20080868 Ver 2_PJD Request for South Creek Corridor_20090112

PotashCorp
Helping Nature Provide
Certified Mail
January 7, 2009
Mr. David Lekson
U.S. Army Corps of Engineers
Washington Regulatory Field Office
PO BOX 1000
Washington, North Carolina 27889
Dear Mr. Lekson:

One of the mitigation sites identified in the PCS Mine Continuation FEIS consists of many
individual tracts of land collectively known as the South Creek Corridor (SCC). In order to
determine the amount of wetland and stream preservation amounts within the SCC, a
jurisdictional determination has been made by CZR Incorporated. Enclosed is a report which
describes the methods and results in support of the jurisdictional determination. I am also
sending a copy of this report to John Domey and Kyle Barnes of the NC Division of Water
Quality for their records.
PCS Phosphate requests that a preliminary JD be done for the SCC, as described in Section 4 of
RGL 08-02, dated 26 June 2006. Attached is a signed copy of the preliminary jurisdictional
determination form for you to complete, which is required as part of RGL 08-02. If you have
any questions, please call me at [phone], or Julia Berger of CZR at [phone].
Sincerely,
14M PAM
J frey . Furness
Senior Scientist
PC: John Dorney - DWQ, Raleigh w/encl.
Kyle Barnes - DWQ, WaRO w/encl.
R.M. Smith w/o encl.
M. Brom w/o encl.
J. Berger, CZR w/o encl.
23-16-001 w/encl.
1530 NC Hwy 306 South, Aurora, NC USA 27806 T [phone]
PCS Phosphate I www.potashcorp.com
•
PCS Phosphate Company, Inc.
South Creek Corridor Jurisdictional Determination
23 December 2008
A. Introduction
The South Creek Corridor (SCC) is a riparian corridor including wetlands, waters and
interspersed non jurisdictional areas along South Creek south of Aurora, North Carolina. The
SCC is proposed by PCS Phosphate Company, Inc. as up-front mitigation by preservation of
approximately 1,543 acres. Figures 1 - 3 depict the SCC on the USGS topoquad, a color display
of soil polygons, and scanned sheets of the Beaufort County soil survey. In order to determine
the wetland and stream preservation credits within the SCC, a jurisdictional determination was
made by CZR Incorporated to estimate the acreage of wetlands and waters contained within the
SCC. This report describes the methods and results in support of the jurisdictional determination.
Approximately 11.7 miles of SCC property is along the east and west sides of South
Creek. South Creek drains generally to the north into the Pamlico River and has a drainage
basin that encompasses approximately 50,000 acres (78 mi2). South Creek ranges from a
freshwater stream in the upper reaches to mesohaline in the lower reaches. Three general
landscape positions (lower floodplain, stream terraces, and interstream flats) are present within
the SCC. Topographic position and proximity to South Creek are the major influencing factors
affecting soils, hydrology, and vegetation of the SCC.
A biotic community map was created for the SCC where each biotic community was
designated as jurisdictional wetland or nonwetland within the dominant vegetation types (U.S.
Army Corps of Engineers 2008, Volume III, Attachment 7, Figure 5- sheets 1 and 2). Each
community type was characterized and mapped by ground truthing at specific sites within the
SCC and then supplemented by use of Beaufort County soil survey maps, 1998 infrared color
aerials, 2001 black and white aerials, USGS topographic maps, LIDAR (Light Detection and
Ranging) (Figure 4), National Wetlands Inventory maps, and data collected for the 1995 South
South Creek Corridor Jurisdictional Determination Page 1
PCS Phosphate Company Inc.
Creek Riparian Corridor report by CZR Incorporated. Few communities exist in a completely
s
natural state, as most have been influenced at some time by disturbances such as logging,
silvicultural practices, suppression of natural fires, and modification of hydrologic regimes by
ditching and channelization.
Wetlands within the preservation parcels were evaluated in 1995 by CZR using the 1987
routine determination form but no wetland/upland line was flagged. In 2007, wetlands within the
preservation parcels were also evaluated using the Fourth Version Guidance for Rating the
Values of Wetlands in North Carolina as developed by the North Carolina Department of
Environment, Health, and Natural Resources; Division of Water Quality (NCDENR 1995). The
NC Division of Water Quality no longer uses this rating system and is transitioning to the new
Draft NC Wetlands Assessment Methodology (NCWAM); however, NCWAM is not yet officially in
place for public use. All of these forms were included in Supporting Documents B and C of
Attachment 7 Volume III of the 2008 FEIS and are not included here. However, Figures 5 and 6
of this document depict the locations of data collection points for NCDWQ wetland ratings forms
and Corps routine wetland determination forms filled out by CZR over the course of the
evaluation of the SCC parcels and development and refinement of the biotic community map
(1995, 2007, and 2008).
Of the 1,543 acres mapped, approximately 1,188 were deemed jurisdictional terrestrial
wetlands. Jurisdictional wetlands of the SCC were estimated using information gathered from on-
site inspections in accordance with the Army Corps of Engineers Wetlands Delineation Manual
(1987 Environmental Laboratory). Additional "Waters of the U.S." under Section 404 jurisdiction
exist in the SCC as open water creeks, intermittent drains, and ponds totaling approximately 15
acres.
B. Wetlands
B.1 Methods
In July 2008, CZR Incorporated performed a routine determination to confirm the SCC
biotic mapping, including the vegetative community and jurisdictional status concurrent with Part •
South Creek Corridor Jurisdictional Determination Page 2
PCS Phosphate Company Inc.
IV Methods, Section D, Subsection 2 for Areas Greater than 5 Acres in Size of the Army Corps of
Engineers Wetland Delineation Manual (Environmental Laboratory 1987). A qualitative method
was used and on-site inspection was necessary due to the SCC being greater than five acres in
size. The corridor boundary along South Creek was used as a baseline. The baseline length
equaled more than 4 miles, thus eight or more transects were required with intervals less than or
equal to 0.5 mile. Transects were established every 0.5 mile at a 90 degree angle to the baseline
resulting in a total of ten transects using the initial biotic community map as the base map
(marked up Figure 5 from Attachment 7, Volume III, of U.S. Army Corps of Engineers 2008;
Figure 7 of this document). Following the Part IV methods, 84 data points were necessary to
characterize vegetation, soils, and hydrology along the ten transects (Appendix 1).
A Data Form 1 (Appendix B, 1987 Environmental Laboratory) was completed for each
biotic community encountered and at each wetland-nonwetland boundary. The dominant plant
species in each vegetation layer were determined and recorded on Data Form 1 using a 5-foot
radius for herbs and saplings/shrubs, and a 30-foot radius for trees and woody vines. Any
dominant species exhibiting morphological or physiological adaptations for survival in wetlands
were also noted on Data Form 1. The soil was examined at each data point immediately below
the A-horizon or 10 inches, whichever was shallower, and hydric soil indicators were recorded.
Hydrology and the presence of wetland hydrology indicators were examined at each observation
point and recorded on Data Form 1. Due to the dry time of year this jurisdictional determination
occurred, primary wetland hydrology indicators were difficult to observe in the field at some data
points. At least two secondary wetland hydrology indicators were documented in the absence of
primary indicators. All Data Form 1s are included in Appendix 1 of this document.
B.2 Results
Transects surveyed and all sample data points were compared to previous biotic
community mapping efforts. Most transects exhibited some differences between communities
mapped and communities observed, although there were no instances of unmapped wetland
areas found during field observation. However, after calculating each transect's total length and
South Creek Corridor Jurisdictional Determination Page 3
PCS Phosphate Company Inc.
each distance in conflict with the base map, it was determined that there was an 8.1 percent
overestimation of wetland acreage in the original biotic community mapping effort along the ten
transects (Table 1).
The majority of errors were due to previously undocumented non jurisdictional spoil piles
on the west bank of South Creek south of SR 1924. Transect C1 also revealed undocumented
spoil on the southern bank of Cypress Run. Errors in transects F and G resulted from
overestimated wetland communities surrounding unclaimed streams. The largest error was seen
in three transects (G, H, and 1) which showed that bottomland hardwood forest had been
overestimated on the base map, and instead actually contained extensive areas of either
freshwater or brackish marsh. This mapping error was excluded from the wetland versus
nonwetland margin of error as the jurisdictional status did not change; however, the SCC biotic
community map was updated to reflect the reduction of bottomland hardwood and increase in
brackish marsh complex communities (Figure 8). The SCC biotic community characterization on
the base map was in accordance with the biotic communities described in the EIS for the PCS
Phosphate Mine Continuation (U.S. Army Corps of Engineers 2008). The 1995 South Creek
Riparian Corridor report by CZR Incorporated was consulted to construct the EIS SCC biotic
community map and included a plant community classified as shrub/swamp. The majority of this
community was included in the initial EIS SCC biotic community map as bottomland hardwood
forest. The July 2008 transects show that a more appropriate designation for this community
within the SCC biotic communities is the brackish marsh complex. However, this community is
much wider in the SCC along the portion of South Creek between NC HWY 33 and north of SR
1924 than what is found within the SCC further upstream or what is found along the South Creek
edge of the NCPC Tract. Another biotic community change as a result of the jurisdictional
determination was a reduction of wetland mixed-pine hardwood forest south of Broomfield
Swamp Creek due to the revised brackish marsh complex community and a few small additions
of this community (wetland mixed-pine hardwood) within the revised bottomland hardwood forest
community north of Broomfield Swamp Creek. The 8.1 percent error will be incorporated into the
projected preservation credits available within the SCC, excluding bottomland hardwood and •
South Creek Corridor Jurisdictional Determination Page 4
PCS Phosphate Company Inc.
• brackish marsh complex, which have already been corrected on Figure 8 as a result of the
transects.
C. Waters
Approximately 850 feet downstream from SR 1923, South Creek becomes a channelized
stream and continues as a channelized stream upstream in a southward direction and then turns
sharply to the west where it becomes the South Creek Canal. There are three named tributaries
which are present within the SCC and drain into South Creek: Gum Swamp Run, Cypress Run,
and Broomfield Swamp Creek. These three features are documented on the Beaufort County soil
survey and USGS topographical quadrangles. The jurisdictional upper limits of these three
tributaries exist farther upstream than the SCC boundary and have been approved by regulatory
agencies as part of the EIS documentation. Approximately 4 miles (20,742 linear feet) of
shoreline along Gum Swamp Run, Cypress Run, and Broomfield Swamp Creek are contained
within the SCC.
Additional "waters of the U.S." under Section 404 jurisdiction exist in the SCC as
unnamed open water creeks, unnamed intermittent drains, and ponds. These features may or
may not show on the USGS quadrangles and/or the Beaufort County soil survey.
CA Methods
Streams within the SCC were evaluated and classified in 2007 and 2008 by CZR
Incorporated. Beaufort County soil survey maps and USGS topographical quadrangles were
consulted to identify potential streams. Beaufort County soil survey maps indicate four unnamed
tributaries of South Creek within the SCC. USGS quadrangles depict 16 blueline streams as
unnamed tributaries within the SCC. Light Detection and Ranging (LIDAR) was also utilized to
identify potential streams not depicted on soil survey maps or USGS quadrangles. LIDAR
consultation resulted in seven additional areas to be evaluated as potential jurisdictional waters.
All potential streams identified for evaluation were first or second order streams. Streams, or
• their portions adjacent to South Creek, with visible open water on 1998 Color Infrared aerials
South Creek Corridor Jurisdictional Determination Page 5
PCS Phosphate Company Inc.
(discernable at 1:4,000 scale or greater) were considered perennial streams and excluded from •
on-site evaluation. Stream classification methods for on-site evaluation were based upon NC
DWQ guidelines as described in "Identification Methods for the Origins of Intermittent and
Perennial streams," Version 3.1 (NC Division of Water Quality 2005). At each potential stream
location, CZR Incorporated biologists walked up and down channels or depressional areas to
observe stream or watershed characteristics. Minimum distances for observation varied from
200-600 feet and all of reach present within the SCC for some features. Recent weather and
rainfall information was considered during onsite evaluation. Geomorphic, hydrologic, and
biologic processes were examined at each potential stream location. Field documentation
included completion of a NC DWQ Stream Identification Form and a US Army Corps of Engineers
Stream Quality Assessment Worksheet along with upstream and downstream photos for each
feature determined to be representative of intermittent or perennial stream (forms and worksheets
are included in Appendix 2 of this document; selected photos of portions of the SCC were
included in Supporting Document A of Attachment 7 Volume III of 2008 FEIS ).
C.2 Results
Very few of the potential streams evaluated exist in a natural state. The most common
occurrence within potential streams is channelization. Channelization has disrupted natural
stream functions such as overbank flooding, especially in upstream portions, and channel
sinuosity. Potential streams subjected to channelization exhibited perennial flow but functioned
similar to an intermittent stream in terms of biologic and geomorphologic processes when
compared using the NC DWQ Stream Identification Forms. Upstream agricultural use combined
with channelization may be a source of significant disturbance to biological components.
Not all indicated features shown on the Beaufort County soil survey map or USGS
quadrangles are streams because they lack the biological and/or geomorphological
characteristics of streams, have been plugged, or significantly altered by human activity. Of the
seven additional potential stream areas identified by LIDAR, only one area, data point S-6a, was

South Creek Corridor Jurisdictional Determination Page 6
PCS Phosphate Company Inc.
• determined to be jurisdictional by CZR biologists. This stream, S-6a, was classified as
intermittent with approximately 530 feet present within the SCC.
Potential streams within the SCC resulted in 18 sample data points representing
approximately 2,420 linear feet of intermittent stream and 14,258 linear feet of perennial stream
evaluated (Figure 5). Corps stream quality assessment scores for perennial streams ranged from
47 to 75.5. The average Corps score for perennial streams was 64. Corps stream quality
assessment scores for intermittent streams ranged from 35.5 to 59.5. The average Corps score
for intermittent streams was 50.5 (Table 2 and Appendix 2). NC DWQ Stream Identification
scores for intermittent streams ranged from 19 to 28. The average NC DWQ score for
intermittent streams was 21. NC DWQ Stream Identification scores for perennial streams ranged
from 22.5 to 46.5. The average NC DWQ score for perennial streams was 31 (Appendix 2).
D. Summary
• Approximately 1,543 acres comprises the SCC, a riparian corridor including wetlands,
waters, and interspersed non jurisdictional areas along South Creek south of Aurora, North
Carolina. In 1995 and 2007, approximately 1,188 acres of the SCC were mapped as
jurisdictional terrestrial wetlands. Following Part IV, Section D, Subsection 2 of the 1987 Manual,
a routine jurisdictional determination performed by CZR Incorporated in July 2008 revealed an 8.1
percent error in the estimated jurisdictional terrestrial wetlands. The 8.1 percent error will be
incorporated into the projected preservation credits available within the SCC for all wetlands,
excluding bottomland hardwood and brackish marsh complex communities. Approximately 15
acres of the SCC exists as open water creeks, intermittent drains, and ponds subject to Section
404 jurisdiction. An estimated 10,370 linear feet of open water creeks are contained within the
SCC as the named tributaries Broomfield Swamp Run, Cypress Run, and Gum Swamp Run.
Additionally, an estimated 14,258 linear feet of unnamed open water perennial creeks and 2,420
linear feet of unnamed intermittent streams are within the SCC for a total of 27,048 linear feet.
is
South Creek Corridor Jurisdictional Determination Page 7
PCS Phosphate Company Inc.
References •
Environmental Laboratory. 1987. Corps of Engineers Wetlands Delineation Manual. Wetland
Program Technical Report Y-87-1. U.S. Army Corps of Engineers Waterways
Experiment Station. Vicksburg, MS. 92 pp.
NCDENR. 1995. Guidance for rating the value of wetlands in North Carolina. Fourth Version.
Division of Water Quality. January.
NC Division of Water Quality. 2005. Identification Methods for the Origins of Intermittent and
Perennial Streams, Version 3.1. North Carolina Department of Environment and Natural
Resources, Division of Water Quality. Raleigh, NC.
U.S. Army Corps of Engineers. 2008. Final EIS for the PCS Phosphate Mine Continuation
Aurora, North Carolina. Volumes I-IV. Wilmington District.
•
•
South Creek Corridor Jurisdictional Determination Page 8
PCS Phosphate Company Inc.

SOUTH CREEK CORRIDOR JURISDICTIONAL DETERMINATION
FIGURES

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South Creek Corridor Jurisdictional Determination
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LEGEND
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Q HYDRIC SOILS (1,199 ACRES)
® NOWHYDRIC SOILS (317 ACRES)
SOIL CLASSIFICATION
ABA-Altavista - 3
Ap -Arapahoe (mineral)-17
At - Augusta - 193
CnB - Conetce - 4
Cu - Curnturk (organic) - 94
Do - Dorovan (organic) - 188
® Ds- Dragston - 102
Me - Muckalee (mineral) - 118
Po - Ponzer (organic) - 117
Pt - Portsmouth (mineral) - 40
® Ro - Roanoke ( mineral) - 82
SIA- State - 5
To - Tomotley (mineral) - 544
VND - Wnton - 9
w - Water - 27
'ONLY MYDRIC SOILS ARE DESIGNATED NNERAL OR ORGANIC.
SOURCE: SOIL DATA PROVIDED BY: DEPARTMENT OF ENVIRONMENT
AND NATURAL RESOURCES, NORTH CAROLINA CENTER FOR
GEOGRAPHIC INFORMATION AND ANALYSIS. STATEPLARE NC,
NAD ISB3,METERS, BFCODSL.SNP, BEAUFORT COUNTY SOILS
AND PACODSL SHIP PAMUCO COUNTY SOILS
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0 1,000 2,000 4,000
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AaA Altavista fine sandy loam, 0 to 2 Percent slopes
AbA ARavista-Urban Land complex. 0 to 2 percent slopes
Ap Arapahoe fine sandy loam
At Augusta line sandy loam
Ba Bayboro loam
Bb Belhaven muck
BOB BOnneau loamy sand, 010 4 percent slopes
C1 Cape tear fine sandy loam
CnB Conetoe bamy sand. 010 5 percent slopes
CrA Craven fine sandy bam. 0 to 1 percent slopes
CrB Craven line sandy foam, t to 4 percent slopes
CsC2 Craven day loam, 4 to 12 percent slopes. eroded
Cl Croalan muck
Cu Curriluck muck, frequently [boded
Da Ire muck
DgB Dogue line sandy foam, 1 10 4 percent slopes
Do DOrovan mucky peat, frequency (boded
Ds Dragsbn fine sandy loam
GoA Goldsboro fine sandy loam. 0 to 2 percent slopes
Hy Hyde loam
La Leaf sill loam
Le Lenoir loam
to Leon sand
Ly Lynchburg fine sandy loam
Me Mudkafoe loam, frequently Needed
Pa Pantego loam
Pe Perquimans sill loam
Pm P,1s, mine
Po Ponzer muck
% Portsmouth loam
Ra Rains fine sandy loam
Ro Roanoke fine sandy loam
Sb Seabrook loamy sand
Se Seabrook-Urban land complex
StA State sandy loam. O to 3 percent sbpes
TaB Tarboro sand, 0 to 5 percent slopes
To Tomolley fine sandy loam
Tr Torhunta sandy loam
Ud Udorthents, loamy
Lk Urban land
Wa Wahee fine sandy loam
Wd Wasda muck
WID Winton fine sandy loam, 12 to 25 Percent slopes
YoA Ye0Pim sill loam, 0 to 2 percent slopes
0 4.000 8.000
SCALE IN rEET
SOURCE:
SOIL SURVEY OF BEAUFORT COUNTY, NORTH CAROLINA
US DEPARTMENT OF AGRICULTURE NATURAL RESOURCES
CONSERVATION SERVICE
ISSUED: SEPTEMBER 1995
•
AURORA.
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TURIIC TRUST APF25 DUD
- PERENNIAL SIRIAM 14 27
INTERM.RENT S7REAM 025
2 WETLAND DRACKISH MARSH COMPLEX 9407
3 WETLAND BOTTOMIAND HARDWOOD FOREST 142.19
4 WFT,MD HER-EMS ASSEMBLAGE 83 85
5 WET>f!D SHRUB - SCRUB ASSEMBLAGE 462.12
6 WETJWD PINE PUMIAPON 4504
7 WETS] HARDWOOD FOREST 115.67
0 WETIAND WXED PETE - HARDWOOD EpRfSI 42 12
9 WETIWD PINE FOREST 2.75
10 WETLAND POCOSIN - BAY FOREST 0.00
11 WETLND SAND RIOCE FOREST 0.a)
12 POND 0.44
r3 wcr ANI) -TAINED N:EA 0.00
14 UP:ANO HEREACEOUS ASSEMBLAGE T14
I _D SHRUB - SCRL43 ASSEMEx{ 151.15
18 UPUND PINE PLMTAIION 2.51
17 UPLAND HAROWO? FOREST 31 BU
18 L4PLAND MIXED PINE - HARDWOOD FOREST BD 97
19 1.4'LWD FINE FOREST 4.82
2" LA V" SANG RIDGE FOREST p.00
21 UPI.MEJ AGRICIH TURN 1-0 4{.09
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LEGEND CURRENT PROJECTED
Q SOUTH CREEK COMMOR (1.543.22 ACRES) CONDITIONS CLIMAX COMMUNITY .
CW"S/OPEN WATER
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0
00
0 21/18 4/8 C
PUBLIC TRUST A
A
.
0
PERENNIAL STREAM 14.27 .
14.27 7 2
INTERMITTENT STREAM 0.25 0.25
2 WE77AN0 BRACKISH MARSH COMPLEX 178.42 176.42
3 WETLAND BOTTOMUND HARDWOOD FOREST 266.13 307.84
00
0
8 3 2
4 WETLAND HERBACEOUS ASSEMBLAGE 83.89
5 WETLAND SHRUB - SCRUB ASSEMBLAGE 462.12 .
EGG 18 1
6 WETLAND PINE PLANTATION 45.04 0.00 --

7 WEr AND HARDWOOD FOREST 115.67
330.95 3
e WETLAND MIXED PINE - HARDWOOD FOREST 36,01 372.84
3 2
9 WETLAND PINE FOREST 175
10 WETLAND POCOSIN - BAY FOREST 0.00 0.00
0.00 .1
11 WETLAND SAND RIDGE FOREST 0.00 0.00 1
12 POND 0.44 0.44 -
13 WETLAND MAINTAINED AREA 0.00
E 0.00
0
00 .j\
18
3.14
14 UPLAND HERBACEOUS ASSEMBLAG .
0
00 7

15 UPLAND SHRUB - SCRUB ASSEMBLAGE 151.16
16 UPLAND PINE PLANTATION 2.51
.
0.00 v
1
17 UPLAND HARDWOOD FOREST 31.80 59.69 2
18 UPLAND MIXED PINE - HARDWOOD FOREST 80.94 258.75
'
19 UPLAND PINE FOREST 4.82 0.00 19
20 UPLAND SAND PoDOE FOREST 0.00 0.00 _
21 UPLAND AGRICULTURAL. LAND 44.09 0.00
22 UPLAND NON - VEGETATED/MAINTAINED AREA 21.77 21.77 5

15/18 if 22

' ?ya
rN - 3
•.
r ?
. .
v
2
l ?'r.
r 15/18
?
rR 5/8 18
-
3 1
- 1

SWAMP
BROO
I EED 8 9/8
8
(
C _ I \3
9

`.? AI•T ? J.i= B
ri
o' 1
MATCHLINE SHEET ' T a'
SHEET 2
0 1,000 2,000
SN.YL IN RIN
NOTE FRST AMBER BEFORE SLASH REPRESENTS CURRENT
CMIDR1otS. SEIUM NUMBER NIER SLASH REPRESENTS
PROFVM CLMAX CCMMIIrN
BIOTIC COMMUNITIES
DATE: 12/23/08 CP/J 1745.59
PCS PHOSPHATE COMPANY, INC.
SCALE: AS SHOWN APIMROVED BY: DRAWN BY: BFG/TLJ

'
°i°L
i4n
+
.alMer4II. Nelnl r
? + FIGURE 8
E
I
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SHEET l
•
•
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1 17
11 ?ik
5/6' 13/17 1S/17 2 6 •-
LL
r MATCHLINE SHEET 1 '
.. , SHEET Z r. E
-
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. ?.,.
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?,... -. -. 13/16

5/8
17

"
7 6/6 , g 3
1
-
-
s 16
twry
CYPRESS RUN
M
`. i -A q ' 21/16
] ,
iS/1
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5/6 5/3 3 .11
7
. -
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7
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5/8

1.

IEGFND CIRHENT PROJEC
0 SOUTH CREEK CORRIDOR (1.543.22 ACRES) CONDI S CLIMAX 001
CREEKS/OPEN WATER
----- PUBLIC TRUST AREAS 0.00 0.00
- -- '. PERENNIAL STREAM 14.27 14.27
INTERMITTENT STREAM 0.25 0.25
2 WETLAND BRACKISH MARSH COMPLEX 176.42 176.42
3 WETLAND BOTTO MNND HARDWOOD FOREST 266.13 307.84
4 WETLAND HERBACEOUS ASSEMBLAGE 83.89 0.00
5 WETLAND SHRW - SCRUB ASSEMBLAGE 462.12 0.00
6 WETLAND PINE PLANTATION 45.04 0.00
7 WETLAND HARDWOOD FOREST 115.67 330.95
8 WETLAND NIXED PINE - HARDWOOD FOREST 36.01 372.84
9 WETLAND PINE FOREST 175 0.00
IO WETLAND POCOSIN - BAY FOREST 0.00 EGO
11 WETLAND SAND RIDGE FOREST 0.00 0.00
12 POND 0.44 0.44
13 WELVNO MAINTAINED AREA 0.00 0.00
14 UPLAND HERBACEOUS ASSEMBLAGE 3,14 0.00
15 UPLAND SHRUB - SCRUB ASSEMBLAGE 151.16 0.00
t6 UPLAND PINE PLANTATION 2.51 0.00
17 UPLAND HARDWOOD FOREST 31.80 59.69
78 UPLAND MIXED PINE - HARDWOOD FOREST 80.94 258.75
79 UPLAND PINE FOREST 4.82 0.00
20 UPLAND SAND RIDGE FOREST 0.00 0.00
21 UPLAND AGRICULTURAL LAND 44.09 0.00
22 UPLAND NON - VEGETATED/MNNTAINED AREA 21.77 21.77
0 1.500 3.000
ItAL[ m EFET
NOTE FIRST NUMBER BEFORE SLASH REPRESENTS CURRENT
CONDITIONS. SECOND NUMBER AFTER SLASH REPfE584115
PROECTED tt1YAX COIAAAM
SOIICE AEAAL IMAGE PROMED BY NORTH CAROLINA DEPNNI4ENT
OF TRANSPORTATION. 1998 CQDR-NFRVifD io TAL In MOSAICS
NAOB3• FEET. NL AIEPVNE, COLORTh.EI I3.SA AND COLDRTLE140.11D,
WESSRE: WWW.N000T.ORC
UPDATED SOUTH CREEK CORRIDOR
BIOTIC COMMUNITIES
PCS PHOSPHATE COMPANY, INC.
SCALE: AS SHOWN APPROVED BY: DRAWN BY: BFG/TLJ
DATE: 12/23/08 CPT 1745.59
I&B 'p FIGURE 8
IM R i pl r SHEET 2 OF 2
•
SOUTH CREEK CORRIDOR JURISDICTIONAL DETERMINATION
TABLES
•
•
South Creek Corridor Jurisdictional Determination
PCS Phosphate Company Inc.
•
Table 1. Transect summary and wetland versus nonwetland margin of error in the South Creek
Corridor.
E
Total Nonwetiand
Transect Heading* length incorrectly mapped Comments/Supporting information
(degrees) (feet) as wetland
feet
A 125 770 50 Undocumented spoil pile b South Creek
B 112 1,620 730 Lacked hydrology
Undocumented spoil piles; 50' drained
C1 136 3,119 125 area
C2 136 2,835 100 Lacked hydrology
Lacked hydrology; undocumented spoil
D1 130 3,200 568 pile
D2 130 2,349 50 Ditch area
E 112 1,337 50 Undocumented spoil pile
F 92 2
490 200 No 5/8 community; overestimated wetland
, surrounding intermittent stream area
G 98 1
736 190 Overestimated wetland surrounding stream
, area; no 7 or 8 community found
H 138 3,135 336 No 5/8 community found
11 145 4,200 0
12 145 840 0
J 50 1,960 0
Totals 29,591 2,399 8.1 % margin of error
*All headings for transects are from west toward east, including transects crossing South Creek
•
South Creek Corridor Jurisdictional Determination
PCS Phosphate Company Inc.
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•
Appendix 1
South Creek Corridor Routine Wetland Data Form 1s
All transect data forms are documented along transects from west to east, excluding transect A
documented from east to west. Transect C1 does not have a SCC-C1-5 data point, it was missed
in numbering sequence. This section includes 84 pages, a Data Form 1 for each data point.
•
•
South Creek Corridor Jurisdictional Determination
PCS Phosphate Company Inc.
DATA FORM 1 4o
?d? "`-
WETLAND DETERMINATION
U
•
Applicant p { ,, Application Projecx !' o
Name: YS f ?(!E}S +t ??- Number: Name: ?)U+tn cr?w4
State: County. ge(1?1 `4egal Description: Township: Ranger
Date: _T- 1 ' Q Plot No.: section:
CE ^ r
Vegetation [list the threw dominant species in each vegetation layer (5 if
only I or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Species
Trees
3.
Indicator
Status

Saplings/shrubs
4. Fer z.-&L i o. k w td S
5. Q t,t-M-L'S VII i'CA.
6. J
Indicator
species Status
Herbs
Woody vines
FACW lo. ' iGTv'( cuC)
FAC 11.?r'1['s L{ tf }t tt'€.S Fc?J`Ea FCC.. UllUar,t.
12. v S Gam. t ? 4 yr ( ?' taclrCc?
X of species that are OBL, FACW, and/or FAC:>50N Other indicators:
HydrophytIc vegetation: Yes V'_ No Basis;
Hydric soils: Yes No Basis:
Hydrology
inundated: Yes ; No Depth of standing water:
Saturated sons: Yea' ; No .`" Depth to saturated soil: '?----..
Ocher indicators:
Wetland hydrology: Yes ; Nom,. Basis:
Atypical situation: Yes; No
Normal Circumstances? Yes__z No
Wetland Determination: Wetland ; Nonvetland
• , atrix color.
Gleyed: Yes No >< Other indicators:
Soil itit r??r_"a
Series and phase: f/t4L7'?:f On itydrie soils list? Yes i/' , No
Mottled: Yam ; Nom. Mottle color: '~-- H p Z 3/
Comments:
S;F0 I P1 es i,
-if
B4
Determined by. t L?,
Append6c 6 Blank and Example Data Farms
DATA FORM L
WETLAND DETERMINATION
I ,,,

Applicant tApplication Project rr , ? ?iC?? ''
Name: J-ns P4?JNumber: Name: aQt4'fyx crefet.
State: ?J?County: (41-4Legal Description: Township: Range:
Date: ?" J U Plot .No.: :5( GC 2. Section:
Vegetation'Llist the three dominant specioa in each vegetvtion layer (5 if
only L or 2 layers)). Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status species Status
Treas Herbs
2. ?rC? ; t ye ?" 8. -';?irPAs :4?--/Pe-r'v1 uS oft-, t crogc+j
3. 9• ?-vrliC..SLY'a ??? ?i ?..G, ?-.
Saplingsishrubs Woody vines M
r
4. I?IDr"trl(Cj cfp a "I'?"? F10. `?? !•:r:..=r_:. ? ?+F°• [?s.:,r' ,,?-?:•'?•_ r?t?? r Gc??'(S
5.Quefz b1, h1cir`, FA-C, II,t
b• 12. -
X of species that are OBL. FACW, and/or FAC: Other indicators:
Hydrophytic vegetation: Yes 1? No Basis:
Soil
Series and phases 1-w"toi / On hydric soils list? Yes ?? ; No
Mottled: Yee ; No ottle color: .?7 5 ; Matrix color:
t
Gleyed: Yes No? Other indicators:
Hydric soils: Yes y No Basis :- giar- ?{En ?G ? lily -?C-f C7i_ 0l.a? fXZi
r'
Hydrology
Inundated: Yes No ',< . Depth of standing waters
Saturated soils: Yes- ; No_y-, . Depth to saturated soil:
Other indicators: - Mt5-l", not -Wetland hydrology: Yes No Basis:
Atypical situation: Yes ; N0
Normal Circumstances? Yes No
Wetland Determination: Wetland ; Nonwetland
ku?n CO- K•
VAkpo?
1:J1?7
L, .4 (I
Co=ents :
i Determined by:
t,
B4 Appendbe B Blank and Example Data Forms
r
i
1nre?ta,?.d
•C5
•
•
f?? d0CV,OAqA
CGS + wes -?'
DATA FORM 1
ULTLAND DETERMINATION
Applicant G? Application Prolec$, r f?/
1.7ame: Number: Name: lj(44 ? ,?'e4kaIICY
State: .county: Pi r
Lega escripti Township: Range:
Date: -711-71 0 Plot No.: SeG" Section: _SLrv,,yu?i
Vegetation [list the three dominant species in each vegetation layer (5 if
only I ox 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species Status
Trees Herbs
2. No"i C, 8. '??bU 5 spa. eo'dj Plo f St:*C_i a-bt,_
3.
9 . ti1t,15 fOPatI i K U M N=
Saplings/shrubs Wood vines
4.Ouert45 vn5vol FAC, l2AVS 5P AD 10. Lcrv1gv(4 ')G OvtiGo?
5. gnus Cm 11i y ?,,,v, NT 6. ?DSA . 'at(AS?I'IS ? 12. vt?l?gr0?"H i?a?lq ??G
L?gu 5? yu vn Si Vt?'?5? ? ,/
X of species that are OBL, FACW, and/or FAC:?s? Go Other indicators:
Rydrophytic vegetation: Yes tJ No Basis:
Soil
Series and pha ar "t\r)VACA\!_?1 On hydric soils list? Ya$IZ; No
r? I}dlQ
Mottled: Yes ; No Mottle color:? Y? 5 Matrix color: Y Lf +
Gleyed: Yes No?? Other indicatore: ,,\L ,r }
Hydr.ic soils: Yes?? No ; Basis:
Depth of standing crater:
Depth r toSaturated soil: 77 IV
a?QS -]? U°iid! .-,1A J,
Wetland hydrology: Yes No?Iz. Basis:
Atypical situation: Yes ,
Normal Circumstances? Yes No
Wetland Determination; Wetland Nonwetland
Cottments :
Hydrology
Inundated: Yes No ?,
Saturated soils: Yes No.,
Other indicators: r,,,,t.'t IC`Uw,
Comyvl, -b, ?neti?
84
No PjAec> 0,10K?
Determined by: i?Cj z,
*2wSec4
Appendlx B Blank and Example Data Forms
ti(der-assi,>

DATA FORM 1 •
WETLAND DETERMINATION
Applicant Application -Frojec f?
Name: Number; Name: m-t1:t cre-eCorr[ Jv(-
State:County: ?-??7 Tr,'t: Legal Description: Township: Range:
Date: 1/ Plot No.:Section:
?x
Vegetation [list the three dominant species in each vegetation layer (5 if
only I or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species Statua
Trees Herbs
1. n a,, ,? , f v ?
L",
FA
G 7 !
FftC. 4
Alh? t'i CA.a? Gt.

3.
5apliugs/shrubs Woody vines
4. 0!j , 10.
r '
f" t°
3. l 1..ItC [A 11

6. l f ['?
FA, C,, .

12.

