20201196 Ver 1_R-5737 Prelim JD Request_20180604

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STATE OF NORTH CAROLINA
DEPARTN�NT OF TRANSPORTATION
ROY COOPER
GOVERNOR
6/O1/2018
US Army Corps of Engineers
Asheville Regulatory Field Office
151 Patton Avenue, Room 208
Asheville, North Carolina 28801-5006
ATTN: Bryan Roden-Reynolds
JAMES H. TROGDON, III
SECRETARY
Re: Request for Preliminary Jurisdictional Determination
STIP R-5737; Intersection to Interchange Conversion at SR 1798 (Old Greensboro Road) and
US29/70/85BUS in Davidson County, North Carolina
Dear Mr. Roden-Reynolds,
Dewberry Engineers Inc. has been contracted by the North Carolina Department of Transportation
(NCDOT) to execute a jurisdictional waters delineation in Davidson County. NCDOT proposes to convert
an at-grade intersection to an interchange at SR 1798 (Old Greensbaro Road) and US29/70/85BUS in
Thomasville, Davidson County. Dewberry has determined the limits of jurisdictional waters of the U.S.
(including wetlands) within the boundaries of the site, and is requesting a Preliminary Jurisdictional
Determination (PJD) to coniirm those boundaries. Surveys were conducted by Dewberry scientists using
methods outlined in the 1987 Corps of Engineers Wetlands Delineation Manual and the 2012 Eastern
Mountains and Piedmont Regional Su�plement. Data to support these decisions are included with this
request.
Please contact Amy Euliss with any questions or comments at [e-mail] or [phone].
Thank you,
�✓'� ��'
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Amy Euliss
Division Environmental Ofiicer
enc: Jurisdictional Deternunation Request Form and Preliminary Jurisdictional Deternunation Form
Stream and Wetland Data Forms
Figures 1, 2 & 4
cc: Dave Wanucha, NCDEQ-DWR
Briana Bill, Dewberry, [e-mail]
Telephone: [phone]
NC DEPARTMENT OF TRANSPORTATION Fa.r: (336) 703-66934
HIGHWAY DIVISION 9 Customer Service: 1-877-368-4968
Website: www.ncdot.gov
Location:
375 SILAS CREEK PARKWAY
WINSTON-SALEM, NC 27127

urisdictional Determination ReQuest
US Army Corps
of Enginecrs.
Wilmington Dislrict
This fon11 is intended for use by anyone requesting a jurisdictional determination (JD) from the
U.S. Army Corps of Engineers, Wilmington District (Corps). Please include all supporting
information, as described within each categoiy, with your request. You may submit your request
via mail, electronic mail, or facsimile. Requests shouid be sent to the appropriate project
manager of the county in which the property is located. A current list of project managers by
assigned counties can be found on-line at:
http://www.saw.usace.ai-�ny.mil/Missions/RegulatoryPei-�nitPrograin/Contact/CountyLocator.aspx,
by calling 910-251-4633, or by contacting any of the field offices listed below. Once your
request is received you will be contacted by a Corps project manager.
ASHEVILLE & CHARI.OTTE REGULATORY
FIELD OFFICES
US Army Corps of Engineers
151 Patton Avenue, Rooin 208
Asheville, North Carolina 28801-5006
GeneralNumber: [phone]
Fax Number: [phone]
RALEIGH REGULATORY FIELD OFFICE
US Army Coips of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, Noirth Carolina 27587
General Number: [phone]
Fax Number: [phone]
INSTRUCTIONS:
WASHINCTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
2407 West Fifth Street
Washington, North Caroluia 27889
General Number: (910) 25l -4610
Fax Number: [phone]
WILMINGTON REGULATORY FIELD OFFICE
US Army Coips of Engineers
69 Darlington Avemie
Wilmington, Norih Carolina 28403
General Number: 910-251-4633
Fax Number: [phone]
All requestors must complete Parts A, B, C, D, E, F and G.
NOTE TO CONSULTANTS AND AGENCIES: If you are requesting a JD on behalf of a
paying client or your agency, please note the specific submittal requirements in Part H.
NOTE ON PART D— PROPERTY OWNER AUTHORIZATION: Please be aware that
all JD requests must include the current property owner authorization for the Coips to
proceed with the detennination, which inay include inspection of the property when
necessary. This form inust be signed by the current property owner(s) or the owner(s)
authorized agent to be considered a coinplete request.
NOTE ON PART D- NCDOT REQUESTS: Property owner authorization/notification for
JD rec�uests associated with North Carolina Department of Transportation (NCDOT)
projects will be conducted according to the current NCDOT/USACE protocols.
NOTE TO USDA PROGRAM PARTICIPANTS: A Corps approved or preliminary JD
lnay not be valid for the wetland conservation provisions of the Food Security Act of
1985. If you or your tenant are USDA Program participants, or anticipate participation in
USDA programs, you should also request a certified wetland determination from the local
office of the Natural Resources Conservation Service, prior to starting work.
Version: May 2017 Page 1

