U-5899 JD packet_final.pdf

��C�SY�i-'�M
- �'LAl`�NI[`��G �
� � F�E�TC�F��471�N
Mr. Monte Matthews
US Army Corps of Engineers
3331 Heritage Trade Dr., Suite 105
Wake Forest, NC 27587
Ecosystem Planning and Restoration, LLC
559 Jones Franklin Road, Suite 150
Raleigh, NC 27606
Phone: [phone]
www.eprusa.net
January 23, 2017
Mr. David Wanucha
NC Department of Environmental Quality
450 W Hanes Mill Road, Suite 300
Winston-Salem, NC 27105-7407
SUBJECT: Request for a Preliminary Jurisdictional Determination of Waters of the United States; U-5899,
Forum Parkway Extension, Forsyth County.
Dear Mr. Matthews and Mr. Wanucha,
Ecosystem Planning and Restoration (EPR) has performed stream and wetland delineations for the
Forum Parkway Extension (U-5899) for the North Carolina Department of Transportation (NCDOT).
NCDOT proposes to extend Forum Parkway between its existing location and NC 66 in Rural Hall, Forsyth
County. A brief site description is attached with the enclosure.
This letter serves as a formal request for a Preliminary Jurisdictional Determination for the U-5899
project. If you have any questions or concerns, or would like to schedule a field visit, please contact me
at [phone] or [e-mail].
Sincerely,
V G'` `� ,
/ ���—'
p
Robert Lepsic, PWS
Senior Scientist
cc: Amy Euliss, NCDOT
Brett Abernathy, NCDOT
William Blanton, NCDOT
File
- PROVIDING ECOSYSTEM PLANN/NG AND RESTORATION SERVICES TO SUPPORT A SUSTA/NABLE ENV/RONMENT -

Forum Parkway Extension
U-5899
Forum Parkway is located off NC 65 (Bethania-Rural Hall Rd.), just east of its intersection with
US 52 in Rural Hall, Forsyth County. There are two streams (1 perennial and 1 intermittent) and
three wetlands in the study area. Two of the wetlands are small headwater wetlands along a
stream (SB) or in a crenulation, and one wetland is a small basin at the outlet of a stormwater
drainage feature. There are three (3) artificially created sediment/stormwater basins located in
the study area, between Grassy Creek (SA) and the Forum Parkway industrial park. While these
basins are forested, each is enclosed by an artificial berm system and were determined to be
non-jurisdictional. In addition, there are several rip-rapped or piped outfalls that convey
stormwater from the industrial park to Grassy Creek. These outfall channels were also deemed
non-jurisdictional.

Jurisdictional Determination Request
A. PARCEL INFORMATION
Sireei E�CICIPeSS: Forum Parkway (SR 3955)
Clty, state: Rural Hall, NC
C011llty: Forsyth Co.
D1P8Ct10riS: Take I-40 to exit 206 for I-40 Bus/US 421; take exit 6B onto US 52 N and go
to exit 118 (NC 65) and go right off ramp; take a right on Forum Parkway
Parcel Index Number(s) (PIN): NiA
B. REQUESTOR INFORMATION
N�TTIe: Amy Euliss
Malllrig AdC�PeSS: 375 Silas Creek Parkway, Winston-Salem NC, 27127
TelepilOrie NUTT1beT: 336-747-7800
Electronic Mail Address 1: aeuuss@�cdot.go�
Select one:
� I am the current property owner.
❑ I am an Authorized Agent or Environmental Consultant2
❑ Interested Buyer or Under Contract to Purchase
❑✓ Other, please explain.
This JD request is for a NCDOT road extension project; landowners have been
contacted for access and permission to have USACE regulatory personnel on their
property.
C. PROPERTY OWNER INFORMATION
Name: NiA
Mailing Address: _
Telephone Number:
Electronic Mail Address3:
❑ Proof of Ownership Attached (e.g. a copy of Deed, County GIS/Parcel/Tax Record data)
1 If available
Z Must attach completed Agent Authorization Form
3 If available
Version: December 2013 Page 3

Jurisdictional Determination Request
D. PROPERTY OWNER CERTIFICATION4
I, the undersigned, a duly authorized owner of record of the property/properties identified herein,
do authorize representatives of the Wilmington District, U.S. Army Corps of Engineers (Corps)
to enter upon the property herein described for the purpose of conducting on-site investigations
and issuing a determination associated with Waters of the U.S. subject to Federal jurisdiction
under Section 404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of
1899.
Property Owner (please print)
Property Owner Signature
E. JURISDICTIONAL DETERMINATION TYPE
Select One:
Date
� I am requesting that the Corps provide a preliminarX JD for the property identified herein.
This request does include a delineation.
� I am requesting that the Corps provide a preliminarX JD for the property identified herein.
This request does NOT include a delineation.
� I am requesting that the Corps investigate the property/project area for the presence or
absence of WoUSs and provide an a�proved JD for the property identified herein. This
request does NOT include a request for a verified delineation.
� I am requesting that the Corps delineate the boundaries of all WoUS on a property/project
area and provide an approved JD (this may or may not include a survey plat).
� I am requesting that the Corps evaluate and approve a delineation of WoUS (conducted
by others) on a property/project area and provide an approved JD (may or may not
include a survey plat).
4 For NCDOT requests following the current NCDOT/USACE protocols, skip to Part E.
5 Waters of the United States
Version: December 2013 Page 4

F.
❑✓
Jurisdictional Determination Request
ALL REQUESTS
Map of Property or Project Area (attached). This Map must clearly depict the boundaries
of the area of evaluation.
� Size of Property or Project Area 210.7
�
G.
acres
I verify that the property (or project) boundaries have recently been surveyed and marked
by a licensed land surveyor OR are otherwise clearly marked or distinguishable.
JD REQUESTS FROM CONSULTANTS OR AGENCIES
(1) Preliminary JD Requests:
❑✓ Completed and signed Preliminary Jurisdictional Determination Form6.
� Project Coordinates: 36.212443 Latitude -$0.288348 Longitude
Maps (no larger than l 1x17) with Project Boundary Overlay:
❑✓
❑✓
❑✓
❑✓
❑
Large and small scale maps that depict, at minimum: streets, intersections, towns
Aerial Photography of the project area
USGS Topographic Map
Soil Survey Map
Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps)
6 See Appendix A of this Form. From Regulatory Guidance Letter No. 08-02, dated June 26, 2008
Version: December 2013 Page 5

Jurisdictional Determination Request
Delineation Information (when applicable)�:
Wetlands:
� Wetland Data Sheets8
✓❑
�
�
Upland Data Sheets
Landscape Photos, if taken
Tributaries:
� USACE Assessment Forms
� Other Assessment Forms
(when appropriate)
Field Sketch overlain on legible Map that includes:
■ All aquatic resources (for sites with multiple resources, label and identify)
■ Locations of wetland data points and/or tributary assessment reaches
■ Locations of photo stations
■ Approximate acreage/linear footage of aquatic resources
(2) Approved JDs including Verification of a Delineation:
� Project Coordinates:
Latitude
Maps (no larger than l 1x17) with Project Boundary Overlay:
�
❑�
❑
�
�
Longitude
Large and small scale maps that depict, at minimum: streets, intersections, towns
Aerial Photography of the project area
USGS Topographic Map
Soil Survey Map
Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site Plan,
previous delineation maps)
' 1987 Manual Regional Supplements and Data forms can be found at:
http://www.usace.armv.mil/Missions/CivilWorks/ResulatorvPro�ramandPermits/re� supp.aspx
Wetland and Stream Assessment Methodologies can be found at:
http://portal.ncdenr.or�/c/document librarv/�et file?uuid=76f3c58b-dab8-4960-ba43-45b7faf06f4c&�roupld=38364 and,
http://www.saw.usace.armv.mil/Portals/59/docs/re�ulatorv/publicnotices/2013/NCSAM Draft User Manual 130318.pdf
$ Delineation information must include, at minimum, one wetland data sheet for each wetland/community type.
Version: December 2013 Page 6

Jurisdictional Determination Request
Delineation Information (when applicable):
Wetlands:
� Wetland Data Sheets9
❑
❑
❑
Upland Data Sheets
Landscape Photos, if taken
Tributaries:
� USACE Assessment Forms
� Other Assessment Forms
(when appropriate)
Field Sketch overlain on legible Map that includes:
• All aquatic resources (for sites with multiple resources, label and identify)
• Locations of wetland data points and/or tributary assessment reaches
• Locations of photo stations
• Approximate acreage/linear footage of aquatic resources
Supporting Jurisdictional Information (for Approved JDs only)
u
�❑
Approved Jurisdictional Determination Form(s) (also known as "Rapanos
Form(s)")
Map(s) depicting the potential (or lack of potential) hydrologic connection(s),
adjacency, etc. to navigable waters.
9 Delineation information must include, at minimum, one wetland data sheet for each wetland/community type.
Version: December 2013 Page 7

Jurisdictional Determination Request
I. REQUESTS FOR CORPS APPROVAL OF SURVEY PLAT
Prior to final production of a Plat, the Wilmington District recommends that the Land
Surveyor electronically submit a draft of a Survey Plat to the Corps project manager for
review.
Due to storage limitations of our administrative records, the Corps requires that all hard-
copy submittals include at least one original Plat (to scale) that is no larger than 11"x17"
(the use of match lines for larger tracts acceptable). Additional copies of a plat, including
those larger than 11 "x17", may also be submitted for Corps signature as needed. The
Corps also accepts electronic submittals of plats, such as those transmitted as a Portable
Document Format (PDF) file. Upon verification, the Corps can electronically sign these
plats and return them via e-mail to the requestor.
(1) PLATS SUBMITTED FOR APPROVAL
n
u
�
I-
❑�
❑�
�
�❑
Must be sealed and signed by a licensed professional land surveyor
Must be to scale (all maps must include both a graphic scale and a verbal scale)
Must be legible
Must include a North Arrow, Scale(s), Title, Property Information
Must include a legible WoUS Delineation Table of distances and bearings/metes
and bounds/GPS coordinates of all surveyed delineation points
Must clearly depict surveyed property or project boundaries
Must clearly identify the known surveyed point(s) used as reference (e.g. property
corner, USGS monument)
When wetlands are depicted:
• Must include acreage (or square footage) of wetland polygons
• Must identify each wetland polygon using an alphanumeric system
Version: December 2013 Page 8

Jurisdictional Determination Request
� When tributaries are depicted:
• Must include either a surveyed, approximate centerline of tributary with
approximate width of tributary OR surveyed Ordinary High Water Marks
(OHWM) of tributary
• Must identify each tributary using an alphanumeric system
• Must include linear footage of tributaries and calculated area (using approximate
widths or surveyed OHWM)
• Must include name of tributary (based on the most recent USGS topographic
map) or, when no USGS name exists, identify as "unnamed tributary"
� all depicted WoUS (wetland polygons and tributary lines) must intersect or tie-to
surveyed project/property boundaries
� Must include the location of wetland data points and/or tributary assessment
reaches
� Must include, label accordingly, and depict acreage of all waters not currently
subject to the requirements of the CWA (e.g. "isolated wetlands", "non-
jurisdictional waters"). NOTE: An approved JD must be conducted in order to
make an official Corps determination that a particular waterbody or wetland is not
jurisdictional.
� Must include and survey all existing conveyances (pipes, culverts, etc.) that
transport WoUS
Version: December 2013 Page 9

Jurisdictional Determination Request
(2) CERTIFICATION LANGUAGE
� When the entire actual Jurisdictional Boundarv is depicted:
include the following Corps Certification language:
"This certifies that this copy of this plat accurately depicts the boundary of the jurisdiction
of Section 404 of the Clean WaterAct as determined by the undersigned on this date.
Unless there is a change in the law or our published regulations, the determination of
Section 404 jurisdiction may be relied upon for a period not to exceed five (5J years from
this date. The undersigned completed this determination utilizing the appropriate Regional
Supplement to the 1987 U.S. Army Corps of Engineers Wetlands Delineation Manual."
Regulatory Official:
Title:
Date:
USACE Action ID No.:
� When uplands may be present within a depicted Jurisdictional Boundar�
include the following Corps Certification language:
"This certifies that this copy of this plat identifies all areas of waters of the United States
regulated pursuant to Section 404 of the Clean WaterAct as determined by the
undersigned on this date. Unless there is change in the law or our published regulations,
this determination of Section 404 jurisdiction may be relied upon for a period not to exceed
five years from this date. The undersigned completed this determination utilizing the
appropriate Regional Supplement to the 1987 U.S. Army Corps of Engineers Wetlands
Delineation Manual."
Regulatory Official:
Title:
Date:
USACE Action ID No.:
Version: December 2013
Page 10

Jurisdictional Determination Request
(3) GPS SURVEYS
For Surveys prepared using a Global Positioning System (GPS), the Survey must include
all of the above, as well as:
� be at sub-meter accuracy at each survey point.
� include an accuracy verification:
One or more known points (property corner, monument) shall be located with the
GPS and cross-referenced with the existing traditional property survey (metes and
bounds).
� include a brief description of the GPS equipment utilized.
Version: December 2013 Page 11

ATTACHMENT A
PRELIMINARY JURISDICTIONAL DETERMINATION FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PRELIMINARY JURISDICTIONAL
DETERMINATION (JD):
B. NAME AND ADDRESS OF PERSON REQUESTING PRELIMINARY JD:
Amy Euliss, 375 Silas Creek Parkway, Winston-Salem NC, 27127
C. DISTRICT OFFICE, FILE NAME, AND NUMBER:
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
U-5899; Forum Parkway Connector from SR 3955 (Forum Parkway) to NC 66 (University Parkway)
(USE THE ATTACHED TABLE TO DOCUMENT MULTIPLE WATERBODIES AT DIFFERENT
SITES)
State: NC County/parish/borough: Forsytn Clty: Rural Hall
Center coordinates of site (lat/long in degree decimal format):
Lat. 36.212443 °N; Long. -$o.2sssas °W,
Universal Transverse Mercator: ��s
Name of nearest waterbody: c�assy c�eek
Identify (estimate) amount of waters in the review area:
Non-wetland waters:
s,343 linear feet: width (ft) and/or acres.
Cowardin Class: R3sg ana Rasg
Strgarp F�OW: Perennial and intermittent
Wetlands: 0�25 acres.
Cowardin Class: PEM, Pss, PFO
Name of any water bodies on the site that have been identified as Section 10
waters:
Tidal:
Non-Tidal:
1

E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT
APPLY):
� Office (Desk) Determination. Date:
� Field Determination. Date(s):
SUPPORTING DATA. Data reviewed for preliminary JD
(check all that apply - checked items should be included in case file and,
where checked and requested, appropriately reference sources below):
� Maps, plans, plots or plat submitted by or on behalf of the
applicant/consultant:
❑� Data sheets prepared/submitted by or on behalf of the
appl�nt/consultant.
Office concurs with data sheets/delineation report.
� Office does not concur with data sheets/delineation report.
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
❑ U.S. Geological Survey Hydrologic Atlas:
� USGS NHD data
� USGS 8 and 12 digit HUC maps
❑✓ U.S. Geological Survey map(s). Cite scale & quad name: 1:24,000; Rural Hall
✓❑ USDA Natural Resources Conservation Service Soil Survey.
Cltatl0l'l: Web Soil Survey
❑ National wetlands inventory map(s). Cite name:
❑ State/Local wetland inventory map(s):
❑ FEMA/FIRM maps:
� 100-year Floodplain Elevation is:
(National Geodectic Vertical Datum of 1929)
❑ Photographs: ❑ Aerial (Name & Date): or
� Other (Name & Date):
� Previous determination(s). File no. and date of response letter:
� Other information (please specify):
�

1. The Corps of Engineers believes that there may be jurisdictional waters of the
United States on the subject site, and the permit applicant or other affected party
who requested this preliminary JD is hereby advised of his or her option to
request and obtain an approved jurisdictional determination (JD) for that site.
Nevertheless, the permit applicant or other person who requested this
preliminary JD has declined to exercise the option to obtain an approved JD in
this instance and at this time.
2. In any circumstance where a permit applicant obtains an individual permit, or
a Nationwide General Permit (NWP) or other general permit verification requiring
"pre-construction notification" (PCN), or requests verification for a non-reporting
NWP or other general permit, and the permit applicant has not requested an
approved JD for the activity, the permit applicant is hereby made aware of the
following: (1) the permit applicant has elected to seek a permit authorization
based on a preliminary JD, which does not make an official determination of
jurisdictional waters; (2) that the applicant has the option to request an approved
JD before accepting the terms and conditions of the permit authorization, and
that basing a permit authorization on an approved JD could possibly result in less
compensatory mitigation being required or different special conditions; (3) that
the applicant has the right to request an individual permit rather than accepting
the terms and conditions of the NWP or other general permit authorization; (4)
that the applicant can accept a permit authorization and thereby agree to comply
with all the terms and conditions of that permit, including whatever mitigation
requirements the Corps has determined to be necessary; (5) that undertaking
any activity in reliance upon the subject permit authorization without requesting
an approved JD constitutes the applicant's acceptance of the use of the
preliminary JD, but that either form of JD will be processed as soon as is
practicable; (6) accepting a permit authorization (e.g., signing a proffered
individual permit) or undertaking any activity in reliance on any form of Corps
permit authorization based on a preliminary JD constitutes agreement that all
wetlands and other water bodies on the site affected in any way by that activity
are jurisdictional waters of the United States, and precludes any challenge to
such jurisdiction in any administrative or judicial compliance or enforcement
action, or in any administrative appeal or in any Federal court; and (7) whether
the applicant elects to use either an approved JD or a preliminary JD, that JD
will be processed as soon as is practicable. Further, an approved JD, a proffered
individual permit (and all terms and conditions contained therein), or individual
permit denial can be administratively appealed pursuant to 33 C.F.R. Part 331,
and that in any administrative appeal, jurisdictional issues can be raised (see 33
C.F.R. 331.5(a)(2)). If, during that administrative appeal, it becomes necessary
to make an official determination whether CWA jurisdiction exists over a site, or
to provide an official delineation of jurisdictional waters on the site, the Corps will
provide an approved JD to accomplish that result, as soon as is practicable.

