20140957 Ver 1_U-03_Appendix B_Wilmington_Sampson NC waterbodies_20170227

USAGE AiD- DRQ = Site'_ (indicate on atached map)
Ssc+o 003
STREAM QUALITY ASSESSMENT \WORKSHEET
Prov ide the follmying information for the stream reach under assessment:
1. Applicant's name: OMt n kJ 0 2.Evaluator'sname: C -S -L— I,<. MLR04,09
3. Date of evaluation: i;//q ft 4. Time of ev aluation: 3: U
;. Name of stream: u1J-T 'b +TI^n iP0rT—LLn
7. Al,prozintate drainaLe area::(, d(Je�
6.Rive•basin: Cglee � ayT
S. Stream order: b
9. Length ofreach evaluated: SO fk- ]0. County: �&Y)6f)
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if an).,):A
Latitude(ex. 34.872312): 6.2U,0 _ Lon gitude(ex.-77.15661]):-78.53056
Method location determined (circle): IPS Topo Sheet Ortho (Aerial) Phoio�GIS Other GIS Other -
13. Location ofreach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
() 6 k -C 66 UJ t O -CA
14. Proposed channel ++ork (if
15. Recent weather
16. Site conditions at time
). T60
Swn^y
(A (t6 i S+C4 Cb -e d
1?. Identify any speciahwatern-ay classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
Trout Waters _Outstanding Resource Waters _Nutrient Sensitive Paters —Water Supply Watershed _(I-IV)
IS. Is there a pond or lake located upstream( of the evaluation point? YES 'O If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES O 20. Does channel appear oil USDA Soil Sur ey//?YES NO
21. Estimated watershed land use: —% Residential —% Commercial _410 industrial L°%Agricultural
-W'o Forested _% Cleared" Logged _% Other (,
22. Bankfull width: Sf 23. ark height (from bed to top of bank): S
24. Channel slope do+vn centee I stream: _Flat (0 to 2°,0) =Gentle (Z to 44'0) 14oderate (4 to 10%) _Steep (>104'0)
25. Channel sinuosity-: Straight _Occasional bends _Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on, pagc 2): Beim by deierntining the must appropriate ecoregion based oil
location. terrain. vegetation. stream classification; eta Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic v+itlrm the range sho++n for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the xvorksheet. 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 boa and provide an explanation. in the
comment section. Where there are obvious changes in the character of a stream tinder review (e.g., the stream tloms from a pasture
into a forest). the stream may be divided into smaller reaches that display more continuity, and a separate form used to e\ aluate each
reach. The total score assigned to a stream reach must ranee between 0 and 100. with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse):
Evaluator's Signature `/ "'I f Date Z019 l /14
This channel evaluation form is intended to be used only as a guide to assist landotuers 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 L'SACE approeal and does not imply a
particular mitigation ratio or requh•etment. Form ubject to change —version 06 03. To Comment. Blease call 919-876-5441 x 36.

STREAM QUALITY ASSESSMENT WORKSHEET
20
r a ta"«x2
r
oEC(i C4i.0#O1E
4
;r
a CifA 2"TERISTICS
#h r g s, 1 m.� r
Coastal * sPedmou�, �1VIoUnam'
,:`
�e.. 4.� •t!".,..., s, t:._ $"s.r���u�:, ycVe..:,F ;i`v �.v a N , ,.3
Presence of flow I persistent pools in stream
_ ..�. .xx.. „s
0-5 0-4 0-5
=
f
1
(no flow or saturation= O; stron flow = max points
0-4
0-4
U
2 Evidence of past human alteration
0-6 0-5 01-5
.``
(extensive alteration = 0; no alteration = max oints) .
22
3 Riparian zone
0-6 0-4 0_5
lJ
(no buffer 0 conn uous,widebuffer. =max points)
=
E}idenceofnutnentorchemj-61 dischatges
0-5 0-4 0=4
5
4
• (extensive dischar" es O- no dtsc m es = max oints) .
23
- Croondwater discharge ,
0 3 0-4 0=4
_
0 - 5
5
(no discharge 0 s r n s, sees wetlands, etc.max dints
\
(J
'6 Presenceofadjacent floodplam
0-4 0-2
!\
(no floodplain = 0; extensive fi6od lain = max poitrts)
.0-4
Entrenchment / floodplain access
0-5 0 -4 0-2
;Pr. y (deeply entrenched = 0; frequent finnding = max points)
'z Presence of adjacent wetlands
0-6 0 -4 0 -2
Q
8
3t (no wetlands = O; lar e adjacent wetlands -max onus)
>> 9 Channel sinuosity
,.
0-5 0-4 0-3
�A
V
extensive ebannelization _ 0; natural meander= max oints
Sediment input
t3 10 hints)
0 5 0-4 0- 4
U
(extensive deposition-- O; little or no sediment - max
Size & diversity of channel bed substrate
0-4 0-5
-�
I I fine, homogenous = O; lar e, diverse sizes = max oints)
I• '
Evidence of channel incision or widening
0-5 0 - 4 0-5
12
"3 (deeplyincised= 0; stable bed 8c banks 'max points.
E % Presence of major bank failures'
0-5 0-5 0-5
1�
r, 13
severe erosion = 0; no erosion, stable banks = max points
Root depth and density on banks
14points)
0 - 3 0-4 4 0 - 5
no visible roots = 0; dense roots throu hoot -max
Impact by agriculture, livestock, or timber Production
0-5 0 -4 0-5
15
(substantial impact =0' no evidence = max points)
Presence of riffle-pooltrippie-pool complexes
0-3 0-5 0-6
U
16
i (no riffleshipples or pools = 0;well-developed max oints
Habitat complexity
0-6 0-6 0=6
2
17
' (little or no habitat = 0; frequent, varied habitats = max points)
Canopy coverage over streamlied
0-5 0-5 0-5
U
18
(no shadingvegetation = 0; continuous canopy = max points)
19 Substrate embeddedness 0-4 0-4
(deeply embedded = O; loose structure = max)
20
rrese tee of stream invertebrates tscc yagc �r
1-4
0-5
0-5
(,
(no evidence = 0; common, numerous es = max points)
Presence of amphibians
0-4
0-4
0-4
U
21
(no evidence = 0; common, numerous vines = max points)-, -
22
Presence of fish -'
0-4
0.--4
0-4-'
U
(no evidence = 0; common, numerous types = max points)
23
Evidence of i$ildlife use
0-6
_
0 - 5
0-5
\
(J
lno evidence = 0; abundant evidence = max points)
* These characteristics are not assessed in coastal streams.
2

Nrr, r,W0 .CfrPnm TAPnf-ificntinn Form Version 4.11 SSGo 003
Date: q �4�/(�`
Project/Site: SeM,
Latitude:
Evaluator: GST - I'�lVlLl�f �t
County: Satrgsan
Longitude: S-30
Total Points:
Stream etermination (circle one)
Other p(A00
least L
emera Intermittent Perennial
e.g. Quad Name:
perennial
if? 19 or erennial if >_ 30' .J
ifstream:19rpere
2
3
A. Geomorphology (Subtotal = 1_� )EW.eakModerate
0 1
2
3
Strong
uity of channel bed and bank
2
3
2
3
sity of channel along thalweg
0
15. Sediment on plants or debris
2
3
nnel structure: ex. riffle -pool, step -pool,
ool se uencele
16. Organic debris lines or piles
0 .5
2
3
Kle-ool
size of stream substrate
No = 0
1 Yes 3
2
3
/relict floodplain
2
3
sitional bars or benches
2
3
nt alluvial deposits
2
3
8. Headcuts
2
3
9. Grade control
1
1.5
10. Natural valley
1
1.5
11. Second or greater order channel
Yes = 3
- artificial ditches are not ratea; see oiscussuns m manus,
n IJ...J_..1...... /G.4.a.N..1 — a-
12. Presence of Baseflow
0 1
2
3
13. Iron oxidizing bacteria
0 1
2
3
14. Leaf litter
1.5 1
0.5
0
15. Sediment on plants or debris
0 0.
1
1.5
16. Organic debris lines or piles
0 .5
17. Soil -based evidence of high water table?
No = 0
1 Yes 3

Environmental Field Surveys
Waterbody Photo Page
Waterbody ssao003 facing east across channel.
Photo Sheet 2 of 2

USAGE AiD, DMI Site -_ i indicate on :mashed map)
SSGO OOa
STREAM QUALITY ASSESSMENT WORKSHEET —AQP
Provide the following information for the stream reach under assessment:
UMiltiU F '1�i.M(Atl[9Lr C'.�
1. Applicant's name: 2. Evaluator's name:
/ten
3. Date of eN aluation: A Q 1"I
n
4. Time of evaluation: `i •yu IiM
Name of su,am: Vf,�w?V
6.Rixerbasin:S
7. Approximate drainage area:
B. Stream order:
�77%IOAL
9. Length of reach evaluated: 30 ft
]0. County: 58`mfSun
11. Site coordinates (if known): prefer lin decimal deerees.
12. Subdivision name (if am):: A
Latitude lex. 34.872312): J5 a3920
Loneitude(ex.-77556611): — 5i+ • 3 k
k1ohod location determined (circle): GPS 'fopo Sheet Otho
(Aerial) PhooiGIS Other GIS Other -
13. Location of reach under evaluamon (note nearby roads
and landmarks and attach map identifying stream(s) location):
(oco'k-Cd Noytk o� Cire'eo
(>g -f -A RC)rAJ_
14. Proposed channel work (if any
15. Recent weather conditions: �,(Aae\"
16. Site conditions at time of visit: V O t546A D -C
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _Nutrient Sensitive Waters water Supply Watershed _(1-iV)
18. Is there a pond or lake located upstream of the evaluation point? 'ES NO If yes. estimate the water surface area:
19. Does channel appear on USGS quad map? YES NO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: _9 o Residential —"o Commercial _% Industrial 300'o Agricultural
7D % Forested
22. Bankfull taidth: -7 Pt,
24. Channel slope down center of stream: LFlat (0 to 20'0)
9'o Cleared i Logged _9% Other
,23�. Bank height (from bed to top of bank): I+'
Gemle (2 to 4°%) _Moderate (4 to 1090) _Steep (>10"
o)
25. Channel sinuosity: _Straight _Occasional bends _Frequent meander _Very sinuous _Braided channel
Instructions for completion of ::orkshcet (located on page 2): Begin by determining the most appropriate ecoregion based on
location. terrain. veeetatiott. stream classification; etc. E-verx characteristic must be scored using the same ecoregion. AssiLm points
to each characteristic tt ithin the ranL_e shown fur the ecoregion. Page 3 provides a brief description of horn to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under et aluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (.e.e.. the stream tlott s from a pasture
into a forest). the stream may be divided into smaller reaches that display more continuity. and a separate form used to et aluate each
reach. The total score assigned to a stream reach must ranee between 0 and 100. with a score of 100 representing a stream of the
highest quality.
Total Scor (front reverse): I Comments:
n i l
ENaluator'sSignature t Date sTr✓ 1 / "l
This channel evaluation 'fornt 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 Cops of Engineers to make a preliminar} assessment of stream
quality. The total scot resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Forst sul?ject to citatagc - � crsion U6 0=. To Ccunment. ldease eall 91v -S i 6-5-'•? 1 s_6.