A.
B.
C.
Jurisdictional Determination Request
PARCEL INFORMATION
Street Address: R5737 - SR1798 & US29/70/85 BUS
City, State:
County:
Thomasville, NC 27360
Davidson
1 L 6757-03-133590,6757-03-013310,6757-03-02-5644,6757-03-10-7930,
PaPCel I11deX NUT11UeP�S� �P��: 6746-02-99-1492, 6747-04-803597, 6747-04-72-7232, 6747-04-81-6126,
6747-04-9 - , - - - . - - - , - - -
REQUESTOR INFORMATION
Name: Amy Euliss, NCDOT Division 9
Mailing Address:
Telephone Number:
375 Silas Creek Parkway
Winston Salem, NC 27127
[phone]
Electronic Mail Address: [e-mail]
Select one:
� I am the current property owner.
� I am an Authorized Agent or Environmental Consultantl
� Interested Buyer or Under Contract to Purchase
� Other, please explain. NCDOT STIP R-5737
PROPERTY OWNER INFORMATIONZ
Name:
Mailing Address:
Telephone Number:
Electronic Mail Address:
1 Must provide completed Agent Authorization Form/Letter.
2 Documentation of ownership also needs to be provided with request (copy of Deed, County GIS/Parcel/Tax Record).
Version: May 2017 Page 2

Jurisdictional Determination Request
D. PROPERTY ACCESS CERTIFICATION3,a
By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of
Engineers (Corps) to enter upon the property herein described for the purpose of conducting on-
site investigations, if necessary, and issuing a jurisdictional determination pursuant to Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. I, the
undersigned, am either a duly authorized owner of record of the property identified herein, or
acting as the duly authorized agent of the owner of record of the property.
Amy Euliss
Print Name
Capacity: ❑x Owner ❑ Authorized AgentS
June 1, 2018
E. REASON FOR JD REQUEST: (Check as many as applicable)
� I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all aquatic resources.
� I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all jurisdictional aquatic resources under Corps authority.
❑✓ I intend to construct/develop a project or perform activities on this parcel which may
require authorization from the Corps, and the JD would be used to avoid and minimize
impacts to jurisdictional aquatic resources and as an initial step in a future permitting
process.
� I intend to construct/develop a project or perform activities on this parcel which may
require authorization from the Corps; this request is accompanied by my permit application
and the JD is to be used in the permitting process.
� I intend to construct/develop a project or perform activities in a navigable water of the
U.S. which is included on the district Section lO list and/or is subject to the ebb and flow of
the tide.
� A Corps JD is required in order obtain my local/state authorization.
� I intend to contest jurisdiction over a particular aquatic resource and request the Corps
confirm that jurisdiction does/does not exist over the aquatic resource on the parcel.
� I believe that the site may be comprised entirely of dry land.
� Other:
For NCDOT requests following the current NCDOT/USACE protocols, skip to Part E.
If there are multiple parcels owned by different parties, please provide the following for each additional parcel on a
continuation sheet.
5 Must provide agent authorization forn�/letter signed by owner(s).
Version: May 2017 Page 3