L?
Z of species that are OBL. FACW, /and/or FAC:73U Other indicators:
RydrophytIc vegetation: Yes V No Basis:
Soil
Series and phase: On hydric soil.s_ list? Yes ?; No
Mottled: Yee ; No t/` . M the color: ; Matrix tolor:jt; %r --r
Gleyed: Yes No ?/__ Other Indicators:
Aydnie soils: Yes NO V ; Basis:
E
Hydrology
Inundated: Yes ; No ?./ ". Depth of standing water=
Saturated soils: Yes' No`/ Depth to saturated soil:
Other lndica tors : . t j r; ",y :-
Wetland hydrology: Yes No ? • Basis:
Atypical situation: Yes ; No
Normal Circumstances? Yes ?? No
Wetland Determination: Wetland Nonwetland 'V.,
Comments.
Determined by:
B4
Appendix B B" and Example Data Forms

jarvK ac I
r -7

DATA FORM 1
WETLAND DETERMINATION
Applic nt Application Project.
Name: G?*tS PJnU?J' VI(1 Number: Name: S6 t4.1 Crea--
State : FCC County: 13 QO ( Legal Description: Township: Range:
Date: `7 13 1 Plot No- CG $ 2 Section:
•
Vegetation [list the three dominant species in each vegetation layer (5 if
only t or 2 layers)]. Indicate species with observed morpbological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species status species Status
Trees rJ Herbs
f
?)1(C C?; I 7 S I U.:`'F C,t C -r tT'•v"1.'S!i'7.s r' i ?_ ?l.`1.?,-%R ? +,
Gf.?_.t_,C..L`(?-. _ ft?°^???J.
3. g,
Saplings/shrubs Wood vines
i % b 0. i r ?c I r-h.V.t < <. fem.
6• t~F 12.
X of species that are OBL? F'ACW, and/or FAC:1 Other indicators:
Hydtophytic vegetation: Yes Qj/- No Basis:
Soil Series and phase: a On hydric soils list? Yes No
Mottled: Yes No Mottle color: Hatria color: /t_ /???1??•
Gleyed: Yes No V Other Indicators:
Hydr.ic soils: Yes(' No ; Basis:
Saturated soils: Yes, No
Hydrology
Inundated: Yes ; No __l_ Depth of stranding water:
Ocher indicators:
Depth to saturated soil: fn,'
Wetland hydrology: Yes; No Basis: sti}Y}
Atypical situation: Yes ; No V;
Normal Circumstances? Yes -y No
Wetland Determination: Wetland Nonmetland
Comments:
•
Determined by., Appendix B Blank and Example Data Forms

UJI&M ayl- d
C-3)
DATA FORM 1
WETLAND DETERMINATION
Applicant Application Project
Name: ,JG S Number: Name: S6tAl t,..F -P-k CC) r M(.)(-
State:wolf, -County: B ({ ' t'`" Legal Description: Township: Range!
Plot No. Date: Section: 1.},, <
t" J %v n i d
Vegetation [list the three dominant species in each vegetation layer (5 if
only L or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species Status
Trans Y . ?7 ? Q Y L'lrf j ?/?r^ i f `?i< r?? •.i ? ,i ?V 4?...' V ?
FA~?^
3. Yl.GO?drt'r0V, plJ
Saplings/shrubs r FAG
G
(Arp?n It
6.
Herbs
FACW
:iC
8 . , -
CGS{-+
Woody vines
10.
FAC
I1.
12.
a
Z of species that are OBL. FACW, and/or FAC:8g.a.
Rydrophytic vegetation: Yes 1/ No Basis:
Other indicators:
Soil t ?!
Series and phas _ i,, u'i 'r "? On hydric soils list? Yes No
Mottled: Yee I.-"' ; No Mottle color: Natria color:
Gleyed: Yes No Dther Indicators:
Hydric soils: Yes %/ No ; Basis:
Hydrology
Inundated: Yes ; No ;_; Depth of standing water:
Saturated soils: Ye9? No Depth to saturated soil:
Other Indicators: ra
Wetland hydrology: Yes No Basis:
Atypical situation: Yes ; No
Normal Circumstances? Yesl No
Wetland Determination: Wetland ; Nonwetland
Comments:
r
Determined by:
•
B4 Appendix B Blank and Exam* Data Forms
N10 r, u) t-;-+ ( n't,? CA
DATA FORM I
WETLAND DETERMINATION
Applicant p?? _ + , _ ,!kl Application Proj ec
Name: PCs { PS??ff a_ _ Number: Name: U4?t( e C,)r'"'J,(,-)(
State. Nl: County: ?dbft Legal Description: Township: Range:
Date: L_? Plot No.: t.:., r f Section:
Vegetation [list the three dominant species in each vegetation layer (5 if
only I or 2 layers)]. Indicate species with observed morphological or known
phyaiological adaptations with an asterisk.
Indicator Indicator
Species Status Species Status
Trees Herbs
3. g.
Saplings/shrubs Woody vines
4. cl± ND17AS 1 _A/ >rA,, - Lo.
f , ?? ru.(? ,?: rt
• s• I1. ?, ' F?
6. I2 •'
Z of species that are OBL. FACW, and/or FAC: ", Other indicators:
Aydrophytic vegetation: Yes t""mo. Basis:
Soil c Leo ?pYvt6?f - ???'tlGC????Si'icuv?.
Series and phases On hydric soils list? Yes L/; No
Mottled: Yes ; No, / Mottle color: ; Hatria color: ?jLo6"
Gleyed: Yes Not/ Other indicators:
Hydric soils: Yes No ? ; Beals:
Hydrology
Inundated: Yes No ,Z . Depth of standing water:
Saturated soils: Yea* ; No Depth to saturated soil:
Other Indicators:
Wetland hydrology: Yes ; No Basis:
Atypical situation: Yes ; No
Normal Circumstances? Yes No
Wetland Determination: Wetland ; Nonwetland
Comments:
( (f?J
Determined by.
$4 t
kppendbc B 13W* and Example Data Forms
ige.Qp
<513)
VOAAd
DATA FORM 1
WETLAND DETERMINATION
Applicant 1_ Application
Name: PCs Pk0S f2kCk.f,0, Number:
State: NG County:BCO
A(j Legal Description;
Date: `l, - 0,9 Plat No. SfL - G i - i
r
Troject
Name: s"A Crcel,?, Cb?'n (-
Township: Range:
Section:
Vegetation [list the three dominant species in each vegetation layer (S if
only 1 or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species Status
Trees
?AAdCGtlSS
1. ?t]fx VU1~?. dBL, Herbs
iro older
7. Vtot?G'AEIt ?tb4,,,i
?
2.

3
FACWt
L
9
?
?
. .
w+
6 rp vs I or??t j
Saplings/shrubs Woody vines
4 .R.4 ?G.N s xra_4-*C "S FACw- lo. joLPawc-c- FAC

S. 12.
Z of species that are OBL, FACW, a /or FAC:'88Q Other indicators; .
Rydvophytle vegetation: Yes No Basis:
Hydrie soils: YesX_ No ; Basis.; w:__?_'_.- Soil L
SerIeshases AI+A1/4s-+c, On hydric soils list? Yaq ; No
Mottled: Yes ; No Mottle color: ----° ; Matrix color: 2E_ )
Gleyed: Yes Ho_y_ Other Indicators:- NO l D? s . CjArprf01 ? crv j
Hydrology
Inundated: Yes ; No Depth of standing water: "
Saturated soils: Yes 'X ; No Depth to saturated soil:
other Indicators:
Wetland hydrology: Yes,; No Basis:
Atypical situation: Yes ; No X
No=al Circumstances? Yes > No
Wetland Determination; Wetland ; Nonwetland
Comments:
coma YW+ c tplov- ks Determined bv:
B4
Appendix B Blank and Example Data Forms
?an?,ibcst?
•
wtt6exa
03
DATA FORM 1
WETLAND DETERMINATION
Applicant Application Project
Name., H'CS pLn0§P-k - Number: Name: Sp? G-ak - Cof iJor
State: {?C/ Couaty:_!2fLegal Description; Township: Range:
Date: +rf- JC/ - 00 Flot No. Section:
t3 (and Nardcwo o? .
Vegetation jlist the three dominant t species in each vegetation layer (5 if
only L or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species Stateis
Trees Herbs
L. LT3uS+t-1,,i,4t,? --1'Vun FAG 7. L J?as-frLAgN Ssc ESe FAC,
z.Urioderldror, -O - F? s.Teoxicodenc?.-cw rcdicon5 FA C,
3. Saplings/shrubs Woody vines
4.5Aba I V 4V101- FAGtN 10. $E;t'r.??Q Sic $ FAC W
5-t; JttS'+MAA SiAeVlSel FAC, ti.Vdj7s r0fL"d1•P01ict FflC
• 6. 12.
X of Species that are OBL. FACW, a1ndlor FAC: W% - Other indicators:
Rydtophytic vegetation: Yes No Basis:
Soil AS + jljl ytp c?tT?? w o
Series and phase: ,?' NyiS1.?,; Dn hYdric soils. list? Yes ; No?.
Mottled: Yes No Mottle color: ; Matrix color: Z,Cj y ?(2
Gleyed: Yes No_?L Other Indicators: QC- IV2 UJZ S - dpt,Ua Ai bK S
Hydric soils: Yes X_ No Basis:
Hydrology
Inundated: Yes ; No X. Depth of standing water:
Saturated soils: Yes No ?` . Depth to saturated soil: -- Other Indicators:__ dX-Qiy1 01 C1 tVtyjS-(- W 7L Va -
Wetland hydrology: Yes_?.* No Basis:
Atypical situation: Yes ; No '>< . yr
Normal Circumstances? Yes.x No
Wetland Determination: Wetland Nonwetland
Comments:
0 Determined by: k-Cl ? L
B4 Appendbc B Blank and Example Data Forms
i
DATA FORH t
WETLAND DETERMINATION
Applicant Application
Name: PGS P!roQ&- nG+C Number:
State: WC County:Legal Description:
Date: - ! Plot No.
Project? r, l
_ CfP (?prYlQ pj
Name:
Township: Range:
Section:
Vegetation [list the three dominant species in each vegetation layer (5 if
only L or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Speciea Status Species Status
Trees Herbs
. Nb?l N layer- 7. FAC, \)+
com f &i C. 1-0,06 aut S FA G
3. 9 . W*tM44:&<,-0 S cp iv) qutpa C.
Saplings/shrubs Woody vines
4. f4GC.-lC r-iS k a (M i-Faf i a FPtG to.'Viji S FAA,
s. sci r°pos Gr perry us-` 06? n. G as 7 s muff m FRG
12.
Z of species that are O TS. IFACW, and or AC: Ca. Other indicators:
Hydrophytle vegetation: Yes ? No Basis;
FAA
•
Soil Amwd,ts
14RVIS4
S
i
-
d
h CeZtl? {ra.1s
o
5 er
es
an
p
a se: On hydric sails.
Ye f ; Na

Mottled: Yes
; No /
Mottle colon: ; Matrix color: Z-S . y[
2 Gleyed: Yee No-)5L- O
,?g ??,di on s
ther indicators: az;? VL X25-redK4
Hydric soils: Yes._ No ; Basis:
Hydrology
Inundated: Yes ; No X . Depth of standing water:
Saturated soils: Yes' ; No X . Depth to saturated soil: > {Z k
other indicators: i , $dil MP15+ Wt nb+ ' ard-U
Wetland hydrology: Yes ; No Basis:
Atypical situation: Yes ; No=.
Normal Circumstances?
Wetland Determination:
Comments:
Yes No
Wetland Nonwetland
Determined by:
E34 Appendbc B Blank and Exam pie Data Forms
•
W41 a
DATA FORM Z
WETLAND DETERMINATION
Applicant Application
Name:- ms f kDSPka+e- Number:
State: _County:12PC[U(?F
+Legal Description:
Date: 7- -OE o Plot No.: 5CC,- C 1-1
T
Name:
pie: Cr
e GDQ4 (d'
Township: Ranges
Section:
Vegetation [list the three. dominant species in each vegetation layer (5 if
only L oT 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species Status
Trees ( r? Herbs
V1 lC [ ll ,y 7. T 5 FTC
2. / s. Ptcer ?fbC
3.
9.
Saplings/shrubs Woody vines
?ar 4. Fr' Xiows pemtsytvl xyt ca FArMo."jo><icocje..rdf-mc/\ rad,Foaris FAG
Yih,15.0ve-e'C•t tS fc ?tri??lia. MC-VJ 1i. $?rc(n :, .- scU. P_n5 F/?GW
6 • Rt rbus Co all 12. Rr->? ? s J,4 s ?u? v L e E F? G
X of species that are OBL. FACW nd/or FAC:?-x4L4. Other indicators-
Hydrophytic vegetation: Yes n/No Basis.
Soil
•
Series and phase: o+lc On 3:ydric soils list? Yas /; No
Mottled: Yee ; No Mottle coloT:75 Matrix color: LL
?-
Gleyed: Yes No Other indicatore: C&
Hydric soils: Yes-2?/._ No ; Basis: e$
Saturated soils: Yea: ; No Depth to saturated soil: 14?
Other Indicators:
Wetland hydrology: Yes?_; No Basis:
Atypical situation: Yes ; No ?'?.._.
Normal Circumataacea? Yes_ No
Wetland Determination; Wetland Nonwetlaud
Hydrology
Inundated: Yes Depth of standing water:
Comments:
64
Determined by: L??
Appendlx B Blank and Example Data Forms
Applicant Application Project
game : FGJ .ba 7 [G4 ?' ?' Number: Name • ?i ? C-,:+?.-Ct'1A"rl' or-
State: N? County: b? Legal Description: Township:. Range:
Date: 2'g Ol Plot No.: S C C- G/ - {a Section:
Vegetation [list the three dominant species in each vegetation layer (S if
only i or Z layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status species -Statu*a
Trees Kerbs
1. 7.
3. hyi'ore
9.
Sapling /shrubs QQ Woody vines
4. S A i k n. i cir a V 10.
3. 5,t $Li t n? rFAC W z I. V
b. J,??,6Ar ,1-i vR FAG4 12.
Z of s ecies that are OBL. FACW, and/or FAC: Lc! , Other indicators:
Hydrophytic vegetation: Yes X No Basis:
Soil r
Series and phnse:l (
Mottled: Yea 1( ; No
Gleyed: Yes No
Aydric sails: Yes No
On hydric soils list? Yes J? ; No
Mottle color: fDYR6 8 ; Hatriz colTo'r??G`/??{ f
Other indicators:
Basis : G.,-b ry,c. r ?e .5
Hydrology
Inundated: Yes ; xo ,?< . Depth of standing water:
Sac=ated soils: Yes ; No X Depth to saturated soil:
Other indicators:
Wetland hydrology: Yes ';L-. No Basis: D c,e rn--+.' lFA
Atypical situation: Yes ; ATok", 1
Normal Circumstances? Yes No
Wetland Determination: Wetland Nonwetland
Comments:
Determined by:
B4
Appendbc B Blank and Example Data Forms
•
•
DVAJ0Yr[
DATA FORM 1
WETLAND DETMIMATioN
Applicant
"? ?n Application Project
Name : ?S EY(Vs2kaL"t..X. Number: Name: '504 14 Crc-.C.k.-
State: N c, 'County:. LW- V:(-6r egal Description: Township: Ranges
Dare'--I/ 23 X18 Plot No.: 5CGr -j Section:
Vegetation [list the three domi? rant species in each vegetation layer (5 if
only I or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator
Species Status
is
Trees
1. G L! l/t t fiJ (? ???
2. tG?vtlGi•t't??? `iLj?`'T v?Q ??G?
V- J,A
Sap ing /shrubs
4• Sw GiX iti r7i C?j
5. f/i v? r ; t? rG? c. l7 f ?ti FAC+
6.
Indicator
Species Status
Herbs ?-yy
7.
9.
Woody vines
OBL
d CA"
Sccxtlj?WS
CL
12.
FAGw
F(A?C
X of species that are OBL. FACW, and/or FAC:)PO . Other indicators:
Hydrophytic vegetation: Yes V-., No Basis;
Series and phase: /`o cs..?o On hydric soils list? Yes ; No
Mottled: Yea; No Mottle color:LV-": Matrix color:Tjq`J R s` 1.
Gleyed: Yes No Other indicators: rJf"
Hydric soils : Yes` No ; Basis.- (`LLILI-0?1?1; < < ?T 'tX C
Soil
Hydrology
Other indicators:
Wetland hydrology:
Atypical situation:
Inundated: Yes ; SO X-- Depth of standing water:
Saturated soils: Yea* No__.,)( Depth to saturated soil:
Yes No Basis::
Yes No-Z, s
Normal Circumstances? Yes_ No
Wetland Determination: Wetland ; Nonwetland
Comments:
We4-l o,:,d
j
B4 i ? 4 ? i`{ ?t ? 0 f
Determined by: _.G G{~
Appendix B Bunk and Example Data Fortes
no,nvve-.+in,.j
DATA FORM 1
WETLAND DETERMINATION
Applic nt Application Project
Name :_ GS ??+1,05 '? Number: Name: SD(A-0, t-1 e-ek ccrr, C-,-r
}
State:- County: ?jQ 7l,egal Description: Township: Range:
Date: Z3-07 Plot No.: 3CC-Gf- S Section:
177
Vegetation [list the three dominant species in each vegetation layer (5 if
only 1 or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species Status
Treas y
1. C ( {2f Gc iS h1 tC?hU.??X 4'1 C-W
2.
3.
Saplinge/shrubs
4. F
5. ILA &eriC {AvL4`-r!F vJ
b.
Kerbs y-
7. Tx c?c.J ya.. r f'`CEr i G GC l? S 4 f t?
8.
9.
Woody vines
10. Svw fox M- k" d t"f <o? Gam,
il.
12.
v
z of species that are OBL, FACW,/and/or PAC: o Other indicators.
Aydrophytia vegetation: Yes ? Mo Basis.
Soil jvlaf FX7 E A s
Series and phaseslr?^ On Itydric soils list? Yes Ito
Mottled: Yee ; No->-,? . Mottle color: Matrix color: Id R 11Z
Gleyed: YesNo .< Other Indicators:
Hydric soils: Yes No-""-" ; Basis:
Hydroloa
rnundaced: Yes ; No ? . Depth of standing water:
Saturated evils: Yea ; No ? . Depth to saturated soil:
Other lmdicat;ors:
Wetland hydrology: Yes ; No Basis:
Atypical situation: Yes ; No
.
Normal Circumstances? YasZ- No
Wetland Determination: Wetland ; Nonwetiand
Comments:
Determined by:
ti.
•
•
B¢ ApparKk B Blank and Example Data C=orms
•
•
DATA FORM Z
WETLAND DETERMINATION
Applicant Application Projec { t
Name: ?C.S i??Q"C Number: Name: ,LCA1 Cnz- , = CcV-C1br-
State: ?J7?C County: Q>eAblQt?'I.egal Description: Township: Range:
Date: / 2u7 O Plot No.: 5,5C C ~9 Section:
P On hydric soils list? yea -1 ; No
Mottled: Yes -K ; No Mottle color: Matrix color:
Gleyed: Yes Nc Other indicators:
Hydric soils: Yes X No Basis:
Hydrololty
Yniundateda 'Yes ; No Y Depth of standing pater:
Saturated soils: Yea' ; No ?
Depth to saturated soil:
Other indicators:
wetland hydrology: Yes ; No X Basis:
Atypical situation: Yes ; No X .
Normal Circumstances? Yes No
Wetland Determination: Wetland Nonwetland
Comments:
B4
Vegetation [list the three dominant species in each vegetation layer ES if
only Z or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species Status
Trees Herbs
8.
3. g.
Saplings/sh lr/ubs/? WOOC17 Vines
4.
CAr- I1.
? f
6. 12.
X of ap ties that are OBL. FACW,, and/or FAC:? 0? Other indicators:
Aydrophytic vegetation: Yes ? No Basis:
Soil
Series and base:
f r? _
C1f Iia?l.G? V JA/61 Determined by-,
Appead8c B Blank and Example Data Forms
DATA FORM Z
WETLAND DETERMINATION
Applicant _I Application Project
Name:-PCS P?Ij2SCAAQ±!E_J Number: Name:-
State: 11 County:?PA? Legal Description: Township: Range:_
DaterB Plot No.: S66 - Section:
Vegetation [list the three dooduant species in each vegetation layer (5 if
only I or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species Status
Trees Herbs
7. C GtvS Ly At/1S 09L_
1. S L x ir'J
2. S.
3.
9.
Saplings/shrubs Woody vines
4. W1?Ajar F&C i F
5. Sc,.C+K w1 ?
o}}I, Xem ii. T'+,5- FA i
19
6 ?ew f 12.
Z of species that are OBL,, FA1JCW, and/or FAC: Other indicators:
Hydrophytic vegetation: Yes ? No Basis.
Soil metflq(d'As
Series and phases Il (, .a ..? hydric soils list? Yee x ; No
Mottled: Yea N Mottle colors jom 6AR; Matrix color: Z- S 7r'
Gleyed : Yes No Other Indicator?ls :
Hydric sails: YesNo Basis:_
Hydrology
Inundated: Yes ; No i. Depth of standing water:
Saturated soils: Yes No 4 . Depth to saturated soil:
Other indicators:
Wetland hydrology: Yes; No Basis: s
Atypical situation: Yes ; No j( .
Normal Circumstances? Yes__,V No
Wetland Determination: Wetland
1" _ e •
Comments:
f
Nonwetland
Determined by: C C
•
•
B4 Apper,dm B Blark and Example Data Forms
DATA FORM L
WETLAND DETERMINATION
Appli at _[ Application Projec ``
?n ##
PTame:?? P?t?yPta-? Number: Name C on 1 f
State-.- WC., County: `AL44 "Legal Description: Tovnehip: Range:
Date: 23 Plot No.; 56,- C...( - Section:
Vegetation [list the three dominant species in eaeh vegetation layer (5 if
only F or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species status Species Status
Trees Herbs
?l
V! v l tlJ G ?\ J J_1JG( t,1 7 Gt: P ?? t l k'?{J l ?1 V?.?J
1. FrQ,C+ 1
3. .i arVr' .Lr rn??r rr'„?rZL*Gf?„c FAC i 9-
Saplings/shrubs Woody vines
4. lo. c
FA G-
/ L1• In?i ,
5. Ft? ???i F
??
• 6 • L r i 011'ZSVI l i f / U/ 12.
-4-P I Z of species that are OBt, FACW, and/or FAC:r,'sr? , Ot r `tndi-10 r- A, i
"tors F?G
Hydrophytic vegetation: Yes V"" No Basis:
Soil jlAr...prc PS
Series and phase: pCti?tiA' w On hydric soils- list? Yes L/ ; Na
Mottled: Yes ; No-14-. Mottle color; `--- •?.
Matrix color. 2.;
Gleyed; Yes No_ ? Other Indicators:
Hydric soils: Yes No X ; Basis: 0 A`1I
Saturated soils: Yes ; No`V. Depth to saturated soil:
Hydrology
Inundated: Yes ; No Depth of standing water:
Other Indicators:
Wetland hydrology: Yes No Basis:
Atypical situation: Yes ; ft
Normal Circumstances? Yes No
Wetland Determination: wetland ; Nonwetland
Comments:
W2
p Determined by; ?:c
• ck
E34 Appendix B Blank and Example Data Forms
DATA FORM 1
WETLAND DETERMINATION
Applicant t Application Projects
Name., EC-5 P11&&:ali? l+-c--- Number: Name: _<161A.cr'2ef-Cn-Ldlo
States NC-1 Coupnty: q 40r-'Legal Description: Township: Range:
Date: Plot No.:c5Cjr-r4
J- Section:
Vegetation jlidC the three dominant species in each vegetation layer (5 if
only L or 2 layers)]. Indicate species witb observed morphological or known
physiological adaptations with an asterisk.
Indicator
Species Status
Trees
170
! f, ?
L1Y11 .?
2. b11t7i?l5 s !IG x-r' CVq-
3.?i?uS
Saplings/shrubs

G

Indicator
species status
Herbs
7. Woodwarc.+oz- 01 G-,t? aBL
S.VT
9,P617ca, CcTAriU.w.
Woody vines
10.Tx;??l? J -
11,
12.
?CVr kki
x of species that are OBL, FACW, and/or FAC:gDL. Other indicators:
Aydvophytle vegetation: Yes ? No Basis:
Soil - LL
Series and phase: f On hydric soil-sd list? Yes ? /; No
Mottled: Yes ; No ottle color: Z•. U Matrix color:-2-5 Gleged: Yes Na Other indicators:
Hydric soils: Yes No ; Basis:
Hydrology
Inundated: Yes Depth of standing waters
Saturated soils: Yes V ; No Depth to saturated soil:
Other Indicators:
Wetland hydrology: Yes ; No Basis:
Atypical situation: Yes ; No V/
Normal Circumstances? Yes No
Wetland Determination: Wetland Z Nonwetlaud
Comments:
Determined by: ? .E? ?(?C
r
•
0
B4 Appendbc B Blank and ExEimple Data f=orms
DATA FORM L
WETLAND DETERMINATION
Applicant c^ f? ! L Application Project r' /? 1?
Name: ?G? f f/t.(7 V!GL-t Number: Name: _59444 (?( V, 62n_/
.0f_
State:
-?County: g??egal Description: Township: Range:
Date: r/- 2-cf Plot No_ SGo-"C - 13 Section:
Vegetation [list the three dominant species in eaciv vegetation layer (5 if
only L or 2 layers)). Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
species Status Species Status
Trees Herbs
D(?i(?t' rG? OY.tr?. ?•..
1.n?ct?t?4c Cos?JPiul4Gtt/G?/[. 7. FA
2. a Gt is t' L1 f .Lt..i (S ?r "' 8. f _?! r) ' .1?ya.S:i?. FAG
`9 •`"'...lf"'..1.({ l-; ti i4,,U'?-•1 ?:..?. f' 1.: ?? ??/ ?i't;1c /,-?.^:..? t i- U [ 1 ('?..- ??4t..r
Saplings/shrubs Woody vines
F7
4• fCCP?It IlC. ?«I [I? Jj,t¢?.??Jr-. f Gfi?- f?'?' Yl !i Ff`'+ C%
L0. G-o v
r
;Nr'rti.GiT L4•s.<? I"?Gj'L1.SY,??t1+k_ f•°?.c?_4•"v_?.. ihr-
• s F 44W 12. s
Z of species that are OBL. FACW, and/or FAC:W//, Other indicators:
Hydrophytic vegetation: Yes u/Na Basis; ------?W
Soil ,I1nc^?2?rt. ;u?S J I-J
Series and phase.,
P On hydric soils list? Yes Z No
Mottled: Yes ; No X Mottle color:; Matrix color: __f 0 ?F
Gleyed: Yes No 4' Other indicators: l
Hydric soils: Yes No Basis: rU)
' J
Hydrology ?/
Inundated: Yes ; No/ \ . Depth of standing water:
%Saturated soils: Yea' No??. Depth to saturated soil:
Other Indicators:
Wetland hydrology: Yes ; No k Basis:
Atypical situation: Yes ; No
Normal Circumstances2 Yes' No
Wetland Determination: Wetland ; Nanwe tland
Comments: f
??.,i If F /.s fFi
B4 - ?
.!,yI
Determ3Lned by:
G
Appendix B Blank and Example Data Forms
•
DATA FORM I
WETLAND DETERMINATION
Applicant Application
blame : pG S Ph D SP? CIL ? Number:
State: W (fi County: 6WFOHLegal Description:
Date:--7 - ?-9 -U3 Plot No.: ,- 1-'- 1,J1
Project
Name:
Township: Ranges
Section:
Vegetation [list the three dominant species in each vegetation layer (5 if
only I or 2 layers)). Indicate species Witb observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status SnE?niraa cj--1.40
Trees Herbs 1,F FVX
C / 7. ?11+ 1•?.l(j ?'-c,i?.uLll t,d(? ?kl? Vv „`
z . za2r?,tr=
t
3. fa -
v YI
Saplingsishrubs Woody vines
t - ''
J F
5. t t K i
6. 12.
Z of species that are OBL. FACW, .and/or PAC-.> .?,? Other indicators:
Hydrophytle vegetation: Yes !/ No Basis:
Soil mamxd a ., /
Series and phases Do+1>V CUn On hydric soils list? Yes'? ; No
S -
Nettled: Yee 7.! No Mottle color:, j ; xacria color: U ( .-yf
Gleyeds Yes No >C' Other indicators:
Hydric soils: Yes No Basis:
HXdrology
Inundated: Yes ; Nn . Depth of standing Water:
Saturated soils: Yes' ; No Depth to saturated soil:
Other indicators:
Wetland hydrology: Yes No Basis:
Atypical situation: Yes ; No
Normal Circumstances? Yes:J No
Wetland Determination: Wetland ; Nonwetland
Comments:
Determined by : V L/
4i7
84 Appendix B Blank and Example Data Forms
a
•
•
DATA -FORM Z
WETLAND DETERMINATION
Applicant Application Project
Name Pka-Dh-? -- Number: Name: 57,01A4 1Cr-e.e ? ?Q U1
State: NC- county: be 6 r+-Legal Description: Township: Ranges
Date: Plot NO.: G- Section:
WeU. bo?
Vegetation [list the threw dominant species in each vegetation layer (5 if
only. 1 or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
;Species Status species Stattia
Trams Herbs
1 .UvH,;kbar 5?7Yhcr7'-v?.. FACt 7. rurccc,
2..: kew r4.r w v , ,.-- Fib. .8.
3. 9
Saplings/shrubs Woood vines ?+- r
4. A ?'?«.?t .. '"a4 -ri ?'?'-let off,; .. .r 10. tak.- f to J-1OLi'1 t i 04.e- F
5• I1.
6. 12.
. ;..,,2 of species that are OBL. FACW, and/or FAC: > 4Q1?b Other indicators:
Hydrophytte vegetation: Yes v?No Basis:
Soil
Series and phase: Dori71/E4N On tydric soils list? Yes V No
Mottled: Yes. ; No__?L. Mottle color:Matrix color: to `(R
Gleged: 'Yes ,No )< Other indicators:
Hydric soils: Yes No X ; Basis:
B4
Hydrology
Inundated: Yes No?. Depth of standing water:
Saturated soils: Yes' ;.No Z Depth to saturated soil:
Ocher indicators:
Wetland hydrology: Yes Na--?_, Basis:
Atypical Situation: Yes ; No?_.
Normal Circumstances? Yes. Na
Wetland Determination: Wetland - Nonwetland
Comments:
y Yt*Vn
r t De term:Lned by, :
1r4 G4-tt/i?c?€i MIJ
Ct_d 0.f C" .VCCr?'t? Appendix B Blank and Example Data Forms
Applic. MIS; P Application Project Name: 1..,,; Ph QS Ft r -Number: Name: soli .14 State: N G-- County: &AA dr-(Legal Description: Township: Range s
Date: '7--31- 0U Plot No_: _C7_ Z
- Z, Section:
Vegetation (list the three dominant species in each vegetation layer (5 if
only L or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species Status
Trees E h Serbs { /?y
?ssC, sy[vaa Cf.t. t?/' 4434--7. W6i?J11JCt rd f C l_ L- Q-- GZ i rl?? (.s?f3L
4. L y' 't??VtC G? r s i'i, ti C`t,. { rr 4 Q / FMC,
10 . SW(E l 4tJG (-G' ??p1.C ! I 7 . t w
.5.?{t=?Gr'lG.r?IG G?CjG?,.-•?[???_ ?? V`? 11. ?d'G?/`?'ti'-tCJ? SCC,.J^.C_i ?'.s?? Ff"t?'UV
S.?yc rI FA 6412.
A6412.
X of species that are OBL, FACV, and/or FAC:Iz,:;ie,' Other indicators:
z- ALr V:A C- s.
s.CarPiAtilts cs?.t U i`?, t7-V.C,-,,- F-AG s.
Saplings/shrubs woody vines
Hydrophytic vegetation: Yes ---- No Basis;
Hydric soils: 'Yes I lz:--?No ; Basis:
Soil
Series and phase: ?nrz>V tb'1 On 3:7dric soils list? Yes V/% ; No
Mottled: Yes ; No x Mottle color: _??; Matrix color:
Gleyed: Yes No Other indicators: ?!l/?.(r1L..k:._... Are..-tom
Hydrology
Inundated: Yes ; No
Saturated soils: Yes No
Other indicators:
Depth of standing water:
~^~
Depth to saturated soil:
Wetland hydrology: Yes_'><; No Basle:
(k f
Atyp1ca2 situation: Yes ; No
Normal Cire mstancas? YesNo
Vetland Determination: Wetland ; Nonwetland
Comments:
Determined by.-
B4
Appendix S Sim* and Example Data Forms

0
'Applicant Application Project
Ohms: S ?1hSf)?tct?R? Number: Name: ",ft. Crc ? ?a-rtC:af
State: W c, County: 'f+ Legal Description: Township: Range:.. "
Date: 7h16 Plot No.: SCC,C,'3 Section:
'- Ve station (list the three dominant species in each vegetation layer (S If
F.
only L or 2 layers]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indi'cator''
Species Status Species Status
Trees Herbs
1. ; sea sy?va-tiCr? " vor. bE A vrG, oBt_._ 7;C. R E ?(S c YPl?l,v ?t 5 1
2. R C IvIA y P?c2r rv6rvA,., FAe, c -AC
3•
Saplings/shrubs Woody vines ?/'
4. ??1Z PG ?? (? ?: f Lt S F?GW LO '7 I ;? i ;:v ?? •f-!IL (;? j Al
?t10U S S?.( S r,
ACS. !rVt?sSO? sy[J icL? vCJUr bi vrG? 0?{-- z1. vlgr-'Ni f C "o r U.p f -. ?LpU'?1?i ,r
1 uln ??t?li c? 1-?C
• 6. Cl Jr S{1UG4ct FAGf L 2. ??I CD
rGCtlcc(YlSA0
Z of species that. a-re OBL, r'ACW, and/or FAC:1fr'?? y Other indicators:
flydYophytie vegetation6sk No Basis:'
Soil
'`Series and p'hae:.- V1ZL? f'? On 3tydric soils list? Yes V / • No
Mottled: Xss ?' t ; No •Mottle color ; Hat-fix color: 2 ` .
Gleyed,:` Yes Nm Other indicators : 1 I< `?
cg A(,
Hydric soils-. Yes No Basis:
_
Hydrology.
Inundated: Yes ; No?.
Saturated soils: Yeal-; No_
Other indicators; UA?r1 P)
Wetland hydrology: Yes ; N
Atypical situation: Yeas ; N
Depth of standing water:
Depth to saturated soil:
Normal Circumstances? Yes No
Wetland Determination: Wetland Nonwetland
Comments:
3 ``j'r A?'f tt ;J r= ?Ro?trJ ,,at-? ' f./C,ovj?pD;?; -_ '
• { ! i SU I ;?,tj;L .1t?1`u? Determined by :
F /

$4
Appendix B Blank and Example Data Forms

DATA FORM L
WETLAND DETERMINATION
•
Applicant Application Pro ec ?t(( ?s
Name: Number: Name: ?bu`f 1 CY? cm Ja .
State:- { county: 26 jji+? 1_-?I.egal Description: Township: Ranger
Date:-:7 Plot No.: Section:
Vegetation [lisit the three dominant species in each vegetation layer (5 if
only i or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status species Status
Trees Herbs
z. Morel b: , c n F? 8. W?Q??«? WZr: y
FA G
Saplings/shrubs Woody vines
t
4. ! i u?.t.{ (fA C G( FAT 10 .5. FA 11
i-
12.
•
x of species that are OBL, FACW, and/or PAC: ? 64 K Other indicators:
Hydrophytic vegetation: Yes ?Na Basis:
Soil nnaP 0S /
Series and phase: 1A711.(" On hydric soils_ list? Yes ? No
Mottled: Yes ; No ?< Mottle color: - ; Matrix color: {b ?>J? l
Gleyed: Yes No X Other Indicators: OP -S
Aydrie soils: Yes ,> No ; Basis:
Hydrology
Inundated: Yes ; No X . Depth of standing water:
Saturatad soils: Yea• ; No X Depth to saturated soil.: C Ut? ?lsVi€3 IT
other indicators :

Wetland hydrology: Yes ; No :>! Basis:
Atypical situation: Yes ; No,?
Normal Circumstances? Yes No
Wetland Determination: Wetland ; Nonwetland
Comment
s :.
`
7

D
«
14

•
etermined by: t_
?_. -
a
64 Appendix B Bank and Example Data Forms
WETLAND DETERMINATION
Applican.. Application Project
Name : (' S P KOsa- a -?'_C Number: Name: SbKik CMW_CP1-64&-
State : County: &.GU4tor- {Legal Description: Township: Range s
Date: ?' ?O ° 0-3 Plot No.: 'CZG- CZ" S Section:
Vegetation [list the three dominant species in each vegetation layer (5 if
only L or 2 layers)]. Indicate species witb observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species Status
Tress Herbs
L. Urtod?¢ rvv? -bV-,UPigfCA_FAG r. Tox{coder?r?? FflG
3. ? C LA kLV?0, s-byroij?wl W49 .
Saplings/shrubs Woody vines
4. QU2?C.US i?r ro, ? G la. ixa?,t? G S FAA,
?. Parse C, post c,?s-VS FAGV\/ 1i. fi F'4c ....
Z of eldecies that are OBL. FACW, and/or FAC: Other indicators:
Rydrophyt1c vegetation: Yes No Basis:
Soil
Series and phaseQS (?X-? On hydric soils list? Yes No
Mottled: Yea ; No Mottle color: ; Matrix color: _o Q, Wz_
Gleyed: Yes Nc Other indicators:
Rydric soils: Yes Not; Basis:
Hydrology
Inundated: Yes ; No IK . `Depth of standing water:
Saturated aoi.I.s: Yes Nom . Depth to saturated soil:
Other Indicators:
Wetland hydrology: Yes ; No Basis:
Atypical situation: Yes ; No,
Normal Circumstances? Yes-;< No
Wetland Determination; Wetland ; Nonwetland x
Comments:
Determined by:?-?1 `+..,
•
i!w? 4f -e s-4
VWAA, i Wi ?, AppemUx B Bh* and Example Data Forms
OV be
?? ??

