate on attached map)
fm STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following Information for� the stream reach under assessment: m m-
1. Applicant's name: 2. Evaluator's name:
3. Date of evaluation:'�- 4. Time of evaluation: n�
5. Name ofsumm: 1 i(tIFE.River basin:,I,_tw�.fl.o T'
S
7. Approximate drainage area: u�j� ��� 8. Stream ordero
9. Length of reach evaluated: t��l {� 10. County: \1a Lel In
It. Site coordinates (if Prefer in decimal degrem. 12. Subdivision name (ifany'- /�!J
Latitude (ex. 34.872312): ��/ 4 4 ya. 19 7 r t Longitude (ex. -17.55661 I ): � 7 4 U O
Method location determined (circle):Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Oma
13. Location of reach under evalua t note nemby roads and landmarks and attach map identifying strcam(s) location):
14. Proposed channel work (if my):f-s��Js.QYff�Q- fn�
15. Recent weather conditions: 1 1 xPc J. I I1(I�-ts —
16. Site conditions at time
17. Identify my special waterway classifications known: gaction 10 /Tidal Waters 0 essential Fisheries Habitat
Habitat
/Trout Waters �/�Outstanding Resource Waters YoKlutrient Sensitive Waters Water Supply Watershedng(1-IV)
18. Is there a pond or lake located upstream of the evaluation point? YESNO If yes, estimate the water surface area:
19. Does channel appearon USGS quad map? YES S 20. Dom channel appear on USDA Soil Survey? YES kNO
21. Estimated watershed land use: -216 Residential _%Commercial __% Industrial 90%% Agricultural
'3 %Forested _%Cleared /Logged _% Other ( )
22. Sankfull width: 3 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: Flat (0 to 2%) _Gentle (2 m 4%) _Moderate (4 to 10%) _Steep (>I0%)
25. Channel sinuosity: X—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 m 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): Commegs: /it4J--v11G.6lC Gl't Y(X
Evaluator's Signature Date Zi ��I �(
This channel evaluation fa is Intended to—be used only as a guide to assist landowners and environmmta-1 p�afessionals 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
TOTAL SCORE (also enter on first page);
These characteristics arc not asscsscd in coastal streams.
#
CHARACTERISTICS
ECOREGION
POINT
Piedmont
Coastal
Mounia
Presence of flow/ persistent pools in stream
no flow or saturation= 0• strong flow= maz oints
0-5
0-4
0-5
2
Evidence of past human alteration
extensive alteration =0•no alteration = maxpoints)
0-6
0-5
0-5
3
Riparian zone
0-6
0-4
0-5
no buffer =0•canti uous, wide buffer =maxpoints)
4
Evidence of nutrient or chemical discharges.
(extensive discharges =0; no discharges = maxpoints)
0-5
0-4
0-4 -
a
5
Groundwater discharge
no discharge = 0; srip s sees wetlands etc. =maxpoints)
0-3
0-4
0-4
U
Presence of adjacent floodplain
rn
6
no floodplain = 0' extensive floodplain = max oink
0-4
0-4
0-2
7
Entrenchment/ floodplain access
(deeply entrenched frequent floodin =max oints
U—5
0-4
0-2
8
Presence of adjacent wetlands
no wetlands= 0; lave adjacent wetlands =maxpoints)
0-6
0-4
0-2
9
Channel sinuosity
0-5
0-4
0-3
extensive channelization= 0; natural meander=maxpoints)
10
Sedimentinput
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 lar homa enous=0' e, diverse sizes=max points)
12
Evidence of channel incision or widening
(deeply incised = 0' stable bed &banks = ntax points)0-5
0-4
0-5
I
13
Presence of major bank failures
0-5
0-5
0-5
Z.
severe erosion =0;no erosion stable banks=max points)
pa.
14
Root depth and density on banks
a
F
no visible roots = 0' dense roots throughout = max points)
0-3
0-4
0-5
Impact by agriculture, livestock, or timber production
IS
substantial impact --0; no evidence=maxpoints
0-5
0-4
0-5
16
Presence of rlliiapoopdpple.pool complexes
no riffles/ripples or pools = 0; well-develo cd = maxpoints)
0-3
0-5
0-6
F
17
fiabitat complexity
0-6
0-6
0-6
little or no habitat =P frequent. varied habitats =max points)
IS
Canopy coverage over streambed
0-5
0-5
0-5
no shading vegetation = 0; continuous cano =maxpoints)
19
Substrate embeddedness
0-4
0-4 --
(deeply embedded— 0• loose structure = max)NA
Presence of stream invertebrates (see page 4)
20
no evidence= 0; common numerous es=max points)
0-4
0-5
0-5
r�
21
Presence of amphibians
0-4
0-4
0-4
no evidence =0: common numerous es=max points)
rpi
O
22
Presence of fish
0-4
0-4
0-4
Ino evidence =P common numerous es=max points)
23
Evidence of wildlife use
0-6
0-5
0-5
no evidence= 0; abundant evidence =max points)
Total Points Possible
100
100
100
TOTAL SCORE (also enter on first page);
These characteristics arc not asscsscd in coastal streams.

NC DWQ Stream Identification Form Version 4.11
SKOH00c'
Date: _ i_
Project/Slte: �_'EKP
Latitude: o ' IJA.
Evaluator:
County:
Longitude: 7 ?'0,o
1
2 •
Total Points:
Stream Deter�in�'uc�n-[�rcle one)
GthertTNT to Burnt Swam
Stream is at least intermittent
Stream
r ]
Ephemeral Intermittent Oerennial
e.g. Quad Name:
if??9 of perennial i it` mit'
0
1
A. Geomorphology (Subtotal =
Absent
Weak
Mod rate
Strong
la Continuity of channel bed and bank
1
2 •
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particte size of stream substrate
21
41'
2
3
5. Active/relict floodplain
0
1
2
3
B. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
)
2
3
8. Headcuts
4
FACW = 0.75;
2
3
9. Grade control
0
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No = 0
Yes = 3
Sketch:
artificial ditches are not rated; see d c scions m manual
B. Hydrology (Subtotal =
12. Presence of Baseflow
0 1
2
3
13. Iron oxidizing bacteria
0
3
14. Leaf litter
1.5
0.5
0
15. Sediment on plants or debris
0 0.
1
1.5
16. Or anic debris lines or piles
0 .5
1)
1.5
17. Soil -rased evidence of high water table?
No = 0
es=3
1
C. Biology [Subtotal
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21, Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.
1
1.5
24. Amphibians
0
0.5`i
1
1.5
25. Algae
0
1
1.5
28. Wetland plants in streambed
FACW = 0.75;
BL = 1.5 Other = 0
'perennial streams may also be identified using other methods. See p. 35 of msnua .
Notes:
Sketch:
-
L -1J

a.
10 0
lop
4
4A. P
f. J
.(E
sj 1' C-'

LISACE A1D ` i?WQ ## Site � (indicate on attached snap)
srap-Q0 l
EM
STREAM QUALITY ASSESSMENT WORKSHEET
Prov ide the following information for the stream reach under assessment: NOW
1, Applicant's name: 'iQo rn i n i o -, 2. I :valuator's name: E7S2: �.�- �&U.Qwkf%)
3. I}ate of evaluation: 4. Time of n altiation:
l atnc of stream: �Lxrrj � swa," -- -- -, 6. €?aver basin: LLkIrAd f
7. Approximate drainage area; q .3 � 0 0.G ra 8. Stream order: J3 pp rd
9. Length of reach evaluated: 20 -fe-c+ 10. Count) : EQ6!5 o n _
11. Site coordinates (if known): prcicr in decimal degrees. 12. Subdivision name (if any): V011e-
34 . %Z � 91 €.onaitude (ex. --77.55661 t 1 H2- S 5 2-0
1..aC'stude (ex. 34.8123121: _ -_ ,' )� ~.
Ivlethocl location determined (circle): ;I'S Topo Sheet Ortho (Aerial)1'hoto'G1S Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach trap identifying, streattt(s) location):
S�t'Ga 5i' n rEVcr ye- SLfGIA Or
14. Proposed channel work (if tiny):_ �rtsnts5e�
15. Recent weather conditions: ., t,,,t ZN k-& ,.r s
16. Site conditions at time of visit: %f � eP e_r
17. ldentif}, any special waterway classifications known: ______Section 10 _Tidal Waters _Essential Fisheries Habitat
Trout Waters Outstanding Resource Waters —Nutrient Sensitive Waters Zmater Supply Watershed -a (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? &)NO 20. Does channel appear on USDA Soil Survey?ES NO
21. Estimated watershed land use: I6 % Residential 9' Commercial Commercial _% Industrial 50/a Agricultural
Za,lo Forested I 9 Q Cleared 1 Logged Other t _)
22. Bankfull width: 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: ZFlat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>I0%)
25. Channel sinuosity: Straight Occasional bends ,Frequent meander Very sinuous Braided channel
Instructions for completion of worksheet (located on page 2): Begin b1 determining the most appropriate ecoregion based on
location. terrain, vegetation, stream classification, etc. Every characteristic must be scored using the some ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of hove 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 rev iew (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 ev-aluate 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 (froth reverse): /77 Comments:a'"�e�wnrti9,
Evaluator's Signature -' �;. '��WIr - pate -7- 13 -1&
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 Arany Corps of Engineers to make a preliminary assessment of stream
quality. `I he total score resulting from the completion of this form is subject to USACE approval and does not impl% a
particular mitigation ratio or requirement. Forst subject to change - version 06'03. To Comment. please call 919-876-8441 .r 26.