F.
❑✓
�❑
n
G.
�
Jurisdictional Determination Request
JURISDICTIONAL DETERMINATION (JD) TYPE (Select One)
I am requesting that the Corps provide a preliminarX JD for the property identified herein.
A Preliminary Jurisdictional Determination (PJD) provides an indication that there may
be "waters of the United States" or "navigable waters of the United States"on a property.
PJDs are sufficient as the basis for permit decisions. For the purposes of permitting, all
waters and wetlands on the property will be treated as if they are jurisdictional "waters of
the United States". PJDs cannot be appealed (33 C.F.R. 331.2); however, a PJD is
"preliminary" in the sense that an approved JD can be requested at any time. PJDs do
not expire.
I am requesting that the Corps provide an approved JD for the property identified herein.
An Approved Jurisdictional Determination (AJD) is a determination that
jurisdictional "waters of the United States" or "navigable waters of the United
States" are either present or absent on a site. An approved JD identifies the limits of
waters on a site determined to be jurisdictional under the Clean Water Act and/or
Rivers and Harbors Act. Approved JDs are sufficient as the basis for permit
decisions. AJDs are appealable (33 C.F.R. 331.2). The results of the AJD will be
posted on the Corps website. A landowner, permit applicant, or other "affected
party" (33 C.F.R. 331.2) who receives an AJD may rely upon the AJD for five years
(subject to certain limited exceptions explained in Regulatory Guidance Letter OS-
02).
I am unclear as to which JD I would like to request and require additional information
to inform my decision.
ALL REQUESTS
Map of Property or Project Area. This Map must clearly depict the boundaries of the
review area.
✓❑ Size of Property or Review Area 102.6 acres.
❑✓ The property boundary (or review area boundary) is clearly physically marked on the site.
Version: May 2017 Page 4

Jurisdictional Determination Request
H. REQUESTS FROM CONSULTANTS
� Project Coordinates (Decimal Degrees): Latitude: 35.863074
Longitude: -80.182489
� A legible delineation map depicting the aquatic resources and the property/review area.
Delineation maps must be no larger than l 1x17 and should contain the following: (Corps
signature of submitted survey plats will occur after the submitted delineation map has been
reviewed and approved).6
■ North Arrow
■ Graphical Scale
■ Boundary of Review Area
■ Date
■ Location of data points for each Wetland Determination Data Form or tributary
assessment reach.
For A�roved Jurisdictional Determinations:
■ Jurisdictional wetland features should be labeled as Wetland Waters of the US, 404
wetlands, etc. Please include the acreage of these features.
■ Jurisdictional non-wetland features (i.e. tidal/navigable waters, tributaries,
impoundments) should be labeled as Non-Wetland Waters of the US, stream, tributary,
open water, relatively permanent water, pond, etc. Please include the acreage or linear
length of each of these features as appropriate.
■ Isolated waters, waters that lack a significant nexus to navigable waters, or non-
jurisdictional upland features should be identified as Non-Jurisdictional. Please
include a justification in the label regarding why the feature is non jurisdictional (i.e.
"Isolated", "No Significant Nexus", or "Upland Feature"). Please include the acreage
or linear length of these features as appropriate.
For Preliminarv Jurisdictional Determinations:
■ Wetland and non-wetland features should not be identified as Jurisdictional, 404,
Waters of the United States, or anything that implies jurisdiction. These features can be
identified as Potential Waters of the United States, Potential Non-wetland Waters of
the United States, wetland, stream, open water, etc. Please include the acreage and
linear length of these features as appropriate.
� Completed Wetland Determination Data Forms for appropriate region
(at least one wetland and one upland form needs to be completed for each wetland type)
6 Please refer to the guidance document titled "Survey Standards for Jurisdictional Determinations" to ensure that the
supplied map meets the necessary mapping standards. http://www.saw.usace.army.miUMissions/Regulatory-Permit-
Pro gram/Juri sdiction/
Version: May 2017 Page 5

✓❑
�
�
�
❑
Jurisdictional Determination Request
Completed appropriate Jurisdictional Determination form
PJDs, please complete a Preliminary Jurisdictional Determination Form' and include the
Aquatic Resource Table
AJDS, please complete an Approved Jurisdictional Determination Formg
Vicinity Map
Aerial Photograph
USGS Topographic Map
Soil Survey Map
� Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps)
� Landscape Photos (if taken)
� NCSAM and/or NCWAM Assessment Forms and Rating Sheets
� NC Division of Water Resources Stream Identification Forms
� Other Assessment Forms
� www.saw.usace.army.mil/Portals/59/docs/re u�.r�gdocs/JD/RGL 08-02_A�_A_Prelim JD_Form fillable.pdf
8 Please see http://www.saw.usace.armv.mil/Missions/Re u� latorv-Permit-Program/Jurisdiction/
Principal Purpose: The information that you provide will be used in evaluating your request to determine
whether there are any aquatic resources within the project area subject to federal jurisdiction under the regulatory
authorities referenced above.
Routine Uses: This information may be shared with the Department of Justice and other federal, state, and local
government agencies, and the public, and may be made aeailable as part of a public notice as required by federal
law. Your name and property location where federal jurisdiction is to be determined will be included in the
approved jurisdictional determination (AJD), which will be made available to the public on the District's website
and on the Headquarters USAGE website.
Disclosure: Submission of requested information is voluntary; however, if information is not provided, the
request for an AJD cannot be evaluated nor can an AJD be issued.
Version: May 2017 Page 6