STREAM QUALITY ASSESSMENT WORKSHEET
These characteristics are not assessed in coastal streams.
,'�
��3<tsis Fd t ,
-ti. �-s. `
,`s
#
CFJ'�i��T)✓RTSTiCS'� r; ,
Si".�,� ;,.,f�'C�£'?rs��.,:vn1'�gdmon�raouu�a�n>..a�:'
� �� � � � ,
< x z:
'�.3
, ��;;`��,:_�,-�
t�,�i`.��,�,ku�+.'� ._~:�.�:�:.���:.•
ln,V1Presence
of clow I persistent pools in stream
0 – 5 0 – 4 0 – 5
^''
no flow or saturation = 0; stron flow =max points
Evidence of past human alteration
0– 6 0– 5
2
(extensive alteration = 0; no alteration =max oints)
Itsparian zone
_ 6 0' 4 0 5
5
3
(no buffer 0 coots nous, wide buffer = max points
Evidence of nutrient or chemical discharges -
0 – 5 0 –4 - 0= 4
4
{extensive dsschar es O, no'dischar es =max omts)
s Groundsvaterdischarge.
0=3 0-4 ` 0=4
5
(no discharge 0, springs, seeps, wetlands, etc max points)
Pr esenceofadjacentfloodplasn
0-4' 0-4 0-2
lCl1; 6
(no floodplain=0;extensive .#loodplain= max points)
.7
Entrenchment /floodplain access
0-5 0-4 0-2
(deeply entrenched = 0• frequent floodin =max points)
Presence of adjacent wetlands0–
6 0 –4 0-2
S
(no wetlands = 0; lar e adiaoent wetlands =max omts)
,. .9
Channel sinuosity
0-5 0-4 0-3
(extensive cliasmelization = 0; natural meander= max points
a
10
Sedimenfinput
0-5 0-4 0-4
(extensive de osition– 0; little or no sediment – max points)
Size & ormrsity of channel bed substrate
0-4 0-5
11
(fine, bomo enous = O; large, diverse sizes = max points)
Evidence of channel incision or widening
0-5 0-4 0-5
12
(deep] incised = 0; stable bed Ri bk--max oints
IS
Presence`of major bank failures
6-5 0-5
a1
(severe erosion = 0; no erosion, stable banks =max oints)
14
Root depth and density on banks
0-3 0-4 0 – 5
(no visible roots = 0; desise roots tluou hoot -max points)
ro.
Impact by agriculture, livestock, or timber production
0-5 0-4 0-5
S
IS
z<`
(substantial impact =0; no evidence = max points)
.
E'
Presence of riffle-pool/ripple-pool complexes
0-3 0-5 0-6
16
(no riffles/ripples or pools = O;well-developed=max oints)
Habitat complexity
0-6 0-6 0=6
Z
17
(little or no habitat = 0; frequent, varied habitats = max points)
�
Canopy coverage over streambed
0-5 0-5 0-5
5
18
(no shadin vegetation = 0; continuous canoe = max points)
19
Substrate embeddedness
NA* - 0-4 0-4
�—
(deeply embedded = 0; loose structure = max)
�;.
Presence of stream invertebrates (see page 4)
0-4 0-5 0-5
r
lJ
20
(no evidence = 0; common, numerous t5 es = max points)
L7' Presence of amphibians
0-4 0-4 0-4
21 _ .
O < (no evidence - 0; common, numerous types = max points)
Presence of fish:"
O
0-4 0-4 0_4
(�
22
– . (no evidence = 0; common, numerous pes = max oints
' Evidence of wildlife use
'
0-6 0-5
23
(no evidence 0 abundant evidence max points)
� " Totai Po_sssble
100'
r ; � i?osnts s ,
, ,
ti.< AT. Cf (lRF (akI eritei nsifirstnaee)
In
These characteristics are not assessed in coastal streams.

NC DWO Stream Identification Form Version 4.11 , SSad dD011-
Date: 0/ J 9 114
Project/Site: $ f--Rq
Latitude: 35 274ro
Evaluator: CST _ IS NIU.f P'(/t (PI�
County: 4,0^9
Longitude: -%`6
Total Points:Stream
Stream is at least intermittent
Determination (circle one)
Other D(� (\n
ift 19 or perennial if>_ 30"
Ephemeral Intermittent erennial
e.g. Quad Name:
A. Geomorphology (Subtotal = )
Absent
Weak
Moderate
Strong
1"Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2�
3
4. Particle size of stream substrate
0
1
2(
30
5. Active/relict floodplain
0
1
2
(3
6. Depositional bars or benches
0
1)
2
3
7. Recent alluvial deposits
0
1
Q-)
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1 )
1.5
11. Second or greater order channel
No 0
- Yes = 3
artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = (o,5)
12. Presence of Baseflow
0 1
2
U
13. Iron oxidizing bacteria
0 t
2
3
14. Leaf litter
1.5 1
0.5
0
15. Sediment on plants or debris
0 0.5
1
1.5
16. Organic debris lines or piles
0 0.5
1
1.5
17. Solkbased evidence of high water table?
No = 0
1
Yes J
C. Biology (Subtotal= % )
18. Fibrous roots in streambed 1 3
2
1
0
19. Rooted upland plants in streambed I 3
2
1 1
0
20. Macrobenthos (note diversity and abundance) 1 0
1
2 1
3
21. Aquatic Mollusks I U
1
2
3
22. Fish 0
0.5
1
1.5
23. Crayfish J
0.5
1
1.5
24. Amphibians 0
0.5
1 1
1.5
25. Algae U
0.5
1 1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 OtherCO-)
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
SS�O �X l '^P
Sk t`h: 2� /Wt+ �ISg6fG l
H{i-
aP ws.aado t
Stink w;d�Pn

Environmental Field Surveys
Waterbody Photo Page
' 9"
Waterbody ssao002 facing east upstream.
Waterbody ssao002 facing downstream west.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody ssao002 facing north across channel.
Photo Sheet 2 of 2

USACE .AID=
DP'Q
Site =_ (indicate on attached map)
Ssao 001
STREAM QUALITY ASSESSMENT NA70RKSHEET
Prow ide the folloving information for the stream reach under assessment: pn
1. Applicant's name:I)Om( R\( -f1 2.Evaluator'sname:-I�,i�(i((T/1fPci
3. Date of evaluation: 4' I9 4. Time of evaluation:p
- !(VU
5. Name of stream: `A,4ftS 4..) 6. River basin:
7. Approximate drainage area: ;� o hC t4 -S S. Stream order:,
9. Length ofreach evalualed: �s� 10. County:_- "w'PSOn
11. Site coordinates (if'kknown):�r prefer in decimal decrees. 12. Subdivision name (if any)):: N A ��G
Latitude (ex.34.872312): J �'� /� % Loneitude (ex. -77.556611): --2 O . S `� .� /
Method location determined (circle): GPS Topo Shect 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 Q CAk-4� n ora 4t, OF c�2 r -e -6h Pam rdALA .
14. Proposed channel work (if
15. Recent \weather conditions: F,0\' n InMW-CN -VO-C P&S+ af} N�N6YA(5
16. Site conditions at time of visit: U06'�-\-(l r IC J
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waiers _Outstanding Resource Waters Nutrient Sensitive \Maters _Water Supply Ntatershed _(MV)
18. is there a pond or lake located upstream of the evaluation point? YES -O If yes. estimate the Nj-ater surface area:
19. Does channel appear on USGS quad map? YES NO 20. Does channel appear on USDA Soil Sur ey?'ES NO
21. Estimated watershed land use: _96 Residential _P'o Commercial _% industrial 36% Agricultural
-)0 °% Forested _% Cleared/ Logged _°iu Other ( )
22. Bankfull width: I i 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: _Flat (0 to 29o) _!�Genlle (2 to 4%) _Moderate (4 to 1V o) _Steep (>I 0%)
25. Channel sinuosity: _Straight Occasional fiends _Frequent meander _Vete sinuous _Braided channel
anstructions for coniploion of wiui'1i51teef (located 61i 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'l
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flocs from a pasture
into a forest). the stream may be divided into smaller reaches that display more continuity. and a separate form used io evaluate each
reach. The total score assigned to a stream reach must ranee between 0 and 100. \with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse):
ENaluato'sSignature `*oI J-&t&C L Date -X/ /9 //"l
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 Arm)- Cops 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. Forst subject to change — version 0603. To Comment. please call 919-876-5441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
a CI�xy,It�"IERISTECS °
10400-
z
is n't
t
#�z
t 3 ,
1 �4 ; rF frH•
Coastal �' p I uuam
zi'.
,
.} rr
nP@dm_anh�
Presence of flow /persistent pools in stream
0 5
0 — 4
0 — 5
5
^
(no flaw or saturation = 0; stron flow =max oints
—
Evidence of past human alteration
0— 6
0— 5
0— 5
5
2
(exKensive alteration — 0; no alteration =max oints)
:Riparian wne.
0-6
C,
3
(no buffer 0 cosh uous, wide buffer = max points
4
Ei`idence of nutrient or chemical discharges
0— 5
0 4
fl 414
a
(extensive disehar es 0 no discltar es =max points)
„ Groundiiaterdischarge{ '
0-3
0-4
0=4
3
5
no dischar e 0 sprin s seeps wetlands, etc max o nts
Presenceofadjaceptfloodplain
0-4
0-4
0-2
6
(no floodplain = 0; extensive floodpiain -- max points)
i
Entrenchment / floodplain access
0-5
0 —4
0-2
3
p
(deepl entrencbed = 0; fre went floodni .=max points)
-
Presence of adjacent wetlands
0— 6
0 —4
0— 2
5
8
(no wetlands = 0; large adjacent wetlands.= max points
.9
Channel sinuosity
0-5
0-4
0-3
3
z
(extensive ebannelization = 0; natural meander=max oints
— Sediment input0
5
0-4
0-4
z
-
10
(extensive de osition-- O� little or no sediment = max points)
Size & diversity of channel bed substrate
:: NA*
0-4
0 — 5
(fine, homogenous = 0; ]ar e, diverse sizes = max points
Evidence of channel incision or widening
0-5
0-4
0 — 5
3
12
(dee 1 incised = 0- stable bed &banks =max oints .
r=.i3
13
Presence of major bank failures '
0-5
0-5
0-5
�g
(severe erosion = 0; no erosion, stable banks —max oints)
14
Root depth and density on banks
0-3
0 — 4
0-5
2
'
(no visible rootsroots tluoughout='max points) .
'
Impact by agriculture, livestock, or timber production
0-5
0 —4
0-5
S
15
(substantial impact --0; no evidence = max points)
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
16
(no riffles/ripples or cools = 0; well-developed = max oints
�'.
Habitat complexity
0-6
0-6
0=6
5
17
(little or no habitat= 0; frequent. varied habitats =max points)
FHS'
Canopy coverage over streambed 0-5
0-5
0— 5 S
18
(no shading vegetation = 0; continuous canopy = max points)
Substrate embeddedness
19 NA*
0-4
0-4
(deeply embedded = 0; loose structure = max) s
Presence of stream invertebrates (see page 4) 0-4
0-5
0-5
20
(no evidence = 0; common, numerous types = max points)
L7_
Presence of amphibians 0-4
0-4.
0-4 3
p
21
(no evidence = 0; common. numerous mes —max oints),.
Presence offish "'
22 0_q
O.q
0_q.
O
(no etndence = 0; common, numerous types = max. points)
Evidenceofwildlife use; 0-6
0-5
0 5 3
23
(no evidence — 0 abundant evidence max pomts)
<< r
TotaiPointsPossibte iq0
100
100
{
,
1.
.-.ai.
.r.4 L�--._.
.'i'_•to ., r'l 1
* These characteristics are not assessed in coastal streams.

NC DWO Stream Identification Form Version 4.11 `SSA C7 00 1
Date: /' I
Project/Site: S ES O
Latitude:35 �A % i o"D'
Evaluator: t"�l. f r l!/1i'('2 (
County:
Longitude:
Total Points:
Stream is at least intermittent 31605
Stream Determination (ci le one)
Intermitten
Other D(An n
if z19 or perennial if _ 30`
Ephemeral Perennial
e.g.QuadName:
Z/ r
A. Geomorphology (Subtotal = 1 A •" )
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
CJ
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
4
2 1
3
7. Recent alluvial deposits
0
1r.
2
3
8. Headcuts
0
1
1 2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
.5
1
1.5
11. Second or greater order channel
No = 0
- Yes
<30
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = 10,5- )
12. Presence of Baseflow
0
1
21
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
_C0_5T
1
1.5
16. Organic debris lines or piles
0
0.5
1
1.5
17. Soil -based evidence of high water table?
No = 0
Yes 3
0.5
C. Bioloqv (Subtotal = 7.5- )
18. Fibrous roots in streambed 3
2
1 1
0
19. Rooted upland plants in streambed 3
2
1
0
20. Macrobenthos (note diversity and abundance) 0
1
2
3
21. Aquatic Mollusks 0
1
2
3
22. Fish 0
0.5
1
1.5
23. Crayfish 0
0.5
1
1.5
24. Amphibians 0
0.51
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:
p
Sketch:
W S t�UfQrQ
SSA000AIZZ
af
All
/ ^P /Z - WSAUr�u
0Hl l �d p'
'Pz,nk width : t2 ��.