STREAM QUALITY ASSESSMENT NVORKSHEET
* Ii'hese characteristics are not assessed in coastal streams.
E+C"DREGT[lN POINT
RANGE.
#{
CHARACTERISTICS
SCORE
-
Coastal
Piedmont.,
14lountain.
I
Presence of flow 1 persistent pools in stream
D r a
0 4
0 5
(no flow or saturation = 0; strongflaNy = max oints)
1)
Evidence of past human alteration
0-6
0-5
0-5
(extensive alteration = 0; no alteration = maxpoints)
3
Riparian zone
0-6
0-4
0-5
(no buffer = 0; contiguous, wide buffer = max oints)
4
Evidence of nutrient or chemical discharges
0-5
0 --4
0-4
(extensive discharges 0; no discharges = tnax oints)
Groundwater discharge
0-.3
0-40-4
0-4
(no discharge = 0; s rinl7s, seeps, wetlands. etc. = maxpoints)
{
of adjacent floodplain
0-4
D-4
?
D-..
ri'Presence
(no floodplain = 0; extensive floodplain = max points)
7
Entrenchment J floodplain access
0- 5
0-4
0-.2
(deeply entrenched = 0; fre uent flooding = maxpoints)
S
Presence of adjacentisetlands
0-6
0-4
0-2
(no wetlands = 0; large adjacent wctlands = max points
Channel sinuosity
0_.5
{}-4
0-3
(ext ens.ve channelization = 0; natural meander = max points)
10
Sediment input
0-5
0-4
0-4
{extensive de osition� 0; little or no sediment = max 2oints)
I1
Size & diversity of channel bed substrate
*.
NA
0--4
0-5
fine, homogenous = 0; large. diverse sizes = max Dints)
12
'Evidence of channel incision or widening
0-5
0-4
0- 5+
(deeply incised = 0: stable bed & banks = maxpoints)
13
Presence of major Yank failures
0-5
0-5
0-5
severe erosion = 0; no erosion, stable banks = max Dints
a7
140-3
Root depth and density on banks
0-4
0--5
(no visible roots = D; dense roots throughout = mai. Dints)
15
Impact by agriculture, livestock, or timber production
0-5
0 --4
0-5
substantial im act =0; no evidence = maxpoints)
16
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
0
(no riffles/ripples or pools = 0; well-developed = maxpoints)
H
17
Habitat complexity
0-6
0-6
0-6
(little or no habitat = 0; frequent, varied habitats = maxpoints)
W
d
18
Canopy coverage over streambed
0-5
0_.5
0-5
(no shading vegetation = 0, continuous canopy = max pints)
19
Substrateeniheddedness
NA
{}-q
0-4
(deeply embedded = 0; loose structure = max
20
Presence of stream ins ertebrates (see page 4)
0-4
0-5
0-5
�
(no evidence = 0; common, numerous types = max points)
rJ►
1
Presence of amphibians
o-4
0-4
0-4
®
(no evidence = 0, common, numerous tyTes = maxpoints)
22
Presence of fish
0-4
0-4
D-4
Lf
(no evidence = 0: common, numerous es = max points)
p
[23
Evidence of wildlife use
o-6
0-5
0-5
(no evidence = 0; abundant evidence = maxpoints)
Total Paints Possible
1011
100
100
TOTAL SCORE (also enter on first page)
7 7
* Ii'hese characteristics are not assessed in coastal streams.

NC DWO Stream Identification Form Version 4.11 S r)Poo )
Date: 7- 9 (w � (�
Project/Site: AC?
Latitude: 3 L -t.7 Z L4 �
Evacuator: r ST
County: PZO u..
Longitude:— t 7,14
Total Points: _
Stream is at least intermittent �� �
Stream Determination( e
Other
•
if;a 19 or perennial if? 3i]'
Ephemeral Intermitter Perennial
e.g. Quad Name:
A. Geornor hula Subtotal =
Absent
Weak
Moderate
Strong
. Continuity of channel bed and bank
0
(1
2
3
_1"
2. Sinuosity of channel along thalweg
4
d3
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ri le- ool sequence
0
1
t1'
3
4. Particle size of stream substrate
0
(A)
2
3
5. Activelrelict floodplain
0
1
2
i 3'
6. Depositional bars or benches
(0)
0.5
2
3
7. Recent alluvial deposits
'0
1
2
3
B. Neadcuts
[
1
2
3
9. Grade control
0.5
1
1.5
10. Natural valley
0
0.5
1
11. Second or greater order channel
No = 0
es = 3
ril�r�'
Sketch: Glttira� RSI 1
artificial ditches are not rated; see discussions in manual
B. H drolo Subtotal = / S
12. Presence of Baseflow
0 1
2
1
13. Iron oxidizing bacteria
0
2
3
14. Leaf litter
1.5 1
( 0. ,
0
15. Sediment on plants or debris
f 0,3 0.5
1
1.5
16. Organic debris lines or piles
R 0.5
1
1.5
1 T Soil -based evidence of high water table?
No = 0
0.5
(Yes = 3
C. Biology (Subtotal = 1Z , 5 )
1 B. Fibrous roots in streambed
3
(2
1
0
19. Rooted upland plants in streambed
I'NT
2
1
0
20. Macrobenthos (note diversity and abundance)
T1
2
( 3
21. Aquatic Mollusks
(b)
1
2
_3
22. Fish
0
0.5
1
"A-9)
23. Crayfish
0
;0.
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75/0131- = 1.5
ther = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
ril�r�'
Sketch: Glttira� RSI 1
f'
4-
l 7r i i
/V
(mv,pi 1-444
T�.-L "44 Z.