Appendix 2- PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PJD: 6/01 /2018
B. NAM E AN D ADDRESS OF PERSON REQU ESTI NG PJ D. �^Y Euliss, NCDOT Division 9 Environmental Offcer, 375 Silas Creek Parkway, Winston Salem, NC 27127
C. DISTRICT OFFICE, FILE NAME, AND NUMBER: Charlotte Regulatory Field Office
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES AND/OR
AQUATIC RESOURCES AT DIFFERENT SITES)
State: NC County/parish/borough: DaVICISOn c�ty: Thomasville
Center coordinates of site (lat/long in degree decimal format):
�at.: 35.863074 Long.: -80.182489
Universal Transverse Mercator: 17S 573809.00mE 369072.55mN
Name of nearest waterbody: RICh FOrk
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
❑ Office (Desk) Determination. Date:
❑ Field Determination. Date(s):
TABLE OF AQUATIC RESOURCES IN REVIEW AREA WHICH "MAY BE" SUBJECT TO REGULATORY
JURISDICTION.
Site Latitude Longitude Estimated amount Type of aquatic Geographic authority
number (decimal (decimal of aquatic resource resource (i.e., wetland to which the aquatic
degrees) degrees) in review area vs. non-wetland resource "may be"
(acreage and linear waters) subject (i.e., Section
feet, if applicable) 404 or Section 10/404)
SA 35.862965 -80.186671 95 L F non-wetland waters may be subject Section 10/404
S B 35.859779 -80.184977 56 L F non-wetland waters may be subject Section 10/404
S C 35.861901 -80.181875 478 L F non-wetland waters may be subject Section 10/404
S � 35.863784 -80.180277 1155 L F non-wetland waters may be subject Section 10/404
Rich Fork (SE) 35.860836 -80.178650 400 L F non-wetland waters may be subject Section 10/404
S F 35.864021 -80.179378 143 L F non-wetland waters may be subject Section 10/404
Table Continued...

1) The Corps of Engineers believes that there may be jurisdictional aquatic resources in
the review area, and the requestor of this PJD is hereby advised of his or her option
to request and obtain an approved JD (AJD) for that review area based on an
informed decision after having discussed the various types of JDs and their
characteristics and circumstances when they may be appropriate.
2) In any circumstance where a permit applicant obtains an individual permit, or a
Nationwide General Permit (NWP) or other general permit verification requiring "pre-
construction notification" (PCN), or requests verification for a non-reporting NWP or
other general permit, and the permit applicant has not requested an AJD for the
activity, the permit applicant is hereby made aware that: (1) the permit applicant has
elected to seek a permit authorization based on a PJD, which does not make an
official determination of jurisdictional aquatic resources; (2) the applicant has the
option to request an AJD before accepting the terms and conditions of the permit
authorization, and that basing a permit authorization on an AJD could possibly result
in less compensatory mitigation being required or different special conditions; (3) the
applicant has the right to request an individual permit rather than accepting the terms
and conditions of the NWP or other general permit authorization; (4) the applicant can
accept a permit authorization and thereby agree to comply with all the terms and
conditions of that permit, including whatever mitigation requirements the Corps has
determined to be necessary; (5) undertaking any activity in reliance upon the subject
permit authorization without requesting an AJD constitutes the applicant's acceptance
of the use of the PJD; (6) accepting a permit authorization (e.g., signing a proffered
individual permit) or undertaking any activity in reliance on any form of Corps permit
authorization based on a PJD constitutes agreement that all aquatic resources in the
review area affected in any way by that activity will be treated as jurisdictional, and
waives any challenge to such jurisdiction in any administrative or judicial compliance
or enforcement action, or in any administrative appeal or in any Federal court; and (7)
whether the applicant elects to use either an AJD or a PJD, the JD will be processed
as soon as practicable. Further, an AJD, a proffered individual permit (and all terms
and conditions contained therein), or individual permit denial can be administratively
appealed pursuant to 33 C.F.R. Part 331. If, during an administrative appeal, it
becomes appropriate to make an official determination whether geographic
jurisdiction exists over aquatic resources in the review area, or to provide an official
delineation of jurisdictional aquatic resources in the review area, the Corps will
provide an AJD to accomplish that result, as soon as is practicable. This PJD finds
that there "may be"waters of the U.S. and/or that there "may be" navigable waters of
the U.S. on the subject review area, and identifies all aquatic features in the review
area that could be affected by the proposed activity, based on the following
information:

