20140957 Ver 1_U-03_Appendix B_Wilmington_Wilson NC waterbodies_20170227

`5_wio01S
USACE AID# DWQ # Site #_ (indicate on attached map)]
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment: /
1. Applicant's name: Dorn 1 (\ l O // (� 2. Evaluator's name: 1l� M (A �'PVl'�'e� ` ESY)
3. Date of evaluation: 7/a-6 //'1 4. Time of evaluation: 9 60 R M
5. Name of stream: tW T A -U 3(An i Pier 6. River basin: N E ��uC
,(151U(XY\24t7 Sw AMP)
7. Approximate drainage area: (0 A( 0 S 8. Stream order:
9. Length of reach evaluated: 10. County: )A)
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): �N
Latitude (ex. 34.872312): 3S, � 79-7O Longitude (ex. -77.556611): — o r 0SSU
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
�6c4tMw0Sl of oF= G�Wr� fdnt Rc,08, *nA ! ci6oe, Poa.
14. Proposed channel work (if any): T 6 �) /
15. Recent weather conditions: �S W n r {�� Pam `aLF I\CxA t
16. Site conditions at time
17. Identify any special waterway classifications known: lection 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters ✓—Nutrient Sensitive Waters _Water Supply Watershed _(I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES NQlf yes, estimate the water surface area: �
19. Does channel appear on USGS quad map? YES qa 20. Does channel appear on USDA Soil Survey? YES 0
21. Estimated watershed land use: ?NO %Residential —% Commercial _%Industrial 40 %Agricultural
(, ("iu % Forested _% Cleared / Logged _% Other ( )
22. Bankfull width: � V T a- • 23. Bank height (from bed to top of bank): ;z - ga .
24. Channel slope down center of stream: _Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to ]0%) _Steep (>]0%)
25. Channel sinuosity: _Straight _Occasional bends �equent 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): 4-1
r
Evaluator's Signature / !i(�( f .-C�'L ft Date 7/'Z-;�-/ M -
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
, su ECOREGIO�%
C CsTE STIC '
R "Ji,�.t°A�GFs
SCORE
k�
"I, 044
FEW= V , ountatn
0-4 0-5
1
Presence of flow 1 persistent pools in stream
0-5
no flow or saturation = 0• strong flow = max oints
_
2
Evidence of past human alteration 0-6
0 — 5
0-5
extensive alteration = 0• no alteration = max points)
s.
3
Riparian zone 0-6
0--4
0-5 I a
"1
no buffer = 0• contiguous, wide buffer = maxpoints)
4
Evidence of nutrient or chemical discharges 0-5
0-4
0-4 3
extensive discharges = 0• no discharges = maxpoints)
i; 5
Groundwater discharge 0-3
0-4
0-4
no discharge = 0• springs, sees wetlands etc. = maxpoints)
6
Presence of adjacent floodplain 0-4
0-4
0-2
no floodplain = 0; extensive floodplain = maxpoints)
7
Entrenchment 1 floodplain access 0-5
0-4
0-2
(deeply entrenched = 0• fie uent flooding = maxpoints)
g
Presence of adjacent wetlands
0-6
0-4
0-2
no wetlands = 0; lar a adjacent wetlands = maxpoints)
9
Channel sinuosity
0-5
0-4
0-3
3
'°
extensive channelization = 0• natural meander = max oints
y
10
Sediment input 0-5
0-4
0-4
extensive deposition-- 0; little or no sediment = maxpoints)
11
Size & diversity of channel bed substrate
0-4
0-5
rfine
homogenous = 0• large, diverse sizes = max oints {�w
T.
T.
12
Evidence of channel incision or widening 0-5
0-4
0-5
(deeply incised = 0• stable bed & banks = maxpoints)
PPresence
r13—
of major bank faflures 0-5
0-5
0-5
severe erosion = 0- no erosion stable banks = maxpoints)
14
Root depth and density on banks 0-3
0-4
0-5 Q
E^
no visible roots = 0• dense roots throughout = maxpoints)
15
Impact by agriculture, livestock, or timber production
0 — 5
0-4
4 — S
5'?
substantial impact =0• no evidence = max oints
' 16
Presence of riffle-poolfripple-pool complexes
0-3
0—S
0-6
no riffles/ripples or pools = 0; well -develop ed = max points)
17
Habitat complexity
0-6
0-6 3
E
little or no habitat = 0• fie uent, varied habitats = max points)0-6
18
Canopy coverage over streambed 0-5
0— 5
0-5 S
no shading vegetation = 0• continuous canopy = maxpoints)
19
Substrate embeddedness
A, sty
0-4
0-4
41, '"
(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 tMes = maxpoints)
`
21
Presence of am hibians
p 0-4
0-4
l
0-4 1
x.0
no evidence = 0; common numerous types = maxpoints)
a
O.
22
Presence of fish
0-4
0-4
0-4
'r -t}
no evidence = 0• common numerous es = maxpoints)
23
Evidence of wildlife use 0-6
0-5
0-5
xf.
no evidence = 0; abundant evidence = maxpoints)
' � 00 �NO,0nF, r
.1,p;u`�w''G `:ii :{� ,,.1"al'Pi
;
4 T CO also,ente ontrs vpa p
"
* These characteristics are not assessed in coastal streams.

NC DWQ Stream Identification Form Version 4.11
S�io�l
Date: 7 /a <61 k
Project/Site: AcP
Latitude: 3S.7 79 -77
Evaluator: �
County: w�i,,son
Longitude: -��� os�
Total Points: n'
Stream at least intermittent o�
Stream Determination (circle one)
Ephemeral Intermittent Perennial
Other A `(y -y
if >_ 19 or erennerennial if >_ 30'
P
e. Quad Name:
9'
A. Geomorphology (Subtotal =U Q )
Absent
I 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
0.5
2
3
4. Particle size of stream substrate
0
1
2
3
S. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
0.5
2
3
7. Recent alluvial deposits
(0)
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No 0
Yes = 3
SCJ (o0t
artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal= (M )
12. Presence of Baseflow
0
1
2
30
13. Iron oxidizing bacteria
0
1
2 -
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0
0.5
1
1.5
17. Soil -based evidence of high water table?
0-)
No = 0
Yes 3
1.5
C. Biology Subtotal = y- S )
18. Fibrous roots in streambed
(3) 1
2
1
0
19. Rooted upland plants in streambed
3 1
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
b
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0-)
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
SCJ (o0t
Ol+wM : 6 �Fi - 2��

Ip I -ft .� rix �? -k;'. - -
Ji—
�1' � -• �� °ter - � " �t .
yL� � 11f
-
idw s Y

Swi/jOlb
USACE AID# DW Q # Site # (indicate on attached map)
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment: �/ vy-
1. Applicant's naml /
e: Um ' n & n 2. Evaluator's name:!(-'
ame: 1� t Al V` P f a (E51T
3. Date of evaluation: 7/ 29/ 11+ 4. Time of evaluation: [U' 3C)
5. Name of stream: 1ZK } z'CY'L2k 6. River basin: NfCA SeC
7. Approximate drainage area: (U A C �-e � 8. Stream order: 0
9. Length of reach evaluated: IUUFt 10. County: (/J I �S& n
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): /,J A
^^77JL �t�r rr
Latitude (ex. 34.872312): J •' ( / S3tty Longitude (ex. —77.556611):
Method location determined (circle):GP Topo Sheet Ortho(I eria Photo/GIS Other GIS Other
13. Location of reach under evaluat n (note nearby roads and landmarks and attach map identifying stream(s) location):
�Aof- V)-e6LSA- GC +v -.t e-0 (AS `D,64 6r\c (ire -r^ Ri^n Fz)a, ,
14. Proposed channel work (if any): 10 L
15. Recent weather conditions:—(—* ` (\ W 4A ` � � Lf eO-S-Nr o)(4 V Zt�/CY
16. Site conditions at time of visit: �n�' StGL� IOC
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? YESNO 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: (U % Residential _% Commercial _% Industrial �L% Agricultural
3O % Forested % Cleared / Logged % Other (
22. Bankful I width: 4-Z23. Bank height (from bed to top of bank): 3
24. Channel slope down center of stream: _Flat (0 to 2%) � entle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: _Straight Occasional bends _Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. if a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): 3 7 Com
/f,,f o
Evaluator's Signature (YLf.t�./L'`��f Date � 6
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change— version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
`
#x
Al ' ,xq,rNw
CHARAERYSTICS '
ECOREGIOIV OIl�T'I' RANGES
�€
SCORE
t`
.,
Coastal ��'' Piedmonyt h Mb intaln `'
y
Presence of flow 1 persistent pools in stream
0-5
0-4
0-5
no flow or saturation = 0• strong flow = maxpoints)
2
Evidence of past human alteration
0-6
0-5
0-5
>,
extensive alteration = 0• no alteration = maxpoints)
?'
3
Riparian zone
0— 6
4— 4
0— 5
no buffer = 0; contiguous, wide buffer = max points)
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
5
extensive discharges = 0• no discharges = maxpoints)
y
5
Groundwater discharge
0-3
0-4
0-4
no discharge = 0• springs, s sees wetlands etc. = max points)
6
Presence of adjacent floodplain
0— 4
0— 4
0— 2
no floodplain = 0• extensive floodplain = max points)`
7
Entrenchment I floodplain access
0-5
0-4
0-2
(deeply entrenched = 0• frequent flooding = maxpoints)
8
Presence of adjacent wetlands
0 -- 4
0-2
no wetlands = 0; large adjacent wetlands = maxpoints)0-6
Channel sinuosity
'+
9
extensive channelization = 0• natural meander = max oints
0-5
0-4
0-3
1
10
Sediment input
0-5
0-4
0-4
.�
extensive deposition= 0• little or no sediment = maxpoints)
k"
11
Size & diversity of channel bed substrate
lVA x,:
0-4
0-5
fine homogenous = 0• large, diverse sizes = maxpoints)
12
Evidence of channel incision or widening
0-5
0-4
0-5
Z .
(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 oints
14
Root depth and density on banks
0-3
0-4
0-5
no visible roots = 0• dense roots throughout = maxpoints)
Impact by agriculture, livestock, or timber production
0-5
4 4
0-5
15
substantial impact • no evidence = max poi
=0;
—
16
Presence of riffle-pool/ripple-pool complexes
0-3
0 — 5
0-6
no riffles/ri les or pools = 0• well-developed = max points)
17
Habitat complexity
0-6
0-6
0-6
l
little or no habitat = 0• frequent, varied habitats = maxpoints)
1
18
Canopy coverage over streambed
0-5
0-5
0-5
k _
"T
no shading vegetation = 0; continuous canopy = maxpoints)
I9
Substrate embeddedness
NA*3 r,
0-4
0-4
(deeply embedded = 0• loose structure = max
20
Presence of stream invertebrates {see page 4}
0-4
0-5
0-5
no evidence = 0• common numerous types. = maxpoints)
21
Presence of amphibians
0-4
0 — 4
o-4
rr �
L1
O;
no evidence = 0• common numerous es = max oints
►-a-:
22
Presence of fish
0-4
0-4
0-4
r
CJ
no evidence= 0; common, numerous types =max oints
23
Evidence of wildlife use
0-6
0-5
0-5
no evidence = 0; abundant evidence = maxpoints)
k Total Pomts Possible I
100
k
r .
t ,5S300�
�i+jf-
rug" r'- � 7ta;� � �vA � 4�Y��*r � � 1 r
TOTAL SCORF, (also on firstpage� r
S7
enter ftq� lip
..,raf. -a-' : w �+$i'A.�•,8f. 7 4 ET <
* These characteristics are not assessed in coastal streams.

NC DWQ Stream Identification Form Version 4.11 5 W I U
Date: W a,2/i 4-
Project[Site: AC'P
Latitude:3,S 1-27S3c!
Evaluator: I,�l MIA Te- )(OCj _EST
County: W;l�5of)
Longitude: --7 7, 0633a
Total Points:
Stream is at least intermittent 20
Stream Det (nation (circle one)
Ephemeral intermi ent Perennial
Other QA' (2 y � N C
e.g. Quad Name:
if Z: 19 or perennial if >_ 30` !/
2. Sinuosity of channel along thalweg
0
A. Geomorphology (Subtotal =U-, S )
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
10
�J '
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
ct
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
0
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1
.5
11. Second or greater order channel
No 0
Yes = 3
Sketch: Sw tQ Ma
t
artificial ditches are not rated; see dis/7�.5sions in manual
B. Hydrology (Subtotal = )
12. Presence of Baseflow
0 1
2
3
13. Iron oxidizing bacteria
0 1
2
3
14. Leaf litter
1.5 1
0.5
0
15. Sediment on plants or debris
00.
1
1.5
16. Organic debris lines or piles
0 0.5
1
1.5
17. Soil -based evidence of high water table?
No= 0
Yes 3
1
C. Biology Subtotal = I- k- )
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Other Z0�
'perennial streams may also be identified using other methods. See p.
35 of manual.
Notes:
L1/
Sketch: Sw tQ Ma
t
04wrn L� W 1- W :9

Environmental Field Surveys
Waterbody Photo Page
Waterbody swio016 facing north upstream.
Waterbody swio016 facing south downstream.
Photo Sheet I of 2

4L_ r
r ! -
f

SWi00b
USACE AID# DWQ # Site #_ (indicate on attached map)
0 STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment: _
1. Applicant's name: D-rrinion 2. Evaluator's name: B 7 _ a8e ilbn
3. Date of evaluation: 411 1 14- 4. Time of evaluation: 2,1,0 0
5. Name of stream: (AMT +0 Mi kbit Q. Crc&K 6. River basin: nie,yS 2,
5 t-
7. Approximate drainage area: -1 � 0.C' 8. Stream order:
9. Length of reach evaluated: r, -o 10. County: W d so.1
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): WA
Latitude (ex. 34.872312): 3S•T�;bUR-4 N Longitude (ex. -77.556611): -,�r3.0S Z-,130 V,I
Method location determined (circle):GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
roxm,ietu I,p®o 4, Sa4ly d -F V5-7- Alf with', 01-11dor
14. Proposed channel work (if
15. Recent weather conditions: YL� rrec'Pil,ii 0i W.1,)t 12k3 -v- % hrs.
16. Site conditions at time of visit: J ifoh er1 G4'lartlt;t✓I - LVIA t7R WJA
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _Nutrient Sensitive Waters _Water Supply Watershed _(I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES (� If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES NO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: -% Residential -% Commercial _%Industrial 30 %Agricultural
40 % Forested % Cleared / Logged _% Other (
22. Bankfull width: 4
23. Bank height (from bed to top of bank): I Ft-
24. Channel slope down center of stream: Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: _Straight Occasional bends _Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): S1 Comments: I - W '0001 %r, i- [I -Oil. 50
PNdwa'kc( 4 F4. 4,w 1�4, 6 i 7Pk. nhW W,J4t- Sil.I- Sv6s-r,
Evaluator's Signature Date
( Date
This channel evaluation for6-4Ndt&1dod to be used only as a guide to assist landowners and envi�onmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
W�m"CFtOREGIOXCONMRANG
1-5t,A ISTICS N
- F
SCORE:
s4tM
I
Presence of flow I persistent pools in stream
0-5
0-4
0-5
no flow or saturation = 0; strong flow = max points)
2
Evidence of past human alteration
0-6
0-5
0-5
(extensive alteration = 0; no alteration = max points)
3
Riparian zone
0-6
0-4
0-5
no buffer = 0; contiguous, wide buffer = max points)
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
S7
(extensive discharges = 0; no discharges = max points)
5
Groundwater discharge
0-3
0-4
0-4
0
no discharge = 0; springs, seeps, wetlands, etc. = max points)
6
Presence of adjacent floodplain
0-4
0-4
0-2
no floodplain = 0; extensive floodplain = max points)
7
Entrenchment It floodplain access
0-5
0-4
0-2)
(deeply entrenched = 0; frequent flooding = max points
8
8
Presence of adjacent wetland
0-6
0— 4
0 —2
D
no wetlands= 0; large adjacent wetlands = max. points)
9 9
Channel sinuosity
0-5
0-4
0-3
2-
an
(extensive chnelization = 0; natural meander = max points)
0
10
Sediment input
0-5
0-4
0-4
(extensive deposition-- 0; little or no sediment = max points)
11
Size & diversity of channel bed substrate
0
0-4
0-5
A((A
Al
(fine, homogenous = 0; large, diverse sizes = max points)
Al�
12
Evidence of channel incision or widening
0-5
0-4
0-5
>r
deeply incised = 0; stable bed & banks = max points)
13
Presence of major bank failures
0-5
0-5
0-5
0014
(severe erosion = 0; no erosion, stable banks = max points)
14
Root depth and density on banks
0-3
0-4
0-5
no visible roots = 0; dense roots throughout = max points)
M
15
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
Z
. '4�
(substantial impact =0� no evidence = max points)
16
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
.
no riffles/ripples or pools = 0; we 1 -developed = max oints
p)
H
17
Habitat complexity
0-6
0-6
0-6
(little or no habitat = 0,• frequent, varied habitats = max points)
is
Canopy coverage over streambed
0-5
0-5
0-5
no shading vegetation = 0; continuous canopy = max points)
19
Substrate embeddedness
0-4
0-4
j;II
(deeply embedded = 0; loose structure = max)
20
Presenc e of stream invertebrates (see page 4)
I
0-4
0-5
0-5
no evidence = 0; common, numerous types = max points)
I
21
Presence of amphibians
0-4
0-4
0-4
0
no evidence = 0; common, numerous types =max points)
Ca
22
Presence of fish
0-4
0-4
0-4
C:)
no evidence = 0; common, numerous types = max points)
23
Evidence of wildlife use
0-6
0-5
0-5
no evidence = 0; abundant evidence = max points)
I�A
, I
100
100HOO
OR
.
I ssifil
't 011 "MIMM WIRT MT
OM 'o Mrs;,6'
A
WMS4'
I n M I M. 0 a M I ON I MEE]
jMg
4"f*
t"
gagej'-
W11WKISM", 11p
q
op P W%x'
AW59"FA710
MW ,XV
&WA2M #ANN ,
I
* These characteristics are not assessed in coastal streams.

Swi o ON
I
NC DWO Stream Identification Form Version 4.11
Date: 4'('�t.�
Project/Site: ACP
Latitude: 35.�560$� Al
Evaluator. %5Y' KMArK�,A�,
County: WilSor)
Longitude: 78,oS2730W
Total Points:
Stream is at least intermittent
Stream Deter ' . n (circle one)
Ephemeral 1Q12LT!!q Perennial
Other QQ
Name:
if >_ 19 or perennial if >_ 30'
2. Sinuosity of channel along thalweg
e.g. Quad 9
A. Geomorphology (Subtotal =__LL)
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
0l0
0.5
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
No = 0es
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
Notes:w7.aa0 h<ol 11-01 Sa r rGd1� e�a(vAW
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
Sketch:
l�J � SW �U�a r02
o = o
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. Hvdroloav (Subtotal= S, 5 )
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
1)
0.5
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0
0.5
1
1.5
17. Soil -based evidence of high water table?
0
No = 0es
1
= 3
C. Biology (Subtotal = ' )
18. Fibrous roots in streambed 1
3
1
0
19. Rooted upland plants in streambed I
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0 -
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
0
0.5
1�„
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Other =
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:w7.aa0 h<ol 11-01 Sa r rGd1� e�a(vAW
f. b (Fi
Z • 01w
�wrt� ho t
Sketch:
l�J � SW �U�a r02
C\-

Environmental Field Surveys
Waterbody Photo Page
Waterbody swio00l facing north upstream.
Waterbody swio00l facing south downstream.
Photo Sheet I of 2

. � - _ �.,.
�- ���
e,, i ,.
f l � 1, � � � ` �� ry.N Il �F� "~, 4
J1
�. ��
-- t a �E,f.� r
� •r
f � + �'
a. `� i
` + t
� ti J
� - _ �' F.�

Swl p 00;,
USACE AID# DW Q # Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: 00M'h 1J n 2. Evaluator's name: E5L - S 6"4o,)
3. Date of evaluation: -Ji I - 4. Time of evaluation: S:00 P/ -A
5. Name of stream: VAT to I ��5 L Crec-k 6. River basin: Iyev5 e-
7. Approximate drainage area: �U Cti.,
9. Length of reach evaluated: S J F-
11. Site coordinates (if known): prefer in decimal degrees.
Latitude (ex. 34.872312): ;5 - -SSSS 'N
8. Stream order: 15�-
10. County: wi l 5./N
12. Subdivision name (if any): Af/A
Longitude (ex. -77.556611): 79. 0535 -
Method location determined (circle): GP Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
Approx 1i2-oo f -i-- 59vtt, of VS Z64 hl F, "i"n-) C'rr4or
14. Proposed channel work (if any): TIS D
15. Recent weather conditions: tl' ,..,'n w/t)n Past y81\r5
16. Site conditions at time of visit: WegK �t.w 54'A[ L C ~ri c l ,
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _Nutrient Sensitive Waters _Water Supply Watershed _(I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES (D If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES (DO 20. Does channel appear on USDA Soil Survey? R NO
21. Estimated watershed land use: _% Residential _% Commercial _% Industrial 10 % Agricultural
9 0 % Forested % Cleared / Logged _% Other
22. Bankfull width: 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: J< Flat (0 to 2%) _Gentle (2 to 4%) Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: _Straight Occasional bends _Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on .page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): 60 Comments: SW.) 90D -Frac{- 19 _of 1 , 1,5 Fh Okw \,441k,
Z in. wd l San Svbs%rate-
Evaluator's Signature wk Gq4 Date it III ti
This channel evaluation fo6n)is\i&6nded to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change — version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
ERI
C S 101
ECO�tEGIONEC�
S_ 0
unt
Coastii e0Mn0--
m o�l
Presence of flow persistent pools in stream
0-5
0-4
0-5
3
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 = max points)
3
Riparian zone
0-6
0-4
0-5
no buffer = 0; contiguous, wide buffer = max points)
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
(extensive discharges = 0; no discharges = max points)
5
Groundwater discharge
0-3
0-4
0-4
2
no discharge = 0; springs, seeps, wetlands, etc. = max points)
6
Presence of adjacent floodplain
0-4
0-4
0-2
3
no floodplain = 0; extensive floodplain = max points)
7
Entrenchment I floodplain access
0 -5
0-4
0-2
4
af°(deeply
entrenched = 0; frequent flooding = max points)
8
Presence of adjacent wetlands
0-6
0-4
0-2
no we lands = 0; large adjacent wetlands = max points)
9
Channel sinuosity
0-5
0-4
0-3
(extensive channelization = 0; natural meander = max points)
10
Sediment input
0-5
0-4
0-4
( extensive dep osition= 0; little or no sediment = max points)
11
Size & diversity of channel bed substrate
X *�
0-4
0-5
MIA
(fine, homogenous = 0; large, diverse sizes = max points):NAI4"�
>4
12
Evidence of channel incision or widening
(deeply incised = 0; stable bed & banks = max points)
0-5
0-4
0-5
cf
Frt
13
Presence of major bank failures
0-5
0-5
0-5
(severe erosion = 0; no erosion, stable banks = max points)
14
Root depth and density on banks
0-3
0-4
0-5
2.(no
visible roots = 0; dense roots throughout = max points)
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
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 pools = 0; well-developed =max points)
17
Habitat complexity
0-6
0-6
0-6
(little or no habitat = 0; frequent, varied habitats = max points)
18
Canopy coverage over streambed
0-5
0-5
0-5
3
no shading vegetation = 0; continuous canopy = max points)
19
Substrate embeddedness
d
0-4
0-4
Af/A
(deeply embedded = 0; loose structure = max)
'�NA*,
20
Presence of stream invertebrates (see page 4)
=
0-4
0-5
0-5
0
no evidence = 0; common, numerous types max points)
Presence of amphibians
0-4
0-4
0-4
0
21
no evidence = 0; common, numerous types = max points)
22
Presence of fish
= =
0-4
0-4
0-4
0
no evidence 0; common, numerous types max points)
23
Evidence of wildlife use
0-6
0-5
0-5
2 -
(no evidence = 0; abundant evidence = max pointset )
'TotalOP4,6q'4ffnts "MossiblMAJ9
100
4V!;!qI 0� MW
00
1 Win "M
T OW.T is Pago
C)
gnxoq(bn�firsf
si
* These characteristics are not assessed in coastal streams.