} • �' fir°.. �,�i
Y
P .
1-
4
5
• . Ste`. r „�� � 4.����, Y_ «fir _ �.
„ '".. •- '� � � �, eye f�

USAGE :UD= DWQ Site =_ (indicate on anached map)
'003
STREAM QUALITY
ASSESSMENT WORKSHEET
Protide the follow ing information for the stream reach under assessment:
1. Applicant's name:b om 1 n l 0 n
2. Evaluator's name: EST- Cko-perj "om-bou r)
3. Date of evaluation: 512,c) 11,5
4. Time of evaluation: 1 I o'YVI
3. Name of stream: L -w\ � �>J
G. River basin: Neu�2�
7. Approximate drainage area: % I �� U -C.
3 rz
S. Stream order:
9. Length of reach evaluated: 2 D �!y
T U
10. County:_ 56-t"-� T! 5O n
l 1. Site coordinates (if knout): prefer in decimal degrees.
12. Subdivision inane (if any):: r10he.
Latitudetex.34.S72312): 3S' '70714
Longilude(ex.-77.556611):-
t`lethod location detem»ned (circle): GPS Topo Sheet Ortho
(Aerial) PholoiGIS Other GIS Other
,
13. Location of reach under evaluation (note new by roads and landmarks and attach map identifyitfe streal n(9 location):
1 A d 5o..�
Wt sf o F Gr�.e h �a -1-h CYN
0'Y-\ no, h. �A � Il Kd
14. Proposed channel work (if any): p,(- D p o6e,�4
e, Int fl
I5. 12ecent weather conditions: W LSC V`R `f f�'r'�
+
16. Site conditions at time of visit:
17. Identify any special water%trey classifications knovtn: _Section 10 _Tid'al Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters .Nutrient Sensitive Waters _Water Supply Watershed _(1-iV)
13. is there a pond or lake located upstream of the evaluation point? 'E NO if yes; estimate the water surface area: (rte
19. Does channel appear on USGS quad map? &NO 20. Does channel appear on USDA Soil Survev? YES NO
21. Estimated watershed land use: _4'o Residential _°'o Commercial _9'o Industrial "rE6% Agricultural
fTcpcFLID 9'o Forested 9'o Cleared/ Logged — % Other (
$
22. )
� �Anwi 17��1y _� pp
ankfuIJ : 1 2- k 233./. Bank height (from bed to top of bank):
24. Channel slope down center of stream: Flat (0 to 29o) - Gelate (2 to 4%) _Moderate (4 to 10%) _Steep (> 10° o)
trai
25. Channel sinuosit): _Sght Occasional bends _Frequent meander _Veil sinuous _Braided channel
iii5trii Ciiv11S fur cOniilci-ton fit tiorhshcet loeated 011 ,age 2 Begin by deterniimilg the most appropriate ecore�gion based oil
t ( f ) appropriate
location. terrain. vegetation. stream classification. etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shottn for the eco'egion. Page 3 provides a brief description of how to review the
characteristics identified in the ttorksl7eet. 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 serine box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flocs from a pasture
into a forest). the stream may be divided into smaller reaches that display more continuity. and a separate font used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100. with a score of 100 represeinting a strean7 of the
highest quality.
Total Score (from reverse): (0t0
Evaluator's Signature Date S/201116 --
This channel evaluation o m intended to be used on as guide to assist landowners and em iromnental professionals i1
gathering the data requ' d by" the United States Army C rps of Engineers to make a preliminary assessment of streau
quality. The total score resulting front( the completion 6f this form is subject to USACE approval and does not imply
particularmitigation ratio orrequirement. ForniS bicil li CllartYc-per5ii970 O3, 10 Llditiiid":i.}1ca5e i'all9j4-�-S=�j\.0

STREAM QUALITY ASSESSMENT WORKSHEET
x These characteristics are not assessed in coastal sureams.
4.}.•F.';Z ley `
`.' 'rl`A„{
NO k
IrE
siY
U��alAiT� �M,
''� a
_'L'$asia edm4n4� 7&IYIdSi2ttam tr'^a��`�
Presence of flow I persistent pools in stream
0-5
0 — 4
0-5
(no flow ar saturation = 0; strop flow =max points)
5
's°
2
Evidence of past human alteration
0-6
0-5
0-5
5
<k�
(extensive alteration.= 0; no alteration = max points)
Riparian zone
3
(no buffer 0 egm1 nous ide buffer max points)
0-6
0 — 4 .
0=5
5
4
Ei rdened of riutrrent or clremrca! dischar ges '
0 — 5
0 —
max oints)
{ektensrve dischar es .0 no drschar es -
I
G'oandwafer discharge" h
L
(no dischar e 0 s 'see s, Nv etlands etc, max points .
6
" Presence of adjacent iloodptain
0 4
�0-4
0-2
toR
(no flood lam :.0 exte'nsivefloodplam=max omts)
3
Entrenchment / tioodptam access
0-5
0 — 4
0-2
(deep] entrenched.. 0; fre vent floodin —max oints
"8
Prescnceofadjacenti;etlands "'
(no wetlands , 0`; lar a adjacent wetlands.- max obits)
0— 6
0-4
0-2
5
9
Channel sinuosity,
0-5
0-4
0-3'
u
extensive chatmelization 0; natural meander = max points
f
10,0-4
Sediment input
,.0-4
, (extensive de osition— 0• little or no sednnent —max oints)
��
€�
Size & dimer srty of channel bed substrate' ,
* -
�
�^
I1
(fine,homogenous O,lai'e,diverse sizes.=maxpomts)
NA , �
.i:' u.'...
0-4
0-5 ..
12
Evdelice of channel incision or widening
0_5
0-4
0-5 .
Y1e
(deepl incised`=0, stable bedkbanks max points)
rte+'
IS
Presence of major bank failures `
6-5
0-5
0 - 5
3
a.
severe erosion = 0 no erosion, stable banks = max points)
i
14
Root depth and density on banks
0 — 4
0-5
2
(no visible roots = 0; dense roots throw Mout —maxpoints)0-3
,-
IS
Impact b agriculture livestock, or timber, production
p(substantialimpact=0;
0-5
0-4
0-5
U
F
noevidenoe=maxpoints
I
16
Presence of riffle-pool/ripple-pool conipleaes
0-3
0 — 5
0-6
(no riffles/ripples ples or pools = 0• well-developed = max points)
17
Habitat complexity
0-6
0 — 6
0-6
1�
`
(little or no habitat = 0; frequent, varied habitats = max points)
I
Canopy coverage over str`eambed
18
(no shadin vegetation = 0; continuous canoe =max points
0-5
0-5
0-5
19
Substrate embeddedness
+ NA*
0-4
0-4
(deeply embedded = 0; loose structure = max
Presence of stream invertebrates (see page 4)
Y.%
20
(no evidence = 0: common, mu nerous types =max points)
0-4
0-5
0-5
21
Presence of amphibians
0-4
0-4
0-4
[�
-0
(no evidence = 0; coimnon, numerous es =max points).
O{
220-4
Presence of fish `
0-4
0-4
0
(no evidence = 0; common, numerous pes =max oints)
Evidence of wildlife use
/J
2'
(no evidence = 0: abundant evidence = max points) 0-6
0-5
0-5
l
Total Points Possible
100
100
100
_
f
TOTAL SCORE (also enter oi; first paged � _ '
TO
W
..
x These characteristics are not assessed in coastal sureams.

NC 1)W0 Stream Tdentifiention Form Version 4.11 0 03
Date: 5 J 2,0 1 (S
ProjectlSite: A_C p
Latitude: 35.27794
Evaluator.E5'r, Uope, t H&4 -i wrG
County: rCaMp601 1
Longitude:8,S53SI
Total Points: G GJ
Stream is at least intermittent 2✓
Stream Determination (cir e
Ephemeral Intermitter
Other
Name:
if>_ 19 or perennial if 2:30*
nial
e.g. Quad
A. Geomorphology (Subtotal = IA__)
Absent
Weak
Moderate
Strong
1aContinuity 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. Activelrelict floodplain
0
1
1
3
6. Depositional bars or benches
0
1Q
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
W
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
Sketch: \
No = 0
es = 3
"artificial ditches are not rated; see discussions in manual
B. Hvdroloov (Subtotal= 9 1
12. Presence of Baseflow
0 1
2
13. Iron oxidizing bacteria
1
2
3
14. Leaf litter0.5
1
20. Macrobenthos (note diversity and abundance)
0
15. Sediment on plants or debris
0
JEEN0=0
1
1.5
16. Organic debris lines or piles
0 0.5
-1
1.5
17. Soil -based evidence of high water table?
0
0.5
es = 3
C.Bioloov (Subtotal= S,S 1
18. Fibrous roots in streambed
3
2
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae
0.5 1
1
1.5
26. Wetland plants in streambed
FACW = 0.75; PBL = 1.5) Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: 511^ rti C_j/N&_
fi v
VVl
U]?- oa 1 do f vY1
m �rr-�DrV� ,
Sketch: \
VJGr (b�2
X03
_n`G-P 11 w

�
I
/
T
1S
W'
�
I

slap 00a
NC DWO Stream Identification Form Version 4.11
Date: I
Project/Site: PLP
Latitude:3s 2-7 Z1
Evaluator:�s� (� a Ot
County:
Longitude:-78 55
Total Points:
Stream is at least intermittent \S
St termination (circle one)
hemer Intermittent Perennial
Other
e.g. Quad Name: �ytllJ
if 2:19 or perennial if >_ 30'
2. Sinuosity of channel along thalweg
0
A. Geomorphology (Subtotal=
Absent
Weak
Moderate
Strong
1a. Continuity of channel bed and bank A � +(-
0
1
2
3
2. Sinuosity of channel along thalweg
0
15. Sediment on plants or debris
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
16. Organic debris lines or piles
1
2
3
4. Particle size of stream substrate
No = 0
1
2
3
5. Active/relict floodplain
6P
1
2
3
6. Depositional bars or benches
0
1
1 2 1
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
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
INo =
Yes = 3
)
Sketch: )
2 I
1 _ (
- artificial ditches are not rated; see discussions in manual
B. Hvdroloav (Subtotal = 7„S )
12. Presence of Baseflow
0 1
2
3
13. Iron oxidizing bacteria
1
2
3
14. Leaf litter
1
0.5
0
15. Sediment on plants or debris
0.5
1
1.5
16. Organic debris lines or piles
0.5
1
1.5
17. Soil -based evidence of high water table?
No = 0
Vs =j-)
1
C. Bioloov (Subtotal = 1,5 1
18. Fibrous roots in streambed 1
3 1
2
1 1
0
19. Rooted upland plants in streambed 1
3 1
2
1 1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
®
0.5
1
1.5
24. Amphibians
0
0.5
Q2
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75;
BL = 1 5 ther= 0
`perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
)
Sketch: )
2 I
1 _ (
&o -wk: (a 4
W�COA

USACE AiD!
DRQ Q = Site =_ (indicate on attached map)
550 p Ooa
STREAM QUALITY ASSESSMENT WORKSHEET ��
Provide the follotcing information for the stream reach under assessment:
��
1. Applicant's name: Doyy-� Llh t. n n 2. Evaluator's name: E61 12C4)e tib nit ri
3. Date of evaluation: 4. Time of evaluation:
S. tame of stream: 1Z. SA ZZL4M Sin-tf0 6. River basin: DP �
7. Approximate drainage area: 30 cx,(. 8. Stream order: C)
9. Length of reach evaluated: 20 �_+ 10. County:
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):1-vn'y C,
Laiitudefex.34.872312): '2"5- 7:77J11 Longitude (ex. -77.556611):-7 77 S4Qn`
Method location determined (circle):fCiP. Topo Sheet Onho (Aerial) Photo/GIS Other GIS Other -
13. Location of reach under evaluati note nearby roads and landmarks and attach map identifying streann(s) location):
14. Proposed channel work (if any):T'�?OSe A Di ae.i 1 ,
15. Recent weather
16. Site conditions
17. Identity any special waterway classifications known: _Secuon 1 u _1 trial waters _Lssennal rtslteries tiaotat
_Trout Waters _Outstanding Resource Waters _Nutrient Sensitive Waters —Water Supply Watershed _(MV)
18. is there a pond or lake located upstream of the evaluation point? YES 19 If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES V 20. Does channel appear on USDA Soil Survey? YES 'O
21. Estimated watershed land use: J %Residential °o Commercial _%Industrial 9a% Agricultural
s % Forested _°'o Cleared 1 Logged _% Other ( )
2 d ankfu Zid i
22. ankful wid n: ( �� 23. Bank height (from bed to top of bank): 34
24. Channel slope down center of stream: -Ilat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (> 10%)
25. Channel sinuosity: _Straight Zoecasional bends _Frequent meander _Very sinuous _Braided channel
instructions for completion of morksheet (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 flot+s front a pasture
into a forest). the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100. with a score of 100 representing a stream of the
highest quality.
Total Score (front reverse): a-4 Comments:
Evaluator's Signature "rht 1Ailn )(A_J�,_/ J2!y Gt/� Date 5405—
lly as V guide to assist landowners and enviromnentaI professionals
This channel evaluation u0na is Intended to be used on in
Qathering y the data required b}' the United States ArmCorps 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 — t ersion 06 03. To Comment. please call 919-875-8-441 s 26.