SUPPORTING DATA. Data reviewed for PJD (check all that apply)
Checked items should be included in subject file. Appropriately reference sources
below where indicated for all checked items:
�■ Maps, plans, plots or plat submitted by or on behalf of the PJD requestor:
Map:Dewberry Engineers Inc.
� Data sheets prepared/submitted by or on behalf of the PJD requestor.
� Office concurs with data sheets/delineation report.
� Office does not concur with data sheets/delineation report. Rationale:
❑ Data sheets prepared by the Corps:
� Corps navigable waters' study:
❑ U.S. Geological Survey Hydrologic Atlas:
� USGS NHD data.
� USGS 8 and 12 digit HUC maps.
❑■ U.S. Geological Survey map(s). Cite scale & quad name: 1:24,000 Lexington East, NC
� Natural Resources Conservation Service Soil Survey. Citation:
� National wetlands inventory map(s). Cite name:
� State/local wetland inventory map(s):
❑ FEMA/FIRM maps:
❑ 100-year Floodplain Elevation is: .(National Geodetic Vertical Datum of 1929)
�■ Photographs: ❑■ Aerial (Name & Date):
or � Other (Name & Date):
� Previous determination(s). File no. and date of response letter:
� Other information (please specify):
IMPORTANT NOTE: The information recorded on this form has not necessarilv
been verified bv the Corps and should not be relied upon for later iurisdictional
determinations.
Signature and date of
Regulatory staff member
completing PJD
Signature and date of
person requesting PJD
(REQUIRED, unless obtaining
the signature is impracticable)'
� Districts may establish timeframes for requestor to return signed PJD forms. If the requestor does not respond
within the established time frame, the district may presume concurrence and no additional follow up is
necessary prior to finalizing an action.

Appendix 2- PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
TABLE OF AQUATIC RESOURCES IN REVIEW AREA WHICH "MAY BE" SUBJECT TO REGULATORY JURISDICTION CONTINUED.
Estimated amount Type of aquatic Geographic authority to
Latitude Longitude of aquatic resource resource (i.e., which the aquatic resource
Site Number (decimal (decimal in review area wetland vs. non- "may be" subject (i.e.,
degrees) degrees) (acreage and linear wetland waters) Section 404 or Section
feet, if applicable) 10/404)
WA 35.862810 -80.186261 0.1 acres wetland May be subject Section 404
WB 35.860388 -80.185370 0.1 acres wetland May be subject Section 404
WC 35.859814 -80.184962 0.1 acres wetland May be subject Section 404
WD 35.862300 -80.182898 0.1 acres wetland May be subject Section 404
WE 35.862264 -80.182631 0.2 acres wetland May be subject Section 404
WF 35.861479 -80.180270 >0.1 acres wetland May be subject Section 404
WG 35.864166 -80.178104 5.7 acres wetland May be subject Section 404
WH 35.863496 -80.178863 0.1 acres wetland May be subject Section 404
WI 35.863710 -80.179661 0.2 acres wetland May be subject Section 404
WJ 35.863177 -80.180915 0.1 acres wetland May be subject Section 404