Swio DOZ
NC DWQ Stream Identification Form Version 4.11
Date: iN4
Project/Site: ACIP
Latitude:•�$55S/�/.�
Evaluator: rSl S�i41 O'
County: \N1'150,1
Longitude: '�6 , OS -5 3-E V/
Total Points: j
7j
Stream Determination (cir
Other
Stream is at least intermittent
if a 19 or perennial if z 30' I
Ephemeral Intermittent erennial
e.g. Quad Name: bmip_
A. Geomorphology (Subtotal =_. 5)
F Absent
Weak
Moderate
Strong
18 Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
D
3
4. Particle size of stream substrate
0
1
2
3
S. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
2
1.5
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
O
15
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No = 0
Yes = 3
Sketch:
w���a
artificial ditches are not rated; see discussions in manual
B. Hydrologv (Subtotal = 7 )
12. Presence of Baseflow
0 1
2
3
13. Iron oxidizing bacteria
0
2
3
14. Leaf litter
1.5
0.5
0
15. Sediment on plants or debris
0 0.5
1
1.5
16. Organic debris lines or piles
0 0.5
1
1.5
17. Soil -based evidence of high water table?
No = 0
Yes = 3
1
C. Biology (Subtotal = 5.S )
18. Fibrous roots in streambed 1
3 1
2) 1
1 1
0
19. Rooted upland plants in streambed I
3 1
2
1
0
20. Macrobenthos (note diversity and abundance)
0 1
1
2
3
21. Aquatic Mollusks
w 1
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FAC
= 0.75; OBL = 1.5
Cher = 0
`perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: 5W1000Z +rkc4- )9 -()Il 5oF},
reuv Qy4ha,c
ZFJ. bw,
bk
I.SICA.
ohw . -'h 2 ���, W-1 S�
w
5 I s�6s+rq}
Sketch:
w���a

Environmental Field Surveys
Waterbody Photo Page
Waterbody swio002 facing southeast upstream.
Waterbody swio002 facing northeast downstream.
Photo Sheet 1 of 2

sw) 0O -e"3
USACE AID# DW Q # Site #_ (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: ])Om 1ytl"
3. Date of evaluation:'' n-+�' -Jv`�n �zl
L
5. Name of stream: \ io ,lQv5^CIeA
7. Approximate drainage area:
9. Length of reach evaluated: S�
2. Evaluator's name: t—• P'`A✓ 4A VN / V 7 cv,`/
4. Time of evaluation: 101
6. River basin: NeU-S4
8. Stream
10. Countv: W' t5"
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): dA
r -7�p
Latitude (ex. 34.872312): 3'5'7Sa3i Longitude (ex. —77.556611): — -i0'd&(33
Method location determined (circle):GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation note nearby roads and landmarks and attach map identifying stream(s) location):
90D Q�-yxCS 0�- Lr*iS''gO.41^n 2ac�_ AARC Sl'ms R� er-j 5C1 Vvl 9�d .
14. Proposed channel work (if any): T,X IMP QT0561M
15. Recent weather conditions: fiG0CG1 S�•ofw, Yail'�$ �'
16. Site conditions at time
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
Trout Waters _Outstanding Resource Waters Nutrient Sensitive Waters _Water Supply Watershed _(I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES a If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES NO 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: %Residential _% Commercial _% Industrial GO % Agricultural
�1t
'J V % Forested _% Cleared / Logged _% Other (
22. Bankfull width: w P • 23. Bank height (from bed to top of bank): 1{' -(-'4,
24. Channel slope down center of stream:: X Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (> 10%)
25. Channel sinuosity: _Straight K 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): 37 Comments: S k/ j ow3
Evaluator's Signature •' Date J�
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change — version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
'Jilf
flow
RIS -T"""'
MA 4
- -;,y "��
ICS!40�! �i
g
AgIEURAGTE
Mme'*W r,
4vm
N'-4 ,
19�fs' IF 1"'J�oun
43 1 a;��'
iW.
h
Presence of flow / persistent pools in stream
0-5
0-4
0-5
no flow or saturation = 0; strong flow= max points)
2
Evidence of past human alteration
0-6
0-5
0-5
(extensive alteration = 0; no alteration = max points)
3
Riparian zone
0-6
0-4
0-5
no buffer= 0; contiguous, wide buffer = max points)
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
(extensive discharges = 0; no discharges =max points)
5
Groundwater discharge0-3
0-4
0-4
no discharge = 0; springs, seeps, wetlands, etc. max points)
6
Presence of adjacent floodplain
0-4
0-4
0-2
no floodplain = 0; extensive floodplain = max points)
7
Entrenchment / floodplain access
0-5
0-4
0-2
(deeply entrenched = 0; frequent flooding = max points)
8
Presence of adjacent wetlands
0-6
0-4
0-2
( p) no wetlands= 0; large adjacent wetlands= max oints
9
Channel sinuosity
0-5
0-4
0-3
(extensive channelization = 0; natural meander = max points)
10
Sediment input
0-5
0-4
0-4
( extensive de p osition= 0; little or no sediment = max points)
11
Size & diversity of channel bed substrate
NA* 44',y
0-4
0-5
(fine, homogenous = 0; large, diverse sizes = max points)
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
Lj
a--
(severe erosion = 0; no erosion, stable banks = max points)
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-pool/ripple-pool complexes
0-3
0-5
0-6
no riffles/ripples or pools = 0; well-developed = max points)
17
Habitat complexity
0-6
0-6
0-6
(little or no habitat= 0; frequent, varied habitats = max points)
18
Canopy coverage over streambed
0-5
0-5 5
0-5
0-5
no shading vegetation = 0: continuous canopy = max points)
liv,
Substrate embeddedness
N
0-4
0-4
19
(deeply embedded = 0; loose structure = max)
W,
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
no evidence = 0; common, numerous types = max points)
22
Presence of fish
0-4
0-4
0-4
(no evidence = 0; common, numerous types = max oints
p)
23
Evidence of wildlife use
0-6
0-5
0-5
no evidence = 0; abundant evidence = max points)
�Pdssibli R WMI
T , W Irt
00
r
"N
* These characteristics are not assessed in coastal streams.

sw 0 003
NC DWQ Stream Identification Form Version 4.11
Date: -- jct aoI
ProjectlSite: ACP
Latitude: 31.
Evaluator: K. N`gy1c'rl� wi J' 6-ky
County: Oik5"
Longitude:_?%, o4o 1�3
Total Points: �1
r: is of least Intermittent -1 7J
Stream Deter . . (circle one)
Ephemeral Intermitte Perennial
Other �0( C.w VN -G`-
e.g. Quad Name:
19
if >_ 19 or perennial if >_ 30'
if
2. Sinuosity of channel along thalweg
0
A. Geomorphology (Subtotal = )
Absent
Weak
Moderate
Strong
1aContinuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
(3
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
No = 0
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0.5
1
1.5
10. Natural valley
0.5
1
1.5
11. Second or greater order channel
No 0
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = %G_ )
12. Presence of Baseflow
0
1 1
2 1
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
)
0.5
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0
0.5
1
1.5
17. Soil -based evidence of high water table?
No = 0
Yes 3
0.5
C. Biology (Subtotal = _-I-)
18. Fibrous roots in streambed 3 1
2
1
0
19. Rooted upland plants in streambed I to 1
2
20. Macrobenthos (note diversity and abundance) 0
1
21. Aquatic Mollusks 0
1
22. Fish
0.5
23. Crayfish 0
a0ther�o)
24. Amphibians 0
0.5
25. Algae 0
0.5
26. Wetland plants in streambed v
FACW = 0.75;
OBL = 1
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch: L`
N ,c
s4,j;o�'4f3

Environmental Field Surveys
Waterbody Photo Page
Waterbody swio003 facing west across bank.
Photo Sheet 2 of 2

I
Open Waterbody Data Sheet
Survey Description
Project Name:
Waterbody Name:aterbody
WID:
Date:
Southeastern Reliability
uv)A R-(2 1?O �
pW I 00,0,
1 -i--\1k17 ao( f
State:
County:
Company:
Crew Member Initials: Photos:
NL
IWA5OM
F51
K-wM Iter, � se'.rq
Tract Number(s):
Nearest Milepost:
Associated Wetland ID(s):
(q -oaf
360. Co
WvWiozoii
Survey Type:
(check one) SCenterline ORe-Route DAccess Road ❑Other:
Physical Attributes
Waterbody Type:
(check one) Astock Pond D Natural Pond D Lake O Reservoir D Impoundment D Oxbow D Other.
Hydrologic Regime:
permanently Flooded ❑ Semipermanenlly Flooded ❑Seasonally Flooded ❑Temporarily Flooded
CHWM
OHWM Indicator:
(check
all that apply) ❑Clear line
❑Shelving DWrested ❑Scouring []Water
Height: NA
on bank
vegetation staining
n.
El Bent, matted, or missing DWrack
OLifter and 'Abrupt plant DSoil characteristic change
vegetation line
debris community change
Depth of Water:
Bank height (average):
Bank slope (average):
I /
>4 ft.
'� ft.
degrees
AD
Qualitative Attributes
Water Appearance:
(check one) []No water DClear >Turbid ❑Sheen
❑Surface DAlgal ❑Other:
on surface
scum mats
Substrate: D Bedrock D Boulder O Cobble D Gravel Sand D Silt/ clay D Organic NOther: SAV, 4/CIar
(check all that apply)
Oh 1 w lc
% of Substrate: _% % % %
% _% % % C0.1 inr5 +CLn+
Width of Riparian Zone:
Vegetative Layers:
(check an that apply) Trees:
'IKSaplings/Shrubs:
ft
,(Herbs
�,..
Avg. DBH of Dominants: in.
3 in. NA in.
N/Ai
(approx.)
Dominant Bank Vegetation (list):
Lir7u c�G» r S1y•acl Fj�a, Ace, rulovi.vn, Wo0JV'AVJia are')64} 1 .A(u ,Aj'ravia (5(SGv4rv,
Aquatic Habitats (ex submerged or emerged aquatic vegetation, overhanging banks/mots, leaf packs. large submerged wood, riffles, deep pods, etc.):
Exmva d votl r'hJ Svbr/ t.01 Or emel�e +
ve5el-{ ;C-' -Of'w .
o
Aquatic Organisms Observed (list):
RcLss �L;II oba4es Sp
T&E Species Observed (list):
�4
Disturbances (ex: livestock access, manure in waterbody, waste discharge pipes):
5por p11e adJacPwr pu d
Waterbody is:
/'
(check one) ❑ Natural ,,.�ryrtificial, man-made D Manipulated
Waterbody Quality a:
(check one) D High O Moderate );Low
roam Iter. 04/302013

Formxe. NrMD13
ID:
rWaterbody
ow(000
° High Quality: Natural, natural bank vegetation around entire waterbody; banks stable and protected by roots; watercolor is clear to tea -colored; no
barriers to fish movement; many fish cover types available; diverse and stable aquatic habitat; no disturbance by livestock or man.
Moderate Quality: Altered by dip -rap; natural vegetation extends 113-1/2 of the active channel width on each side; filtering function or bank vegetation
only moderately compromised; banks moderately unstable; water color is cloudy, submerged objects covered with greenish film; moderate odor; minor
barriers to fish movement; fair aquatic habitat; minimum disturbance by livestock or man.
Low Quality: Rip rap and channelization excessive; natural vegetation less than 1/3 of the active channel width on each side; lack of regeneration;
filtering function severely compromised; banks unstable (eroding); water color is muddy and turbid; obvious pollutants (algal mats, surface scum,
surface sheen); heavy odor; severe barriers to fish movement; little to no aquatic habitat; severe disturbance from livestock or man.
Notes:
Waterbody Sketch (Include north arrow, centerline, distance from centerline, data point locations, survey boundary, and IDs of associated features)
�SWiOo��
p W'to OD 1 09
r
_ Lv V') \)3
LAV
F
r
Y / I
Formxe. NrMD13

��'�- ..
•'®f � -s� � - :/ .fit' ��M inlR �'y'. 1
Fti 1
SL
NO-
lu `
F
yfi
Poo
Aix
Alk
lima

SLJl ©0
USACE AID# DW Q # Site # (indicate on attached map)
M STREAM QUALITY ASSESSMENT WORKSHEET�r
Provide the following information for the stream reach under assessment:
1. Applicant's name: DO MI ni O'V1 , r 2. Evaluator's name: • ''^ ��]. y
3. Date of evaluation: U v�Q 1"f 4. Time of evaluation: 1330
5. Name of stream: UN 1 +0 0-IfCL6. River basin:
7. Approximate drainage area: 3 0.0 • 8. Stream order: 6
9. Length of reach evaluated: 10. County: k)s�suy\
11. Site coordinates (if known): prefer
-i7n decimal degrees.
Latitude (ex. 34.872312): )Jam, -4
12. Subdivision name (if any):
Longitude (ex. -77.556611): -
Method location determined (circle): GP Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
200 jp�- &C N+ a toJorne 1�_'6 .
14. Proposed channel work (if any): 7% PC �1 r'f Cy0.5-51 r�
15. Recent weather conditions: t'o P1 ��� S'"'� r4 i r`5 `t Aa Ys �� o
16. Site conditions at time of visit: (AIJ A,"
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
Trout Waters _Outstanding Resource Waters V Nutrient Sensitive Waters _Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES 0 If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES NO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: % Residential % Commercial % Industrial R�)% Agricultural
5�)% Forested
22. Bankfull width: (+n
24. Channel slope down center of stream: < Flat (0 to 2%)
25. Channel sinuosity: Straight <Occasional bends
% Cleared / Logged % Other ( )
23. Bank height (from bed to top of bank): pf-
_Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>I0%)
_Frequent meander =Very sinuous Braided channel
Instructions for completion of worksheet (Iocated on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): Z
Evaluator's Signature (4A Date 04
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USAGE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06103. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
# ^
j''
C ®TRRISTICS
" EC_OREGJONPODMRANGE
SCORE r
x
5 ,+i yH� rf ;x;
k .... . r,
Coasta ;'Predmont�<
Mountsrn
'
1
Presence of flow /P ersistent ols in stream
0 — 4
0 — 5
1�
J
no flow or saturation 0• strop flow = maxpoints)0-5
M�a:
2
Evidence of past human alteration
0-6
0-5
0-5
extensive alteration = 0• no alteration = maxpoints)
3
Riparian zone
0-6
0-4
0-5
no buffer = 0• contiguous, wide buffer =max oints
d.
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
extensive discharges = 0• no discharges = maxpoints)
5
Groundwater discharge
0-3
0-4
0-4
3
no discharge = 0• springs, sees wetlands etc. = maxpoints)
NF
6
Presence of adjacent floodplain
0-4
0-4
0-2
ui._
Dl
no floodplain = 0• extensive floodplain = max points)
•z;
y
Entrenchment / floodplain access
0-5
0-4
0-2
(deeplyentrenched = 0• frequent flooding=max oints
8
Presence of adjacent wetlands
0-6
0-4
0-2
/1
no wetlands = 0• large adjacent wetlands = maxpoints)
"
9
Channel sinuosity
0-5
0-4
0-3
I '
extensive channelization = 0• natural meander= maxpoints)
10
Sediment input
0-5
0-4
0-4
extensive deposition-- 0• little or no sediment = maxpoints)
t-
11
Size & diversityof channel bed substrate
?" t#
`
0-4
0 — 5
fine homogenous = 0• large, diverse sizes = max oints¢y':,A'
12
Evidence of channel incision or widening
0-5
0-4
0-5
ti
(deeply incised = 0• stable bed & banks = maxpoints)
T
N,
13
Presence of major bank failures
0 — 5
0-5
0 — 5
[J
a.'
severe erosion = 0 no erosion, stable banks =max points)
FQd,
dEti,
14
Root depth and density on banks
0 — 3
0-4
0-5
3
no visible roots = 0• dense roots throughout = maxPoints)
r�!Impact
15
by agriculture, livestock, or timber production
0-5
0-4
0-5
substantial impact =0• no evidence =maxpoints)
.V
16
Presence of riffle-pooltripple-pool complexes
0 — 3
0 — 5
0 — 6
no riffles/ripples or pools = 0; well-developed = max pointsL
17
Habitat complexity
0 — 6
0-6
0 — 6
)
N3
little or no habitat = 0• frequent, varied habitats = max points)
18
Canopy coverage over streambed
0 5
0 — 5
0 —5
no shading vegetation = 0• continuous canopy = maxpoints)
19
Substrate embeddedness
44 0 wHW'�kvl'
i4 - NA* aaP
0-4
0-4
--
(deeply embedded = 0; loose structure =max
"''
'`
20
Presence of stream invertebrates (see page 4)
0-4
0 — 5
0 — 5
Q
no evidence = 0• common numerous es = max points)
14
21
Presence of amphibians
0-4
0-4
0-4
Oe
no evidence = 0• common, numerous types = maxpoints)
';of
22
Presence of fish
0-4
0-4
0-4
'0t
no evidence = 0; common numerous es =max points)
23
Evidence of wildlife use
0 — 6
0 — 5
0 — 5
no evidence = 0; abundant evidence = maxpoints)
k
yr
YYpp'it� �dlIdd��GG z
i ' -Mi 'T.:°t�y
TotalPomtsPossrble `�u,'
HIM l�
iR
...w
,bpi
�' 1;t+s 4 +`.1' Y&'p y."'aT.�f'?�1 . 7d ,pV`._
..
�S'C
�.,.
BbETOTAL�SCO '- also'enter on first
a e
�iR��
vrx
gl�..JtSJiT
�A. VSM 1 Xl'ti�
'SRS* kF'sB�fi�6liddu'NNE�H. ,rr�lil5°i�$�SR.°P�Fd4&y,.�'C
,.
! h
'. x
* These characteristics are not assessed in coastal streams.

SwA 00ar4
NC DWO Stream Identification Form Version 4.11
Date: 7 JU .2014
Project/Site: ACP
Latitude:
Evaluator: �/ , IV�f C`9v4'CW1 /J-
County: W i�4CN-�
Longitude:.
Total Points:
Stream is at least intermittent 3'
Stream Determination (cfr
Ephemeral Intermittent Perennia
Other �UL t.�-vv.t n
Quad Name:
if >_ 19 or perennial if?: 30' I
2. Sinuosity of channel along thalweg
e.g.
A. Geomorphology (Subtotal = 110.1 )
A-bs-en-t-F
Weak
Moderate
Str ng
1"Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
A 3
1.5
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
12
Yes i"3
3
6. Depositional bars or benches
0
1
2-
3
7. Recent alluvial deposits
0
1
1
3
8. Headcuts
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0.5
1
.5
11. Second or greater order channel
No 0
Yes = 3
Sketch:
nn tt
'V
`artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = X0.5 )
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
0.5
1
J;
1.5
16. Organic debris lines or piles
0
0.5
1
1.5
17. Soil -based evidence of high water table?
0
No = 0
Yes i"3
1.5
C. Biology (Subtotal = )
18. Fibrous roots in streambed
3
1
0
19. Rooted upland plants in streambed
. 2
1
0
20. Macrobenthos (note diversity and abundance)
I ro_
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
1
0.5
1
1.5
23. Crayfish
0
I 0.5
1
1.5
24. Amphibians
0
coo!
1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FAVW = 0.75; OBL1.5
Other = 0
'Perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
nn tt
'V
C�-
i .raw t v 0Ulf

Environmental Field Surveys
Waterbody Photo Page
Waterbody swio004 facing northeast upstream.
Waterbody swio004 facing southwest downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
*r 4filk A
V4.
IL
.I
�f d sa
Waterbody swio004 facing west across bank.
Photo Sheet 2 of 2

$WiDj�X�6'
USAGE AID# DWQ # Site # (indicate on attached map)
MSTREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: DOy''-1 n k0yt 2. Evaluator's name: V � Wyk 6 m T. GAkY
3. Date of evaluation: V&ty 1�04 4. Time of evaluation: O'Ta0
5. Name of stream:, U, ' , io Swe '^r p 6. River basin: f lyse
7. Approximate drainage area: 3 70ez-C . 8. Stream order: a
9. Length of reach evaluated: 5-0 9+. 10. County: W i ( S6"'1
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): AJ LA
Latitude (ex. 34.872312): 35' T Lfq D ( Longitude (ex. -77.556611): ^ -8 '0-0m
Method location determined (circle): PS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any): r vo %) "
15. Recent weather conditions: ���}'irGl '"` '� days �QO
16. Site conditions at time of visit: U'h dl`s41A✓'I,- P,A
17. Identify any special waterway classifications known: Section 10 —Tidal Waters Essential Fisheries Habitat
—Trout Waters Outstanding Resource Waters o!` Nutrient Sensitive Waters Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? ES NO If yes, estimate the water surface area: s--
19. Does channel appear on USGS quad map? (9) NO 20. Does channel appear on USDA Soil Survey? Q� NO
21. Estimated watershed land use: 10 % Residential % Commercial _% Industrial % Agricultural
14,r'% Forested % Cleared / Logged % Other ( )
Tip urr$4k� -
22. BankfurH width: q - 23. Bank height (from bed to top of bank): F�-
24. Channel slope down center of stream: %Flat (0 to 2%) Gentle (2 to 4%) —Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: Straight X 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): 61� Comments: OktwAA ' 5 R
Evaluator'sSignatur Date 0 J", aC){�-
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
W.'ECO49'vW,
RANGE OW
,
PtxtCHARACTERI
IM,M& , � "
�Yc6aWtaiPewW37I
KIQXkO-WT
hWMcb
F r
Presence of flow persistent pools in a ream
0-5
0-4
0-5
(no flow or saturation = 0; strop flow = max points)
2
Evidence of past human alteration
0-6
0-5
0-5
(extensive alteration = 0; no alteration = max points)
3
Riparian zone
0-6
0-4
0-5
no buffer = 0; contiguous, wide buffer = max points)
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
3
(extensive discharges = 0; no discharges = max points)
5
. Groundwater discharge
0-3
0-4
0-4
3
no dische= 0; springs, seeps, wetlands, etc.= max points
arg )
__
6
Presence of adjacent floodplain
_
0-4
0-4
0-2
L+
no floodplain = 0; extensive floodplain — max points)
7
Entrenchment/ floodplain access
0-5
0-4
0-2
(deeply entrenched = 0; frequent flooding = max points)
8
Presence of adjacent wetlands
0-6
0-4
0-2
no wetlands = 0; large adjacent wetlands = max points)
9
Channel sinuosity
0 —5
0-4
0-3
(extensive cbannelization = 0; natural meander = max points)
10
Sediment input
0-5
0-4
0-4
(extensive deposition-- 0; little or no sediment = max points)
Size & diversity of channel bed substrate
11
V
0-4
0-5
(fine, homogenous = 0; large, diverse sizes = max points)
12
Evidence of channel incision or widening
0-5
0-4
0-5
>1
(deeplv incised = 0; stable bed & banks = max points)
�1 4
Presence of major bank failures
13
(severe erosion = 0; no erosion, stable banks = max points)
0-5
0-5
0-5
14
Root depth and density on banks
no visible roots = 0; dense roots throughout = max poi ts)
_
0-3
0-4
0-5
15
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
Or"
1
1 (substantial impact =0; no evidence =max points)
16
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0 -6E
(noriffiestripples or pools= 0; well-developed =max points)
.2
-n
17
Habitat complexity
0-6
0-6
0-6
, t�111➢'�L
(little or no habitat = 0• frequent, varied habitats
IM,
18
Canopy coverage over streambcd
0-5
0-5
0-5
no shading vegetation = 0; continuous canopy = max points
19
Substrate embeddedness
KAf t4
0-4
0-4
(deeply embedded = 0; loose structure = max)
rp�"! N�' �
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
no evidence = 0; common, numerous types = max points)
22
Presence of fish
0-4
0-4
0-4
0
no evidence = 0; common, numerous types = max points)
Evidence of wildlife use
23
0-6
0-5
0-5
no evidence = 0; abundant evidence = max points)
11 ";PDSS
��)T offiti V �
MW I M
PIR, loff
! 11:09or
*0'�ft�l
0
To F11 "R
"l
* These characteristics are not assessed in coastal streams.