This preliminary JD finds that there "may be"waters of the United States on the
subject project site, and identifies all aquatic features on the site that could be
affected by the proposed activity, based on the following information:
IMPORTANT NOTE: The information recorded on this form has not
necessarilv been verified bv the Corps and should not be relied upon for
later jurisdictional determinations.
Signature and date of
Regulatory Project Manager
(REQUIRED)
�
Signature and date of
person requesting preliminary JD
(REQUIRED, unless obtaining
the signature is impracticable)

Site Latitude Longitude Class Estimated Class of aquatic
amount of resource
aquatic resource
in review area
SA (Grassy 36.213396 -80.288875 R3SB1/3 3,153 linear ft. Non-section 10;
Creek) non-wetland
SB 36.213422 -80.287707 R4SB4 190 linear ft. Non-section 10;
non-wetland
WA 36.213323 -80.288114 PEM1A 0.15 acre Non-section 10;
wetland
WB 36.215754 -80.288537 PSS1A 0.06 acre Non-section 10;
wetland
WC 36.211181 -80.288497 PF01A 0.04 acre Non-section 10;
wetland

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' * ; w" .r ti �; �.r "'� • `:y�, ' _ , . i �i�,c'�� �: . � 1�
� � '� : ,,
LEGEND
� U-5899 STUDY AREA TOMLIN LOAM, 2-6% SLOPES (TMB)
CODORUS LOAM, O-2% SLOPES (COA) TOMLIN LOAM, 6-1 O% SLOPES (TMC)
FAIRVIEW CLAY LOAM, 10-25% SLOPES (FEE3) TOMLIN LOAM, 10-15% SLOPES (TMD)
HATBORO LOAM, O-2% SLOPES (HAA) TOMLIN LOAM, 15-25% SLOPES (TME)
PACOLET CLAY LOAM, 15-45% SLOPES (PCF2) TOMLIN CLAY LOAM, 2-6°lo SLOPES (TOB2)
POPLAR FOREST FINE SANDY LOAM, 15-45% SLOPES (POF) TOMLIN CLAY LOAM, 10-15% SLOPES (TOD2)
0 500 1,00o U-5899
Feet FORUM PARKWAY CONNECTOR m9��
SOILS MAP �,.o�,�
PREPARED BY: DATE:
FIGURE 4 FORSYTH COUNTY, NC �,�E����S�EM DECEMBER
P nNrvi.��&
�C�RFST�RA���� 2016

NC Division of Water Quality -Methodology for ldenti�cation of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DW Stream Identitication Form Version 4.11
Date: I2(�q ��a ProjecNSite: � ()�,rj$q� Latitude:'11p.2�33y(P
Evaluator: �,, e��L a._Sa,M�� County: 'F� � Longitude: �S'{Q, �g���.s
Total Points:
Sheam is at leastintermittent 4Q, S Stream Detemlination (ci one) Othef
ifzf9or e2nnialif230• Ephemerel lntermitten Perennia e.g.QuadName:�(J�� ����
A. Geomorphology (Subtotal =. Z.�i' � Absent Weak Moderate Strong
1'' Continuity of channel bed and 6ank 0 1 2 3
2. Sinuosity of channel along thalweg 0 1 2 3
3. In-channel structure: ex. riffle-pool, step-pool, p � 2 0
ri le- ool s uence
4. Particle size of stream substrate � 0 1 2 3
5. Active/relid floodplain 0 1 2 3
6. Depositional bars or benches 0 1 2 3
7. Recent allwial deposfts 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
a artificial ditches are not reted; see discussions in manual
B. H drolo Subtotal =
12. Presence of Baseflow 0 1 2 �
13. Iron oxidizing bacteria 0 1 2 3
14. leaf litter 1. 1 0.5 0
15. Sediment on plants or debris 0.5 1 1.5
16. Organic debris lines or piles 0 0.5 1 1.5
17. Soil-based evidence of high water table? No = 0 Yes = 3
C. Biol Subtotal =
18. Fibrous roots in sVeambed • 3 2 1 0
19. Rooted upland plants in streambed 3 2 1 0
20. Macrobenthos (note divereity and abundance) 0 1 2 3
21. Aquatic Mollusks 1 2 3
22. Fish 0 0 1 1.5
23. Crayfish 0 0.5 1 1.5
24. Amphibians 0 0.5 1 1.5
25. Algae 0 0.5 � 1 1.5
26. Wetland plants in streambed FACW = 0.75; OBL = 1.5 her =
'perennial streams may also be identfied using other methods. See p. 35 of manual.
Sketch:
41

USACE AID# DWQ# Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. ApplicanPs name: NCDOT 2. Evaluator's name:
3. Date of evaluation: 1/3/2017 4. Time of evalua[ion:
5. Name of sveam: Grassy Creek �/} 6. River basin:
1 5 s miles
my James, EPR
11 am
adkin-Pee Dee
7. Approximate drainage area: 4' 8. Stream order: I`^"
9. Length of reach evaluateA: 3153 10. County: � Forsyth
11. Site coordinates (if imown): refer in decimal de rees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): 36.213396 L.ongitude (ex. -77.556611): '$0288875
Method tocation detemtined: ��S r Topo Shee[ �R Ortho (Aerial) Photo/CdS j� Other QS Other: �
Forum Parkway and reilroad corridor, from Angus St. south to end of NoAhstar Dr.
14. Proposed channel work (if any): �Road crossing
15. Recen[ wea[her conditions: �Mostly dry, 40-50's; some rain the night before (approximately 0.1 inch)
16. Site conditions at time of visit: �ercast to partly sunny, windy; high 30's to low 40's
r Section ]0 r Tidal Waters j�" Fssential Fisheries Habitat
17. Identify any special waterway classifications known:
r Trout Waters r Outstanding Resource Wazers r Nu[rient Sensitive Waters r Water Supply Wa[ersheA ��� N�
r YFS 6Z NO
18. Is there a pond or lake located upsveam of the evaluation point? If yes, estimate [he water surface area: �
19. Does channel appear on USGS uad ma � �� r NO 20. Does channel ap ear on USDA Soil Surve ��� r NO
21. Es[imated watershed land use: 40 % Residential �%a Commercial 25 % Industrial �% A'cultural
25 % Forested �% Cleared / Logged �% Other
22. Bankfull width: &� � ft' 23. Bank height (from bed ro rop of bank): 4'20 ft.
24. Channel slope down center of stream:
r Fiat (0 to 2%) � GenUe (2 to 4%) r Moderate (4 to 10%) r Steep (>10%)
25. Charmel sinuosity: � Straght r Occasional bends I- Frequent meander r Very sinuous r Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion baseA on
location, tenain, vegetation, sueam 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 pmvides a brief descripGon of how to review [he
characteristics identified in the worksheet. Scores should reflect an overall assessment of the sa�eam reach under evaluaGoa If a
characteristic cannol be evaluated due [o site or weather conditions, enter 0 in the scoring box and provide an explanauon in the
comment section. Where there are obvious changes in [he character of a stream under review (e.g., the sVeam flows from a pasture
into a forest), the stream may be divided into smaller reaches Iha[ display more continuity, and a separate form used to evaluate each
reach. The rotal score assigned to a stream reach must range between 0 and ]00, with a score of 100 representing a sveam of the
highest quality.
Total Scnre (frnm revercel: � Cnmmentc
stormwater outfalls from industrial park to west.
Evaluator'sSignature: �����Y��� Date: 1/3/2017
Tltis chamel evaluation form is intende to be used only as a guide to assist landowners end environmental professionals in
gathering the data required by the Onited States Army Corps of Engineers to make a preliminary aacessment ot stream
quality. The total score resulting from the completion of this form is subjeM to USACE approval and does not imply a
particWar mitigallon raHo or requirement Forni subject to change-version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
ECOREGION POINT RANGE
# CHARACTERISTICS SCORE
Coastal Piedmont Mountain
1 Presence of flow / persistent pools in stream 0-5 0-4 0-5 4
(no flow or samra[ion = 0; strong tlow = max points)
2 Evidence of past human alteration 0-6 0-5 0-5 2
(extensive alteration = 0; no alteration = max points)
3 Riparian zone 0-6 0-4 0-5 �
(no buffer = 0; contiguous, wide buffer = max points)
4 Evidence of nu[rient or chemical discharges 0-5 0-4 0-4 I
(extensive dischazges = 0; no discharges = max points)
5 Groundwater discharge 0-3 0-4 0-4 �
a (no discharge = 0; springs, seeps, wetlands, eta = max points)
C
V Presence uf ad,jacent floodplain
�, 6 (no floodplain = 0; extensive Floodplain = max points) 0-4 0-4 0-2 I
y� Entrenchment / floodplain access 0-5 0-4 0-2 �
(deeply entrenched = 0; frequent flooding = max poinrs)
g Presence of adjacent wetlands 0_6 0-4 0-2 1
(uo wetlands = 0; lazge adjacent wetlands = max points)
9 Channel sinuosity 0-5 0-4 0-3 �
(extensive channelization = 0; natural meander = max points)
�� Sedimentinpat 0-5 0-4 0-4 2
(extensive deposiflon = 0; lit[le or no sediment = max points)
� I Size & diversity of channel bed substrate N/A* 0-4 0-5 3
(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)
FPresence of major bank failures
"' � 3 (severe erosion = 0; no erosion, stable banks = max points) 0.5 0-5 0-5 2
`�
� Root depth and density on banks
4 14 0-3 0-4 0-5 Z
F (no visible roots = 0; dense roots throughout = max points)
�
Impact by agriculture, livestock, or timber production
� 5 (subswnrial impact �; no evidence = ma�c points) 0-5 0-4 0.5 4
� 6 Presence of rifHe-poollrippte-pool complexes 0-3 0-5 0-6 q
(no riftleslripples or pools = 0; well-developed = max points)
E" Habitat comple�ty
E.d. �� Qittle or no habi[at = 0; frequent, varied habitats = max points) 0-6 0-6 0-6 q
� Canopy coverage over streambed
� 18 (no shading vegetation = 0; continuous canopy = maac points) 0-5 0-5 D-5 3
19 Substrate embeddedness N/A* 0-4 0-4 2
(deeply embedded = 0; loose strucmre = max)
20 Presence of stream invertebrates (see page 4) 0-4 0-5 0-5 2
(no evidence = 0; common, numerous types = ma�c points)
� 21 Presence of amphibians 0-4 0-4 011 �
p (no evidence = 0; common, numerous types = mas points)
p 22 Presence of fish 0-4 0-4 0-4 �
pa (no evidence = 0; eommon, numerous rypes = max points)
23 Evidence of wildlife use 0-6 0-5 0-5 3
(no evidence = 0; abundant evidence = max points)
Total Points Possible I00 100 100
TOTAL SCORE (Also enter on first page) �
*These characteristics are not assessed in coastal streams.

NC Division of Water Quality —Methodology for ldentification of Intermittent and
Perennial Streams and Their Origins v, 4.17
NC DW Stream Identitication Form Version 4.11
oate: �2 �q �/� Project/Site: S'�U'S$9'j Latitude:�jle,2(,3`tyZ—
Evaluator. �, '� � _ 5a,�.�.`L � County: � Longitude: — � �a�
Total Points: Stream Determ ' n circle one) Other
Stream is at leest intermfttent 'L3j �(� Ephemera nte�mitten Pe�ennial e.g. Quad Name: �Jr7'� {�
if z 19 or erennial if z 30'
arnnuai uiwnns ere nm �a�nu; see ursws�,
B. Hydrology (Subtotal =�
12. Presence of Baseflow
13. Iron oxidizing bac[eria
14. Leaf lirier
15. Sediment on plants or debris
16. Organic debris lines or piles
17. Soil-based evidence of high water
C Rinlnnv lRuhfntal = . _
19. Rooted upland plaMs in streambe�
20. Mecr'obenthos (note diversity and ab
21. Aquatic Mollusks
22. Fish
23. Crayfish
24. Amphibians
25. Algae
26. Wetland plants in streambed
'perennial streams may also be identifed
Sketch:
m muuuoi
3
methods. See p. 35 of manual.
41
2
2
1
1
0.5
0.5
�
0
3
3
1.5
1.5
1.5
1.5

USACE AID# DWQ# Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
Provide fhe following information for the stream reach under assessment:
1. ApplicanPs name: NCDOT 2. Evaluaror's name: my James, EPR
3. Dateofevaluation: �1/3/2017
5. Name of sveam: SB (UT to Grassy Creek)
7. Approxima[e drainage area: 5 ac�OS
9. Length of reach evaluated: ��
11. Site coordinates (if known): efer in decimal de es.
Latitude (ex. 34.872312): 36.213422
4. Time of evaluation: I�z pm
6. River basin: adkin-Pee Dee
S. Stream order. Zero
10. County: Forsyth
12. Subdivision name (if any):
Longitude (ex. -77.55661 I): �•287707
Method locadon determined: �� r Topo Sheet 6i Ortho (Aerial) Photo/QS r Other QS Qther. �
(At the end of Sunset Dr. (off NC 66), east of railroad corridor
14. Proposed channel work (if any): Road crossing
15. Recent weather conditions: Mostly dry, 40-50's; some rain the night before (approximately 0.1 inch)
16. Site conditions at time of visit Overcast to partly sunny, windy; high 30's to low 40's
r Sec[ion 10 r' Tidal Waters j- Essential Fisheries Habitat
17. Identify any special waterway classifications known:
r Trout Waters r OutstandingResource Waters r Nutrient Sensitive Waters r Water Suppty Wazershed ��
r YES 6Z NO
18. Is there a pond or lake located upsveam of the evaluation point? If yes, estimate [he water surface area:
19. Does channel appear on USGS quad ma � r�� N� 20. Does channel ap ear on USDA Soil Surve, ���� r NO
21. Estimated watershed ]and use: I "" % Residential �� % Commercial �% Industrial I ` % A 'cultural
� " % Forested �% Cleared / Logged �% O[her
22. Ban}�'ull width: 1-2 23. Bank height (Crom bed to top of bank): 1-3
24. Channel slope down center of sveam:
25. Channel sinuosity: r Straigh[
r F7a[ (0 [0 2%)
r Occasionalbends
� Gentle (2 to 4%) r Moderate (4 to 10%) r Steep (>IO%)
� Frequent meander r Very sinuous r Braided channel
Instructions for completlon of workshee[ pocated on page 2): Begin by determining the most appropria[e ecoregion based on
location, tecrain, vegetation, stream classifica[ion, etc. Every charac[eristic must be scored using [he same ecoregion. Assign points
to each chazacterisGc within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
chazacteristics identified in the worksheet. Scores should reFlect an overali assessment of the stream reach under evaluation. If a
chazacterisoc cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment sectioa 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 rotal score assigned to a sveam reach must range between 0 and 100, with a score of 100 representing a stream of [he
highest quality.
Total Scom (from reverse): 43 Comments:
Evaluator'sSignature: JIyNMrCIQ•^ Date: 1�3/2017
This chaonel evaluation form is intend be used only as a guide to assist landowners and environmentel professionals in
gathering the data requimd by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resuldng from the completion of this form is subject to USACE epproval and does not imply a
particular mitigation ratio or requiremenf. Form subject to change-version 06/03. To Commen[, please cal1919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
ECOREGION POINT RANGE
# CHARACTERISTICS SCORE
Coastal Piedmont Mountain
� Presence of flow / persistent pools in stream 0-5 0-4 0-5 1
(�o flow or samration = 0; strong flow = max points)
Z Evidence of past human alteration 0-6 0-5 0-5 z
(extensive alteradon = 0; no alteration = max points)
3 Riparian zone 0-6 0-4 0-5 �
(no buffer = 0; contiguous, wide buffer = ma�c points)
4 Evidence of nutrient or chemical discharges 0-5 0-4 0-4 3
(extensive dischazges = 0; no discharges = max points)
Groundwater discharge 3
J 5 (no discharge = 0; springs, seeps, wetlands, etc. = max points) 0-3 0-4 0-4
Q
,.V, Presence of ad.jacent Floodplain
�, 6 (no floodplain = 0; extensive floodplain = max points) 0-4 0-4 0-2 1
y� Entreuchment / floodplain access 0-5 0-4 0-2 Z
(deeply envenched = 0; frequent flooding = max points)
8 Presence of adjacent wetlands 0-6 0-4 0-2 2
(no wetlands = 0; luge adjacent wetlands = max points)
9 Channel sinuosity 0-5 0-4 0-3 3
(extensive channelization = 0; natural meander = max points)
�� Sedimentinput 0-5 0-4 0-4 3
(extensive deposidon = 0; litfle or no sediment = max points)
� � Size & diversity of channel bed substrate N/A* 0-4 0-5 1
(fine, homoge�ous = 0; large, diverse sizes = max points)
� 2 Evidence of channel incision or widening 0-5 0-4 0-5 3
(deeply incised = 0; stable bed & banks = max points)
FPresence of major bank failures
,""j � 3 (severe erosion = 0; no e�osion, stable banks = max points) 0-5 0-5 0-5 3
..
Root depth and density on banks
� 14 0-3 0-4 0-5 3
F (no visible roots = 0; dense roots throughout = max points)
�
I S Impact by agriwlture, livestock, or timber production 0-5 0-4 0-5 4
(substantial impact =0; no evidence = max points)
l6 presence of riftie-pooUripple-pool complexes 0-3 0-5 0-6
(no nftles/ripples or pools = 0; well-developed = max points) �
Habitat complexity
F.�. �� pittle or no habitat = 0; frequent, varied habitats = max points) �-6 0-6 0-6 Z
..
� Canopy coverage over streambed
� � g (no shading vegetation = 0; continuous canopy = max points) 0-5 0-5 0-5 Z
19 Substrateembeddedness N/A* 0-4 0-4 3
(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 = ma�c points)
G�7 Z 1 Presence of amphibians 0-4 0-4 0-4 �
� (no evidence = 0; common, numerous types = m� points)
p 22 Presence of tish 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 poinu)
Total Points Possible 100 100 100
TOTAL SCORE (Also enter on first page) 43
*These characteristics are not assessed in coas[al streams.