STREAM QUALITY ASSESSMENT WORKSHEET
3
Faf
KV5,4.N Y f
C
Ny, ch. Z ( 4 R'c h
",,qtr o, -'e A'IT IiTSTICSr srn.a ° �L
Cbastah edmou � M6 xa
K
�`,L
n3atn
0-5
0-4
0-5
L'
Presence of Slow / persistent pools in stream
1
(no flow or saturation = 0; strong flow =max points
2
Evidence of past human alteration
0-6
0-5
0-5
(extensive alteration = 0; no alteration = maxpoints) .
3
Wpar zone
0-6
0-4
0=5
Z
(no buffer. 0 oomt uous wide buffer=maxPoints)
idenee of nutrient or chemical discharges
0-5
0-4
0 4
Z
s`
4
(extensive dischar es O; no dtschar es = max omfs) . .
5
Groundwaterdischarge!
0 3
-0-4
0'=4
2
s
' (no discharge 0 spun s, Seeps, wetlands, eta max oints)
Presence of adjacent floodplain
6
,"
(no flood lam �O; extensive flood Iain - max onits)
0 4
0-4
0 - 2
0
'
Entrenchment / 1loodplain access
0_5
0-4
0_2
`Ft
(dee 1 entrenched = 0; frequent flooding-= maxpoints)
r:.
8
Presence of adjacent wetlands
0-6
0-4
0 -2
(no wetlands = 0; large adjacent wetlands .= max points)
'.9
Channel sinuosity
0-5
0-4
0-3'
(extensive cbatmelizatton — 0; natuial meander max points
"
10I
Sedimentinput
(extensive deposition— O; little or no sediment max orris
Size &diversity of channel bed substrate
NA*
0-4
0-5
{�
(fine, homo enous = 0; lar e, diverse sizes ,= maxpoints)
,T
T,
> =
Evidence of channel incision or widening
0-5
0-4
0-5
y
12
(deepl incised = 0; stable bed & banks = max points).
Z
Presence of major bank failures '
0-5
0-5
0=5
(severe erosion= 0; no erosion, stable banks =max oints)
14
Root depth and density on banks `
0-3
0-4
0-5
(no visible roots = 0; dense root's throughout —'max points)
15
Impact by agriculture, livestock, or timber production
0-5
0 —4
0_5
t =,
(substantial impact -0; no evidence =maxPoints)
V
r
16
Presence of riffle-poollripple-pool' complexes
0 — 3
0-5
0-16
(�
(no riffles/ri les or pools = 0; well-developed =max points)
17
Habitat complexity
0-6
;0-6
0-6
I
(little or no habitat = 0; frequent; varied habitats = max points)
1�
18
Canopy coverage over streambed
0-5
0 —5
0-5
(no sltadin vegetation = 0; continuous canopy =max points)
19
Substrate embeddeduess
0-4
0 — 4
N�
(deeply embedded = 0; loose structure = max)NA
20
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
d
(no evidence = 0; common, numerous types = max points)
of
Presence of amphibians
0-4
0-4
0-4
Z
0-
(no evidence = 0; common. numeroustypes =max points)
22
Presence of fish
0-4O
.
(no evidence = 0; common, numerous types — max,points)
Evidence of wildlife use'
0-6
0-5
0-5.
23
(no evidence = 0; abundant evidence =max points) .
Z
Total,Points Possible 100
100'
100
-
K ..._
z.
�'� '�
TM TOTAI. SCORE {also enter on first gage} ,> � t
_ i � •�
These characteristics are not assessed in coastal streams.

Environmental Field Surveys
Waterbody Photo Page
Waterbody ssap002 facing south upstream.
Waterbody ssap002 facing north downstream.
Photo Sheet I of 2

SSaPODI
NC DWO Stream Identification Form Version 4.11
Date: 5/(1J,(S
ProjectlSite: 0 Q'P
Latitude:55`-L7og7
Evaluator: E5y `� e,,� HUr�OOIJ�
r'
County: 5AYn an
Longitude: `7 3,&T9 2
iJ
Total Points: /
St a termination (circle one)
Other
Stream is at least intermittent 1l0
if>_ 19 or perennial if >_ 30'
phemer Intermittent Perennial
e.g. quad Name:
4"I
A. Geomorphology (Subtotal =1)
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
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
B. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
Sketch:
11. Second or greater order channel
o = 0
Yes = 3
- artificial ditches are not rated; see discussions in manual
B. Hvdroloav (Subtotal = 6.5 1
12. Presence of Baseflow
0 1
2
1 3
13. Iron oxidizing bacteria
1
2
3
14. Leaf litter
1
0.5
0
15. Sediment on plants or debris
0.5
1
1.5
_16. Organic debris lines or piles
0 0.5
1
1.5
17. Soil -based evidence of high water table?
No = 0
0.5
es = 3
C. Bioloav (Subtotal = )0 .) 1
18. Fibrous roots in streambed
-
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
V
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
0
0.5
1
25. Algae
0
0.5
62
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Ker =
'perennial streams may also be identified using other
methods. See p. 35 of manual.
Notes: Z
Sketch:
t
Ssa�cb �
0H\k►M:9 �k
(�, k:(0

USACL- AiDi� DWQ = Site e (indicate on attached map)
ssap 001
ffrT STREAM QUALITY ASSESSMENT WORKSHEET
LL� _AQP
Provide the following information for the stream reach under assessment:
1. Applicant's name: Z-) DYt/N 1 V-\% r) n 2. Evaluator's name:
Eb�(�I�erl i%a�bntlr�
3. Date of evaluation: 4. Time of evaluation: I prn
� r
5. Name of stream: [i NT 1u 1326UdCvclam Swawtp , G. River basin:
7. Approximate drainage area: 30 0�_C, 8. Stream order: 'O
9. Length of reach evaluated: 1sf— Y 10. County: 5&-rn:�? SD in
11. Site coordinates (if kknottn):: prefer in decimal deerees. 12. Subdivision name (if any): p
latitude (ex. 34.8 72312): 35, 2-7 0 97 Longitude (ex. -77.556611):-75, 5 S -I L2
Method location determined (circle): ITopoShect Onho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation note nearby roads and landmarks and attach map identifying streant(s) location):
q r
14. Proposed channel teork (if any): �Y'b�cSSt✓ i � i 7P,� 1'n.(I ,
15. Recent weather conditions 1 Y1 i
16. Site conditions at time of visit: O,. AC i (' blit eA i /CLQ s � C:h t v� �7 P hrJ Zeh PiICI �S
17. Identify any special waterway classifications knottn: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _Nutrient Sensitive Waters water Supply Watershed _(MV)
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 'O 20. Does channel appear on USDA Soil Survev? YESIG
21. Estimated watershed land use: 5 9'° Residential 910 Commercial _% industrial TO °% Agricultural
S % Forested _% Cleared I Loeged % Other ( )
(Top 0-FRAnI rL M
22. Bankfu'PA"P m: (, i + 23. Bank hzight (from bed to top of bath):
24. Channel slope down center of stream: 7Flal (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (> 10%)
25. Channel sinuosity: _Straight Accasional bends _Frequent meander Vely sinuous _Braided channel
Instructions for cornpletion of tyorksheet (located ori page 2): Begin by deiennining the most appropriate ecoregion based on
location. terrain, veeetation. stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic mithin 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 tlotts front a pasture
into a forest). the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must ranee between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (front reverse): 2�'
Evaluator's Signature Date 5( 15—
Tltis channel eyaluafiou r n is intended to be used only as a guide to assist landowners a� it�niental professionals in
gathering the data requi d by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or rcquirenteut. Form subject to change - t ersion 06 03. To Commem. please call 919-876-5441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
x These characteristics are not assessed in coastal streams.
ECfJfQz
max'
I
CI 2A Tt 12ISTL�CSg
� s � r --r �„ ���
z
0-5
0-4
0-5
3
1
Presence of flow / persistent pools in stream
;.'
(no flow or saturation = 0; stron flow = max points
2
Ev idence of past human alteration
0-6
0-5
0-5
Q
(extensive alteration = 0; no alteration =maxpoints) .
3
Ittpauan zone
{no buffer 0 contiguous. wide buffer - max points
0-6
0-4
6-5 `:
2
o
k
Ei%idence of nutrient or chemical discharges p.
4
(eatenstve dtschar' es — 0; no'dtschar es =max omts)
5
r Gro nndicaterdi�charge
Tin etc, oints)
0 3
0-4
0`4
7
L
2-
s, seeps,wetlanda max
(nodtschar e 0 s t
z 6
Presence of adjacentfloodplarn
0-4
10-4
0-2-
�y
(no flood lam --'6'; extensive flood lain ='max points)
ent / odplain access
Entrenchmflo
0-5
0-4
0-2
a
(deeply entrenched = 0; fre gent flood n .= max oints)
sz51
.
Presence of adjacent wetlands , `
0-6
0 —4
0-2
l i
8
(no wetlands — 0; large adjacent wetlands maxpoints)
`
Channel sinuosity"
0-5
0-4
0-3
>9
(extensive chatmelization = 0; natural meander max,points
10
Seditneittinput
0-5
0-4
0-4
(extensive de osition O; little or no sediment — max points)
'..
rate
rNA
0-4
0-$Size&dlve"
v`r/tl
(fne,homogenous =O; large, diverqeqi7eq— filaX points)
,
It
2
Evidence of channel incision or widening : ';
0-5
0 —4
0-5
Z
yc;
(deepl incised= 0, stable bed &banks =max oints)"
Vis'
i3
Presence of major bank failures
6-5
0-5
0-5
cD
(severe erosion = 0; no erosion, stable banks =max oints)
_
14
Root depth and density on banks
0-3
0-4
0-5
'
(no visible roots = 0; dense roots throb bout f max points)
Impact by agriculture, Iivestock, or timber production
0-5
0 —4
0-5
O
IS
(substantial impact =0; no evidence =max points)
h'
Presence of riffle-poollripple-pool completes
0 — 3
0 — 5
0 - 6
Q
16
no riffles/ripples ples or pools = 0• well-developed = max points)
Habitat complexity
0-6
0-6
0-6
N`
17
(little or no habitat = 0; frequent. varied habitats =max oints)
P1
Canopy coverage over streambed
0 —5
0-51
0-5
18
(no shading ve etation = 0; continuous cano =max oints)
19
Substrate embeddedness
0 — 4
0-4
N
(deeply embedded = O; loose structure = max)
;SNA*
t20
Presence of stream invertebrates seepage 4)
0 —4
0-5
0-5
O
(no evidence = 0; common, numerous types =max points)
U'
21
Presence of amphibians
=
0-4
0-4
0-4
O
(no evidence = 0- cotmnon, numerous types max points), <.
w,
22
Presence offish ` =.' '
0-4
0— 4
0-4
(no evidence _= 0; common, numerous types max points)
Evidence oftiiildlifeuse
0-6
0-5
0-5
Z
23
(no evidence = 0 abundant evidence max points)
TotalPotntsPosstbte'
100
100
100
;f
TOTAL SCORE - {also enter 611 firstpage�
Pi ­
x These characteristics are not assessed in coastal streams.