2016/07111 11 '
- r
_ r
46
,, U,16106�

11SACE AID4
1714 Q _ Site (indicate on attached map)
<S (-0 P a4
STREAM QUALITY ASSESSMENT WORKSHEET
Y
Pru► ide the folloni, ing information for the stream reach under assessment: /
2. Evaluator's name; Em"V"1,4-
V"1,4.,
1. Applicant's name:.
3. Date of evaluation: 7 - 0 - G
a% Name ofstream: tAT -�o Sv.rn+- 5'- a -,P-
7. Approximate drainage area: -1-- 6V-rcS
9. Length of reach evaluated: 2-o T-�.
11. Site coordinates (if known): prefer in decimal degrees.
4. Time of evaluation: //:/S
fir. River basin; 1L-',',
8. Stream Larder: 0
10. County,�ir_.s�..
12. Subdivision name (if any): Ah)rl f-
Latittide (ex-34.lt72312): 34.77- 3 7 Oro Longitude (ex. -77.556611),, 9-/'13703
Method location determined (circle): 4; " 'fopo Street Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (none nearby roads and landmarks and attach map identif} in�g
rlsttream(s) location):
14. Proposed channel work (if any): PnQz J P."l k..'t _-
1+. Recent weather conditions: f�a •+
16. Site conditions at time of visit
17. Identify any special waterway classifications knowwn: Section 10 ,Tidal Waters Essential Fisheries Habitat
Trout Waters _Outstanding Resource Waters Nutrient Sensitive Waters ✓V4'ater Supply Watershed 7�(1-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES g If yes, estimate the eater surface area:
19. Does channel appear on USGS quad snap? YES 20. Does channel appear on USDA Soil Survey? YES O
21. Estimated watershed land use: /b% Residential _% Commercial % Industrial 'O % Agricultural
111'0 Forested _% Cleared / Logged i% Other ( i
22. Bankfull width: ID A 23. Bank height (from bed to top of bank): J4
24. Channel slope down center of stream: v"'F Cat (0 to 2';u) _-Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (> 10°'01]
25, Channel sinuosity: /Straielit _Occasional bends _Frequent meander —Very sinuous ,Braided channel
Instructions for completion of Avorlsheet (located on page 2)r Begin by determining (lie inost appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign paints
to each characteristic wwithin the range showwn for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the workslwcet. 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): 33 Comments:
Evaluator's Signature.• YAC"f I}arc /-/
This channel evaluation form is intended t&fae used only as u guide to assist landow ners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a prellminarer assessment of stream
quality. The total score resulting from (lie completion of this form is subject to USACE approval and does not imply, a
particular mitigation ratio or requirement. Fonn subjject to change - version 06 03. To Comment, please call 419-876-8441 x ?6.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
ECORE("ION POINT
-RANGE,
N
CHARACTERISTICS
SCORE
Coastal
Piedmont
Mountain,
1
Presence of flow / persistent pools in stream
0-5
0 - 4
0-5
y
I
(no flow or saturation = 0: stron r flow = max hints)
2
Evidence of past human alteration
0-6
0.- 5
0--5
r
(extensive alteration = 0; no alteration = max points)
Riparian zone
0
0_ 4
0- 5
(no buffer = 0; Conti tuous. ►vide buffer =max pints)
r{
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
(extensive discharges = 0; no dischar es = tnaxpoints)
a
5
Groundwater discharge
0-3
o-4
0-4
2
no discharge = 0; springs, see s, vyellands, etc. =max Dints
6
Presence of adjacent floodplain
0 4
0 -4
0- 2
0(no
floodplain = 0: extensive floodplain = max points)
Entrenchment / floodplain access
0 -5
0-4
0 -?
(dee lv entrenel;ed = 0; frequent flooding = maxpoints)
8
Presence of adjacent wetlands
0-6
o-4
0-2
(no wetlands = 0; large adjacent wetlands = max oints)
9
Channel sinuosity
0-5
0 -4
0-3
(extensive channelization = 0; natural meander = maxpoints)
10
Sediment input
0-5
0-4
0-4
(extensive deposition= 0; little or no sediment =max Hints)
11
Size & diversity of channel bee! substrate
N1q . -, `
0-4
0-5
(fine, homogenous = 0Ja *e, diverse sizes = maxpoints)
12
Evidence of channel incision or widening
0 _. 5
0-4
0-5
Ll
i
(deeply incised = 0; stable bed & banks = max Dints)
i3
Presence of major bank failures
0 5
0-5
0 - 5
��
severe erosion = 0; no erosion stable banks = max points)
14
Root depth and density on banks
0-3
0-4
0-5
3
{no visible roots = 0; dense roots throu =bout = max oints
15
Impact by agriculture, livestock, or timber production
0-5
p - q
0 5
Z
(substantial impact =0; no evidence = max points)
16
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
(no riffles/ripples or pools = 0; well-developed = max points)
17
Habitat complexity
0-6
0-6
0-6
(little or no habitat = 0; frequent, varied habitats = maxpoints)
M
18
Canopy coverage over streambed
0-5
0-5
0-5
(no shading vegetation = 0; continuous canopy = maxpoints)
19
Substrate embeddedness
NA* . `
0-4
0-4
Y --
(dee ly embedded = 0; loose structure = max
20
Presence of stream invertebrates (see page 4)
o-4
0-5
0-5
U
(no evidence = 0; common, numerous types = maxpoints),
�►
1
Presence of amphibians
0-4
0-4
0-4
C7
(no evidence = 0; common, numerous ty es = max pDints)
p
2?
Presence of fish
0-4
0-4
0-4
0
(no evidence = 0; common, numerous types = max points)
r23Evidence
of wildlife use
o-6
0-5
0-5
(no evidesice = 0: abundant evidence = max paints)
Total Points Possible
100
lOt)
160.
c�
TOTAL SORE (also enter an first page)
33
* These characteristics are not assessed in coastal streams.

NC DWO Stream Identification Farm Version 4.11 ';r-00 0 0 Z
Date: 7- 1 + - r
Project/Site: A CIP
Latitude: ' . 17-32OG
Evaluator: - UA � �
County: P_06'Jun
Longitude: -79 L427,03
Total Paints:
Stream is at least intermittent
5tr etermination (circle one)
hemera Intermittent Perennial
Other,bre
Quad Name
if?-, 19 or perennial if z 30'
2. Sinuosity of channel along thalweg
e. g-
A. Geomorphology (Subtotal = S )
Absent
Weak
Moderate
Strong
1"Continuity of channel bed and bank p; k cd -1
0
1
2
r
2. Sinuosity of channel along thalweg
0
01
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
��•'
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
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
o = 0
Yes = 3
x
a artificial ditches are not rated-, see discussions in manual
B. H drolo Subtotal = Gs
12. Presence of Baseflow
0
1
(f2J
3
13. Iron oxidizing bacteria
(0
1
2
3
14. Leaf litter
1.5
1
0.5
3
15. Sediment on plants or debris
1 (0)
1 0.5
1
1.5
16. Organic debris Ilnes or piles
0
1 0.5
'`1
1.5
17. Soil -based evidence of high water table?
0
No = 0
1
Yes = 3,.
C. Bioloov (Subtotal = S E )
18. Fibrous roots in streambed
(3)
2
1
0
19. Rooted upland plants in streambed
3
f2
1
0
20. Macrobenthos (note diversity and abundance)
(0)
1
2
3
21. Aquatic Mollusks
6P
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
o'5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5
Other = 0 *?
'perennial streams may also be identified using other methods. See p- 35 of manual.
Notes:
Sketch:
x
0 i'1WY� W.dit . f - 'a
sin• L (of *

\0

Y Jam✓ ♦ .
�..i���,,. w w r
/
y�
' �a' �
M1 �. �
• I
:.
40Ar
dl
20010'1017,14

t,'S,AC`F AiD'
IN
DWQ =' Site Y ( indicate on attached map)
Srop003
STREAM QUALITY ASSESSMENT WORKSHEET _.
Provide the follui► ing information for the stream reach under assessment:
2. ?valuator's name: JE SJ -\J • ��
4. Time of evaluation: 12--00
6.Riverbasin: Ltxv�:ier P-- tycr
1. Applicant's name: ✓por%" n: a.1
3. [late of evaluation:, Z -11 -IC ;7 -
5. Name of stream:. Ll� -�-t� , +'3Lj 1 n4 st.4o-^t1
7. Approximate drainage area: N-7 ac res
9. Length of reach evaluated: 2 0 e -,-4-
11.
`
I1. Site coordinates (if known): prefer in decimal degrees.
8. Stream order: 15"
10. County: Ro &e-sar,
12. Subdivision name (if any): 0#1e-
latitude (ex. 34.872312): 311. 7Z 3 Z 2 7- Loneitude (ex. -77.556611): 79. 15 1313 C
Method location determined (circle):,I'S Topa Sheet Ortho (Aerial) PhotorCIS Othcr GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
1.1. Proposed channel work (if any): Prb ;
15. Recent weather
16. Site conditions at time of visit: rr..t�
17, ldentify any special watenvay classifications known: _Section 10 Tidal Waters -Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters --Z-i'4'ater Supply Watershed -7-(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 snap? 1=S NO 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: % Residential _% Commercial % Industrial L15 % Agricultural
_% Forested 95.916' Cleared / Lo€:ged 9a Other { -- -- _- )
22. Bankfull width: 11Z �� 23. Hank height (from bed to top of bank):
24. Channel slope down center of stream: _✓Flat (0 to 21r6) _Gentle (2 to 4%) Moderate (4 to 10%) Steep (>I0%)
25. Channel sinuosity: ✓Straight _Occasional bends Frequent meander Very sinuous _Braided channel
Instructions for conipletion of worksheet (located on ,page 2): Begin by deterntining 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 retiea the
characteristics identified in the %korksheet. 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, tiN ith a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): 61 Comments:
Evaluator's Signature gate 7-1
This channel evaluation form is intended ttTbe used only as a guide to assist landowners and en%ironmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total scare 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- versiion 06!03. To Comment, please call 919-876-8.111 x26.

STREAM [QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
ECOREEOION POINT
RANGE,
#
CHAIRCTEMSTICSCoas'tai
SCORE
Piedmont
lliountain.
Presence of flow 1 persistent pools in stream
0-5
0-4
Q _ s
(no flow or saturation = 0; strong, flow = maxpoints)
Evidence of past human alteration
0-6
0 - 5
0 - 5
(extensive alteration = 0; no alteration = maxpoints)
3
Riparian zone
0-6
0-4
V-5
J
(no buffer = 0; contiguous, wide buffer = maxpoints)
4
. Evidence of nutrient or chemical discharges
0-5
0 4
0-4
(extensive discharges = 0; no discharges = maxpoints)
a
5
Groundwater discharge
0-3
0-4
0.-4
no discharge = 0; s rinj7s, seeps, wetlands, etc. = maxpoints)�-
Presence of adjacent floodplain
0 4
0— 4
0- 2
,.
(no floodplain = 0; extensive floodplain = max points)
Entrenchment I floodplain access
0 5
0— 4
0— 2
(deeply entrenched = 0; frequent flooding= max points)
S
Presence of adjacent wetlands
0. 6
0-4
0- 2
(no Lretlands = 0; large adjacent wetlands = maxpoints)
9
Channel sinuosity
0 _. 5
0-4
0 .- 3
extensive channelixati+on = 0; natural meander = maxpoints)
10
Sediment input
0 5
0-4
0 __ 4
z
(extensive deposition= 0- little or no sediment = maxpoints)
11
Size & diversity of channel bed substrate
NA*
`4
0 5
-(fine,
homogenous = 0; large, diverse sizes = max points)
�
1_
Evidence of channel incision or widening
0-5
Q --4
0— 5
h
(deeply incised = 0; stable bed & banks = maxpoints)
�
1-t
i3
Presence of major hank failures
0-5
0-5
0-5
severe erosion = 0; no erosion, stable banks = maxpoints)
Q
14
Root depth and density on banks
0-3
0-4
0-5
(no visible roots = 0; dense roots throughout = max points
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
c ;(
15
(substantial impact =0; no evidence = max oints
1G
Presence of riffle-poollripple-gaol complexes
0-3
ti 5
0-6
no riffles/ripples or pools = 0; well-developed = maxpoints)
17
Habitat complexity
0-6
0-6
o-6
(little or no habitat = 0• fre cent, varied habitats = maxpoints)
18
Canopy coverage over streamlied
0-5
0— 5
0-5
Ll
(no shading vegetation= 0; continuous canopy= maxpoints)_
19
Substrate embeddedness
NA*
0-4
0 --4
--
{dee ly embedded = 0• loose structure = max
20
Presence of stream invertebrates (see page 4)
0-4
0 — 5
0 - 5
(no evidence= 0; common, numerous types= max points)
21
Presence of amphibians
0-4
0-4
0-4
C7
(na evidence = 0; common, numerous t es = maxpoints)
o
22
Presence of fish
0--4
0-4
0-4
3
(no evidence = 0; common, numerous types = max dints)
p
23
Evidence of wildlife use
0--6
0-5
0-5
(no evidence = 0; abundant evidence = max points)
Total Points Possible
100
100
160
TOTAL SCORE (also enter on first page),
j
* These characteristics are not assessed in coastal streams.