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
ProjecUSite: U-5899 city/County: Forsyth Sampling Date: 12/19/2016
ApplicanUOwner: NCDOT State: NC Sampling Point: WA W@t
Investigator(s): Robel't LepsiC, EPR Section, Township, Range: Rural Hall
�anaform: drainageway Local Relief: COIlCBV@ Slope (%): 0-1%
Subregion: LRR P Lat: 36.213323 Long: -80.288114 Datum NAD83
Soil Map Unit Name: Tomlin clay loam, 10-15% slopes NWI classification: PEM
Are climatic/hydrologic conditions on the site typical for this time of year? Yes X No (if no, explain in Remarks)
Are Vegetation X , Soil , or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes No i�
Are Vegetation , Soil ,or Hydrology naturally problematic? (if needed, explain in remarks)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No X"
Is the Sampled Area
Hydric Soil Present? Yes X No within a Wetland? Yes X No
Wetland Hydrology Present? Yes X No
Remarks:
*Vegetation in wetland is actively mowed and kept in a very low-growing state. Vegetation is heavily influenced by
ornamental, weedy lawn species. NCWAM headwater forest type wetland.
HYDROLOGY
Wetland Hydrology Indicators:
Primary Indicators minimum of one is
Surface Water (A1)
X High Water Table (A2)
X Saturation (A3)
Water Marks (B1)
Sediment Deposits (62)
Drift Deposits (B3)
Algal Mat or Crust (B4)
Iron Deposits (65)
Inundation on Aerial Imagery (67)
Water Stained Leaves (B9)
uired: check all that apply)
Aquatic Fauna (613)
True Aquatic Plants (B14)
Hydrogen Sulfide Odor (C1)
X Oxidized Rhizospheres on Living Roots (C3)
Presence of Reduced Iron (C4)
Recent Iron Reduction in Tilled Soils (C6)
Thin Muck Surface (C7)
Other (Explain in Remarks)
ndary Indicators (minimum of 2 required)
Surface Soil Cracks (B6)
Sparsley Vegetated Concave Surface (68)
X Drainage Patterns ( B10)
Moss trim Lines (B16)
Dry-Season Water Table (C2)
Cra�sh Burrows (C8)
Saturation Visble on Aerial Imagery (C9)
Stunted or Stressed Plants (D1)
X Geomorphic Position (D2)
ShallowAquitard (D3)
FAC-Neutral Test (D5)
Field Observation:
Surface Water Present? Yes No X Depth (inches)
Water Table Present? Yes X No Depth (inches) 0
Saturation Present? Yes X No Depth (inches) 0
(includes capillary fringe)
Describe Recorded Data (stream guage, monitoring well, aerial photos, previous inspections). If available:
Remarks:
Standing water in low drainageway, but not throughout wetland
Wetland Hydrology Present?
Yes X No
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

VEGETATION - Use Scientific Names of Plants Sampling Point: WA we1
Absolute % Dominant Indicator
Tree Stratum (Plot Size 30 feet) Cover Species? Status Number of Dominant Speices
That Are
1. OBL, FACW, or FAC: 0
2. Total Number of Dominant
3 Speicies Across All Strata: �
4 Percent of Dominant Speices
That Are
5. OBL, FACW, or FAC: 0%
6.
1.
2.
3.
4.
5.
6.
50% of total cover:
Stratum: (Plot Size 30
(A)
�B)
�<'✓B)
0% =Total cover Prevalence Index Worksheet:
0% 20% total cover: 0% Total % Cover of: Multiply by:
OBL species x 1 =
Absolute % Dominant Indicator
Cover Species? Status FACW species x 2=
FAC species x 3 =
FACU species x 4 =
UPL species x 5 =
Column totals (A) (B)
Prevalence Index = B/A =
0% =Total cover
50% of total cover: 0% 20% total cover: �o�o Hydrophytic Vegetation Indicators:
Rapid Test for Hydrophytic Vegetation
Absolute % Dominant Indicator
Herb Stratum: (Plot Size 30 feet) Cover Species? Status Dominance Test is >50%
1. G/echoma hederacea 50% Yes FACU Prevalence Index is <_3.0'
2. Yes Problematic Hydrophytic
3. Vegetation�(Explain)
4• � Indicators of hydric soil and wetland hydrology
5. must be present unless disturbed
6. Definitions of Five Vegetation Strata:
Vine Stratum:
1.
2.
3.
4.
5.
6.
50% =Total cover Tree-Woody Plants, excluding vines
50% of total cover: 25% 20% total cover: 10% approximately 20 ft or more and 3 in. or larger
diameter at breast height (DBH).
so u e o ominan n ica or
Plot Size 30 feet) Cover Species? Status
0% =Total cover
50% of total cover: 0% 20% total cover:
Mowed herbs only; possible ornamental species could not be identified
Sapling - Woody plant, excluding woody vines
approximatley 20 ft or more in height and less
than 3 in. DBH.
Shrub- Woody plants, excluding woody vines,
approximately 3 to 20 ft in height.
�% Herb - All herbaceous plants including
herbaceous vines and woody plants, except
woody vines, less than 3 ft in height.
Woody Vine - All woody vines, regardless of
height.
Hydrophytic
Vegetation
Present?
Yes No X
US Army Corps of Engineers Atlantic and Gulf Coastal Plain - Version 2.0

SOIL Sampling Point: WA wet
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of incators
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % TYpe� Location Texture
0-3 7.5YR 3/3 100% clay loam
3-8 10YR 4/2 70% 7.5YR 4/4 30% C M ciay loam
8-12+ 10YR 3/2 70% 7.5YR 4/2 20% C M
Remarks
10YR 3/3 10% C PL ciay loam Manganese concretions present
' Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains 2 Location: PL=Pore Lining, M=Matrix
Hydric Soil Indicators: Indicators for Problematic Hydric Soils'
Histosol (A1) Dark Surface (S7) 2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2) Polyvalue Below Surface (S8) (MLRA 147, 148) Coast Prarie Redox (A16) (MLRA 147, 148)
Hydrogen Sulfide (A4) Thin Dark Surface (S9) (MLRA 747, 748) Piedmont Floodplain Soils (F19) (MLRA 736, 747)
Stratified Layers (A5) Loamy Gleyed Matrix (F2) Red Parent Material (TF2)
2 cm Muck (A10) (LRR N) X Depleted Matrix (F3) Very Shallow Dark Surface (TF12)
Depleted Below Dark Surface (A11) Redox Dark Surface (F6) Other (Explain in Remarks)
Thick Dark Surface (Al2) Depleted Dark Surface (F7)
_ Sandy Mucky Mineral (S1) (LRR N, Redox Depressions (F8) 3lndicators of hydrophytiC vegetation
MLRA 747, 748) Iron-Manganese Masses (F12) (LRR N, MLRA 136) and wetland hydrology must be present,
Sandy Gleyed Matrix (S4) Umbric Surface (F13) (MLRA 136, 122) unless disturbed or problematiC.
Sandy Redox (S5) Piedmont Floodplain Soils (F19) (MLRA 748)
Stripped Matrix (S6)
Restrictive Layer (if observed):
Type: Hydric Soil Present?
Depth (inches): Yes X No
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain - Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
ProjecUSite: U-5899 city/County: Forsyth Sampling Date: 12/19/2016
ApplicanUOwner: NCDOT State: NC Sampling Point: WA upland
Investigator(s): Robel't LepsiC, EPR Section, Township, Range: Rural Hall
�anaform: drainageway Local Relief: Slope (%): 0-1%
Subregion: LRR P Lat: 36.213444 Long: -80.288166 Datum NAD83
Soil Map Unit Name: Tomlin clay loam, 10-15% slopes NWI classification:
Are climatic/hydrologic conditions on the site typical for this time of year? Yes X NO (if no, explain in Remarks)
Are Vegetation X , Soil , or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes No i�
Are Vegetation , Soil ,or Hydrology naturally problematic? (if needed, explain in remarks)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No X
Is the Sampled Area
Hydric Soil Present? Yes No X within a Wetland? Yes No X
Wetland Hydrology Present? Yes No X
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Primary Indicators minimum of one is
Surface Water (A1)
High Water Table (A2)
Saturation (A3)
Water Marks (B1)
Sediment Deposits (62)
Drift Deposits (B3)
Algal Mat or Crust (B4)
Iron Deposits (65)
Inundation on Aerial Imagery (67)
Water Stained Leaves (B9)
uired: check all that apply)
Aquatic Fauna (613)
True Aquatic Plants (B14)
Hydrogen Sulfide Odor (C1)
Oxidized Rhizospheres on Living Roots (C3)
Presence of Reduced Iron (C4)
Recent Iron Reduction in Tilled Soils (C6)
Thin Muck Surface (C7)
Other (Explain in Remarks)
Field Observation:
Surface Water Present? Yes No X Depth (inches)
Water Table Present? Yes No X Depth (inches)
Saturation Present? Yes No X Depth (inches)
(includes capillary fringe)
Describe Recorded Data (stream guage, monitoring well, aerial photos, previous inspections). If available:
Remarks:
y Indicators (minimum of 2 required)
Surface Soil Cracks (B6)
Sparsley Vegetated Concave Surface (68)
Drainge Patterns ( B10)
Moss trim Lines (B16)
Dry-Season Water Table (C2)
Cra�sh Burrows (C8)
Saturation Visble on Aerial Imagery (C9)
Stunted or Stressed Plants (D1)
Geomorphic Position (D2)
ShallowAquitard (D3)
FAC-Neutral Test (D5)
Wetland Hydrology Present?
Yes No X
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

VEGETATION - Use Scientific Names of Plants
Absolute % Dominant Indicatc
Tree Stratum (Plot Size 30 feet) Cover Species? Status
1.
2.
3.
4.
5.
6.
50% of total cover:
Stratum: (Plot Size 30
1.
2.
3.
4.
5.
6.
Sampling Point: WA upland
Number of Dominant Speices
That Are
OBL, FACW, or FAC: 0 (A)
Total Number of Dominant
Speicies Across All Strata: � �B�
Percent of Dominant Speices
That Are
OBL, FACW, or FAC: 0% (A/B)
0% =Total cover Prevalence Index Worksheet:
0% 20% total cover: 0% Total % Cover of: Multiply by:
OBL species x 1= 0
Absolute % Dominant Indicator
Cover Species? Status FACW species x 2= 0
FAC species x 3= 0
FACU species x 4= 0
UPL species x 5= 0
Column totals (A) 0 (B)
Prevalence Index = B/A =
0% =Total cover
50% of total cover: 0% 20% total cover: �o�o Hydrophytic Vegetation Indicators:
Rapid Test for Hydrophytic Vegetation
Absolute % Dominant Indicator
Herb Stratum: (Plot Size 30 feet) Cover Species? Status No Dominance Test is >50%
1. G/echoma hederacea 50% Yes FACU Prevalence Index is <_3.0'
2• Problematic Hydrophytic
3. Vegetation�(Explain)
4• � Indicators of hydric soil and wetland hydrology
5. must be present unless disturbed
6. Definitions of Five Vegetation Strata:
Vine Stratum:
1.
2.
3.
4.
5.
6.
50% =Total cover Tree-Woody Plants, excluding vines
50% of total cover: 25% 20% total cover: 10% approximately 20 ft or more and 3 in. or larger
diameter at breast height (DBH).
so u e o ominan n ica or
Plot Size 30 feet) Cover Species? Status
0% =Total cover
50% of total cover: 0% 20% total cover:
Mowed herbs only; ornamental species could not be identified.
Sapling - Woody plant, excluding woody vines
approximatley 20 ft or more in height and less
than 3 in. DBH.
Shrub- Woody plants, excluding woody vines,
approximately 3 to 20 ft in height.
�% Herb - All herbaceous plants including
herbaceous vines and woody plants, except
woody vines, less than 3 ft in height.
Woody Vine - All woody vines, regardless of
height.
Hydrophytic
Vegetation
Present?
Yes No X
US Army Corps of Engineers Atlantic and Gulf Coastal Plain - Version 2.0

SOIL Sampling Point: WA upland
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of incators
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % TYpe� Location Texture Remarks
0-12+ 10YR 3/3 100% clay loam
' Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains 2 Location: PL=Pore Lining, M=Matrix
Hydric Soil Indicators: Indicators for Problematic Hydric Soils'
Histosol (A1) Dark Surface (S7) 2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2) Polyvalue Below Surface (S8) (MLRA 147, 148) Coast Prarie Redox (A16) (MLRA 147, 148)
Hydrogen Sulfide (A4) Thin Dark Surface (S9) (MLRA 747, 748) Piedmont Floodplain Soils (F19) (MLRA 736, 747)
Stratified Layers (A5) Loamy Gleyed Matrix (F2) Red Parent Material (TF2)
2 cm Muck (A10) (LRR N) Depleted Matrix (F3) Very Shallow Dark Surface (TF12)
Depleted Below Dark Surface (A11) Redox Dark Surface (F6) Other (Explain in Remarks)
Thick Dark Surface (Al2) Depleted Dark Surface (F7)
_ Sandy Mucky Mineral (S1) (LRR N, Redox Depressions (F8) 3lndicators of hydrophytiC vegetation
MLRA 747, 748) Iron-Manganese Masses (F12) (LRR N, MLRA 136) and wetland hydrology must be present,
Sandy Gleyed Matrix (S4) Umbric Surface (F13) (MLRA 136, 122) unless disturbed or problematiC.
Sandy Redox (S5) Piedmont Floodplain Soils (F19) (MLRA 748)
Stripped Matrix (S6)
Restrictive Layer (if observed):
Type: Hydric Soil Present?
Depth (inches): Yes No X
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain - Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
ProjecUSite: U-5899 city/County: Forsyth Sampling Date: 12/19/2016
ApplicanUOwner: NCDOT State: NC Sampling Point: WB W@t
Investigator(s): Robel't LepsiC, EPR Section, Township, Range: Rural Hall
�anaform: drainageway Local Relief: COIlCBV@ Slope (%): 2-4%
Subregion: LRR P Lat: 36.215754 Long: -80.288537 Datum NAD 83
Soil Map Unit Name: Codorus loam, 0-2% slopes NWI classification: PEM/PSS
Are climatic/hydrologic conditions on the site typical for this time of year? Yes X No (if no, explain in Remarks)
Are Vegetation , Soil , or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes X No
Are Vegetation , Soil ,or Hydrology naturally problematic? (if needed, explain in remarks)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes X No
Is the Sampled Area
Hydric Soil Present? Yes X No within a Wetland? Yes X No
Wetland Hydrology Present? Yes X No
Remarks:
In a slight depression within a topographic crenulation/drainageway. Ephemeral channel runs south of wetland to pipe
under railroad (no water or flow present). NCWAM headwater forest type wetland.
HYDROLOGY
Wetland Hydrology Indicators:
Primary Indicators minimum of one is
Surface Water (A1)
High Water Table (A2)
Saturation (A3)
Water Marks (B1)
Sediment Deposits (62)
Drift Deposits (B3)
Algal Mat or Crust (B4)
Iron Deposits (65)
Inundation on Aerial Imagery (67)
Water Stained Leaves (B9)
uired: check all that apply)
Aquatic Fauna (613)
True Aquatic Plants (B14)
Hydrogen Sulfide Odor (C1)
X Oxidized Rhizospheres on Living Roots (C3)
Presence of Reduced Iron (C4)
Recent Iron Reduction in Tilled Soils (C6)
Thin Muck Surface (C7)
Other (Explain in Remarks)
ndary Indicators (minimum of 2 required)
Surface Soil Cracks (B6)
Sparsley Vegetated Concave Surface (68)
Drainge Patterns ( B10)
Moss trim Lines (B16)
Dry-Season Water Table (C2)
X Cra�sh Burrows (C8)
Saturation Visble on Aerial Imagery (C9)
Stunted or Stressed Plants (D1)
X Geomorphic Position (D2)
ShallowAquitard (D3)
FAC-Neutral Test (D5)
Field Observation:
Surface Water Present? Yes No X Depth (inches)
Water Table Present? Yes No X Depth (inches)
Saturation Present? Yes No X Depth (inches)
(includes capillary fringe)
Describe Recorded Data (stream guage, monitoring well, aerial photos, previous inspections). If available:
Remarks:
Wetland Hydrology Present?
Yes X No
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