Environmental Field Surveys
Waterbody Photo Page
Waterbody ssap001 facing northeast upstream.
Waterbody ssap00l facing southwest downstream.
Photo Sheet I of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody ssap001 facing north across bank.
Photo Sheet 2 of 2

USAGE .AiD- DA4'Q - Site -. (indicate on attached map)
0
S5 -A0007
STREAM QUALITY ASSESSMENT WORKSHEET
Pro-ide the following information for the stream reach under assessment:
1. Applicant's nanne:—j Xjr 1 i O (Un
3. Date of evaluation: C1(fIj M/
5. Name of stream: TVQt e�cTM �( 1FTri
7. Approximate drainage area: "-
9.
9. Length of reach evaluated: li)o 6
11. Site coordinates (if Lnoown): p`errefer iii decimal degrees.
Latitude fex. 3-0.87231"'): 35• � � J V
2.L-valuator'snanne:KMOW '<4\aI �,tV\vt�Phfetl
4. Time of e\aluation:
6. Ri\er basin:
S. Stream order: J,
10.Coutny: SjaW P50✓)
12. Subdivision name (if any): Al A
Loneitude(es.-77.556611):_' fr J�1 3
Method location determined (circle . GPS opo Sheet Onho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evalu. (note nearby roads and landmarks and attach map identifying streanl(s) location):
LOOo4e8 �o({f,w S--, 0� 016 CAS 4a� NwV
14. Proposed channel work (if any):
15. Recent weather
02-�- rn � rx
16. Site conditions at time of visit: i ' nc( rS-� GvY'lbf q
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _Nutrient Sensitive \',raters —Water Supply \Watershed (MV)
18. is there a pond or lake located upstream of the evaluation point? YESNO If yes, estimate the \cater surface ar-�ea:
19. Does channel appear on USGS quad map? YES NO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated \yatershed land use: (O 014 Residential °o Commercial _% Industrial aU 94 Agricultural
RR %) ��L %0 % Forested % Cleared I Logged _9% Other ( )
2 .(BaPI°f li A d17i: 1"a 23.Siank height (from bed to top of bank):
24. Channel slope do\Nn center of stream: _Flat (0 to 29'0) 1/— Gentle (2 to 4%) _n4oderate (4 to 10°%) _Steep (> 10%)
25. Channel sinuosity: _Straight _Occasional bends —Frequent meander _Very sinuous _Braided channel
instructions for conipietion of worksheet (lueat(d On Babe 2): Begin by detennining the most appropriate ecoregion based oil
location. terrain. vegetation. stream classification. etc. Ever, characteristic must be scored using the same ecoresion. Assign points
to each characteristic within the range sho\Nn 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 e\aluation. if a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream tlou s froin a pasture
into a forest). the stream play 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 recerse):�2 5_ Comments: (o 1(1C "eS Off- 'Till 56 � uv, V S
Evaluator's SignatureJ4�jd ����i Dateq /q
This channel evaluation form is intended tZ)e used only as a guide to assist landowners and environmental professionals in
Qatherina the data required by the United States Arai\ Cops of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the compl(tion of this form is subject to USACE approval and does not Imply a
particular mitigation ratio or requirement. Fonn subject to change - v e,ion 06 03. To Ccmunen. please call 919-S76-5441 x -6.

STREAM QUALITY ASSESSMENT WORKSHEET
1
Presence of flow l persistent pools in stream
0-5 0-4 0-5
5
0= 6
(no flo\v or saturation = 0; strong flow = max points)
l
Ems'
(little or no habitat = 0; Leguent. varied habitats = max points)
Evidence of past human alteration
0-6 0-5 0-5
Al$
2
(extensive alteration = 0; no alteration = maxPoints) .
0-5
0-5
liiparian zone:
0-6 0 4 - 0 5,..`
(no buffer 0, potati uons, ,vide buffer max {amts
Er idence of nutrient or chemical discharges
0-5 0 4 0 4.:.
3
19
(ex#ensive drschar es . 0; no d-. char es.- max oi_.
NA ,
0-4
5
Grouh water dischax ge .
0-3 0 4 0- 4
(deeplyembedded = 0; loose structure =max)
(no t3ischar e`= 4; spriri s, seeps, iyetlands, etc ., maa points
6
Presence of adjacent floodplain
0-4, o-4 0-2,
�-�-
D -5
(tto flood lam . 0; extensive floodplain = rnax points)
20
(no evidence = 0; common, numerous types =max points)
Entrenchruenf 1 floodplain access
fl- S 0-4' 0-2
deepl� entrenched = 0; frequent flooding -F= max points)
8
Presence of ad3acen# wetlands
0-6 0-4 0-2
6
0-4
(no wdlands = 0 lar e adiacent wetlands .= max points)
0-4
�-
9
el sinuosity
Chanty -
0-5 0-4 0-3
(extensive charmelization - 0; natural meander.=max points)
0=2
Presence of fish
.0
_ Sedittient'input
fl y 0-4 0-4
i --s:
(extensive de osition-- 0; little or no sediment = max points)
l l
Size & diversity of channel bed substrate
NAS 0 ---4 0-5
Evidence of wildlife use
0-6
(fine; homogenous = 0 lar e, diverse sizes - max points)
0-5
$
23
Evidence of channel incision or }widening ..
0-5 0-4 0-5
J
l 2
(deeplyincised= 0; stable bed k banks = max points .
r Tota! Points Possible
1fl0:
3
Presence of major bank failures `
0-5 ' 0-5 0 = 5
5
,
r.:
(severe erosion = 0; no erosion, stable banks = maxpoints)
l4
Root depth and density on banks
0-3 0-4 0-5
75
(no visible roots = 0; dense roots throughout ='max points)
impact by agriculture, lir estock, or timber production
0-5 0 4 0-5
�]
15
(substantial nnpact =0; no evidence = max oints)
Presence of riffle-poollripple-pool complexes
0-3 0-5 0-6
l6
te rry._�.e-. ..i__ _ —A......11 .1-1-1.. A— r.kn1
y
Habitat complexity
0-6
0-6
0= 6
l
Ems'
(little or no habitat = 0; Leguent. varied habitats = max points)
Al$
Canopy coverage over streamlied
0- 5
0-5
0-5
(no shading vegetation = 0; continuous canopy = max points
19
Substrate embeddeduess
NA ,
0-4
0 - 4
(deeplyembedded = 0; loose structure =max)
Presence of stream invertebrates (see page 4)
0 -4
0 5
D -5
3
20
(no evidence = 0; common, numerous types =max points)
Presence of amphibians
0-4
0-4
0-4
�-
.0?1
:Q:;
(no evidence = 0; corm -non, numerous types = max points),,
0=2
Presence of fish
fl- 4
0-4
0-4
i --s:
(no evidence = 0: common, numerous types = max points)
Evidence of wildlife use
0-6
0-5
0-5
$
23
(no evidence = 0; abundant evidence = max points)
r Tota! Points Possible
1fl0:
1D0
I00
,
r.:
,
t ` TOTAL SGOT (.also cotes on
first paged
75
x These characteristics are not assessed in coastal streams.

as wm wid+h', .�
'rvp 0� BC'4 WJ+i'; ID
7
SS0.o
NC DWQ Stream Identification Form Version 4.11
Date: Q �n
Project/Site: �-�-�
Latitude:3S,� Syz(i'
Evaluator. �ST_. K jy)lrl YP'n
County: 'Sn m s o'✓)
Longitude: -79,-VI
9, -VI
Total Points:
stream is at least intermittent
39
Ef
Stream Determination (circle one
Ephemeral Intermittent Perennial
Other p C4 n n
e.g. Quad Name:
if >_ 19 or perennial if >_ 30"
A. Geomorphology (Subtotal= I, J )
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,
0 1
2 3
ri le- ool se uence
0
3-
4. Particle size of stream substrate
3
5. Active/relict floodplain
0 1
0 1J
2
2 3
6. Depositional bars or benches
1
(2 ) 3
7. Recent alluvial deposits
0
8. Headcuts
(V
2 3
9. Grade control
0 0.5%
0.5
1, 1.5
1.5
10. Natural valley
0
No = 0
Yes `3J
11. Second or greater order channel
a artificial ditches are not rated; see discussions in manual
B. H drolo (Subtotal= )
12. Presence of Baseflow
0 1
2 3
13. Iron oxidizing bacteria
0 1
(2� 3
0
14. Leaf litter
1.5 1 .
0.5
1 1.5,
15. Sediment on plants or debris
0 .5
1
16. Organic debris lines or piles
0 0.5
No = 0
Yes =`3 )
17. Soil -based evidence of high water table?
C. Biology (Subtotal = ql )
1 0
18. Fibrous roots in streambed
3� 2
0
19. Rooted upland plants in streambed
3 ) 2
1
3
20. Macrobenthos (nate diversity and abundance)
0 1 1
21. Aquatic Mollusks
0 1
3
22, Fish
23. Crayfish
0.5
1 1.5
24. Amphibians
(0 0.5
1 1.5
25. Algae
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.
es e+ c�IVer
a cvn�e�+S bCKcK
Notes: Teach sSAo mo
;vev
-V,A' cardG(pr
C4,
Sketch: I j
w i V wSgo 007 L.p1;11e
vV
IGAc�
ssa.o0Q-4
as wm wid+h', .�
'rvp 0� BC'4 WJ+i'; ID

Environmental Field Surveys
Waterbody Photo Page
Waterbody ssao007 facing northeast upstream.
Waterbody ssao007 facing southwest downstream.
Photo Sheet I of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody ssao007 facing northwest across channel.
Photo Sheet 2 of 2

Ooen Waterbodv Data Sheet
Survey Description
Project Name: AWaterbody
rlc?
Name:
P0 n,\-
Waterbody ID: ii��
oSaoO03
Date:
9/10'
Southeast Reliability
QRrwneL
Ill
State:
County:
Company.
Crew Member Initials:
Photos:
NC-
c�1P5on
EST
Ksw (."w(10
1 �ac1t tl,
Tract Number(s):
Nearest Milepost:
Associated Wetland ID(s):
�— 01�4
4U9.'g
WSa1 0 0(67 �
Survey Type:
(Chock one) ®Centerline ❑Re -Route ❑Access Road ❑Other:
Physical Attributes
Waterbody Type:
(Chock one) Stock Pond ❑ Natural Pond ❑ Lake ❑ Reservoir ❑ Impoundment ❑ Oxbow ❑ Other.
ydrologic Regime:
❑ Permanently Flooded emipermanently Flooded
❑ Seasonally Flooded ❑ Temporarily Flooded
OHWM J0HWM
Indicator:
(check
all that appy) Clear line
Shelving OWrested ❑Scouring Water
Height: n
on bank
vegetation staining
❑Bent, matted, or missing OWrack
❑Litter and OAbruptplant ❑Soil characteristic change
vegetation line
debris community change
Depth of Water: _
Bank height (average):
Bank slope (average):
3 ft.
ft.
4 r5 degrees
N/A❑
ble J M
Qualitative Attributes
Water Appearance:
(crack one) ElNo water DClear ®Turbid ❑Sheen
❑Surface OAlgal ❑Other:
on surface
scum mats
Substrate: ❑ Bedrock ❑ Boulder ❑ Cobble ❑ Gravel
Sand Sill/ clay ❑ Organic ❑ Other.
(check all that apply)
�y
I� °.6 `I 6 °,6
% of Substrate: _% _% % %
% %
Width of Riparian Zone:
Vegetative Layers:
❑
>I OD ft.(check
v
an that apply)
Saplings/Shrubs: Herbs
frees:
Avg. DISH of Dominants: G in.
�in. in.
N/A❑
tappoe)
Dominant Bank Vegetation (list): A Ce -f YLA"ACQ/ l -Cl (A 'd aeNao.v Sk✓6,Cr rB,
Perse6 bJYb9�f+0.�Url(S f�iflnc�i ('UIiQ)�ji�1i�0�'
iU}LI�C��(+�
Aquatic Habitats lex: submerged or emerged aquatic vegetation, overhanging baneeroots, leaf packs, large submerged mod, riffles, deep pools, etc.):
Oe2(-� w6kfiev
Aquatic Organisms Observed (list):
n�oSryv1a-o farvne/ -Prods .
T&E Species Observed (list):
Disturbances (ex: livestock access, manure in waterbody, waste discharge pipes):
YUn -a�F, �-60M
Waterbody is:
(checkone) O Natural 11 Artificial, man-made ❑ Manipulated
Waterbody Quality':
(checkers) El High ❑ Moderate MILOW
Fmm Ren N130^_013