IAC DSV Streaiii Identification Form Version 4.11 scop o o3
Date: _ !
Project/Site: 1`
latitude: 3 '-1 .72 3'Z ZZ
Evaluator: E � - �,,, 4
County: � �
Longitude: - 79. 157 3B(;
Tectal Points:
Stream Determination (circle one)
Other tk-*) sCCIL46
Stream is at least intermittent
if? 4g or erennial if a 30"
Ephemeral Intermittent ffiiFnia)e.g.
Quad Name:
A. Ceomor holo (Subtotal= (0. -s )
Absent
Weak
Moderate
Strong
1"Conti nuity of channel bed and bank 4cL.
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
0.5
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
3
B. Depositional bars or benches
0)
26. Wetland plants in streambed
2
3
7. Recent alluvial deposits
'perennial streams may also be identified using ether methods. See p. 35 of manual.
1
2
3
S. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1
C 1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
Na ` 4
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. Wdroloav (Subtotal = J C1. S. )
12. Presence of Baseflow
0
1
2
4 3
13. Iron oxidizing bacteria
fl
1
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0
1 0.5
11.5
24. Amphibians
17. Soil -based evidence of high water table?
0.5 1
No = 0
25, Algae
Yes T 3
C. Biola Subtotal = /0-0
18. Fibrous roots in streambed
3
01
0
19. Rooted upland plants in streambed
M
2 1
0
20. Macrobenthos (note diversity and abundance)
0
1 2
3
21. Aquatic Mollusks
a1
2
3
22. Fish
0
0.5 1
1.5
23. Crayfish
fl
0.5 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, 06L r 1.5 Other 0
'perennial streams may also be identified using ether methods. See p. 35 of manual.
Notes: 7De4rvrr,•ne_,,! -1� hr CeircnnP�t l n liC .t
4
Sketch:
r
�4
i
r
rr 0[Z o-3
o i -�4

OIN
0.1610 f'l`1l r�1'?",
1 ,
y

USACE AID#
l.L'Nig
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: pt) 4� c Vi 2. Evaluator's name:
r
3. Date of evaluation: as _ l i { 4. Time of evaluation: (� �
5. Name of stream: M 0 <; -, } � �Z S t t7 to a 6. River basin:.
7. Approximate drainage area: 8. Stream order: h`
9. Length of reach evaluated: 10. County:nA y5 n—n
11. Site coordinates (if known): t prefer in decimal degrees. 12. Subdivision name (if any):--
1 p
Latitude (ex. 34.872312): � -1 '4J �%. C� Z Longitude (ex. —77.556611): 7 / o— , -7
Method location determined (circle)::GT1) 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):
I. -----
14. Proposed channel we
15. Recent weather cond
16. Site conditions at tim
17. Identify any special waterway classifications known: i Rsection 10 Tidal Waters essential Fisheries Habitat
Trout Waters �� Outstanding Resource Waters �l utrient Sensitive Waters eater Supply Watershed ti', I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES NO If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES NO
21. Estimated watershed land use: &—% Residential
�% Forested
22. Bankfull width:_( )
24. Channel slope down center of stream:� Flat (0 to 2%)
25. Channel sinuosity: Straight ///� Occasional bends
20. Does channel appear on USDA Soil Survey? YES NO
_% Commercial _% Industrial % Agricultural
% Cleared / Logged _% Other
23. Bank height (from bed to top of bank):
_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 appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): Comments:
Evaluator's SignatureSILL (L ��„�.� Date �'��, Q
This channel evaluation fe(rm is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change — version 06/03. To Comment, please call 919-876-8441 x 26.

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

NC DWO Strenm Identifientinn Farm Vvrcinn d 11
1� D H n L'
Date: �,
ProjecVSite:
Latitude
Evaluator:
County:
c�'
Longitude: v `
Total Points:
Stream is at least intermittent � d( � 38.5
Stream Determination (cit -����,
Ephemeral Intermittent tenni V
Other Moss Neck Swamp
Quad Name:
if? 19 or perennial if z 30' (
2. Sinuosity of channel along thalweg
e.g.
A Geomorphology (Subtotal = )
Absent
Weak
Moderate
Strong
1a. Continuity of channel bed and bank
0
1
2_)
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
-ripple-pool sequence
0
1
2 ?
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
Notes:
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No = 0
Yes = 3
Sketch:
arutnciai ancnes are not ratea; see aiscussions in manual
B. Hvdroloav (Subtotal = I ( m
12. Presence of Baseflow
0 1
2 3
13. Iron oxidizing bacteria
0 1
3
14. Leaf litter
1.5
0.5 0
15. Sediment on plants or debris
0 0.5
1.5
16. Organic debris lines or piles
0 0.5
1 1.5
17. Soil -based evidence of high water table?
No = 0
es =
L. tslology (subtotal = t G ,3 )
18. Fibrous roots in streambed
3
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
%
1
2
3
22. Fish
0
0.5
1.5
23. Crayfish
0
0.5
1 1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5
Other = 0
'perennial streams may also be identified using other methods. See p. 35 of m nual.
Notes:
Sketch:

sroh008
Waterbody sroh008 facing upstream
Waterbody sroh008 facing downstream

sroh008
Waterbody sroh008 facing upline cross stream

USACE AID# DWQ # Site # (indicate on attached map)
Fol STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment: ��
1. Applicant's name: Uom t ULco ,,- 2. Evaluator's name: >tn >� _
't
3. Date of evaluation: „� L 408 N"k 4. Time of evaluation: j
5. Name of stream: \ a v Kr �A L L tAr 1�, aNffi. River basin: L.L't evt {2,
7. Approximate drainage area:_S C)c 8. Stream order;
9. Length of reach evaluated: F 10. County: kt� l _5O -A
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): -
�1 Dr�'1 .. �,tc 6 r 1/It
Latitude (ex. 34.872312):__� 3-/. 1 ��"t� Longitude (ex. —77.556611): � t % 7-c 1 e �7
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evalua bn (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 visi
17. Identify any special waterway classifications known: /12 ' Section 10 dal Waters L sential Fisheries Habitat
rout Waters /VAOutstanding Resource Waters '1VlNutrient Sensitive Waters ©/Water Supply Watershed I-IV)
18. Is there a pond or take located upstream of the evaluation point? YES O j 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 NO
21. Estimated watershed land use: _% Residential _% Commercial _% Industrial % Agricultural
26 % Forested _% Cleared / Logged _% Other ( )
22. Bankfull width: 23. Bank height (from bed to top of bank): `1
24. Channel slope down center of stream: Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: %C 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
continent 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: _ v 7i nom?
C �� i gra r r ..gra
Evaluator's Signature LdQL I -V�2 Date F - -,) b - LY
This channel evaluation fol is intended - 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.

STREAM QUALITY ASSESSMENT WORKSHEET 1
D
v
L
i nese cnaractensttcs are not assessea in coastal streams.