WETLAND DETERMINATION
Nama
:FES PIo so Application
Name: ?+Q„ Number:
state:- NC County:??Legal Description:
Date: ( J It - 0-9 Plot No.:?5CC' CZ -rp
Project
Name: d -h,xx? GCV*Gr
Township: Range:
Section:
Vegetation [List the three dominant species in each vegetation layer (5 if
only I or 2 layers)). Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
5 ecies Status species status
Trees ? ?" 'w (? Herbs e? ` _ -rC? -J
I. r1OAAMLd?1 UA?'?1'Pi l FACT 7. VIUICo?C?G CCU%, 7
2. RVLuS td` S.
1?kbu5 5t7 ?cr?LTJw?
3. Urtwb(O.4t6r 9.
Saplings/shrubs' 'Woody vines
4 , ?,? SIrACt ttH?,, f?'lC'? to.
5. r 1 rus u;b, F r i I I .
b. 12.
X of species that are OBL. FACW, and/or FAG: Other indicators:
Hydrophytic vegetation: Yes No V/
Basis;
Soil. f
Series and phase., ` uVIZ.e41", On Itydric soils list? Yes No
Mottled: Yes ; No", MottLe color: Matrix color: to rig- y 1;7-
Gleyed: Yes Novi`!'- Other indicators : Uaak S VVk6++l.K, S - 625'. dgp"4 jpp
Hydric soils: Yes +? No ; Basis: omihX
Hydrology
Inundated: Yes ; No Depth of standing water:
Saturated evils: Yes* ; No >< . Depth to saturated soil: 30 "
Other indicators:
Wetland hydrology: Yes _; No X Basis:
Atypical situation: Yes ; No ><-
Normal Circumstances? Yas ? No
Wetland Determination: Wetland ; Nonwetland
Comments:
Determined by: 1?c./
B4 Appendix B 81w* and Example Data Forms
•
Indicator
S sties Status
WETLAND DETERMINATION
Appli nt Application Pro ect? kr
Name:GS (??16?iY'tOt'? Number: Name. D 1f &L& c?
State: NC/ County:_f%Legal Description: Township: Range:
Date: q-t t - og Plot No. SC.G-GZ- -7 Section
Vegetation [list the three dominant species in each vegetation layer (5 if
only L ox 2 layers)). Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator
Species Status
•
•
Trees Herbs
i. tlho?n??v?? -?n,?.+'?i t'`?+-?. FPCC.? ?. `?iCA(i?1trGV? ?°?a/t3 FAG
3.
9.
Saplings/shrubs
`- / Woody vineskX r _1 r
6. 12.
Z of species that are OBL. FACW, /or FAC-? SO a Other indicators:
Aydrophytic vegetation: Yea No Basis,.
Soil MA"d As
Series and phases ?nae Dn hydric soils list? Yes ? ; No
Mottled: Yee ; No Mottle color: b??f-/Z.'? (p ; Matrix color: (b Pil
Gleyed: Yes No V Other indicatore: Ofi"9x
Hydric soils: Yes No Basis:JTF
Saturated soils: Yes ; No
Other indicators : Deems darer
Hydrology
Inundated: Yes ; No x
Wetland hydrology:
Atypical situation:
DATA FORM 1
Depth of standing waters
K Depth to saturated soil:__ ?_ iZH S?t{tdrtx }
Yes^??; No Basis:
Yes ; N
Normal Circumstances? Yes No /
Wetland Determination Wetland ? ; Nonwetland
Comments: 0906q d -?-sz 4 Sa+t S
+ _ _? f. _A?? Determined by:
?'1.6 ; de'
BB4 b J ?
anon
cjom eYtfii -fD
kKDWVl
tA01641 .
hei)A
appendixB Blanc and Example Data Farms
11r9,1-
t' -
r, n . ?, _ n _ _ , yule IJG
DATA FORM I
WE'T`LAND DETERMINATION
Applicant Application I'ra ? ec
Name: S Number: Naive: fA FLt
State: NG County: gaR4 fhegal Description: Township: Range:
Date: -7 - 7 ^ d$ Plot No.:__c --D?-- Section:
Vegetation [list the three dominant species in each vegetation layer (S if
only I or 2 layers)). Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status species Stators
Trees Herbs
1. Y) us -tzi-e c c1- eft G 7.
Z. 8.
3. y?
Sa lin s/shrubs ( ??^
t' y _
S r2tGllt" Ga. ood vices rf
4. L;ZVO - lo. FhCt
5. At?f? TW64- - FftC. l i ,
6.- 12.
Z of species that are OBL. FACW, and/or FAC :; .Other indicators:
Aydrophytic vegetation: Yes No ?. Basis: Mda?nAjt-Mf FAG
Soil
Series and phase: gDam Le, On hydric soils list? Yes ; No .
Mottled: Yea ; No-21'- . Mottle color ; Matrix color: 10
Gleyed: Yea No X Other indicators:
Hydric soils: Yes No-2!L; Basis:-
Hydrology
Inundaeed: Yes ; No Depth of standing water:,
Saturated soils: Yes No X Depth to saturated soil:
Other indicators:
Wetland hydrology: Yes ; No >1, . msls: .
Atypical situation: Yes ; No X <
Normal Circumstances? YesX No
Wetland Determination: Wetland ; Nonwetland K,
Comments:
Determined by: G / rT
B4
Appendix B Blank and Example Data Forms
•
•
DATA FORM 1
WETLAND DETERMINATION
Applic t Application Project _
Name: is ph05 Q, Number: -
Name . ,--A) (%( P, l
{
State- c- a County:;U 4Legal Description: Township: Range!
Date: Plot No Section:
Vegetation [list the three dominant species in each vegetation layer (5 if
only I or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species Status
Trees n, ^ Herbs
1.FjvivC.S FAC) 7.?dk.}Gc?::l;'.:'`. r' ?,?_?'G 'CCJ??1.S
2. 8. V.ir, raga, c e A S
3. 9.
Saplings/shrubs r7,/? Woody vines
F f Lt;1e _i tv tv? C= ?
FAL
6. 12. K
R of species that are OBL, FACW, and/or FAC: '?'513 Other indicators:
Aydrophytic vegetation: Yes L/ No, Basis;
Soil
Series and phase: On hydric soils list? Yes V-11,; No
A Mottled: Yee )( ; No Mottle eolox:-2L8 Matrix color: 0 L
Gleyed: Yes No x Other Indicators: C2 IP'r Af EA
Hydric soils: Yes No Basis:
Hydrology
Inundated: Yes ; No Depth of standing water:
#-7 Saturated Boils: Yes" ; Na Depth to saturated soil:
Other Indicators:
Wetland hydrology: Yes ; Na?. Basis:
Atypical situation: Yes ; No X
Normal Circumstances? Yes No
rJ? ?(Yi jZrr_'?r
Wetland Determination : Wetland ; Nonwe tland (l ?c;v = 11 A
Comments : f- T
• ?? F I' `?
?' Sr? nth (-(? D
et
i
d ? j [
b
? JOT
erm
ne
y: K?
Appand(x B Blank and Example Data Forms

DATA FORM 1
WETLAND DETERMINATION
Appli.cnt Application
Name: Number:
State: ?. Couuty::`I.egal Description:
Dater:-7-50-01 Plot No.: t.:?7c ```DI " 3
F
10. W i side i m- rLt a 2?28?1s
5 . V 11, inr r , ° ?rt 4 Cam. F AC,
a of species that are OBL, FACW, aannd/or PAC: 75o?Other indicators:
Aydrophytte vegetation: Yes ? No Basis. .
Project
_ Same:
Township: Range:
Section:
Vegetation [list the threa dominant species in each vegetation layer (5 if
only L ox 2 layers) 1. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species Status
Trees Herbs
z. B.
3. 4.
Saplings/shrubs Woody vines
Soil
Series and phase: R a-etz On hydric soils_ list? Yes ; No 77
Mottled: Yes ; No Mottle color: ; Mattix color:
Gleged: Yes No Other indicators:
Nydric soils: Yes No-2L; Basis:
Hydrology
Inundated: Yes ; No ?. Depth of standing water:
Saturated soils: Yes' No Depth to saturated soil:
Other Indicators:
Wetland hydrology: Yes ; Na Basis:
Atypical situation: Yes ; NO
Normal Circumstances? Yes_ No
Wetland Determination: Wetland ; Nonwetland .
Comments:
11
Determined by: v ??
•
-11 t
U vl 1? j
B4 Appendix B Blank and Example Data Forms
WETLAND DETERMINATION
Applic Application
Name : MS Ngmber :
State: ?i county:PTegal Description:
Date: ?VJM Plot No.: Ll
T-
Proj ec t
Name: Township: Range:
Section:
Vegetation [list the three- dominant species in eaeb vegetation layer (5 if
only L or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status species Status
Trees Herbs
L. L10L4JDAM8Fg, JT)MLIFLWA FACt 7.
z. tj6[AsrRUM SiA/EPJ:? F
Saplings/shrubs Woody vines
4. t1Dk1bAMW- syRAWMA lo. WO-IF-AJ/i FACGW
s. 11. E ,) D eo? ?diGans `1t.G
i 6. 12.
X of Species that are OBL, FACW, and/or PAC: } FOX Other indicators:
Hydrophytte vegetation: Yes _,G_ Na Basis:
Soil /
Series and phase: - 4,0,*1 1a?? -.- On hydric soils list? Yes ? ; No
Mottled: Yes ; No Mottle color: Matrix color: j 5.
Gleyed: Yes No___k__ Other indicators:
Hydric soils: Yes No--k-; Basis:
Hydrology
Inundated; Yes ; No L. D th of standing water: ,
Saturated soils: Yea No 1_ Depth to saturated soil:
Other indicators: y
Wetland hydrology: Yes No f? Basis:
Atypical situation: Yee ; No X
Normal Circumstazncas? Yes-X_ No
Wetland Determination: Wetland NonweCland
Comments:
wrll'WO pWVDAK 1
• Determined by: C- C-4-1
QrMy?S?raD
B4 Appendix B Blank and Example Data Forms

..... _ ...............__..._..
DATA FORM 1
WETLAND DETERMINATION
Applic Application Project
Name: r Y Ws Y iS/l 1. Number: Name: 501 411' Crepe- ?'-- Cpr6d,,os
State: No, county: egal Description: Township: Range:
Date: D 0? Plot No.:??eL'-j} -? Section:
Vegetation [list the threo dominant species in each vegetation layer (5 if
only L or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator. _
_ -indicator....
Species Status species status
Treas Herbs
z. wMOREM a Riff Rft? 7.
MG+ s. /A s P#tJO.5A FAA
3.gGL?Qu?/1 M6F_1Z SRIFrc,c?M 9. -
Saplings/shrubsoodp vines ?/
r
4-bal,,DAMBEZ SW94 AWM FAC-4LO.110A F_I I-AP4101(l , WISI R14
5. MOK till ` FPoG - 11, ??P i Fn/UCISscrs Clw???ttfat.io?, F--p C, .
6. 12. -r0A1C0 )f-NDJZO/V F-ALU C4 1S FAK., •
Z of species that are OBL, FA210o /or FAC:? Other indicators:
Hydrophytic vegetation: Yes Basis;
Soil.
Series and phase: On 117dri.c soils list? Yes ; No Mottled: Year; No Mottle color: Matrix color:
Gleyed: Yes No Other indicators: 'j
Hydrie soils: Yes No Basis: D 9AWAGr, PA?eIJ3
Hydrology
Inundated: Yes ; No__L. Depth of standing water:
Saturated aoils: Yes• No__?. Depth to saturated soil:
Other indicators:
Wetland hydrology: Yes ; No Basis:
Atypical situation: Yes No,
Normal Circumstances? Yes No
Wetland Determination: Wetland' ; Nonwetlaud
Comments:
SOIL tiS clo5ti Ti? SANPA?Dw
W1j q! 1011 Determined by: Kc )KIJ •
B4 Appendix B Blank and Example Data Forms
DATA FORM I
WETLAND DETERMINATION
Applir-ftg Application Project tl- ,te r
Name: Number; Name: Sowfk Creet.CO"^ or
State: G Covatq: egal Deserttion: Township: Range:
Date: 7'-120108 Plot No.: SCC- 01- (p Section:
physiological adaptations with an asterisk.
.. Indicator -Indicator
Species Status .. species _ Status
1/JC?-Ivtrld go wrtd a`-?
Vegetation )liar the three dominant species in each vegetat an layer (5 if
only I or 2 .layers)). Indicate species with observed morphological or known
Saplings/shrubs Woody vines ?G
12. (?11V7' - t ? ?J J? Il od o? , pTLANS FAU
I of species that are OBL, FACW, and/or FAC:7X. Other indicators:
Trees Herbs
1. tIaN? rN CA'?F?' 7. S?TgPU,f .6L`1M910US °R"
2. 8. DjC F?4n11 N F_ L1 tRM spt rnn?`Lt- -aa 'tq.
3 • 9 • R (/l $145 GOPAf.L,nILRM 11Z -
4. 9ACClIAKI NA?M)FocrA ?F4C lo.SMI LAX PDTw?JtDT Fow=?J?
5. II. NIUSC?{il?? VZTU5 R}W ?G
• 6.
Hydrophptic vegetation: Yes ? No Basis:
Soil
Mottled: Ysfl ; No MottLe color: ? ft?[?'" CJ
Series and phase: oiMq+jeV On hydric soils list? Yes No
" ; Iiatria color: f0 7P, ?.
Gleyed: Yes NoX-'Other indicattizs:
Hydr.ic soils: Yes X No ; Basis; •-
Hydrology
Saturated soils: YasAL; No?_. Depth to saturated :sail:
Other indicators:
Wetland Determination: Wetland ;••lQonwet3and
Inundated: Yes ; No,-X,. Depth of standing water:
Wetland hydrology: -fee No zasls:_
Atypical situation: Yes No
p? Normal Circumstances? Yes X' No ,
?? Comments: •
CLOSE T? 5AN??DOn/ sorc ?w2r.ALrz .
• Determined b '
?11 1NIaF?,grJ?
bt??'?15 ALL
B4 Appendix B Blank and Exmmpie Data Forms

?Wmd_K.4
DATA FORM I
WErLAND DETERMINATION
Applicant Application Project
Name: (?js 0SE'Jlr?c ? Number: Name.
-
State: -7:y(i County: Legal Description: Township: Ranges
Date: T D o Q Plot No.: _?i_5C - D f l Section:
V'esetation [list the threa dominant species in each vegetation layer (5 if
only L or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species Status
Trees
Herds j LWCtAf
3. °kg? ?{ I ? PCl: C 111 f?? ' %
Saplingslshrubs Woody vines
4. ACF ?v BB "-' FAC= F C-
s.?GIL fP poFK K tiri?e?tid? c rl ?tali?iE r??
6• FA Lt 12. .
X of species that are OBL, FACW,,and/or FACT Sd%?' Other indicators:
Aydrophytla vegetation: Yes ? No Basis.,
Soil
j_Dri
Series and pha\s/e: foOn hydric soils list? Yas ; No
mottled: Yes 7? ; No Mottle color: Macria color: 0 71\
/.
Gleyed: Yes No _4L Other indicators:
Hydric soils: Yes` No Basis:

Hydrology
Inundated: Yes ; N?o/'?? Depth of standing water:
Saturated soils: Yes J No Depth to saturated soil:
Ocher Indicators:
Vatland hydrology: Yes__?___: No Basis:
Atypical situation: Yes ; No
Normal Circumstances? Yes No
Netland Determination: Wetland Nonwetland
Comments:
v Determined by: / •
B4 Appendix B 81ank and Example Data Forms
DATA FORM I
WETLAND DETERMINATION
App1i?g t Application Project LL?? ?+?"" ???? ff
Name: ts? Number: Name:SOWRI c..fc.Gt_?'-arrlCLor_
States NG Couuty:fMLegal Description: Township: Range:
Date:, F/-3a- Of Plot No. SCE- ?t Section:!t
Vegetation [list the three domi_ rant species In each vegetation layer (5 if
only L or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species Status
Trees Herbs h S *2. kyssa sy 1\1" c6L \tr. 642ro,._ 6$ _ 8.
Ilk I' i.3.F(axj? tas ca?,rolivt AACL 0J5L_ s. _ very swta,i(
Zapliage/shrubs Woody vines
Vy+WW iiJJ -? •F? yms 60LI' ? ?ti a J kA 10. ncfY? i vA,
t}3 i1?' 5.52):;a4 w6V1or
?* I1.
• 6tzrf-s 12.
Z of species that are OBL, FACW, and/or FAC: Other indicators:
Hydrophytic vegetation: Yes No Basis;
Soil
Series and phase: DyPV0, ` Dn hydric soils list? Yes ; N?,o? ?
Mottled; Yea , No Mottle color:_?_S`{'? Matrix color: 0 ?? 214
Gleyed: Yes No }C Other indicators:
Aydric soils: Yes-_ No Basis:
Hydrology
Inundated: Yes ; No X Depth of standing water:
Saturated soils: Yes ; No Depth to saturated soil: ?_
Other Indicators:
Wetland hydrology: Yes; No Basis:
Atypical situation: Yes ; No
Normal Circumstances? Yes, <L No
Wetland Determination: Wetland
Comments:
Nonwetland
ll--
lJTkrZv4'e? Detexznirted by.
nh-
• ?±?tfS!
B4 ?`?-
/ (?v?n?--C,. &+Zlj A d 1ta?,4?5 Appendix B Blank and Example Data Forms
DATA FORM I
WLMAND DETERMINATION
Applic nt Application Project
Name: ?GS N0&0k_C(4<-' Number: Name: -SO+n+ - `t;omek-
State: WC- County: ,I3L Wf6('}Legal Description: Tavnship: Range
Date: ?J Plot No- :JC6 Section:
Alf72VO LVIWJP?
Vegetation [list the three dominant species in each vegetation layer (5 if
only L or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
SDecies Status snariaa Ctn ?.;a
Trees Rerbs
i. RO MAflC A,-c' FAC. 7. WooDWARDIA A(:'l?OCA 1-1 tJf3t_.
2.5ALUX MICR?k
_ 8.
3. TC Ll?
Saplings/shrubs Woody vines
Sw Er ; G?.? ? (titC?tsrdUrN at^ I ,z f) • -AFQI?i
?. - f' r' Lug Io. L DICE. J ?CC-
5 . F Ac 11. C t n t 1 {1'tf G- F ill
s. ?RSC t,l?! S FACW 12. -rlrLAX RI-1o?G???i? ! ,;` ;?, ?ltG
X of species that are OBL. FACW, and/or PAC:Icc> . Other indicators.
Aydrophytic vegetation: Yes ?~No Basis:
Series and phases On Ilydric soils list? Yas No
mottled: Yea ; No L Motcle color: ; Mauls color. lo yo ` 2
Gleyed: YeeNo Other Indicators:
Soil K'l ,,PpcE :{-'S
• ?O{rt%?.?ttf?l
Aydric soils: Yes No X ; Basis:
Hydrology v
Inundated: YesNo A D pth of standing water:
Saturated soils: Yes ; No Depth to saturated soil:
Other indicators:
Wetland hydrology: Yes No Basis:
Atypical situation: Yes No7-.
Normal Circumstances? Yes No
Wetland Determination: Wetland ; Nonwetland
Comments:
B4
Determined by: t y
f
Appendix B Bunk and Example Data Fortes
•
C
•
DATA FORK i
WETLAND DETERMINATION
Applicant t +. Application Project
Name: -'CS pt'"1r?r Wle, Number: Name: fl, Cre-ei%Cvrt-tAoF--
State : county: &tFor4 Legal Description: Township: Range s
Date: Plot No_ -scc- Section:
Vegetation [lilt the three dominant special in each vegetation layer (5 if
only L or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species Status
Trees Herbs
I . -St v F F_f GL!r?1 ?.! LA ?GWVI??ar F/-f• 7 . IrOX f Co f_ r? ?Q ?Il? i 1 C. ?1..r' ?/ G
2. S??' t E LtG- 8.
3. g
Saplings/shrubs Woody vines
4. PAC V C 1.1 to . rt u SC () 0 n/ Vj-? r tt ? + [t; g f F/;
5. FI?CW I I . L M I F PZ C-
6. 12. ?1 G 1VO l IA C0-( t-eA61,-? rAC
Z of species that are OBL. FACW, and/or PAC: 'So ether indicators:
Hydrophytic vegetation: Yes 1 No Basis:
Soil. yVa tLt:F GIS
Series and phase: DOroya-oOn hydric soils list? Yas ? ; No
Mottled: Yes ; No I\ Mottle color:Matrix color: ?.
Gleyed: Yes No /E O bar indicators;
Hydric soils: Yes No Basta:
Hydrology
Inundated: Yes ; No /t Depth of standing water:
Saturated soils: Yes' ; No )( . Depth to saturated soil: _
Other Indicators;
Wetland hydrology: Yes NoIssue:
Atypical situation: Yes ; No?.
Normal Circumstances? Yes No
Wetriand Determination: Wetland ; Nonwetland
Comments:
Spa f l PiU aH-O,-
4B4 -j (A-U
Determined byt 4f, /1--(4
` `'j Append[x B Blank and Example Data Forms
DATA FORM I
WETLAND DETERMINATION
Applicant 11p Application Project j
Name: FG ffi {L Number: Name'St7? Cre'eLCamc?or
State: WCj County: Legal Description: Township:. Range:
Date: Plot No_: section:
Vegetation [fiat the three dominant species in each vegetation layer (5 if
only I ox 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species Status
Trees Herbs
I . A;er- rviorun- -- FA c- 7. 6Smw\0tA- Ublkis 0(31
2. U Gbt.j'V?Y. ~ w- ..
3. ?1?9.4'rilA,S {t?Ul??'1'OU dv ??W g' •
Saplings/shrubs Woody vines
4 . ACS rWpn&,,-- F'f, , I0. 54X m 0 U a:?-. FA C,
s . Anwda-ouq w ?5- ajA-Lz.}._.. FAGWI l .
V-DG 6. F(Ukiyt,+-tg C G S OY3l, 12.
2 of species that are OBL, FACW, app/or FAC: 00!e'. Other indicators:
Hydrophytte vegetation: Yes L/ /No Basis:
Soil ?y, Q5
Series and phase: Dof oyrm I On hydric soils list? Yes ? ; NoJ
Mottled: Yee ; Mottle color: ; Matrix color: fo t? .??
Gleyed: Yes NO"'.<, Other indicatore: AIMS
Hydric soils: Yes No Basis:
Hydrology
Inundated: Yes ; No-?L. Depth of standing waters
Saturated soils: Yea__2::?'; No Depth to saturated soil:
Other indicators:
Wetland hydrology: Yes__Y-No Basis:
Atypical situation: Yes No .
Normal Circ=stances? Yeses No
Wetland Determination: Wetland Nonwetland
Comments: to
Determined by:
1P S-P I 1 0 Le /&VM Aic" Aj
B4 road CA10vtj 2riS-f,0-VZ ba, &V aF AppendbtB Blank and Example Data Forms
SMAL Greer
•
•
DATA FORM I
WETLAND DETERMINATION
Applicant t Application Pro ee pp
Name: CGS :.. ?,
K-, ..C' Number: Name: I 4111 C'e?°: Q' C?r
r {
r,j
State..- County: ri'w'!' ,1t -f Leal Description: Township: - Range:
Date: ??-?5 ?!J Plot No. ',7 7i Section: ,
Vegetation [list the three dominant species in each vegetation layer (5 if
only L or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator
Species Status
Indicator
Species Status
Trees Herbs
! *1. cc,?ro
%?i t l•vl(??ct 7. $? na? c% , d.E-i ?r?. rC'
2. F,G i s . W i r- ?,,? 1 o c fC. Gi cr<fr? rulOCV JAJ &?
#3. 05 L #,
9. ydxU M61C I.1 fit. Df L...
Sapl;inas/shrubs Woody vines
1; j! FA C,
LA.:....: FA&
Z of species that are OBL, FACW, and/or FACXP , Other indicators:
Rydrophytic vegetation: -Yea ?No Basis:
Soil
Series and phase: 7dr DVa-{ 1_ On hydric soils J.ist? Yas ; No
Mottled: Yea ; No Mottle color: Matiix color: i0 '(? / ?--
Gleged: YesNo V Other indicators: 66
Hydrie soils: Yes Ef No ; Basis:
Hydrology
Inundated: Yes ; No Y Depth of standing water:
Saturated soils: Yea?• No k r J
Depth to saturated soil: 0 4?-k
Other indicators: 'Q i'
Wetland hydrology: Yes ? ; Na ... Basis:
Atypical situation: Yes ;lNo
Normal Circumstances? Yes ? No
Wetland Determination; Wetland
Comments :
Nonwetland
Determined by: (X/?
B4
AppendixB Blank and Example Data Forms

...........
DATA FORM I
WETLAND DETERMINATION
Applicant Application Projec
Name:,US ..L ?QSTCt"f ?i Number: Name: t,--cr'aef C.'c)rrjQ
Scats:. MCI - County: a#MIC Legal Description: Township: Range:
Date: q- e2 "02 Plot No.: 5CCSection:
Vegetation [list the three dorm, rant specias In eaeh vegetation layer (S if
only I or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species Status
Trees Herbs
1. 7. S jGL^ vo,: dE 4 p'-0 'Z41 G k o E du ? FP&
2. 8. l
3. g,
Saplings/shrubs c Woody vines
jRC -rit5 4. 0 VeA-Cr,5 t,,-A plc c? f 10. v i S i? Y o t ' r? '?7 f A(,
FAC-
2.
X of species that are OBL, FACW, and/or FAC: Other indicators:
RydrophytIc vegetation: Yes No Basis;
Soil
Series and phase: 1&\11
[ 4V' S44- Oa hydric soils list? Yes ; No
Mottled: Yes ; No t?. MotcLe colors ; Matrix color: Z,5 ?{
Gleyed: Yes No -/'- Other .indicators
Hydric soils: Yes No ? ; Basis:
Hydrology
Inundated: Yes ; No ?. Depth of standing water:
Saturated soils: Yea_ ; No Depth to saturated soil:
Other indicators:
"Wetland hydrology: Yes No V . Basis:
Atypical situation: Yes N..0 e/
Normal Circumstances? Yes No
Wetland Determination; Wetland Nonwetland
Comments:
Determined by:--'?'
B4 _(? ?1 t:? ?.. (:•;. I ;,. ?! Appendbc B BW* and E?„p1e Data Forms
Gt1 ,t G{ (a-WK S.Q {? G.f rJ? U bt + OwE [("44 kord m of 4 ( ,Aol/f t
•
•
DATA FORM 1
WETLAND DETERMINATION
? Application Proee
Name: r c -
Hama: Number: Name:
State: NC, County: WA-uFor-1Legal Description: Township: Range:
Dace: 6-(;-0& Plot No.: C- Z- `- Section:
Vegetation•[list the three dominant species In each vegetation layer (5 if
only i or 2 layers)). Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species Status
Trees Herbs
3.
Saplings//shrubs Woody vines
4. S C.v?a???1 ? V `?? !0. sl ?(Za RIG
s . Mcr?to? car+ -c, r1, XaC +?
6. ?GtYt - ?Ai DClAP-.6L-.-1"i'&12.
Z of species that are OBL, FACW, and/or FAC: Other indicators.
Aydxaphytic vegetation: Yes No Basis:
Soil
Series and phase:On hydric soils list? Yes ; No/
Hottled: Yes ; No X Mottle color: ; Matrix color:
Gleyed: YesNo X Other Indicators,
Hydric soils: Yes No X-, ; Basis:
Hydrolotg
Inundated: Yes ; No?. Depth of standing water:
Saturated soils: Yes, Depth co saturated soil:
Other Indicators:
Wetland hydrology: Yes ; NO_Y-. Basis:
Atypical situation: Yes
Normal Circumstances? Yes x No
Wetland Determination: Wetland ; Nonwetland
Comments:
Determined by:
B4 Appendix B Blank and Example Data Forms
DATA FORM 1
WETLAND DETERMINATION
•
Applicant Application Proje?u Cf?Com
Name: Gij? Fb r/Ln ,?u_ Number: Name:
states C/ County: 04 Legal Description: Township: Ranges
Dater ^ Plot No.: SCG^ ?Z-Cj Section:
Vegetation [lisc the three dominant species in each vegetation layer (5 if
only L or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status species Status
Trees Herbs
2. S. bu s Sr('
3.
9.
Saplings/shrubs Woody vines
4. Moe" C.e6jgr,!/L. FA G+ 10.
.5. Aar f9V--, 11.
s • IZiG FACt 12.
Z ofVspecies that are OBL. FACW, and/or FAC:
Hydrophytic vegetations Yes No Basis;
Other indicators:
Soil
Series and phases TaMQj(- Dn hydric soils list? Yes ? ; No
Mottled: Yee ; No Mottle color:'7.STP- 5$? Matrix color:
10
Gleyed: Yes No V Other indicators: y7At?tj::ln
G coKd
Hydric soils: Yes __z No Basis:
Hydrology /
Inundated: Yes ; No ?/ . Dep of standing water:
Saturated soils: Yes ; No Depth to saturated soil.:
Other indicators:
Wetland hydrology: Yes ; No Basis:
Atypical situation: Yes
Normal Circumstances? Yes x__ No
Wetland Determination. Wetland ; Nonwetland
Comments:

V OW Determined by:
'"In is
B4 Appendix B Blank and Example Data Forts
•
DATA FORM 1
WL'rLAND DETERMINATION
•
Appll ph. Application Projec)l i
Name: n a Number: Name: V? (??i?
State:County: Legal Description: Township: Range.
Date: i ' (7 _6
Plot No_: Section:
V
Vegetation [list the three dominant speciea in each vegetation layer (S if
only I or 2 layers)). Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species Status
.
^ of species that are OBL. FACW, and/or FAC: Other indicators:
Hydvophytic vegetation: Yes No Basis:
Treesrr Herbs _
1. i . r't g r .. F if .. 7. c M?;ECL!>
I '
x . 8. fr f
ti.
3. 9
Saplingslshrubs woody vines
t 10.
6. Y {?? 12.
Soil -F
Series and phase..- " {(.1 On hydric soil list? Yes ; No
Mottled: You V/; No Mottle coloT'T / *7 Matrix colar:? - /? 1P, 5 Glegea: Yes?i No Other indicatore: f?`,5, l ,tV?? GE?c?`'=.ut E~ tC =
Hydric soils: Yes ?r No ; Basis:
Hydrology
Inundated: Yes ; No?_. Depth of standing waters
Saturated soils: Yes No x.. Depth to saturated soil: '.
Other indicators: _
Wetland hydrology: Yes ; No Basiss gyp, xz n
Atypical situation: Yes ; No ? .
Normal Circumstances? Yes >< No
Wetland Determination: Wetland ; Nonwetland
Comments:
Determined by: f ?`"' C+-
84
Appendix B Blank and Example Data Forms

•
DATA PORN I
WETLAND DETERMINATION
Appliaam& Application Proje
Name: N tuber: Name-
State: r?'V G County: 14 OwIn
egal Description: T' ship :• Ranges ?mOt
Date: Plot No.: ?L-(D? Section:
Vegetation [list the three dominant species in each vegetation layer (5 if
only I oz 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Specles Status
Trees Herbs W YIp Aovo?
I. 7. corvh ar id2?1?:+i-erS
3. 9.
Saplings/shrubs Woody vines
s Jo. ? ?>c FbJU t o Gam. FAC
?i?/12 . ,
'?
X of species that are' OBL, FACW, and/or PAC:> 5 Other indicators.
HydVophytIc vegetation: Yes ? No Basis:
Soil Series and phase: LiipUK7l On liydric soils_ list? Yes No
Mottled: Yes ; No Motcle color: ; Matrix color: to
?.
Gleyed: Yes NoL<,_ Other indicators:C ?U y?4
Hydric soils: Yes No X, ; Basis:
Hydrology
Inundated: Yes ; No K. Depth of standing water:
Saturated soils: Yea" ; No O"l- . Depth to saturated soil:
Other Indicators:
Wetland hydrology: Yes ; No?_. Basis:
Atypical situation: Yes ; No X
Normal Circumstances? Yes>_ No
Wetland Determination: Wetland ;
Comments:
Nonwetland?
A91j KS Determined by:
V??I `
?/« Illfff k 1
Wet) (AM
APPend'nc B Blank and Example Data Forms
•
9___
_-__ __ _DATA ..FORM t._..-......_-...._._..
WETLAND DETEMINATION
Applicant . Application Projec ,,+,,
Name: PGs PhD /lU?e• Number: Name: ! E- cre . arry(?.a
State: N C- County: 1 egal Description: Township: Range:
Date: '7 ! Id 01 Plot No.: Section:
Vegetation [list the threo dominant species in each vegetation layer (5 if
only L or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species Status
Trees Herbs
F?+ L . l,,i Pl arv)em U-\ Wt,
3. 9. ?,?-FCC C Vja. ?+ ic4.
Saplings/shrubs Woody vines^Pa-rca/
Feu - 4. y, ,C,???u.-, c t _a- 1-0-5i 4 n'v _ ?o Urz_ F-C.
c, 6'
ovil.C.tS' loll r? 12. Vti.il ? lr?i7oVti?G._ FAG
x of species 'that -are?;OBL. FACW, and/or FAC: >?_,- Other indicators:
Hydrophytic vegetation: Yes No Basis:
Soil
Series and phase; On 3:ydric soils list? Yes = No
Mottled: Yes No Mottle color: Matrix color:
.O?_` ?
Gleyed: Yes No V/ other ndicators:
Hydric soils: Yes No . Hasis:
Saturatad soils: Yea ; No__><. Depth to saturated soil:
Other indicators:
Wetland hydrology: Yes ; Na ?G Basis:
Atypical situation: Yes ; No
L.
Normal Circumstances? Yes Na
Wetland Determination: Wetland ; Nonwetland
C
Comments :
Hydrology
Inundated: Yes ;. No X . Depth of standing water:
Determined by: L, L
B4
Appendix B Blank and Example Data Forms
DATA FORM _l
WETLAND DETERMINATION
Applicant r t Application Project
llama: FGS? ?3?t /tit er Number: Name:
State: WCi County: BeLl,G- r-(Legal Description: Township: Ranges
Date: El - (Q • 0S Plot No.:_I5L --F, - L- Section:
Vegetation [list the threes dominant species in each vegetation layer (S if
only l or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Species
Trees
r
Fh__? 1-
2.
3.
Saplings/shrubs
FAC,tA - 4.0_0 CiCD-1'Pc,.
6.
Indicator Indicator
Status Species Status
Herbs F
7.. U
FitGtt?/
Woody vines
_ f, FR;G
FA,
`
X of species that are OBL, FACW, and/or FAC:
Hydrophytic vegetation: Yes No Basis.
Other indicators:
Soil
Series-and phase ?. hydric soils list? Yes ; No
Mottled: Yes , No Mottle color:
?`o ; ?(atria color:
__?r
Gleyed: Yea No ice. Other indicators:
Bydric soils: Yes No Basis:
Hydrology
Inundated: Yes ; No , Depth of standing water:
Saturated soilss_,;Yea No Depth to saturdted soil:
Other indicators:
Wetland hydrology: Yes ; No Basis:
Atypical situation: Yes ; NoT%.,.
Normal Circumstances? Yes _, No
Wetland Determination: Wetland ; Nonwetlgnd
Comiments :
r:
LL
t G? t!f
t
Deterrnined by
' ss t Appendix B Blank and Example Data Forms
J
•.......... ...... . -
DATA FORM 1
WETLAND DETERMINATION