VEGETATION - Use Scientific Names of Plants
Tree Stratum
1. None observed
2.
3.
4.
5.
6.
Plot Size 30
50% of total cover:
Sapling/Shrub Stratum: (Plot Size 30 feet)
1. Liquidambar styracif/ua
2. Salix nigra
3. Liriodendron tulipifera
4.
5.
6.
Cover Species? Status
Sampling Point:
Number of Dominant Speices
That Are
OBL, FACW, or FAC:
Total Number of Dominant
Speicies Across All Strata:
Percent of Dominant Speices
That Are
OBL, FACW, or FAC:
WB wet
3 (A)
5 (B)
60% (A/B)
0% =Total cover Prevalence Index Worksheet:
0% 20% total cover: 0% Total % Cover of: Multiply by:
OBL species x 1 =
Absolute % Dominant Indicator
Cover Species? Status FACW species x 2=
5% Yes FAC FAC species x 3=
5% Y2S OBL FACU species x 4=
5% YeS FACU UPL species x 5=
Column totals (A) (B)
Prevalence Index = B/A =
15% =Total cover
50% of total cover: g% 20% total cover: 30�o Hydrophytic Vegetation Indicators:
Rapid Test for Hydrophytic Vegetation
Absolute % Dominant Indicator
Herb Stratum: (Plot Size 30 feet) Cover Species? Status Yes Dominance Test is >50%
1. Vernonia noveboracensis 40% Yes FACW Prevalence Index is <_3.0'
2. Solidago spp. 35% Yes N/A Problematic Hydrophytic
3. Rubus argutus 15% No FACU Vegetation'(Explain)
4. JunCus effusus 15% No FACW � Indicators of hydric soil and wetland hydrology
5. Carex spp. 15% No FAC must be present unless disturbed
6. Definitions of Five Vegetation Strata:
120% =Total cover Tree-Woody Plants, excluding vines
50% of total cover: 60% 20% total cover: 24% approximately 20 ft or more and 3 in. or larger
diameter at breast height (DBH).
so u e o ominan n ica or
Vine Stratum: (Plot Size 30 feet) Cover Species? Status
1. Lonicera japonica 5% Yes FACU
2.
3.
4.
5.
6.
5% =Total cover
50% of total cover: 3% 20% total cover:
Sapling - Woody plant, excluding woody vines
approximatley 20 ft or more in height and less
than 3 in. DBH.
Shrub- Woody plants, excluding woody vines,
approximately 3 to 20 ft in height.
�% Herb - All herbaceous plants including
herbaceous vines and woody plants, except
woody vines, less than 3 ft in height.
Woody Vine - All woody vines, regardless of
height.
Hydrophytic
Vegetation
Present?
Yes X No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain - Version 2.0

SOIL Sampling Point: WB wet
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of incators
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % TYpe� Location Texture Remarks
0-6 10YR 3/2 80% 7.5YR 4/6 20% C PL loam
6-12+ 10YR 4/4 100% loam
' Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains 2 Location: PL=Pore Lining, M=Matrix
Hydric Soil Indicators: Indicators for Problematic Hydric Soils'
Histosol (A1) Dark Surface (S7) 2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2) Polyvalue Below Surface (S8) (MLRA 147, 148) Coast Prarie Redox (A16) (MLRA 147, 148)
Hydrogen Sulfide (A4) Thin Dark Surface (S9) (MLRA 747, 748) Piedmont Floodplain Soils (F19) (MLRA 736, 747)
Stratified Layers (A5) Loamy Gleyed Matrix (F2) Red Parent Material (TF2)
2 cm Muck (A10) (LRR N) Depleted Matrix (F3) Very Shallow Dark Surface (TF12)
Depleted Below Dark Surface (A11) X Redox Dark Surface (F6) Other (Explain in Remarks)
Thick Dark Surface (Al2) Depleted Dark Surface (F7)
_ Sandy Mucky Mineral (S1) (LRR N, Redox Depressions (F8) 3lndicators of hydrophytiC vegetation
MLRA 747, 748) Iron-Manganese Masses (F12) (LRR N, MLRA 136) and wetland hydrology must be present,
Sandy Gleyed Matrix (S4) Umbric Surface (F13) (MLRA 136, 122) unless disturbed or problematiC.
Sandy Redox (S5) Piedmont Floodplain Soils (F19) (MLRA 748)
Stripped Matrix (S6)
Restrictive Layer (if observed):
Type: Hydric Soil Present?
Depth (inches): Yes X No
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain - Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
ProjecUSite: U-5899 city/County: Forsyth Sampling Date: 12/19/2016
ApplicanUOwner: NCDOT State: NC Sampling Point: WB Uplalld
Investigator(s): Robel't LepsiC, EPR Section, Township, Range: Rural Hall
Landform: hIIISId@ Local Relief: Slope (%): 2-4%
Subregion: LRR P Lat: 36.215862 Long: -80.288589 Datum NAD 83
Soil Map Unit Name: Tomlin clay loam, 2-6% slopes NWI classification:
Are climatic/hydrologic conditions on the site typical for this time of year? Yes X NO (if no, explain in Remarks)
Are Vegetation , Soil , or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes X No
Are Vegetation , Soil ,or Hydrology naturally problematic? (if needed, explain in remarks)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No X
Is the Sampled Area
Hydric Soil Present? Yes No X within a Wetland? Yes No X
Wetland Hydrology Present? Yes No X
Remarks:
Upslope of WB, in narrow strip between WB and mature woods
HYDROLOGY
Wetland Hydrology Indicators:
Primary Indicators minimum of one is
Surface Water (A1)
High Water Table (A2)
Saturation (A3)
Water Marks (B1)
Sediment Deposits (62)
Drift Deposits (B3)
Algal Mat or Crust (B4)
Iron Deposits (65)
Inundation on Aerial Imagery (67)
Water Stained Leaves (B9)
uired: check all that apply)
Aquatic Fauna (613)
True Aquatic Plants (B14)
Hydrogen Sulfide Odor (C1)
Oxidized Rhizospheres on Living Roots (C3)
Presence of Reduced Iron (C4)
Recent Iron Reduction in Tilled Soils (C6)
Thin Muck Surface (C7)
Other (Explain in Remarks)
Field Observation:
Surface Water Present? Yes No X Depth (inches)
Water Table Present? Yes No X Depth (inches)
Saturation Present? Yes No X Depth (inches)
(includes capillary fringe)
Describe Recorded Data (stream guage, monitoring well, aerial photos, previous inspections). If available:
Remarks:
y Indicators (minimum of 2 required)
Surface Soil Cracks (B6)
Sparsley Vegetated Concave Surface (68)
Drainge Patterns ( B10)
Moss trim Lines (B16)
Dry-Season Water Table (C2)
Cra�sh Burrows (C8)
Saturation Visble on Aerial Imagery (C9)
Stunted or Stressed Plants (D1)
Geomorphic Position (D2)
ShallowAquitard (D3)
FAC-Neutral Test (D5)
Wetland Hydrology Present?
Yes No X
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

VEGETATION - Use Scientific Names of Plants
Tree Stratum
1. None observed
2.
3.
4.
5.
6.
Plot Size 30
50% of total cover:
Sapling/Shrub Stratum: (Plot Size 30 feet)
1. Liriodendron tulipifera
2. Liquidambar styraciflua
3.
4.
5.
6.
Cover Species? Status
Sampling Point: WB upland
Number of Dominant Speices
That Are
OBL, FACW, or FAC: 3 (A)
Total Number of Dominant
Speicies Across All Strata: 6 �B�
Percent of Dominant Speices
That Are
OBL, FACW, or FAC: 50% (A/B)
0% =Total cover Prevalence Index Worksheet:
0% 20% total cover: 0% Total % Cover of: Multiply by:
OBL species 0 x 1= 0
Absolute % Dominant Indicator
Cover Species? Status FACW species 0 x 2= 0
10% Y2S FACU FAC species 35 x 3= 105
5% Y2S FAC FACU species 40 x 4= 160
UPL species 0 x 5= 0
Column totals 75 (A) 265 (B)
Prevalence Index = B/A = 3.5
15% =Total cover
50% of total cover: g% 20% total cover: 30�o Hydrophytic Vegetation Indicators:
Rapid Test for Hydrophytic Vegetation
Absolute % Dominant Indicator
Herb Stratum: (Plot Size 30 feet) Cover Species? Status No Dominance Test is >50%
1. Microstegium vimineum 25% Yes FAC No Prevalence Index is <_3.0'
2. Allium canadense 10% Yes FACU Problematic Hydrophytic
3. Rubus argutus 5% No FACU Vegetation�(Explain)
4• � Indicators of hydric soil and wetland hydrology
5. must be present unless disturbed
6. Definitions of Five Vegetation Strata:
40% =Total cover Tree-Woody Plants, excluding vines
50% of total cover: 20% 20% total cover: 8% approximately 20 ft or more and 3 in. or larger
diameter at breast height (DBH).
so u e o ominan n ica or
Vine Stratum: (Plot Size 30 feet) Cover Species? Status
1. Lonicera japonica 15% Yes FACU
2. Smilax rotundifolia 5% Yes FAC Sapling - Woody plant, excluding woody vines
3.
4.
5.
6.
20% =Total cover
50% of total cover: 10% 20% total cover:
approximatley 20 ft or more in height and less
than 3 in. DBH.
Shrub- Woody plants, excluding woody vines,
approximately 3 to 20 ft in height.
4% Herb - All herbaceous plants including
herbaceous vines and woody plants, except
woody vines, less than 3 ft in height.
Woody Vine - All woody vines, regardless of
height.
Hydrophytic
Vegetation
Present?
Yes No X
US Army Corps of Engineers Atlantic and Gulf Coastal Plain - Version 2.0

SOIL Sampling Point: WB upland
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of incators
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % TYpe� Location Texture Remarks
0-4 10YR 4/4 100% loam
4-12+ 10YR 4/6 100% ciay loam
' Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains 2 Location: PL=Pore Lining, M=Matrix
Hydric Soil Indicators: Indicators for Problematic Hydric Soils'
Histosol (A1) Dark Surface (S7) 2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2) Polyvalue Below Surface (S8) (MLRA 147, 148) Coast Prarie Redox (A16) (MLRA 147, 148)
Hydrogen Sulfide (A4) Thin Dark Surface (S9) (MLRA 747, 748) Piedmont Floodplain Soils (F19) (MLRA 736, 747)
Stratified Layers (A5) Loamy Gleyed Matrix (F2) Red Parent Material (TF2)
2 cm Muck (A10) (LRR N) Depleted Matrix (F3) Very Shallow Dark Surface (TF12)
Depleted Below Dark Surface (A11) Redox Dark Surface (F6) Other (Explain in Remarks)
Thick Dark Surface (Al2) Depleted Dark Surface (F7)
_ Sandy Mucky Mineral (S1) (LRR N, Redox Depressions (F8) 3lndicators of hydrophytiC vegetation
MLRA 747, 748) Iron-Manganese Masses (F12) (LRR N, MLRA 136) and wetland hydrology must be present,
Sandy Gleyed Matrix (S4) Umbric Surface (F13) (MLRA 136, 122) unless disturbed or problematiC.
Sandy Redox (S5) Piedmont Floodplain Soils (F19) (MLRA 748)
Stripped Matrix (S6)
Restrictive Layer (if observed):
Type: Hydric Soil Present?
Depth (inches): Yes No X
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain - Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
ProjecUSite: U-5899 city/County: Forsyth Sampling Date: 12/19/2016
ApplicanUOwner: NCDOT State: NC Sampling Point: WC W@tl8lld
Investigator(s): Robel't LepsiC, EPR Section, Township, Range: Rural Hall
�anaform: drainageway Local Relief: COIlCBV@ Slope (%): 0-1%
Subregion: LRR P Lat: 36.211181 Long: -80.288497 Datum NAD83
Soil Map Unit Name: Codurus loam, 0-2% slopes NWI classification: PFO
Are climatic/hydrologic conditions on the site typical for this time of year? Yes X NO (if no, explain in Remarks)
Are Vegetation , Soil , or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes X No
Are Vegetation , Soil ,or Hydrology naturally problematic? (if needed, explain in remarks)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes X No
Is the Sampled Area
Hydric Soil Present? Yes X No within a Wetland? Yes X No
Wetland Hydrology Present? Yes X No
Remarks:
Outlet of culvert from roadside ditch. NCWAM basin wetland type.
HYDROLOGY
Wetland Hydrology Indicators:
Primary Indicators minimum of one is
X Surface Water (A1)
X High Water Table (A2)
X Saturation (A3)
Water Marks (B1)
Sediment Deposits (62)
Drift Deposits (B3)
Algal Mat or Crust (B4)
Iron Deposits (65)
Inundation on Aerial Imagery (67)
Water Stained Leaves (B9)
uired: check all that apply)
Aquatic Fauna (613)
True Aquatic Plants (B14)
Hydrogen Sulfide Odor (C1)
X Oxidized Rhizospheres on Living Roots (C3)
Presence of Reduced Iron (C4)
Recent Iron Reduction in Tilled Soils (C6)
Thin Muck Surface (C7)
Other (Explain in Remarks)
ndary Indicators (minimum of 2 required)
Surface Soil Cracks (B6)
Sparsley Vegetated Concave Surface (68)
X Drainage Patterns ( B10)
Moss trim Lines (B16)
Dry-Season Water Table (C2)
Cra�sh Burrows (C8)
Saturation Visble on Aerial Imagery (C9)
Stunted or Stressed Plants (D1)
Geomorphic Position (D2)
ShallowAquitard (D3)
FAC-Neutral Test (D5)
Field Observation:
Surface Water Present? Yes X No Depth (inches) �
Water Table Present? Yes X No Depth (inches) 10
Saturation Present? Yes X No Depth (inches) 6
(includes capillary fringe)
Describe Recorded Data (stream guage, monitoring well, aerial photos, previous inspections). If available:
Remarks:
'Surface water present adjacent to soil plug; 0.5 to 1 inch deep.
Wetland Hydrology Present?
Yes X No
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