NC DWQ Stream Identification Form Version 4.11 J k
Date:
Project/Site:
Latitude:
Evaluator: c 'C�
County:
Longitude
) Absent Weak Moderate
Strong
laContinuity of channel bed and bank
Total Points:
Stream is at least intermittent
Stream Deter ieati circle one)
Other UNT to Moss Neck
if z 19 or perennial if z 30'
Ephemeral ntermittent erennial
e.g. Quad Name:
A. Geomorphology (Subtotal =-
0 1
2
3
13. Iron oxidizing bacteria
0 OD
) Absent Weak Moderate
Strong
laContinuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
-ripple-pool sequence
0
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
r 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
Co.5
1'
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
Sketch:
No = 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 OD
2
3
14. Leaf litter
1.5
0.5
0
15. Sediment on plants or debris
0 nD1
3
1.5
16. Organic debris lines or piles
0 0.5
=
1.5
17. Soil -based evidence of high water table?
No = 0
0.5
es = 3�
C. Biology (Subtotal = / , . 15 ) _
18. Fibrous roots in streambed
3
2
1)
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
a5
1
2
3
21. Aquatic MollusksCO-)
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_S
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:
Swamp

sroh007
Waterbody sroh007 facing upstream
,"
Waterbody
sroh007 facing downstream

sroh007
Waterbody sroh007 facing upline cross stream

USACE AID#
DWQ # Site # (indicate on attached map)
0 STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: IL_ T 3 1, V\ 1zt�-Y\ 2. Evaluator's name:
3. Date of evaluation:__> 7 4. Time of evaluation: ( 2
�n
5. Name of stream: ( tp1,y a Q a 7�iver basin:
7. Approximate drainage area: `L7EAqq�� 8. Stream order:
9. Length of reach evaluated: 1 Oz) r c� 10. County: Q A) gem
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
2L d LI' t �-1 C '? syr' y ( !
Latitude (ex. 34.872312): J 1 { } O Longitude (ex. —77.556611): Ci % , �t 3
Method location determined (circle):C�iPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if
15. Recent weather conditions
16. Site conditions at time of v
17. Identify any special waterway classifications known: fikSection 10 'Tidal Waters U L essential Fisheries Habitat
Trout Waters Outstanding Resource Waters (ti I�Iutrient Sensitive WatersWater Supply Watershed(I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES( O If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES 20. Does channel appear on USDA Soil Survey? YESNO)
21. Estimated watershed land use: % Residential _% Commercial _% Industrial % Agricultural
—D% Forested _% Cleared / Logged _% Other (
22. Bankfull width: O 23. Bank height (from bed to top of bank): ' V
24. Channel slope down cent r of stream:�Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: cent
_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): D-0 Comments: Zr
Evaluator's Signature(Y/
Date /
This channel evaluation foug is intended to 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.

f �
S �
STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DwQ Stream Identification .Form Version 4.11
D t
(L Project/Site: <LatitudeLJoL �` S
Evaluator:
County: Longitude Z) (' �7
Total Points: `
Stream is at least intermittent Stream Deter inat' cle one) Other UNT to Bear Swarr
if a 19 or erenniai if >_ 30' Ephemera Intermittent Arennial e.g. Quad Name:
H. ueomor holo (Subtotal = )
Absent
0
Weak
1
Moderate
2
Strong
3
1a' Continuity of channel bed and bank
2. Sinuosity of channel along thalweg
3. In -channel structure: ex. riffle -pool, step -pool,
1
2
3
ripple -pool se uence
0
0
1
-
2
3
4. Particle size of stream substrate
5. Active/relict floodplain
0
00.5
2
3
6. Depositional bars or benches
0
C. Biolo4y {Subtotal = � r �-- ---
2
2
3
7. Recent alluvial deposits
1.5
24. Amphibians
3
8. Headcuts
0
1,
2
30
9, Grade control
1
1.
2
3
10. Natural valley
00•
1.5
1
1.5
11. Second or greater order channel
0
0.5
1
1.5
a artificial ditches are not rated: see discussinnc in r. --i
No= Q,
Yes=3
Sketch:
B. Hydrology (Subtotal
3
2
1
12. Presence of Baseflow
0
- - --
13. Iron oxidizing bacteria
- -0 ---
1
---- -
2 3
---2
--
3
14. Leaf lifter
1'5 1
15. Sediment on plants or debris
0
.5 , 0
'
16. Organic debris lines or piles
00.5
0.5
1 1.5
1 1.5
17. Soil -based evidence of hi h water t ? No = 0
C. Biolo4y {Subtotal = � r �-- ---
----------------
- ._
Yes = 3
T----
10. r"Drous roots in streambed _
3
2
1
19. Rooted upland plants in streambed -
20. Macrobenthos (note diversity and abundance)
3
p
2
1
0
21. Aquatic Mollusks
1
2
3
22, Fish
0
1
2
3
23. Crayfish
0.5
1.5
24. Amphibians
0
0.5
1.50
25. Algae
0.5
1
1.5
0
1
1.5
26. Wetland plants in streambed
`perennial streams may also be identified using other methods. See
p. 35 of manua
FACW = 0.75'
OBL = 1.5 Other = 0
Notes:
.
Sketch:
41

•may � � ,�
jo,�,'Y_

10
OPO"
W]

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
r-, e
NC DWQ Stream Identification Form Version 4.11
Date: (
Project/Site: `--
Latitude:
Evaluator: ` f„ >
County:
G>r�
Longitude:-
gni 19 M
Total Points:
Stream is at least intermittentE
Stream Determination -(circle one)
Other
if >_ 19 or erennial if >_ 30' _
p C hemeral Intermittenp Perennial
e.g. Quad Name:
C.)
A. Geomorphology (Subtotal= (' )
Absent
Weak
Moderate
Strong
1 a. Continuity of channel bed and bank
0
1
2
(3
2. Sinuosity of channel along thalweg
CE1
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
�
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
b-,
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
(1 j
2
3
9. Grade control
0
0 5 1
1
1.5
10. Natural valley
�0�)
0.5
1 ._,
1.5
11. Second or greater order channel
No = 0
(_ Yes = 3,.)
Sketch:
artiticial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = V: )
12. Presence of Baseflow
0
1
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.
1
1.5
17. Soil -based evidence of high water table?
'�0)
No = 0
es = 3
1.5
C. Biology (Subtotal = �'_
18. Fibrous roots in streambed
3
(2
1
0
19. Rooted upland plants in streambed
t3
2
1
0
20. Macrobenthos (note diversity and abundance)
t 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
7-)
0.5
1
1.5
25. Algae
0
0.5
1 1 ____.._
1.5
26. Wetland plants in streambed
FACW = 0.75;
OBL = 1.5 Qther =_Q
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
.
Sketch:
41

STREAM QUALITY ASSESSMENT WORKSHEET
�i
I These characteristics are not assessed in coastal streams.

USACE AID# DWQ # Site # (indicate on attached map)
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment: t
1. Applicant's name: 2. Evaluator's name: 01 11 �Cv'f
3. Date of evaluation: \� u` y 4. Time of evaluation:
5. Name of stream: ) (fie:) F4.e - t _t E°- 6. River basin:Lnt 6 (u- z
7. Approximate drainage area: 8. Stream order:
9. Length of reach evaluated: 10. County:
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
p
Latitude (ex. 34.872312): 3` f a Longitude (ex. —77.556611): — .
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluatii3r (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 vi
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? YES1(N0)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 NO
21. Estimated watershed land use: % Residential
% Forested
22. Bankfull width:
24. Channel slope downcenterof stream: -Flat (0 to 2%)
% Commercial % Industrial % Agricultural
% Cleared / Logged % Other (
23. Bank height (from bed to top of bank):_
_Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: Straight _Occasional bends _Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse):`' Comments
Evaluator's Signature Date ! 1 z o
This channel evaluation form 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.

Waterbody SROE001 facing north upstream
Waterbody SROE001 facing south downstream

Waterbody SROE001 facing west across

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Oriains v. 4.11
NC DWQ Stream Identification Form Version 4.11 5 fL)c Cv_) 2
Date: '
� �
Project/Site: L
Latitude: 31-1.7 °
Evaluator: �i� \_u ��
County:
��r�> v'�
Longitude: -��®(�
Total Points:
Stream is at least intermittent l '2
if>_ 19 or erennial if>_ 30` d "
Stream Determination circle one
.- - -- j
Ephemeral '1' Perennial
Other
e.g. Quad Name:
A. Geomorphology (Subtotal = c , `; )
Absent
Weak
Moderate
Strong
,a, Continuity of channel bed and bank
0
1
2
3 )
2. Sinuosity of channel along thalweg
"G-
1
2
,.3-
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
01'}
0-V
2
3
4. Particle size of stream substrate
0
(1
2
3
5. Active/relict floodplain
(_1Q)
1
2
3
6. Depositional bars or benches
0 j
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
''
0.5
1
1.5
11. Second or greater order channel
No
= 0
Yes = 3
artiticial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal= ;"' )
12. Presence of Baseflow
0
1
/ 2-D
3
13. Iron oxidizing bacteria
10,_
2
2
3
14. Leaf litter
1.5)
1
0.5
0
15. Sediment on plants or debris
16. Organic debris lines or piles
0
0
0-V
1
1
1.5
1.5
17. Soil -based evidence of high water table?
No = 0
1
es = 3
C. Biology (Subtotal = �
18. Fibrous roots in streambed
3
T-3
1
0
19. Rooted upland plants in streambed
(i;.)
2
1
0
20. Macrobenthos (note diversity and abundance)
K)
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
,0
0.5
1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75;
OBL = 1.5 ther ,d
'perennial streams may also be identified using other methods.
See p. 35 of manual.
Notes:
Sketch:
41

STREAM QUALITY ASSESSMENT WORKSHEET
3
C%
A
J hese characteristics are not assessed in coastal streams.