Applicants i Application Projec
Nam : C' 1C3?•,`_. i '`" = r INumber : Name : %Q'1,?•41A cr ?? ? . f C?ti - ri.
State County:G1 /tji='f"'Legal Description: Township: Range :
Date: Plot No. '5 Section:
Vegetation [list the three domi_ nant species in each vegetation layer (5 if
only t or 2 layers)). Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator
Species Status
Trees
z. G
3.
Saplings/shrubs 1 Woody vines
4. ?Cpw aS ?
C?13 , 10. LJrf
GC?IGC.s%'(C ?Gl..?PlV1,??--'?. i ? •?._ `?' ???•11
6.1 6'tP E f; ` r i F Vv 12 . y
X of species that are OBI.. FACW, and/or PAC:.
Aydrophytic vegetation: Year ? No Basis:
So31
rotxA- -,.. %i' i D " i J,- Rf C..-•
Other indicators:

Sezies and phase: 6W.G On hydric soils list? Yes No
Mottled: Yes-z/-L; No mottle color:f?je Hatria color:
Gleged : Yes No .?? Other indicators : rC ?tbtc:, s i
Hydric soils: Yeas =^?? No Basis:
Saturated soils: Y"ets ; No Depth to saturated soil: L`4
Other indicators: ct, a' fjga 1C. JD i+4--Lr l't. !?: Je-P -c!. -icn-- .
Wetland hydrology: Yes
; Na Basis:
Atypical situation: Yes ; No
Normal Circumstances? Yes.,/` No
Wetland Determination: Wetland Nonwetland
Comeents:
Hydrology
InLmdated: Yes ; No - Depth of standing waters
• Determined (.-
Indicator
Species Status
Herbs
Appendix B Blank and Example Data Forms
DATA FORM I
WETLAND DETEP14INATION
1 0
Applic t ??nn Application Project
Name:S ???L Number: Name: SS
State: N? County: %,uh?'+Legal Description: Township: Range:
Date: Z?/ Dg Plot No.: ?j ?- E - Section:
?t-Eor?n,la?,d tiardw??-ei
Vegetation [list the three dominant species in each vegetation layer (5 if
only L OT Z layers)]. Indicate species with observed morphological or known
physiological adaptations with an asteriak.
Indicator Indicator
Species Status species Status
Trass Herbs ! '-
°? I . ?K s-an Uw. ?,? s 'G 1 Gtn uw L' 7-
z. rte ; F?'tG? - (.,L) C-C4-f aa ruuctAla+R, C:?t
8
s. g. fi,, ,S s?nr??e i
Saplinnga/shrubs Woody vines
4. (/V `D r f (&YI-GM ?5 dl G 10 . ?? yy- ans ?i
5. W 0_91n VCbjjC404.
G-
6 . CJ? vwru ?s Mari a B a a 12.
Z of species that are OBL, FACW, and/or FAC: Other indicators:
Hydrophytic vegetation: Yes -y- No Basis:
Soft
Series.and phase: Vb r`uvh,.j On hydric soils list? Yes; No
Mottled:' Yes ; No Mottle color: ; Matria color: D 3
Gleyed: Yes No Other Indicators:
Hydnic soils: Yes No Basis: ( , ?j _?L Std a Cp
Hydrology
Inundated: Yes No . Depth of standing water- --
Satuurated solls: Yes /' ; No Depth to saturated soil: yarl- 5-
other Indicators:
' S?'FaCA
Wetland hydrology: Yes No Basis: 12 r-All o-,t
Atypical situation: Yes
Normal Circumstances? Yes No
Wetland Determination: Wetland Nonwetland
Comments:
us-t ?n,x. o?' SK 19 Zq G
Oft ,,,ps1 ?,?n Determined by:
B4 Appendix B Blanc and Example Data Forms
_".......
.
DATA FORM 1
WETLAND DETERMINATION
Appli?,an.t L' Application Proje
Name:(, P?llf1 Number: Name.- 44 G--P, GW647
State: . County:•W11112--le al Description: Township: Ranges
Date: Z_ Plot No.:CG_ ?s Section:
Vegetation [list the three dominant species in each vegetation layer (5 if
only I or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asteriak.
Indicator Indicator
Species Status Species Status
Trees f (? / Herbs
1.7. S_
3. g.
Saplings/shrubs Woody vines
4 . tr+? J- LIARrv?7 0.", r. ?-?. G tit u d+ FAC- -f - ?J Y R! G"
5 . A co-r- rv 6r,,w-. P Z I . car ?t ?o..? c`S?'vrr.?n? U a? f:7AC!
*AGUJ - U LrUa [5???r to tz.
X of species that are OBL. FACW, and/or FAC: Other indicators:
flydrophytia vegetation: Yes No Basis:
soil
Series and phase:_ Ybf44-A On hydric soils list? Yee ; No
Mottled: Yea ; No -y . Mottle color: ~- ; Matrix colo /9 ?
Gle eds Yes No ?r ?
y Other indicators:
Hydric soils: Yes No_ ,K . Oasis:
Hydrology
t. ?
Inundated: Yes ; No . Depth of standing waters d-
Saturated soils: Yes X No Depth to saturated soil: >t2
?t
Other indicators:
Wetland hydrology: Yes ; Na--?_. Basis:
Atypical situation: Yes ; Na X
Normal Circumstances? Yes- No
Wetland Determination; Wetland ; Nonwetland
Comments:
W4 I ?481 klkly Determined by: 4c" c,,,
B4 (2,4 6jcr op s?f ! pt f-;-
Appendix B Blank and Example Data Forms
??A,??f b?ut? ?
DATA FORM 1
WETLAND DETERMINATION
Applicant t Application Proj __ ?,f'
Name: P? P?dsdGt. Number' Name:ecAA 0eGT
State: NC- County: egal Description: Township: Ranges
Date: J Plot No.: Section:
Vegetation [list the three dominant species in each vegetation layer (5 if
only L or Z layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species Statue
Trees Herbs c, ?o
1. C9v e--e 7.
Z.
8.
3. 9.
Saplingsishrubs
TA?+y. !
4 . ,> L? Ld v r''?o ?.t GV VV-
5 - 6. _-
x of species that are OBL, FACW,and
Rydrophytic vegetation: Yes ?/ Na
Soil s
Series and phase: o "'J ke^
Matt-led; Yea ; No-Z. Mottle colox: - ; matrix color:7.6
Gleged: Yes No__X? Other indicators:
Hydric soils: Yes No?
Z ; Basis:
Hydrology
Inundated: Yes ; No /\. Depth of standing waters
Saturated soils: Yes No ?,,. Depth to saturated soil:
Other indicators:
Wetland hydrology:. Yes ; No Basis:
Atypical situation: Yes ; No?--.
Normal Circumstances? Yes-,>6 No /
Wetland Determination: Wetland Nonwetland v?,(
Woody vines
j. ro't'ha L,`w C.
lo.
11. 1 e •.G; r?.? c?,?,?.sQ„?v,._ .rzc.s2.: ?.,r.,r ?1??
/or FAC:'?60t. Other indicatorb:
Basis.
On hydric soils list? Yas,-2'-,; No
11 . •

Comments:
SP°t { 1f a
6k
B4 &? Sou-f -
Determined by. •

Appendbt B Blank and Example Data Forms
_-..-DATA--FOEM.._..L.._ ----- ---- - -
W HAND DETERMINATION
Applieas:t .?>4 (.?, _t ,-Application Proje `7b
Name: i' , [ ,? `?4?Number; Name: ,4j,c zk, &on-V'G{?r
.3. s E
State: N)C
County: MulnP `Legal Description: Township: Range:
Date: -7 ICO 025 Plot No.: S-?- F- Section:
Vegetation [list the three dominant species in each vegetation layer (5 if
only L or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status species Status
Trees E[erbs
I . uQ??du liar- s f y+?1u"f WA_ FRG fi . Tw ?d r? radi cc t s F C,
z• 8-Gwp%?s f A6AAS FAC._
3. 9. 1trlW?-_ ?
Saplinge/shrubs Waody viztas p
4 • Mor2j SG Gerlp'e.rc?_ FAC-f io. Svvq[ak r - (C
'?J? o,t F/t ?.
I-L a 6 • Ps s r vice s 2. Pei s ri?aCIc s 1:?tki v} q!_4 e- fo [ i ot- FA C.
} Z of species that.are OBL, FACW, and/or FAC.
'? Other. indicators: .
Hydrophyti.c vegetation: Yes V"' No Basis:
Soil ?.,.
Series and phase: f [?'-- On 3:ydric sails list? Yes ; No .
Mottled: Yes ; No Mottle color: ; Matrix color: (0 'TIZ
Gleyed: Yes No Other indicators: d
Hydric soils: Yes No Basis:
Hydrology
Inundated: Yes ; No X. Depth of standing water:
Saturated aoll.s: Yes- ; No Depth to saturated soil:
Other indicators:
Wetland hydrology: Yes ; No
Atypical situation: Yes ; No .,
Normal Circumstances? Ye,5.?`. No
Wetland Determination: Wetland
---------------
Comments:
F +? N1 ? 7
84
Basis:
Nonwetland
.lr
Determined by:?
Appendix 8 Blank and Example Date Fortes
DATA FORM 1
WETLAND DETERMINATION
Applicant Application Project,
Name:( .5 Number: Name:
_?a!i(?')!{
State: A/C- County: 011irv i? Legal Description: Township: Range:
Date: -7'(0In(/ Plot No.: -')'LC'Cvq Section:
Vegetation [list the three dominant species in each vegetation layer (5 if
only I or 2 layers)). Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator
Species Status
Trees
1. Ls f';rt,iCiun ?t,r?p??G Ft°cG-
2. Ck
3.
Saplings/shrubs

5. P10V ? !jii r ± Pf Get FAA- [
.
? ?{•U(
.. rs t , 12.
Indicator
species statsis
Herbs
7. ?/?1CJC{ii,VC{vC?r ? ?Ef U41 ' ?...•
Woody vines
10.
11. 0
z e aPeciee?that are OBL. FACW, and/or FAC:>:?)? Other indicators:
Hy r1phytie vegetation: Yes No Basis:
Soil j rJ
Series and phase: A -"f GIVES {.: !? on hydric soils list? Yes No
Mottled: Yes ; No ;
Mottle color: G" r .. 7 Z; Matrix color:
Gleyed: Yes No= Other Indicators:
Hydric soils: Yes ? No ; Basis:
Hydrology
Inundated; Yes ; No_jz. Depth of standing water:
Saturated soils: Yes ; No Depth to saturated soil:
Other indicators: Vol
*? .r 6Zrri111,11l , ?WAN"I, ,` t= rn- "A
Wetland hydrology: Yes No Basis:
Atypical situation: Yes ; No Z
Normal Circumstances? Yes L/ No
Wetland Determination: Wetland
Comments:
Nonwetland
Determined by:_ [--I- Cl-
•

y? zy?
s'
•
$4 Appendbc B Blank and Example Data Forms
r
1I?
u
DATA FORM 1
WETLAND DETERMINATION
Applicant Application Project
Name: Number: Name: Creed. C?,r-J.or-
State : Count `
q y: C?-{-Legal Description: Township: Range:
Date: -7~t (,4 -OS Flo No.-_ SCC- ff - j Section:
Vegetation [list the three dominant species in each vegetation layer (5 if
only l or 2 layers)). Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status species Status
Trees
z.
3.
Saplings/shrubs
•
Rerbs
L) f 7. OBL
8 . ?? y??Ut.i.?.t?•^-??y?r2?L?.t'? E f elf ?tX S ?L?'" .
9.
4 f .'?
r•ot <=>
ITt , rr -611x- •. I Ir-; i (AA ; 6:---
5. RA C_
5.
Woody vines
FA Otio -(I
12.
Z of species that are OBL, FACW, and/or FAC: . Other indicators:
Rydvophytle vegetation: Yes No Basis;
Soil ,rya, d G. S ?r y?
" r' ` ct)it l c,{ V,4,7' fry r?'t" I '?,•
Series and phase:- -Alf aVE S-4-el- On hydric soils list? Yes ; No
?. /
Mottled: Yes ; No ? . Mottle color: Matrix color[:
Gleyed: Yes Nox Other indicators:-' S?rlL. 5t??tC
Hydric soils: Yes C No ; Basis:
Hydrolon
Inundated: Yes ; No.^/ . Depth of standing water:
Saturated soils: Yea' _1
, No .rte Depth to saturated soil:-..._'
Other indicators: G ac.,utra(-,_jp +r-..'.rL#J `fto
Wetland hydrology: Yes
X01; No Basic
Atypical situation: Yes ; No
Normal Circumstances? Yes No
Wetland Determination: Wetland > ; Nonwetland
comments:
t-T-C,'?J;?;'?. Determined by:
B4
Appendbc B Blank and Example Data Forms
DATA FORM I
WETLAND DETERMINATION
•
Applicant Application project
Name: -PC's Q?/lU rlc?'? Number: Name: Sawl-t-? CC-Etk CorriJor"
State. QCi+ County: p;f?C1j A ` Jr--?egal Description: Township : Range r
Date: Plot No. Section:
Vegetation [list the three dominant species in eac"agetation layer (S if
only L or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Statue S ecles Status
Trees Herbs
?? 1. L1Y'j 0? t ?" ' - - i1W??l? ?. 7. E [ iCDli' ? ?tl1r`- 1?i .[??;ti?/` FftC-LA--
3. g.
Saplings/shrubs Woody vines
4. tAU S COQ U ?t vv a.vt 10 , - , ,: s- , r ,
FAC
6. AC,"-r C'-- 0
G FP?G Srn.1 Gt.F t ? ( F \ C
X of species that are OBL. FACW, and/or FAG: Other indicators:
Hydrophytle vegetation: Yea ? No Basis:
Soil
Gleyed: Yea No_,?L Other indicators:
Hydric soils: Yes No )<' ; Basis:
Series and phase:AtalfIs-'-ck- On hydric soils list? Yes ; No
Mottled: Yea ; No_-\'? . Mottle color: ; Matrix color: 2?5 `r PIq
Hydrology
Inundated: Yes ; No Depth of standing water:
Saturated soils: Yea' No >< . Depth to saturated soil: 1211
Other indicators:
Wetland hydrology: Yes ; No Basis:
Atypical situation: Yes No j?.
Normal Circumstances? Yeg? No
Wetland Determination: Wetland Nonwetlaud
Comments:
Determined by: `( CI LL
B4 Appendix B Blank and Example Data Forms
0 ... .... ........
DATA FORM I
WETLAND DETERMINATION
Applicant F Application ?reject??4?
Name: On() J nfru Number: Name. C C'r-Loo L c r -`
1
State: S_County: ,,E?f+ Legal Description: Township: Range:
Date:? Plot No.:GG? Section:
artoL off` j7
Vegetation [list the three dominant species in each vegetation layer (5 if
only 1 or 2 layers)). Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species Status
Trees Herbs
'11- 7. M0rQ.(,-,. C?7r? >r FAG+
bl-iW cL s7,1 bar- c+yrar.?-flr -&t ,, FA<-t
3. 9.
Saplings/shrubs Woody urines r
4. FAC,+ l0. Parr ilntxi t)e s tl e uir?tc?U{ ^?? i
r
5.
6• MUr?t(? cj--riFer,?7,_ FA,---j 12.
v
Z of species that are OBL, FACW, and/or FAC:`? Other indicators:
Hydrophytic vegetation: Yes No Basis:
Soil
Series and phase: r1w Af[o Ui5 an hydric soils list? Yes ; No ?.
Mottled: Yee No Mottle color: ; Matrix color: 6.S Y?
Gleyed: Yes No VDther indicators:
Hydric soils: Yes No ? ; Basis:
Hydrology
Inundated: Yes ; No /. Depth of standing water:
Saturated soils: Yes ; No ? , Depth to saturated soil.:
Other indicators:
Wetland hydrology: Yes No, Basis:
Atypical situation: Yes ; No
Normal Circumstances? Yes c/ No
t+?etland Determination: Wetland ; Nonwetiand
Comments:
'S?44&t( up Gxjid
Determined bv: tt_ t?
B4
Appen& B BLu* m d Example Data Forms
DATA FORM I
WETLAND DETERMINATION
•
Applicant Application Project
mama :_ P S ???1G I0lC?t -,I- Number: Name: Save H, r-f-teiG Corrid-or
State : County: 8edtt4+6rf ,ega1 Description: Township : Range t
Date: -7- 1L (1'3 Plot No. ?F & Section:
Vegetation [list the three dominant species in each vegetation layer (5 if
only I or Z layers)). Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status species Status
Trees Herbs
I • ?jlnuS ""Gtr `G` FA G 7. LUX 5(0-6_A__ FA:?:1iJ
2. 8. r r ub u4_ FAG
3. ?} iY,•,rtrt G4'.;E '
?t. FACW
??? Saplings/shrubs _ Woody vines
4. P?ndf- LAX G? ?? ,? 5. !1'{ 1 1GE f?i c1 C? le=i ^ az_ F A6, II. ?oV -V16 F??
6. L{'c?I?rG?: i'~!t r s- y (AL U?° f Lt : FA {- 12. •
a
x of species that are OBL. FACW, and/or FAC: > SUr Other indicators:
Rydrophytic vegetation: Yes -,?No Basis:
Soil
Series and phases {a.V(5+6?. .. On hgdric soils list? Yes ; Ida
Mottled. You ; No.?>e . Mottle color: ; Matrix color: 2Z,1 1?
Gleged: Yes No > Other Indicators:
Hydric soils: Yea No-,K; Oasis:
Hydrology
Inundated: Yes ; No Depth of standing water:
Sat=atsd soils: Yes No > Depth to saturated soil:
Other Indicators:
Wetland hydrology: Yes : No,?< Basis:
Atypical situation: Yes ; No
Normal Circumstances? Yes? No
Wetland Determination: Wetland Nonwetland?
Comments:
j?ti{ittV1 ?'?L{ {?}f ??' Determined by: K--?-??
B4 Appendix B Blank and Example Data Forms
•
DATA FORM 1
WETLAND DETERMINATION
Applica tc Application Project
Name: J Number: Name:
-T(?t/ifil?f l lJ i
Y6; 1
State: A/C County: pM Legal Description: Township: Range:
Date: `7 j!(rI Plot No.:rC? F rn
Section: t,t(}?.,l,lrl1 67AM044
•
0
Vegetation [list the three dominant species in each vegetation layer (5 if
only I or 2 layers)]. Indicate species with observed morphological, or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species Status
Trees
y? ?s f? Herbs
!µ? y
1 • ?"'"''"'°' W1 Vylcw i,. •??L1r'C. !jG\ n,' ?• \ l
.t Aa FA-,- hr
?er ?f•t1,1?tLCl?S s.'.?,_;:??,5 ?.
3. 9.
Saplings /shrubs Wood vines
`''=l,?r??? f FAG f - lo. Wi s
5 .?`rlC7, ujjbjDwvl 'free, C(?6t ` r td l I Sm' r ` ?G
6. 12. S ro ??, h ?} i r G ? G
X of species that are OBL, FACW, and/or FAC; > SOl Other indicators:
Rydrophytic vegetation: Yes V1 No Basis:
Soil
Series and phase: CfC?tl/(S?{ th on hydric soils list? Yes ; NO,?.
Mottled: Yee ; No ? , Mottle color: ; Matrix color:)(J??
Gleyed: Yes No ? Other Indicators:
Hydric soils; Yes No L_-1; Basis:
Hydrology
Inundated: Yes ; No G-l"' . Depth of standing water:
Saturated soils: Yes' ; No L/ . Depth to saturated soil:
Other indicators: tnp"A-p---
Wetland hydrology: Yes ; Nor/ Basis:
Atypical situation: Yes
Normal Circumstances? Yes U,-, No
Wetland Determination: Wetland Honwetland ?
Comments:
a&nowvt -
r tt (, i Determined b
oA ?y?r1?;1?••'
?'T i •k,•/ Appendix B B" and Example Data Forms
Applicant Application Project E
Name: Poll RhOS LiLa_+_k Number: Name: J1-x 64,eek GDI?Jdr
State:G. County: '? Legal Description: Township: Range:
Date: - 0_ ? Plot No.: Section:
Vegetation [li$t the three dominant species in each vegetation layer (5 if
only L ox 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status species Stat:is
Trees Herbs
I.-*tU& uv1? tTe, CaAt+ i4 7. ?10kki c (u,Gi lc, FACUV
2. a. M©reUe. i ,?k,_ FACj
3, 9•
Saplingslshrubs N- ody vines
?1- 4. WdAmkr tpcic 6 k, . W+ a. pVi -S r-0jV v?? FW c.
MS FAGVV 11 • INCA C6q,1j 0. 3C
6.
/}C1U- rt?c?r F G i. S E k .f??' ' c__ FAG
Z of species that are OBL. FACW,:and/or FAC:tf °l Other indicators:
Hydrophytic vegetation: Yes.-V" No Basis:
Soil
5eriet? and phase: A QE [ ? h ?0
ydrie sails list? Yes ; No
Mottled: Yes ; No Mottle color: _5 matrix color: [0 'VR
Gleyed: YesNo= Other indicators:
Hydric soils: Yes 1j No ; Basis:
Hydrology
Inundated: Yes ; ?No y- Depth of standing water:
Saturated soils: Yea-,?'+C. ; No Depth to saturated soil: --hot,
ocher indicators:
Wetland hydrology: Yes X ; No
Atypical situation: Yes ; No.?,
Normal Circumstances? Yes/' No
Wetland Determination: Wetland
Comments:
We4j.6,jAd bWj,

Basis:
; Nonwetland ,
Deterrakned by:
•
•
. Apperxitx B elaNc and l_xan,ple Data Forms
DATA FORM I
WETLAND DETERMINATION
Applicant Application Project
Name: Number: Name:
State: County: Prm(atd1
l Legal Description: Township: Range:
Date: t Plot No. Section:
Vegetation [list the three dominant species in each vegetation layer (5 if
only i or Z lAyers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species status Species Status
Trees
1 1.`Saf)C::. 111 clt `,L'•?f.`, C[ -A.,- Herbs
7. WAJfr
`55a. \0'r `t l f n.
3.
F G f :, •' ,
9. ?Sr,?f;?:t?a ,
Saplings/shrubs Woody vint"`'' t"J'''.a
es'
U' C tF F/V::?t 10.1 r 5 FAG
.5. [\tX V•`'?i '1: rr. F
•
6• 7 t`L5
FI?G#ti
12.
Z of species that are OBL, FACW, and/or FAC: g . Other indicators:
Ayd>rophytic vegetation: Yes 1,-"'?No Basis:
Soil
Series and phase: 1-)rOn hydrit soils list? Yes
; No
1z
Mottled: You ; No ;.f . Mottle color: ; Matrix color:
Gleyed: Yes No Other Indicatore : dark, < IIl ?-a it. ?r?a
Hydric soils: Yes No Basis: t 6nfties
Hydrology
Inundated: Yes V/; No Depth of standing water:
Saturated soils: Xes L ; No Depth to saturated soil..-
- (S,(` qL c, VVIA
Other indicators: SE4l
Wetland hydrology: Yes ? No Basis: ` SUir
Atypical situation: Yes ; No N/1. SPf?E?" c, t d
is
Normal Circumstances? Yes _N / No
Wetland Determination: Wetland- Nonwetland
Comments:
64 Determined by:
Appendbc B Blank and Example Data Forms
Applicant f' Application Project
llama: 'G? t?Syil?t I ?. Number: Name: ?G
State: N G County.,. G1_tf0F Legal Description: Thxnship:& "nges
Date: Plot No. i ( Sect1{ion•
Vegetation [list the three dominant species in each vegetation layer (5 if
only L or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species Status
Trees Herbs
FA,
z- 8. S (ate trS 'f"i rr{'?'Est".+? ??`?.
3. 9.,t awe t?ta ?-?. O V31-
Sapl.ings/shrubs Woody vines
IA,
4. U1L(rl (
?r t r ,:...? Fi°G I 10. - _ Iroc u r, PAC,
5. ?,4? '--..'t.i. FPtG-F ii. ??GU:tii?tflG ??G
L 60,r1?G?-( GL W
U C,
6. 12. ?2'U 'r
Z of species that are OBL. FACW, and/or FAC:f 00 Other indicators:
Hydrophytic vegetation: Yea No X - Baaie:
Soil /? !l
Series and phase: A1+a Q15 +0_.- On hydric soils list? Yes ; No?.
Mottled: Yes ; No < . Mottle color: ; Matrix color: 1? F ?
Gleyed: Yes No ,>c Other -indicators:
Hydric soils: Yes No ,,; Basis:
Hydrology
Inundated: Yes ; No Depth of standing water: "--------.
Saturated soils: Yes No Depth to saturated
Other indicators:
Wetland hydrology: Yes ; No X Basis:
Atypical situation: Yes ; No_
Normal Circumstances? Yes X No
Wetland Determination; Wetland Nonvetland
Comments:
Determined by:
B4
Appendix B Blank and Enrrnpkt Data Farms
Applicant ( Application Project
Name: Number: Name: So k-k Creev Cprpd"'
r
State: C County: r4 Legal Descriptions Township: j Wnge:
Date: - I(? "Q Plot No.: C,-6T- Z Section:
Vegetation [list the three dominant species in each vegetation layer (5 if
only L or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species status
Trees Herbs
FAGf 1 • j T"acx ? 7. [A)Cc.W". ? ?f -co (cit Cam, ?.I?!
<?1 r, n
2- LjrivcLWZ6 rtA ? -Vt "?. G s. 6op?ryuzr-?a_ c Li r?t -i c? F CW
?l G ?? 3. p?ru,ji 5 Sa.rott ?lr,_- M--(a 9 . nsrs F t
x 2,(? Saplingzs/shrubs Woody vines
i? ,-
5. An6 n cla.?O,-:1 cti ??F 11.
6 - ( t S ?czYV i `vi FC, W?- 12.
X of species that are OBL. FACW, nd/or FAC;Sn?. Other indicators:
Aydroghytic vegetation: Yes No Basis:
Soil 7 0.S ktoA- F6r+-wvc,, "?I"Gl?'1SI ?ibV`t
-Aeries and phass:`?j S-?-? Dn hydric soils. list? Yes No
Mottled: Yea V ; No Mottle color:25_.; Matrix color:
Gleyed: Yes No Other indicatore:
Hydr.ie SOILS; Yes < No ; Basis:
Hydrology
Inundated; Yes ; No. Depth of standing water:
Saturated evils: Yea ; No Depth to saturated soil. -
Other indicators:
Wetland hydrology: Yes ; NO->!:. Basis.:
Atypical situation; Yes ; Nom.
Normal Circumstances? Yes X No
Wetland Determination: Wetland Nonwetland
Commence:
FG - mC c
is'!"!/ Determined by:
B4
Appendix B Bku* and Example Data Forms
DATA FORM I
WETLAND DETERIHINATiON
Applic t y Application Project
?G
Name : GS f '?1 d S p11?? Number : Name :
??^^
State: c?- County: FY.L'IFV1f4 Legal Description: Townships Range
Date: t ' l a - CJ? Plot No.: 3 Section:
Ube-ffcv
Vegetation [list the three dominant species in each vegetation layer (5 if
only i or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species Status
Trees Herbs
.? :, OBE 7.? r---fA- C?nl
2. s ;
3. 9.
Saplings/shrubs Woody vines
5. ?CtGG?1?l?
11. ! r> t' i' YGl? GG.t1 S
X of species that are OBL, FACW, nd/or FAC: 53X Other indicators:
Aydrophytic vegetation: Yes No Basis:
Soil
k t t? ti5 ? ?? 1??,?-:.??? v??? ?_:; art ?h!•,?, .?.,?..,- ? F?,r-z i ;::?,-:,...
Series and phase: Ftlt?t rs On 3:ydric soils list? Yes No
Mottled: Yes No Mottle colors --- ; Matrix color:
Gleyed: Yes No >< Other indicators: _C`t' 51(Da;-L stAer c-e.?
Hydric soils: Yes No Basis:
Hydrology
Inundated; Yes ; No X . Depth of standing water:
Saturated soils: Yes X ; No Depth to saturated soil:
Other indicators:
•
•
Wetland hydrology: Yes X ; No Basis:
i P,
Atypical situation: Yes ; No X
Normal Circumstances? Yes X No
Wetland Determination: Wetland. Nonwetland
Comments:
Determined bv:
Appendix B Blank and Example Data Forms
DATA FORH 1
WETLAND DETERMINATION
Applicant S
JtApplication Project'
Name! C> z'. IVI Number:
State: ' - County: p,&-} Legal Description: Township: Range:
,
Date: -7 10 10 Plot No. C• - Section: yvC. Lq!n(? higu,'"oo,
Vegetation [list the threa dominant species in each vegetation layer (5 if
only 1 or 2 layers)). Indicace species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species Status
Trees Herbs
1.Noffijp C.(.r!G`? 7.'l?luahv. ?•,s1?c, c! o6"1-1 69L
2. 6y (l K d.ri G c,- , F? `CWt
3. 4.
Saplings/shrubs Wood vines
4.U! ,\nfJS Cr,ra,'. r ?n ? FG `r,
lo. z
,?-,.?- ,FAG
5. ?1''U:`CtCr;n'i?/ .?r\1rG1Cl •`?f? FIG-` r-•
?•M?f{'a Cf? ?' t• 12.
Aev4, o„ -;va,:?;.eta FAG
X of species that are OBL, FACW, and/or FAC:> 50rd Other indicators:
Rydrophytic vegetation: Yes v--No Basis.
Soil p
t' •a,s:j Ea':::rl ., r 4^;*,"°'!.1-., -t (,,Q •.? "?a? 4.",
Series and phase: A 4a ?I! z4„a,.._ Dn hyddric so is list? Yes ; No x .
Mottled: Yes ; No Mottle colors 1 YQGr ; matrix color: Gleyed: YesNoJZ Other indicators:
Hydric soils: Yes No ; Basis:
Hydrology
Inundated; Yes ; Na Depth of standing waters
Saturated soils: Yes ; NoDepth to saturated soil:
Other indicators: Ctk ^? 7? q^r`A'A?I `_ i? Cs`•f?Q? ?G'/1f .
Wetland hydrology: Yes
l,'-No Basis:
Atypical situation: Yes ; No??.
Normal Circumstances? Yes No
Wetland Determination: Wetland ; Nonwetlaud
CommIIents :
44XV4 Z-omv&r E
. ?, Determined by: LL-
B4
Appendix B Blank and Example Data Forms
DATA FORM I
WETLAND DETERMINATION
game- Applicant )^C _!^y? Application Project
S
Ilame Q Number: Name:
State: V4C-1 County:&APt6r+ Legal Description: Township: Range:
7- (C?" ?`3
Date: Plot No.:??- v Section:
t ?....f J
f !
Vegetation [list the three dominant species in each vegetation layer (5 if
only I or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species States
Trees rr Herbs
1. i I V11 ? 5 " Gt, ? /` FAC- 7. l Ll ti n t . tr` ?'7c? f- cryr `zr f C0
2- L. %u ± .v ?,..,.S G1 - l n fem., ?- a. ?'?t tam-'--- F{?C.
3. ° T' ??- ( 4.
Sapling!/shrubs Woody vines
4. .!L.t,..i{,: r, , < ..: -r.,-".,":_,?:: ,.: ? ;/r%-(?!., r ` i.;' i:` 10. b'LjC.??U?'?L?J'U?-•-- ??? t C(/?•N)
cL FAG
6 . pA0rCtJ,,-,_ CQ- C _ FRG -? 12. Y •
Z of species that are OBL. FACW, and/or FAC: ` S-O/o Other indicators:
Aydrophytic vegetation: Yes No Basis:
Sail ?;t'DSS ' SG fc?S
Series and phase: At'zTVIS.,f? On hydric soils list? Yes ; No >< .
Mottled: Yes ; No Mottle color: ; Hatri.a color:
Gleyed: Yes No >-?- Other indicators:
Hydric soils: Yes No Basis:
Hydrology /
Inundated: Yes No Depth of standing water=
Saturated soils: Yes No Depth to saturated soil: '-"`---`?
Other indicators:
Wetland hydrology: Yes Basis:
Atypical situation: Yes ; No
Normal Circumstances? Yes No
Wetland Determination. Wetland Nonwetland .tea,
S
Comments:
Determined by.,
B4 Appendix B Blanc and Example Data Forms
0-
DATA FORM 1
WETLAND DETERMINATION
•
Appliea?t_ Application Project
,
Bane: I"??..,1s Number: Name: JC
State: (-/ County: N,( - (,7(Jtegai Description: Township: Range.,
Date: ^ /0- r, Plot No.: Section:
U'
Vegetation [list the three dominant species in each vegetation layer (5 if
only I or 2 layers)). Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Species
Trees
1. Fi nu15 `tGI ,
Z. Li ,b j,
cLG?rjCl?'
3.
Aydrophytic vegetation; Yes No Basis,.
Indicator Indicator
Status Species Status
Herbs
F'AO
?-f Y rr? c i- ccti FA.Cf 8 , Ace.r- f €? ;,
r-uk ,- -- Fly C,,
9.
Saplings/shrubs Woad vi"s
4. Li??u? c a>' I ? sGrL? r t ?. Fib f 10 ,,E c rn ??,t ? .? -? ? e FA C,
FP?
X of species that are OBL, FACW, and/or FAC: Other indicators:
FqG f
Soil
nC? M'1C -alCf-' a
Series and phase: P =f?trttnE,? _ On hydric soils list? Yes V, ; No
Mottled: Yes ; No? . Mottle colors ; Matrix
Gleyed : Yes No Other indicators : &kq' ?tC?C
Hydric soils: Yes No ; Basis:
Hydroloax
Inundated: Yes ; No. Depth of standing water:
Saturated soils: Yea ; No ?< Depth to saturated soil:
Other indicators:
Wetland hydrology: Yes ? ,?JNo Basis: ,
Atypical situation: Yes ; No y_
Normal Circumstances? Yes c.---No
Wetland Determination: Wetland ; Nonwetiand
Comments:
Wf f? 6w4den r Determined by:
B4 v
Appendoc B Blank and Example Data Fortes
DATA FORH 1
WETLAND DETERMINATION
Applic g Application project
Name: MS i'U t:f d?1 C -he Number: Name: SGr-
state:. --7 C- County: - ?04Ar! G` egal?^Description: Township: Range:
1 _ ?d - 0--c-3- Plot No.:c,.Date: G / Section:
P-J-eH tea, nd 10- . . .
Vegetation [list the three dominant species in each vegetation layer (5 if
only L or 2 layers)). Indicate species with observed morphological or knovn
physiological adaptations with an asterisk.
Indicator Indicator
Species Status species Status
Trees Herbs a:
1. nom' t ! ri t r,, ... 7. bz!a tEl" Hr r1 a G(.L C t G?t? YVIAGIti ?lL'F
2. 8. _M<'r5Gti t?n1 Lt-ot,, ?i :sG CAS MOS c-k<A4-t0 S
3.::. t? 5&L-
Saplings/shrubs Wood vines FurFedexio. 6Drdatc, 08L,
4 . iV1A f ((?? , _ t t'"<. r...,; ?. FPtG l0 . Tx i Go ?? _?- rte FCJ i c r S FAG
5. e>ac6ln.-I--i S ?alrwFot f L- FAG I1.
6. 12. •
Z of species that are OBL, FACW,, and/or FAC:06,9'. Other indicators:
Aydrophyt1c vegetation: Yes V "'No Basis:
soil --AS i ?l Gar ?1 Gv? S I -Fi ?fn n?! ?_rt? ?? SC+?i t S far4swai-L -'f'lz,
Series and phase: mwc-(GAtt.l On hydYic soils list? Yes; No
Mottled: Yes No X" Mottle color: Matrix color:
Gleyed: Yeses No Other indicators:
C. (S7)
Hydric soils: Yes No Basis: ftwt?
Hydrology
Inundated: Yes ; No Depth of standing water:
Saturated soils: YesNo Depth to saturated soil: U Ge+,ti1-r`i
Other Indicators: '4 Qih f1=l w LGf- -Z'
r
Wetland hydrology: Yes -xx5 ; No Basis:
Atypical situation: Yes ; NR-,
Normal Circumstances? Yes No
Wetland Determination: Wetland Nonwetland
Comments:
r 1 , ! T I
47
B4 F25(/t,Wrlt? zrr Nl rs
Determined by: t?
Appendix B Blank and Example Data Forms
DATA FORM L
WETLAND DETERMINATION
Applica t;? - Application Project
V% G
Name: V t . C . ?.jj_x/ Number:
Name
State: County: fi rA "Legal Description: Township: Range,._
Date: '710 -0-9 Plot No. SCC,_ G ^ Section:
`?
MQfSky (?ticLlSk Warms Gloly J
Vegetation [list the three dominant species in each vegetation layer (5 if
only I or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator
S ecies Status
Trees ff r
3.
Saplings/shrubs n
,#f4. 16AW
• 6.
Indicator
species Stators
Rerbs
9. 4i 6 SG4[ s Wk,S & +Q S fJ L,,.
Wood vines
lo. 7xi?=-v?:?...,•??? -r?t?w..,_. r??t??.s ?t?G
lI.
12.
X of species that are OBL. FACW. and/or FAC:L_. Other indicators:
HydrophytIc vegetation: Yes No _ Ba5140-
Soil
.wiped a,-? +41 c?osR -tv
Series and phasie:_ 7i'pVQd^? On hydric soils list? Yes /; No
Mottled: Yea ; No ?l Mottle color: ; Matrix color:
Gleyed: YesNo Other indicators: Mv,C- a_l_nt d?
Rydric soils: Yes I*e No ; Basis:
Hdroloax
f
Inundated: Yes ; No ,.
Saturated soils: Yes },? ; No
Other Indicators: _D_7 ..
Depth of standing water: -----------
Depth to saturated soil: G?
Wetland hydrology: Yes .`' No Basis. °_A V10
Atypical situation: Yes ; No "
Normal Circumstances? Yes No
Wetland Determination: Wetland ; Nonwetland
Comments:
0 Determined by: V-l_/