VEGETATION - Use Scientific Names of Plants
Tree Stratum (Plot Size 30 feet) Cover
1. Liquidambar styraciflua 40%
2. Salix nigra 20%
3. Acer rubrum 10%
4. Liriodendron tulipifera 10%
5.
6.
50% of total cover:
Sapling/Shrub Stratum: (Plot Size 30 feet)
1. Liquidambar styracif/ua
2. Acer rubrum
3.
4.
5.
6.
50% of total cover:
Herb Stratum: (Plot Size 30 feet)
1. Rubus argutus
2. Dichanthelium clandestinum
3. Solidago spp.
4.
5.
6.
50% of total cover:
Vine Stratum: (Plot Size 30 feet)
1. Lonicera japonica
2.
3.
4.
5.
6.
50% of total cover:
Species?
Yes
Yes
No
No
Status
FAC
OBL
FAC
FACU
Sampling Point: WC wetland
Number of Dominant Speices
That Are
OBL, FACW, or FAC:
Total Number of Dominant
Speicies Across All Strata:
Percent of Dominant Speices
That Are
OBL, FACW, or FAC:
5 (A)
7 (B)
71% (A/B)
80% =Total cover Prevalence Index Worksheet:
40% 20% total cover: 16% Total % Cover of: Multiply by:
OBL species x 1 =
Absolute % Dominant Indicator
Cover Species? Status FACW species x 2=
10% Yes FAC FAC species x 3=
10% Y2S FAC FACU species x 4=
UPL species x 5 =
Column totals (A) (B)
Prevalence Index = B/A =
20% =Total cover
10% 20% total cover: 40�o Hydrophytic Vegetation Indicators:
Rapid Test for Hydrophytic Vegetation
Absolute % Dominant Indicator
Cover Species? Status Yes Dominance Test is >50%
10% Yes FACU Prevalence Index is <_3.0�
5% Yes FAC Problematic Hydrophytic
5% Yes FACU Vegetation�(Explain)
� Indicators of hydric soil and wetland hydrology
must be present unless disturbed
Definitions of Five Vegetation Strata:
20% =Total cover Tree-Woody Plants, excluding vines
10% 20% total cover: 4% approximately 20 ft or more and 3 in. or larger
diameter at breast height (DBH).
so u e o ominan n ica or
Cover Species? Status
10% Yes FACU
Sapling - Woody plant, excluding woody vines
approximatley 20 ft or more in height and less
than 3 in. DBH.
10% =Total cover
5% 20% total cover: 2%
Solidago could not be identified to species, so was left out of the dominant species total.
US Army Corps of Engineers
Shrub- Woody plants, excluding woody vines,
approximately 3 to 20 ft in height.
Herb - All herbaceous plants including
herbaceous vines and woody plants, except
woody vines, less than 3 ft in height.
Woody Vine - All woody vines, regardless of
height.
Hydrophytic
Vegetation
Present?
Yes X No
Atlantic and Gulf Coastal Plain - Version 2.0

SOIL Sampling Point: WC wetland
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of incators
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % TYpe� Location Texture Remarks
0-8 10YR 4/2 80% 10YR 4/4 20% C PL Silt
8-12+ 10YR 4/2 60% 10YR 4/4 40% C M Silty Clay
' Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains 2 Location: PL=Pore Lining, M=Matrix
Hydric Soil Indicators: Indicators for Problematic Hydric Soils'
Histosol (A1) Dark Surface (S7) 2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2) Polyvalue Below Surface (S8) (MLRA 147, 148) Coast Prarie Redox (A16) (MLRA 147, 148)
Hydrogen Sulfide (A4) Thin Dark Surface (S9) (MLRA 747, 748) Piedmont Floodplain Soils (F19) (MLRA 736, 747)
Stratified Layers (A5) Loamy Gleyed Matrix (F2) Red Parent Material (TF2)
2 cm Muck (A10) (LRR N) X Depleted Matrix (F3) Very Shallow Dark Surface (TF12)
Depleted Below Dark Surface (A11) Redox Dark Surface (F6) Other (Explain in Remarks)
Thick Dark Surface (Al2) Depleted Dark Surface (F7)
_ Sandy Mucky Mineral (S1) (LRR N, Redox Depressions (F8) 3lndicators of hydrophytiC vegetation
MLRA 747, 748) Iron-Manganese Masses (F12) (LRR N, MLRA 136) and wetland hydrology must be present,
Sandy Gleyed Matrix (S4) Umbric Surface (F13) (MLRA 136, 122) unless disturbed or problematiC.
Sandy Redox (S5) Piedmont Floodplain Soils (F19) (MLRA 748)
Stripped Matrix (S6)
Restrictive Layer (if observed):
Type: Hydric Soil Present?
Depth (inches): Yes X No
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain - Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
ProjecUSite: U-5899 city/County: Forsyth Sampling Date: 12/19/2016
ApplicanUOwner: NCDOT State: NC Sampling Point: WC Up1811d
Investigator(s): Robel't LepsiC, EPR Section, Township, Range: Rural Hall
Landform: hIIISId@ Local Relief: Slope (%): 2-4%
Subregion: LRR P Lat: 36.211289 Long: -80.288541 Datum NAD83
Soil Map Unit Name: Codorus loam, 0-2% slopes NWI classification:
Are climatic/hydrologic conditions on the site typical for this time of year? Yes X NO (if no, explain in Remarks)
Are Vegetation , Soil , or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes X No
Are Vegetation , Soil ,or Hydrology naturally problematic? (if needed, explain in remarks)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No X
Is the Sampled Area
Hydric Soil Present? Yes No X within a Wetland? Yes No X
Wetland Hydrology Present? Yes No X
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Primary Indicators minimum of one is
Surface Water (A1)
High Water Table (A2)
Saturation (A3)
Water Marks (B1)
Sediment Deposits (62)
Drift Deposits (B3)
Algal Mat or Crust (B4)
Iron Deposits (65)
Inundation on Aerial Imagery (67)
Water Stained Leaves (B9)
uired: check all that apply)
Aquatic Fauna (613)
True Aquatic Plants (B14)
Hydrogen Sulfide Odor (C1)
Oxidized Rhizospheres on Living Roots (C3)
Presence of Reduced Iron (C4)
Recent Iron Reduction in Tilled Soils (C6)
Thin Muck Surface (C7)
Other (Explain in Remarks)
Field Observation:
Surface Water Present? Yes No X Depth (inches)
Water Table Present? Yes No X Depth (inches)
Saturation Present? Yes No X Depth (inches)
(includes capillary fringe)
Describe Recorded Data (stream guage, monitoring well, aerial photos, previous inspections). If available:
Remarks:
y Indicators (minimum of 2 required)
Surface Soil Cracks (B6)
Sparsley Vegetated Concave Surface (68)
Drainge Patterns ( B10)
Moss trim Lines (B16)
Dry-Season Water Table (C2)
Cra�sh Burrows (C8)
Saturation Visble on Aerial Imagery (C9)
Stunted or Stressed Plants (D1)
Geomorphic Position (D2)
ShallowAquitard (D3)
FAC-Neutral Test (D5)
Wetland Hydrology Present?
Yes No X
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

VEGETATION - Use Scientific Names of Plants
Tree Stratum (Plot Size 30 feet) Cover
1. Juniperus virginiana 60%
2. Acer rubrum 10%
3. Liquidambar styracif/ua 10%
4.
5.
6.
50% of total cover:
Sapling/Shrub Stratum: (Plot Size 30 feet)
1. Acer rubrum
2. Liquidambar styraciflua
3.
4.
5.
6.
50% of total cover:
Herb Stratum: (Plot Size 30 feet)
1. Microstegium vimineum
2. Rubus argutus
3. Eupatorium purpureum
4.
5.
6.
50% of total cover:
Vine Stratum: (Plot Size 30 feet)
1. Lonicera japonica
2.
3.
4.
5.
6.
50% of total cover:
Species?
Yes
No
No
Sampling Point: WC upland
Status Number of Dominant Speices
That Are
FACU OBL, FACW, or FAC:
FAC Total Number of Dominant
FAC Speicies Across All Strata:
Percent of Dominant Speices
That Are
OBL, FACW, or FAC:
3 (A)
6 (B)
50% (A/B)
80% =Total cover Prevalence Index Worksheet:
40% 20% total cover: 16% Total % Cover of: Multiply by:
OBL species 0 x 1= 0
Absolute % Dominant Indicator
Cover Species? Status FACW species 0 x 2= 0
10% Yes FAC FAC species 60 x 3= 180
10% Y2S FAC FACU species 95 x 4= 380
UPL species 0 x 5= 0
Column totals 155 (A) 560 (B)
Prevalence Index = B/A = 3.6
20% =Total cover
10% 20% total cover: 40�o Hydrophytic Vegetation Indicators:
Rapid Test for Hydrophytic Vegetation
Absolute % Dominant Indicator
Cover Species? Status No Dominance Test is >50%
15% Yes FAC No Prevalence Index is <_3.0�
15% Yes FACU Problematic Hydrophytic
5% No FAC Vegetation�(Explain)
� Indicators of hydric soil and wetland hydrology
must be present unless disturbed
Definitions of Five Vegetation Strata:
35% =Total cover Tree-Woody Plants, excluding vines
18% 20% total cover: 7% approximately 20 ft or more and 3 in. or larger
diameter at breast height (DBH).
so u e o ominan n ica or
Cover Species? Status
20% Yes FACU
Sapling - Woody plant, excluding woody vines
approximatley 20 ft or more in height and less
than 3 in. DBH.
Shrub- Woody plants, excluding woody vines,
approximately 3 to 20 ft in height.
20% =Total cover
10% 20% total cover: 4% Herb - All herbaceous plants including
herbaceous vines and woody plants, except
ogical adaptations below). woody vines, less than 3 ft in height.
Woody Vine - All woody vines, regardless of
height.
Hydrophytic
Vegetation
Present?
Yes No X
US Army Corps of Engineers Atlantic and Gulf Coastal Plain - Version 2.0

SOIL Sampling Point: WC upland
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of incators
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % TYpe� Location Texture Remarks
Sandy Clay
0-12 10YR 4/6 100% Loam
� Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains z Location: PL=Pore Lining, M=Matrix
Hydric Soil Indicators: Indicators for Problematic Hydric Soils3
Histosol (A1) Dark Surface (S7) 2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2) Polyvalue Below Surface (S8) (MLRA 747, 748) Coast Prarie Redox (A16) (MLRA 747, 748)
Hydrogen Sulfide (A4) Thin Dark Surface (S9) (MLRA 147, 148) Piedmont Floodplain Soils (F19) (MLRA 136, 147)
Stratified Layers (A5) Loamy Gleyed Matrix (F2) Red Parent Material (TF2)
2 cm Muck (A10) (LRR N) Depleted Matrix (F3) Very Shallow Dark Surface (TF12)
Depleted Below Dark Surface (A11) Redox Dark Surface (F6) Other (Explain in Remarks)
Thick Dark Surface (Al2) Depleted Dark Surface (F7)
Sandy Mucky Mineral (S1) (LRR N, Redox Depressions (F8) 3lndicators of hydrophytic vegetation
MLRA 147, 148) Iron-Manganese Masses (F12) (LRR N, MLRA 136) and wetland hydrology must be present,
Sandy Gleyed Matrix (S4) Umbric Surface (F13) (MLRA 736, 722) unless disturbed or problematic.
Sandy Redox (S5) Piedmont Floodplain Soils (F19) (MLRA 148)
Stripped Matrix (S6)
Restrictive Layer (if observed):
Type: Hydric Soil Present?
Depth (inches): Yes No
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain - Version 2.0

NC WAM WETLAND ASSESSMENT FORM
Accompanies User Manual Version 4.1
Rating Calculator Version 4.1
Wetland Site Name WA/U-5899 Date 12/19/2016
Wetland Type Headw ater Forest � Assessor Name/Organization Amy James/EPR
Level III Ecoregion Redmont � Nearest Named Water Body Grassy Creek
River Basin Yadkin-R�eDee � USGS 8-Digit Catalogue Unit 03040101
f+ Yes C` No Precipitation within 48 hrs? Latitude/Longitude (deci-degrees)
Evidence of stressors affecting the assessment area (may not be within the assessment area)
Please circle and/or make note on last page if evidence of stressors is apparent. Consider departure from reference, if
appropriate, in recent past (for instance, approximately within 10 years). Noteworthy stressors include, but are not limited
to the following.
• Hydrological modifications (examples: ditches, dams, beaver dams, dikes, berms, ponds, etc.)
• Surtace and sub-surtace discharges into the wetland (examples: discharges containing obvious pollutants, presence of nearby
septic tanks, underground storage tanks (USTs), hog lagoons, etc.)
• Signs of vegetation stress (examples: vegetation mortality, insect damage, disease, storm damage, salt intrusion, etc.)
• HabitaUplant community alteration (examples: mowing, clear-cutting, exotics, etc.)
Is the assessment area intensively managed? {: Yes �" No
Regulatory Considerations (select all that apply to the assessment area)
I— Anadromous fish
� Federally protected species or State endangered or threatened species
f NCDWQ riparian buffer rule in effect
� Abuts a Primary Nursery Area (PNA)
f Publicly owned property
� N.C. Division of Coastal Management Area of Environmental Concern (AEC) (including buffer)
� Abuts a stream with a NCDWQ classification of SA or supplemental classifications of HQW, ORW, or Trout
r Designated NCNHP reference community
I— Abuts a 303(d)-listed stream or a tributary to a 303(d)-listed stream
What type of natural stream is associated with the wetland, if any? (check all that apply)
f"' Blackwater
C: Brownwater
� Tidal (if tidal, check one of the following boxes) {"` Lunar f Wind �` Both
Is the assessment area on a coastal island? �" Yes �: No
Is the assessment area's surface water storage capacity or duration substantially altered by beaver? �"' Yes �•` No
Does the assessment area experience overbank flooding during normal rainfall conditions? �' Yes �.` No
1. Ground Surface Condition/Vegetation Condition — assessment area condition metric
Check a box in each column. Consider alteration to the ground surtace (GS) in the assessment area and vegetation structure
(VS) in the assessment area. Compare to reference wetland if applicable (see User Manual). If a reference is not applicable,
then rate the assessment area based on evidence of an effect.
GS VS
�' A {"` A Not severely altered
(` B �: B Severely altered over a majority of the assessment area (ground surface alteration examples: vehicle tracks, excessive
sedimentation, fire-plow lanes, skidder tracks, bedding, fill, soil compaction, obvious pollutants) (vegetation structure
alteration examples: mechanical disturbance, herbicides, salt intrusion [where appropriate], exotic species, grazing,
less diversity [if appropriate], hydrologic alteration)
2. Surtace and Sub-Surtace Storage Capacity and Duration — assessment area condition metric
Check a box in each column. Consider surface storage capacity and duration (Surf) and sub-surface storage capacity and
duration (Sub). Consider both increase and decrease in hydrology. Refer to the current NRCS lateral effect of ditching guidance for
North Carolina hydric soils (see USACE Wilmington District website) for the zone of influence of ditches in hydric soils. A ditch
<_ 1 foot deep is considered to affect surtace water only, while a ditch > 1 foot deep is expected to affect both surtace and ditch
sub-surface water. Consider tidal flooding regime, if applicable.
Surt Sub
f A � A Water storage capacity and duration are not altered.
{: B {"` B Water storage capacity or duration are altered, but not substantially (typically, not sufficient to change vegetation).
{" C �` C Water storage capacity or duration are substantially altered (typically, alteration sufficient to result in vegetation
change) (examples: draining, flooding, soil compaction, filling, excessive sedimentation, underground utility lines).
3. Water Storage/Surtace Relief — assessment area/wetland type condition metric (answer for non-marsh wetlands only)
Check a box in each column for each group below. Select the appropriate storage for the assessment area (AA) and the wetland
type (WT).
AA WT
3a. {-' A {"` A Majority of wetland with depressions able to pond water > 1 foot deep
f" B �` B Majority of wetland with depressions able to pond water 6 inches to 1 foot deep
C" C {"' C Majority of wetland with depressions able to pond water 3 to 6 inches deep
�: D �: D Depressions able to pond water < 3 inches deep
3b. C" A Evidence that maximum depth of inundation is greater than 2 feet
(' B Evidence that maximum depth of inundation is between 1 and 2 feet
C: C Evidence that maximum depth of inundation is less than 1 foot