NC DWQ Stream Identification Form Version 4.11 ow c ooe57
Date: $
Project/Site: Ac-�
Latitude: 55,T44Da
Evaluator: �/ a���Awt
County: W`'Sov)
Longitude:-4g,07I-M,
Total Points:
Stream is at least intermittent 35,5
Stream Determination (circle o e
Ephemeral Intermittenterennia
Other LV GP?-�"'��'►
if >: 19 or perennial if?! 30•
2. Sinuosity of channel along thalweg
e.g. Quad Name:
A. Geomorphology (Subtotal = l`b )
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
1
3
4. Particle size of stream substrate
0
1
2
3
S. Active/relict floodplain
0
12
25. Algae 0
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0.5
1
1.5
10. Natural valley
0
0.5
1 1
1.5
11. Second or greater order channel
No = 0
Yes ,- 3
" artificial ditches are not rated; see discussions in manual
B. Hvdroloov (Subtotal = q S )
12. Presence of Baseflow
1 0
1
2
Q3
13. Iron oxidizing bacteria
1 0
1
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
(0-59
1
1.5
16. Organic debris lines or piles
0
0.5
1
1.5
17. Soil -based evidence of high water table?
1
No= 0
25. Algae 0
Yes =r-3'1
C. Biolow (Subtotal= X 1
18. Fibrous roots in streambed 3
2
1
0
19. Rooted upland plants in streambed 3
2
1
0
20. Macrobenthos (note diversity and abundance) 0
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
1
1.5
25. Algae 0
0.5
1 1
1.5
26. Weiland plants in streambed
FACW = 0.75;
OBI = 1.5 Other - 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: OgWM 5C# Wid{j
NW'tF(i-rs,, otaw�set�'1iv
Ske ch:
C. L
S oFown li 4 E

r
r _ Z
_
'4
+
• Y�y
Y
_
�..,`i�
�� �._
� � �' sur �.i'_•

Environmental Field Surveys
Waterbody Photo Page
Waterbody swio005 facing west across bank.
Photo Sheet 2 of 2

5W,10
USACE AID# DWQ # Site # (indicate on attached map)
0 STREAM QUALITY ASSESSMENT WORKSHEET L�o
Provide the following information for the stream reach under assessment: / 1 ,,,- �j� R",,
L Applicant's name: IJ�.�,.:, ,;,���n 2. Evaluator's name: W. 46.4 1: r w
3. Date of evaluation: I "ZA\H 2014 4. Time of evaluation: 103
5. Name of stream: J NY M ar.N, S W 4w+f 6. River basin: V e gg
S
7. Approximate drainage area: Z AsC.f S. Stream order:(
9. Length of reach evaluated: '50'k. 10. County: 101164t,
11. Site coordinates (if known): �1 preferinin decimal degrees. 12. Subdivision name (if any): t
Latitude (ex. 34.872312): 3513-1.157 Longitude (ex. -77.556611): —:7$1 C)=1(ogI
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluaho note nearby roads and landmarks and attach map identifying stream(s) location):
%iot) vee-+ W\PJ ZUpejr,�a ni 01�o�Qiq` Z0J
14. Proposed channel work (if any): T 9 A
15. Recent weather
16. Site conditions :
17. Identify any special waterway classifications known: Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters J Nutrient Sensitive Waters _Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES kLNOlf yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES NO
20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: _%Residential
_%Commercial _%Industrial la%Agricultural
TO)o of gahk /- Forested
_% Cleared / Logged _% Other (
22..aankfatl width:
23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: Flat (0 to 2%)
_Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity:**�!t_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
04wm WI : 6C+'
Evaluator's Signature Date 9' gt07 °2y( t
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
�a
w
#gyp
x I "" ^`
CHARACTERISTICS
ECO�2EGIO,PQJ1yTRANGIII
rrW:s
SCORE
t A
Coaatal�Ptedmont 1V>ountainP
�r"'s
1
Presence of flow / persistent pools in stream
0-5
0-4
0-5
no flow or saturation = 0• strong flow = maxpoints)
2
Evidence of past human alteration
0-6
0-5
0-5
u
extensive alteration = 0• no alteration = maxpoints)
3
Riparian zone
0-6
0-4
0-5
no buffer = 0• contiguous, wide buffer = maxpoints)
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
extensive discharges = 0; no dischares= max points)
S
Groundwater discharge
0 — 4
0-4
)
no discharge = 0• springs, sees wetlands etc. = maxpoints)0-3
N?1
6
Presence of adjacent floodplain
0-4
0-4
0-2
my
no flood lain = 0 extensive flood lain = maxpoints)
7
Entrenchment / floodplain access
0-5
0-4
0-2
f
(deeply entrenched = 0• frequent flooding = maxpoints)r
Presence
8
of adjacent wetlands
0-6
0-4
0-2
;•�
no wetlands = 0• laze adjacent wetlands =max points)
V ,
`•'
9
Channel sinuosity
0 — 4
0-3
extensive channelization = 0• natural meander = maxpoints)0-5
10
Sedimentinput
0-5
0-4
0-4
'
extensive deposition-- 0• little or no sediment =maxpoints)
.,
11
Size & diversity of channel bed substrate
'(
0 — 4
0 — 5
fine homogenous = 0; large, diverse sizes = max points)
12
Evidence of channel incision or widening
0-5
0-4
0-5
(deeijlv incised = 0; stable bed & banks = maxpoints)
F;
13
Presence of major bank failures
I
0-5
0-5
0-5
°tet
severe erosion = 0• no erosion stable banks =maxpoints)
14
Roof depth and density on banks
0-3
0-4
0-5
F
no visible roots = 0; dense roots throughout = maxpoints)
�-
15
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
r
substantial impact • no evidence = max points)
16
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
no riffleshipples or pools = 0• well-developed = max pointsL
?i
17
Habitat complexity
0-6
0-6
0-6
little or no habitat = 0; fre wen varied habitats =max points
18
Canopy coverage over streambed
0 5
0— 5
0— 5
no shadingvegetation = 0; continuous canopy= max points)
srf
19
Substrate embeddedness
t:ptwgt u o;
,NA#.;
0 — 4
0-4
(deeply embedded = 0; loose structure = max
20
Presence of stream invertebrates (see page 4)
0-5
0-5
es =ax points)0-4
no evidence = 0; common numerous m
V
+ N
21
Presence ofamphibians
0-4
0-4
0-4
Z
0e
no evidence = 0; common numerous types = maxpoints)
Q
22
Presence of fish
0-4
0-4
0-4
H,
no evidence = 0• common numerous types =maxpoints)
C9'
23
Evidence of wildlife use
0-6
0-5
0-5
no evidence = 0• abundant evidence = maxpoints)
m Posb-
HO
0�0taPo
y=
+... a.1'5O
.
:
trail {^K't rrl,
a
'TOT tSCO e eo' n'irst
� i
'a e
��also
* These characteristics are not assessed in coastal streams.

•Gr.
NC DWO Stream Identification Form Version 4.11
Date: c6ZJ� Zq i i
Project/Site: 'ACP
Latitude: 3 Fj , 74 (S7�
Evaluator: Z: GA
County:, `SGN
Longitude: '-g 04�c(�
Total Points:
Stream Deter 'on circle one)
Other t-v«%v"C�-
Stream is at least intermittent
if >_19 or perennial if >_30' aDrS
Ephemeral ntermitte t Perennial
e.g. Quad Name:
A. Geomorphology (Subtotal = )
Absent
Weak
Moderate
Strong
1aContinuity of channel bed and bank.
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
0 0
2
3
4. Particle size of stream substrate
0
Yes =
2
3
5. Active/relict floodplain
1
1
2
3
6. Depositional bars or benches
0
0.5
2
3
7. Recent alluvial deposits
0
1
2)
3
8. Headcuts
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0)
0.5
1
1.5
11. Second or greater order channel
o = 0
Yes = 3
' artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = 6.5 )
12. Presence of Baseflow
0 (5 1
2
3
13. Iron oxidizing bacteria
1
2
3
14. Leaf litter
1.5 1
0.5,
0
15. Sediment on plants or debris
0
_ 1
1.5
16. Organic debris lines or piles
0 0
1
1.5
17. Soil -based evidence of high water table?
No = 0
Yes =
1
C. Biology Subtotal = ___-T -1
18. Fibrous roots in streambed
3
1 2
1 1
0
19. Rooted upland plants in streambed
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
0.5
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
c01
0.5
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Other = 0
`perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
�jf
econ e�kutt C' 5w0
a
s{reA
Sketch:

Environmental Field Surveys
Waterbody Photo Page
Waterbody swio006 facing northwest upstream.
-4�.�Wl,
yr^
4.
=dimp
Waterbody swio006 facing southeast downstream.
Photo Sheet I of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody swio006 facing northeast across bank.
Swale confluencing with Waterbody swio006 facing northwest.
Non -stream, non -wetland.
Photo Sheet 2 of 2

USACE AID# DWQ # Site #_ (indicate on attached map)
M STREAM QUALITY ASSESSMENT WORKSHEET lfjo
Provide the following information for the stream reach under assessment:
1. Applicant's name: DOYY`i r\ O -A
3. Date of evaluation: J,,tte
gol+
5. Name of stream: K,;'"S�,
5W^ m p
7. Approximate drainage area:
Cc
9. Length of reach evaluated:
11. Site coordinates (if known): prefer in decimal
s
decimal degree
Latitude (ex. 34.872312): 3 S' �3 O
2. Evaluator's name:
4. Time of evaluation:
6.
6. River basin: I`le
8. Stream order:
10. County:
12. Subdivision name (if any): fJ/�
.
Longitude (ex. -77.556611):
Method location determined (circle): GP Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
300 �f. (npshrCGtw� iww� ;7ald �ie,•c�1�'l�d. c�osSi�
14. Proposed channel work (if any): I pelt C oSSi rQ
15. Recent weather conditions -T oy)1Ca( 56+r^ Ks d4,/$ r�3o
16. Site conditions at time
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? ES NO If yes, estimate the water surface area:-3'4-A--
19.
rea:3'
19. Does channel appear on USGS quad map? (2� NO 20. Does channel appear on USDA Soil Survey? (9 NO
21. Estimated watershed land use: % Residential % Commercial _% Industrial _% Agricultural
q5% Forested _% Cleared /Logged % Other (
23. Bank height ( p ) 1.5 �+
22. Bankfull width: ght from bed to to of bank
24. Channel slope down center of stream: %<Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: _Straight _Occasional bends Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse):. %t Comments: N"\'c �6J4-- 1 L195G(S �P" 3e d (EIWP o ro�p)o�w,i2i
0r�ol i:ll.)Ao corole.,cel): eet ro-k
Evaluator's Signature ;6� /x- - Date g 3t1 VOIL1
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
S& -
CTT Z
CHARAERIST CS
Ss,_.,
G"� Copafal Piedmont Wuntiin!*
,RVCEO
SCO
lllPlM
Presence of now /persistent pools in stream
0-5
0-4
0-5)
no flow or saturation 0* strop 9 flow = max points
2
Evidence of past human alteration
0-6
0-5
0-5
it'r(extensive
alteration = 0; no alteration = max points)
3
Riparianzone
0-6
0-4
0-5
3.no
buffer = 0; contiguous, wide buffer = max points)
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
(extensive discharges = 0; no discharges = max Points)
5
Groundwater discharge
0-3
0-4
0-4
1
no discharge = 0; springs, seeps, wetlands, etc. = max points)
6
Presence of adjacent floodplain
0-4
0-4
0-2
no floodplain = 0; extensive floodplain = max points)
7
Entrenchment / floodplain access
0-5
0-4
0-2
i1r(deeply
entrenched = 0; frequent flooding = max points)
8
Presence of adjacent wetlands
0-6
I
0-4
0-2
no wetlands = 0; large adjacent wetlands = max point
—
9
Channel sinuosity
0-5
0-4
0-3
ET
(extensive chan nelization = 0; natural meander = max points)
—
10
Sedimentinput
0-5
0-4
0-4
(extensive deposition= 0; little or no sediment = max points)
Size & diversity of channel bed substrate
-;A'V"q
0-4
0-5
11
(fine, homogenous = 0; large, diverse sizes = max points)
12
Evidence of channel incision or widening
0-5
0-4
0-5
>1"
(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 points)
14
Root depth and density on banks
0-3
0-4
0-5
E. -S
no visible roots = 0; dense roots throughout = max Points)
rn
—
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-pool/ripple-pool complexes
0-3
0-5
0-6
no riffles/ripples or pools = 0; well-developed = max points)
17
Habitat complexity
0-6
0-6
0 – 6
(little or no habitat = 0; frequent, varied habitats max points)
18
Canopy coverage over streambed
0-5
0-5
0-5
(no shading vegetation = 0; continuous canopy max points)
19
Substrate embeddedness
0-4
0-4
(deeply embedded = 0; loose structure = max)
20
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
4
no evidence = 0; common, numerous types = max points)
Presence of amphibians21
0-4
0-4
0-4
no evidence = 0; common, numerous types = max points)
22
Presence of fish
0-4
0-4
0-4
no evidence = 0; common, numerous types = max points)
23
Evidence of wildlife use
0-6
0-5
0-5
In
no evidence = 0; abundant evidence = max points)
ffs
'w TotaI rM
Igo 0
'0
0 S%4 a I s Nowietni
ffiwar VE als
ile
4
* These characteristics are not assessed in coastal streams.

NC DWO Stream Identification Form Version 4.11 sw1 O 00 :�
Date: V 50,'\1 aol+
Project/Site: ACP
Latitude: 35,-439('8
Evaluator: moVO'Y'vv,
County: (n1l(Sov)
Longitude:__4-&,073'5c)
Total Points: `-�
Stream is at least intermittent
St/
Stream Determination (circe ne l
Ephemeral Intermittent 1Eerennia
Other LVC w. f�
if >_ 19 or perennial if> 30" V
2. Sinuosity of channel along thalweg
e.g. Quad Name:
A. Geomorphology (Subtotal =_2_` _1� )
Absent
Weak
Moderate
Strong
18 Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
1.5
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
0.5
6. Depositional bars or benches
0
1
2 1
(3
7. Recent alluvial deposits
0
1
2
Notes:a,Cor 'icula (t%iA�< Ct aw�-c5r+_i' - loj r,vrn'ge,5 -Ili
8. Headcuts
0
1
2
3
9. Grade control
U
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= 115 )
12. Presence of Baseflow
0 1 2
1
13. Iron oxidizing bacteria
0 1 L)
3
14. Leaf litter
1. 1 0.5
0
15. Sediment on plants or debris
00. 1
1.5
16. Organic debris lines or piles
0 0.5 1
1.
17. Soil -based evidence of high water table?
No = 0
Yes 13
C. Bioloqy (Subtotal = )
18. Fibrous roots in streambed 3 1
2
1
0
19. Rooted upland plants in streambed 3
2
1
0
20. Macrobenthos (note diversity and abundance) 0
1
2
(
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
<Q
1
1.5
25. Algae 0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Other 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:a,Cor 'icula (t%iA�< Ct aw�-c5r+_i' - loj r,vrn'ge,5 -Ili
p Idev)✓l
Cor (GF ��ir-AwA' m, 56) vtsthi
�IINI`0 Con (GhG�r Coh01CY preSevyf C��SR. la vcc
cs„ h5rneow5 {i rM�a
c21 <eh
Sketch: t„ww "00"Z'1j tnp(i✓ C
SWt0(0 }
wUJiU�(/jIb dewnl�r�e
CL

a
Ilk
Map
r.
�--
Ak
;_�`.E
1
{f

57 3F
t
.• �- r R S
- a+F',•

USACE AID# DWQ # Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
r
Provide the following information for the stream reach under assessment:
2. Evaluator's name: �•��� ,s•'i
4. Time of evaluation: 101D
6. River basin:
8. Stream order: �_St
10. County: 01g5OYt
12. Subdivision name (if any): 44N/
Longitude (ex. -77.556611): - o • O$rj O or
1. Applicant's name: DOminion
3. Date of evaluation: 9 Jud
5. Name of stream: u N \ 4-
7. Approximate drainage area:
&0 0.0
9. Length of reach evaluated:
17 0•
11. Site coordinates (if known): prefer in decimal degrees.
Latitude (ex. 34.872312): 3 3 ( t 9
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
110 0...- '­ I.,..e..- 1 -. .jr J2,, .b., _ n r.I A (P- I. :n)ru u%1
14. Proposed channel work (if any): �/ic (; C oSii" U
15. Recent weather conditions: TVopi«( (D c(ayS c10.
16. Site conditions at time
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? © NO If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? (0 NO 20. Does channel appear on USDA Soil Survey?YES NO
21. Estimated watershed land use: (0% Residential _% Commercial _% Industrial % Agricultural
rrr 1-k!5 % Forested _% Cleared / Logged _% Other
22. Bankfull width: `'i �t 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: !Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: _Straight _Occasional bends _Frequent meander X 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): 71 Comments: (h�i �v�^ ✓'ea�In. o� 5W(0009 P,d, sw6003
IJ
Evaluator's Signature 1 Date l ��� 'x'01 LF
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
�*
i 1ti¢ Sk vx - g
CHARACTERIST C 1
EGO�2EGION�OINXJR*A
0
SCORE,
,�
C w
Coa'`iial
P�edm no Moun�_fn
r
, y , . !
1
Presence of flow / persistent pools in stream
0-5
0-4
0-5
2
no flow or saturation = 0• strong flow = maxpoints)
Evidence of past human alteration
0-6
0-5
0-5
2
extensive alteration = 0• no alteration - maxpoints)
3
Riparian zone
0-6
0-4
0-5
/
no buffer = 0• contiguous, wide buffer = maxpoints)
l0
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
I -I
-
(extensive discharges = 0• no discharges =maxpoints)
5
Groundwater discharge
0-3
0-4
0-4
7j
by
no discharge = 0• springs, sees wetlands etc. = maxpoints)
'..,
6
Presence of adjacent floodplain
0-4
0-4
0-2
O
J
rnM
,. r
no floodplain = 0• extensive floodplain =maxpoints)
Entrenchment / floodplain access
0-5
0 - 4
0-2
�-
(deeply entrenched = 0• frequent flooding=max oints
8
Presence of adjacent wetlands
0-6
0-4
0-2
no wetlands = 0• large adjacent wetlands = maxpoints)
l0
9
Channel sinuosity
0-5
0-4
0-3
'j
extensive channelization = 0• natural meander = max points)
10
Sediment input
0-5
0-4
0-4
3
'
extensive de osiflon= 0• little or no sediment = maxpoints)
11
Size & diversity of channel bed substrate
i'
'NA
0-4
0-5
^
fine homogenous=0•laz a diverse sizes= max oints
Evidence of channel incision or widening
12
(deeply incised = 0• stable bed & banks = maxpoints)
0-5
0-4
0-5
Presence of major bank failures
13
severe erosion = 0; no erosion stable banks = maxpoints)0-5
0 - 5
0-5
14
Root depth and density on banks
0-3
0-4
0-5
E+
no visible roots = 0• dense roots throughout = maxpoints)
Impact by agriculture, livestock, or timber production
4
i
I S
substantial impact =0• no evidence = maxpoints)
0-5
0 -
0-5
16
Presence of riffle-poollripple-pool complexes
0=3
0-5
0-6
no riffles/ripples or pools = 0• well-developed =maxpoints)�
E'
1
17
Habitat complexity
little or no habitat = 0• fre uen varied habitats = maxpoints)
0-6
0-6
0-6
3
18
Canopy coverage over streambed
0 5
0- 5
0- 5
S
no shadingvegetation = 0• continuous canopy= max points)
19
Substrate embeddednessIl*
0 - 4
0-4
—
wr`
(deeply embedded = 0; loose structure = max)�*
-�
20
Presence of stream invertebrates (see page 4)
0 4
0 - 5
0 - 5
O
no evidence = 0• common numerous es = max points)
Presence of amphibians
0
21
no evidence = 0• common, numerous types = maxpoints)
0-4
0-4
0-4
I
0,
22
Presence of fish
0-4
0-4
0-4
O
t
no evidence = 0; common numerous types = maxpoints)
23
Evidence of wildlife use
0-6
0-5
0-5
3
no evidence = 0• abundant evidence = max
M=4
points
Po aible ".:iP09%
00
100
100
100'
,
i M4�x,":,? t
.� ,
OP ' SCOnrSOxrc°
n , .:,
1....
* These characteristics are not assessed in coastal streams.