��
WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
ProjecUSke: R'rJ7 31 Ci Coun ,�j��Ot� Sampling Date: �—�p �`%
ApplicanUOwner. 1VG�OT State: �_ Sampling Point: pP1
Invesdgator(s): TS'�j� ��-O�/'l p g• � � � � Sectlon, Township, Range:
Landfortn (hillslope, terrace, etc.): '�"02.5\ Local relief (concave, convex, none): CD�nCAV� Slope (%): 2.' S
Subregio LR ML :��) 3(o Lat: �JS.g�2g � 0� I Long: R�• �$�2�0 � 1�J Datum: (,�$ � q��
Soil Map Unit Name: �ro,r� -�v�,� SLf�r.d.�t �6AvY� ��- �5°�Q S��S ��r��� NWI classfication: Q�(�
Are Gimatic / hydrologic condftions on the site typical for this time of year? Yes �� No (If no, explain in Remarks.)
Are Vegetation , Soil , or Hydrology significantly disturbed? Are "Nortnal Circumstances" present? Yes � No
Are VegeTation , Soil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes X No
Hydric Soil Present? Yes X No
Wetland Hydrology Present? Yes � No
Is the Sampled Area
wifhin a Wetland7 Yes �_ No
Remarks: �Q� z�e w� -
}�2.c�dwa-'4ex' �eS� ��h��v.erc�1 1a.., �cts'r s�o,rrn.�.�e.r �cv.a�n�e�e��,�
HYDROLOGY
Wetland Hydrology Indtcators: Secondarv Indicators (minimum of two reauiredl
Primarv Indicators (minimum of one is reauired: check all that anolv) _ Surface Soil Cracks (B6)
� Surtace Water (A1) _ True AquaGc Plants (B14) _ Sparsely Vegetated Concave SurFace (88)
�, High Water Table (A2) _ Hydrogen Sulfide Odor (C1) _ Drainage Pattems (B10)
� Saturation (A3) _ Oxidized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (616)
ZC Water Marks (61) _ Presence of Reduced Iron (C4) _ Dry-Season Water Table (C2)
� Sediment Deposits (62) _ Recent Iron Reduction in Tilled Soils (C6) _ Crayfish Burrows (C8)
�, Drift Deposits (63) _ Thin Muck Surtace (C7) _ Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (B4) _ Other (Explain in Remarks) _ Stunted or Stressed Plants (D1)
_ Iron Deposits (65) _ Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (67) ` Shallow Aquitard (D3)
� Water-Stained Leaves (B9) _ Microtopographic Relief (D4)
_ Aquatic Fauna (813) _ FAC-Neutral Test (DS)
Fleld Observatlons:
Surface Water Present? Yes � No Depth (inches): 3
Water Table Present? Yes � No Depth (inches): 3
Saturabon Present? Yes � No Depth (inches): � Wetland Hydrology Present7 Yes � No
includes ca illa fin e
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
v..��+1 a�d k���h�ar� �s h���ol ��'th re�P o�+ R�} �we�l'la� �h�e�.•�.�
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U5 Army Corps of Engineers Eastem Mountains and Piedmont — Version 2.0

VEGETATION (Four Strata) — Use scientific names of plants.
Absolute Dominant Indicator
Tree Stratum (Plot size: ?J�� ) ° C ver S cies? Status
1. S0.� i X 1r�: A 1�'Gl� �� ��
z. ' s ' ` jo � �
3. i�Y IOG��YVAYaf1 '�'1 �� jT E.Y�L. �� �
7
, � = Total Cover
Saolina/Shrub Stratum (Plot size: ) �/
1.1_�r�nd���ror� �a\:(�� �l� S J_ fdC.Sb.
2 T�10.'�El�nv.S oCGia.e.v.''C"a,�i�,S J � Fp�LvJ
Sampling Point: �� �
Dominance Test worksheet:
Number of Dominant Species 3
That Are OBL, FACW, or FAG: (A)
Total Number of Dominant �
Species Across All Strata: (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: _%��o (A/B)
Total % Cover of: Multiolv bv:
OBL species x 1 =
FACW species x 2 =
FAC species x 3 =
FACU species x 4 =
UPL species x 5 =
Column Totals: (A) (B)
Prevalence Index = B/A =
7. - • - -
1- Rapid Test for Hydrophytic Vegetation
8.
�, 2 - Dominance Test is >50%
9.
3- Prevalence Index is 53.0'
10. —
�= Total Cover 4- Morphological Adaptations' (Provide supporting
Herb Stratum (Plot size: �J ) data in Remarks or on a separate sheet)
1. ��nv��Q�►g��.6 �� r�AG1/1� _ Problema6c Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Deflnitlons of Four Vegetatlon SVata:
6. Tree - Woody plants, exGuding vines, 3 in. (7.6 cm) or
7 more in diameter at breast height (DBH), regardless of
height.
10
11
12
Woodv Vine Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
Remarks: (Include photo
�� S�/o
�GQ � �Z.S
Z��o=1�
or on a separate
��� = Total Cover
= Total Cover
Sapl(ng/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft(7
m) tall.
Herb - All herbaceous (non-woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody vine - All woody vines greater than 328 ft in
Hydrophytic
Vegetatlon
Present7 Yes � No
US Artny Corps of Engineers Eastem Mountains and Piedmont - Version 2.0