4. Soil Texture/Structure — assessment area condition metric
Check a box from each of the three soil property groups below. Dig soil profile in the dominant assessment area landscape
feature. Make soil observations within the 12 inches. Use most recent National Technical Committee for Hydric Soils guidance for
regional indicators.
4a. f A Sandy soil
�' B Loamy or clayey soils exhibiting redoximorphic features (concentrations, depletions, or rhizospheres)
C` C Loamy or clayey soils not exhibiting redoximorphic features
i` D Loamy or clayey gleyed soil
f�` E Histosol or histic epipedon
4b. i` A Soil ribbon < 1 inch
C: B Soil ribbon >_ 1 inch
4c. f� A No peat or muck presence
f�` B A peat or muck presence
5. Discharge into Wetland — opportunity metric
Check a box in each coiumn. Consider surface pollutants or discharges (Surf) and sub-surface pollutants or discharges (Sub).
Examples of sub-surtace discharges include presence of nearby septic tank, underground storage tank (UST), etc.
Surf Sub
C: A �: A Little or no evidence of pollutants or discharges entering the assessment area
(` B {"` B Noticeable evidence of pollutants or discharges entering the wetland and stressing, but not overwhelming the
treatment capacity of the assessment area
{" C {"` C Noticeable evidence of pollutants or discharges (pathogen, particulate, or soluble) entering the assessment area and
potentially overwhelming the treatment capacity of the wetland (water discoloration, dead vegetation, excessive
sedimentation, odor)
6. Land Use — opportunity metric
Check ail that appiy (at least one box in each column). Evaluation involves a GIS effort with field adjustment. Consider sources
draining to assessment area within entire upstream watershed (WS), within 5 miles and within the watershed draining to the
assessment area (5M), and within 2 miles and within the watershed draining to the assessment area (2M). Effective riparian buffers
are considered to be 50 feet wide in the Coastal Plain and Piedmont ecoregions and 30 feet wide in the Blue Ridge Mountains ecoregion.
WS 5M 2M
I— A I— A f A >_ 10% impervious surfaces
� B � B r B < 10% impervious surtaces
I— C f C f C Confined animal operations (or other local, concentrated source of pollutants)
r D � D r D >_ 20°/a coverage of pasture
f E I— E f E >_ 20% coverage of agricultural land (regularly plowed land)
� F � F r F >_ 20% coverage of maintained grass/herb
f G r G r G >_ 20% coverage of clear-cut land
r H r H r H Little or no opportunity to improve water quality. Lack of opportunity may result from hydrologic alterations
that prevent drainage or overbank flow from affecting the assessment area.
7. Wetiand Acting as Vegetated Buffer — assessment area/wetland complex condition metric
7a. Is assessment area within 50 feet of a tributary or other open water?
{: Yes {" No If Yes, continue to 7b. If No, skip to Metric 8.
Wetland buffer need only be present on one side of the water body. Make buffer judgment based on the average width of the wetland.
Record a note if a portion of the buffer has been removed or disturbed.
7b. How much of the first 50 feet from the bank is weltand? Descriptor E should be selected if ditches effectively bypass the buffer.
�" A >_ 50 feet
C' B From 30 to < 50 feet
{"` C From 15 to < 30 feet
C: D From 5 to < 15 feet
(' E < 5 feet or buffer bypassed by ditches
7c. Tributary width. If the tributary is anastomosed, combine widths of channels/braids for a total width.
(i 5 15-feet wide {"` > 15-feet wide f"` Other open water (no tributary present)
7d. Do roots of assessment area vegetation extend into the bank of the tributary/open water?
fi Yes (' No
7e. Is tributary or other open water sheltered or exposed?
(: Sheltered — adjacent open water with width < 2500 feet and no regular boat traffic.
(' Exposed — adjacent open water with width >_ 2500 feet or regular boat traffic.
8. Wetiand Width at the Assessment Area — wetland type/wetland complex metric (evaluate for riparian wetlands only)
Check a box in each column. Select the average width for the wetland type at the assessment area (WT)
and the wetland complex at the assessment areas (WC). See User Manual for WT and WC boundaries.
WT WC
C` A {"` A >_ 100 feet
(` B {"' B From 80 to < 100 feet
{" C {" C From 50 to < 80 feet
(" D {"' D From 40 to < 50 feet
C: E �: E From 30 to < 40 feet
(` F {-` F From 15 to < 30 feet
{"G {"`G From5to<15feet
(` H {"` H < 5 feet

9. Inundation Duration — assessment area condition metric
Answer for assessment area dominant landform.
C` A Evidence of short-duration inundation (< 7 consecutive days)
{i B Evidence of saturation, without evidence of inundation
{" C Evidence of long-duration inundation or very long-duration inundation (7 to 30 consecutive days or more)
10. Indicators of Deposition — assessment area condition metric
Consider recent deposition only (no plant growth since deposition).
C: A Sediment deposition is not excessive, but at approximately natural levels.
(' B Sediment deposition is excessive, but not overwhelming the wetland.
C" C Sediment deposition is excessive and is overwhelming the wetland.
11. Wetland Size — wetland type/wetland compiex condition metric
Check a box in each coiumn. Involves a GIS effort with field adjustment. This metric evaluates three aspects of the wetland area: the
size of the wetland type (WT), the size of the wetland complex (WC), and the size of the forested wetland (FW) (if applicable, see User
Manual). See the User Manual for boundaries of these evaluation areas. If assessment area is clear-cut, select "K" for the FW column.
WT WC FW (if applicable)
{-' A {"` A {" A >_ 500 acres
C` B {"` B C` B From 100 to < 500 acres
{"' C �` C �" C From 50 to < 100 acres
{" D {"` D C" D From 25 to < 50 acres
{-' E {-` E {-' E From 10 to < 25 acres
C` F {"` F C` F From 5 to < 10 acres
{" G {"` G {" G From 1 to < 5 acres
{" H {"` H {" H From 0.5 to < 1 acre
(: I {: I {" I From 0.1 to < 0.5 acre
{" J {" J {" J From 0.01 to < 0.1 acre
{"' K {"' K {: K < 0.01 acre or assessment area is clear-cut
12. Wetiand Intactness — wetland type condition metric (evaluate for Pocosins only)
{-' A Pocosin is the full extent (>_ 90%) of its natural landscape size.
C` B Pocosin is < 90% of the full extent of its natural landscape size.
13. Connectivity to Other Natural Areas — landscape condition metric
13a. Check appropriate box(es) (a boz may be checked in each column). Involves a GIS effort with field adjustment. This
evaluates whether the wetland is well connected (Well) and/or loosely connected (Loosely) to the landscape patch, the contiguous
metric naturally vegetated area and open water (if appropriate). Boundaries are formed by four-lane roads, regularly maintained utility
line corridors the width of a four-lane road or wider, urban landscapes, fields (pasture open and agriculture), or water > 300 feet wide.
Well Loosely
{-' A {"` A z 500 acres
{" B {"` B From 100 to < 500 acres
C` C {"` C From 50 to < 100 acres
{" D {+ D From 10 to < 50 acres
C: E {"` E < 10 acres
C` F {"` F Wetland type has a poor or no connection to other natural habitats
13b. Evaluate for marshes only.
C` Yes {"` No Wetland type has a surtace hydrology connection to open waters/stream or tidal wetlands.
14. Edge Effect — wetland type condition metric (skip for all marshes)
May involve a GIS effort with field adjustment. Estimate distance from wetland type boundary to artificial edges. Artificial edges include
non-forested areas >_ 40 feet wide such as fields, development, roads, regularly maintained utility line corridors and clear-cuts.
Consider the eight main points of the compass.
{-' A No artificial edge within 150 feet in all directions
C` B No artificial edge within 150 feet in four (4) to seven (7) directions
C: C An artificial edge occurs within 150 feet in more than four (4) directions or assessment area is clear-cut
15. Vegetative Composition — assessment area condition metric (skip for all marshes and Pine Flat)
{-' A Vegetation is close to reference condition in species present and their proportions. Lower strata composed of appropriate
species, with exotic plants absent or sparse within the assessment area.
{-' B Vegetation is different from reference condition in species diversity or proportions, but still largely composed of native species
characteristic of the wetland type. This may include communities of weedy native species that develop after clearcutting or
clearing. It also includes communities with exotics present, but not dominant, over a large portion of the expected strata.
{: C Vegetation severely altered from reference in composition. Expected species are unnaturally absent (planted stands of non-
characteristic species or at least one stratum inappropriately composed of a single species). Exotic species are dominant in
at least one stratum.
16. Vegetative Diversity — assessment area condition metric (evaluate for Non-tidal Freshwater Marsh only)
{-' A Vegetation diversity is high and is composed primarily of native species (<10% cover of exotics).
�' B Vegetation diversity is low or has > 10% to 50% cover of exotics.
{" C Vegetation is dominated by exotic species (>50% cover of exotics).

17. Vegetative Structure — assessment area/wetland type condition metric
17a. Is vegetation present?
+`� Yes �' No If Yes, continue to 17b. If No, skip to Metric 18.
17b. Evaluate percent coverage of assessment area vegetation for all marshes only. Skip to 17c for non-marsh wetlands.
f— A >_ 25°/o coverage of vegetation
�"`" B < 25°/o coverage of vegetation
17c. Check a box in each column for each stratum. Evaluate this portion of the metric for non-marsh wetlands. Consider structure
in airspace above the assessment area (AA) and the wetland type (WT) separately.
AA WT
n t� A t A Canopy closed, or nearly closed, with natural gaps associated with natural processes
0
� t: B ``� B Canopy present, but opened more than natural gaps
v i� C �': C Canopy sparse or absent
�
o � A �``� A Dense mid-story/sapling layer
� +'� B �'LL" B Moderate density mid-story/sapling layer
� �: C +': C Mid-story/sapling layer sparse or absent
� i A i _. A
� �--B i`'B(�
� Y! C i�� li
� i A '' A
a`� i: B ,`: B
= fi^C � C
Dense shrub layer
Moderate density shrub layer
Shrub layer sparse or absent
Dense herb layer
Moderate density herb layer
Herb layer sparse or absent
18. Snags — wetland type condition metric
i� A Large snags (more than one) are visible (> 12-inches DBH, or large relative to species present and landscape stability).
r+ B Not A
19. Diameter Class Distribution — wetland type condition metric
�'` A Majority of canopy trees have stems > 6 inches in diameter at breast height (DBH); many large trees (> 12 inches DBH) are
present.
�`-" B Majority of canopy trees have stems between 6 and 12 inches DBH, few are > 12-inch DBH.
{'+ C Majority of canopy trees are < 6 inches DBH or no trees.
20. Large Woody Debris — wetland type condition metric
Include both natural debris and man-placed natural debris.
t� A Large logs (more than one) are visible (> 12 inches in diameter, or large relative to species present and landscape stability).
�:� B NotA
27. Vegetation/Open Water Dispersion — wetland type/open water condition metric (evaluate for Non-Tidal Freshwater
Marsh only)
Select the figure that best describes the amount of interspersion between vegetation and open water in the growing season. Patterned
areas indicate vegetated areas, while solid white areas indicate open water.
r� q �`� B f� C ,- p
� r-�:, � r-�., r-*� �, r�-; r.
.: � �;�� -�� �'' ..
��� , ; � �, ;�' �... 1 4 -�
�,�1 ) (� ��1 � � � f`�+ .;�� �[ �� , r
��- � \�, f° � `�{
� �.�. � _� F � �o s , �,� 1
\. �.� � J'1.� � � � r R �.�r/ , � �_ 1'� ' ' � 1. r,i
j � ��^ -i._ i
�`\ � , l f �.
„� �:.J ..� � / ��� ��`--�L-`� 4+ ;1'
1
22. Hydrologic Connectivity — assessment area condition metric (evaluate for riparian wetlands only)
Examples of activities that may severely alter hydrologic connectivity include intensive
ditching, fill, sedimentation, channelization, diversion, man-made berms, beaver dams, and stream incision.
f+ A Overbank and overland flow are not severely altered in the assessment area.
�"-" B Overbank flow is severely altered in the assessment area.
{' � C Overland flow is severely altered in the assessment area.
+' D Both overbank and overland flow are severely altered in the assessment area.
Notes
Wetland is intensively managed in a maintained yard, and has a significant amount of invasive exotic vegetation. There is no evidence of ground
disturbance.

NC WAM Wetland Rating Sheet
Accompanies User Manual Version 4.1
Rating Calculator Version 4.1
Wetland Site Name WA/U-5899
Wetland Type Headwater Forest
Notes on Field Assessment Form (Y/N)
Presence of regulatory considerations (Y/N)
Date 12/19/2016
Assessor Name/Organization Amy James/EPR
Wetland is intensively managed (Y/N)
Assessment area is located within 50 feet of a natural tributary or other open water (Y/N)
Assessment area is substantially altered by beaver (Y/N)
Assessment area experiences overbank flooding during normal rainfall conditions (Y/N)
Assessment area is on a coastal island (Y/N)
Sub-function Rati
NO
NO
YES
YES
NO
NO
NO
Function Sub-function Metrics Rating
Hydrology Surface Storage and Retention Condition MEDIUM
Sub-Surface Storage and Retention Condition MEDIUM
Water Quality Pathogen Change Condition HIGH
Condition/Opportunity HIGH
Opportunity Presence? (Y/N) NO
Particulate Change Condition HIGH
Soluble Change
Physical Change
Pollution Change
Condition/Opportunity
Opportunity Presence? (Y/N)
Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Condition
Cond ition/Opportu nity
Opportunity Presence? (Y!N)
Condition
NA
NA
HIGH
HIGH
YES
MEDIUM
HIGH
YES
NA
Condition/Opportunity NA
Opportunity Presence? (Y/N) NA
Habitat Physical Structure Condition LOW
Landscape Patch Structure Condition LOW
Vegetation Composition Condition LOW
Function Rating Summary
Function Metrics/Notes Rating
Hydrology Condition MEDIUM
Water Quality Condition HIGH
Condition/Opportunity HIGH
Opportunity Presence? (Y/N) YES
Habitat Conditon LOW
Overall Wetland Rating MEDIUM

NC WAM WETLAND ASSESSMENT FORM
Accompanies User Manual Version 4.1
Rating Calculator Version 4.1
Wetland Site Name WB/U-5899 Date 12/19/2016
Wetland Type Headw ater Forest � Assessor Name/Organization Amy James/EPR
Level III Ecoregion Redmont � Nearest Named Water Body Grassy Creek
River Basin Yadldn-P�eDee � USGS 8-Digit Catalogue Unit 03040101
C+ Yes f No Precipitation within 48 hrs? Latitude/Longitude (deci-degrees)
Evidence of stressors affecting the assessment area (may not be within the assessment area)
Please circle and/or make note on last page if evidence of stressors is apparent. Consider departure from reference, if
appropriate, in recent past (for instance, approximately within 10 years). Noteworthy stressors include, but are not limited
to the following.
• Hydrological modifications (examples: ditches, dams, beaver dams, dikes, berms, ponds, etc.)
• Surface and sub-surtace discharges into the wetland (examples: discharges containing obvious pollutants, presence of nearby
septic tanks, underground storage tanks (USTs), hog lagoons, etc.)
• Signs of vegetation stress (examples: vegetation mortality, insect damage, disease, storm damage, salt intrusion, etc.)
• HabitaUplant community alteration (examples: mowing, clear-cutting, exotics, etc.)
Is the assessment area intensively managed? � Yes {: No
Regulatory Considerations (select all that apply to the assessment area)
f Anadromous fish
� Federally protected species or State endangered or threatened species
f NCDWQ riparian buffer rule in effect
� Abuts a Primary Nursery Area (PNA)
f Publicly owned property
� N.C. Division of Coastal Management Area of Environmental Concern (AEC) (including buffer)
f Abuts a stream with a NCDWQ classification of SA or supplemental classifications of HQW, ORW, or Trout
� Designated NCNHP reference community
I— Abuts a 303(d)-listed stream or a tributary to a 303(d)-listed stream
What type of natural stream is associated with the wetland, if any? (check all that apply)
f Blackwater
f" Brownwater
� Tidal (if tidal, check one of the following boxes) �" Lunar C� Wind �' Both
Is the assessment area on a coastal island? �"` Yes {: No
Is the assessment area's surface water storage capacity or duration substantially altered by beaver? {� Yes � No
Does the assessment area experience overbank flooding during normal rainfall conditions? �" Yes {+ No
1. Ground Surface ConditionNegetation Condition — assessment area condition metric
Check a box in each column. Consider alteration to the ground surface (GS) in the assessment area and vegetation structure
(VS) in the assessment area. Compare to reference wetland if applicable (see User Manual). If a reference is not applicable,
then rate the assessment area based on evidence of an effect.
GS VS
C: A {"' A Not severely altered
{"' B �: B Severely altered over a majority of the assessment area (ground surface alteration examples: vehicle tracks, excessive
sedimentation, fire-plow lanes, skidder tracks, bedding, fill, soil compaction, obvious pollutants) (vegetation structure
alteration examples: mechanical disturbance, herbicides, salt intrusion [where appropriate], exotic species, grazing,
less diversity [if appropriate], hydrologic alteration)
2. Surtace and Sub-Surtace Storage Capacity and Duration — assessment area condition metric
Check a box in each column. Consider surface storage capacity and duration (Surf) and sub-surface storage capacity and
duration (Sub). Consider both increase and decrease in hydrology. Refer to the current NRCS lateral effect of ditching guidance for
North Carolina hydric soils (see USACE Wilmington District website) for the zone of influence of ditches in hydric soils. A ditch
<_ 1 foot deep is considered to affect surtace water only, while a ditch > 1 foot deep is expected to affect both surtace and ditch
sub-surface water. Consider tidal flooding regime, if applicable.
Surt Sub
�i A �"i` A Water storage capacity and duration are not altered.
f" B {-` B Water storage capacity or duration are altered, but not substantially (typically, not sufficient to change vegetation).
C` C �' C Water storage capacity or duration are substantially altered (typically, alteration sufficient to result in vegetation
change) (examples: draining, flooding, soil compaction, filling, excessive sedimentation, underground utility lines).
3. Water Storage/Surtace Relief — assessment area/wetland type condition metric (answer for non-marsh wetlands only)
Check a box in each column for each group below. Select the appropriate storage for the assessment area (AA) and the wetland
type (WT).
AA WT
3a. {" A {" A Majority of wetland with depressions able to pond water > 1 foot deep
{"' B �' B Majority of wetland with depressions able to pond water 6 inches to 1 foot deep
{-' C {" C Majority of wetland with depressions able to pond water 3 to 6 inches deep
�. D �.` D Depressions able to pond water < 3 inches deep
3b. {-' A Evidence that maximum depth of inundation is greater than 2 feet
C` B Evidence that maximum depth of inundation is between 1 and 2 feet
C: C Evidence that maximum depth of inundation is less than 1 foot