NC DWO Stream Identification Form Version 4.11 5W I 0 .eroq
Date: t�(.�
Project/Site:r ICi�
Latitude:,�3
Evaluator: K Ma+'kv`ctv✓1 /�,-
County: Wj'SDy1
Longitudej�,��S�Jr
Total Points:
Stream is at least intermittent
38 5
Stream Determination (circl
Ephemeral Intermittent
Other L V
if >_ 19 or perennial if 2:30*
ernnial
e
e.g. Qu ad Name`�`�C''
A. Geonnor holo (Subtotal = as 5 )
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. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
3
3
4. Particle size of stream substrate
0
(13
2
3
5. Active/relict floodplain
0
1 -
2"
(3)
6. Depositional bars or benches
0
1
1 2
25. Algae
7. Recent alluvial deposits
0
1
2
M
B. Headcuts
0
1
2
3
9. Grade control
C0
0.5
1
1.5
10. Natural valley
0
0.5
1
(.
11. Second or greater order channel
L�
W �1rJwi0{v(�C9
�� S�JJIOcaol
j
No = 0
Yes ,= 3
" artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = 6 5, )
12. Presence of Baseflow
0
1
2 1
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
1
0.5)
0
15. Sediment on plants or debris
0
0.5
3
22. Fish
16. Organic debris lines or piles
0
0.5
0)
1.5
17. Soil -based evidence of high water table?
0.5
No = 0
Yes f'3)
24. Amphibians
C. Biolow (Subtotal= (0.5 )
18. Fibrous roots in streambed
I 3) 1
2
1
0
19. Rooted upland plants in streambed
T 1
2
1
0
20. Macrobenthos (note diversity and abundance) I CO)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
�
1
1.5
25. Algae
=0w
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Other =(6)
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
(o dGy5 aflr .. -n„s Karma wi n' �adU,•{cd.
cct ti. sr.,
'r -rel
G61S' . • .' rA S}rEK'w�
've- r of i-. 0006' 0.-cl, swiQW3
Sketch:a
dJwnl:n�, �
L�
W �1rJwi0{v(�C9
�� S�JJIOcaol
j
kPlinC

Environmental Field Surveys
Waterbody Photo Page
Waterbody swio009 facing northwest upstream.
Waterbody swio009 facing southeast downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody swio009 facing southwest across bank.
Photo Sheet 2 of 2

Swl
USACE AID# DWQ # Site #_ (indicate on attached map)
0 STREAM QUALITY ASSESSMENT WORKSHEET ��Jo
Provide the following Tinformation for the stream reach under assessment: , 1
1. Applicant'sname: b0y✓\iV\i0y) 2 Evaluator's name: K,Kk4vk-kaoi, T�%
3. Date of evaluation: Ju qty^ _) 0 [
5. Name of stream:
7. Approximate drainage area: 02 (00 GC.
9. Length of reach evaluated: 50 Fi
4. Time of evaluation:
` (a'
6. River basin: l UaR
8. Stream order: a 14
10. County: WI (SDA
11. Site coordinates (if known): prefer inppdecimal degrees. 12. Subdivision name (if any): �1 18
Latitude (ex. 34.872312): %-,7a-q �-s�`f Longitude (ex. -77.556611): — �g. 0F5SJO
Method location determined (circle): co Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any Y' I're Cros516.(
15. Recent weather conditions: Tr)171C-� Si�r' vai✓\5 (p 0(0r5 ctP
16. Site conditions at time of visit Lim b)ed
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? (� NO If yes, estimate the water surface area: I i eA L
19. Does channel appear on USGS quad map? NO 20. Does channel appear on USDA Soil Survey? 0 NO
21. Estimated watershed land use: S % Residential _% Commercial % Industrial VL% Agricultural
% Forested _% Cleared /Logged _% Other ( pp )
22. Bankfull width:. 23. Bank height (from bed to top of bank): 02 i-+•
24. Channel slope down center of stream: %Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: _Straight _Occasional bends _Frequent meander Very sinuous _Braided channel
Instructions for completion of worksbeet (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: �OWr�S%�'M YCAD/Aop 3'Wi0009
r� OF sw io 013
Evaluator's Signature 6-:5K. Date Ct C�0I 7
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
CHARA@TERISTI S
~ EC, "O O)!i ;,0 —1 "W "E "
'SCORE
S ^
C9astalP,i'e�montYloun in
ill;
4 ..,-
t
1
Presence of flow / persistent pools in stream
0-5
0-4
0-5
S -
no flow or saturation = 0• strong flow = maxpoints)
2
Evidence of past human alteration
0-6
0-5
0-5
extensive alteration = 0• no alteration = maxpoints)
3
Riparian zone
0-6
0-4
0-5
5
no buffer =0•contiguous, wide buffer =max points
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
3
extensive discharges = 0• no discharges = max points)
--b
5
Groundwater discharge
0-3
0-4
0-4
no discharge = 0; springs, seeps, wetlands etc. =maxpoints)
'rah
6
Presence of adjacent floodplain
0-4
0-4
0-2
no floodplain = 0• extensive floodplain — maxpoints)
�
r
Entrenchment / floodplain access
0-5
0-4
0-2
3
(deeply entrenched = 0• frequent flooding = maxpoints)
8
Presence of adjacent wetlands
0-4
0-2
I
`T
no wetlands =0•laz eadjacentwetlands=max points)0-6
9
Channel sinuosity
0-5
0-4
0-3
5
extensive channelization = 0• natural meander = max oints
10
Sediment input
0-5
0-4
0-4
extensive deposition— 0• little or no sediment max points)
';.
11
Size & diversity of channel bed substrate
+' MX
0-4
0-5
fine homogenous = 0; large, diverse sizes = maxpoints)r1
4!
12
Evidence of channel incision or widening
0-5
0-4
0-5
(deeply incised = 0• stable bed &banks =max poin s
H'
13
Presence of major bank failures
0-5
0-5
0-5
severe erosion = 0• no erosion stable banks = maxpoints)
14
Root depth and density on banks
0-3
0-4
0-5
3
no visible roots = 0• dense roots throughout = max points
15
Impact by agriculture, livestock, or timber production
0-4
0-5
r
r
substantial impact • no evidence = max points)0-5
=0;
16
Presence of riffle-pooltripple-pool complexes
0-3
0-5
0-6
3
no riffles/ripples or pools = 0• well-developed = maxpoints)
19
Habitat complexity
0 — 6
0-6
little or no habitat = 0; frequent, varied habitats = maxpoints)0-6
l0
rHV'
18
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=
3^ e
20
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
,
no evidence = 0• common numerous types = maxpoints)
�xPresence
21
of amphibians
0-4
0-4
0-4
O
no evidence = 0; common numerous types =maxpoints)
Ck
22
Presence of fish
0-4
0-4
0-4
O
-+g
no evidence = 0• common numerous types = maxpoints)
1ty„
23
Evidence of wildlife use
0-6
0-5
0-5
no evidence = 0• abundant evidence = maxpoints)
%p$
�z .Tota 'Points• osszble J.
00
100
:, 00 -�
R
k ,,y ,
t .„ .:.. -, V.�� a. f r. .::., tY 'F tl h. .�
rte{;
Y'• ...
,;
Sh., > '.. .._
.� Y
.r
rdlu blEdt�+ix.W.. !�AS�Rha�i"MY:a
3P,t£+a a�,
* These characteristics are not assessed in coastal streams.

NC DWO Stream Identification Form Version 4.11 5 W) D oft
Date: `S'u� aplr-�
Project/Site: AC?
Latitude: '3S -1 Z, CA 2 -
-Evaluator:Kf��
Evaluator:
�'�y
County: WI�SI�v�
Longitude:.$,O�SS�
Total Points:
Stream is at least intermittent )1'1
-td`
Stream Determination (circle one
Ephemeral Intermittent erenni
Other
Name:
if>_ 19 or perennial if>_ 30'
2. Sinuosity of channel along thalweg
e.g. quad
A. Geomorphology (Subtotal = r )� ,`3 )
Absent
I Weak
Moderate
Strong
1 a' Continuity of channel bed and bank
0
1 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
(D
3,
4. Particle size of stream substrate
0
1
Yes 1
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
1.5
3
7. Recent alluvial deposits
0
1 1
1.5
26. Wetland plants in streambed
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
00.5
1.5
11. Second or greater order channel
Sketch:
No = 0
Yes ,, 3
- artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = (I ,S )
12. Presence of Baseflow
0
1
2
13. Iron oxidizing bacteria
0
1
2 3
14. Leaf litter
1.5
1
0. 0
15. Sediment on plants or debris
0
0.51
1.5
16. Organic debris lines or piles
0
0.5
(-1 1.5
17. Soil -based evidence of high water table?
0.5
No = 0
Yes 1
C. Biology (Subtotal = r3 )
18. Fibrous roots in streambed
1 3
1 2
1 1 1
0
19. Rooted upland plants in streambed
I 3
1 2
1 1 1
0
20. Macrobenthos (note diversity and abundance) 0
1
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.
1
1.5
25. Algae
0
0.5
1 1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Other= 0
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: Cadd'S�1t 5, sv)a(IS -
dowrrFrecrn r oW
�p
5wicioC9 ;
u sl'(eF. reAch of
rwi0cc) t3
(Al
Sketch:

Environmental Field Surveys
Waterbody Photo Page
Waterbody swio008 facing east upstream.
4i
Waterbody swio008 facing west downstream.
Photo Sheet I of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody swio008 facing south across bank.
Photo Sheet 2 of 2

Swi 0010
USACE AID# DWQ # Site # (indicate on attached map)
M STREAM QUALITY ASSESSMENT WORKSHEET LAP
Provide the following information for the stream reach under assessment:
1. Applicant's name: IDnyv.: rs( rnr. 2. Evaluator's name: d , QM
3. Date of evaluation: 1) Jt i\J Z 014
5. Name of stream: 1 01- M A ,LS kA q tJ 0.M P
7. Approximate drainage area: ac
9. Length of reach evaluated: c5_Sl•.
4. Time of evaluation: a q 0 6
6. River basin: 1) eaAf
8. Stream order: Z.
10. County: Wt �kh
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):N"
Latitude (ex. 34.872312): 3is, � a 3541 Longitude (ex. -77.556611): 31
r '0;14
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and I nds and attach map identifyin stream(s) location):
�I-5 lea F So At � "mow h(h `C�a� .'�e.'A P,1, uo i isG>n �v n4a, NC.
14. Proposed channel work (if any):
15. Recent weather conditions: , 0' S 1 At\A '74:','4\ `{ LtsS 4�nWn V? \�A ^ Q (ae 4 0e)
16. Site conditions at time of visit: 1,1t.kwO 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?YES NO, If yes, estimate the water surface area: I&(,
19. Does channel appear on USGS quad map? YES NO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: ,_%Residential %Commercial _%Industrial %Agricultural
Tap aFP�.,L 2S% Forested _% Cleared / Logged _% Other ( )
22.4 ankfatl width: u9 23. Bank height (from bed to top of bank): / Pod
24. Channel slope down center of stream: Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>I0%)
25. Channel sinuosity: _Straight _Occasional bends Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin 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: 0ir(L'�) N1 (,J"Afk ' 5%+'
Evaluator's Signature e_/24 � Date I I �`i G.fJl7
This channel evaluation formjf°s'inte ed to be used only as a guide to assist landowners and environmental professionals in
gathering the data requiredfby 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 x26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
CM CTERISTICS
"
ECOREGIONPOINTcRANGEZ
SCORE
gin
vr-r�e
MouoYsnl'h"
q
,r�...:j.,"+,,tayM+�•,;I
;vir;','Cosatil'iedmon`.
1`'
Ino
Presence of flow / persistent pools in stream
0-5
0-4
0-5)
flow or saturation = 0• strong flow = maxpoints
2
Evidence of past human alteration
0-6
0-5
0-5
5
extensive alteration = 0• no alteration = maxpoints)
3
Riparian zone
0-6
0-4
0-5,
E0
F'
no buffer = 0• contiguouswide buffer = max oints
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
extensive discharges = 0• no discharges = maxpoints)
'5
Groundwater discharge
0-3
0-4
0-4
no discharge = 0• springs, seeps, wetlands etc. = maxpoints)3
ar
6
Presence of adjacent floodplain
0-4
0-4
0-2
y ,
no floodplain = 0• extensive floodplain = maxpoints)
7
Entrenchment/floodplain access
0-5
0-4
0-2
`
(deeply entrenched = 0• frequent flooding = maxpoints)
�,..,
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
F:
extensive channelization = 0• natural meander = maxpoints)-
10
Sediment input
0-5
0-4
0-4
extensive deposition= 0• little or no sediment = maxpoints)
.i
§�
11
Size & diversity of channel bed substrate
.. ,,..
0-4
0 — 5
fine, homogenous = 0• large, diverse sizes = max points
F NA*� tr.
I>4
12
Evidence of channel incision or widening
0-5
0 — 4
0-5
(deeply incised = 0• stable bed & banks = max points)
N'
13
Presence of major bank failures
0 — 5
0-5
severe erosion = 0• no erosion, stable banks = maxpoints)0-5
14
Root depth and density on banks
0-3
0-4
0-5
Z
Fy
no visible roots = 0• dense roots throughout = maxpoints)
I S
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
LI
'j
substantial impact =0• no evidence = maxpoints)
16
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
E,
no riffles/ripples or pools = 0' well-developed = maxpoints)
10-6
Habitat complexity
0-6
0-6
t i
N`
little or no habitat = 0• frequent, varied habitats = maxpoints)
A?
18
Canopy coverage over streambed
Canopy
5
0-5
0 — 5
shadingvegetation = 0; continuous canopy= maxpoints)0
19
Substrate embeddedness
xt`NA,t,;:
0-4
0-4
(deeply embedded = 0• loose structure = max
Presence of stream invertebrates (see page 4)
0-4
0
0-5
20
no evidence = 0• common numerous types =max oints
—5
�0'
21
Presence of amphibians
0-4
0-4
0-4
'
O
no evidence = 0; common, numerous types = maxpoints)
'
22
Presence of fish
0-4
0-4
0-4
no evidence = 0; common numerous es =max points)
23
Evidence of wildlife use
0-6
0-5
0-5
no evidence = 0• abundant evidence = maxpoints)
'.
mtsWisibleht
!,
-, aM' a''
00
fi ;w` ^A00,T,,
100
4�m
(`.40,41'1fs�L
E,Tota1P g u
t.n•tE',�. v^;'l7ikS.+4 It _ i
x'-;100'
Y4 rt. ^��_
goo
STplµ. yWri�1{1:a
.yi
T"4�E.itf
tl=011t
TOTaSCOREalso enterE on lust page�7
,'..iV.+MIWiE10.R„LY 5:5k%P:#k ,•�'` �N^m :w, .'-.'�. uM1 'Ar.. , 11.t
r 1 *' [
: h'c
* These characteristics are not assessed in coastal streams.

NC DWQ Stream Identification Form Version 4.11 5 W I o .O ( D
Date: �J� ' L
Project/Site: ACP
Latitude: c
Evaluator: VG H
County: (� I,50H
Longitudes
Total Points:
Stream is at least intermittent 3
Stream Determination (ci leo
Ephemeral Intermitte Perennial
p
Other
e.g. Quad Name: LtAce pct
if >_ 19 or perennial if?! 30- r
2. Sinuosity of channel along thalweg
0
A. Geomorphology (Subtotal = %i0 )
Absent
Weak
Moderate
Strong
1a Continuity of channel bed and bank
0
1
G3
3
2. Sinuosity of channel along thalweg
0
1
21
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool seuence
0
1
1
3
4. Particle size of stream substrate
0
1
j)
3
5. Active/relict floodplain
0
1
2
(3
6. Depositional bars or benches
0
1
1
3
7. Recent alluvial deposits
0
1(-2)
1
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
`''
o = 0
Yes = 3
Sketch:
� sw%oUl0
" artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal =
12. Presence of Baseflow
0
1
2
0
13. Iron oxidizing bacteria
0
( 1
2
3
14. Leaf litter
1.5
QID
0.5
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0
0.5
j)
1.5
17. Soil -based evidence of high water table?
0
No = 0
Yes = 3
1.5
C. Biolow (Subtotal = ) /
18. Fibrous roots in streambed
3"
4
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
`'0
11
2
3
21. Aquatic Mollusks I
Co)1
1 2 1
3
22. Fish
M 1
0.5
1
1.5
23. Crayfish
0
00
1
1.5
24. Amphibians
0
/0.51
1
1.5
25. Algae
0
)`0:5
1
1.5
26. Wetland plants in streambed
FACW = 0.75;
OBL = 1.5'Other'== b
`perennial streams may also be identified using other methods: See p. 35 of manual.
�'• ._.__/
Notes:
Sketch:
� sw%oUl0
5wio U13
C�

oil
v'
Fi •- "
?'14fo7
f �_
I'
��� �
a •X ,
jj
,y+R 77 ,,11 II II
AN.—
oil
v'
Fi •- "
?'14fo7
f �_

k -
4'-
"" _ � ,�, • r lam, -
tit

,zw'�
USACE AID# DWQ # Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET r: -
Provide the followinginfo>rmation for the stream reach under assessment:
1. Applicant's name: �,Jr► %M : v\: A VN 2. Evaluator's name:
3. Date of evaluation: I `SJk4 '1010 4. Time of evaluation: OA O
5. Name of stream: v, 0 G� �"1 UJ M 6. River basin:
7. Approximate drainage area: 330 ox 8. Stream order: ff
9. Length of reach evaluated: �; r`' '- 10. County: i i �-OY\
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):AIA
! DQQ
Latitude (ex. 34.872312): + Longitude (ex. -77.556611): - • 6 un
Method location determined (circle):P5 Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluatio n(`fote nearby roads and landmarks and attach map identifying stream(s) location):
`� ,ty� A w!} -j{ p
a� . �� 4 ._ti, i 5 u� � i. 7.J f�.•4 i -i V5 Uel, i F J 11� E -I I � i [ ��oy, CJ
14. Proposed channel work (if any):
15. Recent weather
l0:;4 1z �I oy ! S k
f
16. Site conditions at time of visit: $,Nui.1t
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? _) NO If yes, estimate the water surface area: act
. YES
19. Does channel appear on USGS quad mapNO
20. Does channel appear on USDA Soil Survey?YES NO
21. Estimated watershed land use: 10 % Residential
% Commercial % Industrial 7h % Agricultural
op v `co Forested
% Cleared / Logged _% Other
22. Bznkfrtll width: G
23. Bank height (from bed to top of bank): " Pr
24. Channel slope down center of stream: Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) Steep (> 10%)
25. Channel sinuosity: Straight _Occasional bends"
Frequent meander Very sinuous _Braided channel
Instructions for completion of worksheet (Iocated 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 workshect. 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): 7-5 Comments: OWN wia t,, : 4 R.
Evaluator's Signature J Zf zj Date 1), %aLA4 0.0141
This channel evaluation formeis-mien'ded be -used only as a guide to assist landowners and environmental professionals in
gathering the data required by the4/United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
#
WHARACTE] 10,S
ECOREGIOX-MINT
RANO
SCORE
.,
'1'�edmoht�*
.. a
,y#'� ,'S�, ., s :a+. •�
Coastal
Mountain
+�^°.°•
I
Presence of flow / persistent pools in stream
0-5
0-4
0-5
no flow or saturation — 0• strop flow = maxpoints)
MG
R
2
Evidence of past human alteration
G
extensive alteration = 0• no alteration = maxpoints)J
0-6
0-5
0-5
3
Riparian zone
0 — 4
0-5
no buffer = 0• contiguous, wide buffer = maxpoints)0-6
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
extensive discharges = 0• no discharges = maxpoints)
Groundwater discharge
'
g
5
no dischar e = 0• springs, sees wetlands etc. = maxpoints)
0-3
0-4
0-4
6
Presence of adjacent floodplain
0-4
0-4
0-2
no flood lain = 0• extensive floodplain = maxpoints)
Entrenchment /floodplain access
(deeplyentrenched = 0 • frequent flooding= maxpoints)0-5
0 — 4
0-2
1
:t
8
Presence of adjacent wetlands
0-6
0-4
0-2
no wetlands = 0• laze adjacent wetlands = max points)
'
Channel sinuosity
q,.
9
extensive channelization = 0• natural meander = maxpoints)
0-5
0-4
0-3
t'
10
Sediment input
0-5
0-4
0-4
extensive deposition 0 little or no sediment =maxpoints)
11
Size & diversityof channel bed substrate
+.
0-4
0-5
fine homogenous = 0• large, diverse sizes= max points)1J,,
s -NA*
_
12
Evidence of channel incision or widening
0-5
0-4
0-5
y `
(deeply incised = 0• stable bed & banks = maxpoints)
N'
13
Presence of major bank failures
0 — 5
0-5
;.,
severe erosion = 0• no erosion stable banks = maxpoints)0-5
,
?�
F
14
Root depth and density on banks
no visible roots = 0• dense roots throughout = max points
0-3
0 — 4
0-5
Z
rA
15
Impact by agriculture, livestock, or timber production
r:
oints
substantial impact =0• no evidence = maxpoints)
0-5
0-4
0-5
16
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
,
no riffles/ripples or pools = 0• well-developed = max points)
3
17
Habitat complexity
0-6
0-6
0-6
little or no habitat = 0• frequent, varied habitats = maxpoints)
18
Canopy coverage over streambed
0 — 5
0-5
no shadingvegetation = 0; continuous canopy= maxpoints)0-5
19
Substrate embeddedness
d""NA*
0-4
0-4
(deeply embedded = 0• loose structure = max
i'
20
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
no evidence = 0• common numerous types =maxpoints)
21
Presence of amphibians
0-4
0-4
0-4
`
OL
no evidence = 0• common numerous types = maxpoints)
":►at
22
Presence of fish
0-4
0-4
0-4
ry
no evidence = 0; common, numerous types = maxpoints)
L ,
23
Evidence of wildlife use
0-5
0-5
no evidence = 0; abundant evidence =max points)0-6
.5
Ta PointsP ss10 "MY,
00 h�
p xa,
f �f0 eu
�'
.¢.5
����,�
��
.��TOTAISCORE.(also,er,onfirstpage}
� ,k,,��
* These characteristics are not assessed in coastal streams.