B4
Appendix B Blank and Example Data Forms
I von wt +? Cat
_........ _..... _ -. __ DATA FORM 1
WETLAND DETERMINATION
Applicant Application Project
Name: _ISt v1USNumber: Name: SplxE{(i C?1Z to
State: County: PFIA Apr_ Legal Description: Township: Range:
Date:U Plot No.(. " M Section:
Vegetation [list the three dominant species in each vegetation layer (5 if
only I or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species Status
Traes Herbs
1. movie 7. P UIOUI-?, /tej{ V,4, L, ?. Cann)+ SPeC4CA+R
2. 8 . RWI - C ?r .? 1 ?, t GR?t?to F
3.
Sctc3
Q
`5 r
-d
Saplings/shrubs Woody vines ?!tJ LAjf:,'S
J
G P ?1fi
5. # i'ii" i `(r' ri J :tl j; FACI 11. Ntf?l.5'?'1 s.! ?` E" ?? i i,.
V, na-
X of species that are OBL, FACW, and/or PAC:ZSO jil (;Vv5 i
Other indicators:
Hydrophytic vegetation: Yes No Basis.
Soll
Series and phase:
i5" f'( on hgdric soils list? Yes No .
Mottled: Yea No__. Mottle color: ; Matrix color:
Gleyed: YesNo_,8?_ Other indicators:
Hydric soils: Yea No_?<_; Basis:
Hydrology
Inundated: Yes ; No Depth of standing water:
Saturated soils: Yea No Depth to saturated soil: -------
Other indicators:
Wetland hydrology: Yes Nom. Basis:
Atypical situation: Yes ; Nc ., , ,
Normal Circumstances? Yes No
Wetland Determination: Wetland ; Nonwetland
Comments: ? Determined bv:
Wood,
y ( ?, 'J Appendnc B Blank and Example Data Fortes
0
____--- ---DATA.-FORM 1
WETLAND DETERMINATION
Applicant Application Project r- ?^
Name : PGS r r 1Crj PWG) Number : Name : S c ?t?
Scats: {?G County: LOO -Legal Description: Township: Range
Date:" Plot No. Section:
wtmd emu ;
Vegetation iliac the three dominant species in each Ve etation layer (5 if
only I or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status species Statue
17?
Trees Herbs
z t r
?_.
t FAC AA g .
Saplings/shrubs Wood vines _
?! ?? ?.•f:-t t y> _: ! z +" r._,y4 FAC 10. SS ! fn.yC ?( C,'?,Et 1,,t` i - j <. ,.: FA C-
FA
X of species that are oBL,+ FACW, and/or FAW-5W Other indicators:
Hydrophytic vegetation: Yes No Basis..
Soil
Series and phase: I "t•?i-C L-G?'?1? C On hydric soils list? Yes 1'/; No
Mottled: Yes No Mottle color: ; Matrix color: to %1
Gleyed: Yes No Other indicators:
Hydric soils: Yes No Basis:
Saturated soils: Yea )<' ; No Depth to saturated soil:
Other Indicators:
,.Wetland hydrology: Xea No Basis:
Atypical situation: Yes ;N No
Normal Circumstances? Yeas V No
Wetland Determination: Wetland ; Nonvetland
Comments:
Hydrology
Inundated; Yes ; No "f Depth of standing water:
f•
B4
Determined by: L-L?
?
Appendix B Bunk and Example Data Forms
DATA FORM 1
WETLAND DETERMINATION
Applicant Application Project i
Nana: Ec's I°?1{76 /tGl '`? Number: Name: Qv L?.f?1l?Cf!l I Grp i r
? c
State: Al County: P j(•V,? '4 Legal Description: Township: Range:
Date: `7of Plot No.: SCL H-3 Section: `We.A\ruiO
Vegetation [list the three dominant species in each vegetation layer (5 if
only 1 or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator
Species Status
Trees
1. Mo?ctla cep; rr, a F`/1G
3.
Saplings/shrubs
4. 'Vet' Wa. GOr?o0ni Cl F pCV
5. M(fc llu c? r tfc,' FA
6.
Indicator
species Statu*a

Herbs
se-
8. ? )Liam ? ?e {Ake 6Isc---
gkg.1N?-??? ?'?!•r?l??r.? Ctun-(-oL, Wla?.tn.?at?,
Woody vines
10. Jr!rp?4(rJ rr,!'`E rU: ' F AL,
12.
Z of species that are OBL, FACW,and/or FAC:-o-
Hydrophytic vegetation: Yes VINO Basis:_
Soil
0 L-
Other indicators: '5W(.04rv. rwI S (9.rr
S-S
Kn-a -?
?c#'?f 2SS,rS h
Series and phase:_ MU rh?-e-c On hydric soils list? Yas?; Ho
Mottled: Yee ; Ho,? . Mottle color: Me tr:Lz color.- 16
Gleyed; Yes No V Other indicatore: Srn ?te.riC r
Hydric soils; Yes-L",_ No Basis: .
Hydrology
Inundated: Yes ; Noj,/? . Depth of standing waters
Saturated soils: Yea ; No De th to saturated soil:
1 5.' 7 r r
Other Indicators: AJUi•nnnJ DCr3?9V1?Yl'IUr..r.-Ir ?.
Wetland hydrology: Yes No Basis:
Atypical situation; Yee ; NotZ-.
Normal Circumstances? Yesiz- No
Wetland Determination: Wetland \IL S
Comments:
Bbf?b?t(a.r?? l?a.rti?a?cQ.:
Nonwetland
Determined by: L L f? •
B Appendix B Blank and Example Data Forms
RATA FORM 1
WETLAND DETERMINATION
Applicant Application Project G-
Name: i5 CV[,bS ? . Number: Name:-
State:. county: Ei7: ? Legal Description: Township:Range:
Data:' Plot No_ SGG ?} Section:
WeA- CVtAkjAt-K-
Vegetation [list the three dominant species in each vegetation layer (5 if
only 1 or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asteriak.
Indicator Indicator
Species Status Species Status
Trees Herbs
1. i ' -1
V1 C( W"amo, c:PCM _
hh 2. tvlUG' (. Gt. Gui , I" C?/_*,B. CF r
17(n:.v? -,-+0 q
} 4G- 5 9rf°Faric? f?nCi ,ct ? -
Saplings/shrubs Woody CAL
vixtes - { C
4. FACV IQ . v7Ci!: Cx r IJ n..? Y Jt1 CGc d?(. F Ac.,
FPC
• I of species that are OBL, FACW, an /or FAC:jC/F;!11, Other indicators:
Hydrophytie vegetation: Yes ? No Basis:??a
Soil
Series and phases k(A.CV-aIC On hydric soils list? Yas ?; No
Mottled: Yea ; No ` Mottle color: Matrix color: LLY-L ,z'/2-
Gleyed: Yes No >< Other indicators:
•
Hydric soils: Yes No Basis:
Hydroloax
Inundated: Yes ; No?. Depth of standing water:
Saturated soils: Yea No Depth to saturated soil: d
Other Indicators: 1AA x .?.lG
Wetland hydrology: Yes; No 'Basis:
Atypical situation: Yes ; No X
Normal Circumstances? Yes >-?, No
Wetland Determination: Wetland
Comments-
P,
JW?i? l1G' il?? L?. Sf l
B4
Nonwetland
Determined by: r,? ?
Appendix B Blank and Example Data Forms
•
WETLAND DETERMINATION
Applicant ry, Application Project ``? r
name: PCs FlilDSdgot-k Number Name.' 014*( I C/4k 6ff,jof
State: ?County: f`QA { Legal. Description: Township: Ranges
Date: -7 ?( a. Plot No. Section:
Vegetation [list the three dominant species in each vegetation layer (5 if
only Z or Z layers)). Indicate species with observed morphological or kuovn
physiological adaptations with an asterisk,
Indicator Indicator
Sies Statue
--Pis --- ---.- species Statue
Trees Herbs
FAC-
1 1 1 //?? '1ySa?YVI?Ii{?}inltU:M ?i??(,,,? Gr??CCriGy(?r??'?
Z.L'IiIOC+D?ICit?Vt ?ltii rt
FAC, ?LGMOgG? r' r.
3 `
• ?iCP f r «, o(L1 tM FiN no fla
P Ss/shruts Woody vines A
4. Ga, ?, .Au CUs of l r i ?'r{? f- I C IO. L
51?\(1AA:tAGita ?C,n1cq F?C,W I1.5rr?,1Gj.V(o?ln`rt??-`olla,, F
6. RAC,
i2• V??u??_?? ?n??.rtM•?Ca?{q •
Z of species that are OBL, FA270 d/or FAC:75Tp. Other indicators:
Hydr0phyt1C vegetation: Yes, Basis:
soil
Series and phase:_\ AyAA\ $\? On hydric soils list? Yes{/ No
Mottled: Yes \/-; No Mottle color: i -o?; Matrix color: / h;k
.
Gleyed: Yes No-!,,-,*' Other indicators:
Hydric soils: Yes. No ; Basis:
Hydrology
Inundated: Yes ; No ?. Depth of standing water: //A
Saturated soilss Yes No_e?L• Depth to saturated soil:
Other indicators: tk`( Cxt ; nl?n?? c .
Wetland hydrology: YesNo Basis:
Atypical situation: Yes ; No_14-.
Normal Circumstances? YesJV,' No /
Wetland Determination: Wetland V ; Nonwetiand
Comments:
Determined bv:Jvj KC ??
B4
Appendix B Blank and Example Data Forms
LXkf I c,,,V;Ct physiological adaptations with an asterisk.
Indicator indicator
Species Status Species Status
Trees Herbs
\ 11 7.?Gkl c? ? 1,16 Cc, V,1.5 FA C/
r?r7?.s G''?t5(if, r C=GT
3. L\tiU .
?(`?-r(vEn tf.E'+(1 r.=; (l/ 9• /1) -It 1:JYi? /,
S li
WETLAND DETERMINATION
Applicant Application Project
Rama: kc, flv"ospkAk Number: Name:
State: v 4? County: V-,,pC}.k4u', Legal Description: Township: Range! t
Date: }arc y?4 Plot No..?j?'Z ((? Section: y?/e }1QV1G? ! U
?qe' Is 64 !-pets too,;
Vegetation [list the threw domes t species in each vegetation layer (5 if
only t or 2 layers)]. Indicate species with observed morphological or known
C]
•
ap ngs/shrubs Woody vines
4.C0-i- 'nv.4 Gt{'D??vl(G?ritL?- FAG 10.f I f?j-'?V
1 ryJe f ? ?LE +F? I ?? ?+; ?C.r.y1?G?c ??. ?j
5 L'. FA 6, Q
FAC,
6. ?\tlt,.r,F+: d•n,? ,C, ?`?C?t)v?'`r`t ??.? 12. v 1IrVr,
1 n ?al a FAG
I of species that are OBL. FACW. and/or FAC: . Other indicators:
Hydrophytic vegetation: Yes ? No Basis:
Soil
Series and phase: -D-Oc;; DV) f ?,{?,+,;•? ;,i On hydric soils list? Yes ; No V .
Mottled: Yes ; Nom? ., Mottle color: ; Matrix color: ( L/
Cleyed: Yes NoI// Other indicators:
Hydrie soils: Yes No _lfl
f; Basis:`
Saturated soils: Yes ; No _. Depth to saturated soil:
Other Indicators: V1nVq4..
Hydrology
Inundated: Yes ; N0_1Z. Depth of standing water:
Wetland hydrology: Yes ;
DATA FORM I
Basis:
Atypical situation: Yes
Normal Circumstances? Yes No
Wetland Determination: Wetland
Comments:
B4
Nonwetland
Determined by:?1 ,6C,U_
Appendix B Blank and Example Data Forms
DATA FORM-I--------------- ---- ----
WETLAND DETERMINATION
Applic t t Application Projec r f
{.. :
ante: t i
N S Number: Name b U?t"?? 4...t ,eV 3f"t - I
State: 60unty: la'I(`O Legal Description: Township: Ranges
Date: -7 alOS Plot No.: r
Section:
Vegetation jliet the threa dominant species in each vegetation layer (5 if
only I or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species Status
Trees Herbs Sr ?'Gf
1. 1-06 (otty P1 VV - PE V04S -heda Ff&G ,. FAC_A-f-
2. -bk-ktIf4- try FG B. ?if,, rCD U.rljit MCI
3.
Saplinge/shrubs wood vines
6,4. 574t, yr"rL:R, i{,17p, UI.f15 FAC
4G?
S. CD.-Pi v7r..t_S caro(.:, (O-,t. ?. ? G zI
6• Ut rDGL?btL Gf? ltutpI rel-?v FpCC/ 12' ?????yy
Z of species that are OBL. FACW, and/or FAC:c:?CI Other indicators:
Bydrophytic vegetation: Yes ?? No Basis.
Soil. ?" /?
Series and phase: Vrna--to On Iiydric soils list? Yes ; No V
Kottled: Yee V ; No Mottle color: (O , (Et ; Hetrix color:
No Other iadicetore : Gleyed : Yes Yla Sa+kA-Ctti o
Hydric soils: Yes NoBasis:
Hydrology
Lnuudaced: Yes No X. Depth of standing water: dl
Saturated soils: Yes No>'*-- Depth to saturated soil: --N O
Other indicators:
Wetland hydrology: Yes No? Basis:
Atypical situation: Yes ; No,
Normal Circumstances? Yes^ No
Wetland Determination: Wetland Nonwetland
K
Cotrrmeata
Determined by:
•
•
E34 Appendix B Blank and Example Data Forms
--DATA-FORM._._.1. _.-._._.__ ..... ------ ......... _.- .__
WETLAND DETERMINATION
Applicant (? _I_? + Application Project
Name: FF's Rb5Pw:t'Q•' Number: Name: soma, c(•C.e'y - `_C1'Y"1
State:- NC. Countp:? Beat Leg&l Description: Township: Ranger
Date: Plot NO. ? - Section:
Vegetation [list the three dominant species in each vegetation layer (5 if
only I ox 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk..
Indicator Indicator
Species Status species Statua
Trees Herbs
1. ?lviUs toed.c?_ EEr 7. S OP .Kbt aa?.e
3. + {Pa {j t
Saplingslshrubs FAG Wood vines
k. AroJl-l?•r sPt kiV10 (10.
5- ?v Et?t1 { s hCkf l Neu ? FAG 11.
6. ?5 Go f?ti4? 12.
a
• x of species that are OBL, FACW, and/or FAC: <5
Qr Other indicators:
Hydrophytic vegetation: Yes No Basis.
Soil
Series and phases On hydric soils list? Yes ; No>
Nettled: Xes No Mottle color:
??; Matrix color:
2? y ?? t
Gleyed: YeeNo Other indicatore:
Hydric soils: Yes No X ; Basis:
Hydrolozz
inundated: Yes ; Nox . Depth of standing water:
Saturated sails: Xes No
_Z< . Depth to saturated soil:
Other indicators:
Wetland hydrology: Yes No?. Basis:
Atypical situation: Yes ; No?_.
Normal Circumstances? Yes No
Wetland Determination; Wetland ; Nnnwetland X,
Comments:
Determined by-.-- k-Li
B4
Appends B Blank and Example Data Forms
.l
-
FORM.._.1__._.__-_._._-__.___.____
WETLAND DETEMINATION
Applic?g t Application Project I'
Name: f GS chaspk q Number: Name: 5jw-stn 0-cek Ca(T dor
State:-__?lG County: r+Legal Description: Township: Range:
Date: :Z- q O-tF Plot No.: =s ?j Section:
Vegetation [list the three dominant species in each vegetation lager (5 if
only L ox 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species Statua
Trees Herbs
l . QuQrc S hiT-o?. FP G 7. eS;mu d( z OBL_
2. fir 1-U6-w"" FAG. 8. Mo??L (a re,??r F14?c -?'
3. gSaplings/shrubs Woody vines
4.tulorelf6- cerrFera? FAC-+ to. tax rv ? d; off; FACr.
-5. Rr>- by r?oni' r,., Rr'vv 11. \lt+Y ro-f-LA-rd i - o i 9,- FAG
6.Q(AerGuS we ichaux i r Fl-\r W- 12.
X of species that are OBL, FACW, and/or FAC: Other indicators:
Hydrophyt3c vegetation: Yes No Basis:
Soil
Series: and phase: KUGIC 1u- On hYdric soils list? Yea X ; No
Mottled: Yes ; No . Mottle color: 2 ff ?" Hatria Color-'_4 -?E:. 3l 2^
Gleyed : Yea Na__?< Other indicators : 41"
Hydric soils: Yes No ; Basis:
•
Hydrology
Inundated: Yes ; No Depth of standing water:
Saturated soils: Yes')<' No Depth to saturated soil: C2
other indicators: ? t-AiRAII Q.- w44-vrtnS M4-9I' (: Go 04 { Anih' c I.,Fw =l rdc?°; I..y ,AA,lr-dA A., 111 .11
Wetland hydrology: Yes ; No Basis:
Atypical situation: Yes ; Na x
Normal Circumstances? Yes-R_ No
Wetland Determination: Wetland
Comments:

Nonwetland
Determined by: •
I< ;/I -Z fo B4
Appendix B Bunk and Example Data Fortes
W
0---- . - -..... -...... ...................--...-...-_.......... - - ---- - - -- - -------DATA-FORM--i
WETLAND DETERMINATION
Applicant ? Application P ojec
Name: VG4 P ?
Number: Name: ? lip(
C IL
State: 1? c County: ee Legal Description: Township: Ranges
Date: :z ' 9-?? Plot No. SCE 1. - i?o Section:
F3?E`fc?w ?i,hd 00IrC(w0od I70res-f-
vegetation (liat the three dominant species in each vegetation layer (5 if
only I or 2 layers)). Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator
Species Status
Trees
i • (r„xod?
2 • Am- rL&6rwv,-- FAG
xfS - ° 3 . ?00 CJL46 ? FFiGf
Saplings/shrubs
4. Morel 4a, cw-? rc, f A G i
5 . Rrst& bo rbo v,?,r^- mW
C7
Indicator
Species Status
herbs
7. (S§A YU,c- r 6j- 5 CC>L,
.8. Hydroco{yt/e f -?•` p??
9.
Wood vines
10. &rcku?tt GA- Seer S FAC tAj
11.
6. 12.
X of species that are OBL, FACW,/ dud/or FAC: . Other indicators:
Aydrophytic vegetation: Yes ? No Basin-
•
Soil
Seriem and phase: Mt,cG t?? On hydric soils list? Yes No
Mottled: Yea ; No?c Mottle color:Matrix color: 10?
Gleye43 YesNo X Other indicators: LA,,- dtwk- sac-Pa,,
Hydric soils: Yes X No ; Basis:
Other indicators:
Saturated soils: Yee LX ; No Depth to saturated soil: Gl? r11
nl
hydrology
Inundated: Yes ; No X'. Depth of standing water:
Wetland hydrology: Yes > No Basis:
Atypical situation: Yes ; Nom.
Normal Circumstances? Yeses No
Wetland Determination: Wetland ; Nonwetland
Comments:
Determined by:
F
Appendix B Blank and Example Data Forms
B4

DATA FORM I
WETLAND DETERMINATION
Applicant Application Yro3ec
Name: PGs PhC5Pk9-f--e- Number: Name-
State:- ?vrr s? ? y»?
N (:?- County: PM, Legal Description: Township: Range=
Date: ?ciry? Plot No.:?- y? .'7 Section:
Vegetation [list the three dominant species in each vegetation layer (5 if
only L or 2 layers)]. Indicate species with observed morpbological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species Status
Trees
1.
2-
3.
Saplings/shrubs
4. ?of?-? t ? Gcr ! "',r,
5. Ake e-v rt t I? bra-- RA C-
6.
Serbs 1
7.
B. (ct 0( r V-VV,, jo wvl a E G .S e_ c? t r
4.
Woody vines
10.
11.
12,
rZ of species that are OBLI. FACW,/and/or PAC:t4v . Other indicators.
Hydrophytic vegetation: Yes r/ Na Basis.
Soil
Series and phase: ( (Arf- f "f to L4G On hydric soils list? Yes v"?;No
Mottled: Yea ; No Mottle color: ; Matrix color:
Gleyed: Yes No ?Other Indicators: Wt?trlL , Si?t.fe'LfiG OC,?t?
r
Hydric soils: Yes ? No ; Basis:
Hydrology
Inundated: Yes ; No v--. Depth of standing water: rr
Saturated soils: Yes No Depth to saturated soil: ('? St N:?i r?`Q
Other indicators:
Wetland hydrology: Yes ?; No Basis:
Atypical situation: Yes No
?.
Normal Circumstances? Yes t/ No
Wetland Determination: Wetland .V ; Nonwetland
Comments:
Determined by:
Ca X
B4 Appendix B Blank and Example Data Forms
•
DATA FORM 1
WETLAND DE1'HRMINATION
•
C7
Applicant t Application Project
Name: PCf; Flt&Pt7.a_4-e_.,, Number: Name: S0RfL'A. .,?G •Gpf`f'( (,(?!
State: G Couaty:G?trf?,ega1 Description: Township: Range*._
Date: /74 D Plot No-: _50f -?? Section:
?ra? ??i s h mar 5 G. CA m- .x
Vegetation [list the three dominant species in each vegetation layer (5 if
only t or 2 layers)]. Indicate apecies with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species Status
Trees Herbs
1 • F V o"7. vCi nC ftcS [?YYIG'1GWt(?S &EL,
3. V{f'6{iYtfG?_
Saplings/shrubs Woody vines f tJ O??"
4. V', -ZJ 10. AJIV
5. L1.
6• 12.
Z of species that are OBL. FACW, and/or FAC:109 Other indicators:
Rydrophytic vegetation: Yes _X No Basis:
Soil
Hydric soils: Yes No Basis: SVIAn ?
A(a 0401--
Series and phaee:_ GUryi+fA C_c On hgdric soils list? YesX_; Na
Mottled: Yes ; No Mottle color: ; Matrix color: D` tQ2
Gleyed: Yes No- Other indicators:
Hydrology
Inundated; Yes ; No Depth of standing water: - d• s -)-( Saturated soils: Yea ; No Depth to saturated soil: _A-'t" ?-? Y l e
Other Indicators;
Wetland hydrology: Yes x ; No Basis: LA !h"fW krt° c ,* I'd SuY ">1
Atypical situation: Yes
Normal Circumstances? Yes 'X No Y
Wetland Determination: Wetland Nonwetland
Comments:
B4
Determined by:
f
Appendix B Blank and Example Data Farms
DATA FORM 1
WETLAND DETERMINATION
Applic nt p ( Application Project
Name: f V(.Gl Number: Name: ! (406 Cf:C
State.,- NC, C' County: h?'aL f-4Legal Description: Township: Ranger
Date: rZ-2-fq -'plot No.: - Section:
Vegetation [list the three dominant species in each vegetaon layer (5 if
only L or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species Status
Tre?es?) /`?)V/ f ( u?d „rrf Herbs /% i+ /y r) F?eJ?
??t{yluF v.}L, ?.?f;'?.FZ•-•?
1. 1j^L • 4`,.Q 6-u,C M I. jr??}/!e/ 'dl(Af1- /1i
2. Li ?tdica?lrt.!.r St tt Ff??s. Ufa.;??t.. r;; .t.f.r-.? F?tcW
s. Pf W5 -faedr.... FA C, 9.
Saplings/
i F-1 1) - shrubs Woody vines jC
4. b r?i(,?w?;v? ?{Ji L SF `bt-FAC+ F i?v t ?tyC r-,i 4V
5. ??ilrlG(/?r FAer?iVV ? I1
FT1`i 12 .
X of apacies that are OBL. FACW, and/or FAC:alrl. Other Indicators:
Hydvophytfe vegetation: Yes ? No Basis:
Soil
Series and phase: jac.% On hydric soils list? Yas ? ; No
Mottled: Yes ; No,?. Mottle color: ; Matrix color: d ?EV3
G7eged: Yes No Other indicators:
Hydric soils: Yes No Basis
Hydrology
Inundated: Yes ; No Depth of standing water:
Saturated soils: Yes ; No_?Z, Depth to saturated soil:
Other Indicators: _
Wetland hydrology: Yes ; No -,/. Basis:
•
Atypical situation: Yes ; No
Normal Circumstances? Yes No
---- -M-•
Wetland Determination: Wetland Nonwetland
Comments:
r ,
r! L ..rs; :f ..
B4
Determined by:?~
t

Appendix B Blank and Example Data Forms
DATA FORM I

WETLAND DETERMINATION
Applicant Application Project
Name: FLT 1p)'25??ilrJt` ! Number: Name: _501A414 (Cdek COrr-j 0.,-r-
State: fAC-- County: (A J Legal Description: Township: Range:
Date:-7- Zq" Plot No.: Section:
Vegetation [Iiet the three dominant species in each vegetation layer (S if
only I or 2 layers)). Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator
Species Status
soux'wOac1

•
Indicator
Species Status
Trees Herbs
Nx. 7. ?C!i , ?' Gtr
2. Prvlq, _F,&J C, 8.
3. (2CIA'Lj 0,- 411AI 1-IrA- FA('?4 9.
Saplings/shrubs Wood vines
4. -'yM IOCVS -WC?"Of- 6s- FAG 10.
5. Y1, Q,,?Iek FAC
6. v 12.
a
X of species that are OBL, FACW, anal/or FAC:< (5Q tO Other indicators:
Hydrophytte vegetation: Yes No ?-<. Basis:
Soil
Series and phase: S+ -A On hydric soils list? Yes ; No ?. /
Mottled: Yee ; No .V. Mottle color;-; Matrix color: Z,C) Gleyed: YeaNo>- Other Indicators:
Hydric soils: Yes No Basis:
Saturated aoils: Yea' ; No Depth to saturated soil:
Other indicators:
Wetland hydrology: Yes No Basis-
Atypical situation: Yes ; No
Normal Circumstances? Yes No
Wetland Determination: Wetland Nonwetland _
Comments:
Hydrology
Inundated: Yes No Depth of standing water:
I r^;
0 Determined by:
V-G uJ TP-
B4 Appendx B Blank and Example Data Forms

DATA FORM L
WnLAND DETERMINATION
Applicant Application Project
Nance:-'PGS Pt?os£??.Gt: `= Number: Name:
State: NC.- County: (.4.tLegal Description: Township: Range:
Date: 7Plot No.: Section:
• ; a,- 5p2Gi C --b
FAG L4
X of species that are OBI„ FACW, and/or PAC: LSb r Other indicators:
Hydrophyt3c vegetation: Yes No X . Basis:
Vegetation [list the threw dominant species in each vegetation layer (5 if
only L or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Species Status Species Status
Trees Herbs
-8- WIA,5
3. 9.
Sapliags/shrubs Woody vines
4• Pt rGIla? spi?IoSsl, iFhC 10.
5. f-'Ci. GC-1, af FAG 11.
s . LA 5 _0pc-, (I r -t t,c, ,vj J? T 12.
Soil
Series and phase: Do Q S`on On hydric soils list? Yes ; No ?.
Mottled: Yes ; NoT?Mottl.e color: ; ?Istria color: Z,S i
Gleyed: YesNo v--' Other indicators:
Hydr.ic soils: Yes No /;'Basist
Wetland hydrology: Yes ; No --': Basis:
Atypical situation: Yes ; No
Normal Circumstances? Yes v---No
Vetland Determination: Wetland Nonwetland
Comments
Hydrology
Inundated; Yes ; No
Saturated soils: Yes'
Other Indicators:

4i
°"
Sc:c=-- I q
? . Depth of standing waters " ----
No ?-'. Depth to saturated soil:
x .
Determined by:._ 11::
Appendbt B Blw* and Example Data Forms
•

Applicant nC? /?DS1/ . Application Proja
Appl c ?g /?
/? J`' V _ ???? Number: Name: lllaii'? Q f?7?-7JAK
State: AIC- County: &&)" -Legal Description: Township: Range:
Date: O o Plot No.: sc6 r V?rkllo on;
(5 if k=2 j
Vegetation [list the three dominant species in a tion l'ayr,
only L or 2 layers)]. Indicate species with observed morphological or known
physiological adaptations with an asterisk.
WETLAND DETERMINATION
Indicator
Species Status

Trees
1. I?'r?utatl?s r.+clflcu?
3. Q,r7/YA
Saplin"s shrubs
4. Q,hr YA
5. /A ?tSlY/t

D131
DATA FORM 1
Indicator
Species Status
Herbs
7. C64WR
s. if u??c?w
9. V-4TKux"ts ct"t?r? l?
Wood vines
r%fz to. S?vl-e spy ,
?W
00- t l • L4hoLm%#"CA 54e
12.
X of species that are OBL, FACW, acid/or FAC:73. Other indicators:
RydVOPhYtic vegetation: Yes N ,,/N0 Basis:
Soil ?. t !r rf(i /YN Lcf y Q 1' `
t ??% -'w f G U?E ! t CR Ste [ ?lC t?
Series and phase: On hydric soils list? Xas L? No P;..7K r!' _
Mottled: Yes ; No Mottle color; ----.?.?.__ _i Matrix color:
Gleyed : Yes.?._ No Dther indicators : p (0/0
1 S' e s ?VE?Iaj
14)
Hydric soils: Yes ?,/ No ; Basis : SQ& aS? _ r/ a •J
GrA
Hydrology
Inundated: Yes No Depth of standing aster:
Saturated soils: Yes ?; No Depth to saturated soil:
Other Indicators: Sf
Wetland hydrology: es ? ; No Basis:
Atypical situation: Yes ; o ',>c' .
Normal Circumstances.? Yes No
Wetland Determination: Wetland
Nonwetland
Comments:
Ild W W vY-I'IWPh ' ??Y ?? ' /??,??c ? .c• cr
Determined by: n -4 1, `
as
B4
Appertdbt a Blank and Example Data Fortes
---- -?-
DATA FORM 1
WETLAND DETERMINATION
Nam
Applicant ?j`S ?J Application Project
Name: (( ? ???-i•--4' Number: Name:
State: County: Legal Description; Township: Range/:
Date: Plot No. Section:
Vegetation [list the three dominant species in each vegetation layer (5 if
only I or 2 layers)). Indicate species With observed morphological or known
physiological adaptations with an asterisk.
Indicator Indicator
Seecies Status special Status
Trees
1.
Z. LJ
3.
Saplings/shrubs
(K,4WG?) r-A6
6. +? ktAW'14 1,64 _ FAG-
7. -7ivi ky w fQR 013L
8. 741-
Woody vines
On 10
12.
Z of species that are OBL, FACW, nd/or FAC:
Hydrophytic, vegetation: Yes No Basis:
?r?oc a?
Other indicators:
Soil f:
Series and phase: On hydric soils list? Yes V ; No
Mottled: Yes ; No /Y-- Mottle color: ; Matrix color: o
Gleyed: Yes No Other indicators: '57 ak-?,J r . L!M 0 rar / / rs
Hydric soils: Yes No ; Basis:
HydTOIORY Q? F , s
L J
? *,r,
Inundated: Yes ; No Depth of standing waters
Saturated soils: Yea ; No Depth to saturated soil:
Other indicators: l
Wetland hydrology: Ye
Atypical situation:
Normal Circumstances?
Wetland Determination
Comments:
Herbs
a 1/ ; No Basis:
Yes ; No?.
Yes v? No
We tland 1,1,C-0,
;
U
Nonwetland
Determined by. ? - V
B4 Appendlx B Blank and Example Data Forms
•
Appendix 2
South Creek Corridor Waters
This section contains 18 U.S. Army Corps of Engineers Stream Quality Assessment Worksheets
and 18 N.C. Division of Water Quality Stream Identification Forms.
•
•
South Creek Corridor Jurisdictional Determination
PCS Phosphate Company Inc.
USACE AID#,
M
DWQ # Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
- :Jw
].Applicant's name: 2. Evaluator's name:
3. Date of evaluation: ? ?S 1 4. Time of evaluation: 1 ??+
. 4.
5. Name of stream: 6. River basin: +o-r - >- ,.
7. Approximate drainage area: acres 8. Stream order:
BRA
9. Length of reach evaluated: b?J 10. County: (? r !
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): Longitude (ex. -77.556611):
Method location determined (circle): GPS Shee l rtho (Aerial) Pho?to/GIS'` Other GIS Other
13. Location of reach under evaluation (n9te nearby roads. nd-lar}dmar sk and attach map identifying stream(s) location):
{ 5 r ?.
14. Proposed channel work (if any): -"
15. Recent weather conditions:
16. Site conditions at time of visit: c.r
17. Identify any special waterway classifications known: -,Section 10 Tidal Waters Essential Fisheries Habitat
-Trout Waters -Outstanding Resource Waters - Nutrient Sensitive Waters -Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YE NO lfyes, estimate the water surface area:
•
19. Does channel appear on USGS quad map? YES NO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: _% Residential _% Commercial _% Industrial ?D % Agricultural
?a5% Forested ^% Cleared / Logged _% Other ( )
22. Bankfull width: - Do' 23. Bank height (from bed to top of bank):
f
24. Channel slope down center of stream: ? Flat (0 to 2%) -Gentle (2 to 4%) -Moderate (4 to 10%) -Steep (>10%)
25. Channel sinuosity: Straight Occasional bends Frequent meander -Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the`
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): '70 Comments: I 1 c? " ?° -w`' '??.?? 1 „• ` •r
i , -.11 `sl ../ 4)x•1 .e4l 011 `c
Evaluator's Signature Date 2/ --"
This channel evaluation form is inWnded to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.
STREAM QUALITY ASSESSMENT WORKSHEET

#
CHARA
TERI
TIC ECOREEG ION POINT RANGE
C
S
S SCORE
Coastal Piedmont Mountain
...........
1 Presence of flow / persistent pools in stream 0 - 5 0-4 0-5 1-1
no flow or saturation= 0• strop flow =. max points)
7 Evidence of past human alteration 0 6 0-5 0-5
extensive alteration = 0; no alteration = max points - °`

3 Riparian zone.: ,
0 - 6
0 4
0 - S
no buffer= 0• contiguous, wide buffer= max points)

4 Evidence of nutrient or chemical discharges
0-5
0 4
0=4
(extensive dischar es =.0; no discharges= max points)
5 Groundwater discharge.
g 0- 3 0 4 0.-4 3
no discharge O s rin
s sees wetlands etc. z= max points)
Vi
cI1
6, Presence of `adjacent floodplam

'
0-4
0-4
0-2
(no flood tatn:= 0 extensive flood lain
= rnax points):
7 Entrenchment / floodplain access 0-5 0-4 0-2
(deeply entrenched = 0• fre uent flooding = max oints

8 Presence of adjacent wetlands
_:-
j
0-6
0-4
0-2
t
no wetlands ,= 0• large ad
acent wetlands = max points)
9 Channel sinuosity 0-5 0-4 0-3
(extensive channelizatioa.=;O• natural meander = max points)

10 Sediment input
0-5
0-4
0-4
(extensive-de osition . O, little or no sediment = max points)

I is Size & diversity of channel bed substrate
-=
<NA

0- 4

0- 5

-----
(fine, homo enous:=.0; large, diverse sizes = max points)

12 Evidence`of-channel incision or widening

'
0-5
0-4
0-5 --
7a (deeply incised.-.0• stable bed & banks = max
points)
13 Presence of major bank failures 0-5 0-5 0-5
a
F„y
(severe erosion ..: 0; no erosion, stable banks = max points)

:
14 Robt depth and density on banks
0-3
0-4
0-5
N _
no visible roots = 0; dense mots throughout = max points)

15 Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
L
substantiakim act.=0; no evidence= max oin -

16 Presence of riffle-pool/ripple-pool `complexes
0-3
0-5
0-6
31
Ei no riffles/ripples or pools = 0; well-developed = max points)
Tet+ 17 Habitat complexity 0-6 0-6 0-6
(little or no habitat= 0; frequent, varied habitats = max points)
18 Canopy coverage over streambed 0 5 0-5 0-5
no shading vegetation = 0; continuous canopy = max points)

19 Substrate embeddedness -
NA*
0 -4-
0-4

---
- (deeply embedded= 0• loose structure= max

20 Presence of streanfinvertebrates (see page 4)
0-4
0-5
0`-5
- - no evidence =0; common numerous es = max points) -
1 Presence of amphibians 0-4 0-4 0-4
O (no evidence - 0•` common, numerous types =mix points)
a
'O
22 Presence-of fish
0-4
0-4
0=4
?-+ no evidence - O; common, numerous- types - max points)
23 Evidence of wildlife use 0-6 0-5 0-5
r
no evidence = 0• abundant evidence = max points)
- = - Total Yoints?,Possible = X00 I OD , : t00 = --
TOTAL SCORE" (also enter on fi rst page] ` Ff J
0
* These characteristics are not assessed in coastal streams. 40
•
USACE AID#
DWQ
Site # (indicate on attached map)
;,?,; STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: hC. 2. Evaluator's name: ` , (,LcLr
3. Date ofevaluation: 4. Time of evaluation: I Ggo
5. Name of stream: 6. River basin:
IJE
7. Approximate drainage area: aC_r-t.S 8. Stream order: `
9. Length of reach evaluated: 1 F, ?e 10. County: a Vl-fof- i
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): Longitude (ex. -77.556611):
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/G1S Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):

14. Proposed channel work (if any):
15. Recent weather conditions: "?. = ?•_ ` `( `5
16. Site conditions at time of visit: r..
17. Identify any special waterway classifications known: -Section 10 -Tidal Waters -Essential Fisheries Habitat
Trout Waters Outstanding Resource Waters -Nutrient Sensitive Waters -Water Supply Watershed (I-IV)
. 18. Is there a pond or lake located upstream of the evaluation point? YE NO I ryes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES NO 20. Does channel appear on USDA Soil Survey' YES' NO
21. Estimated watershed land use: -% Residential -% Commercial -% Industrial rl'G % Agricultural
0% Forested
22, Bankfull width: 24. Channel slope down center of stream: /"Flat (0 to 2%)
25. Channel sinuosity: J , Straight -Occasional bends
_% Cleared / Logged -% Other { l
23. Bank height (from bed to top of bank):
-Gentle (2 to 41/6) Moderate (4 to 10%) -Steep (>10%)
-Frequent meander -Very sinuous -Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
5 t
Total Score (from reverse): Comments: .-. r t '? ? ?%? - z •, "-
Evaluator's Signature Date " '7
This channel evaluation form is intended`to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and d es not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.
STREAM QUALITY ASSESSMENT WORKSHEET 0
# CHARACTERISTICS ECOREGION POIN T RANGE .-?
SCORE
- Coastal Piedmont_- Mountain

1 Presence of flow / persistent pools in stream
0 - 5
0 4
0
5
no flow or saturation = 0• strop flow = max oints) :. -

2 Evidence of past human alteration
0-6
0-5
0-5

a
extensive alteration = 0• no alteration = max points):, - . -

3 Riparian zone
0
6
0-4
0-5
t_

no buffer- 0• contiguous, wide buffer= max points) 7 j
4 Evidence of nutrient or chemical discharges 6-5 0 -4 0-4
(extensive discharges 0; no discbar es = max points)
a
5 Groundwater discharge.
-
no dischar a .. 0• s nn sees wetlands etc. ,= max points) © 3 0-4 0-4
6 Presence of adjacent floodplain -

no flood lam 0 extensive flood lain= max points) 0-4 0-4 0
2
Entrenchment / tloodplam access
7
(deeply entrenched = 0• fie went flooding - max points) 0-5 0-4 0-2
8' Presence of Adjacent wetlands
j 0-6 0-4 0-2 t_(
(no wetlands. 0; large ad
acent wetlands = max points)

9 Channel sinuosity
-
a-s
0-4
0`-3
extensive channelization = 0; natural meander= max points)

10 Sediment-Input'
0-5
0-4
0-4
(extensive deposition= 0; little or no sediment = max points)

11 Size & diversity of ehannel bed substrate
fine, homogenous:= 0, large= diverse sizes = max points NA 0 - 4 0 = 5 ----

12 Evidence of channel mctsion or widening
0-5
0-4
0-5
^?
(deeply incised =0; stable bed-A banks = max points)
Ei
13 Presence of major bank failures
0-5
0-5
0-5

severe erosion = 0; no erosion, stable.banks = max points) .