4. Soil Texture/Structure — assessment area condition metric
Check a box from each of the three soil property groups below. Dig soil profile in the dominant assessment area landscape
feature. Make soil observations within the 12 inches. Use most recent National Technical Committee for Hydric Soils guidance for
regional indicators.
4a. C` A Sandy soil
{�' B Loamy or clayey soils exhibiting redoximorphic features (concentrations, depletions, or rhizospheres)
C` C Loamy or clayey soils not exhibiting redoximorphic features
f�` D Loamy or clayey gleyed soil
C` E Histosol or histic epipedon
4b. % A Soil ribbon < 1 inch
C` B Soil ribbon >_ 1 inch
4c. f� A No peat or muck presence
C` B A peat or muck presence
5. Discharge into Wetland — opportunity metric
Check a box in each column. Consider surface pollutants or discharges (Surf) and sub-surface pollutants or discharges (Sub).
Examples of sub-surtace discharges include presence of nearby septic tank, underground storage tank (UST), etc.
Surf Sub
C: A �: A Little or no evidence of pollutants or discharges entering the assessment area
{-' B {"` B Noticeable evidence of pollutants or discharges entering the wetland and stressing, but not overwhelming the
treatment capacity of the assessment area
�` C �' C Noticeable evidence of pollutants or discharges (pathogen, particulate, or soluble) entering the assessment area and
potentially overwhelming the treatment capacity of the wetland (water discoloration, dead vegetation, excessive
sedimentation, odor)
6. Land Use — opportunity metric
Check all that apply (at Ieast one box in each column). Evaluation involves a GIS effort with field adjustment. Consider sources
draining to assessment area within entire upstream watershed (WS), within 5 miles and within the watershed draining to the
assessment area (5M), and within 2 miles and within the watershed draining to the assessment area (2M). Effective riparian buffers
are considered to be 50 feet wide in the Coastal Plain and Piedmont ecoregions and 30 feet wide in the Blue Ridge Mountains ecoregion.
WS 5M 2M
I— A I— A r A >_ 10% impervious surfaces
� B � B � B < 10°/a impervious surtaces
f C I— C r C Confined animal operations (or other local, concentrated source of pollutants)
� D r D r D >_ 20% coverage of pasture
f✓ E I— E r E >_ 20% coverage of agricultural land (regularly plowed land)
� F � F � F >_ 20% coverage of maintained grass/herb
f G f G r G >_ 20% coverage of clear-cut land
f H � H r H Little or no opportunity to improve water quality. Lack of opportunity may result from hydrologic alterations
that prevent drainage or overbank flow from affecting the assessment area.
7. Wetland Acting as Vegetated Buffer — assessment area/wetland complex condition metric
7a. Is assessment area within 50 feet of a tributary or other open water?
(` Yes �: No If Yes, continue to 7b. If No, skip to Metric 8.
Wetland buffer need only be present on one side of the water body. Make buffer judgment based on the average width of the wetland.
Record a note if a portion of the buffer has been removed or disturbed.
7b. How much of the first 50 feet from the bank is weltand? Descriptor E should be selected if ditches effectively bypass the buffer.
�" A >_ 50 feet
C' B From 30 to < 50 feet
{"' C From 15 to < 30 feet
C' D From 5 to < 15 feet
;"` E < 5 feet or buffer bypassed by ditches
7c. Tributary width. If the tributary is anastomosed, combine widths of channels/braids for a total width.
(' <_ 15-feet wide {"` > 15-feet wide (' Other open water (no tributary present)
7d. Do roots of assessment area vegetation extend into the bank of the tributary/open water?
{"` Yes {"` No
7e. Is tributary or other open water sheltered or exposed?
(' Sheltered — adjacent open water with width < 2500 feet and no regular boat traffic.
{' Exposed — adjacent open water with width >_ 2500 feet or regular boat traffic.
8. Wetland Width at the Assessment Area — wetland type/wetland complex metric (evaluate for riparian wetlands only)
Check a box in each column. Select the average width for the wetland type at the assessment area (WT)
and the wetland complex at the assessment areas (WC). See User Manual for WT and WC boundaries.
WT WC
C` A {"` A >_ 100 feet
{"' B {"` B From 80 to < 100 feet
C" C {"' C From 50 to < 80 feet
{"' D {"` D From 40 to < 50 feet
C" E {-` E From 30 to < 40 feet
Ci F {i F From 15 to < 30 feet
C` G {"` G From 5 to < 15 feet
C` H {"` H < 5 feet

9. Inundation Duration — assessment area condition metric
Answer for assessment area dominant landform.
C` A Evidence of short-duration inundation (< 7 consecutive days)
�i B Evidence of saturation, without evidence of inundation
C` C Evidence of long-duration inundation or very long-duration inundation (7 to 30 consecutive days or more)
10. Indicators of Deposition — assessment area condition metric
Consider recent deposition only (no plant growth since deposition).
C: A Sediment deposition is not excessive, but at approximately natural levels.
{"' B Sediment deposition is excessive, but not overwhelming the wetland.
C" C Sediment deposition is excessive and is overwhelming the wetland.
11. Wetland Size — wetland type/wetiand complex condition metric
Check a box in each column. Involves a GIS effort with field adjustment. This metric evaluates three aspects of the wetland area: the
size of the wetland type (WT), the size of the wetland complex (WC), and the size of the forested wetland (FW) (if applicable, see User
Manual). See the User Manual for boundaries of these evaluation areas. If assessment area is clear-cut, select "K" for the FW column.
WT WC FW (if applicable)
(` A {"` A (` A >_ 500 acres
C` B {"` B {" B From 100 to < 500 acres
�` C �"` C {" C From 50 to < 100 acres
C` D {-` D {" D From 25 to < 50 acres
{" E {"` E {-' E From 10 to < 25 acres
C` F {"` F {-' F From 5 to < 10 acres
�' G � G f" G From 1 to < 5 acres
C' H {"' H {-' H From 0.5 to < 1 acre
{"' I {-` I {"' I From 0.1 to < 0.5 acre
C+ J �: J {-' J From 0.01 to < 0.1 acre
�' K �' K {+ K < 0.01 acre or assessment area is clear-cut
12. Wetland Intactness — wetland type condition metric (evaluate for Pocosins only)
C" A Pocosin is the full extent (>_ 90%) of its natural landscape size.
C` B Pocosin is < 90% of the full extent of its natural landscape size.
13. Connectivity to Other Natural Areas — landscape condition metric
13a. Check appropriate box(es) (a box may be checked in each column). Involves a GIS effort with field adjustment. This
evaluates whether the wetland is well connected (Well) and/or loosely connected (Loosely) to the landscape patch, the contiguous
metric naturally vegetated area and open water (if appropriate). Boundaries are formed by four-lane roads, regularly maintained utility
line corridors the width of a four-lane road or wider, urban landscapes, fields (pasture open and agriculture), or water > 300 feet wide.
Well Loosely
{"' A �` A >_ 500 acres
{" B {"` B From 100 to < 500 acres
{" C {-` C From 50 to < 100 acres
C` D {"' D From 10 to < 50 acres
{: E {: E < 10 acres
{" F {"` F Wetland type has a poor or no connection to other natural habitats
13b. Evaluate for marshes only.
{" Yes {"` No Wetland type has a surtace hydrology connection to open waters/stream or tidal wetlands.
14. Edge EfFect — wetland type condition metric (skip for all marshes)
May involve a GIS effort with field adjustment. Estimate distance from wetland type boundary to artificial edges. Artificial edges include
non-forested areas >_ 40 feet wide such as fields, development, roads, regularly maintained utility line corridors and clear-cuts.
Consider the eight main points of the compass.
C" A No artificial edge within 150 feet in all directions
C: B No artificial edge within 150 feet in four (4) to seven (7) directions
C` C An artificial edge occurs within 150 feet in more than four (4) directions or assessment area is clear-cut
15. Vegetative Composition — assessment area condition metric (skip for all marshes and Pine Flat)
C` A Vegetation is close to reference condition in species present and their proportions. Lower strata composed of appropriate
species, with exotic plants absent or sparse within the assessment area.
(+` B Vegetation is different from reference condition in species diversity or proportions, but still largely composed of native species
characteristic of the wetland type. This may include communities of weedy native species that develop after clearcutting or
clearing. It also includes communities with exotics present, but not dominant, over a large portion of the expected strata.
C` C Vegetation severely altered from reference in composition. Expected species are unnaturally absent (planted stands of non-
characteristic species or at least one stratum inappropriately composed of a single species). Exotic species are dominant in
at least one stratum.
16. Vegetative Diversity — assessment area condition metric (evaluate for Non-tidal Freshwater Marsh only)
�' A Vegetation diversity is high and is composed primarily of native species (<10% cover of exotics).
C: B Vegetation diversity is low or has > 10% to 50% cover of exotics.
{-' C Vegetation is dominated by exotic species (>50% cover of exotics).

17. Vegetative Structure - assessment area/wetland type condition metric
17a. Is vegetation present?
fi: Yes +'u" No If Yes, continue to 17b. If No, skip to Metric 18.
17b. Evaluate percent coverage of assessment area vegetation for all marshes only. Skip to 17c for non-marsh wetlands.
r' � A >_ 25°/o coverage of vegetation
f" B < 25°/o coverage of vegetation
17c. Check a box in each column for each stratum. Evaluate this portion of the metric for non-marsh wetlands. Consider structure
in airspace above the assessment area (AA) and the wetland type (WT) separately.
AA WT
oi�' A �"` A Canopy closed, or nearly closed, with natural gaps associated with natural processes
� r: B t`� B Canopy present, but opened more than natural gaps
v i C �: C Canopy sparse or absent
o t"" A �� A Dense mid-story/sapling layer
� �: B �'" B Moderate density mid-story/sapling layer
� f" C i: C Mid-story/sapling layer sparse or absent
� i A t" A
L t: B i'` B
v� {-� C ,r, C
Q t A f: A
a� +: B .-' B
x ,_C ,-_C
Dense shrub layer
Moderate density shrub layer
Shrub layer sparse or absent
Dense herb layer
Moderate density herb layer
Herb layer sparse or absent
18. Snags - wetland type condition metric
�` A Large snags (more than one) are visible (> 12-inches DBH, or large relative to species present and landscape stability).
{+ B Not A
19. Diameter Class Distribution - wetland type condition metric
�'" A Majority of canopy trees have stems > 6 inches in diameter at breast height (DBH); many large trees (> 12 inches DBH) are
present.
i� B Majority of canopy trees have stems between 6 and 12 inches DBH, few are > 12-inch DBH.
fi� C Majority of canopy trees are < 6 inches DBH or no trees.
20. Large Woody Debris - wetland type condition metric
Include both natural debris and man-placed natural debris.
a' - A Large logs (more than one) are visible (> 12 inches in diameter, or large relative to species present and landscape stability).
r`: B Not A
21. Vegetation/Open Water Dispersion - wetland type/open water condition metric (evaluate for Non-Tidal Freshwater
Marsh only)
Select the figure that best describes the amount of interspersion between vegetation and open water in the growing season. Patterned
areas indicate vegetated areas, while solid white areas indicate open water.
;- q ;`� B t�� C �"� D
"1 f`'---,. :^-., r"'`- +r-.� ; -�,. �- �r
�' � ,_, �' � f;�'�r-��---- !'� �. '�
f �r� } (1 �' �� j l "` � .J-� 1 fl �, a: j �` = �
��� � �j..7�� ,;'°,, �� `�.� ^ r� � f`��`-��� ��'�:'�!
' �-5 � ! , �
"� .�� �... � �.�,.... � ��`�� ff �__.4y i M..�
'�.. '�__. �_. i:s
22. Hydrologic Connectivity - assessment area condition metric (evaluate for riparian wetlands only)
Examples of activities that may severely alter hydrologic connectivity include intensive
ditching, fill, sedimentation, channelization, diversion, man-made berms, beaver dams, and stream incision.
i-- A Overbank and overland flow are not severely altered in the assessment area.
1� B Overbank flow is severely altered in the assessment area.
�': C Overland flow is severely altered in the assessment area.
,^ D Both overbank and overland flow are severely altered in the assessment area.
Notes
Very small successional wetland in a drainageway connected to an ephemeral channel. Overland flow may be altered by an old berm adjacent to
the wetland.

NC WAM Wetland Rating Sheet
Accompanies User Manual Version 4.1
Rating Calculator Version 4.1
Wetland Site Name WB/U-5899
Wetland Type Headwater Forest
Notes on Field Assessment Form (Y/N)
Presence of regulatory considerations (Y/N)
Date 12/19/2016
Assessor Name/Organization Amy James/EPR
Wetland is intensively managed (Y/N)
Assessment area is located within 50 feet of a natural tributary or other open water (Y/N)
Assessment area is substantially altered by beaver (Y/N)
Assessment area experiences overbank flooding during normal rainfall conditions (Y/N)
Assessment area is on a coastal island (Y/N)
Sub-function Rati
YES
NO
NO
NO
NO
NO
NO
Function Sub-function Metrics Rating
Hydrology Surface Storage and Retention Condition MEDIUM
Sub-Surface Storage and Retention Condition HIGH
Water Quality Pathogen Change Condition HIGH
Condition/Opportunity HIGH
Opportunity Presence? (Y/N) NO
Particulate Change Condition HIGH
Soluble Change
Physical Change
Pollution Change
Condition/Opportunity
Opportunity Presence? (Y/N)
Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Condition
Cond ition/Opportu nity
Opportunity Presence? (Y!N)
Condition
NA
NA
MEDIUM
HIGH
YES
LOW
LOW
YES
NA
Condition/Opportunity NA
Opportunity Presence? (Y/N) NA
Habitat Physical Structure Condition LOW
Landscape Patch Structure Condition LOW
Vegetation Composition Condition MEDIUM
Function Rating Summary
Function Metrics/Notes Rating
Hydrology Condition HIGH
Water Quality Condition HIGH
Condition/Opportunity HIGH
Opportunity Presence? (Y/N) YES
Habitat Conditon LOW
Overall Wetland Rating HIGH