�w�oUl3
NC DWQ Stream Identification Form Version 4.11
Date: �-�1
ZorG
Project/Site: AGf
Latitude: 357Z�19 y
Evaluator:
County: W -t
Longitude: IS U�6q
0
Total Points:
rpere least
3(0 5
�v
Stream Determination (cir le -o e)
Ephemeral Intermittent erenni I
Other
e.g. Quad Name: LtkWw\ �
ifro19 �
if >_ 79 or erennial if >_ 30'
perennial
0
1
A. Geomorphology (Subtotal =�` _)
Absent
Weak
Moderate Strong
,a, Continuity of channel bed and bank
0
1
2
14. Leaf litter
2. Sinuosity of channel along thalweg
0
1
15. Sediment on plants or debris
0 0.5
3. In=channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
0 0.5
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
Or5
1
1.5
10. Natural valley
I
0.5
1
-j-,' 1.5
' 11. Second or greater order channel
U
No = 0
/Yew 3'1
" artificial ditches are not rated; see discussions in manual
B. Hvdroloqv (Subtotal = 0.ur )
12. Presence of Baseflow
0 1
2
3)
13. Iron oxidizing bacteria
1
2
3
14. Leaf litter
1.5 1
0.5
0
d
15. Sediment on plants or debris
0 0.5
1
1.5
16. Organic debris lines or piles
0 0.5
1
1.5
17. Soil -based evidence of high water table?
No= 0 -
( Yds = 31
1.5
C. BIOIggV (Subtotal = G ) ✓
1 B. Fibrous roots in streambed L. 1
2
1
0
19. Rooted upland plants in streambed 3)
2
1
0
20. Macrobenthos (note diversity and abundance) 0
2
3
21. Aquatic Mollusks 0
2
3
22. Fish 0
( 0. ,
1
1.5
23. Crayfish ( 0
0.5
1
1.5
24. Amphibians 0
(05'
1
1.5
25. Algae r 0)
0.5
1 -r.:.,...
1.5
26. Wetland plants in streambed
FACW = 0.75;
OBI = 1,5' Other = 0)
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
-_
Sket
N

Environmental Field Surveys
Waterbody Photo Page
,y
Waterbody swio013 facing northwest upstream.
Waterbody swio013 facing southeast downstream.
Photo Sheet I of 2

"P` 7YTI V-'

-3w,(v0((
USACE AID# DWQ # Site #_ (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment: �^
2. Evaluator's name:
4. Time of evaluation:
1. Applicant's name: 7pm nm: Vni er✓)
3. Date of evaluation: -T6I
5. Name of stream: NST 10 MAT e o c �.t-n' m (1
7. Approximate drainage area: 1300 ctC .
9. Length of reach evaluated: 50 4.
6. River basin:
8. Stream order:
10. County: W i � s 6y
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):_JJ IM
Latitude (ex. 34.872312): 35, -q?.2 1 I Longitude (ex. -77.556611):- 31, 0l(b 1�
Method location determined (circle):GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation note nearby roads and landmarks and attach map identifying stream(s) location):
oc, ytltk 6Ju,r1\�
14. Proposed channel work (if any): 1Sy
15. Recent weather conditions:'Do ejtv\4 )G.- 'r\.noo, =_6,C)
16. Site conditions at time of visit:
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters Nutrient ensnive Waters _Water Supply Watershed _(I-IV)
18. Is there a pond or lake located upstream of the evaluation point? S NO If yes, estimate the water surface area:
19. Does channel appear on USGS quad map NO 20. Does channel appear on USDA Soil Survey. YES O
21. Estimated watershed land use:
157 %Residential
- -% Commercial _% Industrial
50 %Agricultural
qS% Forested
_% Cleared / Logged _% Other (
)
22. Bankfull width: 20 C+1
23. Bank height (from bed to top of bank): --4)
�+
24. Channel slope down center of stream-�,i_Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: _Straight _Occasional bendsFrequent 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 point tw
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 scoririg'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): Vt�
r' e
Evaluator's Signature / -x".). Date IJ 3J`'1 7dlt'1
This channel evaluation f; m is 4'ttended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change- version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
'°
#t
t �
+
C)CTERIST C
EC Q�tEGION POIL�iTRA1�TGE
I SCORE
'.
•'
`F „='ti*`r� ,,k��R'�" �+
Coestai',"Predm'orit�1%ouhtain�,'�•r+
rd,�x�r•`
1
Presence of flow / persistent pools in stream
0-5
0-4
0-5
no flow or saturation = 0• Ornna flow = maxpoints)
2
Evidence of past human alteration
0-6
0-5
0-5
extensive alteration = 0• no alteration = maxpoints)
3
Riparian zone
0-6
0-4
0-5
+�
no buffer = 0• conn uous wide buffer = maxpoints)
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
'
extensive discharges = 0• no discharges = maxpoints)
N.
5
Groundwater discharge0-3
0-4
0-4
3
no discharge = 0• springs, sees wetlands, etc. = maxpoints)
N
6
Presence of adjacent floodplain
0-4
0-4
0-2
Cf
no floodplain = 0• extensive floodplain = max oints
Entrenchment/ floodplain access
0-5
0-4
0-2
(deeply entrenched = 0• frequent flooding = maxpoints)
'
8
Presence of adjacent wetlands
0-6
0-4
0-2
,
no wetlands = 0• large adjacent wetlands = maxpoints)
#.;
9
Channel sinuosity
0-4
0-3
extensive channelization = 0; natural meander =max points)0-5
j
10
Sediment input
0-5
0-4
0-4
;+
-t
extensive deposition-- 0; little or no sediment = maxpoints)
Size & diversity of channel bed substrate
,�' #t ;lF,:
A
0-4
0 — 5
fine homogenous = O; large, diverse sizes =ma x oints
„u�,5,,r:
/
a
Evidence of channel incision or widening
0-5
0-4
0-5
I'll(deeply
12
incised = 0; stable bed & banks = maxpoints)
13
Presence of major bank failures
0 — 5
0-5
L�
severe erosion = 0• no erosion stable banks = maxpoints)0-5
14
Root depth and density on banks
0-3
0-4
0-5
'
E1
no visible roots = 0; dense roots throughout = maxpoints)
15
Impact by agriculture, livestock, or timber production
0 — 4
0-5
r!
i'
substantial impact =0; no evidence = maxpoints)0-5
j
`-`
16
Presence of riffle-pool/ripple-pool complexes
0-5
0-6
no riffles/ripplesles or ools = 0• well-develo ed = max points)0-3
17
Habitat complexity
0-6
0-6
0-6
/.
N?
little or no habitat = 0• frequent, varied habitats = maxpoints)
(Q
18
Canopy coverage over streambed
0-5
0-5
0-5
no shading vegetation = 0• continuous canopy = maxpoints)
19
Substrateembeddedness
' NA*� '
0-4
0-4
N
(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
0,
no evidence = 0• common numerous es = maxpoints)
O22
Presence of fish -
0-4
0-4
0-4
no evidence = 0• common numerous types = max oints
V_--
23
Evidence of wildlife use
6
0-5
0-5
no evidence= 0; abundant evidence = in points)
fpaJ
�
SI RdA vt AYm.J W ' �tl�
�X1 z` Possrble
�0 �—
CYib's: F'.
n
'NF=:
0
'mivJiV'
r 100
n'
17 Tota11?Alts *f
.100t'(
��41M1 W
k
�'� TOT:ALSCORE'.�(alsoenter@onfirstpage)*���'�
, '.
u
$�
f�
* These characteristics are not assessed in coastal streams.

NC DWQ Stream Identification Form Version 4.11 5 wiO00
Date: h ZJ\ei ZoIN
Project/Site: CIP
Latitude: -8'5'-q2_-Z9/
Evaluator: " Ai
County:
�QL°'-
Longitudea.? 6
0
.�.t`
r
Total Points:
Stream is at least intermittent �� r
Stream Determination circle -o
Ephemeral lntermitt tPeennial
Other
e.g. Quad Name: We or -A
if _ 19 or perennial if >_ 30" J
0.5
0
A. Geomorphology (Subtotal =_L%_)
Absent
-1 -Weak
Moderate
Strong
1a' Continuity of channel bed and bank
0
1
2
f3�
2. Sinuosity of channel along thalweg
0
(.1,)
0.5
0
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 I"2'
/"
rf3�
6. Depositional bars or benches
0
P-)
2
`3
7. Recent alluvial deposits
0
T
(0
3
8. Headcuts
(0�)
1
2
3
9. Grade control
(0)
0.5
1
1.5
10. Natural valley
Co ,i
0.5
1 _
1.5
11. Second or greater order channel
No = 0
/ Yes = 3 )
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = t E )
12. Presence of Baseflow
0
1
2
0
13. Iron oxidizing bacteria
0
1
(` 2)
3
14. Leaf litter
1.5'I-
(.1,)
0.5
0
15. Sediment on plants or debris
'0'
O.b
1
1.5
16. Organic debris lines or piles
0
0.5
(1.)
- 1.5
17. Soil -based evidence of high water table?
-�0)
No = 0
/"
Yes =3` J
C. Bioloqy (Subtotal = 16 A ) 1
18. Fibrous roots in streambed37
2
1
0
19. Rooted upland plants in streambed
( 3)
2
1
0
20. Macrobenthos (note diversity and abundance)
- 0
(.1,)
2
3
21. Aquatic Mollusks
;' d7
1
2
3
22. Fish
�0
0.5
1
<` 1.5
23. Craynsh
-�0)
0.5
1
1.5
24. Amphibians
0
0.5
�`-1,�
1.5
25. Algae
0
0.5
C_ 11
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Oth r ='0 --
`perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
` sw �UlU
S 'h: jA
3wio013
sw;u O( I
s-io O(;k

43
j T
Awl
/07/11 09:43

Environmental Field Surveys
Waterbody Photo Page
Waterbody swio0l l facing south across bank.
Photo Sheet 2 of 2

swiO.01.2-
USACE AID# DWQ # Site # (indicate on attached map)
F10 STREAM QUALITY ASSESSMENT WORKSHEET 0
__
Provide the following information for the stream reach under assessment:
1. Applicant's name: C) Vii ri 10 V1 2. Evaluator's name: z-,
f
3. Date of evaluation: ! Jky4- 7D t-4 4. Time of evaluation:_ It'55
5. Name of stream: V T_ Vqt3 -��1Mi % L 6. River basin:
7. Approximate drainage area: _30 ac. 8. Stream order:
9. Length of reach evaluated: ) 10. County: W i�SG`r1
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): NJ LA
Latitude (ex. 34.872312): 12.2-10 )~�,�
Longitude(ex.-77.556611��)CDE�,
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation(note nearby roads and landmarks and attach map identifying stream(s) location): l�
�C`Y� �riZ.�-�" �1�} �'�" 1���`a1'€�•�fScTn �.�as+�'r�i�u�f�.��'�:t,��i� �S�Cnin �G.�u���. I19�
14. Proposed channel work (if any):_
15. Recent weather conditions: 4-5
16. Site conditions at time of visit: ]y ( ev*N
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
Trout Waters Outstanding Resource Waters �Nutricnt Sensitive Waters Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point?'YES NO If yes, estimate the water surface area: �' CLC
19. Does channel appear on USGS quad map? EDNO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: � % Residential �% Commercial % Industrial L% Agricultural
% Forested _% Cleared / Logged % Other ( }
22. Bankfull width: 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: Flat (0 to 21/1o) Gentle (2 to 4%) Moderate (4 to 10%) _Steep (> 10%)
25. Channel sinuosity: Straight, Occasional bends , Frequent meander Very sinuous Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): Comments:
Evaluator's Signature 4At///- Date 11 -Zoll
This channel evaluation r isl ntended to be used only as a guide to assist landowners and envit mental' professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change — version 06103. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
These characteristics are not assessed in coastal streams.
2019
I
Presence of flow I persistent pools in stream
0-5
0-4
0—'54
no flow or saturation = 0; strong flow = max points)
2
Evidence of past human alteration
0-6
0-5
4 0-5
(extensive alteration = 0; no alteration = max points)
3
Riparian zone
0-6
0-4
no buffer = 0; contiguous, wide buffer = max points)
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
(extensive discharges = 0; no discharges = max points)
5
Groundwater discharge
0-3
0-4
0-4
no discharize = 0; springs, seeps, wetlands, etc. = max points)
6
Presence of adjacent floodplain
0-4
0-4
0-2
eq
no floodplain = 0; extensive floodplain = max points)
7
Entrenchment / floodplain access
0-5
0-4
0-2
(deeply entrenched = 0; frequent flooding = max points)
8
Presence of adjacent wetlands
0-6
0-4
0-2
no wetlands = 0; large adjacent wetlands = max points)
9
Channel sinuosity
0-5
0-4
0-3
(extensive claarmelization = 0; natural meander = max points)
10
Sediment input
0-5
0-4
0-4
(extensive deposition= 0; little or no sediment = max points)
11
Size & diversity of channel bed substrate
k'.
0-4
0-5)
(fine, homogenous = 0; large, diverse sizes� max points
11;
Evidence of channel incision or widening
12
(deeply incised = 0; stable bed & banks = max points)
0-5
0-4
0-5
Presence of major bank failures
13
(severe erosion = 0; no erosion, stable banks = max points)
0-5
0-5
0-5
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)
Presence of riffle-pool/ripple-pool complexes
Pre
16
no riffles/ripples or pools = 0; well-developed = max pointsL
0-3
0 — 5
0-6
17
Habitat complexity
0-6
0-6
0-6
F, t(little
or no habitat = 0; frequent, varied habitats = max points)
18
Canopy coverage over streambed
0-5
0-5
0-5
1.9
no shading vegetation = 0; continuous canopy = max points)
19
Substrate embeddedness
VOh
0-4
0-4
IVA
(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
d
no evidence = 0; common, numerous types = max points)
22
Presence of fish
0-4
0-4
0-4
0
no evidence = 0; common, numerous types = max points)
23
Evidence of wildlife usean
0-6
0-5
0-5
C/
no evidence = 0; abundant evidence = max points)
5k Total nta'. ossible lllpm
100
0
F
efflffr*, W
&I �TOM I tla'INSUM
rlt
111:11i
(0 61
�ZCQ"'A
These characteristics are not assessed in coastal streams.

NC DWO Stream Identification Form Version 4.11 Sw 100/2-
Date:
d0/Z
Date: (( �-A., -Z.0
Project/Site: f-tCr
Latitude :3572ZZ
Evaluator.)
County: w.`
Longitude:"781agaJD�
Total Points:
Stream is at least intermittent. S
Stream Deter in circle one)
Ephemer Intermittent Perennial
Other
e.g. Quad Name: Lucev.a
if >_ 19 orperennial if?: 30`
2. Sinuosity of channel along thalweg
0
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
;J
1
2
3
4. Particle size of stream substrate
0
/ Yes =13
2
3
5. Active/relict floodplain
1
1
/2)
3
6. Depositional bars or benches
0,
1
2
3
7. Recent alluvial deposits
C.9
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
1.5
11. Second or greater order channel
f No =,V
Yes = 3
' artificial ditches are not rated; see disclions in manual -,,,,f"
B. Hydrology (Subtotal = )
12. Presence of Baseflow
0 1
2)
3
13. Iron oxidizing bacteria
0 1
%Z
3
14. Leaf litter
1.5 11
0.5
0
15. Sediment on plants or debris
0 0
2
1.5
16. Organic debris lines or piles
0 0.5
( 1 _
1.5
17. Solkbased evidence of high water table?
.. No = 0
/ Yes =13
1.5
C. Biology (Subtotal = ) 1--_ __ /
18. Fibrous roots in streambed 1 3 1
2
1
0
19. Rooted upland plants in streambed 3
2
1 1
0
20. Macrobenthos (note diversity and. abundance) 0`
(-J)
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae0
0.5,1
1.5
26. Wetland plants in streambed
FACW = 0.75;
OBL = 1.5 f0ther = V
`perennial streams may also be identified using other methods. See p. 35 of manual
Notes: C
SK ch:
N,
( WiooQ �Sw,cr1011

ILME
Environmental Field Surveys
Waterbody Photo Page
CVS ,/ pr.._�s #.s- Z"' �.• M'6 �: � -=i y ,�,r ..
Waterbody swio012 facing west upstream.
Waterbody swio012 facing east downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
*7 ngal!! � /�' ■■I + A
Waterbody swio012 facing south across bank.
Photo Sheet 2 of 2

USACE AID# DWQ # Site #_ (indicate on attached map)
0 STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment: ` 1
L Applicant's name: ' O 2. Evaluator's name: '� 1 ' S• tTQ`' bowv
3. Date of evaluation: 4. Time of evaluation: '+yyN
5. Name of stream: 1)NT 't -a &Ilr�vl2g Grc�k 6. River basin: Ne..)t,L•
7. Approximate drainage area: 10 G -A— 8. Stream order: (eA
9. Length of reach evaluated: S0, 10. County: W t \SCK\
11. Site coordinates (if kn/oown)):t pr %
prefer in decimal degrees. 12. Subdivision name (if any): N ^t +�
Latitude (ex. 34.872312): 3'•? /�S-741 Longitude (ex. —77.556611): CJt a� /0 /
Method location determined (circle) GPS opo 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):
Ah QnrY_ 7 -1—. �, L.,., t 0 A 1,.,,.4,.. a . -_ c„ k1AA. — Nr 4, .1,^,
14. Proposed channel work
15. Recent weather conditil
16. Site conditions at time
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters Nutrient Sensitive Waters _Water Supply Watershed _(I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES (0 If yes, estimate the water surface
19. Does channel appear on USGS quad map? YESCO)
21. Estimated watershed land use: 20% Residential
fop nk $uv � 30%Forested
22. Bankfvll width: i +•
24. Channel slope down center of stream: Flat (0 to 2%)
25. Channel sinuosity: �k Straight _Occasional bends
20. Does channel appear on USDA Soil Survey?
YES E
_% Commercial _% Industrial ST % Agricultural
_% Cleared / Logged _% Other (
)
23. Bank height (from bed to top of bank):
_Gentle (2 to 4%) _Moderate (4 to 10%)
_Steep (>I O%)
_Frequent meander _Very sinuous
Bmided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): l C( Comments: OK4.0A wIC%%H , 3 �+,
Evaluator's Signature Date ?_ % - N
This channel evaluation' t is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data req/fired by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change — version 06/03. To Comment, please call 919-876-8441 x.26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
r" #�p''�
y l aua d 5, r
CHARACTERISTICS
ECO G
O i O
�_.
RANGFX
a� -��
C'oas1. YaliiS:
rRE
Piedmont
f Mountain
7
,� sg,Y"� -,,
*
1
Presence of flow / persistent pools in stream
0-5
0-4
0 — 5
no flow or saturation = 0• sflow = maxpoints)
2
Evidence of past human alteration
0-6
0-5
0-5
I
extensive alteration = 0• no alteration = maxpoints)
3
Riparian zone
0-6
0-4
0-5
I
no buffer = 0• contiguous, wide buffer = maxpoints)
uiw
rr `
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
;r
extensive discharges = 0• no discharges = max points
5
Groundwater discharge
0-3
0-4
0-4
I
d
no discharge = 0• springs, sees wetlands etc. = maxpoints)
6
Presence of adjacent floodplain
0-4
0-4
0-2
a
no floodplain = 0• extensive floodplain — maxpoints)
�y
Entrenchment / floodplain access
0-5
0-4
0-2
(deeply entrenched = 0• frequent flooding = maxpoints)I
8
Presence of adjacent wetlands
0-6
0-4
0-2
71
V
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
I
extensive deposition-- 0• little or no sediment = maxpoints)
11
Size & diversity of channel bed substrate
i ^1"NA* , L
0 — 4
0 — 5
fine, homogenous = 0• large,diverse sizes = max points)
12
Evidence of channel incision or widening
0-5
0-4
0-5
a
y(deeply
incised = 0• stable bed & banks = max oints
13
Presence of major bank failures
0-5
0-5
0-5
0�
severe erosion = 0• no erosion, stable banks = maxpoints)
14
Root depth and density on banks
0-3
0-4
0-5
a
F
no visible roots = 0• dense roots throughout =max points)
-
I S
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
substantial im act =:8 -no evidence = max points)
16
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
no riffles/ripples or pools = 0• well-developed = maxpoints)
H
17
Habitat complexity
0 — 6
0-6
little or no habitat = 0• frequent, varied habitats = maxpoints)0-6
"..
18
Canopy coverage over streambed
0-5
0-5
0-5
1 .
no shading vegetation = 0• continuous canopy = maxpoints)
19
Substrate embeddedness.;e
j.
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
D
"
no evidence = 0• common numerous es = max points)
�
` 21
Presence of am hibians
0-4
0-4
0-4
O
no evidence = 0• common, numerous types =max points
22
Presence of fish
0-4
0-4
0-4
D
;►.irt
no evidence = 0; common numerous es =max points)
y
23
Evidence of wildlife use
0-6
0-5
0-5
t
no evidence = 0; abundant evidence = maxpoints)
TalPv
bs��
�
0�?,
14'0SS0
'�
, i�h,"
TOTA�iT SCORE (alsotentei on first
page
�1
�`•..
lL M, # .. +€ �R.,'ak&ti2d�i3f'YH +S,'4'Aik.•a. �s¢`f! r iiV..i„*S tt+t
.yF.,:,_i.k
n e.3a , N".:u'.. 5NOW
* These characteristics are not assessed in coastal streams.

NC DWQ Stream Identification Form Version 4.11 Sw 1 p- 001
Date: 1--l-14
ProjectlSite: ACP
Latitude: &,<, 7v8M
Evaluator:,,NAP� f-
County: VJ1`Sor�
Longitude:7�j.[�
Total Points:
Stream is at least intermittent 15.s
Strea etermination (circle one)
Other
if >_ 19 orperennial if>_ 30`
phemeral ntermittent Perennial
e.g. Quad Name:
A. Geomorphology (Subtotal= U'3)
Absent
Wqgilk
Moderate
Strong
1" 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
2
3
4. Particle size of stream substrate
0
7 L75
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
1
1.5
10. Natural valley
0
0
1
1.5
11. Second or greater order channel
Sketch: j
RLQ
jTo = 0
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = 6 )
12. Presence of Baseflow
0 1
2
3
13. Iron oxidizing bacteria
1
2
3
14. Leaf litter
1.5 1
0.5
0
15. Sediment on plants or debris0
0.5
3
1.5
16. Organic debris lines or piles
0 0.5
.1 ..�
1.5
17. Soil -based evidence of high water table?
No = 0
Y = 3
1
C. Biology (Subtotal = 3 )
1 B. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0)
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae
0,.
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 0th r = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: N Stv-t does rvF re (ems
fW, LZI.
r
Sketch: j
RLQ
�L

Environmental Field Surveys
Waterbody Photo Page
Waterbody swip00l facing north upstream.
Waterbody swip001 facing south downstream.
Photo Sheet I of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody swip001 facing southwest across channel
Photo Sheet 2 of 2

USACE AlD#
DWQ #
Site # (indicate on attached map)
M
STREAM QUALITY ASSESSMENT WORKSHEET
SW 1C00 i
Provide the following information for the stream reach under assessment:
1. Applicant's name: 00m; (\:0(\ 2. Evaluator's name: OoJorcal ')�t 50 urCC 6-roop
3. Date of evaluation: �� I `�0 4. Time of evaluation:
5. Name of stream: Ul 4z lAn}enl-ne, Ct-eeK 6. River basin:
n.2s Gcres
7. Approximate drainage area. 8. Stream order:
9. Length of reach evaluated: ' 100 Fze r
11. Site coordinates (if known): prefer in decimal degrees.
0 1.Z L tl , jvr
Latitude (ex. 34.872312): 35 Z , 46
10. County: 1„ ASOn
12. Subdivision name (if any): 1
Longitude (ex. -77.556611): 76, 05, 51.0) n w
Method location determined (circle): PS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any): N 0 o e
15. Recent weather conditions: ie C° 9 ; ; o r, c;) J(1-- Q fie v'o a 5
16. Site conditions at time of visit: K)O Wl c,
17. Identify any special waterway classifications known: AASection 10 NLTidal Waters A Essential Fisheries Habitat
O k Trout Waters l4 �f Outstanding Resource Waters ik Nutrient Sensitive Waters ON Water Supply Watershed 1 b -IV)
18. Is there a pond or lake located upstream of the evaluation point? YES (a� If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES Q
21. Estimated watershed land use: % Residential
70 # % Forested
22. Bankfull width: 5
24. Channel slope down center of stream: V/ Flat (0 to 2%)
25. Channel sinuosity: Straight Occasional bends
20. Does channel appear on USDA Soil Surve YES �O�
_% Commercial _% Industrial 5 % Agricultural
_% Cleared / Logged _% Other
23. Bank height (from bed to top of bank): * 5 C+
_Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse):
In
1 Comments:
J fie^ P'� �vLJ 5 bio
ti �,1 ✓�,r�
Qns�er Leonard
S}('enin F lL->-aS +11rooak
c�, eJe�lgnc' i -,sl be
re v i1�a
ok M,,n- &,Aae ?o
$(fcrn Fo tiaA-
been (-v,n< )Ia+C(t afie
�5 nol ky�Z
geoa OLCCcsS +c a
F looJ attii oe r6hge
-/7 lot,►4�
+Lie 5+04A n &0 -A4 --
Evaluator's Signature ale Date 2-q-
This channel evaluation form is int!e!!xW to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
sw iccd
i--1 1ltat-1—latll3 al 11UL aJJWSGLL 111 GUdJCdl SLieams.
N