14 Root `depth-and: density on banks
0-3
0-4
0-5
no visible roots = 0; dense roots throughout = max points)

15 Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
substantial impact =0• no evidence = max points)

16 Presence of_riffle-pool/ripple-pool complexes
0-3
0-5
0=6 ,
s
E-? no riffles/ripples or pools = 0 well-developed -max points)
s
d" 17 Aabitat compicxity D- 6 0 6 D- 6 ?
(little or no habitat = 0; frequent, varied habitats = max- points)

18 Canopy coverage over streambed
0-5
0-5
0-5
no shadin vegetation 0; continuous canopy= max points)

19 Substrate embeddedness * -
NA
0-4
0-4
(deeply embedded =-0; loose structure = max -
- Presence ofstream invertebrates (see page4)

:-

20

-
no evidence - 0; common numerous types-=-m&X ' oints

0-4

0-5

0-5 ,
Presence of amphibians =

0°
(no evidence =0- common numerous types = max points) 0-4 0-4 4
0
'
0
O
22
Presence of fish

0-4

0-4

0-4

.`-1
)
?. (no evidence - 0; common, numerous types = max points) L
23 Evidence of wildlife use - 0-6 0-5 0-5
no evidence 0, abundant evidence = max points) v?
TotA1 Points PosS>tble === . -..:..: _ 100. I00 - lUQ _ ~=
- -
- -TOTA?SGORE v?also enfer o fi
- - rstpage} - -
01
* These characteristics are not assessed in coastal streams. 0
USAGE AID#
DWQ#.
Site # (indicate on attached map)
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: J C. S
3. Date of evaluation:
5. Name of stream:
7. Approximate drainage area: 3D ocr-,, S
9. Length of reach evaluated: S t'G
IL Site coordinates (if known): prefer in decimal degrees.
Latitude (e)L 34.872312):
2. Evaluator's name:
4. Time of evaluation: d `t `!
6. River basin: [ti. ~ Y`..
8. Stream order: )U-
10. County:
12. Subdivision name (if any):
Longitude (e)L -77.556611):,
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
k, creek- . vJ J
14. Proposed channel work (if any): ' ` -
r;
15. Recent weather conditions: '' r...: r . - w•t r z
16. Site conditions at time of visit:
17. Identify any special waterway classifications known:
Trout Waters -Outstanding Resource Waters
18. Is there a pond or lake located upstream of the evaluati
is 19. Does channel appear on USGS quad map. YE NO
21. Estimated watershed land use: _% Residential
Z100/c Forested
22. Bankfull width: Q
-Section 10 Tidal Waters -Essential Fisheries Habitat
-Nutrient Sensitive Waters -Water Supply Watershed (I-1V)
on point? YES NO If yes, estimate the water surface area:
20. Does channel appear on USDA Soil Survey? YES ktJO
_% Commercial _% Industrial 60 % Agricultural
?% Cleared / Logged _% Other (
23. Bank height (from bed to top of bank): 0 _ ',
24. Channel slope down center of stream: '"Flat (0 to 2%) ____Gentle (2 to 41/6) -Moderate (4 to 10%) -Steep (>10%)
25. Channel sinuosity: Straight Occasional bends Frequent meander Very sinuous Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): 71:7. S Comments: t)r o r
_ r :, ... ...'Yc.-, w • ^- `.-? rte, r-r. _{ r
Evaluator's Signature'" f . -- Date
This channel evaluation form is intea6d' to beause`c -only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
EEOREG IO ----POINT RANGE
# - CHARAC
ERISTICS
T =SCORE
Coastal Piedmont- Mountain

I Presence of flow. /persistent pools in stream
0-5
0 4....
0=5
(no flow or saturation = 0; strong flow = max points)

2 Evidence of past human alteration .. .
0-6
0-5`
0-5
L

_ extensive alteration =. 0; no alteration = max points) (

3 Riparian zone .
0 - 6
0'- 4 '
0 5
no buffer . 0• contiguous, wide buffer = max points).. .
Evidence ofantrient or chemical discharges
.
0-5
0-4
0-4
extensive. dischar cs_= 0
;.no'dischar es ..= max omts
a
5. Groundwater dischnrge .
0-3
0-4
0-4
e? . no discharge 0 s rin sees wetlands; etc max points)
V?
6.. Presence of adjacent .floodplam
0-4
0-4
0-2
no flood lain -.0 extensive_flood lain = max oints

Z Entrenchment/ floodplain Access
0-5
0=4
0-2
a dee 1 entrenched O : fie uent floodin = inax oints
8 Presence of adjacent wetlands
' 0-6 0-4 0-2
no wetlands 0;ilar e. ad
acentwetlands=max oints
9 Channel sinuosity - 5 0-4 0-3 ?
extensive channelization = 0; natural meander = max points)

10 Sediment input
0-5
0-4
0-4
(extensive deposition= 0• little or no sediment= max points) ' -

11 Size & diversity of channel bed substrate
NA
0-4
0-5-
homogenous = 0, large, diverse sizes = max points)
(fine,

`
12 Evidence of channel incision or widening'
0-5
0-4
0-5
(deeply incised = 0• stable bed & banks = max points)

13 Presence of major bank failures
0-5
0'-5
0-5
3
(severe erosion =_0; no erosion, stable banks = max omts)'

14 Root depth and density on banks
0-3
0-4
0-5 -?
no visible roots =' 0' dense'roots throughout = max points)

15 Impact by agriculture, livestock,-or timber production

'
0-5
0-4
0-5
?.5
_ substantial Impact ?70;
.no evidence = max points)

16 Presence of riffle-pool/rlpple-pool complexes
-
0 - 3
0-5
0 - 6
no riffles/ripples les or: ools °-0 well=develo ed - ma
.x points) ,

1 Habitat complexity
0
- 6

0-6

0-6
little or no habitat = 0• frequent, varied habitats = max points)

18 Canopy coverage over stream bed
-

'
'

0-5

0-5

0-5
= max points)
ve etation=0;:continuous canopy
no shading

19 Substrate embeddedness
_

72 NA*

0 - 4

0-4

--? .
(deeply embedded= 0, loose structure = max) _
?
20 Presence of stream invertebrates (see page d)
0 = 4
0`- 5
0 =5
no evidence = 0; common numerous types = max points)

?
21 Presence of amphibians
0-4
0-4
a-a -
U
O (no evidence = 0common numerous types = max points)
a
Q
22 Presence-of fish
0-4 -
0'-4
0-4
p no evidence = 0,- common, numerous types = max points)

23 Evidence-of wildlife use
0-6
0-5
Q_5

`
no evidence =. 0; _abundant evidence =max points)
----Tot Points Possible=.._ _ _' .
• 100 L64 I00=
_ - -
- = ?OA>? SCORE Calsa enter o>Lf`lrspag??
•

* These characteristics are not assessed in coastal streams. Q 0
5
USACE AID#
9
DWQ #,
Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: /CL
3. Date of evaluation: t^! t
5. Name of stream: -?
-"7 s
7. Approximate drainage area: 6!'
9. Length of reach evaluated:
11. Site coordinates (if known): prefer in decimal degrees.

2. Evaluator's name:
4. Time of evaluation:
6. River basin: <<r F-r <.•.
8. Stream order:
10. County: e,eo
12. Subdivision name (if any):
Latitude (ex. 34.872312): Longitude (ex. -77.556611):
Method location determined (circle): GPS -,Togo Sheet Ortho (Aerial) Photo/GI$ Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
?.
14. Proposed channel work (if any):
15. Recent weather conditions: t l o rck--t v\ w ;
16. Site conditions at time of visit: ---?-r-?_-I-..`. - ,, `
17. Identify any special waterway classifications known: - Section 10 Tidal Waters Essential Fisheries Habitat
Trout Waters -Outstanding Resource Waters -Nutrient Sensitive Waters -Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YESf yes, estimate the water surface area:
19. Does channel appear on USGS quad map. YES NO 20. Does channel appear on USDA Soil Survey? YES( NO
0 o r' i ?4C I??!lY't-F,o?:f'r.y..% 0 0
21. Estimated watershed land use: /o Residential `? /o Commercial ?/o Industrial /o Agricultural
'` 5% Forested _% Cleared / Logged _% Other
22. Bankfull width: 23. Bank height (from bed to top of bank): 1. -
24. Channel slope down center of stream: / Flat (0 to 2%) -Gentle (2 to 4%) 'Moderate (4 to 10%) -Steep (>10%)
25. Channel sinuosity: Straight ./ Occasional bends _Frequent meander -Very sinuous Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): ?- Comments: ?f't -f 2.t. lei (t ° e=L r.f-c. c 's ; , :
0\ x N'c Ytt
J
Evaluator's Signature % .f,. i Date ! C? 8
This channel evaluation form is intedff ed to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.
STREAM QUALITY ASSESSMENT WORKSHEET

A
' ECOREG ION POINT RANGE
# CH
RACTERISTICS
" SCORE
Coastal

- Pi
edmont Mountain

1 Presence of flow /persistent pools In stream
0-5
0. 4 ..
0-5
?
no flow or saturation = 0• strop flow ° max points). -
2 Evidence of past human alteration
` 0-6 0 5 0-5
oints
extensive alteration = 0; no alteration = max

3 Riparian zone
0 - 6
0 - 4
0 - 5
no buffer= 0• conti uous, wide buffer= max points
4 Evidence of nutrient or chemical diseharges 0 - 5 0-4 0-4
r?
(extensive dischar es ° 0 no. dischar es.° max points)

5' Groundwater discharge
0-3
0-4
0-4
no dischar e = 0; s nn s see s wetlands etc. = max points)
6 Presence of adjacent. floodplnin 0-4 0-4 0= 2 t
(no flood Iatri =.0, extensive:flood latn,= max points)
Entrenchment./ floodplain access
a - 5
0 - 4
D = 2
L?
' (deeply entrenched = 0; fre vent floodin - max points

8 Presence of adjacent wetlands
0 - 6
0'- 4
D - -?
(no wetlands= 0; large ad acent wetlands= max oints)
9- Channel sinuosity 0-5 0-4 0-3
3
extensive channelization = 0• natural meander = max points)

10, Sediment input
0-5
0-4
0-4
(extensive deposition= 0; little or no sediment - max points)
1 T'' Size & diversity of channel bed substrate NA* 0 - 4 0-5
---
fine homo enous.=.0•.lar a .diverse sizes = max points)
-'
12 Evidence of channel incision or widening'
0-5
0-4
0-5 C
(deeply incised - 0, stable bed & banks = max points) J
H
13
Presence of major bunk failures

0-5

0-5

0-5
)
(severe erosion =-0` no erosion, stable banks = max points) - l
14 Root depth and density on banks 0-3 0 4 0 - 5 3
Ti visible roots ° 0• dense roots throw hout = max points)
'
-
-
I S timber -production
,
or
Impact by agriculture, livestock 0-5 0_ 4 0- 5
substantial im act -0; no evidence = max points)

16 Presence of riffle-pool/ripple-pool complexes
0-3
0 5
0-6

t
nosriffles/ripples or pools = 0,-well-developed = mar points) . .
+ 17 Habitat complexity 0-6 0-6 0 - 6 3
little or no habitat ° 0; frequent, varied habitats = max points)
18 Canopy coverage over streambed 0-5 0-5 0-5 17
no shading vegetation = 0; continuous canopy = max oints
19 Substrate:embeddedness NA* _ 0-4 0 - 4
. (deeply ernbedded = 0• loose structure = max) - -
Presenee of stream invertebrates (see page 4)
0-4
0
-5
0-5
20 no evidence = 0• common numerous es = max= oints -

21 Presence of amphibians
0-4
0-4
0=4
_Q no evidence = 0; common numerous types = max points)
a'
22 Presence or fish
0-4
-0-4
0-4
no evidence = 0; common, numerous types = max points)
Evidence of wildlife use
23
0-6
0 - 5
Q- 5
(no evidence= 0; abundant evidence = max points) -

e
TotaLYomts°Eossibl
MoD t0 7

°

-

•
0
* These characteristics are not assessed in coastal streams.
SF-I
USACE AID#
M
DWQ#.
Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET d
3vq -
Provide the following information for the stream reach under assessment:
1. Applicant's name: t ?.s 2. Evaluator's name: °. ~ I
r '
3. Date of evaluation: 4 E ? 4. Time of evaluation: PA.A
5. Name of stream: ?F ? # g
?`rv Stlt?;i'r-ti ??-s .icrs"?6River basin: Tar - L`` Pn.+Jti?,-
7. Approximate drainage area: 3-1 a ye s 8. Stream order: 1
9. Length of reach evaluated: oo l 10. County: f i `1-1ul.11.10 .-'
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any
Latitude (ex. 34.872312): Longitude (ex. -77.556611):
Method location determined (circle): GPS p Shee tlrihPhoto/GIS `;Other G1S Other
L-.q
13. Location of reach under evaluation (note nearby roads and landmar_ks and attac t ma identifying stream(s) location):
r
t?. (- SK 1` F 3 011C, A0 ??k'. Li
TI: •.:
14. Proposed channel work (if any):
15. Recent weather conditions: l1 r ta?:?. r'? ?K !"
16. Site conditions at time of
17. Identify any special waterway classifications known: -Section 10 -Tidal Waters -Essential Fisheries Habitat
-Trout Waters -Outstanding Resource Waters _ Nutrient Sensitive Waters -Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YE NO If yes, estimate the water surface area:
19. Does channel appear on USGS quad map. YES NO 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: /o Residential Commercial _/o Industrial _/o Agricultural
% Forested % Cleared / Logged _% Other ( )
22. Bankfull width: ?) 23. Bank height (from bed to top of bank):-. I z. E! c? t {
24. Channel slope down center of stream: Flat (0 to 2%) -Gentle (2 to 4%) -Moderate (4 to 10%) Steep (>10%)
25. Channel sinuosity: Straight X Occasional bends -Frequent meander ----Very sinuous `Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): 5s Commen
•
Evaluator's Signature h.t fi -? Date i - M
This channel evaluation form is(intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.
C r-- " ' 1, r-
L>e [Get ?? J? E ?
S-36,,-
STREAM QUALITY ASSESSMENT WORKSHEET

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???x??°P?z.ett,_?'ei'•ag???pe ?s?`tl?b??_??_?'??':••?,_..?.?-. . Y..?...,;
_. _
nln?s
ano -
? ?
?
'fi
?
"
?
?
??
-•--
?'
• ?=?ttuR?„??? ? ?_ =._. _
: ? .
lt ? _ ;c
e ?tit
?Ii
u
tn
?n?
?
s' .= =
___=
_ _
yea E NR x MA --==-Y =? «? -
=
==
- - t:ncI?esYm- rteT?xafee
--_?
???
=
:
'
..
:.? ?? . I ?t'i•'Q:xCO:mm [o71s_ .-.P4,IlI? •- ...?IIIS)»???=
;?,'--t- r? -
?.?•-ice ";-?? P???-e`?3ne?tffis - _ ??::?:.?:? _? ?- -•4 •• - r•
ca uluii _'=-_? -
_„ nI
•
-'?
? ?
_?=: _.???: <??-•- ? . ._-
??.:nla? .alnts ? ?
?
-:? M.: z-. tta=??tb.?--?ub'??dan?
1, IN .
- - ?v
* These characteristics are not assessed in coastal streams.

•
01
•
•
-2
USACE AID# DWQ # Site # (indicate on attached map)
FE-33
STREAM QUALITY ASSESSMENT WORKSHEET
-Lj?
Provide the following information for the stream reach under assessment:
1. Applicant's name: P6
3. Date of evaluation: A ?1)
5. Name of stream: Ll R
7. Approximate drainage area: t? ?L S
9. Length of reach evaluated:?
11. Site coordinates (if known): prefer in decimal degrees.
Latitude (ex. 34.872312): Longitude (ex. -77.556611):
Method location determined (circle): GPS TQM Sheep ter 04A.gJal) Photo/GI5 ' Other G1S Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
t c? -t- I" j c.1
14. Proposed channel work (if
15. Recent weather conditions: `-)? I` ,•. f: ` t s- r•:
16. Site conditions at time of visit
17. Identify any special waterway classifications known: -Section 10 Tidal Waters Essentia1Fisheries Habitat
TTrout Waters -Outstanding Resource Waters -Nutrient Sensitive Waters Water Supply Watersbed (I-IV)
18. Is there a pond or lake located upstream of th/e evaluation point? YE NO _)If yes, estimate the water surface area.
19. Does channel appear on USGS quad map? (YES NO 20. Does channel approear on USDA Soil Survey? YES ?O
21. Estimated watershed land use: ? % Residential "I % Commercial ?% Industrial _% Agricultural
6S % Forested _% Cleared / Logged _% Other (
22. Bankfull width: 23. Bank height (from bed to top of bank): i ?.
24. Channel slope down center of stream: " Flat (0 to 2%) -Gentle (2 to 4%) -Moderate (4 to 10%) -Steep (>10%)
25. Channel sinuosity: Straight /Occasional bends -Frequent meander Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the -most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): Comments:
Evaluator's Signature Date Op/ D
This channel evaluation form is intendet7 o be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.
2. Evaluator's name: ` (7?r
4. Time of evaluation: ! G.' 01
6. River basin:
8. Stream order:.
10. County: ?5 e i,
12. Subdivision name (if any
STREAM QUALITY ASSESSMENT WORKSHEET •
#` CHARACTERISTICS' ECOREGION PAIN T RAl?IGE SCORE
Coastal Piedmont Mountain •=
Presence of flow /persistent pools in stream
0
5

(no flow or saturation = 0; strop flow = max pints - 0 4 0-5
Evidence of past human alteration

extensive alteration = 0• no alteration = max points) 0-6

- 0-5
0. 5
3 Riparian zone
6 :
0 - 4
0 - 5
no buffer 0• contiguous, wide buffer= max pints
4 Evidence of nutrient-or chemical discharges
.
extensive dischar es ? 0 no.dischar 'es =.max points) 0-5 0-4 0-4
a 5 Groundwater discharge

no discharge::!: 0-: springs, sees wetlands etc. = max points) 0-3 0-4 0-4
U.
.
6
Presence of adjacent_floodpiain

'

no flood lain 0 extensive flood lain = max pints 0-4 0-4 0
-2
Entrenchment 1 floodplain access

(deeply entrenched.* 0• fre pent flooding = :max points) 0-5 0 4
-
0-2
8 Presence of.adiacent wetlands

no wetlands = 0' l e ad ac ent..wetlands = max points) 0- 6 0 -4 0= 2 L
9 - Channel sinuosity " 0-5 0-4 0-3-
(extensive cbannelizahan, . 0, natural meander= max pints
10 Sediment input 0 5 0-4 0-4
extensive-deposition-- 0; little or no sediment = max oints)

-
ti Size & diversity-of channel bed substrate
fine, homo enotts =0' large,- diverse sizes = max points) NA 0-4 0-5

12 Evidence of chanuelmclMonor widening
0 - 5
0 4
0 - 5
??+ (deeply incised = 4 stable bed-& banks= max points)

13 Presence of major bnnk failures
a -.
(severe erosion = 0• no.erosion stable banks = max-points)
' 0-5 0-5 0-5 i

14 Root depth and density on banks
0
3
0
4
0
5
no visible roots --0• dense roots thiou bout= max oints)> - - -
?-
15 Impact by agriculture livestock, or timber production'-
0
5
0 _
=

substantial impact =0,.no-evidence = max points) - -4 0
5

15` Presence of riffle pool/ripple-pool complexes
-
no riffteslri les or oois = 0 well=develo ed - max omts 0-3 0-5 0. 6

;
17 Habitat complexity
0-6
0-6
0-6
.
:L^+ (little or no habitat = 0• frequent, varied habitats = max points)
Canopy coverage over streambed -?-'
18 -
no shading `vegetation = 0; continuous canopy - max points) 0-5 0-5 0-5 ?.
•?

i
19 Substrate=embeddedness
NA*=
0-4
0-4
dee 1 embedded= 0• loose structure = max)
?0' Presence of stream invertebrates (see page 4)
`
' 0 - 4 0-5 07- 5
points
no evidence = 0•
common numerous types - max
v* l Preseif&b6mpfiibians

_O ?
no evidence - 0• commd numerous es = max pints) 0-4 0-4 0-4

22 Presence of:flsh
0-4
0-4
0'-4
(no evidence = 0; common, numerous types = max points

23 Evidenee:ofwildlife use

'
0-6
0-5
0-5
- no evidence 40
;7a 6fividence = max points)
_- , MTotaLPoints Passible . T =-100 =100 - X100 ==

0
* These characteristics are not assessed in coastal streams. /,,`?
•
•
USACE AID# DWQ # Site # (indicate on attached map)
7. Approximate drainage area: 8. Stream order:
9. Length of reach evaluated: to 60? l0. County: cap .=,r
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any
M STREAM QUALITY ASSESSMENT WORKSHEET 4 ;
Provide the following information for the stream reach under assessment:
1. Applicant's name: (r €'1- o +l l! '1:' i, - 2. Evaluator's name:
3. Date of evaluation: ;k 1 (OT 4. Time of evaluation:
5. Name of stream: 6. River basin:
Latitude (ex. 34.872312): Longitude (ex. -77556611):
Method location determined (circle); GPS Tops ?h?et Ortho (Aerial)Photo%GIS% Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and allach map identifying stream(s) location):
S U L "ttl[L J T- z S r tr 3?F ¢ 6-"7w?f f? o^ . ? r t Z
1Jt12. ?.
14. Proposed channel work (if any): K!- ' 12,
15. Recent weather conditions: !' _ +J (: : (r5.-
16. Site conditions at time of visit:
17. Identify any special waterway classifications known: Section 10 -Tidal Waters Essential Fisheries Habitat
-Trout Waters -Outstanding Resource Waters _ Nutrient Sensitive Waters - Water Supply Watershed (I-IV)
evaluation point. YES NO If yes, estimate the water surface area:
18. Is there a pond or lake located upstream of
the,
19. Does channel appear on USGS quad map? YES) NO 20. Does channel appear on USDA Soil Survey? YES) NO
21. Estimated watershed land use: -L./. Residential
3I % Forested
22. Bankfull width: to
24. Channel slope down center of stream- /Flat (0 to 2%)
25. Channel sinuosity: Straight ? Occasional bends
_% Commercial _% Industrial % Agricultural
_% Cleared / Logged ?% Other ( )
23. Bank height (from bed to top of bank):
-Gentle (2 to 4%) -Moderate (4 to 10%) ,Steep (>l0%)
-.---Frequent meander -Very sinuous Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
C/ C
=? r'•<<` r 4•"' • ?(15 ..i ?i
Total Score (from reverse): ff;7 Comments:
Evaluator's Signature= Date ---l 7/ d 3
This channel evaluation form i intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.
STREAM QUALITY ASSESSMENT WORKSHEET
# = CHARACTERISTICS ECOREGTON:POINT RANGE
SCOR)t'E
Coastal _ Piedmont .
._..Mountan-
t
Presence of flow / persistent pools in 'stream

0-5

4 4
0 5
(no flow or saturation = 0• strop flow = maz Dints
-

2 Evidence of past human alteration
-
"-

extensive Alteration= 0• no alteration= max points) 0
6 0-5 0-5 ?
a?

3. Riparian zone
::
0-6
0-4
0
5
no buffer ° 0•`conti uous wide buffei = max points). -
Evidence, of nutrient or chemical discharges .
extensive dischar es.= 0• no dischar es-= max_ points) 0 - 5 0 - 4 0 - 4 J
?a 5, Groundwater discharge 0
3 -

V
no : dischar e. 0; s rm ' see s wet
:lands etc. = max points) - 0-4 4
0 3
r-i
6 Presence of:adjacent floodpluin
-

no flood lam,= 0• extensve flood-lain= max Dints) : 0-4 0-4 0-2
? 7 enchment`/ floodplam`nccess -

(deeply entrenched = 0• fi e uent floodin = max oints) 5
0 0 4 0
2

8 Presence of adjacent wetlands
-?

no wetlands = 0; lar a Wacent.:wetlands _= max points) 0-6 4-4 0-2
9 Channel sinuosity
0
0

(extensive channelization =:0 natural meander = max points)
-5
-4 0- 3

-

-
10 Sediment input
0-5
0-4
0=4 ?-
?
(extensive de osition 0 little or,no sediment = max points) J
Size & diversity.6 channel bed substrate
11
fine homo enous = 0 iar a diverse-sizes = max points)
NA
0 - 4
0 = 5

12 Evidence of channel incision or widening
_>4 (deeply incised = 0 stable bed-& banks = max points) 0-5
0 - 4
0 - 5

j
13- Presence of major.bunk failures
0-5
0-5
0-5
?---II (severe erosion = 0, no erosion, stable banks = max points)

14 Root depth'and density on banks

-
0-3
0-4
0-5
F
no visible roots = 0• dense
roots
throughout= max points)
-
-
Irnpact by agriculture, livestock, or timber productions=
15 substantial impact =0 no evidence = max points) 0 - 5 0-- 4 0 5

16 Presence of riffle-pool/ripple-pool complexes
=
0-3
0-5
0=6 3
no riffles/ripples or pools. = 0 well-develo ed = max points)

17 Habitat cam lexih
P...._
0-6
0-6
0-6
E" , little or no habitat = 0; fre uen varied habitats - max points)
Canopy coverage overstreambed
. 18
no shading vegetation = 0; continuous canopy - max points) 0-5 0-5 0-5
-
19 Substrate ern dedness

"
NA- -
0-4
0-4
?--
dee 1
-embedded =:O; loose structure = max)
- .
-
-
20 Presence of stream inverteEirates (see page 4)
0 - 4
0
S
0
5
a
- no evidence = 0; common numerous " types= max Dints
Presence of am
hibians - =
1 p 0-4 0-4 0-4
0 (no evidence - 0; common, numerous types = max Dints)

O
22 Presence offish
0-4
0-4
0=4 r )

no evidence = 0• common numerous types = max Dints ct

23 Evidence-ofwildlife-use
0-6
0-5
0-5
/
no evidence.:°.0; abundant. evidence = max points) -
?-_ fiotaZPolnis?oss?bte= ? __ _..? = „?04 -=:= ?_I'O(}_?== = 100 -
- - = TO'AL?CO.ItE=L1r enter on firsfpage) _ -
0
* These characteristics are not assessed in coastal streams. 0 1 67
r1
LJ
USACE AIDA
DWQ At Site # (indicate on attached map)
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: VC 2. Evaluator's name:,
3. Date of evaluation: a 17 ! D 4. Time of evaluation:
5. Name of stream: 65h -T 6. River basin: 'S-Le - r <;
`t R
7. Approximate drainage area: I 15 acres 8. Stream order:
9. Length of reach evaluated: 5?g0 10. County: We r;. C r,.. t?.
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): Longitude (ex. -77.556611):
Method location determined (circle): GPS C'Topo Sheet ?rtho (rleriu Photo/GISether GIS Other
13. Location of reach under evaluation (note neal`b roads and landmarks and attach map identifying stream(s) location):
LA)? IL So WH, G t ?. rj ''- 11 r ;,.< tt.sr ? u. ? ( c?i C (E° .?ry(
14. Proposed channel work (if
15. Recent weather conditions: PJ (Z6,; ,';
16. Site conditions at time of visit: D - `-t
17. Identify any special waterway classifications known: -Section 10 -Tidal Waters Essential Fisheries Habitat
-Trout Waters -Outstanding Resource Waters -Nutrient Sensitive Waters -Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES NO If yes, estimate the water surface area:
19. Does channel appear on USGS quad map`?" YES O 20. Does channel appear on USDA Soil Survey? YES?,NO)
21. Estimated watershed land use: I % Residential % Commercial _% Industrial ; % Agricultural
% Forested _% Cleared / Logged _% Other ( )
22. Bankfull width: 3 23. Bank height (from bed to top of bank): 1
24. Channel slope down center of stream: ?/ Flat (0 to 2%) -Gentle (2 to 4%) Moderate (4 to 10%) -Steep (>10%)
25. Channel sinuosity: J Straight -Occasional bends Frequent meander Very sinuous Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): 32 . Comments' t ^?y" %tr'. t.E [i+ t'f.=^• nS ?flc? ?? c } ?.4:/4'? :: c.T`
•
Evaluator's Signature ?? Date
This channel evaluation form is f?feended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-844I x 26.
STREAM QUALITY ASSESSMENT WORKSHEET

#
CHARA
CTERISTICS ECOREG ION- Y.O.M . RANGE
. SCORE
Coastal Piedmont ' Mopntam.-.::
1 Presence of flow / persistent pools in'stream,

no flow or saturation = 0• strong flow = max points) 0-5 0-4 0-5

2 Evidence of past human alteration
*
-

(extensive alteration = 0; no alteration = max Dints). 0-6 0 5 0
5.:.
Riparian zone
no buffer := 0; contiguous, wide buffer= max points),. .
4 Evidence of. nutrient or chemical discharges 0 =

(extensive dischar es .:0• no dischar ei!= max points) >: 0-5 0-4 4
1
5 Groundwater discbarge 0-3 0-4 0-4
U (no-discharge.- 0; springs, sees wetlands :etc. = inax points)

6 Presence of adjacent fioodplain
_
0-4
0-4
0-2
no flood lain ° 0, extenstve flood lam,= max points)
Entrenchment/ floodplain access
(deeply entrenched - 0;4 . i 664-hood. in : = max oints 0-5 0-4 0-2
6
8 Presence of adjacent wetlands
j 0-6 0- 4 0-2
?
no wetlands = 0 large ad
acent wetlands= max points) J
9 Channel sinuosity 0-5 0-4 0-3
extensive channelization = 0• natural meander - max points)

10; Sediment.-input
0-5
0-4
0-4
extensive deposition= 0• Iittle.orno sediment = max points)

11 Size & diversity of channel bed substrate
NA .
0 - 4"
0 "- 5
---
fine homogenous = 0; large, diverse sizes= max points

12 Evidence of channel incision or widening
0-5
0-4
0=5
(deeply incised = 0; stable bed & banks= max points)

13 Presence of major bank failures
0-5
0-5
0-5 =. -
(severe erosion = 0; no erosion stable banks = max points)

14 Root depth and density on bunks
0-3
0-4
0`-5
F+
no visible roots =;0; dense roots-throughout = max points)
;
Impact by agriculture, livestock; it timber production
15
substantial impact =0, no evidence = niax points) 0-5 0-4 0- 5
_
16 Presence of riffle-pooUripple-pool complexes
_
[
'
- .,
0-3
0-5
0_-6
no riffles/ripples or
pools = 0• well-developed = max points)

17 Habitat complexity
0-6
0?6
0-6
(little or no habitat= 0; -frequent" vaned habitats = max points)
18 Canopy coverage over streambed 0-5 0-5 0= 5
no shading ve etation = 0• continuous canopy = max points)

19 Substrate embeddedness-
NA
0 - 4
0 `= 4
(deeply embedded = 0; loose; structure = max

20_ Presence of stream invertebrates (see page 4)
-
0-4
0-5
0=5
- = no evidence = 0'common numerous types= max Dints)
r.) Presence of amphibians 0-4 0-4 0-4
°O no evidence --0, common, numerous types = max points)

92 Presence of fish
0-4
0-4
0-4
Q
no evidence = 0; commo numerous types = max points)
Evidence of wildlife use -
23
0-6
0-5
0:-5 7
(no evidence-:=:O;;abundant:.eyidence = max points) :- _
- 'Cotai=Pomts:Yossible=- ? - ? _ -?. -100 .- - ? " .100 = ?IOQ __ :?--
-?0 IvORE=(alsQ-enteLOn
- . a q -
..p g?
_
•
0
• These characteristics are not assessed in coastal streams. •
35-S
•
USACE AID#,
Provide the following information for the stream reach under assessment.
1. Applicant's name: r C
2. Evaluator's name: .(
3. Date of evaluation: ;'( P 5 4. Time of evaluation:
5. Name of stream: t? 6 6. River basin: t a r "
7. Approximate drainage area: --r -' ?L 8. Stream order:
9. Length of reach evaluated: ©U `? 10. County: 3e }
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex_ 34.872312): Longitude (ex. -77.556611):
Method location determined (circle): GPS '- .. opo Shee <6A No (Aerial) Photo/G Other GIS Other
13. Location of reach under evaluation (note nearby roads anal-Sfi imarks and attach map identifying stream(s) location):
14. Proposed channel work (if any):
15. Recent weather conditions:
16. Site conditions at time of visit: Q. 5 - D
17. Identify any special waterway classifications known: -Section 10 -Tidal Waters Essential Fisheries Habitat
----Trout Waters Outstanding Resource Waters _ Nutrient Sensitive Waters -Water Supply Watershed (1-IV)
18. Is there a pond or lake located upstream of the evaluation poin41 YES O If yes, estimate the water surface area: Z Glci-4 `

19. Does channel appear on USGS quad map,,? YES ,NO 20. Does channel appear on USDA Soil Survey? YES.., NO
21. Estimated watershed land use: % Residential _% Commercial _% Industrial & -0% Agricultural
10% Forested _% Cleared / Logged _% Other ( 1
22. Bankfull width: ` t O 23. Bank height (from bed to top of bank): -
24. Channel slope down center of stream: Flat (0 to 2% Gentle (2 to 4%) Moderate (4 to 10%)
Steep (>10%)
)
-
-
25. Channel sinuosity: Straight ,s% Occasional bends Frequent meander -Very sinuous -Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality. (?
Total Score (from reverse): t -7 Comments:
.
{ .. `' trCf :: •..ck ?. >.. A 4
1, i
Evaluator's Signature y.fs? rs'?fL, Date -z-
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
DWQ #.
Site # (indicate on attached map)
FE-3 STREAM QUALITY ASSESSMENT WORKSHEET .. 1006-JW
. gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total store resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.
STREAM QUALITY ASSESSMENT WORKSHEET

#
CHARACTERI
TICS= _ ECORE_GION POINT RANGE`
S - - - SCOR
- Coastal `` Piedmont Mountain
l Presenceof flow I persistent pools in stream *

(no flow or saturation = 0; strop flow = max points) 0-5 0-4 0-5

? Evidence of past human alteration
6
0 5
0 -5
extensive alteration = 0; no alteration = max points

3 Riparian zone
0 - 6
0 - 4
0 - 5

3
no buffer. 0 conti uous wide buffet = max points
)

4 Evidence of Mitrient or chemical discharges
0--5
0-4
0-4--
extensive dischar es ='0• no dischar es.- max points)

5 Ground. terdischarge
0-3
0-4
0-4 -7
no discharge = 0• s rm s see s wetiands etc.= max points)

6 Presence of pdiaceut.floodplain
0-4
0-4
0-2
no flood lain = 0; extensive flood lain _- max points)
`a
7 Entreochmentl.floodplain Access
0
(deeply entrenched . 0; frequent uent floodin '= max oints -5 0-4 0-2

8 Presence of adjacent wetlands

0 -6

0 - 4
0
2
no wetlands = 0 lar e ad acent wetlands= max points - -

9', Channel sinuosity
0-5
0-4
0-3
extensive channelization_ .. 0;,-,natural meander = max points) -

10 Sedimentinput
0-5
0-4
0-4
extensive deposition= O,aittle.or no-sediment = max points) _
Size & diversity'otchannel bed substrate
11 fine homogenous = 0•-lar a :'diverse sizes ° max points NA* 0 - 4 0 - 5 --

1? Evidence of channel incisio nor widening
;.
-
0-5
0-4
0-5
(deeply incised =
O; stable bed& banks= max points)

?.
13 Presence of ma or bank failures
0-5
0-5
0-5

a
severe erosion - 0; no erosion stable banks = max points) -

14 Root depth and density on banks
0-3
0-4
0-5
no visible roots = 0- dense roots throughout= max points)
15 Impact by agriculture, livestock, or timber production 0-5 0-4 0-5
- - (substantial -im act =0;_no-evidence = max points)
-" _
16 Presence of riffle-pooUr?pple=pool complexes
0 - 3
0 - 5
0 6
-?' no riffles/ripple s or pools- = 0 :welt-develo `ed - max points
Habitat conioxity
-
17 0-6 0-6 0`-6

(little or no habitat= 0; fre vent vaned habitats = max points) _

is Canopy coverage over streambed

'
0-5
0-5
0-5
-ve etation = 0`continuous canopy = max oints
(no-shad in

14 Substrate'embeddedness
-
NA*
0-4
0-4 .---
(deeply embedded '= O; loose structure = max) - -
-
20 Presence of stream'invertibrates (see page 4)

'
1
0-4
0-5
Q-5
0?
es - max
points)
no evidence - 0• common numerous
01 = Presc&e`of amphibians 0- 4
0-4
0-4
-
=0• no evidence= 0 common numerous types - max' oints)
a
Q
22 Presence of fish
0-4
0-4
0-4.
no evidence = O; common numerous es = max points)
- -
;.