USACE AID# DWQ # Site # (indicate on attached map)
�._-- _ _ _ _ _ -- _- _--......__.__ .
13 STREAM QUALITY ASSESSMENT WORKSHEET ,
w,
Provide the following information for the stream reach under assessment: } r,
{
1. Applicant's nam—
e:(--.� „�
2. Evaluator's name: o ��/� . A. V'`
3. Date of evaluation:y n lid 4. Time of evaluation:
5. Name of stream:', J ? 6. River basin: Lo t oe"r LOr f,_ ' 't, f
7. Approximate drainage area: 8. Stream order,::
9. Length of reach evaluated: 10. County: Il � ),f
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): (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): KJ JA
15. Recent weather conditions
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 Sensitive Waters _Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES(.___% If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES (�> 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: % Residential % Commercial % Industrial % Agricultural
% Forested % Cleared / Logged % Other ( )
22. Bankfull width: j� 23. Bank height (from bed to top of bank):—:1:7S f J
24. Channel slope down center of stream: >'--Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: Straight _Occasional bends _Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): Comments: ii
Evaluator's Signature �XI Date / /1�1
This channel evaluation form is inten de - 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.

Waterbody SROE002 facing west upstream
Waterbody SROE002 facing east downstream

USACE AID#
DWQ#.
Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET -Aft
Provide the following information for the stream reach under assessment:
1. Applicant's name: �2. Evaluator's name: !1
`Z� L j
3. Date of evaluation: � � 4. Time of evalnatinn•
5. Name of stream: U1n ��� x _ - ,04hr- L,v�River basin: frf v 149,,Z-
7. Approximate drainage area: _—�
PP g 8. Stream order:
9. Length of reach evaluated: ��`I0.County:_
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude(ex.34.872312): �tJ �% Longitude(ex.-77Ss6G11): t � S6
Method location determined (circle): GPSJ Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if
15. Recent weather conditions:
16. Site conditions at time of v
17. Identify any special waterway classifications known: PL's Section 10 � idal Waters sential Fisheries Habitat
out Waters L16utstanding Resource Waters Nutrient Sensitive Waters Water Supply Watershed Lglt-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES l O If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES O 1�) 20. Does channel appear on USDA Soil Survey? YES6�_)'
21. Estimated watershed land use: (j % Residential _% Commercial _% Industrial W�% Agricultural
b_. % Forested _% Cleared / Logged _% Other (
22. Bankfull width: 1
24. Channel slope down cent r of stream: ,Flat (0 to 2%)
25. Channel sinuosity: down
_Occasional bends
23. Bank height (from bed to top of bank): (n,
_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 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.
(from reverse):__2 � —
L `1
Evaluator's Signature Date '6_-:)7- i j
LI
This channel evaluation form is' tended to be use only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change — version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
* 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 4.1.1
Date: Z Project/Site:
�R
Evaluator: County:
Total Points:
Stream is at least intermittent Stream Determination (r
if z 19 or2erennial if z 30'�.Ephemeral Intermittent
A. Geomorpholo(Subtotal =_
1a' Continuity of channel bed and bank
2. Sinuosity of channel along thalweg
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
4. Particle size of stream substrate
5. Active/relict floodplain
6. Depositional bars or benches
7. Recent alluvial deposits
8. Headcuts
9. Grade control
10. Natural valley
11. Second or greater order channel
artificial ditches are not rated-, see cis VSsions in manual
B. Hydrology (Subtotal =
12. Presence of Baseflow
13. Iron oxidizing bacteria - -
14. Leaf litter
15. Sediment on plants or debris
16. Organic debris lines or piles
17. Soil -based evidence of hi w er-table?
C. Bioloq (Subtotal ) TFS ---
S
Latitude:'?�_/
Longitude:W'
0
Other UNT to Bear Swam
e.g. Quad Name:
Absent
0
3
Weak
1
Moderate
2
Strong
3
___
19. Rooted upland plants in streambed
_ ___
_ T
2
3
0
p
2
2
3
21. Aquatic Mollusks
0
1'
2
3
3
22. Fish _
1
2
3
Hr23
0
0.5
1
3
24. Amphibians
1.5
0.5
1
1.5
25. Algae
1.5
0.5
1
Yes = 3
26. Wetland plants in stream bed
0 2 3
1.5 1 5 0
0 0.5 1 1.5
0 0.5 1 1.5
No =0 es -3
io. rrorous roots in streambed
3
1
___
19. Rooted upland plants in streambed
_ ___
_ T
_
20. Macrobenthos (note diversity and abundance)
p
2
1
0
21. Aquatic Mollusks
0
1'
2
3
22. Fish _
1
2
3
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
0
0.5
1
15
26. Wetland plants in stream bed
0
.=
1.5
`perennial streams may also be identified using other methods. See
p. 35 of mama
C
BL = 1.5 they = 0
Notes:
.
Sketch:
41

r i _;�t ,` ,� a •�,
f't

41
14L
dP'

----------
USACE AID# DWQ # Site # (indicate on attached map)
to STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
I. Applicant's name: , , 2. Evaluator's name: Q-
3. Date of evaluation: 4. Time of evaluation:
5. Name of stream:Ul t ����� o o�� ��� ���, <,-, �jRiver basin:_
7. Approximate drainage area: —2 U Z 8. Stream order:
9. Length of reach evaluated: --L(
10. County:
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude ex. 34.872312): .> 3 �.__.s . J f Longitude (ex. —77.556611): C ( l
Method location determined (circle): PS � Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evalua t rn note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any): t—J Z l y"�
15. Recent weather conditions: , '�) „ ,
16. Site conditions at time of visit:
17. Identify any special waterway classifications known: (/4Section 10 N� Tidal
�I'rout Waters Outstanding Resource Waters tV�Nutrient Sensitive Waters
aters fL / JEssential Fisheries / Habitat
Water Supply Watershed/ V�IV)
18. Is there a pond or lake located upstream of the evaluation point? YES If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES( NO) 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: _% Residential _% Commercial
% Industrial %Agricultural
% Forested _% Cleared / Logged % Other
22. Bankfull width: 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: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): I� Comments
Evaluator's Signature C � Date 08/27/2014
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
a
ft F5
St
l'f000RA
�.£
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G�.+'•r.yy Gln ny f
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Presence otflow I persistent pools rn stream
r
l
no flirty or saturation = 0;'strop flow =,max points),0"`
5
Evidence of past hurnan,`alteration
extensive alteration =:O; no alteration max Dints
0
0" 5.
0 - 5
{ ,
3
Riparian zone =
no buffer = 0• conti uous wide buffer = max points)
0- 6
0- 4
0- 5
4",
Evidence of nutrient or chemical discharges
extensive discharges "= 0• no "dischar es = max oints
0— $
A-4
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Groundwater discharge
ps
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0 —:4
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no discharge = 0, springs, -seewetlands, etc; max points
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" no flood "Tarn"= 0; 'extensiv6'Aood Iain = inax Dints
0 — 4
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!-floodplain access
p
2
1
;<
(deeply entrenched = 0• fregiient floodin =,max oints
0$
q
0
8
Presence of adjacent wetlands
0-6
0 —4
0
no wetlands = 0, lar a adjacent wetlands = max Dints
Channel sinuosity
5
0 —=4
0 3
." ..extensive
channelization = 0; natural rnearrder=mapoints)0
-
OR
Sediment
input;
extensive de osition= 0° little
or no sediment =max "Dints
0 — S
0 — 4
A — 4
" Il
Size & diversity of channel bed substrate
,'*
fine homogenous = 0• large, diverse sizes =:max oints
'rlA
Evidence of channel incision or widening"
+�
dee l incised = 0 stable bed &,banks =max Dints
0-5
0"4
0 .5
13,Presence
of,major.,bankfailures „
severe erosion = 0• no erosion stable' banks- max Dmfs
0"
p9
}
l
Root depth andilensity on banks
0
no Visible roots = 0' densero�ots throe bout ="rnaxDints
cis
byagriculture, livestock;:or "timber production
.
_ 15."impact
substantial impact == 0• no evidence max points)::
0-5,
0-4"
0.-5
Presence of rift]e-pooI/ripple-pool complexes '
A,l6
�(no
riffles/ripples' or pools = 0;;well-develo ed = max joints) •�
. 0- 3
0— 5
0" 6
17,little
Habitat complexity
6
0 6
0',
{,
or no habitat = 0' fre went varied`habifats =max Dints
,
—6
18
Canopy coverage over'streambeti ""
no shadm ve etation� d. e
cont
0 5
0,--5
0 S
`e
l9,
Substrate ru, a edness."
W;` d
(deeply,, embedded = 6;':loose structure = max). ,'
20
Presence of stream invertebrates (see"page 4)
,
0.- 4
" 0
05
1 no evidence = 0 common numerous es max Dints
"r
-"5
Presence of am hibians "
no evidence = 0; common, numerous es"- max Dints
C22
"� " Presenceof fish ;
"Dints
�+
no evidence = 0• common numerous m
es =ax
0 - 4
0 — 4
23
Evidence of,wildlifeuse"
no evidence = 0' abundant evidence - maxDints+
06
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2