NC WAM WETLAND ASSESSMENT FORM
Accompanies User Manual Version 4.1
Rating Calculator Version 4.1
Wetland Site Name WC/U-5899 Date 12/19/2016
Wetland Type Basin Wetland � Assessor Name/Organization Amy James/EPR
Level III Ecoregion Redmont � Nearest Named Water Body Grassy Creek
River Basin Yadldn-P�eDee � USGS 8-Digit Catalogue Unit 03040101
C+ Yes f No Precipitation within 48 hrs? Latitude/Longitude (deci-degrees)
Evidence of stressors affecting the assessment area (may not be within the assessment area)
Please circle and/or make note on last page if evidence of stressors is apparent. Consider departure from reference, if
appropriate, in recent past (for instance, approximately within 10 years). Noteworthy stressors include, but are not limited
to the following.
• Hydrological modifications (examples: ditches, dams, beaver dams, dikes, berms, ponds, etc.)
• Surface and sub-surtace discharges into the wetland (examples: discharges containing obvious pollutants, presence of nearby
septic tanks, underground storage tanks (USTs), hog lagoons, etc.)
• Signs of vegetation stress (examples: vegetation mortality, insect damage, disease, storm damage, salt intrusion, etc.)
• HabitaUplant community alteration (examples: mowing, clear-cutting, exotics, etc.)
Is the assessment area intensively managed? �: Yes {"` No
Regulatory Considerations (select all that apply to the assessment area)
f Anadromous fish
� Federally protected species or State endangered or threatened species
f NCDWQ riparian buffer rule in effect
� Abuts a Primary Nursery Area (PNA)
f Publicly owned property
� N.C. Division of Coastal Management Area of Environmental Concern (AEC) (including buffer)
f Abuts a stream with a NCDWQ classification of SA or supplemental classifications of HQW, ORW, or Trout
� Designated NCNHP reference community
I— Abuts a 303(d)-listed stream or a tributary to a 303(d)-listed stream
What type of natural stream is associated with the wetland, if any? (check all that apply)
f Blackwater
f" Brownwater
� Tidal (if tidal, check one of the following boxes) �" Lunar C� Wind �' Both
Is the assessment area on a coastal island? �"` Yes {: No
Is the assessment area's surface water storage capacity or duration substantially altered by beaver? {� Yes � No
Does the assessment area experience overbank flooding during normal rainfall conditions? �" Yes {+ No
1. Ground Surface ConditionNegetation Condition — assessment area condition metric
Check a box in each column. Consider alteration to the ground surface (GS) in the assessment area and vegetation structure
(VS) in the assessment area. Compare to reference wetland if applicable (see User Manual). If a reference is not applicable,
then rate the assessment area based on evidence of an effect.
GS VS
C' A �: A Not severely altered
C: B {"' B Severely altered over a majority of the assessment area (ground surface alteration examples: vehicle tracks, excessive
sedimentation, fire-plow lanes, skidder tracks, bedding, fill, soil compaction, obvious pollutants) (vegetation structure
alteration examples: mechanical disturbance, herbicides, salt intrusion [where appropriate], exotic species, grazing,
less diversity [if appropriate], hydrologic alteration)
2. Surtace and Sub-Surtace Storage Capacity and Duration — assessment area condition metric
Check a box in each column. Consider surface storage capacity and duration (Surf) and sub-surface storage capacity and
duration (Sub). Consider both increase and decrease in hydrology. Refer to the current NRCS lateral effect of ditching guidance for
North Carolina hydric soils (see USACE Wilmington District website) for the zone of influence of ditches in hydric soils. A ditch
<_ 1 foot deep is considered to affect surtace water only, while a ditch > 1 foot deep is expected to affect both surtace and ditch
sub-surface water. Consider tidal flooding regime, if applicable.
Surt Sub
�` A �"i` A Water storage capacity and duration are not altered.
f: B {-` B Water storage capacity or duration are altered, but not substantially (typically, not sufficient to change vegetation).
C` C �' C Water storage capacity or duration are substantially altered (typically, alteration su�cient to result in vegetation
change) (examples: draining, flooding, soil compaction, filling, excessive sedimentation, underground utility lines).
3. Water Storage/Surtace Relief — assessment area/wetland type condition metric (answer for non-marsh wetlands only)
Check a box in each column for each group below. Select the appropriate storage for the assessment area (AA) and the wetland
type (WT).
AA WT
3a. {" A {" A Majority of wetland with depressions able to pond water > 1 foot deep
{"' B �' B Majority of wetland with depressions able to pond water 6 inches to 1 foot deep
{-' C {" C Majority of wetland with depressions able to pond water 3 to 6 inches deep
�. D �.` D Depressions able to pond water < 3 inches deep
3b. {-' A Evidence that maximum depth of inundation is greater than 2 feet
C` B Evidence that maximum depth of inundation is between 1 and 2 feet
C: C Evidence that maximum depth of inundation is less than 1 foot

4. Soil Texture/Structure — assessment area condition metric
Check a box from each of the three soil property groups below. Dig soil profile in the dominant assessment area landscape
feature. Make soil observations within the 12 inches. Use most recent National Technical Committee for Hydric Soils guidance for
regional indicators.
4a. C` A Sandy soil
{�' B Loamy or clayey soils exhibiting redoximorphic features (concentrations, depletions, or rhizospheres)
C` C Loamy or clayey soils not exhibiting redoximorphic features
f�` D Loamy or clayey gleyed soil
C` E Histosol or histic epipedon
4b. % A Soil ribbon < 1 inch
C` B Soil ribbon >_ 1 inch
4c. f� A No peat or muck presence
C` B A peat or muck presence
5. Discharge into Wetland — opportunity metric
Check a box in each column. Consider surface pollutants or discharges (Surf) and sub-surface pollutants or discharges (Sub).
Examples of sub-surtace discharges include presence of nearby septic tank, underground storage tank (UST), etc.
Surf Sub
C' A �: A Little or no evidence of pollutants or discharges entering the assessment area
{-' B {"` B Noticeable evidence of pollutants or discharges entering the wetland and stressing, but not overwhelming the
treatment capacity of the assessment area
�: C � C Noticeable evidence of pollutants or discharges (pathogen, particulate, or soluble) entering the assessment area and
potentially overwhelming the treatment capacity of the wetland (water discoloration, dead vegetation, excessive
sedimentation, odor)
6. Land Use — opportunity metric
Check all that apply (at Ieast one box in each column). Evaluation involves a GIS effort with field adjustment. Consider sources
draining to assessment area within entire upstream watershed (WS), within 5 miles and within the watershed draining to the
assessment area (5M), and within 2 miles and within the watershed draining to the assessment area (2M). Effective riparian buffers
are considered to be 50 feet wide in the Coastal Plain and Piedmont ecoregions and 30 feet wide in the Blue Ridge Mountains ecoregion.
WS 5M 2M
t� A I— A r A >_ 10% impervious surfaces
� B � B � B < 10°/a impervious surtaces
f C I— C r C Confined animal operations (or other local, concentrated source of pollutants)
� D r D r D >_ 20% coverage of pasture
I— E I— E r E >_ 20% coverage of agricultural land (regularly plowed land)
� F � F � F >_ 20% coverage of maintained grass/herb
f G f G r G >_ 20% coverage of clear-cut land
f H � H r H Little or no opportunity to improve water quality. Lack of opportunity may result from hydrologic alterations
that prevent drainage or overbank flow from affecting the assessment area.
7. Wetland Acting as Vegetated Buffer — assessment area/wetland complex condition metric
7a. Is assessment area within 50 feet of a tributary or other open water?
(` Yes �: No If Yes, continue to 7b. If No, skip to Metric 8.
Wetland buffer need only be present on one side of the water body. Make buffer judgment based on the average width of the wetland.
Record a note if a portion of the buffer has been removed or disturbed.
7b. How much of the first 50 feet from the bank is weltand? Descriptor E should be selected if ditches effectively bypass the buffer.
�" A >_ 50 feet
C' B From 30 to < 50 feet
{"' C From 15 to < 30 feet
C' D From 5 to < 15 feet
;"` E < 5 feet or buffer bypassed by ditches
7c. Tributary width. If the tributary is anastomosed, combine widths of channels/braids for a total width.
(" <_ 15-feet wide {"` > 15-feet wide (" Other open water (no tributary present)
7d. Do roots of assessment area vegetation extend into the bank of the tributary/open water?
{"` Yes {"` No
7e. Is tributary or other open water sheltered or exposed?
(' Sheltered — adjacent open water with width < 2500 feet and no regular boat traffic.
{' Exposed — adjacent open water with width >_ 2500 feet or regular boat traffic.
8. Wetland Width at the Assessment Area — wetland type/wetland complex metric (evaluate for riparian wetlands only)
Check a box in each column. Select the average width for the wetland type at the assessment area (WT)
and the wetland complex at the assessment areas (WC). See User Manual for WT and WC boundaries.
WT WC
C` A {"` A >_ 100 feet
(' B �` B From 80 to < 100 feet
C" C {"' C From 50 to < 80 feet
{"' D {"` D From 40 to < 50 feet
C: E �+' E From 30 to < 40 feet
C` F {"' F From 15 to < 30 feet
C` G {"` G From 5 to < 15 feet
C` H {"` H < 5 feet

9. Inundation Duration — assessment area condition metric
Answer for assessment area dominant landform.
C: A Evidence of short-duration inundation (< 7 consecutive days)
�' B Evidence of saturation, without evidence of inundation
C` C Evidence of long-duration inundation or very long-duration inundation (7 to 30 consecutive days or more)
10. Indicators of Deposition — assessment area condition metric
Consider recent deposition only (no plant growth since deposition).
C" A Sediment deposition is not excessive, but at approximately natural levels.
{i B Sediment deposition is excessive, but not overwhelming the wetland.
C" C Sediment deposition is excessive and is overwhelming the wetland.
11. Wetland Size — wetland type/wetiand complex condition metric
Check a box in each column. Involves a GIS effort with field adjustment. This metric evaluates three aspects of the wetland area: the
size of the wetland type (WT), the size of the wetland complex (WC), and the size of the forested wetland (FW) (if applicable, see User
Manual). See the User Manual for boundaries of these evaluation areas. If assessment area is clear-cut, select "K" for the FW column.
WT WC FW (if applicable)
(` A {"` A (` A >_ 500 acres
C` B {"` B {" B From 100 to < 500 acres
�` C �"` C {" C From 50 to < 100 acres
C` D {-` D {" D From 25 to < 50 acres
{" E {"` E {-' E From 10 to < 25 acres
C` F {"` F {-' F From 5 to < 10 acres
�' G � G f" G From 1 to < 5 acres
C' H {"' H {-' H From 0.5 to < 1 acre
{"' I {-` I {"' I From 0.1 to < 0.5 acre
C+ J �: J {: J From 0.01 to < 0.1 acre
�' K �' K {-' K < 0.01 acre or assessment area is clear-cut
12. Wetland Intactness — wetland type condition metric (evaluate for Pocosins only)
C" A Pocosin is the full extent (>_ 90%) of its natural landscape size.
C` B Pocosin is < 90% of the full extent of its natural landscape size.
13. Connectivity to Other Natural Areas — landscape condition metric
13a. Check appropriate box(es) (a box may be checked in each column). Involves a GIS effort with field adjustment. This
evaluates whether the wetland is well connected (Well) and/or loosely connected (Loosely) to the landscape patch, the contiguous
metric naturally vegetated area and open water (if appropriate). Boundaries are formed by four-lane roads, regularly maintained utility
line corridors the width of a four-lane road or wider, urban landscapes, fields (pasture open and agriculture), or water > 300 feet wide.
Well Loosely
{"' A �` A >_ 500 acres
{" B {"` B From 100 to < 500 acres
{" C {-` C From 50 to < 100 acres
C` D {"' D From 10 to < 50 acres
{" E {: E < 10 acres
�' F {"` F Wetland type has a poor or no connection to other natural habitats
13b. Evaluate for marshes only.
{" Yes {"` No Wetland type has a surtace hydrology connection to open waters/stream or tidal wetlands.
14. Edge EfFect — wetland type condition metric (skip for all marshes)
May involve a GIS effort with field adjustment. Estimate distance from wetland type boundary to artificial edges. Artificial edges include
non-forested areas >_ 40 feet wide such as fields, development, roads, regularly maintained utility line corridors and clear-cuts.
Consider the eight main points of the compass.
C" A No artificial edge within 150 feet in all directions
C` B No artificial edge within 150 feet in four (4) to seven (7) directions
C: C An artificial edge occurs within 150 feet in more than four (4) directions or assessment area is clear-cut
15. Vegetative Composition — assessment area condition metric (skip for all marshes and Pine Flat)
C` A Vegetation is close to reference condition in species present and their proportions. Lower strata composed of appropriate
species, with exotic plants absent or sparse within the assessment area.
(+` B Vegetation is different from reference condition in species diversity or proportions, but still largely composed of native species
characteristic of the wetland type. This may include communities of weedy native species that develop after clearcutting or
clearing. It also includes communities with exotics present, but not dominant, over a large portion of the expected strata.
C` C Vegetation severely altered from reference in composition. Expected species are unnaturally absent (planted stands of non-
characteristic species or at least one stratum inappropriately composed of a single species). Exotic species are dominant in
at least one stratum.
16. Vegetative Diversity — assessment area condition metric (evaluate for Non-tidal Freshwater Marsh only)
�' A Vegetation diversity is high and is composed primarily of native species (<10% cover of exotics).
C: B Vegetation diversity is low or has > 10% to 50% cover of exotics.
{-' C Vegetation is dominated by exotic species (>50% cover of exotics).

17. Vegetative Structure — assessment area/wetland type condition metric
17a. Is vegetation present?
fi: Yes +'u" No If Yes, continue to 17b. If No, skip to Metric 18.
17b. Evaluate percent coverage of assessment area vegetation for all marshes only. Skip to 17c for non-marsh wetlands.
r' � A >_ 25°/o coverage of vegetation
f" B < 25°/o coverage of vegetation
17c. Check a box in each column for each stratum. Evaluate this portion of the metric for non-marsh wetlands. Consider structure
in airspace above the assessment area (AA) and the wetland type (WT) separately.
AA WT
oi�' A �i` A Canopy closed, or nearly closed, with natural gaps associated with natural processes
� r: B t:� B Canopy present, but opened more than natural gaps
v i C f` C Canopy sparse or absent
o t"" A t" A Dense mid-story/sapling layer
� �: B r` B Moderate density mid-story/sapling layer
� f" C i: C Mid-story/sapling layer sparse or absent
� i A t" A
L i B i'` B
v> {; C ,�, C
Q t A i'` A
a� ��- B �,__ B
= i': C �': C
Dense shrub layer
Moderate density shrub layer
Shrub layer sparse or absent
Dense herb layer
Moderate density herb layer
Herb layer sparse or absent
18. Snags — wetland type condition metric
�` A Large snags (more than one) are visible (> 12-inches DBH, or large relative to species present and landscape stability).
{+ B Not A
19. Diameter Class Distribution — wetland type condition metric
�'" A Majority of canopy trees have stems > 6 inches in diameter at breast height (DBH); many large trees (> 12 inches DBH) are
present.
i: B Majority of canopy trees have stems between 6 and 12 inches DBH, few are > 12-inch DBH.
fi-� C Majority of canopy trees are < 6 inches DBH or no trees.
20. Large Woody Debris — wetland type condition metric
Include both natural debris and man-placed natural debris.
a' — A Large logs (more than one) are visible (> 12 inches in diameter, or large relative to species present and landscape stability).
r`: B Not A
21. Vegetation/Open Water Dispersion — wetland type/open water condition metric (evaluate for Non-Tidal Freshwater
Marsh only)
Select the figure that best describes the amount of interspersion between vegetation and open water in the growing season. Patterned
areas indicate vegetated areas, while solid white areas indicate open water.
;- q ;`� B t�� C �"� D
"1 f`'---,. :^-., r"'`- +r-.� ; -�,. �- �r
�' � ,_, �' � f;�'�r-��---- !'� �. '�
f �r� } (1 �' �� j l "` � .J-� 1 fl �, a: j �` = �
��� � �j..7�� ,;'°,, �� `�.� ^ r� � f`��`-��� ��'�:'�!
' �-5 � ! , �
"� .�� �... � �.�,.... � ��`�� ff �__.4y i M..�
'�.. '�__. �_. i:s
22. Hydrologic Connectivity — assessment area condition metric (evaluate for riparian wetlands only)
Examples of activities that may severely alter hydrologic connectivity include intensive
ditching, fill, sedimentation, channelization, diversion, man-made berms, beaver dams, and stream incision.
i-- A Overbank and overland flow are not severely altered in the assessment area.
1� B Overbank flow is severely altered in the assessment area.
�': C Overland flow is severely altered in the assessment area.
�" " D Both overbank and overland flow are severely altered in the assessment area.
Notes
Wetland funneling stormwater runoff from a roadside ditch; bordered on two sides by impervious surfaces.

NC WAM Wetland Rating Sheet
Accompanies User Manual Version 4.1
Rating Calculator Version 4.1
Wetland Site Name WC/U-5899
Wetland Type Basin Wetland
Notes on Field Assessment Form (Y/N)
Presence of regulatory considerations (Y/N)
Date 12/19/2016
Assessor Name/Organization Amy James/EPR
Wetland is intensively managed (Y/N)
Assessment area is located within 50 feet of a natural tributary or other open water (Y/N)
Assessment area is substantially altered by beaver (Y/N)
Assessment area experiences overbank flooding during normal rainfall conditions (Y/N)
Assessment area is on a coastal island (Y/N)
Sub-function Rati
YES
NO
YES
NO
NO
NO
NO
Function Sub-function Metrics Rating
Hydrology Surface Storage and Retention Condition NA
Sub-Surface Storage and Retention Condition NA
Water Quality Pathogen Change Condition NA
Condition/Opportunity NA
Opportunity Presence? (Y/N) NA
Particulate Change
Soluble Change
Physical Change
Pollution Change
Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Condition
Cond ition/Opportu nity
Opportunity Presence? (Y!N)
Condition
NA
NA
NA
NA
NA
NA
NA
NA
NA
LOW
Condition/Opportunity LOW
Opportunity Presence? (Y/N) NO
Habitat Physical Structure Condition MEDIUM
Landscape Patch Structure Condition LOW
Vegetation Composition Condition MEDIUM
Function Rating Summary
Function Metrics/Notes Rating
Hydrology Condition MEDIUM
Water Quality Condition LOW
Condition/Opportunity LOW
Opportunity Presence? (Y/N) NO
Habitat Conditon LOW
Overall Wetland Rating MEDIUM