23 Evidence of wildlife use

0-6

0-5

0
-5
(no.evidence = 0.7 abundant'evidence = max points) -
* These characteristics are not assessed in coastal streams.
is
•
2
•
USACE AID# DWQ # Site # (indicate on attached map)
1. Applicant's name: Q??' 2. Evaluator's name: a; =
3. Date of evaluation: 7 (a o 4. Time of evaluation:
5. Name of stream: s c, - 6. River basin:
Provide the following information for the stream reach under assessment.
7. Approximate drainage area: 20 a-rf lz," 8. Stream order: k
9. Length of reach evaluated: ?U! 10. County: ??.. a
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 35.872312): Longitude (ex- -77.556611):
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other ?.• .
13. Location of reach under evaluation (note nearby roads and landmarks and attac ' entifying stream(s) location):
14. Proposed channel work (if any):
f
15. Recent weather conditions: x' ; •, = (F',-', c '^
16. Site conditions at time of visit:
17. Identify any special waterway classifications known: -Section 10 Tidal Waters -Essential Fisheries Habitat
Trout Waters -Outstanding Resource Waters -Nutrient Sensitive Waters -Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YE NO If yes, estimate the water surface area::
• 19. Does channel appear on USGS quad map? YES NO 20. Does channel appear on USDA Soil Survey? YES FO)
21. Estimated watershed land use: _% Residential _% Commercial _% Industrial '99 % Agricultoral
20% Forested ?% Cleared / Logged _% Other {
22. Bankfull width: . s 23. Bank height (from bed to top of bank): G - 6
24. Channel slope down center of stream: Flat (0 to 2%) ? Gentle (2 to 4%) -Moderate (4 to 10%) -Steep (>10%)
25. Channel sinuosity: Straight -/°Occasional bends -Frequent meander Very sinuous Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): 155
Comments:

i.J c:

i
Evaluator's Signature Date
• This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.
!„ STREAM QUALITY ASSESSMENT WORKSHEET -
STREAM QUALITY ASSESSMENT WORKSHEET •

#

CHARACTERISTICS ECOREG ION__
POIl?T`I
' RANGE
SCORE`
Coastal = Piedmont ' - =Moont8In

L Presence of flow / persistent pools in stream
`
no flow or saturation = 0• strong. flow = max points). 0 5 0 4 0 - 5

2 Evidence of past human alteration
0-6
0-5
0 -5
'
extensive alteration = 0• no alteration = max points)

3. Riparian zone
0-6. :..
0-4
0=5
?r•
- no. buffer = 0; conti uous .wide buffer= max points)

4 Evidence of nutrientor chemICal. discharges
"0 5
0-4
0-4
(extensive. discharges . = 0;. no dtschar es -max points)

5 Groundwater discharge'
0.-3
0-4 -
0-4 a
no discharge 0; s run see s wetlands etc. - max points)
U
*4

6
Presence of adjacent-Adodplain

e

0-4

0-4

0-2
no flood fain = 0' extensive flood lam
-max dints
7 Entrenchment / floodplam access 0-5 0-4 0-2
' l
A, (deeply entrenched= 0; fre uent floodin --max points)
8 Presence of adjacent wetlands
* 0-6 - 0-4 0-2
(no wetlands - O lar a Wacent:weda
nds:= max points) c?

9 Channel sinuosity
0-5
0-4
0-3

j
extensive channel izationr 0, natural meander =max points)

10 Sediment input
0-5
0-4
0_74
extensive deposition= 0; little or-no sediment = max points)

11 Size & diversity, of channel bed substrate- =
NA*
0=4 -
0-5
?-
(fine, homogenous = 0; lar a .diverse sizes = max points)
Evidence of channel ineision or widening
12 (deeply incised =.0 stable bed & banks= max points) 0-5 0-4 0-5

13 Presence of majorbanlc failures
_.:
0-5
0-5
0-5
? (severe erosion = 0 no erosion stable banks = max omts
.
?j
14 Root depth a -d dens'tyon banks
_.
0-3
0-4
0-5

'
(no visible roots = 0-,.dense. roots.throu hout = max omts

15 impact by agriculture,'liVestock or"timber production-
0
5
0
4 -
0
5
-= substantial im act:.=O no evidence=:max-points) - - -
Presence of riffle* pool/ripple-pool complexes

- 16
-
(no nftles/ri les or pools -= 4 well=develo ed = max points) 0-3 0-5 0-6
?_

t
17 Habitat complealty
0-6
0-6
0'-6
yaried habitats = max points)
(little or no habitat = 0; fre ?en - -
? 18 ,
Canopy coverage over streambed 0-5 0-5 -5,
y
no shading ve etation - 0;_coltttnuoi c46o = max points)
- _`
19 Substrate4mbeddedness
NA
0 4 -
0 = 4
--
- (deeply embedded-=0 Jodie structure = max

20 Presence of strenm3nvertebratis (see page 4)
0-4
0 5
0-5
ICI
_ no evidence - 0; commoii numerous es = max` points)
_ _ Presence-of of iphfblans'
0-4
0-4
0=4
.O (no evidence = 0 `common numerous types =max points)
=s-7.
=0_
22 Presence of fisli
0-4
0-4
0-4 r
t7
H, no evidence = 0; common numerous types = max points) _
Evidence ofwildlife use
0-6
0-5
11
0=5
(no evidence= 0; abundant evidence .-max points)
-
* These characteristics are not assessed in coastal streams. .
2
• USACE AID# DWQ # Site # (indicate on attached map)
;,?„ STREAM QUALITY ASSESSMENT WORKSHEET deft
?F -
Provide the following information for the stream reach under assessment:
1. Annlicant's name: ! U/1?-: MOS00 2. Evaluator's name: Lc'
3. Date of evaluation: a " t i r?
5. Name of stream:
7. Approximate drainage area: Z I € ? -e
9. Length of reach evaluated: ` f o 1
11. Site coordinates (if known): prefer in decimal degrees.
4. Time of evaluation:
6. River basin: S. Stream order:
. ;..6::.
10. County: G tea, . ?tK : ,1
12. Subdivision name (if any):
Latitude (ex. 34.872312): Longitude (cx. -77.556611):
Method location determined (circle): GPS o o Shee Ortho (Aerial) Photo/GIS Other GiS Other
13. Location of reach under evaluation (note ? nearby roads-a{?n.?rd landmarks and ?allac, hfyJmap identifying stream(s) location):
17
14. Proposed channel work (if any): Rw F r #F"` w: `. z<s
15. Recent weather conditions: VoiVI E V, _ 3 ? '1??l.o "
r
16. Site conditions at time of visit: Elow 12re t ± hial :h +30, i" 1 r` tom, tt €1 r`t k ( -f ' 1
17. Identify any special waterway classifications known: -Section 10 -Tidal Waters -Essential Fisheries Habitat
-Trout Waters -Outstanding Resource Waters _ Nutrient Sensitive Waters -Water Supply Watershed (1-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES\ N yes, estimate the water surface area:
se-`,I_
°IJO 20. Does channel appear on USDA Soil Survey?
19. Does channel appear on USGS quad map?' YES
r YES NO
21. Estimated watershed land use: _% Residential _%Q Commercial _% Industrial + D% Agricultural
1 '90 %u Forested _%a Cleared / Logged _% Other ( }
22. Bankfull width: "A5 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream:. -Flat (Q to 2%) -Gentle (2 to 4%) -Moderate (4 to 10%) -Steep (>10%)
25. Channel sinuosity: Straiglit*. Occasional bends `Frequent meander -Very sinuous -Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): 5 1? ? Comments
0<3
Evaluator's Signature .,1,?i&i 'i;.?.Q Date
This channel evaluation form is inte •(led to be used only as a guide to assist landowners and environmental professionals in
• gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.
STREAM QUALITY ASSESSMENT WORKSHEET
r?
u
57
* These characteristics are not assessed in coastal streams.
USACE AID# DWQ # Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
^z ,, k
1. Applicant's name: Fc`s Rns -;(/t,Gt` ..w= 2. Evaluator's name: ` P
3. Date of evaluation: 4. Time of evaluation: i S 1
5. Name of stream: S 6. River basin: TrA r - PhL sI (t c
7. Approximate drainage area: Li 4 Ct e,> or 4ttCkrcarn order: I
6
9. Length of reach evaluated: 10. County: &0,410'r
•
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312):
Longitude (ex. -77.556611):
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any):
15. Recent weather conditions: ren- ill w4iAI
x, }t t r
16. Site conditions at time oFvisit: ?..-
- s
17. Identify any special waterway classifications known: -Section 10 -Tidal Waters -Essential Fisheries Habitat
!Trout Waters Outstanding Resource Waters -Nutrient Sensitive Waters r Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YE§,i?If yes, estimate the water surface area:
19. Does channel appear on USGS quad map YES NO 20. Does channel appear on USDA Soil Survey? YES NO
_% Commercial _% Industrial S'? % Agricultural
21. Estimated watershed land use: _% Residential
'q 5 %Forested
22. Bankfull width: 2
24. Channel slope down center of stream: X Flat (0 to 2%)
?-_25. Channel sinuosity: Straight Occasional bends
_% Cleared / Logged _% Other(
!! )
23. Bank height (from bed to top of bank):
-Gentle (2 to 4%) -Moderate (4 to 10%) -Steep (>10%)
Frequent meander Very sinuous Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): 1 I, 1? Comments:
Evaluator's Signature AJ L C" F E Date /b
This channel evaluation form is inte ded to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
• quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.

7
STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
•
USACE AID# DWQ # Site # (indicate on attached map)
;'°,; STREAM QUALITY ASSESSMENT WORKSHEET 4 draft
Provide the following information for the stream reach under assessment:
1. Applicant's name: <? ??.o?' ?n?`?- _ 2. Evaluator's name:
3. Date of evaluation: 2- 13 - 12;Y 4. Time of evaluation: 4 , rA
5. Name of stream: S-7 6. River basin: Tc°r - vi-11- M i W ".e-,
,
7. Approximate drainage area: aGre - 8. Stream order:
9. Length of reach evaluated: & 10. County: Pen
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.8"0-312): Longitude (ex, -77.556611):
Method location determined (circle): GP ?Topo Shee Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
e65-rof W. 5K 1003 Ed 4 ,g ?". v d ? 7?,..- `-.:.5.:.- .Wye
erw5 1''
..r..:A;?. P Id
r s
14. Proposed channel work (if any): `?
15. Recent weather conditions: Vi V\JI V1 Z--"1 hr.S
16. Site conditions at time of visit: WO Y1.(1lVt / f s , IV, (fovfA
1
17. Identify any special waterway classifications known: -Section 10 -Tidal Waters -Essential Fisheries Habitat
-Trout Waters -Outstanding Resource Waters -Nutrient Sensitive Waters -Water Supply Watershed (I-IV)
• 18. Is there a pond or lake located upstream of the-ev on point? YE NO If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? 'YE NO 20. Does channel appear on USDA Soil Survey? YE NO
21. Estimated watershed land use: _% Residential _% Commercial _% Industrial ?/° Agricultural
t d% Forested _% Cleared / Logged ?% Other ( 1
t
22. Bankfull width: -? 23. Bank height (from bed to top of bank): a-24. Channel slope down center of stream: Flat ( )' tle {n _ _ 2 to 41 Moderate (4 to 10%) ^Steep (> 10%)
25. Channel sinuosity: Straight /Occasional bends -Frequent meander -Very sinuous -Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): f e , Comments:
Evaluator's Signature r?"" t 'tf°1 t Date f g
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change -version 06/03. To Comment, please call 919-876-8441 x 26.
STREAM QUALITY ASSESSMENT WORKSHEET •
0
C7
* These characteristics arc not assessed in coastal streams.
USACE AID# DWQ # Site # (indicate on attached map)]
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
4ir
1. Applicant's name: ru C «'=t? '-> 'z• =h. Q ": `
= 2. Evaluator's name: F.- ? f.-
1 ;
3. Date of evaluation: z ! ?? 4. Time of evaluation:
5. Name of stream: S' 6. River basin: . it d KI.Pb%t ? ,
7. Approximate drainage area: `?M x' 1V,X Stream order:
9. Length of reach evaluated:= 10. County:
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.877312): Longitude (ex. -77.556611):
Method location determined (circle): GPS Topo Sheet Qgbg Aerial ho? to S Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):

14. Proposed channel work (if
15. Recent weather
16. Site conditions at time of vi
> If
17. Identify any special waterway cla?sifcations known: -Section 10 -Tidal Waters -Essential Fisheries Habitat
-Trout Waters __---Outstanding Resource Waters -Nutrient Sensitive Waters -Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YE NO f yes, estimate the water surface area:
19. Does channel appear on USGS quad map., YES NO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: _% Residential _% Commercial _% Industrial 46% Agricultural
Forested
22. Bankfull width:..`
24. Channel slope down center of stream: Flat (0 to 2%)
25. Channel sinuosity: .?Ie Straight -Occasional bends
_% Cleared / Logged _% Other ( )
ta
23. Bank height (from bed to top of bank): 0-111-11
-Gentle (2 to 4%) ,-,-„Moderate (4 to 10%) -Steep (>10%)
-Frequent meander -Very sinuous -Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
rE` n of
Evaluator's Signature ltl /f?l ?
,. G.:1 . Date 1{ t,..? 53
This channel evaluation form i intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
• quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03, To Comment, please call 919-876-8441 x 26.
STREAM QUALITY ASSESSMENT WORKSHEET 0
0

0
* These characteristics are not assessed in coastal streams.
USACE AID# DWQ # Site # (indicate on attached map)
FO-1 STREAM QUALITY ASSESSMENT WORKSHEET r
Provide the following information for the stream reach under assessment:
C14 .- F 1> f-,
1. Applicant's name: K' ?` iu s y r;!? ' . 2. Evaluator's name: dc.?
3. Date of evaluation: - 1 Z-11 ""' (7, 1,.? 4. Time of evaluation:_ prvr
5. Name of stream: 5- 11 6. River basin: Tar - Vao, t b Gk7
7. Approximate drainage area:- lh C?: -f 5 8. Stream order: 1
9. Length of reach evaluated: 4,0 0, 10. County: F->ec 1-ti-fors
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): Lon itude (ex. -77.556611):
Method location determined (circle): GPS ? aSheet prtho•( -1 Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
?rar-i 8gc.?a
14. Proposed channel work (if any):
15. Recent weather conditions: lt'11
16. Site conditions at time of visit: 061 t,' 1 r )3 ??
17. Identify any special waterway classifications known: -Section 10 -Tidal Waters -Essential Fisheries Habitat
-Trout Waters -Outstanding Resource Waters - Nutrient Sensitive Waters Water Supply Watershed (1-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES ? If yes, estimate the water surface area:
19. Does channel appear on USGS quad ma YES NO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: _% Residential _% Commercial % Industrial ?% Agricultural
Z ?)% Forested _% Cleared /Logged
% Other ( }
22. Bankfull width: 12 t _
23. Bank height (from bed to top of bank): 0'1 7
-l `
24. Channel slope down center of stream: X Flat (0 to 2%) ____Gentle (2 to 4%) „.Moderate (4 to 10%) -Steep (>10%)
25. Channel sinuosity: Straight _Kpccasionai bends -Frequent meander -Very sinuous -Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): S;- Commen
Evaluator's Signature r..?' Date
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.
STREAM QUALITY ASSESSMENT WORKSHEET 0
2
0..

* 'these characteristics are not assessed in coastal streams.
USACE AID# DWQ # Site # (indicate on attached map)
M STREAM QUALITY ASSESSMENT WORKSHEET
f'jY
Provide the following information for the stream reach under assessment:
1. Applicant's name: t+,* k 4 =t I+? 2. Evaluator's name: -L
3. Date of evaluation: -z- ' 4. Time of evaluation: t
5. Name of stream: S - / (Z F, 6. River basin:- [ J- - Ph VA ? if 0 _
7. Approximate drainage area:-3 r-; 0cri ` --5 8. Stream order:
f J ? r+b+
9. Length of reach evaluated: 10. County: E. `) 4"' -'t r
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any);
Latitude (ex. 34.872312): Longitude (ex. -77.556611):
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
4., .,.?
14. Proposed channel work (if any
15. Recent weather conditions: 1
16. Site conditions at time of visit:---& 1?? ?{r
17. Identify any special waterway classifications known: -Section 10 Tidal Waters -Essential Fisheries Habitat
-Trout Waters ,Outstanding Resource Waters -Nutrient Sensitive Waters -Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YE NO yes, estimate the water surface area:
19. Does channel appear on USGS quad map'r`:?NO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: f_?% Residential _% Commercial _% Industrial 65%
V Agricultural
L % Forested % Cleared / Logged _% Other
22. Bankfull width: 23. Bank height (from bed to top of bank):: t Z _
24. Channel slope down center of stream: X Flat (0 to 2%) -Gentle (2 to 4%) ,Moderate (4 to 10%) -Steep (>I0%)
25. Channel sinuosity: Straight Occasional bends Frequent meander -Very sinuous -Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse):/P ?5. 5 Commen
Evaluator's Signature 16011 .11,X- [Li Uh' ` Date ?-
This channel evaluation form is idtinded to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
• quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06103. To Comment, please call 919-876-8441 x 26.
STREAM QUALITY ASSESSMENT WORKSHEET
•
0
* 'T'hese characteristics are not assessed in coastal streams.
USACE AID# DWQ # Site # (indicate on attached map)
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the streltm reach under assessment: t I
1. Applicant's name: ?Gs 2. Evaluator's name: tz /u,
g x ?-
3. Date of evaluation: i-- 9 :.) 4. Time of evaluation:
5. Name of stream:,- S" 1,3 6. River basin: E "?"3 ° -6 '
7. Approximate drainage area: 31 MY( S 8. Stream order: v
9. Length of reach evaluated: L? 3 10. County:- e R r
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): Longitude (ex. -77.556611):
Method location determined (circle): GPS

?o Sheet ?tho erial) Phota/GIS Other G[S Other
To;
13. Location of reach under evaluation (note nearby roads and landmar •s and attach map identifying stream(s) location):
t ? r . , "T +
ot" --,Q G?1?'1.` 't ` 1: ? r ?, Js, u: Fem
14. Proposed channel work (if any): t 'f { (-
J',
15. Recent weather conditions: pa" it,I, ?n 4d r Jy '
{ t] viz,
16. Site conditions at time of visit: Via l{.L Qcre-5 ,.U`' 7 r IV' AQ

17. Identify any special waterway classifications known: -- --Section 10 Tidal Waters -Essential Fisheries Habitat
-Trout Waters -Outstanding Resource Waters - Nutrient Sensitive Waters -Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YE NO f yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YE NO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: ?% Residentia _% Commercial % Industrial L% Agricultural
650% 'r
Forested 164J
% Cleared / Logged % Other ( )
f
, (,
22. Bankfull width: ip
5 . Bank height (from bed to top of bank):
24. Channel slope down center of stream:.-Flat (0 to 2%) -Gentle (2 to 4%) -Moderate (4 to 10%) -Steep (>10%)
25. Channel sinuosity: -Straight -Occasional bends -Frequent meander -Very sinuous -Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Evaluator's Signature _.
.0 I
- ti ?r:CE14:=i 4G=
- Date ( I?
This channel evaluation form is in#ended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
• quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply n
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.
f?"11
STREAM QUALITY ASSESSMENT WORKSHEET 0
0
* These characteristics are not assessed in coastal streams.
USACE AID# DWQ # Site # (indicate on attached map)
• STREAM QUALITY ASSESSMENT
M WORKSHEET _
Provide the following information for the stream reach under assessment: j
1. Applicant's name: V"'? t ` 2. Evaluator's name: 1
3. Date of evaluation: L? 4. Time of evaluation:
5. Name of stream:,; (2) A 6. River basin:
7. Approximate drainage area: 37 a c rcos 8. Stream order:
9. Length of reach evaluated: !?L DI) 1 10. County: 13f ga O r+
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): Longitude (ex.-77.556611):
Method location determined (circle): GPS 1-~ Topo. Shect_<'` b9 Aerial Phato/GYS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
c?n ?' - U So- u -0k Cr4 , vi u i- Al U 1 c `1-1 PIA '-7H, 't tr ,t n ?' 11 ?1 rt )P ?.-la r
14. Proposed channel work (if any);
15. Recent weather conditions: ?l VI 1/t
16. Site conditions at time of visit:. 7 U Wvkt / fe Vol t+. '' d,-)
17. Identify any special waterway classifications known: -Section 10 - Tidal Waters -Essential Fisheries Habitat
-Trout Waters -Outstanding Resource Waters _ Nutrient Sensitive Waters Water Supply Watershed (I-IV)
18. Is there a pond or lake located ups cam of the evaluation point? YES yes, estimate the water surface area:
• "S OK
on ba? <V S NO
19. Roes channel appear on USGS GS qua map?" 'YES NO 20. Does channel appear on USDA Soil Survey? YES. N?
21. Estimated watershed land use: `% Residential
` l10% Forested
22. BankfulI width: } ? 4 ?T
24. Channel slope down cent r of stream: ?./Flat (0 to 2%)
25. Channel sinuosity: Straight Occasional bends
_% Commercial _% Industrial L1(% Agricultural
_% Cleared / Logged _% Other (
23. Bank height (from bed to top of bank): ?t
-Gentle (2 to 4%) ,-Moderate (4 to 10%) -Steep (>10%)
-Frequent meander -Very sinuous -Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified.in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score . (from reverse): F Comments: 5'?F ?t. ) [ 1,? I [ J
_._7 F?e[S`'"`. v ?.:.. }'tiS"s s,".- "?f t7s.?e.._fli-??#
Evaluator's Signature,[ Date 71 f f ?i1
This channel evaluation form islntended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
• quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.
STREAM QUALITY ASSESSMENT WORKSHEET •

0
* These characteristics are not assessed in coastal streams.
•

North Carolina Division of Water Quality - Stream Identification Form; Version 3.1
Date: '- - .?? - Project
Evaluator. C Site: r Longitude:
Total Points: / Other
Stream is at least intermittent County:
;f Z 19 or erennlal ifa 30 ?? l e.g. Quad Name:
A. Geomo holo subtotal = ! 2 Ab"s
1'. Continuous bed and bank 0
2. Sinuosity 0
3. In-channel structure: riffle-pool sequence 0
4. Soil texture or stream substrate sorting 0
5. Active/relre flood lain 0
6. Depositional bars or benches 0
7. Braided channel ;:K3
8. Recent alluvial deposits 0
9° Natural levees ?a
10. Headcuts p
11. Grade controls
12. Natural valley ordrainagaway 0
13. Second or greater order channel one stin
USGS or MRCS map or other documented
evidence.
Men-made ditches ere not rated; see discussions In manual
R_ t-tvrfrnlnnv 1t4iihtnfa1 = // `t. n 1
Weak-.::;. `..Moderate Stro
1 2 3
2 3
1 2 3
1 " '2 3
3
2 3
1 2
3
1 2 3
1 2 3
0.5 1 1.5
70.5? 1 1.5
No=O Yes=3
14. Groundwater flow/discharge 0 1 2 3
15. Water in channel and > 48 hrs since raln, or
Water in channel - d or rawin season
0
1
2 3
16. Leallitter 1.5 1 Q..? 0 '
17. Sediment on plants or debris 0 0,5 1.5
IS. Organic debris lines or piles (Wrack lines) 0 65 1.5
9. ydric soils (redoximorphrc features) present? No=0 :.. Yes ='?.5 ,
C, Biology (Subtotal = ? 3 ? 0
20". Fibrous roots in channel
0 3 2 1
21
. Rooted lants In channel 3 1
22. Crayfish 0 0.6 1
23. Bivalves '.0 2
24. Fish 0 D,5
25. Amphibians 0 0.5 1 M
26. Macrobenthos (note diversity and abundance) 0 L 1
27. Filamentous algae; periphyton r' " p 1 2 1
E
28. Iron oxidizing bacterlaffungus. 0 3
29 tland plants in streambed FAC = 0.5; FA CW 0.75; OBL 1.5 SA a I Iu#.ub wit we presence or uptana pianis, item 29 focuses on the presence of aquatic or wetland plants.
Notes: (use back side of this form for addillonel notes.) Sketch:
t
f -1 x''E1St
#s,,i" r (ir;41.iKT } z: /,? I ? i x 1 tf •?

North Carolina Division of Water Quality - Stream Identification Form; Version 3.1
P-11' is 5-
Date: Z? S D Project: Cv ` ?. Latitude:
Evaluator. V-C Site: - is Longitude:
Total Points: Other
Stream is at least inlennittent 1 '-? county- , rJ1, l
ifz i9or renniallfL130 e.g. Quad Name:

A. Geomorphology (Subtotal= ^- Absent, Weak.'- .".. :..Moderate ., .Strong.
1a. Continuous bed and bank <;_0 1 2 3
2. Sinuoslty 0 ) 1 2 $
3. In-channel structure: riffle-pool sequence (0 2 3
4. Soil texture or stream substrate sorting d 1_; 2 3
5. Active/relic flood lain 0 1 2 3
6. Depositional bars or benches L, Qj 1 2 3
7. Braided channel ` 0 } 1 2 3
8. Recent alluvial deposits 0 1 2 3
9a Natural levees 0) 1 2 3
10. Headcuts 2 3
11. Grade controls 0 L0.5} 1
12. Natural valley or drainageway 0 0.5 1 ; 1.5
13. Second or greater order channel on existing
USGS or NRCS map or other documented
evidence.
N0
Yes = 3 1
Men-mace micnes are not rateu; see ulscussions in manual
R Hvrirninnv fit ihfntai = U 1

14. Groundwater flow/discharge 0 1 2 3
15. Water In channel and > 48 hr since rain. or
Water in channel - d or growing season ?,
0J 1 2 3
16. Leaflitter 1.5 1 0.5 0
17. Sediment on plants or debris 0 X0.5 1 1.5
18. Organic debris lines or plies (Wrack lines) 0 0.5 1 1.5
19. Hydric soils (redoximorphic features) present? No = 0 Yes =1.5
C_ Rinlonv (Suhtotal = . 0)
20 . Fibrous roots in channel 3 2 1 0
21 . Rooted plants in channel 2 1 0
22. Crayfish 0.5 1 1.5
23. Bivalves 0 1 2 3
24. Fish 0 0.5 1 1.5
25. Amphibians 0.5 1 1.5
26. Macrobenthos (note diversity and abundance) D 0.5 1 1.5
27. Filamentous algae; periphyton 1 2 3
28. Iron oxidizing bacteda/fungus. ?Q 0.5 1 1.5
29 . Wetland plants in streambed FAC = 0.5; FA CW = 0.75; OBL =1.5 SAV = 2.0; Other 0 j
Items 20 and 21 focus on The presence or upland plants. Item 29 focuses on the presence of aquatic or welland plants.
t
1 h "o Itvwco oct t Sketch:
Notes: (use back side of this form forr additional notes.)
n?'?.C-U 6`i..?f ?" 1!? (J ?? i? L!i?_ 1.?? / ? f 't"f b1G?i ?? `'q: f ?`"SL?,? ?'"_
?{ ? r? `?:i,:LJ' <:? { ?, ?'?? / ? i c i,`: { i tv ? j;r,i?"1...?.?•{ ? P ?? -
f
s
l Uli
•
•
•

A. Geomo itolo (Subtotal=
1a. Continuous bed and bank Absent.
D Weak_ ?.l
1 . ,Moderate
2 • ..Strong„
2. Sinuoslty 0 1 2
3. In-channel structure; riffle -pool sequence 0 1 2 3
4_ Soil texture or stream substrate sorting 0 1 2 3
5. Active/relic flood lain 0 1 2 3 ?
6. Depositional bars or benches 0 1 C?2 Y- I
7. Braided channel 0 1 j 2 3
8. Recent alluvial deposits
9° Natural levees 0
„ 0 T5
1 E 2
2 3
3
10. Headcuts C 0? i 2 3
11. Grade controls 0
:?? 0.5
F ) 1.5
12. Natural valley or drainageway
13. Second or greater order channel on existing
USGS or NRCS map or other documented
evidence. 0 0.5

- No = 0 1 '?L1,5

f?Ye - 3 }
`
nean•maue oncnes are not ratea; see olscussions in manual
8. Hvdrolocly (Subtotal = I C-) I
14. Groundwater flow/discharge

15. Water In channel and > 48 hrs since rain, or
Water in channel - d or growing season 0

0 1

1
( 2j

2
3

(3
i
16. leaflitter 1.5 1? 0.5 0
17. Sediment on plants or debris
18. Organic debris lines or piles (Wrack lines)
19. Hydric soils (redoximorphic features) present? 0
0
No = 0 O b
0.5 1
1
!Yes = 1.5 C1.9)
1.5
C. Bioloov (Suhtntal = I ? ? ?---'' f
20b. Flbrous roots In channel (' 3 '
- 2 1 D
21 . Rooted plants In channel 73
7- 2 1 0
22. Crayfish 0.5 1 1
5
23. Bivalves r;. D... 1 2 .
24. Fish 0 0.5 1 1.5 )
25. Amphibians Z-OLD 0.5 1 1,5
26. Macrobanthos (note diversity and abundance) 0 0.5 i
27. Filamentous algae; periphyton 0 1 t

2B. Iron oxidizing bacteria/fungus.
0
0 5
(1) ,.,.. 3
1.5
29 . Wetland plants in streambed FAG = 0. 5.75 OBL = .
+FACW = 0, (
" =
SAV 2 0; Other 0
=
Items 2n and 21 fnnte nn Ihn nromnne nF....r.....1 -F--l- i .
- - - -? --- r -•• -. •-•. ?? ..www vn uic p,cscntx of agaanc Or Weaantl plants.
Notes: (use back side of this form for additional notes.) Sketch:
_t,t.,^• - i f', lit

^,1
f
North Carolina Division of Water Quality - Stream Identification Form; Version 3.1
r'
Date: L _ Project: 4 -_ ,.-o ,r. Latitude:
t'r' taw
Evaluator. r?' Site: Longitude:
Total Points: Other
Stream is at least intennitlant -, County:
if z 79 or perennial if 30 ?Z- ` r e.g. Quad Name:
North Carolina Division of Water Quality - Stream Identification Form; Version 3.1
•
..,

A. Geomo holo Subtotal Absent Weak: Moderate Strong
18. Continuous bed and bank 0 1 7--:27 3
2. Sinuosity p f _ 2 3
3. In-channel structure: riff ool sequence 0 i 2 3
4. Soil texture or stream substrate sorting 0 1 2 3
5. Active/relic floodplaln p 1 U 3
B. Depositional bars or benches 0 ('1 7 2 3
7. Braided channel 0 '1 :.) 2 3
8. Recent alluvial deposits 0 1 2 3
96 Natural levees 0) 1 2 3
10. Headcuts -0% 1 2 3
11. Grade controls 0 0.5 ` 1.5
12. Natural valley ordrainageway 0 ?l}.5 1 1.5
13. Second or greater order channel on existing
USGS or NRCS map or other documented

evidence.
No = p

3 ^1
es =3
mairn+nun unwles ele noc rdUlUj bee w5w5wuns in manual
R 14wirninnv tRi Ihfnt=t = JS 1
I
,15