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWQ Stream Identification Form Version 4.11 Roton t-�
Date: _ Z-] Project/Site: c
1 � � Latitude.;
2_(`
Evaluator: ������" County:
Longitude:'` / 3
Total Points:
Stream is at least intermittent 22.75' Stream Deter ircle one) Other UNT to Bear Swam
if >_ 19 or perennial if? 30` Ephemeral ntermittent Perennial e.g. Quad Name:
A. Geomorphology (Subtotal = 7 )
1 a'
Absent
Weak
Moderate
Strong
Continuity of channel bed and bank
0
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
1
2
3
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
5. Active/relict floodplain
1
2
3
6. Depositional bars or benches__r07_1
0
1
2
3
7. Recent alluvial deposits
2
3
8. Headcuts--------------------------
0
1
2
3
9. Grade control
0
1
2
3
10. Natural valley
0
0
1
1.5
11. Second or greater order channel
0
0.5
1
1.5
artificial ditches are not rated; see discussions in manual
No = 0
Yes = 3
B. Hydrology (Subtotal=
12. Presence of Baseflow
0
---ing b--
13. Iron oxidizacteria
--� -
1
2
- ----_
3
14. Leaf litter
2
_
3
15. Sediment on plants or debris
1.5
1
0.5
00
16. Organic debris lines or piles
0.5
1.5
17. Soil -based evidence of high water table?
0
0'
1
1.5
_
CC • Biology Subtotal = - - )- ------
No
-- - ----
Yes
es_
- --
-.
18. Fibrous roots in streambed
_
upland plants in streambed
3
- ---------
2
- 1 -- --
0
��AMRooted
acrobenthos (note diversity and abundance)
3
0
2
1
0
21. Aquatic Mollusks
1
2
3
22. Fish1
0-5
2
3
23. Crayfish
0.5
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
00•
1.5
26. Wetland plants in streambed
0
-
0
1
1.5
ACW = 0.75;
perennial streams may also be identified using other methods. See p. 35 of manual.
OBL = 1.5 Other = 0
Sketch:
V L0 cJ
41

sroh004
d1�
Waterbody sroh004 facing upstream
Waterbody sroh004 facing
downstream

as Ilk
d (yam

USACE AID#
DWQ#
Site # (indicate on attached map)
STREAMWORKSHEET s ,
lJ '
+,lis
Provide the following information for the stream reach under assessment:
1. Applicant's name: U0'tN, 2. Evaluator's
3. Date of evaluation:_ - L - - ( '-1 4. Time of evaluation: � -2-
5. Name of stream: i 2vtna�c��� � r Sii�t�-w�6, River basin: � ,CA
St"
7. Approximate drainage area: -2 8. Stream order:
^
9. Length of reach evaluated: 10. County:j�S-�
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): —
1 ��
Latitude (ex. 34.872312):3 Ltt L 2- Longitude (ex. -77.556611):7q. 6 �� 36 J b +
Method location determined (circle): GPS' Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evalua ' note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if
15. Recent weather conditions
16. Site conditions at time of v
17. Identify any special waterway classifications known: /"LSection 10 t=7`P'idal Waters k�&ssential Fisheries Habitat
l' -='--Trout Waters outstanding Resource Waters Nutrient Sensitive Waters 4ykater Supply Watershed &6-14V)
18. Is there a pond or lake located upstream of the evaluation point? YES (NO )f 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 _% Commercial _% Industrial Z % Agricultural
% Forested _% Cleared / Logged _% Other (
22. Bankfull width: 23. Bank height (from bed to top of bank):.
24. Channel slope down center of stream: Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: ILStraight _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. n
Total Score (from reverse): `� Comments: I zjkt , /
Evaluator's Signature Date � - -) 7 - f - I
This channel evaluation f rrn is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data requ red by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to 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 Sko

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWQ Stream :Identification Form Version 4.11.
Date::
:b
Project/Site: S Latitude n
!II ° - A.
Evaluator: County: Longitude. °
Total Points:
Stream is at least intermittent`'% Stream Determ' en ircle one) Other UNT to Bear Swam
if Z19 or perennial if z [.--- 30* � • Ephemeral ntermittent�erennial e.g. Quad Name:
a - - k�u -.1 - r� I
1' Continuity of channel bed and bank
Hosenc
Weak
Moderate
Strong
- _
13. Iron oxidizing bacteria �.
(
--
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
-
1
2
3
ripple -pool sequence
0
16. Organic debris lines or piles
2
3
4. Particle size of stream substrate
0
>
0
0.5
No = 0
5. Active/relict floodplain
0
1
2
3
es =
-----
6. Depositional bars or benches
0
0
0.5
2
2
3
3
I. Recent alluvial deposits
2
3
8. Headcuts
1.
9. Grade control
0
1
2
3
10. Natural valley
_ 0
0.5
1
1.50
11. Second or greater order channel
0.
' 1
1.5
artificial ditches are not rated; see diseussnns in a �i
No = 0
Yes = 3
B. Hvr)rnlnnv - --A
12. Presence of Baseflow_
0
1
- _
13. Iron oxidizing bacteria �.
--
--
2
3
14. Leaf litter
0
1
2
-
15. Sediment on plants or debris
1.5
'
1
0.5
0
16. Organic debris lines or piles
0
0.5
1
1.5
17. Soil -based evidence of high wat able?
0
0.5
No = 0
1
1.5
24. Amphibians
0
.5,
es =
-----
18. Fibrous roots in streambed3
19. Rooted upland plants in streambed
2
--
1
- -
0
20. Macrobenthos (note diversity and abundance)
0
j
21. Aquatic Mollusks
1
2
3
22. Fish
0
1
2
3
23. Crayfish
0.5
1
1,5
24. Amphibians
0
.5,
1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
0
0.5
1
1.5
`perennial streams may also be identified using other methods. See
p. 35 of manual.
FACW = 0.75; OBL = 1.5
Other = 0
Notes:
Sketch:
41
0(,

7tA
Al, s '
i
cIN
• A
I i
'•'`--
TIP
[_
� y t 4 A• �yif � o. P a ��'\ FY _ I '�1 �y��, G� ) , �-�
l

sroh003
Waterbody sroh003 facing upline 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:
1. Applicant's name: L)� I V) 2. Evaluator's name: �Q S
3. Date of evaluation: - �-7 -++ (t 4 4. Time of evaluation:
5. Name of stream{,� lA t� oarLt k � b 0 r` Sw-y�-,,,�6. River basin: L- L) Y,-,
7. Approximate drainage area: 5 d leu - S. Stream order: , �'�
9. Length of reach evaluated: 10. County: koLp Svc
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): 1(1 le,7 " ) � rt
Longitude (ex. -77.556611):.-7f l2— 10 • 7 2-6
Method location determined (circle):�GP Topo Sheet Ord10 (Aerial) Photo/GIS Other GIS Other
13. Location of reach tinder evaluPote nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any): ---{N 02. 0
15. Recent weather conditions: t A
16. Site conditions at time of vis
X17. Identify any special waterway classifications known: Section 10 �VTidal Waters essential Fisheries Habitat
Y" '� rout Waters utstanding Resource Waters Nutrient Sensitive Waters Pl ater Supply Watershed IV)
18. Is there a pond or lake located upstream of the evaluation point? YE. .N ",If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YESQI�, 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: _% Residential _% Commercial _% Industrial % Agricultural
Forested _% Cleared / Logged _% Other (
22. Bankfull width: 23. Bank height (from bed to top of bank):_ 2
24. Channel slope down center of stream: Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity:X—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 tinder 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: r74 6—A F 11A1; -ca inns r i /A /�A
Evaluator's SignatureW��i�
—1P 1 .
-rm-s-nTd-nMZ1-eV-a-1UTETU"rm is intenaerrto 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 5 �D � DO Z
ui waatai bucauis.