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Oriains v. 4.11
NC DWQ Stream Identification Form Version 4.11
Date: Z/1 /2c,15
Project[Site: AC?
Latitude: S.;"142 t 2y g6 �N
Evaluator: Wkforr RC50L)rCC coo
County: W -, 60(A
Longitude: Nt'OG' S) .
Total Points:
Steam is at least intermittentG�
Stream Deter in ti n (circle one)
Ephemeral
Other
if _ 19 orperennial if = 30-
Intermittent Perennial
e.g. Quad Name:
A. Geomorphology (Subtotal =_A.2___)
Absent
Weak
Moderate
Strong
1 a. 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
<Les =
-�
3
4. Particle size of stream substrate
0
2
3
5. Active/relict floodplain
n1
2
3
6. Depositional bars or benches
0
0.5
2
3
7. Recent alluvial deposits
0
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
a .
o =
Yes = 3
Notes:
artiticiai ditches are not rated; see discussions in manual
B. Hydrology Subtotal = 9 .5 A
12. Presence of Baseflow
0 1
2
13. Iron oxidizing bacteria
( 1
2 3
14. Leaf litter
1.5 1
0.5 0
15. Sediment on plants or debris
0 0.5
1.5
16. Organic debris lines or piles
0 11
1.5
17. Soil -based evidence of high water table?
No = 0
<Les =
C. Biologv (Subtotal= % 75 )
18. Fibrous roots in streambed
0
2
1
0
19. Rooted upland plants in streambed
3)
2
1
0
20. Macrobenthos (note diversity and abundance)
01
2
3
21. Aquatic Mollusks
C>
1
12
3
22. Fish
0
0.5
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
ACW = 0.7
OBL = 1.5
Other = 0
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
c�-
U')
4
'
X
U)
41

Waterbody SWIC001 facing north upstream
Waterbody SWIC001 facing east across

,FS F P
f{ �T
'tom":
t
.ek +
R
741

Open Waterbody Data Sheet
Survey Description
Project Name:
Waterbody Name:
Waterbody ID:
Date:
Atlantic Coast Pipeline
Unnamed Pond
0WIC001
2/9/2015
State:
County:
Company.
Crew Member Initials:
Photos:
North Carolina
ilson
NRG
CR, AS
0WIC001_001
Tract Number(s):
Nearest Milepost:
Associated Wetland ID(s):
19-044
367.2
W W IC001
Survey Type:
(check one) ❑x Centerline ❑Re -Route ❑Access Road ❑Other:
Physical Attributes
Waterbody Type:
(check one) OStock Pond ❑ Natural Pond ❑ Lake ❑ Reservoir ❑
Impoundment ❑ Oxbow ❑ Other:
Hydrologic Regime:
0 Permanently Flooded ❑ Semipermanently Flooded ❑ Seasonally Flooded ❑ Temporarily Flooded
OHWM
OHWM Indicator:
(check all that apply) ❑ Clear line
❑Shelving ❑Wrested ❑Scouring ❑Water
Height:
on bank
vegetation staining
6 ft.
El Bent, matted, or missing ❑Wrack
El Litter and ❑Abrupt plant ❑Soil characteristic change
vegetation line
debris community change
Depth of Water:
Bank height (average):
Bank slope (average):
6 ft.
12 ft.
40 degrees
N/A❑
Qualitative Attributes
Water Appearance:
(check one) El No water OClear ❑Turbid ❑Sheen
❑Surface ❑Algal ❑Other:
on surface scum mats
Substrate: ❑ Bedrock ❑ Boulder ❑ Cobble ❑ Gravel
0 Sand 0 Silt/ clay ❑ Organic ❑ Other:
(check all that apply)
% of Substrate: % % % %
20 % 80 % % %
Width of Riparian Zone:
Vegetative Layers:
(check all that apply) ® Trees:
0 Saplings/Shrubs: 0 Herbs
ft.
Avg. DBH of Dominants: gin.
2 in.
N/AD
(approx.) V
V
Dominant Bank Vegetation (list):
Loblolly Pine, Sweet -Gum, Red Maple, Giant Cane
Aquatic Habitats (ex: submerged or emerged aquatic vegetation, overhanging banks/roots, leaf packs, large submerged wood, riffles, deep pools, etc.):
None
Aquatic Organisms Observed (list):
Turtle and minnows
T&E Species Observed (list):
None
Disturbances (ex: livestock access, manure in waterbody, waste discharge pipes):
None
Waterbody is:
(check one) ❑ Natural ❑ Artificial, man-made
0 Manipulated
Waterbody Quality a:
(check one) ❑ High 0 Moderate
❑ Low
Form Rev. 07/09/2014

Form Rev. 07/09/2014
010
IVA
Waterbody ID:
OWIC001
a High Quality: Natural, natural bank vegetation around entire waterbody; banks stable and protected by roots; water color is clear to tea -colored; no
barriers to fish movement; many fish cover types available; diverse and stable aquatic habitat; no disturbance by livestock or man.
Moderate Quality. Altered by rip -rap; natural vegetation extends 1/3-1/2 of the active channel width on each side; filtering function or bank vegetation
only moderately compromised; banks moderately unstable; water color is cloudy, submerged objects covered with greenish film; moderate odor; minor
barriers to fish movement; fair aquatic habitat; minimum disturbance by livestock or man.
Low Quality: Rip rap and channelization excessive; natural vegetation less than 1/3 of the active channel width on each side; lack of regeneration;
filtering function severely compromised; banks unstable (eroding); water color is muddy and turbid; obvious pollutants (algal mats, surface scum,
surface sheen); heavy odor; severe barriers to fish movement; little to no aquatic habitat; severe disturbance from livestock or man.
Notes:
Waterbody Sketch (Include north arrow, centerline, distance from centerline, data point locations, survey boundary, and IDs of associated features)
00
illillillillillllllllIIIIIIIIIIIIIIIIIIIII,Illjlllllllllllllllllllloo�
1
`v
Form Rev. 07/09/2014
010
IVA

loll, Y b
l 7

[USA E 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:
3. Date of evaluation: A J -;� -* I i 5
5. Name of stream: , wT (3 \ po - Untie *b C -A t-N%w
7. Approximate drainage area:
9. Length of reach evaluated: - 1\ 0,>'
11. Site coordinates (if known): prefer in decimal degrees.
2. Evaluator's name: ` - v-,) 7r e -o : e r-
4. Time of evaluation: A vv%
1. River basin: 1\ 9,vse-
8. Stream order:
10.County:
12. Subdivision name (if any):
Latitude (ex. 34.872312): Longitude (ex. -77.556611):
Method location determined (circle): (0 Toeet Orthc(,(ADial) P1 of GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any):
15. Recent weather conditions: 5 e , b S \ I SX � c
16. Site conditions at time of visit:—0 dr., kz
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? NO If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? 0 NO 20. Does channel appear on USDA Soil Survey? NO
21. Estimated watershed land use: \ o % Residential % Commercial % Industrial 50 % Agricultural
'0% Forested
22. Bankfull width:
% Cleared / Logged % Other ( )
23. Bank height (from bed to top of bank): 1, -5
24. Channel slope down center of stream: _Flat (0 to 2%) iC Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: Straight _Occasional bends X 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: SJ r,
"0 'rJ4mrai�aj A A\- haw s�rc� �� is A � ��r A �- � 1'Va
}
Evaluator's Signature% Date , ,�?
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.

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

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWQ Stream Identification Form Version 4.11 , 1-13) oo
Date:
Project/Site:'9--1^; -1 C J
Latitude:
Evaluator: m s�sa li �e dam ,
County: W �\
Longitude:
Total Points:
. tion (circle one)
Stream Deterer
Other
Stream is at least intermittent 3 ,
if > 19 or erennial if >_ 30"
mi
Ephemeral I ent Perennial
I e.g. Quad Name:
A. Geomorphology (Subtotal = 01115 )
Absent
Weak
Moderate
Strong
18 Continuity of channel bed and bank
0
Q
2
3
2. Sinuosity of channel along thalweg
0
1
0
3
3. In -channel structure: ex. rife -pool, step -pool,
ripple -pool sequence
0
0.5
2
3
4. Particle size of stream substrate
0
0.
2
3
5. Active/relict floodplain
0
No = 0
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
= 0.75' OBL = 1.5 Other = 0
1
2
3
9. Grade control
0
0.5
(1)
1.5
10. Natural valley
0
_0
1
1.5
11. Second or greater order channel
CZ
�`%Jo=O)
Yes = 3
artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = 1. '�- )
12. Presence of Baseflow
0
1
1
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
O
0.5
0
15. Sediment on plants or debris
�6'
0.5
1
1.5
16. Organic debris lines or piles
0
0.
1T
1.5
17. Soil -based evidence of high water table?
No = 0
{ Yes =
1.5
C. Biology (Subtotal = 3, d )
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
(0)
1
2
3
21. Aquatic Mollusks
�6'
1
2
3
22. Fish
o
0.5
1
1.5
23. Crayfish()
0.5
1
1.5
24. Amphibians
0
i) 1
1.5
25. Algae
t�
0.5
1
1.5
26. Wetland plants in streambed
KKCW
= 0.75' OBL = 1.5 Other = 0
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: ,,_ I �, J `, A - ems. � � n�� WC -N\ 4.e�lla'l
a , 5___ " - ? �i 1waaP j
Sketch:
CZ
a?�ko. s i`
s
41

�R�. ��, , -� •, .� ems. �F�y p} !-
Ole`a
. mw �.

SWIB100 facing north upstream
SW I B 100 facing west across stream

USACE AlD#
D W Q # Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
SWJCoCQ
Provide the following information for the stream reach under assessment:
1. Applicant's name: Dorn ; n i o^
3. Date of evaluation:/�R /aOI 2015
5. Name of stream: Con-'e,\tne-,
7. Approximate drainage area: SOa cC 6f 5
9. Length of reach evaluated: a co
11. Site coordinates (if known): �prefer in decimal degrees.
Latitude (ex. 34.872312):
2. Evaluator's name: �4or'a l `\�e %xcf 6wp
4. Time of evaluation: 10: 2 O A M
6. River basin: i(GJ JQ
8. Stream order:
3
10. County: WASOA
12. Subdivision name (if any): /
Longitude (ex. -77.556611): 7 6 v6 6' 15,9q `k/
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any):
15. Recent weather conditions: V40 Cece4 4-C, O�
16. Site conditions at time of visit: isarnal
17. Identify any special waterway classifications known: _Section 10 Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters _Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES No If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? (� NO 20. Does channel appear on USDA Soil Survey? � NO
21. Estimated watershed land use: _% Residential % Commercial % Industrial % Agricultural
/W % Forested
22. Bankfull width: qS Fe e 4-
24.
24. Channel slope down center of stream: Flat (0 to 2%)
25. Channel sinuosity: Straight _Occasional bends
_% Cleared / Logged _% Other
23. Bank height (from bed to top of bank): 1Z F-IL4 4'
_Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality. C� c
Total Score (from reverse): tO 1 Comments: J�(-ec`r,() 1 ''1`,S 5eu-r�,I fc�,5
0,A o}►eC" G'COCK,)/ CJ�Sr;S r�.n +442 r,)� "CL, Goz)�ie 0✓, 21e 4a6
Vi t b,d L -),1-e( M4wQ- �KS k an 2 h1Z.A 4 -1N -'C � crt.
Evaluator's Signature 1, ?e .", Date 022 15
This channel evaluation form is inten d to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.
rdr

STREAM QUALITY ASSESSMENT WORKSHEET
s WICOOa
t nese cnaractenstics are not assessea in coastal streams.

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
SW iCco()�.
NC DWQ Stream Identification Form Version 4.11
Date: ���p/ oZ0 rj
ProjectlSite: KI?
Latitude:35a11t sC7 501(,d
Evaluator: Nc.�O�w� �¢ (ce Gj�v
County: \4160r\
Longitude: 746' )� yy +�W
Total Points:
Stream is at least intermittent
��
Stream Determination (c9;�
Ephemeral Intermittent
Other
d
if >_ 19 or Perennial if >_ 30'6
2. Sinuosity of channel along thalweg
e.g.Quad Name:
n _ r
A. Geomorphology (Subtotal = .. '1'J
Absent
Weak
Moderate
Strong
1a. Continuity of channel bed and bank
0
1
2
15. Sediment on plants or debris
2. Sinuosity of channel along thalweg
0
1
2
Q 1.5
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
3
5. Active/relict floodplain
0
1
©
3
6. Depositional bars or benches
0
1
1
3
7. Recent alluvial deposits
0
0.5
2
3
8. Headcuts
0
1
®
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0
1
1.5
11. Second or greater order channel
No = 0
es = 3
Sketch:ACL
artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal =-10.5 _)
12. Presence of Baseflow
0 1
2 0
13. Iron oxidizing bacteria
0 1
0 3
14. Leaf litter
1
0.5 0
15. Sediment on plants or debris
® 0.5
1.5
16. Organic debris lines or piles
0 0.5
Q 1.5
17. Soil -based evidence of high water table?
No = 0
es =
C. Biology (Subtotal = `1.-45 )
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
0
2
3
21. Aquatic Mollusks
0
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
0.5
1 1 1
1.5
26. Wetland plants in streambed
ACW _-10 .
OBL = 1.5 Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:ACL
C
PAF'
41

Waterbody SWIC002 facing north upstream
Waterbody SWIC002 facing east across

�t�� i �/ ,i ��*i�7M'� �
° e `� � � .,
- `,
=..' _ i ,
,� d — 9 a�.rw .. ,� u - � _
_ • *��
- _ �_..

USACE AlD#
DWQ#.
Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
StiJ 1 C Off(
Provide the following information for the stream reach under assessment:
1. Applicant's name: N " n; p rl 2. Evaluator's name:- Oc,FOrel ;ReSavrci.� �rrbv p
3. Date of evaluation: ! 2 0l S 4. Time of evaluation:
5. Name of stream:__ 0+e- A+Glee Cc-eere 6. River basin: 1NfeJS2.
7. Approximate drainage area: 560 pfd 5 8. Stream order:_ 3
9. Length of reach evaluated: ZOO Fce+
11. Site coordinates (if known): prefer in decimal degrees.
Latitude (ex. 34.872312): "5 g I' N, 7 a K" N
10. County: 'Q,- ISO
12. Subdivision name (if any
Longitude (ex. -77.556611): I f o Q6'2, -.7q (' l
Method location determined (circle): ® Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any): tV 0 Ae
15. Recent weather conditions: 00 Ke Q? QS2-C ; p; )'A
16. Site conditions at time of visit: t
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters _Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES (0 If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? & NO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: % Residential _% Commercial _% Industrial _% Agricultural
22. Bankfull width: S5 %e
j(QQ% Forested _% Cleared / Logged _% Other
23. Bank height (from bed to top of bank): I q Ve e 4-
24. Channel slope down center of stream: ✓ Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: Straight _Occasional bends V 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): 6 J Comments: S re w's
oM�ee t3 ` Aetir; S e a 4t, :\ h6 C(ACc rkr-, I i�L,_ C4, r3KXJ1
Cro ,r ,-
JO> J AF,i 4Cee S
'Che �' Oc-A-er ,AAnte ,Ae I*-,,Jk.:C ;r\U-44 lk -z 3- WCi 4
Evaluator's Signature el if 2r=5e-,-I Date a Aq I l.-)©1 s
This channel evaluation form is inten d to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.

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

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Oriqins v. 4.11
5w 1COO9
NC DWQ Stream Identification Form Version 4.11
Date: 2/Z
Project/Site: �C P
Latitude: a L` 1 Zj�. &I
Evaluator: f.%a.� �/fi.� 'R6o o r -Ce G -o 0p
County: t' J : � 5 0 n
0 06 ¢ZZ. 7q)
Longitude:71
Total Points:
Stream is at least intermittent L{ Z _ 75
>_
Stream Determination (circle one)
Ephemeral Intermittent erennia
Other
e.g. Quad Name:
if 19 or perennial if >_ 30"
2. Sinuosity of channel along thalweg
0
A. Geomorphology (Subtotal
Absent
Weak
Moderate
Strong
1 a' Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
1.5
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
1
Cp
3
5. Active/relict floodplain
0
10
1
3
6. Depositional bars or benches
0
10
1
3
7. Recent alluvial deposits
0
0.5
2
3
8. Headcuts
0
1
Q
3
9. Grade control
0
0.5
M
1.5
10. Natural valley
0
1
1.5
11. Second or greater order channel
a
No = 0
es =
Sketch:
artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal= 10,5 )
12. Presence of Baseflow
0 1
23Cb
13. Iron oxidizing bacteria
0 1
(2) 3
14. Leaf litter
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
1.5
17. Soil -based evidence of high water table?
No = 0
s =
C. Biology (Subtotal = '?,75
)
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
0
2
3
21. Aquatic Mollusks
0
2
3
22. Fish
0
0.5
Cp
1.5
23. Crayfish
V
0.5
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae0
0.5
1
1.5
26. Wetland plants in streambed
ACW = 0.7j9
OBL = 1.5 Other = 0
"perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
41

�.� �� � [i
__. —.__ _ 3'�
aE � J
i•
.,, �` i
_- 1
.. ....
` f
_ _ t
.:�

r. � a t i .:_:z� �
� y `t �.�
.`
�; � - %.
_ -.. ,.
s___ - - _ -
_ '�Y -
S �r ��

USAGE AID#
DWQ#
Site # (indicate on attached map)
M
STREAM QUALITY ASSESSMENT WORKSHEET
SW IC003
Provide the following information for the stream reach under assessment:
1. Applicant's name: %th-n.-On 2. Evaluator's name: N't-0ra\ GsfvJ-p
3. Date of evaluation: ala 1 12o ( 5 4. Time of evaluation: Q1111-15 pM
5. Name of stream: UT ka Co n)L'aJne,. CreeK 6. River basin: fIeJS4-
7. Approximate drainage area: T D tics` -P S 8. Stream order: l s
9. Length of reach evaluated: 100 lea\' 10. County: VJ' 60n
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
n
Latitude (ex. 34.872312): 3S0C1' z7. 10 JJ Lonaitnde(ex -77550,(,11)* -7 84 tS6) Z�,{,7IJ
Method location determined (circle): ' Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any):- N)CQ,
15. Recent weather conditions: NO D "-en } e -C Z rr�'0/�
16. Site conditions at time of visit: ,40 ( lmk
17. Identify any special waterway classifications known: ,v � Section 10 hkTidal Waters 1vh Essential Fisheries Habitat
-N!hTrout Waters Outstanding Resource Waters % Nutrient Sensitive Waters A Water Supply Watershed 9A (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES (�If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES ap 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: _% Residential _% Commercial _% Industrial _% Agricultural
k20"/o Forested % Cleared / Logged _% Other
22. Bankfull width: y �ee a' 23. Bank height (from bed to top of bank): 3 , S �4
24. Channel slope down center of stream: _Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: Straight _Occasional bends Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality. r
Total Score (from reverse): Comments: ;�F-�e(, (oJ3 'I4-6
(?'3NVC()�ntf. C(eeKrxAZ (ec:e.`6 0,W ;r, J}yy-6n fe51e1 LJ4ta�z.
Evaluator's Signature_ l}' ' ri 1 Date Z �Z ( 5
This channel evaluation form is intendW to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
S W iC©03
I nese cnaracteristics are not assessea in coastal streams.
K

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
'SW l 0003
NC DWQ Stream Identification Form Version 4.11
Date: a/21 /1,1,15
Project/Site: ACP
Latitude:
Evaluator: 1 eso✓q 6%')
County: j,J, l jn
Longitude: 78'006 671^/
Total Points:
Stream is at least intermittent
Stream Determination (circle one)
Other
if >_ 19 or perennial if >_ 30*
hehemera) ntermittent Perennial
e. Quad Name:
g'
A. Geomorphology (Subtotal = Z5,5 )
Absent
Weak
Moderate
Strong
1a. Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
0
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
02
0.5
1
3
4. Particle size of stream substrate
1
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
1
2
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
1 4
1
1.5
11. Second or greater order channelo
=
Yes = 3
Sketch:
Cb r -q Zf
artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = 3-5 )
12. Presence of Baseflow
0
1
Q
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
1
.5
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0.5
1 1
1.5
17. Soil -based evidence of high water table?
No = 0
Yes = 3
1.5
C. Biology (Subtotal =
18. Fibrous roots in streambed
3
1
0
19. Rooted upland plants in streambed
3
1
0
20. Macrobenthos (note diversity and abundance)
®
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75;
OBL = 1.5
Other = 0
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
Cb r -q Zf
G
41

� as.
1 u�
ai

Waterbody SWIC003 facing northwest across

USACE AIDS DWQ # Site Y_ (indicate on attached map)
SWI? 0955
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: ;)nry-Nty,i011 2. Evaluator's name:ESSLf.D-;)e- M0.yLha..m±
3. Date of evaluation: Gi I I I I I �l 4. Time of evaluation: 5 b 0.YY1
t
5. Name of stream: LA Nft- rD - UY� 6. River basin: N'e06e, -
7. Approximate drainage area:,i 100 0`L 8. Stream order: O
9. Length ofreach evaluated: So 10. County: Vy 1 \6
11. Site coordinates (if known): prefer in decimal degrees.
Latitude(ex. 34.372312): 35, b 8881
12. Subdivision name (if any)):: �c
Longitude (ex. -77.556611): -7 8. �ob-LJ
Method location determined (circle):PS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
Errbt o�- NG Sgl rteo-r �e.rvGot o �-v
14. Proposed channel work (if any):r
15. Recent weather conditions:_ W 4.s-YYti d'
16. Site conditions at time
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? 0NO If yes, estimate the water surface area:'� Zo
19. Does channel appear on USGS quad map? ES NO 20. Does channel appear on USDA Soil Survey? 0 NO
21. Estimated watershed land use: _%Residential _%Commercial _%Industrial 70% Agricultural
60% Forested _% Cleared / Logged _% Other (
22. Bankfull width:_T��
24. Channel slope down center of stream: _Flat (0 to 2%)
25. Channel sinuosity: _Straight Occasional bends
23. Bank height (from bed to top of bank): i l
_Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>I0%)
_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 fi•om 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 assianed 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 aaX A A 1 4�~` Date � / Iyi
This channel evaluation fo is intended to be used on as I guide to assist landowners and diviroilmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USAGE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 0610_. To Comment.. please call 919-576-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
Yt4'
,t}�1
�''i"FL3 C^�IAiA�GTRI3TICSa
fJJ
'"�_ti"<��+�.t`i";§„..s'�a.:;:�L��:.s'€�^`dt..��.
�x�a���sY+. �n,'.plC�dm9n�o�lVi iiil�am��
”+i;�.;
4"�•,+`.a.�
�.�y`�,t��"^�
i.
".
I
Presence of flow / persistent pools in stream
0-5 ...
0-4
0-5
(no flow or saturation = 0; strong flow =max points)
2
Evidence of past human alteration
0-6
0-5
0-5
rJ
{
(extensive alteration= 0; no alteration = maxpoints) .
3
"; Riparianzone. =
0-6
0-4
0 5
y
(no.buffer. O;Lonti uous lvidebilffer=max points)
J
'
Evidence ofnitrientorcheiiiical.discharges
at
4
(extensive dischai''es — O; no dise g es = max omts)
0 5
0 4 -:
0=4
,
5
Groondwater discharge _ e
0 3
-0-4
0`=4
.P {
(no dischar e 0 s rin s, seeps, wetlands, etc max points
w
'
6
Presenceofadjaceutfloodplain
0-4
�0-4 °'
0-2
Z
(no floodplam , 0; extensive flood lain In ax points)
Entrenchment / floodplain access
0 5
0-4 .
0-2
p
(deepl entrenched = 0; fre uen t floodm .= max oints)
§,
g
Presence of adjacent wetlands
0-6
0-4
0-�2
(no wetlands = 0; large adjacent wetlands,— max points
:f
9
Channel sinuosity
0-5 ..
0-4
0-3
LI
extensive ebannelization = 0; natural meander= max points
410
a
Sedimentinpdt
little —
0 5
0-4
0-4 '
(extensive deposition= O; or no sednnent max points)
11
Size & diversity of channel bed substrate
3dA� r"
0-4
0-5
_
(fine, homogenous = O, large, diverse sizes' max oints)
J'
Evidence of channel incision or }widening
0-5
0-4
0-5
y
12
(deeply incised = 0- stable bed & banks = max points
E t
1
Presence of major bank failures
0— 5
5
0- 5
(severe erosion = 0'; no erosion, stable banks — max points)
Q-
14
Root depth and density on banks
0-3
0 —4
0-5
Z
(no visible roots = 0; dense roots tt rou hoot =max oints)
`rn-
Impact by agriculture, livestock, or timber production%
0-5
0
0-5
I5
(substantial impact 0` no evidence = max points)
—4
13t-
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
2
E-
16
(no riffles/ripples or pools = 0; well-developed —max oints)
17
Habitat complexity
0-6
0 — 6
0-6
Ly`
(little or no habitat = 0; fruent, varied habitats = max points
m
18
Canopy coverage overstreambed
0-5
0-5
0-5
5
(no shading vegetation = 0; continuous canopy = maxpoints)
19
Substrate embeddedness
,NA,'k ,:
0-4
0-4
(deeply embedded = O; loose structure — max
20
Presence of stream invertebrates (see page 4)
0 —4
0-5
0-5
0
(no evidence = 0; common, numerous types = max points)
21
Presence of amphibians
0-4
0-4
0-4
O;
(no evidence =.O; common, numerous types — max points)
-f
22
Presence of fish ''
0-4
0-4
0-4..
(]
(no evidence — 0; common, numerous types max points)
23
Evidence of wildlife use' '
0 — 6
0 — 5
0 — 5 .
(no evidence 0 abundant evidence max points
Total 'oints PassibleJ
100
100
100
ft
Y i
x
y, r t4 'TOTAL' SCORE., (also enter on firstage� $ ' '
�' " r'
* These characteristics are not assessed in coastal streams.
2