Form Ree. 04302013
Waterbody ID:
a S'5LOOO 3
' High Quality. Natural, natural bank vegetation around entire waterbody; banks stable and protected by roots; %rater color is clear to tea -colored; no
barriers to fish movement; many fish cover types available; diverse and stable aquatic habitat; no disturbance by livestock or man.
Moderate Quality: Altered by rip -rap; natural vegetation extends 113-112 of the active channel width on each side; filtering function or bankvegetation
only moderately compromised; banks moderately unstable; watercolor is cloudy, submerged objects covered Wth greenish film; moderate odor; minor
barriers to fish movement; fair aquatic habitat; minimum disturbance by livestock or man.
Low Quality. Rip rap and channelization excessive; natural vegetation less than 113 of the active channel width on each side; lack of regeneration;
filtering function severely compromised; banks unstable (eroding); water color is muddy and turbid; obvious pollutants (algal mats, surface scum,
surface sheen); heavy odor, severe barriers to fish movement; little to no aquatic habitat; severe disturbance from livestock or man.
Notes:
Waterbody Sketch (Include north arrow, centerline distance from centerfine, data point locations, sumelboundary, and IDs of associated features)
�Ulhk'119 ��j9Yc Srj
CL
I `� 00-7 C�UCJnlinf
LA
SS)V�JCA
f,V 3
eMc o/
Form Ree. 04302013

Environmental Field Surveys
Open Waterbody Photo Point Page
Open Waterbody osao003 facing north.
Photo Sheet I of 1

USAGE AID'
D\r0
Site =_ (indicate on attached map)
sso.o 008
STREAM QUALITY ASSESSMENT \'WORKSHEET
ProN ide the following information for the stream reach under assessment:
1. Applicant's name: l7)
3. Date of evaluation:
5. \'ane of stream: l.iN I kU QiPoov!'lyd^�m ,SWaml�
7. Approximate drainage area: % ace_5
9. Lengih of reach evaluated: 5004-
2. Evaluator's name: r s K A (f A (2Lj
4. Time of evaluation: 1� t' 3oam
6. River basin: CC\ Fear
S. Stream order: I
l 0. County: 5 A p Yv� S 0 ✓t
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): N',
n
Latitude (es. 34.872312): :��.� i �3 Longitude (ex. —77.556671):` 7' S�1
Method location determined (circle): Topo Sheet Onho (Aerial) Phmo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identiRling, sheant(s) location):
LOca�e� sot li�� �'S� u� oo LAS �Eal HWl�l
14. Proposed channel taork (if any): T
15. Recent weather conditions: & l0 LInBS OF rn r () Qn
16. Site conditions al time ofvisit:–S4eD.m Ot i)kn®,A-e S AA-- 1\e*Lc it o4 Cqe D� f,e ([ -
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _Nutrient Sensitive \raters —Water Supply Watershed (1-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 N 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: _% Residential _% Commercial _% industrial q0% Agricultural
� 0% Forested 9'o Cleared / Logged % Other ( )
(rPof Aon — —
22. Bankful�tt'td n: ���� 23. Bank height (front 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. Chantel sinuosity: _Straight _Occasional bends �requent meander _Very sinuous _Braided channel
Instructions for complei-ion 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 shoen 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
conurent section. \there 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): Z1
rC�Evaluator's Signature / hV�14 Date
This channel evaluation form is intended to be used only as a guide to assist landott ners and cm ironnnental professionals in
gathering the data required by the United States Arms Cops 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 filiply a
particular mitigation ratio or requirement Form subject to change – N ers ion 06 0=_ To Comment. please call 91,)-876-S-141 y 26.

STREAM QUALITY ASSESSMENT WORKSHEET
C 17
Presence of flow I persistent pools in stream
0-5 0 — 4
0-5
0-6 .
(no flow or saturation = 0; strong flow = max points)
(little or no habitat = 0; frequent, varied habitats = max points)
2
Evid -nee of past human alteration
0-6 0-5
0-5
0-5
0-5
(extensive alteration = 0; no alteration = maxpoints)
iF� -
18
(no shading ve• etation = 0; continuous rano = max points)
3
<:., Riparian zone
0-6 0-4
0 5
(no buffer. 0; configuous, Nvide buffer = maxpoints) '. .
4
ES idence of nutrienf or clieinical discharges
L.(extensive
*:
NA 0-4
0 4
dischar- es ., 0; no dischar es = max obits),
S
G o' ui►dwatei discharge
0- 3 0= 4
0 4
0-5
0-5
no dischal• e = 0; sprm s, seeps, lands. ete ,, max pouits)
(no evidence =.0; common, numerous types = max points)
Presence of adjacent flood Iain
�'
"
_
0 4 0-4
0 2
Presence of amphibians
0-4
flood lam : 0, extensive floodplain =max obits)"
0-4
:Q
(no evidence = 0; eotmnon. numerous types = max points
EiitirencbmOf 1 floodplain access
0-5 0-4
0-2
�
(deepjX entrenched = 0; frequent iloodm _= inaxpoints)
0-4
0-4
0-4
8
Presence of adjacent wetlands
0-6 0-4
0-2
(no wetlands = 0; large adjacent wetlands.= max ponits)
a-
23
Evidence of Ai ildlife use
0-6
(1- 5
Channel sinuosity
0=5 0-4
0-3
(no evidence = 0; abundant evidence v max points)
(extensive channelization = 0; natural meander.=lax points
1,0
Sediment input
0-5 0-4
0-4
(extensive deposition= 0; little or rio sediment = max points)
11
Size & diversity of channel bed substrate
NA' 0-4
0-5
N
x
(fine, liamo mous = 0- lar e, diverse sizes = max points)
5
12
Evidence of channel incision or widening ."
0-5 0-4
0-5
(deeply incised.= 0; stable bed R banks = max points)
Presence of major bank failures '
0 —5 0 —5
0 = 5
Q
(severe erosion = 0; no erosion, stable banks = maxpoints)
14
Root depth and density on banks
0-3 0-4
0-5
(no visible roots = 0; dense roots throughout="max points)
15
Impact by agriculture, livestock, or timber production
0-5 0 — 4
0-5
(substantial impact =0; no evidence = max points)
16
Presence of riffle-poollripple-liool complexes
(r,n ,-i4'4laelrinnlac nr nnnle = n- = may noints)
0-3 0-5
-
0-6
C 17
- f Habitat complexity
0-6
0-6
0-6 .
(little or no habitat = 0; frequent, varied habitats = max points)
M
Canopy coverage over stream ed
0-5
0-5
0-5
iF� -
18
(no shading ve• etation = 0; continuous rano = max points)
19
Substrate embeddedness
*:
NA 0-4
0 4
(deeply embedded = 0; loose structure = max
20
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
(no evidence =.0; common, numerous types = max points)
21
Presence of amphibians
0-4
0-4
0-4
:Q
(no evidence = 0; eotmnon. numerous types = max points
Presence of fish[_
0-4
0-4
0-4
22
(no evidence .= 0; coinmon, numerous ,pes =max points) "
a-
23
Evidence of Ai ildlife use
0-6
(1- 5
0-5
�}
>_
(no evidence = 0; abundant evidence v max points)
Tofal Points Possible
100 `
� :- 100
100
TOTAL SCORE -1 -(also en#er':on firs#
x
x These characteristics are not assessed in coastal streams.
2

5S� C Lm8
NC AWQ Stream identification corm version 4.11
Absent
Date: � li l � �1(,i'
1a' Continuity of channel bed and bank
Pro ect/Site: ? `�
J �. �-
Latitude: �.5 % 5
Evaluator: r-- ._. !� ,
3
County: SLYC1l l'.}
Longitude: -,1 8j 5wfl.)
1)
tArc''-d{'/
3
3. In -channel structure: ex. riffle -pool, step -pool,
Total Points:
1
Stream Determination (,pircle one)
n
Other t'�J(�( (� ' I
Stream is at least intermittent
0
Ephemeral Intermittent Perennial
e.g. Quad Name:
if >_ 19 or perennial if 2 30`
4. Particle size of stream substrate
A. Geomorphology (Subtotal =�5 S )
Absent
Weak Moderate Strong
1a' Continuity of channel bed and bank
0
1,
(2)
3
2. Sinuosity of channel along thalweg
0
1)
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
0
1
2
U
ripple -pool as uence
0
1
2
'
L3
4. Particle size of stream substrate
0
(1 i
2
3
5. Active/relict floodplain
0
1�
(2
3
6. Depositional bars or benches
2
3 )
7. Recent alluvial deposits
0
1
8. Headcuts
(0�
1
2
3
9. Grade control
0 !
0.5
1
1.5
10. Natural valley
0
1
1.5
11. Second or greater order channel
No 0)
Yes = 3
aartificial ditches are not rated; see discussions in manual
B. H drolo (Subtotal
2
3
12. Presence of Baseflow
0.
13. Iron oxidizing bacteria
1
2
3
0
14. Leaf litter
(1.S l
0 ���
1
0.5
0.5
1
1.5
15. Sediment on plants or debris
0
0.5
( 1)
- 1.5
16. Organic debris lines or piles
17. Soil -based evidence of high water table?
No = 0
Yes(74 3 .t
C. Biology (Subtotal = )
-
1
0
18. Fibrous roots in streambed
3
2 ,•
0
19. Rooted upland plants in streambed
(3 %
2
1
20. Macrobenthos (note diversity and abundance)
(0 j
1
2
3
21. Aquatic Mollusks
0%
1
2
1
3
1.5
22. Fish
(,0)
U
0.5
0.5
23. Crayfish
U
0.5
24. Amphibians
0.5
25. Algae
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.
or;ginaks
qs heG.olc�t
a+
edje nom- A51 ft
Notes:
y V11
Sketch: _
` �u �WSOC�
C�7 ccJWnt�nQ
vi
Ssd(D 00%
OHWM w(d+h'.
-Fop 0- Bar wia+w `. ;J

4 ,Ilk
•
�'•�a� ! / � r .mow w{ "W td � 4��;A2
..:''` ��`�• 1. .%} �' ' ����`�,.:.�'

Environmental Field Surveys
Waterbody Photo Page
Waterbody ssao008 facing east across channel.
oil
r _ -
Waterbody ssao008 facing north, showing headcut at origin.
Photo Sheet 2 of 2

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
PFR 1V1l/ifjt �572r4/kl / U G!'t 3# A11W, 1P
NC DWQ Stream Identification Form Version 4.11
Date: /7(�r�'��
Project/Site: ,DoMiNio,, - A .�
2 ;1
Latitude: 350 H 1 571
Evaluator: Q111 -1,1l
County: SA M P601AI
Longitude: -73"3-/ °33621"
Totai Points:
Stream is at least intermittent
Stream Determination (circle one)
Ephemeral Intermittent
Other BFAvea0 M"' J M
Name:
if >_ 19 or perennial if 2: 30 e
rennia e
e.g, Quad
A. Geomorphology (Subtotal =_ZZ__0)
Absent
Weak
Moderate
Strong
1a- Continuity of channel bed and bank
0
(D
2
3
2. Sinuosity of channel along thalweg
0
1
2
1
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
1
1.5
3
5. Active/relict floodplain
0
1
2
24. Amphibians
6. Depositional bars or benches
0
1
3
7. Recent alluvial deposits
0
1
2
26. Wetland plants in streambed
8. Headcuts
0
2
3
9. Grade control
0
LO&
1
1.5
10. Natural valley
0
0.5
1
1.
11. Second or greater order channel
No =
0
Yes
3
a artificial ditches are not rated; see discussions in manual
B. Hvdroloqv (Subtotal= 11,6 )
12. Presence of Baseflow
0 1
2
1
13. Iron oxidizing bacteria
0 1
2
3
14. Leaf litter
1.5 CDP
0.5
0
15. Sediment on plants or debris
0 0.5
1
1.
16. Organic debris lines or piles
0 1 0.5
1
22. Fish
17. Soil -based evidence of high water table?
No = 0
Yes = 3
1.5
C. Biology (Subtotal = ,
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
d ft 3
1
0
20. Macrobenthos (note diversity and abundance) R;t �� n+"� �ra6 0
1
2
3
21. Aquatic Mollusks
0
2
3
22. Fish
0
1
1.5
23. Crayfish
0
0.5
1.5
24. Amphibians
0
0.5
1
25. Algae
0
0
1
1.5
26. Wetland plants in streambed
FACW = .75 OBL = 1.5 Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: 5(�,ve2
Sketch:J� t
fir,
Ct
160 D
n�P
,� N �i
P3,
i.t
' `Y 41