S�IL Sampling Point: L� �
Proflle Descriptlon: (Descrlbe to the depth needed to document the Indicator or conflrtn the absence of Indicators.)
Depth Matrix Redox Features
(inches) Color (moisU % Color (moisU % Tvne, Loc2 Texture Remarks
0�3 roy� 3/a �oo I.
3_t� �oYR `�/i �0 2.S YK 3�c, �� N� _�
�. 5 ,� �9 0�� C ��
'T : C=Concentration D=De letion RM=Reduced Matrix MS=Masked Sand Grains. 2L�ation: PL=Pore Linin M=Matrix.
Hydric Soil Indicators: Indicators for Problematic Hydric Soils':
_ Histosol (A1) _ Dark Surtace (S7) _ 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2) _ Polyvalue Below Surtace (S8) (MLRA 147, 148) _ Coast Prairie Redox (A18)
_ Black Histic (A3) _ Thin Dark Surface (S9) (MLRA 147, 148) (MLRA 147, 148)
_ Hydrogen Sulfide (A4) Loamy Gleyed MaVix (F2) _ Piedmont Floodplain Soils (F19)
_ Stratified Layers (A5) � Depleted Matrix (F3) (MLRA 136, 147)
_ 2 cm Muck (A10) (LRR N) _ Redox Dark Surtace (FB) _ Very Shallow Dark Surtace (TF12)
_ Depleted Below Dark Surface (A11) _ Depleted Dark Surtace (F7) _ Other (Explain in Remarlcs)
Thick Dark Surface (Al2) _ Redox Depressions (F8)
Sandy Mucky Mineral (S1) (LRR N, _ Iron-Manganese Masses (F12) (LRR N,
MLRA 147,148) • MLRA 136)
_ Sandy Gleyed Matrix (S4) _ Umbric Surtace (F13) (MLRA 736,122) 3lndicators of hydrophytic vegetation and
Sandy Redox (SS) _ Piedmont Floodplain Soils (F19) (MLRA 148) wetland hydrology must be present,
Stripped Matrix (S6) Red Parent Material (F21) (MLRA 127, 147) unless disturbed or problematic.
Restricttve Layer (N observed�:
Type:
Depth (inches): Hydric Soil PresentT Yes '` No
Remarks:
US Army Corps of Engineers Eastem Mountains and Piedmont - Version 2.0

��
WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Pro)ecUSite: �J737 oun : _���pt� SamplingDate:�—�g'�7
ApplicanUOwner: _�(�`��� State: �'�, Sampling Paint: � 2
Invesbgator(s): �.���� � T S��'�D� Secdon, Township, Range:
Landfortn (hillslope, terrace, etc.): JWA� P� Local relief (concave, convex, none): C.OVICGVQ.. Slope (%): (�
Subregio LRR LRA Lat: ��. ���J g g�%D Long: g�, � O s�J%Q �� Datum: WG5 I�I g�
Soil Map Unit Name: �'��at�p� �— �i,� ei'i" C,�..�\Lx y$'IS°�� S�S NWI classification: P�O I(�O�
Are Gimatic / hydrologic conditions on the site typical for this dme of year? Yes �_ No (If no, explain in Remarks.)
Are Vegetation , Soil , or Hydrology signficanUy disturbed? Are "Normal Circumstances" present? Yes � No
Are Vegetation , Soil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present?
Hydric Soil Present?
Wetland Hydrology PresentT
Remarks: ���q,� ���,
FI ood P10�� �. �aol
D�a.�a.- �o�h.t �
HYDROLOGY
Yes %� No
Yes �C No
Yes c� No
- . , - .a � .., ,
Is fhe Sampled Area
within a Wedand? Yes �_ No
Wetland Hydrology Indicators: Secondarv Indicators (minimum of Nvo reauiredl
Primarv Indicators (minimum of one is reauired: check all that aoolv) Surtace Soil Cracks (B6)
� Surface Water (A1) _ True Aquatic Piants (B14) � Sparsely Vegetated Concave Surtace (B8)
� High Water Table (A2) _ Hydrogen Sulfide Odor (C1) _ Drainage Pattems (670)
� Saturation (A3) _ Oxidized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (B16)
_ Water Marks (B1) _ Presence of Reduced Iron (C4) _ Dry-Season Water Table (C2)
_ Sediment Deposits (62) _ Recent Iron Reducbon in Tilled Soils (C6) _ Crayfish Burrows (C8)
_ Drift Deposits (B3) _ Thin Muck Surface (C7) Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (64) _ Other (Explain in Remarks) ,� Stunted or Stressed Plants (D1)
_ Iron Deposits (B5) _ Geomorphic Position (D2)
_ Inundation Ysible on Aerial Imagery (67) _ Shallow Aquitard (D3)
_ Water-Stained Leaves (B9) _ Microtopographic Relief (D4)
_ Aquatic Fauna (613) _ FAC-Neutral Test (DS)
Fleld Observatlons:
Surtace Water Present? Yes X No Depth (inches): t�t
Water Table Present? Yes � No Depth (inches): 2
Saturation Present? Yes � No Depth (inches): 9 Wetland Hydrology Present? Yes � No
includes ca illa fin e
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastem Mountains and Piedmont — Version 2.0