NC DWO Stream identification Fm•m Version 4.11 S\til i -') ch 1b R
Date:
I'
Weak
Project/Site:
Latitude: 35.1 ggv
Evaluator:
•t`
County: �,so �/'\
Longitude:..�Q
Total Points: ^
Stream is at least intermittent
Stream DetermjbatijQncircle one)
Ephemeral Perennial
Other L"LJcs-m
if >_ 19 or perennial if>_ 30` ,
lnjermitten
e.g. Quad Name:
A. Geomorphology (Subtotal =_i1 )
Absent
Weak
Moderate
Strong
1 a' 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
Q
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
111
2
3
7. Recent alluvial deposits
0
1
2
3
S. Headcuts
0
1
2
3
9. Grade control
0
0.5
Notes:
1.5
10. Natural valley
0
0.5
1.5
11. Second or greater order channel
No = 0
Yes = 3'
C ¢a
ori5!h
- artificial ditches are not rated; see discussions in manual
B. Hvdroloov (Subtotal = X; )
12. Presence of Baseflow
0 1
2
3
13. Iron oxidizing bacteria
1
2
3
14. Leaf litter
1 1
0.5
0
15. Sediment on plants or debris
L00 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
Ces = 3
C. Biology (Subtotal = kv ) �T
1B. Fibrous roots in streambed
3
2 1
1
0
19. Rooted upland plants in streambed
3 1
2 1
1
0
20. Macrobenthos (note diversity and abundance)
1 1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
Ca0.5
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae
(911 1
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL
= 1.5 qther = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
C ¢a
ori5!h
©"w M

I
Environmental Field Surveys
Waterbody Photo Page
Waterbody swip008 facing west upstream.
TAW W
- E
171
�! `}
Waterbody swip008 facing northeast downstream.
Photo Sheet I of 2

Environmental Field Surveys
Waterbody Photo Page
NO
Waterbody swip008 facing northwest across bank.
Photo Sheet 2 of 2

NC DWQ Stream Identification Form Version 4.11 5?N i i 00(0
Date: S 112-1115,
Project/Site: 1q Gp
Latitude: 35 L0 8 bd8
r
Evaluator: E5= L, Q?e.1" / MNf Qj6.,m
County: \N `S y)
Longitude: -1S' 1 u tb )
Total Points:
Stream is at least intermittent 2
Stream Determin ' circle one)
Other Lt. ca ✓✓l NC
if >_ 19 or perennial if>_ 30-
Ephemeral I ermitten Perennial
e.g. Quad Name:
A. Geomorphology (Subtotal =_U _1.S_)
Absent
Weak
Moderate
Strong
1" Continuity of channel bed and bank
0
62
2
3
2. Sinuosity of channel along thalweg
0
1
0
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
0
2
3
4. Particle size of stream substrate
0
es =
2
3
5.Active/relictfloodplain
0
0.5
2
3
6. Depositional bars or benches
1
2
3
7. Recent alluvial deposits
0
1
2
3
B. Headcuts
0
Other = 0
2
3
9. Grade control
0
0
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
o =0
Yes = 3
Sketch:
st, �_OOu
f ww �O11,
' artificial ditches are not rated; see discussions in manual -"
B. Hydrology (Subtotal= 'nI r )
12. Presence of Baseflow
0 1
2
3
13. Iron oxidizing bacteria
0
2
3
14. Leaf litter
1
0.5
0
15. Sediment on plants or debris
0
1
1.5
16. Organic debris lines or piles
0
1
1.5
17. Soil -based evidence of high water table?
No = 0
es =
1
C. Biology (Subtotal = to )
18. Fibrous roots in streambed
2 1
1
0
19. Rooted upland plants in streambed
Nj 1
2 1
1
0
20. Macrobenthos (note diversity and abundance)
Tio 1
1 1
2
3
21. Aquatic Mollusks
I XO)1
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0.5 1
1
1.5
25. Algae
0.5 1
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.
Other = 0
`perennial streams may also be identified using other
methods. See p. 35 of manual.
Notes:
Sketch:
st, �_OOu
f ww �O11,
Y%
i e)(v�
V, QtS
�San�ivll W � doh,' S � i

USACE A1D4 DWQ # Site#_ (indicate on attached map)
swig 00(0
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
x ,
1. Applicant's name: DOYY� ky\ 1 2. Evaluators name: E S LZ')PN �U ! 1 1(AYY1�
3. Date ofevaluation:--15 / 12. h 1S 4. Time ofevaluation:
5. Name of stream: LAO ii Creek - 6. River basin: N EV `a e,
7. Approximate drainage area: LWOC' 8. Stream order: tD
9. Length of reach evaluated: � D � 1 I0. County: w 1 \`a on
11. Site coordinates (if known): o prefer in decimal degrees. 12. Subdivision name (if any): nt)nQ-
Latitude (es.34.872312): c3 S , 6 8 (oO a Loneitude (ex.-77.556611): —7 S. to S k2-
Method location detennined (circle): ,'S Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other -
13. Location of reach under evaluation note nearby roads and landmarksandattach map identifying stream(s) location):
eW>t o� Nc EaI 11pr1-r %V—er\'CYllI t -A
14. Proposed channel work (if any): 17YD' Q6e
ater conditions:I5. Recent we_WU�Y YY1
16. Site conditions at time of visit: cV1a'
o a A, Q 4 r-c A r(A � Tl e,,c\
17. Identify any special waterway classifications known: _Section 10 _ al Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _✓Nutrient Sensitive Waters _Water Supply Watershed (MV)
18. Is there a pond or lake located upstreaut of the evaluation point? YES 0If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES 20. Does channel appear on USDA Soil Survey? YES l 0
21. Estimated watershed land use: S % Residential % Commercial _% Industrial 75
9io Agricultural
Z Q % Forested _% Cleared / Logged % Other ( ;
22. Bankfull width: _ 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: _Straight _Occasional bends _Frequent meander _Very sinuous _Braided channel
I
nstructions 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 descrip't'ion of how to review the
characteristics identified in the worksheet. Scores should reflect all 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 (front reverse): SD
Evaluator's Signature Date��
This chane evaluation r t is intended to be used fly a a guide to assist landowners au envRn—mental professionals in
gathering the data required by the United States Army or•ps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USAGE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - aversion 06 03. To Comment. please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
5.
+- �M1 I i` 3 Y $ a+
i '� s z 4 Ly > t § 5 U v i. ".`!' 3�—i'
-. F F"'k ilE I^ [a iiOR40
C^FIz�i2A`CTf+sI2ISTTC�S4 `;r�'
}'1]� yY .moi
I ,
15f(Sy yOl[yalai
an
��OliE
, i 5�
sy 4' faa 8o- d&
"u.
t «„ ,�,. $ > � �,r�- sr
ry{. ^"xF rn lx K
MR 11019
+
s.
c^y
�d„s'c x�S.u'� fi' Y+�.�,�1� ,L't,«?.4��{S��
Presof flow / persistent pools in stream ' ^
ence
1edII1Qn i
I
0-5
0-4
0-5
y':
(no flow or saturation = 0; strong flow = maxpoints)
z
Evidence of past human alteration
0-6
0 5
(I 0-5
Z.
s`
2
(extensive alteration — 0; no alteration =max points)
3
Riparian zone' .
0-6
0-4
0:5 .
2
(no buffer. 0;.contip nous, Wide buffer = max points
4
Evidence of nutrient orcltemical.dischatges :..,
0 5 -
0 4 s
0=4'
Z
v-
(extensive dischar 'es 0; no d2schar es =max pomts)
S
Ground water discharge r
0 3
4
0 ' `
6—`4' '
no dischar e 0 s rm s see s, wetlands, etc' max points.
`i
6
Preseneeofadjacenifloodplain
0 4
0-4,°
0
3
(no floodplain = 0: extensive floodpla n =max points
p�
Entrenchment / floodplain access
0-5
0 4
0-2
3
�.
(deeply entrenched = 6; fre uent floodm = max points
i y
f
$
Presence of adjacentnetlands
076
0-4
0-2
— Ot large wetlands=
1
o-
(no wetlands adjacent max points)
' 'g
Channel sinuosity ' �
0-5
0-4
0-3 '
Z
0; natural max points)-
extensive channelizahonmeander—meander—
-
10
Sediment input
5
0-4
0 —4 `
extensive deposition= 0; little or no sediment max points)0
Size & diversity of channel bed substrate
0-4
0-5
IINA*'
(fine, homogenous zF 0; large, diverse sizes =max points)
.I
`*
Evidence of channel incision or widening
0-5
0
0-5
3
12
(deeplyincised = 0; stable bed & banks = max points)
—4
-
,
Presence of major bank failures
0-5
0-5
0-5
13
(severe erosion = 0; no erosion, stable banks = max points)
?�
14
Root depth and density on banks
0-3
0 —4
0-5
3
(no visible roots = 0; dense roots throughout � maxpoints)
i
IS
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5 <
'L
z y,
(substantial impact =0; no evidence =max points
Presence of riffle-pooVripple-poor complexes
0-3
0 5 '
0-6
I
16
(no riffles/ripples or ools=0;well-developed—max points)
17
Habitat complexity
0-6
0-6
0=6
3
(little or no habitat = 0; frequent, varied habitats = maxpoints)
0.~1
18
Canopy coverage over streamlied
0-5
0-5
0-5
'
'
(no shadingve etation = 0; continuous canoe += maxpoints)
i
19
Substrate embeddedness
Ij�x
0-4
0-4
(deeply embedded = 0; loose structure —max)
, t , h.._
20
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
0(no
evidence = 0; common, numerous types = maxpoints)
Presence of amphibians
0-4
0-4 ;
0-4
0
O:
21
(no evidence 0; common, numerous types max points);.
fps
O
22
` Presence of fish
0-4
0-4
0-4
•t-
(no evidence 0, common, nuinerous b+pes max points)
23.
Evidence of wildlife use
0-6
0-5
0-5.
(no evidence =. 0; abundant evidence = max points)
1
z f x � ) Toiai P161nts
� <_
* These characteristics are not assessed in coastal streams.

F f �
i
S'
i►:. nIY►'�P , �.=TM�r � +.`!EIS_
fN' .+ �• �.-.--
�'.. i w•�. i- �^' mac:.

Environmental Field Surveys
Waterbody Photo Page
Waterbody swip007 facing south upstream.
Waterbody swip007 facing north downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody swip007 facing west across bank.
Photo Sheet 2 of 2

I iSACE AID-= DWS
Site Y (indicate on attached map)
:5w to 0
*JJ STREAM QUALITY ASSESSMENT WORKSHEET
LLM
Provide the follmiing information fur the stream reach under assessment:
2. Evaluator's name: ESl- 40 b:v*n
4. Time of evaluation. 1 Q & r
O. ]fixer basin: ti
1 . App1 icant's name. Do Y-, % rrr'i o Y%
3. Gate ofevaluation: lrr f 3 0 f J fa
5, Lame of stream; L�iN��w�n�.0
7. Approximate drainage area:
9, Lensth of reach evaluated: dr D
S. Stream order: 0
10. County: W � 15 o n
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): �ir'I't `+ �.t 1
latitude (ex. 34.87231?): -3 5, u J 0� Longitude (ex. -77.556611): —211 1 i% 36
, 1
Method location detennined (circle): 0 Topo Sheet Ortho (Aerial) Photo'CHS Other GIS Other
13. location of reach under evaluation {note nearby roads and landmarks and attach map identiRing streams) location):
14. Proposed channel work (if
15. Decent weather conditions:
16. Site conditions at time of visit: C�,
17. ldenti y any special watenvay clasSlllc'atlons known: _Section 10 _Tidal NN"iters _Essential Fisheries Habitat
Trout Waters Outstanding, Resource Waters � Nutrient Sensitive Waters Water Supply Watershed (I-IV)
18. is there a pend or lake located upstream of the evaluation point? YES Olfyes, estimate the water surface area:
19. Does channel appear on t.ISGS quad map? YES 00, 20. Does channel appear on LiSDA Soil Survey? YES
21. Estimated watershed land use: _^°o Residential �No Commercial _% Industrial IOa 0'0 Agricultural
°n Forested
22. Bankfull Width:
24. Channel slope doxvn 7S.6ifit
of stream: �lat (0 to ?4 U)
25. Channel sinuosity: ^Occasional bends
°o Cleared i logged _°o Other { )
23. Bank height (from bed to top of bank):
___Gentle (2 to 4%) _Moderate (4 to 101 �0) _S teep (->10° 0)
____,_Frequent meander ,Very sinuous _Braided channel
Instructions for completion of worksheet (located an page 2): Begin by detennining the most appropriate ecoregion based on
location. terrain, vegetation, stream classification, etc. Ever} characteristic must be scored using the same ecoregion. assign points
to each characteristic NNithin the ranee shown for the ecoregion. Page 3 provides a brief description of holy 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 vveatlter 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 tinder review (e.g., the stream flows from a pasture
into a forest). the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest duality.
Total Score (from reverse) � J Comments:
Evaluator's Signature --�' Date____
This channel evaluation ( m is intended to lie fed ¢fitly as a guide to assist landowners and environmental professionals in
gathering the data required by the United States my Corps of Engineers to make a preliminaryassessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and docs not imply a
particular mitigation ratite or requirement. Form subject to change -version 06 03. To Comnient. please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT NVORKSHEET
* These characteristics are riot assessed in crustal streams.
ECOREGION POINT
RANGE,
#
CHARACTERISTICS
SCORE
CoastalPiedmont
llfountain.
1
Presence of flow / persistent pools in stream
0 -5
0--4
0_-5
(no flow or saturation = 0: strong ]low = maxpoints)
Evidence of past human alteration
00-6
[]-5
0-5
D
(extensive alteration = 0, no alteration = max dints)
Riparian zone
0-6
0-4
5
(no buffer = 0; contiguous. wide buffer = inaxpoints)
I
4
lr -idence of nutrient or chemical discharges
0-5
0•-4
0-4
(extensive discharges = 0; no discharges = maxpoints)_
a
5
Groundwater discharge
-
0-4
0
(no discharge = 0; springs, see . s, wetlands, etc. = maxpoints)0
6
Presence of adjacent floodplain
0-4
0-4
0-2
T1
y,.
(no floodplain = 0; extensive flood lain = max points)_
lJ
Entrenchment f floodplain access
0. 5
0 4
[] -?
(dee lv entrenched = 0; frequent flooding = max points)
8
Presence of adjacent wetlands
0- 6
0-4
0-2
(no wetlands = 0; large adjacent wetlands = maxpints)
9
Channel sinuosity
0-5
0-4
0-3
'"
0
extensive; channelization = 0; natural meander= max points)-
]0
Sediment input
0
0-4
0-4
(extensive deposition= 0; little or no sediment =rnax hints)
L
1 i
Size & diversity of channel bed substrate
NSA*
0-4
0 - 5
fine, homogenous = 0; large. diverse sixes = max points),
12
Evidence of channel incision or widening
0-5
0_4
0 - 5
(deeply incised = 0: stable bed & banks = maxpoints)
13
Presence of major franc; failures
0-5
0-S
0-5
severe erosion = 0: no erosion, stable banks = marpoints)
W
�
14
Root depth and density on banks
0-3
0•-4
0-S
(no visible roots = 0; dense roots throughout = max points)
f
15
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
(substantial impact =0; no evidence =rnaxpoints)
16
Presence of riffle-poollripple-pool complexes
0-3
0•-5
0-6
(no riffles/ripples or pools= 0; well-developed= max pints)
dHabitat
17
complexity
0-6
0_6
0_6
�.
(little or no habitat = 0; frequent, varied habitats =rnaxpoints)
18
Canopy coverage over streambed
0-5
0-5
0-5
(no shading vegetation = 0; continuous canopy =rnaxpoints)
19
Substrate embeddedness
-
NA*(deeply
0 - 4
0 -4
embedded = 0; loose structure = max)
20
Presence of stream inr ertebrates (see page 4)
0-4
0-5
0-5
(no evidence = 0, common, numerous types = maxpoints)
1
Presence of amphibians
0-4
0-4
0-4
C7
(no evidence = 0; common. numerous ty es = maxpoints)
22
Presence of fslt
0-4
0-4
0-4
f ti
l.J
p
(no evidence = 0; common, numerous types = max points)
23
Evidence of wildlife use
0-6
0- 5
0-5
4
(no eviderice = 0: abundant evidence = max points)
Total Points Possible
100
100
100.
TOTALSCO (also enter on first page}
p�
* These characteristics are riot assessed in crustal streams.

NC DWQ Stream Identification roan 'Version 4.11 5w ic> `-' `�
Date: � ! 3 D �
ProjectlSite: 6 (,p
Latitude:3$ , & 9Z -'q 0(,
Evaluator: L. R
County: W , 15 iDn
Longitude: - 7S. (� c>31(_
Total Points:
Stream is at least intermittent
ff tream termination (circle one)
\&ehem intermittent Perennial
Other LAC_rA jt�,
e.g. Quad Name:
if z 19 or perennial if � 30'
�_-
0
A. Georncr halo (Subtotal= j
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,
6 le- col sequence
,
1
2
3
4. Particle size of stream substrate
No = 0
1
2
3
5. Activelrelict floodplain
0.5
1
2
3
6. Depositional bars or benches
1 1.5
1
2
3
7. Recent alluvial deposits
(01
1
2
3
8. Headcuts
1
2
3
9. Grade control
0
g.5
1
1.5
10. Natural valley
0
7a.
1
1.5
11. Second or greater order channel
a = 0
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = r )
12. Presence of Baseflow
0 1
2
1 0
13. Iron oxidizing bacteria
&1
2
3
14. Leaf litter
5) 1
0.5
0
15. Sediment on plants or debris
0 Qa_]
1
1.5
16. Organic debris lines or piles
� 0.5
1
1.5
17. Soil -based evidence of high water table?
No = 0
0.5
es = 3
C. Biology (Subtotal = _ 7, 5"- 1 -
18. Fibrous roots in streambed
2
1 0
19. Rooted upland plants in streambed
2
1 0
20. Macrobenthos (note diversity and abundance)
1
2 3
21. Aquatic Mollusks
l
1
2 3
22, Fish
0
0.5
1 1.5
23. Crayfish
0.5
1 1.5
24. Amphibians
0
0.5
1 cT_6
25. Algae
0.5
1 1.5
26. Wetland ptarnts in streambed
FACW = 0.75; QBL a 1.5
9fher = 0
'perennial streams may also be identified using other methods, See p. 35 of manual,
Notes:
Sketch:
rj l�7 l p 4J � J
,k_: 64
Omwm : 9-F4

�,� � r&tf 4} � �;_ + ;. oy .v°'�. L Yrs -1'•ry - ,r � -�.�.
�rd f _
Jr
,. 1.
y41j,/
�,� � r&tf 4} � �;_ + ;. oy .v°'�. L Yrs -1'•ry - ,r � -�.�.
�rd f _
Jr
,. 1.