USAGE 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: 1DD M I t,i t (?A/ —ALF 2. Evaluator's name: GA u r +i'l 1i L t! �a i " ?w
3. Date of evaluation: AT PP 'a I Zy 15 4. Time of evaluation: a o P
5. Name of stream: BQ9V 0 AM P 55MW 16. River basin: C A PC _ -Ff A k
7. Approximate drainage area:
9. Length of reach evaluated: 300,
8. Stream order:
10. County: ,q M06,0
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): /V ILII
/ r _ sa
Latitude (ex. 34.872312): 3 b /Y �1 F //__I i� Longitude (ex. —77.556611): —78`21 � X33,627
Method location determined (circle): GE)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):
,�/"il !�/" .��"lLftp, LkLY /C LI �C) i t)rz:
14. Proposed channel work (if any): 1'a pe 1-i tt e C t ij
15. Recent weather conditions: ��1ci�i��/�>/�azer� Nib-'✓ s'
16. Site conditions at time of visit: C L_<fAR 5uI //v
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? YESN If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YE NO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: 5 % Residential _% Commercial _% Industrial 65 % Agricultural
15 % Forested % Cleared / Logged _% Other (
22. Bankfull width: _30.0, 23. Bank height (from bed to top of bank): 3,0
24. Channel slope down center of stream: Flat (0 to 2%) X Gentle (2 to 41/o) _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: 6/f'--wbt­z") -5-1`t
Evaluator's Signature „` r -- Date /✓-'®'L Z0 45
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.
2
N

B r—/i V C P lit) t -MW1-P
STREAM QUALITY ASSESSMENT WORKSHEET
1 r'A AIWI A.
* These characteristics are not assessed in coastal streams.
ECOREGION POINT
RANGE
#
CHARACTERISTICS
SCORE
Coastaledmon
Mountain
Presence of flow / persistent pools in stream
0-5
0-4
0-5
1
no flow or saturation = 0; strong flow = maxpoints)
2
Evidence of past human alteration
0-6
0-5
0-5
2
(extensive alteration = 0; no alteration = max points)
3
Riparian zone
0-6
0-4
0-5
(no buffer = 0; contiguous, wide buffer = max points)
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
4
extensive discharges = 0; no discharges = maxpoints)
a
5
Groundwater discharge
0-3
0-4
0-4
no discharge = 0; springs, see 's, wetlands, etc. = maxpoints)
Presence of adjacent floodplain
0-4
0-4
0-2
6
no floodplain = 0; extensive floodplain = maxpoints)
7
Entrenchment / floodplain access
0-5
0-4
0-2
Ri
(deeply entrenched = 0; frequent flooding = max'points)
8
Presence of adjacent wetlands
0-6
0-4
0-2
no wetlands = 0; large adjacent wetlands = maxpoints)
9
Channel sinuosity
0-5
0-4
0-3
extensive channelization = 0; natural meander = maxpoints)
10
Sediment input
0-5
0-4
0-4
extensive deposition= 0; little or no sediment = maxpoints)
11
Size & diversity of channel bed substrate
Nps*
0-4
0-5
fine, homogenous = 0; large, diverse sizes = maxpoints)
12
Evidence of channel incision or widening ,
0-5
0-4
0-5
,yE
dee ly incised = 0; stable bed & banks =`maxpoints)
13
Presence of major bank failures
J
0-5
0-5
0-5
i—i(severe
erosion = 0; no erosion, stable banks = max points)
Root depth and density on banks
_
0-3
0-4
0-5
4-114
E„(no
visible roots = 0; dense roots throughout = max points)
rA
IS
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
substantial impact =0; no evidence = maxpoints)
16
Presence of riffle-pool/ripple-pool complexes
0-3
0—S
0-6
no riffles/ripples or pools = 0; well-developed = maxpoints)
17
Habitat complexity
0-6
0-6
0-6
little or no habitat = 0; frequent, varied habitats = maxpoints)
Canopy coverage over streambed
0-5
0-5
0-5
� /
18
no shading vegetation = 0; continuous canopy = max' points)
l
19
Substrate embeddedness
NA,*
0-4
0-4
(deeply embedded = 0; loose structure = max)
20
Presence of stream invertebrates (see page 4)
0-4
0—S
0-5
L/
>14
no evidence = 0; common, numerous types = maxpoints)
0Presence
21
of amphibians
0-4
0-4
0-4
�.
Oa
(no evidence = 0; common, numerous types = max points)
O
22
Presence of fish
0-4
0-4
0`-4
no evidence = 0; common, numerous types = maxpoints)
23
Evidence of wildlife use
0-6
0-5
0-5
no evidence = 0; abundant evidence = maxpoints)
Total Points Possible '
100
100
too
TOTAL SCORE (also enter on first page)
r%
* These characteristics are not assessed in coastal streams.

F J
1 M
z
TVIC
� e
4,0.w.
r ` l

Waterbody SSAO001 facing south across

Open Waterbodv Data Sheet
Survey Description
Project Name:
Waterbody Name:
Waterbody ID:
Date:
Southeast Reliability
UnnavnPd PO AA
o5ao Dol
9 I Jd tf
State:
County:Company:
Crew Member Initials: Photos:
I�IC
Sa v psOn
t 51
KwM , KS M �Ci nq WQs+
Tract Number(s):
Nearest Milepost:
Associated Wetland ID(s):
a( -01[o3
Survey Type:
(check one) ®Centerline DRe-Route DAccess Road ❑Other.
Physical Attributes
Waterbody Type:
(check one) $Stock Pond O Natural Pond D Lake D Reservoir O Impoundment D Oxbow D Other.
Hydrologic Regime:
Permanently Flooded ❑ Semipermanently Flooded O Seasonally Flooded C3 Temporarily Flooded
OHWM
(check
OHWM Indicator:
all that apply) Clear line ZShelvirrg OWrested OScouring DWater
Height:
on bank vegetation staining
ft.
O Bent, matted, or missing DWrack OLitterand DAbruptplant D Soil characteristic change
vegetation line debris community change
Depth of Water:
Bank height (average):
Bank slope (average):
3 ft.
3 ft.
degrees
N/AD
Qualitative Attributes
Water Appearance:
(check one) No water ,Klear OTurbid OSheen ❑Surface ❑Algal ❑Other.
on surface scum mats
Substrate: D Bedrock D Boulder D Cobble D Gravel ;Ksand �<SiIV clay D Organic D Other.
(check all that apply)
of Substrate: JPO % 60% % %
Width of Riparian Zone:
Vegetative Layers:
(t7(check
all that apply) El Trees: Saplings/Shrubs: XHerbs
ft
p
Avg. DBH of Dominants: NIR in. I in. NSR in.
N/AO
(appox)
Dominant Bank Vegetation (list):
Acer rulorvm,
Llr(uiddFnbar 5 yruciFlHa,
0rocten sp. Lud iylasp h 80e6wia cylind• ta, Eleoctiet•;s sP.,Cylgvuc 1P.
Aquatic Habitats (em sub"rged or emerged aquatic vegetation, overhanging to nlahoots, leaf packs, large submerged mod, riffles, deep pools, etc.):
open Wa'i Cr, S�Mer9ed�e mnerje + brUnc es sobm evyrd a�vaiic Ue�efti}hp
Aquatic Organisms Observed (list):
'Bluegih, afa5041� cs (eu¢e, h lhr d'M-)I,, blike duck., ca 1e•A arroe.-41)
T&E Species Observed (list):
None
Disturbances (ex: livestock access, manure in waterbody, waste discharge pipes):
las+uve- no -,J in wowed/lawn conciikjpr
Waterbody is:
(check one) D Natural ]KArtificial, man-rnade D Manipulated
Waterbody Quality':
(check one) D High Moderate D Low
Form Rev. WI30'2013

ro. x ' p1130.^_W
Waterbody ID
Oss : U i
' High Quality. Natural, natural bank vegetation around entire waterbody; banks stable and protected by roots; water color is clear to tea -colored; no
barriers to fish movement; many fish cover types available; diverse and stable aquatic habitat; no disturbance by livestock or man.
Moderate Quality Altered by rip -rep; natural vegetation extends 1/3-1/2 of the active channel width on each side; filtering function or bank vegetation
only moderately compromised; banks moderately unstable; watercolor is cloudy, submerged objects covered with greenish film; moderate odor; minor
barriers to fish movement; fair aquatic habitat; minimum disturbance by livestock or man.
Low Quality. Rip rap and channelization excessive; natural vegetation less than 1/3 of the active channel width on each side; lack of regeneration;
filtering function severely compromised; banks unstable (eroding); water color is muddy and turbid; obvious pollutants (algal mats, surface scum,
surface sheen); heavy odor, severe barriers to fish movement; little to no aquatic habitat; severe disturbance from livestock or man.
Notes:
Waterbody Sketch (Include north arrow, centerline distance from centerline, data point locations, survey boundary, and IDs of associated features)
r
N '
i
f°44
CC) d+InueS �"- ' 0g0ko001 x
owS4 e-
torr' dcavI '
0
5 CL
hof
wsaOD�n
v up I; ne
ro. x ' p1130.^_W

Environmental Field Surveys
Open Water Photo Point Page
Open Waterbody osao001 facing west.
Photo Sheet I of 1

Environmental Field Surveys
Waterbody Photo Page
Waterbody ssao004 facing northeast upstream.
Waterbody ssao004 facing southwest downstream.
Photo Sheet I of'2

Environmental Field Surveys
Waterbody Photo Page
• '1 �� • • � �r�+� Y/ • ♦ - d-_ .fix _. � y ��
Waterbody ssao004 facing northwest across channel.
Photo Sheet 2 of 2

ODen Waterbodv Data Sheet
Survey Description
Project Name:
Waterbody Name:
Waterbody IID:
Date:
Southeast Reliability
Un nG VI rd Po r)d
QSQ D 0
91314
State:
McSam✓
County.
Company.
�5(
Crew Member Initials:'
KSM
Photos:
uptidiit
pSo\
r -1A)
west
j
Tract Number(s):
Nearest Milepost*
41a.�
Associated Wetland ID(s):
NA
al -0(173
Survey Type:
(check one) ®Centedine CRe-Route ❑Access Road ❑Other:
Physical Attributes
Waterbody Type:
(check one) Stock Pond C Natural Pond C Lake C Reservoir C Impoundment C Oxbow 'C Other: -
Hydrologic Regime:
Permanently Flooded ❑ Semipermanently Flooded ❑Seasonally Flooded 13 Temporarily Flooded
OHWM
OHWM Indicator:
(check
all that apply) Clear line ;21�helving CWrested ❑Scouring CWater
Height: (,�
�
on bank vegetation staining
ft.
❑Bent, matted, or missing CWrack CLitterand CAbrupt plant ❑Soil characteristic change
vegetation line debris community change
Depth of Water:
Bank height (average):
Bank slope (average):
3 ft.
ft.
60 degrees
N/AC
Qualitative Attributes
Water Appearance:
(check one) ElNo water XClear ❑Turbid CSheen ❑Surface CAlgal ❑Other:
on surface scum mats
Substrate: C Bedrock C Boulder C Cobble C Gravel ffSand SilY clay C Organic C Other.
(check all that apply) /
°h Sd 5() °h
% of Substrate: _% % % % % %
Width of Riparian Zone:
Vegetative Layers:
0 -(1 ft
(check an that appy) XTrees: XSaplings/Shrubs:�[H,
ff ie�r (bts
vg. DBH of Dominants: I0 in. 3 in. I V n.
N/A❑
(appox)
Dominant Bank Vegetation(list): Thaseullus, �cua 5�('•, RHekia gli�arraP, i�y�Pricuwv SP1
Ilnl.s Acrt�b,nMg, Cyrilla 5'0eMi'F(VVa1 L1'xPv(u1 h;lrcz
Aquatic Habitats (ex: submerged or emerged aquatic vegetaton, overhanging banksrroots, leaf packs, large submerged wood, riffles, deep pools, etc.):
,>2ellit,.a-le., vrge-6;+ed• sinallows, ove.hnnjrir,3branches
Aquatic Organisms Observed (list):
M; 16v Sp, 3u1tfvog , -Dvajo-rltcs (16IVe da5her,,51aa1/1;�im u ); IGnd0woer repo kPs'A< sucks w n
T&E Species Observed (list):
nDv)e
Disturbances (ex: livestock access, manure in waterbody, waste discharge pipes):
hf"e no- L -d
Waterbody is:
(check one) C Natural XArtificial, man-made C Manipulated
Waterbody Quality a:
(check one) C High KModerate C Low
Formaev. 04130^-013

Form R<r. W30.^-013
Waterbody ID:
�sao 00
' High Quality. Natural, natural bank vegetation around entire waterbody; banks stable and protected by roots; water color is clear to tea -colored; no
barders to fish movement; many fish cover types available; diverse and stable aquatic habitat; no disturbance by livestock or man.
Moderate Quality Altered by rip -rap; natural vegetation extends 1/3-1/2 of the active channel width on each side; filtering function or bank vegetation
only moderately compromised; banks moderately unstable; watercolor is cloudy, submerged objects covered with greenish film; moderate odor; minor
barriers to fish movement; fair aquatic habitat; minimum disturbance by livestock or man.
Low Quality. Rip rap and channelization excessive; natural vegetation less than 113 of the active channel Wdth on each side; lack of regeneration;
filtering function severely compromised; banks unstable (eroding); water color is muddy and turbid; obvious pollutants (algal mats, surface scum,
surface sheen); heavy odor, severe barriers to fish movement; little to no aquatic habitat; severe disturbance from livestock or man.
Notes:
Waterbody Sketch (Include north arrow, centerline distance from centerline, data point locations, survey boundary, and IDs of associated features)
COyti0\0Y
1
i
r
i
Form R<r. W30.^-013

Environmental Field Surveys
Open Water Point Photo Page
Open Waterbody osao002 facing west.
Photo Sheet I of 1

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1
' ,f .'� S •✓: - rte, f.
':T�'- f " -_ ;sir �r� F .. •
a S r.