14. Groundwater flow/discharge 0 1
3
15. Water in channel and > 48 hrs since rain, or
Water in channel - d or growing season 0 1 2 -3
C ?
16. Leaflitter 1.5 1 0.5 0
17. Sediment on plants or debris 0 0.5 1 1.5
18. Organic debris lines or piles (Wrack tines) 0 0.5;1 1 1.5
19. Hydric soils redoximo hic features) present? No = 0 es =1.5
C. Biology (Subtotal= )o, Z,
20b. Fibrous roots in channel 3) 2 1 p
1, Rooted plants in channel 3 2 1 0
22. Crayfish 0 0.5 7777- 1.5
23. Bivalves t}' 1 2 3
24. Fish 0 0.5 4 1.5
25. Amphibians LO .', 0.5 1 1.5
26. Macrobenthos (note diversity end abundance) 0 0.5 1 1.5
27. Filamentous algae; eriphyton D> 1 3
2B. Iron oxidizing bacteria/fungus. 0 .15 1 1.5
2g . Wetland plants in streambed FAC = 0.5; FA CA= 0.7,5) OBL =1.5 SAV = 2.0; Other = 0
1ttlln5 4u dnu c l OU{.US VII Yle tlltnpall V U1 Ul11dnU PldnUl, rem ze raw5e5 on me presence or aquaue or wattand plants.
Notes: (use back side of this form for additional notes.) Sketch:
Pal L?
u
?S-ZrA
•
•

North Carolina Division of Water Quality Stream Identification Form. Version 3.1
Date: 11-11-1-0-7 Project: ?Zt; Latitude:
..,
EvaIuator t , , r ; ' -•' ?,?r' - Site: Longitude:
Total Points:
Stream is at least intermittent
i >-19 or perennial if?: 30 tether Aurora
County: ;*,1 V =-
,e.g. Quad Name: Qv.'" o"n {
A. Geomorphology (Subtotal = _ Q Absent Weah, Moderate Strong
V. Continuous bed and bank 0 2 3
2. Sinuosity 0 1 2 3
3. In-channel structure: riffle-pool sequence 1 2 3
4. Soil texture or stream substrate sorting t, p } 1 2
5. Active/relic flood lain 1 2 3
6. Depositional bars or benches (v;,Q I 2
7. Braided channel 1 2 3
$. Recent alluvial deposits , 1 2 3
9°. Natural levees ?•.?0 , 1 2 3
10. Headcuts 0 ', T 2 3
11: Grade controls 0.5 1 1.5
12. Natural valley or drains eway 0':..., 0.5 1 1.5
13. Second or greater order channel on existine BGS or NRCS
ma or other documented evidence. 9---Eno Yes = 3
lnaiuuLucb arc I1UL [atcUI scc uiscussions to manual
R_ Mweirnlnw lRnhtn+nl s ?? 't 1
14. Groundwater flow/discharge p 1 2 3
15. Water in channel and> 48 hrs since rain, or
Water in channel - d or growing season
`emu 1 2 3
16. Leaf litter 1.5 1 OS 0
17. Sediment on plants or debris 0 0.5 1 1.5

18.Organic debris lines or piles wrack lines
0
0.5
1 _
1.5
19. Hydric soils (redoximo hic features) resent? No = 0 C„_Yes = 1.5
C. Rinlnwv (quhtnt-l = 71; 1
20'. Fibrous roots in channel
b 3 ` 2 1 0
21
. Rooted plants in channel 3 2 1 0
22. Crayfish .0 ' 0.5 1 1.5
23. Bivalves ; `0 ; 1 2 3
24. Fish 0.5 1 1.5
25. Amphibians {. 0 f 0.5 1 1.5
26. Macrobenthos (note diversi and abundance 0 ' 0.5 1 1.5
27. Filamentous algae; erih on ct' p ' 1 2 3
28. Iron oxidizing bacteria/fun us. 0.5,_--.- - 1 1.5
29 . Wetland plants in streambed FA045 FACW=0.75„ OBL=1.5 fSAV= 2.0 Other= 0
Items 20 and 21 focus on the presence of upland plants. Item 29 focuses on the p resence ofa uatic or wetland p lants.
Notes: (use back of form for additional notes) ' Sketch:

North Carolina Division of Water Quality - Stream Identification Form; Version 3.1
•

Date: ?f Project: ?ct I L. Cr--e.Ir -F-" d`e:
Evaluator: Site, !') Longitude:
Total Points:
Stream is at least intermittent County: P rj r_ 1 Other
Irk 19 crperennial ifk 30 '" > e. g. Quad Name:
14. Groundwater flow/discharge 0 1 =2' 3
15. Water In channel and > 48 hrs since rain, or
Water In channel - d or growing season 0 1 2 ?
16. Leaflltter 1.5 1 0.5 0
17. Sediment on plants or debris 0 0.5 . 1 1.5
18. Organic debris lines or piles (Wrack fines) 0 U.5 1.5
19. [ i ric soils (redoximorphic features) present? No = 0 Yes = 1.5
C. Hininav lStthtntai = 10 1
20. Fibrous roots In channel 2 i 0
21 . Rooted plants in channel 2 1 0
22 Crayfish 0 . 0.5 ' 1 1.5
23. Bivalves 0 _ 1 2 3
24. Fish 0 0.5 1 E 1,5 1
25. Amphibians /-'0 0.5 1 1.5
26. Macrobenthos (note diversity and abundance) -0-
5 ?
1
1.5
Filamentous algae; periphyton
27. 7'w.0_ 1 2
4
28. Iron oxidizing bacteria/fungus. 0 0.5 1 '11-?
29 . Wetland plants in streambed FAC = 0.5; FA CW = 0.75; OBL =1.5 SAV = 2.0; Other =f D' "` ,
IMM. LV 9311U GI wLUa Vu UJU P1t=UIIL= u1 Upidnu Nldms. Item ze focuses on me presence or aquatic or wetland plants,
Notes: (use back side of this form for additional notes) Sketch:
•

0
IYItlU'l IItlVG V,11411tlS dItl IIUIRIUiU, stltr umuussfons in manual
R Hvrirnlnnv fSi thtntA = -.? 1
• North Carolina Division of Water Quality - Stream Identification Form; Version 3.1

0
A. Geomo holo Subtotal= d. Absent Weak,_ .. `..Moderate 1.1. strpng
1°. Continuous bed and bank `DJ 1 2 3
2. Sinuosity 0 1 2 3
3. In-channel structure: riffle-pool sequence 0 1 2 3
4. Soil texture or stream substrate sorting 0 1 2 3
5. Activehellc floodplain 0 1 3
6. De ositlonal bars or benches <? Q 1 2 3
7. Braided channel ?' t} 1 2 3
B. Recent alluvial de osits 0 1 2 3
9a Natural levees
M 2 3
10. Headcuts = 1 2 3
11. Grade controls
0.5
1
1.5
12. Natural valley ordrainageway 0 0.5 1 1
13. Second or greater order channel on existing
USGS or NRCS map or other documented
evidence.
__a.
No = 0
Yes = 3
.--- ...--- - - , _.._ --l- ..
R Hvrirnlnnv 1Suhtnf=1 = It ?,-) 1
14. Groundwater flow/discharge 0 1 2 3 )
15. Water In channel and > 48 hrs since rain, pr
Water in channel - d or rowln season 0 _ 1 2
16. Leafiitter 1.5 0.5 0
17. Sediment on plants or debris 0 0.5 1 1.5
18. Organic debris lines or piles (Wrack lines) 0 5 1 1.5
19. Hydric soils (redoxima hic features) present? No = 0 Yes =1.5')
C Pt inlnnv IRIIhfnf=I = to %
2 . Fibrous rots in channel 2 1 0
21'. Rooted plants in channel 3 0
22. Crayfish 0 0.5 1 1.5
23. Bivalves 2 3
24. Fish 0 ,5-J 1 1.5
25. Amphibians 0 0.5 1 1.5
26. Macrobenthos (note diversity and abundance) 0 0.5 1.5
27. Filamentous algae; periphyton 0 1 2 3
28. Iron oxidizing bacteria/fungus. 0 0.5 f 1.5
29 . Wetland plants In streambed
It- 7n -4 91 r e..... - 0.- ..r. - -- - FAC = 0.5; FA
-- CW = 0.75; OBL =1.5 SAV = 2.0; Qther = 0
-
.. -- ?- ------? -- -r•-••_ r,••••••••........ ?u ,. u.a on u,a Piasanca ur oquauc or wetland plants.
Notes: (use back side of this form for additlonat notes.) Sketch:
t,
/6

.

_.,f r-
A. Georriorpholo-gy Subtotal =
la. Continuous bed and bank Absent Weak':-: =
1 ..Moderate
2 .,...Strong.
3
2. Sinuosity 2 3
3. In-channel structure: riffle-pool sequence ` 0 s 2 3
4. Soil texture or stream substrate sorting 0 CI) 2 3
5. Activefrelic floodplain 0 2 3
6. Depositional bars or benches 0 (? 1 ') 2 3
7. Braided channel ( Q j 1 2 3
T B. Recent alluvial deposits 0 1 2 3
9a Natural levees L0 1) 1 2 3
10. Headcuts CO •, 1
^ 2 3
11. Grade controls 0 D. t- 1.5
12. Natural valley or drainageway 0 0.5 1 1.5
13. Second or greater order channel on existing
USGS or NRCS map or other documented
evidence.
i No 0
--
Yes = 3
...u.. ...uua. .a..w iasu u.u ..va, ua u, ?cQu u..?w.?.i.ylu u. ?.?PIIYPI
R_ Nvdrninnv /Suhtntal . U • 1
14. Groundwater flow/discharge 0 3
15. Water In channel and > 48 hm since rain, or
Water in channel - d or growing season 0 1 2 3
16. Leaflitter 1.5 1 0
17. Sediment on plants or debris 0 0. 1 1.5
IS. Organic debris fines or plies (Wrack lines) 0 0.5 1.5
19. Hydric soils (redoximorphic features) present? No = 0 ts = 1.5`
C. Rinlnnv fRnhtntal = 9, C5 1 `
20 . Fibrous roots in channel 2 1 0
21 . Rooted plants fn channel r" 3 1 0
22. Crayfish ` `ff CQ 5,1 1 1.5
23. Bivalves 2 3
24. Fish <--0 0.5 1 1.5
25. Amphibians r'0 '; 5 1 1.5
26. Macrobenthos (note diversity and abundance) Q -Q5 1 1.5
27. Filamentous algae; periphyton
28. Iron oxidlzing bacteria/fungus. 0 0.5 1 X1.5 t
29 . Wetland plants In streambed FAC = 0.5; FA CW = 0.75; OBL = 1.5 SAV = 2.0; Other= 0 -

11WIM ICU anu L i locus un uns pitmem ur upiano pianw. uem zv iocuses on ine presence of aquatic or watiand plants.
Notes: (use back side or this form for addittonal notes.)

Sketch: I `
G, Y_
Y
North Carolina Division of Water Quality - Stream Identification Form; Version 3.1
• North Carolina Division of Water Quality - Stream Identification Form; Version 3.1
tv 5
•

E
Date: -?• A`
Project
Evaluator. Site: - 5?. Longitude:
Total Points:
Stream is at leastintennittent S County: ,,.x i
ir? Igor perennial ff>3e J,_.-., ,i. I Other
°. Ov e.g. Quad Name:
I-%. %JtsU1 t IUI wJ tUJUyy (.l: uororat = t
18. Continuous bed and bank
2. Sinuosity
3. In-channel structure: riffle-pool sequence
4. Soil texture or stream substrate sorting
5. Active/relic fioodplaln
6. Depositional bars or benches
7. Braided channel
8. Recent alluvial deposits
98 Natural levees
10. Headcuts
11. Grade controls
12. Natural valley ordrainageway
13. Second or greater order channel on existing
USGS or NRCS map or other documented
Absent :.. Weak." ::. Moderate Strq
3
1 1 2 3
0 -?\ 2 3
0 2 3
0 .l 1 2 3
2 3
0 ` 1 2 3
`? 1 2 3
2 3
0 2 3
0 1 1.5
?0 - 0.5 1 1.5
1 No O 1 t Yes =3
Man-made ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = 10)
14. Groundwater fiowidischarge 0 1
.
15. Water in channel and > 48 hrs since rain, or 2 3.
Water in channel - d or growing season 0 1 ?J
16. Leafiiiter i.5 1 0.5 0
17. Sediment on plants or debris 0 0.5
? 1 j
1.5
18. Organic debris fines or piles (Wrack lines) 0 r b.5~;
• 1 1
5

19. Hyddc soils (redoximo hic features) present?
No = 0
( .
w.:-.. ... .
Yes =1.5
C. Biology (Subtotal = le • ? )

20°. Fibrous roots In channel 3 ) 2 1 0
21'. Rooted plants In channel 3) 2 1 0
fish 0.5 1 1
5
ves 1 2 .
3
1
5
ibians
V 0.5 .
1
5
obenthos (note diversity and abundance) 0 0
5 .

entous algae; periphyton
p . 1 5
xidizing bacteriatfungus. 0
and plants in streambed FAC t= 0.5; FA CW = 0.75; OSL =1.5 SAV = 2. 0: Other`= n
• - .•.. -- ............a vn we NJCacu1 c u1 upidna plants, nem ze tocuses on the presence of aquatic or welland plants.

Notes: (use back side of this form for additional noles.r
• Sketch:
?
,
CJ?i4?li'1!! _ t/ ' J 1 E5Z'L` i 1 :Y f !r i7 _e '<.

^

Vi ? I ? lr
:
L?
i?i1
,
? 17
: ? • i , : -
i V/ 4 t,`4 1 -' '•7 i
( 1
f t/ d J l
J ?
y

p
sv i ;U. 1,
J-1 V
e z
/ ? f
?

{ VJ/
r
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•?

j
.. _IJ Fig .....
vi
i 111 F
Fop
-T?q rnti-f-tw+
apt ??t5f
xs<< f_ A,
North Carolina Division of Water Quality - Stream identiffeation Form; Version 3.1
Date: Z
/03 Project Ur Latitude:
1 -7
Evaluator. Site.
?--? Longitude:
Total Points:
Stream is at least intermittent County: Pea I,w -Rr,7 r" Other
ita 13 orDerenniallf>- 30 e.g. Quad Name:
A. Geomo halo (Subtotal= Absent Weak. Roderatd -.-..Serb
1'. Continuous bed and bank 0 r 1_' 2 3
2. Slnuoslty 0 1 - • 2 3
3. In-channel structure: riffle-pool sequence 0 1 j 3
4. Soil texture or stream substrate sorting 0 1 `- 3
5. Active/relic flood lain 0 3
6. Depositional bars or benches 0 2 3
7. Braided channel -4? 1 2 3
8. Recent alluvial deposits 2 3
9a Natural levees 0- -' 1 2 3
10. Headcuts 0 1 2 3
11. Grade controls 0 0.5 C.1) 1.5
12. Natural valley ordrainageway 0 0.5 1 1.5
13. Second or greater order channel on existing
USGS or NRCS map or other documented
evidence.
(-No - 0
---
Yes
Man-made ditches are not rated; sea dd1scussionsIn manual
R 1-Ivrlrnlnn?r fR?,hfnF=] = 7`, % 1A
A
14. Groundwater Row/discharge p 1 ? 3
15. Water in channel and > 48 hrs sines rain, or
Water in channel - d or growing season
0
? )
3
16. Leafiitter 1.5 l 5? 0
17. Sediment on plants or debris 0 . fl 5 1 1.5
tB. Organic debris lines or piles (Wrack lines) 0 0.5 5-"
19. Hydric soils (redoximorphic features present? No = 0 Yes =1.5
C. Siologv (Subtotal = 16
)
20e. Fibrous roots In channel
21t'. Rooted plants in channel .3 2 1 0
22. Crayfish 0.5 1 1.5
23. Bivalves o. J 1 2 3
24. Fish t 0.--) 0.5 1 1.5
25. Amphibians 1.5
26. Macrobenthos (note diversity and abundance) 0 0.5 1 1.5
27. Filamentous algae; edphyton 0 1 2 } 3
2B. Iron oxidizing bacteda/fungus. 0 .?` 0.5
29 . Wetland plants In streambed FAC = 0.5; FA CW = 0.75; OBL -1.5--fLAV = 2.0; Other = 0
;p ,.t: t items 20 and 21 focus on the presence of upland plants, Item 29 focuses on the presence of aquatlc or wetiand-pf6if(s
as
`;z_•?
Notes: (use back side of this form for additional notes.) Sketch:
i
•
3
2 1 0 p
•
•
t A. Geomorphology Subtotal
1a. Continuous bed and bank Absent.
0 Weak_ : c
1 '..Moderate
2 Strong
3
2. Sinuosity 0 1 2 3
3. In-channel structure: riffle -pool sequence 1 2 3
4_ Soil texture or stream substrate sorting 0 2 3
5. Active/relic floodplaln 1 2 3
5. Depositional bars or benches ` 0 1 2 3
7. Braided channel U 2 3
8. Recent alluvial deposits 0 1 2 3
9a Natural levees 2 3
10. Headcuts 0 1 2 3
11. Grade controls 0 0.5 1 .5
12. Natural valley ordrainageway 0 0.5 1 1.5
13. Second or greater order channel on existing
USGS or NRCS map or other documented
evidence.
No - 0
Yes 3
rea,--
McKdo4if
w .
01a t G---
'.1 n
• Man-made ditches are not rated, sea
disc
J
B. Hydrology (Subtotal=
^ 14. Groundwater flow/discharge
fit er
Y 2
'1r 15. Water in channel and > 48 bra sine
Water fn channel - d or growling:
16. Leaftitter
llar\
vis. t 2 17. Sediment on plants or debris
18. Organic debris lines or piles (Wract
19. Hydric soils (redoximorphlc feature:

fn?'?i?bi 4s r

C. Biology (Subtotal = . G - }
I?'L+ L)

,-f ' s 4
e an Pants n sueambed FAC = 0.5; ACW = 0.75; OBL =1.5 SAV = 2.0; Other = 0 a.I
Items 2D and 21 focus on the presence oruprand plants, ilertF?lli f son the presence of aquatic or wetland plants.
Notes: (use back side or Ihls fort for addl@onai notes.) Sketch: t
0
ar 0
1.:
No=0
1
2 ) 3
2 3
0,5 p
1 1.5
1 1.5
`Yes =1.5
20". Fibrous roots in channel 3 C 1 0
21 . Rooted lams in channel 3 1 0
22 Crayfish 0 0.5 1 1.5
23. Bivalves,.. 0 1 2 3
24. Fish
25. Amphibians 0 0.5
0.5 1
1 1.5
1.5
26. Maerobenthos (note diversity and abundance) 0 0. 1 1.5
27. Filamentous algae; era h on 1 2 3
2B. Iron oxidizing bacteria/fungus. 0•
29 W tt d I i 0.5 i 1.5
r --

North Carolina Division of Water Quality - Stream Identification Form; Version 3.1
•
North Carolina Division of Water- Quality - Stream Identification Form; Version 3.1
Date:.^ +j ^ V ProjectI;??? c?tiXde:
Evaluator. v Site: 5^? Longitude:
Total Points: , a...„ Other
f „?,,
Stream is at least Intemtlttent v County:
ilz J9 or erenniallfa30 ?` r? -+?lLra <; r e.g. Quad Name:

7

17

A. Georno holo (Subtotal= Absent. .Moderate Strbit .
i$. Continuous bed and bank 0 1 2 3
2. Sinuosity 0 1 3
3. In-channel structure: riffle-pool sequence 0 1 2 } 3
4. Soil texture or stream substrate sorting 1 2 3
5. Active/relic floodplain 1 2 3
B. Depositional bars or benches z 1 2 3
7. Braided channel o 1 2 3
8. Recent alluvial deposits 2 3
9 a Natural levees 1 2 3
10. Headcuts n-J 1 ;2 3
11. Grade controls 0 0.5 1 1.5
12. Natural valley or drainageway 0 0.5 7 1.5
13. Second or greater order channel on existing
USGS or NRCS map or other documented
evidence.
No= 0
Yes = 3
mn11-uidue UILUM s nRs mm Cnea; seeQmswswoas in manuai
R Hvrrrninnv 1gnhtntal = ?7 1
14. Groundwater flow/discharge 0 1 2) 3
15. Water In channel and > 48 his since rain, or
Water in channel - d or rowi season 0 1 lr--,, 3
16. Leafiitter 1.5 0 5 0
17. Sediment on plants or debris 0 0.5 1 .5
U. Organic debris lines or piles (Wrack lines) 0 0.5 1 1.5
19. Hydric soils (radoximorphic features) present? No = 0 (_'Yes= 1.5
C. Rieloov (Subtotal = 1. ZZSI
20 . Fibrous rots in channel 3 2 g 1 0
21 . Rooted plants In channel 3 2 1 0
22. Crayfish 0.5 1 1.5
23. Bivalves 0 2 3
24. Fish 0 0.5 1 1.5
25. Amphibians .5 1 1.5
26. Macrobenthos (note diversity and abundance) 01 1 1.5
27. Filamentous algae; periphyton 2 3
28. Iron oxidizing bacteria/fungus. 1 1,5
29 . Wetland plants in streambed 4 = 0.75; 0% =1.5 SAV = 2.0; Other= 0
items to anu ci iocus on ure presence of upiana plants, nam zwor, *w tme presence o qusitc orwelland plants.
Notes: (use back side of this form for additional notes.) Sketch:
OY ?' Ili v`?,
4
C-- Zoo
1G1srt
nYi- ro,--Jr?d
I?3
r:
i2wi -Pay
0
•

•

North Carolina Division of Water Quality -Stream Identification Form; Version 3.1
Date:
/ j Project
` Latitude:
V ? :"k'r' S t ? :?• 1
Evaluator. Site: Longitude:
Total Points:
Stream is at least Intermittent
County: E` ;vse
Other
uad Name
'

if z 79 or erennlallf? 30 '
A. Geomo holo Subtotal = `> Absent. Weak.':.;`. Moderate
ia. Continuous bed and bank 2 3
2. Sinuosity 0 i v' 2 3
3. In-channel structure: riffle-pool sequence 1 2 3
4_ Soil texture or stream substrate sorting 0 2..... _3
5. Ac6velrelfc floodplaln 2 `?,... 3 }
6. Depositional bars or benches 2 3
7. Braided channel c 0 M 1 2 3
8. Recent alluvial deposits
2
3
9 a Natural levees ` 0 1 2 3
10. Headruts 2 3
11. Grade controls 0 1 1.5
12. Natural valley ordrainageway 0 0.5 '! 1.5
13. Second or greater order channel on existing
USGS or MRCS map or other documented
evidence.
No = 0
Yes W 3
man-mane oncnes en: not rareo; see ruscussions in manual
R_ Hvdrninnv 1Riihtntal= 'S _'!?' 1
14. Groundwater flow/discharge 0 1 '2 3 ;
15. Water in channel and > 48 hrs since rain, or
Water in channel - d or growing season 0 1 2 3
16. Leaflitter i.5 1 0.5 0
17. Sediment on plants or debris 0 O.a 1 1.5
18. Organic debris lines or piles (Wrack lines) 0 0.5 1 1.5
19. Hydric soils (redoximorphlc features) resent'T No = 0 Yes = 11.5
C. Biolodv (Subtotal= 141 }
20 . Fibrous rants In channel 2 1 0
21". Rooted plants In channel ' 2 1 0
22, Crayfish 0 0.5 1 1.5
23. Bivalves .5 1 2 3
24. Fish 0 0 _ Z-71-77-
25. Amphibians 0. " . 1.5
26. Macrobenthos (note diversity and abundance) 0 0, ( 1
27. Filamentous algae; eriphyton ,_] 1 3w,
28. Iron oxidizing bacteria/fungus. 4 0,5 .5
29 . Wetland plants in streambed FAC = 0.5; FACW = 0.75; 08L 1.5' SAV = 2.0; ther = 0
items zu ano n locus on uie presence or upiana plants, Item 29 focuses on the presence of aquatic or wetiam .
Notes: (use back side of this form for additional notes.) Sketch:

North Carolina Division of Water Quality - Stream Identification Form; Version 3.1
Date: Project: ..•?::?,?? ` Latitude:
Evaluator.;'' , Site: s-. Longitudo:
Total Points: Other
SrreamIsatleast intermittent a County: rte" ? (t
if Z 19 or perennial !f t 3t) 2O a.g, quad Name:
A. Geomorpholo-gy Subtotal =7-b
Atiserit. Weak:: ...Moderate Strong
18. Continuous bed and bank D 1 2 3
2. Slnuosity 0 1 2 3
3. In-channel structure: riffle-pool sequence 0 2 3
4. Soil texture or stream substrate sorting 0 1 2 3
5. Acdvelrellc tioodplaln 0 1 2
5. Depositional bars or benches C-V-) 1 2 3
7. Braided channel Q, 1 2 3
8. Recent alluvial deposits ri- 0 1 2 3
9° Natural levees ?0 1 2 3
10. Headcuts 0 1 2 3
11. Grade controls 0 xg 1 1.5
12 Natural valley or drainageway D 0.5 1 1.5
13. Second or greater order channel on existing
USGS or NRCS map or other documented
evidence,
No = 0
Yes = 3
Man-made ditches are not rated; se<<ett discussions In manual
R Wwrirnlnrm? /Ri ihtntal = ?
14. Groundwater Bow/discharge 0 1 2
15. Water In channel and > 48 hrs since rain, or
Water In channel - d or growing season 0 1 2 t3`
16. Leaflftter 1.5 0.5 0
17. Sediment on plants or debris 0 - 1 1.5
18. Organic debris lines or plies (Wrack Unes) 0 0.5 1.5
19- Hydric soils (redoxfmorphic features) present9 No = 0 Yes = 1.5
C. Bioloav (Subtotal= 20t'. Fibrous roots In channel 2 1 0

21 .Rooted plants In channel z3 2 1 0
22. Crayfish 0 0.5 1 1.5
23. Bivalves 0- 1 2,
24. Fish 0
25. Amphibians 0.5 1
26. Macrobenthos (note diversity and abundance) 0 1 1,5
27. Filamentous algae; perlphyton 0 1 3
28. Iron oxidizing bacterialfungus. 0 0.5 1 1.5
29 - Wetland plants in streambed FAG = 0.5; FA CW = 0.75; OBL =1- • SAV = 2.0;_'bther = 0
items zu aria z7 focus on the presence or uptano plants, item zs focuses on the presence or aquatic or wellaffffPMM.
---•- •-- -??...--- -- -- . Sketch:
•
1r?
u

•
•
i E2and North Carolina Division of Water Quality -Stream Identification Form; Version 3.1
- C. Biology Subtotal = 16
Fibrous roofs in channel 2 1 0

Date: Z-13- 09 Project Latitude:
Evaluator. PL ?,_._ Site: S r Longitude:
Total Points:
Straem Is at least inlarmfftenlCounty:, e.ghQuad Name:
iiz 18 or erennial fit 30
A Geomorphology Subtotal=
18. Continuous bed and bank Aiiserit. ?WLeaakk.-:.j '_..Moderatei
2 Strong
3
2. Sinuosity 0 4
3. In-channel structure: riffle-pool sequence 0 2 3
4. Soil texture or stream substrate sorting 0 1 2 3
5. Active/relic floodplain 0 1 2 3
6. Depositional bars or benches 1- 1 3
7. Braided channel 0 } 2 3
8. Recent alluvial deposits
9° Natural levees 0 .
0 1
1 2
2 3
3
10. Headcuts 2 3
11. Grade controls 0 1 .5
12. Natural valley ordrainageway
13. Second or greater order channel on existing
USGS or MRCS map or other documented
evidence. 0

No = 0 0.5 1

Yes = 3
B. HvdrDfOgV (Subtotal=
14. Groundwater flow/discharge 1 2 3
15. Water In channel and > 48 hrs since rain, or

Water in channel - d or growing season 1
2
3
16. LeaBitter g 1 0.5 0
17. Sediment on plants or debris 0.5 1 1 5
18. Organic debris lines or piles (Wrack lines) o 0
5

19_ Hydric soils (redoxlmorphic features) present? -
No = 0 . 1,5
Yes =1.5

C
OT, C 1.-4' y s l{.J
SAV = 2.0, Other=0
DV
lla a
m 20 and 21 focus an the presence oruplan plants, item 29 focuses on the presence of aquatic or wetland plants.
Notes: (use back side of this form for additional notes.) Sketch:
OC1ICf IA/1??TH / % f - (' '
I

tents in channel 2 0
fish
lves 3
0 0 1 5
hibians 0.5 1.5
benthos (note diversity and abundance) 0 1 5
entous algae; periphyton 0 Q2 3
xidizing bacterialfungus. 0.5 1 5
1
tland plants in streambed FAC = 0.5 FA CW = 0 75 OBL -1 5 .
•
•
North Carolina Division of Water Quality - Stream Identification Form; Version 3.1
Date: 2 Project ??
?-,fr "` latitude:
11 a a'a a'R,. i'
Evaluator. Site: S _ 11?-P Longitude:
Total Aolnts: Other
Stream is at least krtarmJttant 3=.ounty: i "7 r ? 1'- " 19 or perennial ill 30 ? 't r14 f ?v t e.g. Quad Name.

i?
r!

I?+K' .
A Geomorphology Subtotal= Absent. Weak:': °°. '..Moderate - ....Strong
18. Continuous bed end bank 0 1 2 3
2. Sinuosity 0 1 3
3. In-channel structure: riffle-pool sequence 0 1 3
4. Soil texture or stream substrate sorting 0 1 2 3
5. Active/relic floodplaln 0
6. Depositional bars or benches 3
7. Braided channel 1 3
8. Recent alluvial deposits 1 2 3
9$ Natural levees 0 1 2 3
10. Headcuts 1 3
11. Grade controls 0 0.5 1 1.5
12. Natural valley or drainageway 0 0.5 1 1.5
13. Second or greater order channel on existing
USGS or NRCS map or other documented
evidence.
No = 0
Yes = 3
- Man-mane oncnes are nor raleo; see arscussrons in manuar
R Hvrirnlnnv 1RrihtntnI = q. S 1
14. Groundwater ffowidischarge 0 1 2 3
15. Water In channel and > 48 hrs since rain, or
Water in channel - d or rowin season 0 1 2 3
16. Leaffitter 5 0.5 0
17. Sediment on plants or debris D 1.5
18.Organic debris lines or piles (Wrack lines) 0 0.5 115
19. Hydric soils redoximorphic features} present? No = 0 =1.
r. Rinlnnv lSuhtnI`A = 9 )
20b. Flbrous Foots In channel 3 2 1 0
21. Rooted plants in channel
3 2 1 0
22. Crayfish X0.5 1 1:5
23. Bivalves 1 2 3
24. Fish 0.5 1 1.5
25. Amphibians D. 1 1.5
26. Macrobenthos (note diversity and abundance) 0 0.5 1 1.5
27. Filamentous algae; pedph on J 0 1 2 3
28. Iron oxidizing bacteria/fungus. 0.5 1 1.5
29 . Wetland plants in streembed FAC = 0.5; FA CW = 0.75; 49C= AV = 2 0; Other =
"Ilems 2t) and 21 focus on the presence of upland plants, Item 29 focuses on the presence of aquatic or wetland plants.
Notes: (use backside of thls form for additional Holes.) Sketch:
ONO kw
•
f, XIR?'
0

North Carolina Division of Water Quality - Stream Identification Form; Version 3.1
Date: ! Project ?)UI s" L,. L,41 1 z . ?"?'_ r Latitude:
?
Evaluator. V-Cl LL, site: 3 Longitude:
Total PoEnts: 1 i
Stream is at least intermittent County: ;Yr; i, r Other
if k:19 or erennial iM 3d e e.g. Quad Name:

C7
A. Geomorphology Subtotal = [ Absent. Weak-.' :.l-. `..Moderate _S an.9
10. Continuous bed and bank 0 1 2 3
2. Sinuosity 0 U1 2 3
3. In-channel structure: riffle-pool sequence 0 1 2 3
4_ Soil texture or stream substrate sorting 0 2 31
5. Actlve/relfc floodpiafn 0 1 3
6. Depositional bars or benches " 0 1 2 3
7. Braided channel 0 1 2 3
8. Recent alluvial deposits 1 2 3
9° Natural levees 0 1 2 3
M Headcuts 2 3
11. Grade controls 0 1 1.5
12. Natural valley or drainageway D 0.5 1 1.5
13. Second or greater order channel on existino
USGS or NRCS map or other documented
evidence.
No = 0
Yes = 3
M.11'111aud UIIW MO MP IIUL IUINUI 400 UIa "1U1 W 111 11153 17Ut11
R Wurtrninnu Miihtntnl n s-7
14. Groundwater flow/discharge 0 1 2 3
16. Water in channel and > 48 hrs since rain, or
Water in channel - d or growing season 0 1 2 3
16. Leafiitter i 0.5 0
17. Sediment on plants or debris 1 1.5
18. Organic debris lines or plies (Wrack lines) 0 5 1 _ 1.5
19. Hydric soils (redoximorphfc features) present? No = 0 Yes =1.5
C. Biology (Subtotal = S, `r.,3' ) ID <?
20°. Fibrous roots in channel 3 0
21". Rooted plants In channel 3 1 0
22. Crayfish 0 0.5 1 1.5
23. Bivalves 0 1 2 3
24. Fish 0.5 1 1.5
25. Amphibians 0 0.5 1 1.5
26. Macrobenthos (note diversity and abundance) 0 0.5 1 1.5
27. Filamentous algae; periph ton 1 2 3
28. Iron oxidizing bacterla/fungus. 0 0.5 1 1.5
29 . Wetland plants in streambed FAC = 0.5; FA ;W = 0.75; BL =1.5 SAV = 2.0; Other= 0
??T ul UV 1, h"'.
items zu aria zi iocus on Ina presence of upland plants, Item 29 focuses on the presence ofaqu`sI arwetland plants.
Notes: (use back side of this form for additional note`s.)` Sketch:
t

North Carolina Division of Water Quality - Stream Identification Form; Version 3.1
Vate: -7- /L - Project Sty;, - Latitude:
Co c>f°`
Evaluator. Site: Longitude:
Total Points: Other
Stream Is at least intaimittent 4q75 County:
lrz 19 or erenniai if z 30 `? e.g. Quad Name:

A. Geomorphology Subtotal Absent. Weak.':::. .Moderate Strong.
18. Continuous bed and bank 0 1 2 3
2. Sinuosity ( 10) . 1 2 3
3. in-channel structure: riffle-pool sequence 0 CID 2 3
4- Soil texture or stream substrate sorting 0 1 2 3
5. Activeirelic floodplain 0 1 2 3
5. Depositional bars or benches 0,. Q1 2 3
7. Braided channel i 2 3
8. Recent alluvial deposits 0 1 2 3
9° Natural levees 1 2 3
10. Headcuts 2 3
11. Grade controls 0 0.5 1.5
12. Natural valley or drainageway 0 0.5 1 1.5
13, Second or greater order channel on existing
USGS or NRCS map or other documented
evidence.
No = 0
Yes = 3
man-mane aucnes are no[ rates; see oiscussions in manuar
R Avrdrnlnnu 1gnhtntn1= (n . <1 1
14. Groundwater Dowidischarge 0 2 3
15. Water in channel and > 49 hrs since rain, or
Water In channel - d or growing season 0 1 2 3
16. Leaflitter 1.5 1 0.5 0
17. Sediment an plants or debris 0 5.5 1 1.5
18. Organic debris lines or piles (Wrack lines) 0 0.5 1.5
19. Hydric soils (redo)imorphic features) present? No = 0 Yes =1.5
C_ Sioloov (Subtotal
20°. Fibrous roots in channel 3 2 1 0 )
211". Rooted plants in channel 3 2 0
22. Crayfish 0.5 1 1.5
23. Bivalves 'Y 0 1 2 3
24. Fish 0.5 1 1.5
25. Amphibians 0 0.5 1 1.5
26. Macmbenthos (note diversity and abundance) 0 caw I 1 1.5
27. Filamentous algae; periphyton 1 2 3
26. Iron oxidizing bacteria(fungus. 1 1.5
29 . Wetland plants in streambed FAC = 0.5, ACW = 0.75; 9131 =1.5 SAV = 2.0; Other = 0
Gems 20 and 21 focus on the oresence of upland olants. Item 29 focuses on the arwence of aouatic or welland olents.
Notes: (use back side of this farm for additional notes.) Sketch:
;.1/'.
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