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point swio017 facing south across bank.
Photo Sheet 2 of 2

USACE AID# DW Q # Site # (indicate on attached map)
0 STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: CDOM r,n i1 rAr 2. Evaluator's name:
3. Date of evaluation: -71814 44. Time of evaluation: A: _CZ 1,V,
5. Name of stream: \) 01 kO RlTL1Gh0Vy\ 1L2 X.t p. River basin: N W `A-( .
7. Approximate drainage area: �� SLC 8. Stream order: ISr'
9. Length of reach evaluated: .ik 10. County: W (\ S CqN
11. Site coordinates (if knL own): pQprefer in decimal degrees. 12. Subdivision name (if any): �1.Vq
Latitude (ex. 34.872312): is r to ( O Longitude (ex. -77.556611): � / 1
Method location determined (circle): (a 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):
Nu,kh os - WC -47,
14. Proposed channel work (if any): 1 P f,,
15. Recent weather conditions: /"+ pp44 6° \ M,
16. Site conditions at time of visit: V\ M -)C t i �E ,/� p-�i)uv t j rGyi-1 'hi �lS+((i
17. Identify any special waterway classifications known: Section 1-0 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters J Nutrient Sensitive Waters _Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES CO 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: L% Residential _% Commercial _% Industrial �0/o Agricultural
5b% Forested _% Cleared / Logged _% Other
22. Bankfull width: 23. Bank height (from bed to top of bank): 3
24. Channel slope down cc er of stream: Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: Straight _Occasional bends _Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): go Comments: � W l 1Fb D -L
Evaluator's Signature J t A 11, Date 1 f B l l q
This channel evaluation &in is intendedlo be u. d as a only guide to assist landowners and envifonmental professionals in
gathering the data required by the United State Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change — version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
CHARACTERISTICSSCORE"
ktoREG1ON'POR-M!&NGE ?
V.
WWPlm
Presence of flow / persistent pools in stream
0-5
0-4
0-5
no flow or saturation = 0; strong flow = max points)
2
Evidence of past human alteration
0-6
0-5
0-5
(extensive alteration = 0; no alteration = max points)
3
Riparian zone
0-6
0-4
0-5
no buffer= 0; contiguous, wide buffer = max points)
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
(extensive discharges = 0; no discharges = max points)
5
Groundwater discharge
0-3
0-4
0-4
1
no discharge = 0; springs, seeps, wetlands, etc. = max points)
U
6
Presence of adjacent floodplain
0-4
0-4
0-2
no floodplain = 0; extensive floodplain = max Points)
7
Entrenchment / floodplain access
0-5
0-4
0-2
(deeply entrenched = 0; frequent flooding = max points)
8
Presence of adjacent wetlands
0-6
0-4
0-2
no wetlands = 0; large adjacent wetlands max oints
p)
9
Channel sinuosity
0-5
0-4
0-3
(extensive channelization = 0; natural meander = max points)
10
Sediment input
0-5
0-4
0-4
(extensive deposition-- 0; little or no sediment = max points)
stra
Size & diversity of channel bed substrate
1�11 *;j,4,
NAI�
0-4
0-5
(fine, homogenous = 0; large, diverse sizes mat oints)
xp
12
Evidence of channel incision or widening
0-5
0-4
0-5
3
(deeply incised = 0; stable bed & banks = max points)
Presence of major bank failures
0-5
0-5
13
(severe erosion = 0; no erosion, stable banks = max points)
0-5
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-pool/ripple-pool complexes
0-3
0-5
0-6
no riffles/ripples or pools= 0; well-developed =max points)
Jtl
17
Habitat complexity
0-6
0-6
0-6
(little or no habitat = 0; frequent, varied habitats = max Points)
18
Canopy coverage over streambed
0-5
0-5
0-5
no shading vegetation = 0; continuous canopy = max points)
19
Substrate embeddedness
NA*'
0-4
0-4
( dee ply embedded = 0; loose structure = max)
20
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
0
no evidence = 0; common, numerous types = max points)
U4
21
Presence of amphibians
0-4
0-4
0-4
0
4
no evidence = 0, common, numerous types = max points)
64,
22
Presence of fishQi
0-4
0-4
0-4
0
no evidence = 0; common, numerous types = max points)
23
Evidence of wildlife use
0-6
0-5
0-5
no evidence = 0; abundant evidence = max points)
'I M M 4" Wr":
wmao :vp
:, 100AAX��,
IMS
lov,,,:�
7-4,- .
-F.' -P p
1
4% 7:
I`r
4 *3" 4,
k.. M, 'i
i
* These characteristics are not assessed in coastal streams.

s�f.r; P>7o2
NC DWQ Stream Identification Form Version 4.11
Date: � /$ m
ProjectlSite: aCP
Latitude: 39, ko 5(10
Evaluator: EST, 1,
County: W AISM
Longitude: -� V , � ('3 j
Total Points:
Stream is at least intermittent �j
S m termination (circle one)
Other Lu( t,,-t't^ U,,
if >_ 19 or perennial if >_ 30` 1
phemeF V Intermittent Perennial
e.g. Quad Name:
A. Geomorphology (Subtotal = c2r )
Absent
Weak
Moderate
Strong
1a' Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
-0.5
1 1.5
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
%1
l.i'
1
2
3
4. Particle size of stream substrate
0
0.5
2
3
5. Active/relict floodplain
0
LV
2
3
6. Depositional bars or benches
0
1
1 2 1
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
-0
1
2
3
9. Grade control
Of
0.5
1
1.5
10. Natural valley
0
1
1.5
11. Second or greater order channel
yo ='O
Yes = 3
artificial ditches are not rated; see discussions in manual "
B. Hydrology (Subtotal = - )
12. Presence of Baseflow
0 1
2 (0
13. Iron oxidizing bacteria
0 1
2 3
14. Leaf litter
1.5 1
0
15. Sediment on plants or debris
0 (0:31
-0.5
1 1.5
16. Organic debris lines or piles
0 0.5
1 1.5
17. Soil -based evidence of high water table?
No = 0
(Yes_! 3
C. Biology (Subtotal= (Dr5 )
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
0
0.5
1 \
1.5
26. Wetland plants in streambed
FACW = 0.75;
OBL = 1.5 ettey =
`perennial streams may also be identified using other methods. See p.
35 of manual.
Notes:
i
Sketch:
1 ww; Poo�-
4: w ('662
CL

�� "J-1 Y si �J(
£� 't � '
H •:'T1 Y.
m+ 'T,�' 477,
fit
C.A

41,
q4tsilk. rl,
r fl 4
Y

USACE AID# DW Q # Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
,r
Provide the following information for the stream reach under assessment:
1. Applicant's name: +mk r\ % (S-4 2. Evaluator's name: Esi - ar_
3. Date of evaluation: '712 (I q 4. Time'of evaluation: V--,
5. Name of stream: Q'W A -r. L00keWYV 6. River basin:
7. Approximate drainage area: Z'b a'y� 8. Stream order: S�
9. Length of reach evaluated: SZ? T "F 10. County: WSa1'�
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): '95. ty777-- Longitude (ex. —77.556611): —78, �lw
Method location determined (circle):GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
Dn DryLF,i i s- v i93 ; n` o b L1 Z LIL.A��, +- J0 U6 _ct t
14. Proposed channel work (if any): r'&n f I-
15. Recent weather conditions:"""
16. Site conditions at time of visit: kv-� c► S� u✓��ol
17. Identify any special waterway classifications known: _Section 10 Tidal Waters Essential Fisheries Habitat
Trout Waters _Outstanding Resource Waters Nutrient Sensitive Waters Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES (jjj� If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES fZe? 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: % Residential % Commercial _% Industrial �� % Agricultural
1'11>% Forested J_Q% Cleared 1 Logged % Other ( )
22. Bankfull width: 6- (�4_ 23. Bank height (from bed to top of bank): •
24. Channel slope down center of stream: Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: Straight -ill/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): 4 0 Comments: 5\N + *�>06 7
Evaluator's Signature Date cb' i ff
This channel evaluation f m is intended be used only as a guide to assist landowners and environmental professionals in
gathering the data requ ed by the Unite 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 impIy a
particular mitigation ratio or requirement. Form subject to change - version 06103. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
�
01: * Al*,n9`.
CiHARA,�CTERISTIrl
�tECOAEGIO-NIPOINTRANGFra"
SCORE
�w#
�6 y, , 0 1 �
€Constand :
'Piedmont �Mounta�n��
k$
Presence of flow / persistent pools in stream
0-5
0-4
0-5
no flow or saturation = 0• strong flow = maxpoints)v
r'
Evidence of past human alteration
extensive alteration = 0• no alteration = max oints
3
Riparian zone
0-6
0-4
0-5
"
no buffer = 0• contiguous, wide buffer = maxpoints)
�
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
extensive discharges = 0• no discharges = maxpoints)'I
5
Groundwater discharge0—
3
0-4
0-4
no discharge = 0• springs, sees wetlands etc. = maxpoints)
N
6
Presence of adjacent floodplain
0— 4
0— 4
0— 2
-1
o? '
no floodplain = 0; extensive floodplain = max points)
Entrenchment / floodplain access
0-5
0-4
0-2
Z
(deeply entrenched — 0; frequent flooding = maxpoints)
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
Z
extensive channelization = 0• natural meander = max pointsL
10
Sediment input
0-5
0-4
0-4
extensive deposition= 0; little or no sediment = maxpoints)2
Size & diversity of channel bed substrate
NA*
0-4
0-5
u.r
11
fine, homogenous = 0; large, diverse sizes = max points)
• e.
Evidence of channel incision or widening
0 4
0-5
>4
12
(deeply incised = 0• stable bed & banks = maxpoints)0-5
—
13
Presence of major bank failures
0-5
0-5
0-5
E
H
severe erosion = 0• no erosion stable banks =max points)
14
Root depth and density on banks
0-3
0-4
0-5
F+
no visible roots = 0• dense roots throughout = maxpoints)
15
Impact by agriculture, livestock, or timber production
0 — 5
0 — 4
0 — 5
d'(substantial
impact -0•noevidence=maxpoints)
11 "
16
Presence of riffle-pooltripple-pool complexes
0-3
0-5
0-6
no rifflestripples or pools = 0; well-developed = max points
17
Habitat complexity
Habitat
0 — 6
0-6
H
or no habitat = 0; frequent, varied habitats = maxpoints)0-6
18
Canopy coverage over streambed
0-5
0-5
0-5
no shading vegetation = 0• continuous canopy = maxpoints)
19
Substrate embeddedness`
,NA*
0-4
0-4
(deeply embedded = 0; loose structure = max
'Vt1
20
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
no evidence = 0• common numerous types = max points)
� •,
21
Presence of amphibians
0-4
0-4
0-4
C7
no evidence = 0; common, numerous types =max points
O;
22
Presence of fish
0-4
0-4
0-4
r-
no evidence = 0• common numerous es =max points)
-,.iiaw,
23
Evidence of wildlife use
0-6
0-5
0-5
yl `.
no evidence = 0• abundant evidence = max points)
^YS' f4a T ,�;g �!'
'Total Points Possible`
t 15+
100"
'100'
100
-,;hs"+;i r'&^'.:�4�?tiY6
rr4
`k;
`kw� �¢a.
�"AXa.i r h� A'p'1w,y4W 3JF`.'. i�^i '1YrY tM1�[ h.r irMd' +r 4`ly F 11Y��'il'"S`S '.R
�y 0415a TOTALS�ISCORE (also r � ?t'
entesonfirstipage)� o
M la. Y,T'ri i 'I.
* These characteristics are not assessed in coastal streams.

NC DWQ Stream Identification Form Version 4.11 1SW I P 003
Date: /!f
Project/Site: ACP
Latitude: 3,'\
Evaluator: S�' Q
County: "Q,\j -k ket>�
Longitude: - p "
. l./
Cl)2
t
Total Points:
Stream etermination (circle one)
Other L_uL,0.
Stream is at least intermittentI7
if>_ 19 orperennial if? 30* r S
P hemer Intermittent Perennial
e. Quad Name: A/C
9'
A. Geontor holo (Subtotal =--7-)
Absent
Weak
Moderate
Strong
1a' Continuity of channel bed and bank
0
Cl)2
14. Leaf litter
3
2. Sinuosity of channel along thalweg
0
1
©
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
0 0.5
2
3
4. Particle size of stream substrate
0
0.5
2
3
5.Adive/relict floodplain
0
0.5
2
3
6. Depositional bars or benches
CD
1
2
3
7. Recent alluvial deposits
0
1
2
3
B. Headcuts -
1
2
3
9. Grade control
0kp
1
1.5
10. Natural valley
0
1
1.5
11. Second or greater order channel
o= 0
Yes = 3
` artificial ditches are not rated; see discussiof s in manual
B. Hydrology (Subtotal =fi , )
12. Presence of Baseflow
I &1
2
3
13. Iron oxidizing bacteria
I rw 1 1
2
1 3
14. Leaf litter
1.5 1
0.5
0
15. Sediment on plants or debris
0
1
1.5
16. Organic debris lines or piles
0 0.5
1
1.5
17. Soil -based evidence of high water table?
No = 0
0.5
es = 3
C. Biology (Subtotal = )
18. Fibrous roots in streambed
3
0,
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks I
co 1
1
2
3
22. Fish
00
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
CD
0.5
1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 O ter =.9
`perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch: j / w W ; PCO G
[L

IA
z r
► ,
2014 0'7 0,8 13,'25
ti

`MFS i1 r 1/'i. y; 55 •/ 5y T +! �Ii i
eo
.',
! ledo
N .W
r,. •. a •I � *� } tea• f` r"'
I
14107 08
A I
if
.I �r i + ,

USACE AID# DWQ # Site # (indicate on attached map)
13
; STREAM QUALITY ASSESSMENT WORKSHEET -
Provide the following information for the stream reach under assessment:
I. Applicant's name: OC! 2. Evaluator's name: (.t (^Pir Tee 1
3. Date of evaluation: 4. Time of evaluation:
5. Name of stream: CA 1\ -T 6. River basin: r4ELt s�
7. Approximate drainage area: �p Q`Gt' ° 8. Stream order:
9. Length of reach evaluated: iev 10. County: t
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): ,N
lN A
l
Latitude (ex.34.872312):- 6, Longitude (ex. -77.556611): (J
Method location determined (circle): GED 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):
elf cee, 't ;S _ pdc..5/�.e� N& f'wd' ' E /iii (y) Qct�rl ;^ W � t& n co. N c- -
14. Proposed channel work (if any): V (D-Vd SecI P % Pe(Me _
I5. Recent weather conditions: :5aRl)4i
16. Site conditions at time of visit: Gl A,�
17. Identify any special waterway classifications known: Section 10 Tidal Waters _Essential Fisheries Habitat
_Trout Waters Outstanding Resource Waters _/Nutrient Sensitive Waters Water Supply Watershed (I -1V)
18. Is there a pond or lake located upstream of the evaluation point?YE NO If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? & NO 20. Does channel appear on USDA Soil Survey? ES NO
21. Estimated watershed land use: ZC3 % Residential % Commercial _% Industrial �% Agricultural
30 % Forested % Cleared 1 Logged _% Other (
22. Bankfull width: Ca F+
24. Channel slope down center of stream: ^Flat (0 to 2%)
25. Channel sinuosity: Straight _Occasional bends
23. B nk height (from bed to top of bank):
_Gentle (2 to 4%) Moderate (4 to 10%) _Steep (>10%)
_Frequent meander Very sinuous Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): Comments:
Evaluator's Signature `�f' Date
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. Foran subject to change — version 06103. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
• These characteristics are not assessed in coastal streams.
�, RIS CS
�ECpO�GIO��,ORr`E�"NGE�
S 30
Coas a ,Paudmon-ountai052
I
Presence of flow / persistent pools in stream
0-5
0-4
0-5
no flow or saturation = 0• strong flow = maxpoints)
2
Evidence of past human alteration
0-6
0-5
0-5
?j
extensive alteration = 0• no alteration = maxpoints)
3
Riparian zone
0-6
0-4
0-5
C
J
no buffer = 0• contiguous, wide buffer = maxpoints)
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
extensive discharges = 0• no discharges = maxpoints)
5
Groundwater discharge
0-3
0-4
0-4
U
(no discharge =0•springs, seeps, wetlands etc. =max points)
6
Presence of adjacent floodplain '
0-4
0-4
0-2
I
no floodplain = 0• extensive floodplain = max points)
Entrenchment / floodplain access
0 — 5
0-4
0-2
3
(deeply entrenched = 0• frequent flooding — max points)
8
Presence of adjacent wetlands
0 — 4
0-2
no wetlands = 0• large adjacent wetlands — maxpoints)0-6
9
Channel sinuosity
0-5
0-4
0-3
extensive channelization = 0• natural meander= maxpoints)
10
Sedimentinput
0-5
0-4
0-4
extensive deposition= 0• little or no sediment = maxpoints)
it
Size & diversity of channel bed substrate
s
0-4
0-5
fine homogenous=0•laz a diverse sizes=max oints
12
Evidence of channel incision or widening
0-5
0-4
0-5
(deeply incised = 0• stable bed & banks = maxpoints)
r
13
Presence of major bank failures
0-5
0-5
0-5
gw)
severe erosion = 0• no erosion stable banks = maxpoints)
14
density depth and
Root de banks
p ty on
no visible roots= 0• dense roots throughout= maxpoints)
0-3
0-4
0-5
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
A15
substantial impact =0• no evidence = maxpoints)
IPresence
16
of riffle-pool/ripple-pool complexes
no riffles/ripples les or pools = 0• well-developed = max oints
0-3
0-5
0-6
?
J
;,.,
17
Habitat complexity
0-6
0-6
0-6
little or no habitat = 0• frequent,varied habitats max points)
�a
y
I8
Canopy coverage over streambed
no shading vegetation = 0• continuous canopy = max points
0-5
0-5
0-5
19
Substrate embeddedness
t $` of
0-4
0-4
adee
I y embedded = 0 loose structure =max
20
Presence of stream invertebrates (see page 4)
no evidence = 0• common numerous types = max oints
0-4
0-5
0-5
\
CJ
2I
Presence of amphibians
0-4
0-4
0-4
2
O
no evidence = 0• common numerous types = maxpoints)
..pa"
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)
00Total
100;"
.k
,:.
also enteron first page)' r,4a k a�;, f xrs . r �__ "•n TOTAL SCORE
k
• These characteristics are not assessed in coastal streams.

A
NC DWQ Stream Identification Form Version 4,11 Sw i e dU q
Date: S/ 'al / [ �j
ProjectlSite: ;-C P
Latitude- 3
t
Evaluator: e Sz - 1<. M (A (Pr v ec'7
County:
Longitude: .1 a 0
Total Points:
Stream is at least intermittent
Stream Determination (cir e)
Ephemeral Intermittent
Other LG Cbtr"n0'
if a 19 or parennial if? 30"
Perennia
e.g. Quad Name:
A. Geomorphology (Subtotal= 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,
ri le- ool sequence
0
1
2
1.5
4. Particle size of stream substrate
0
1
2
3
5. Activelrelict floodplai n
0
1
2
3
6. Depositional bars or benches
0
1
3
7. Recent alluvial deposits
0
1
3
8. Headcuts
1 00)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 disc ssions in manual
B. Hvdrolnav 1Suhtntal = I 1
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0
0.5
1
1.5
17. Soil -based evidence of high water table?
0.5 1
No = 0
Yes 03
0
C. Bioloav (Subtotal= (o 5 1
18. Fibrous roots in streambed
3
2 1
0
19. Rooted upland plants in streambed
3
2 1 1
0
20. Macrobenthos (note diversity and abundance)
1 2 1
3
21. Aquatic Mollusks
0 1
1 2 1
3
22. Fish
0
0.5 1 1
1.5
23. Crayfish
.5 t
1.5
24, Amphibians
0
0.5 1
1.5
25. Algae
0
0.5 1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Other 0
*perennial streams ma ialso be identified using other methods. See p. 35 of manual.
Notes:
O
Sketch:
t
�pn tic W > 4- G ?
k

,i sem*
'{"►i' � J 1. • �._. '2
oll
JTI

USACE AID# DWQ # Site # (indicate on attached map)
Sw; PC Oil
3 STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment: —�
1. Applicant's name: lidrn'nt 6n 2. Evaluator's name: E
3. Date of evaluation: -s/.k t S 4. Time of evaluation: a P M
5. Name of stream: U/J7 %J gCtG(=�U(n 43f[hf�C�6.River basin: NF-'C,1!Se
7. Approximate drainage area: 8. Stream order: a
9. Length of reach evaluated: Sy 10. County: W 1( SO n
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): 35. (:;,6 `f-& a Longitude (ex. -77.556611): -7 ,(1i
Method location determined (circle):GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
is we_*1~ 6 Nl� oi� 8,ynkm 1'100-h in wi(&m -a, rvt
14. Proposed channel work (if any): QCUPOSeti P t (ze 1 `ate
15. Recent weather
16. Site conditions at time of visit: 04116 tshct rioe
17. Identify any special waterway classifications known:S ction 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters �ttient Sensitive Waters _Water Supply Watershed _(I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES NO If yes, estimate the water surface area: %oy 5i fe-
19.
19. Does channel appear on USGS quad map? J 9 NO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: af) %Residential % Commercial % Industrial `J(>/o Agricultural
'' 11 SO-% Forested _% Cleared /Logged _% Other ( )
22. Bankfull width: T 4;f 23 _-S �F
�. Bank height (from bed to top of bank):
24. Channel slope down center of stream: --Flat (0 to 2%) ✓ Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: _Straight " Occasional bends _Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): Comments:
Evaluator's Signature""'!�°'i� Date
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.

t
STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
2
CHARA TERISTICS
COREGIQ
,bD, ERANG
SCO
�,�oastal
mdmon_t —RIM m
1no
Presence of flow/ persistent pools in stream
0 — 4
0-5
flow or saturation = 0• strop flow = maxpoints)0-5
Evidence of past human alteration
1
2
extensive alteration = 0• no alteration = maxpoints)0-6
0 — 5
0-5
l
3
Riparian zone
0-6
0-4
0-5
I�
_1
no buffer =0•contiguous, wide buffer =maxpoints)
4
Evidence of nutrient or chemical discharges
0 — 4
0-4
extensive discharges = 0• no discharges = maxpoints)0-5
._
5
Groundwater discharge
0-3
0-4
0-4
i�
no dischaz e = 0• springs, sees wetlands etc. = maxpoints)
6
Presence of adjacent floodplain
0-4
0-4
0-2
v'
no floodplain = 0• extensive floodplain = maxpoints)
Entrenchment / floodplain access
0 — 4
0-2
a
(deeplyentrenched = 0• frequent floodin = maxpoints)0-5
8
Presence of adjacent wetlands
0-6
0 — 4
0-2
az
no wetlands = 0• le adjacent wetlands — max points)
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*
0-4
0-5
fine homogenous = 0• large, diverse sizes = max points)
12
Evidence of channel incision or widening
0-5
0-4
0-5
F
(deeply incised = 0• stable bed & banks = maxpoints)
°
13
Presence of major bank failures
0-5
0-5
0-5
1 _L
l
severe erosion = 0• no erosion stable banks = maxpoints)
a
14
Root depth and density on banks
0-3
0-4
0-5
no visible roots = 0• dense roots throughout = max points
Impact by agriculture, livestock, or timber production
15
substantial impact =0; no evidence = maxpoints)
0-5
0 — 4
0-5
16
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
no riffleshipples or pools = 0• well-developed = maxpoints)
�
17
Habitat complexity
0-6
0-6
0-6
fi
little or no habitat = 0• frequent, varied habitats = max oints
J
18
Canopy coverage over streambed
0-5
0-5
0-5
3
no shading vegetation = 0• continuous canopy = maxpoints)
hG
19
Substrate embeddedness
,N*
0-4
0-4
(deeply embedded = 0• loose structure = max
FtA
.!
20
Presence of stream invertebrates (see page 4)
0 — 5
0-5
no evidence = 0• common numerous es = maxpoints)0-4
Presence of amphibians
07
21
no evidence = 0• common numerous es = max points)
0-4
0-4
0-4
1
a'
O,
22
Presence of fish
0-4
0-4
0-4
L J
no evidence = 0; common, numerous types = max points
23
Evidence of wildlife use
0-6
0 — 5
0-5
2
no evidence = 0; abundant evidence =max points)
J
--..,n ( �: � i
'ints
.,Et
',p 4 i ✓-
> � ,
Total Po Possible,
0100,
100
100 ':,
� ,a i tt + t SCORE =(also enYe> on fiist page); 4 r�'*` %','
!S 73
yr7ra k p ;TOTAL'
* These characteristics are not assessed in coastal streams.
2

NC DCVO Stream Identification Form Version 4.11
Date: S/a� �� S
ProjectlSite: AC_
Latitude: 35,66't (�
Evaluator: 6sl-- K'M(.t(AN(ec
/
County: W .kSO%1
Longitude: 7M ( �0qS
Total Points:
ream rperes at intermittent ��r S
Stream Determination (circle one)
Ephemeral ntermitten Perennial
Other L �����
e.g. Quad Name:
if perennial
if >_ 79 or erennialif>_ 30'
2. Sinuosity of channel along thalweg
0
A. Geomorphology (Subtotal = t---, - 7 )
Absent
Weak
Moderate
Strong
1 a' Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
0.5
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
/ 33
�/
1.5
4. Particle size of stream substrate
0
1
2
1.5
5. Activelrelict floodplain
0
1
2
3
6. Depositional bars or benches
0
0.5
2
3
7. Recent alluvial deposits
0
12
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
015
1
1.5
10. Natural valley
0
0.
1
1.5
11. Second or greater order channel
No 0)
Yes 3
- artificial ditches are not rated; see discussions in manual
B. Hvdroloav (Subtotal = q 1
12. Presence of Baseflow
0
1
2
V
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0
0.5
1
1.5
17. Soil -based evidence of high water table?
0
No = 0
1
Yes 3
C. Bioloav (Subtotal = (I l
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23, Crayfish
0
0 5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
Co
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Other CO -
0'perennial
.perennial streams ma also be identified using other methods. See p. 35 of manual.
Notes: 0
Sketch:
of vq 1
Bonk

ti,
ra
1 �
br
�_ � .Y i r ..� ,k � a r. � • .. ' 3'
y �
v r � ,i . 'iii.. 4.1 t ',� ac. h •' ` '!*e:
io

.4
411„
6. fi. lei