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No
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41
�� ; �},v`•. #M' Ali ,� Y/C. '�•� � � A. 1 .., `�` •�
. • 4 F !+'� �� ��} 'fir �4 \. ; �. ,. � �`•~*\

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USACE AID#
DWQk
Site # (indicate on attached map)
;,#,; STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: %D" 2. Evaluator's name:
3. Date of evaluation: 4. Time of evaluation:
5. Name of stream: V NT 'Tb 51 %River basin:
7. Approximate drainage area: > - t°tL�S 8. Stream order: f'�--
9. Length of reach evaluated:_ 56 10. County: �r�r2saY�
11. Site coordinates (if knoown):prefer in decimal degrees. 12. Subdivision name (if any)::
Latitude (ex. 34.872312):3S,_)-_2_1 _ '
( Longitude (ex. -77.556611): [ 6v Cj S
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluatio note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any):
15. Recent weather conditions -
16. Site conditions at time of visit:
17. Identify any special waterway class ifications`I"cnown: 1_Kt'ion 10 _Tidal Waters Oa -Essential Fisheries Habitat
rout Waters outstanding Resource Waters MNutrient Sensitive Waters %A -Water Supply Watershe '(I-IV)
18. Is there a pond or lake located upstream of the evaluation point?ES O If yes, estimate the water surface area:�z0
19. Does channel appear on USGS quad map? YES NO 20. Does channel appear on USDA Soil Survey? ES NO
21. Estimated watershed land use: / 6 % Residential _% Commercial _% Industrial <Q % Agricultural
_% Forested
22. Bankfull width: L
24. Channel slope down center of strea Flat (0 to 2%)
25. Channel sinuosity: Straight Occasional bends
_% Cleared / Logged _% Other (
23. Bank height (from bed to top of bank):
_Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>I 0%)
_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: ,
L e4A LTI/ G'l
Evaluator's Signature_ rya Date O -'),0 — r r
This channel evaluation fo i intende a used o y 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 S 14 G CZ l
* These characteristics are not assessed in coastal streams.
'
ECOREGIUN
PUINTTtAiVE3
4 C�i�i2ACTERISTICS
Copsial
�Piednont
G4R
��Mountafu �
_ r
Presence of flow ! persistent pools in stream
0 _ 5
0-4
0-5
no flow or saturation = 0; strong flow= maxpoints)
Evidence of past human alteration
2
extensivealteration = 0• no alteration = maxpoints)
0-6
0-5
0-5
Riparian zone
q'
no buffer - 0• contiguous, wide buffer = maxpoints)
0-6
0-4
0-5
Evidence of nutrient or chemical dischares
g
4
extensive dischar es,= 0; no discharges = maxpoints)
0-5
0-4
0-4
I
5
Groundwater discharge
0-3
0-4
0-4
j
}.
no discharge 0; springs, see s, wetlands, etc. = maxpoints)[
Presence of adjacent floodplain
0-4
0-4
0-2
no floodplain = 0; extensive floodplain = maxpoints)
7
Entrenchment /'floodplain access
0-5
0-4
0-2
(deeply entrenched = 0• fre, uent flooding = max points
8
Presence of adjacent wetlands
0_ g
0— 4
0— 2
no wetlands = 0; large adjacent wetlands =' max points)
9
Channel sinuosity
0— 5
0- 4
0— 3
extensive channelizat on = 0; natural meander = max points)
`
10
Sediment input
0-5
0-4
0-4
extensive deposition= 0; little or no sediment = maxpoints)
",
it
Size & diversity of channel bed substrate
b1A
0—�4
0-5
fine, homogenous = 0; large, diverse sizes = max omts
12
Evidence of channel: incision or widening
0-5
0-4
0-5
(deeply incised = 0; stable bed & banks = max points
13
Presence of major bank failures
0-5
0-5
0-5
severe erosion = 0; no erosion stable banks = max omts -�
I4
Root depth and density on banks
0-3
0-4
0-5)
no visible roots = 0; dense roots throughout = maxpoints
15
Impact by agriculture, livestock, or timber production
0 — 5
0-4 ,
0 — 5
.substantial im act =0; no evidence = max points)
16
Presence of riffle-pool/ripple-pool complexes,
0-3
0 -' S
I
no riffles/ripples or ools = 0;; well-developed = max points),
1
Habitat complexity
0 - 6
0 — 6
little or no habitat = 0; frequent, varied habitats = maxpoints)0-6
Ig
� Canopy coverage over streambed
0-5
0--5
0—�5
no shading vegetation = 0; continuous canopy =maxpoints)
19
Substrate embeddedness
0-4
0 — 4
(deeply embedded = 0; loose structure = max)"
`
20
Presence of stream invertebrates (see page 4) `
..
- 4
0-5
0 — 5
'
(no evidence = 0; common numerous es = maxpoints)0
U�
21
Presence of amphibians
0-4
0- 4
0-4
no evidence= 0; common, numerous types = maxpoints)li
O:
22
Presence of fish
0-4
0-4
0-4
flo-Cno
evidence = 0; common numerous types = maxpoints)
J.
23
Evidence of wildlife use
0 - 5
0 — 5
(no evidence = 0 abundant evidence maxpoints)0-6
r
/�
V
„ 4 ,.F
{y01 w,
`V3{�5�5,4
„
g"+`+r
* These characteristics are not assessed in coastal streams.

NC DWO Stream Identification Form Version 4.11
Date: 8 i2 d �- (��
Project/Site: ILP
Latitude: rJ 2'L
Evaluator:
County: .fit Sam
Longitude:71. GME
Total Points:
Deter circle one)
Other
IStream
Stream is at least intermittent
Ephemeral ntermittent erennial
e.g. Quad Name:
if z 19 or perennial if? 30*
2
3
M
A. Geomorphology (Subtotal = to - 5)
Absent
Weak
Moderate
Strong
1a. Continuity of channel bed and bank
0
3
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
1
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5'
1
1.5
10. Natural valley
0
.5
1
1.5
11. Second or greater order channel
N = 0
Yes = 3
a artificial ditches are not rated; see discussmanual
B. H drolo Subtotal
12. Presence of Baseflow
0 1
2
3
13. Iron oxidizing bacteria
0 1
2
3
14. Leaf litter
1.5 1
0.5
0
15. Sediment on plants or debris
0
1
1.5
16. Organic debris lines or piles
0 .5
1
1.5
17. Soil -based evidence of high er table?
No = 0
Yes = 322
3
C: Rinlonv (Suhtntal =
18. Fibrous roots in streambed
3
2
1
C 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
0.5
1
1.5
23. Crayfish
0
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!;'BL
= 1.5 Other = 0
`perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
F L ^�

SSAG001
Waterbody SSAG001
facing upstream
Waterbody SSAG001
facing downstream

SAS, AG001
Waterbody SSA0001 facing upline cross stream

Open Waterbodv Data Sheet
Survey Description
Project Name: G
Waterbody Name:
Waterbody ID:
Date:
Pie, L v1V. Pcb
p s v�
_ Zo - L s
State: r
County:
Company:
Crew Member Initials:
Photos:
Tract Number(s):
Nearest Milepost:
lAssociated tland ID(s):
ARYMP 21- D
Survey Type:
(check one) ®Centerline ❑Re-Routeccess Road ❑Other:
Physical Attributes
Waterbody Type:
(check one) ❑Stock Pond ❑ Natural Pond XLake ❑ Reservoir ❑ Impoundment ❑ Oxbow ❑ Other:
Hydrologic Regime:
Permanently Flooded ❑ Semipermanently
Flooded
ElSeasonally Flooded ❑ Temporarily Flooded
OHWM
OHWM Indicator:
(check all that
Height:
apply) Clear line
'�nank
❑Shelving Wrested ❑Scouring ❑Water
ft.
vegetation staining
❑Bent, matted, or missing ❑Wrack
❑Litter and ❑Abrupt plant ❑Soil characteristic change
vegetation line
debris community change
Depth of Water:
Bank height (average):
Bank slope (average):
N/A I ft.
L!Wft.
IS degrees
Qualitative Attributes
Water Appearance:
,.!
(check one) No water ,❑Clear iyuTurbid ❑Sheen
AT T
❑Surface ❑Algal El Other:
on surface
scum mats
Substrate: ❑ Bedrock ❑ Boulder ❑ Cobble ❑ Gravel X..Zand
(check all that apply)
Ailttclay ❑ Organic ❑ Other:
% of Substrate: % o/o % %�J oho
Width of Riparian Zone:
Vegetative Layers:
(check all that apply) Trees:
Saplings/Shrubs: Herbs
N/A
Avg. DBH of Dominants: / ;n
in, in.
(approx.)
Dominant Bank Vegetation (list):
((''
F 2 0. 9V
Ulua.r u�a
`
Aquatic Habitats (ex: submerged or merged aquatic ve etation, overhanging banks/roots, leaf pack
t h I
, large submerged wood, riffles, eep pools, etc.):
Aquatic Organisms bsery (list),
;&00� .,
T&E Species Observed (list):
Disturbances (ex: livestock access, manure in waterbody, waste discharge pipes):
14ve5
Waterbody is:
(check one) ❑ Natural ;KArtificial, man-made ❑ Manipulated
Waterbody Quality a:
(check one) ❑ High Moderate Low
Form Rev. 04/30/2013

d S6(�'an
High Quality: Natural, natural bank vegetation around entire waterbody; banks stable and protected by roots; water color is clear to tea -colored; no
barriers to fish movement; many fish cover types available; diverse and stable aquatic habitat; no disturbance by livestock or man.
Moderate Quality: Altered by rip -rap; natural vegetation extends 1/3-1/2 of the active channel width on each side; filtering function or bank vegetation
only moderately compromised; banks moderately unstable; water color is cloudy, submerged objects covered with greenish film; moderate odor; minor
barriers to fish movement; fair aquatic habitat; minimum disturbance by livestock or man.
Low Quality: Rip rap and channelization excessive; natural vegetation less than 1/3 of the active channel width on each side; lack of regeneration;
filtering function severely compromised; banks unstable (eroding); water color is muddy and turbid; obvious pollutants (algal mats, surface scum,
surface sheen); heavy odor; severe barriers to fish movement; little to no aquatic habitat; severe disturbance from livestock or man.
Sketch
north avow, centerline, distance from centerline, data point locations, survey boundary, and IDs of associated
Form Rev. 04/3012013

OSAGO01
Waterbody 0
OSAGO01
facing east
Waterbody OSAGO01
facing west

OSAGO01
IN so dam,
Nip
Waterbody OSA0001 facing south