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWQ Stream Identification Form Version 4.11
Date:
2-7 Project/Site:
Evaluator:
1b County:
t
Total Points:
Stream is at least intermittentStream Deter
if z 19 or perennial if z30 - Z Ephemera,K
lk Latitude: </ 1)
1 3 > d y6y „
Longitude:7Cf
iiMr a (circle one) other UNT to Bear Swam
ermitt11 Perennial e.g. Quad Name:
--- "� k U"LVLa - /
1' Continuity of channel bed and bank
Hosent
Weak
Moderate
Strong
0
1
2
2
-2 -
3
2. Sinuosity of channel along thalweg
3. In -channel structure: ex, riffle -pool, step -pool,
1
2
1
2
3
21. Aquatic Mollusks
ri le- ool sequence
0
1
2
22. Fish
3
4. Particle size of stream substrate
Q
2
1
3
1.5
23, Crayfish
5. Active/relict floodplain
i0
1
2
24. Amphibians
3
6. Depositional bars or benches
0
1
2
25. Algae
3
7. Recent alluvial deposits
0
1
2
26. Wetland plants in streambed
8. Headcuts
0
1
2
`perennial streams may also be identified using other
3
9. Grade control
0
1
2
Notes:
3
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
0.5
1
Sketch:
1.5
a
artificial ditches are not rated: see diGarrssfnnc .„ �„�.,� �<,�
No = 0
Yes
= 3
4>
B. Hydrology Subtotal =
12. Presence of Baseflow _ _ 0 _ 3
13. Iron oxidizing bacteria - - --- - 3 -
14. -Leaf 1.5 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 ater table? No = 0
-...------ es = 3.
C. Bioloav fSubtntal = - - -- ----�
18. Fibrous roots in streambed
3
19. Rooted upland plants in streambed
--
2
-2 -
- -
0
20. Macrobenthos (note diversity and abundance)
3
1
2
0
21. Aquatic Mollusks
3
22. Fish
0
1
0.5
2
1
3
1.5
23, Crayfish
0
0.5
24. Amphibians
0
1.5
25. Algae
0.5
1
1.5
26. Wetland plants in streambed
0
0.5
1
1.5
`perennial streams may also be identified using other
methods.
See p. 35 of manual
= 0.75;
OBL = 1.5 Other = 0
Notes:
-
Sketch:
4>
w
a
V
if

Ao
ILL
• � � � � %d`n. '��� •t by .' i -"��' ff `� �ti ' w. �'
Y
kFA
3„`�• •yam x-'�r� 4�4�4 M 4 � �' � � ��� I.s �� ,/

sroh002
Waterbody sroh002 facing upline cross stream

USACE AID#_
DWQ#
Site # (indicate on attached map)
STREAM. ,r
Provide the following information for the stream reach under assessment:
1. Applicant's name: (iQQ U v' (V� t
2. Evaluator's name:
3. Date of evaluation: - 2 `T - I L�
4. Time of evaluation:
5. Name of stream: 4n .� 4U, ,^ St
��- . River basin: k q M 21
7. Approximate drainage area: 7 5D
,
'rte
8. Stream order:
9. Length of reach evaluated:
10. County: CAe
It. Site coordinates (if known): prefer in decimal degrees.
12. Subdivision name (if any):
Latitude (ex. 31.872312): 3 �J' �� ,� 'I j., �2 62- �
Longitude (ex. —77.556611):7��
tt
_1 Z
Method location determined (circle): PS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if
15. Recent weather conditions
16. Site conditions at time of v
17. Identify any special waterway classifications known: V�6 Section 10 NtTidal Waters NkEssential 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 't�"f yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES (NO) 20. Does channel appear on USDA Soil Survey? YES COD
21. Estimated watershed land use: _% Residential _% Commercial _% Industrial (,DD/o Agricultural
Forested _% Cleared / Logged _% Other (
22. Bankfull width: 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: Flat (0 to 2%) _Gentle (2 to 4%) —Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: XStraight _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 tinder 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
Comments: r �-, t t,
Evaluator's Signature `La Date
This channel evaluation form 's intended t sed 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
�Ipn M Dy
2
#
CHARACTERISTICS
ECOREGION POINT
RANGE
"
;.
c oastal
�.; ,Piediinon#-. "
" Mouri#ain
SCC}IE ,,
1
Presence of flow I persistent pools in stream
no flow or saturation = 0 strong flow = maxpoints)
0-5
0-4
0-5
2
Evidenceof past human alteration
extensive alteration = 0; no alteration = maxpoints)
0-6
0-5
0-5
3
Riparian zone
no buffer ;;= 0; contiguous, wide buffer = maxpoints)
0-6
0-4
0-5
4
Evidence of nutrient or chemical discharges
extensive discharges = 0; no dischar es = maxpoints)
0-5
0-4
0-4
5
Groundwater discharge
no discharge = 0; springs, sees wetlands, etc. = maxpoints)0-3
0 - 4
0-4
6
Presence of adjacent floodplain
no floodplain = 0; extensive flood lain = max oints
0-4
0-4
0 —+2
7
Entrenchment / floodplain access
dee 1 entrenched = 0• fre uent floodin =:max; points)
0-s
0-4
0-2 "
8
Presence of adjacent wetlands
no wetlands — 0; large adjacent wetlands =1max oints
0-6
0-4
01-2
Channel sinuosity
extensive channelization = 0; natural meander = maxpoints)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�J
fine,"homogenous = 0 ar e
l, diverse sizes =max points
NA*
0 - 4
0 —`5
12
Evidence of channel, incision or widening
(deeplyincised = 0; stable bed & banks = max points)0-
5
0 - 4
0 — 5
►� ".r"
13
Presence of major bank failures
severe erosion = 0; no erosion, stable banks = max points
0-5
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
ren
15
Impact by agriculture, livestock, or timber production
j
substantial impact =0• no evidence = maxpoints
0-5
0-4
0-5)
16
Presence of riffle-pool/ripple-pool complexes
H
no riffles/ri les or pools = 0 well-develo ed = max , oints
0-3
0-5
0-6
1
Habitat complexity
little or no habitat = 0; frequent, varied habitats = max' oints
0-6
0-6
0 —6
18
Canopy coverage over streambed
Ino shading vegetation = 0• continuous canopy = max 'points)
0-5
0-5
0 — 5
19
Substrate embeddedness
dee 1 `embedded = 0 ;loose structure,- max)
NA
0 - 4
0 = 4.,
20
Presence of stream invertebrates (see page 4)
no evidence = 0; common numerous es = maxpoints)
0-4
0-5
0-5
"
21
Presence of amphibians
Ono
evidence = 0 common, numerous types =maxpoints)
0-4
0-4
0-4
O
22
Presence of fish
no evidence'- 0• common numerous es max points
0- 4
0— 4
0— 4
23
Evidence ofwildlife use
"(no
evidence = 0 abundant evidence = max points)
0-6
0-5
0— 5
To#xl Pomts Possible 777777777=77
d
100
1,00 '
�0
Ny
j TOTAL SCARE (also enter otx f���t gage) zi,j ``�' �'
* These characteristics are not assessed in coastal streams.
2

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Oriains v. 4.11
- ________-�„»tea v.a i va aa■
Date: �! - Z 7-
♦ C;1 Jlll It Y..l.l
Project/Site:
_ .
Latitud ,t o L r t
Evaluator:
CS S
County:
Longitude. 7?" �� l �� ��
Total Points: 33.25
2
3
Stream is at least intermittent ,2
Stream Determination (circ)
Other UNT to Bear Swam
if >_ 19 or perennial if >_ 30*
Ephemeral Intermittent erennial
e.g. Quad Name:
� tQuuLULdl _ )
1a
Ht)sent
Weak
Moderate
Strong
Continuity of channel bed and bank
0
1
1
2
3
2. Sinuosity of channel along thalweg
0 >
3. In -channel structure: ex. riffle -pool, step -pool,
--- --
0
`
2
3
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
1
0
0
5. Active/relict floodplain
17. Soil -based evidence of high water table?
No
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
2
1
1
2
3
8. 'I dcuts
0
1
2
3
9. Grade control
0
0
2
3
10. Natural valley
0.
1
1.5
0
0
0.5
= 0
1
1.5
11. Second or greater order channel
No
a artificial ditches are not rated
0
0.5
Yes = 3
24. Amphibians
B. Hydrology Subtotal
12. Presence of Baseflow
--..._..�--
0
1
2
13. Iron oxidizing bacteria---------
--- --
0
1 _---
-
14. Leaf litter
1.5
1
2
0.5
15. Sediment on plants or debris
0
0.5
16. Organic debris lines or piles
0
0
17. Soil -based evidence of high water table?
No
= 0
1
C. Biology (Subtotal = 7 ) 14.75
es =73
-
18. Fibrous roots in streambed
2
19. Rooted upland plants in streambed
3
20. Macrobenthos (note diversity
2
1
and abundance)
0
1
2
21. Aquatic Mollusks
0
2
22. Fish
0
0.5
1
23. Crayfish
0
0.5
1
24. Amphibians
0
0.5
1
25. Algae
0
1
26. Wetland plants in streambed
FACW = 0.7
OBL = 1.5 Other = 0
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
41
<- �4,.,
3
0
1.5
1.5

srohOOl
Waterbody sroh001 facing upstream
- ---44--34 ,
I 54A
Waterbodv sroh001 facing downstream

c CS �-;
hk Vit. � ��. � i.:� YW ��'� +� �1.k.
�..1 � `:
Yid �`': .�
w r: y s � r �t
.. �� _f�� '�.e.�7r*i�,,; �' ���i A�sy� '•GSR
�. ti ` e�,ey � r ,` � a ,.