0
VEGETATION (Four Strata) — Use scientific names of plants.
30► Absolute Dominant Indicator
Tree Stratum (Plot size: ) ° Cover Snecies? Status
1. 33e;�.� � A. Y1:A Y'/A. ���
2.
3.
4.
5.
6.
7.
Sa�lina/Shrub Stratum (Plot size: )
1.
7
1
Herb Stratum (Plot size:
1.
7
11
12
Woodv Vine Stratum (Plot size:
1.
)
Sampling Point: �P 2
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: � (A)
Total Number of Dominant
Species Across All Strata: � (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 00 �,q�g�
Total % Cover of: MulGolv bv:
�J = Total Cover �BL species x 1=
FACW species x 2 =
FAC species x 3 =
FACU species x 4 =
UPL species x 5 =
Column Totals: (A) (B)
= Total Cover
= Total Cover
= Total Cover
Prevalencelndex = B/A =
Hydrophytic Vegetatlon Indicators:
i1 1- Rapid Test for Hydrophytic Vegetation
� 2 - Dominance Test is >50%
_ 3- Prevalence Index is s3.0'
_ 4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
_ Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and weUand hydrology must
be present, unless disturbed or problemaGc.
Deflnitlons of Four VegetaUon Strata:
Tree — Woody plants, exGuding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapltng/Shrub — Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft(1
m) tall.
Herb —All herbaceous (non-woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody vine — All woody vines greater than 3.28 ft in
Hydrophytic
Vegetatlon
Present7 Yes � No
Remarks: (Include photo numbers here or on a separate sheet.)
�ol q,��ea s�+�rs1�y �.���.�'afi�t - ��e�-afi� �--��rrees dy�n� �
US Army Corps of Engineers
Eastem Mountains and Piedmont — Version 2.0

SOIL Sampling Point: .DQZ—
Proflle Description: (Describe to the depth needed to document the Indicator or conflrm the absence of Indicators.)
Depth Matrix Redox Features
(inches) Color (moistl % Color (moisfl % Tv�e, Loc2 Texture Remarks
-�a IOYR ��3 C4d '�L _
�'� ld yie `��z �c� 5YR � � C PL CL
6-� z..s �r �i�. �o ►e.s 3o c M c�
'T : C=Concentration, D=De letion RM=Reduced Matrix, MS=Masked Sand Grains. ZLocation: PL=Pore Linin M=Matrix.
Hydric Soll Indicators: Indicators for Problematic Hydric Soils':
_ Histosol (A1) _ Dark Surtace (S7) _ 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2) _ Polyvalue Below Surtace (S8) (MLRA 147, 148) _ Coast Prairie Redox (A16)
_ Black Histic (A3) _ Thin Dark Surtace (S9) (MLRA 147, 148) jMLRA 147, 148)
_ Hydrogen Sulfide (A4) Loamy Gleyed Matrix (F2) _ Piedmont Floodplain Soils (F19)
_ Stratified Layers (A5) � Depleted MaVix (F3) (MLRA 136, 147)
_ 2 cm Muck (A10) (LRR N) _ Redox Dark Surtace (F6) _ Very Shallow Dark Surface (TF12)
Depleted Below Dark Surface (A11) _ Depleted Dark Surface (F7) _ Other (Explain in Remarks)
_ Thick Dark Surtace {Al2) _ Redox Depressions (F8)
_ Sandy Mucky Mineral (S7) (LRR N, _ Iron-Manganese Masses (F12) (LRR N,
MLRA 147,148) MLRA 136)
_ Sandy Gleyed Matrix (S4) _ Umbric Surtace (F13) (MLRA 136, 122) 3lndicators of hydrophytic vegetation and
_ Sandy Redox (S5) _ Piedmont Floodplain Soils (F19) (MLRA 148) wetland hydrology must be present,
Stripped Matrix (S6) Red Parent Material (F21) (MLRA 127, 147) unless disturbed or problematic.
ResMctive Layer (If observed):
Type: •
Depth (inches): Hydric Soll PresentT Yes � No
Remarks:
�� ����
US Army Corps of Engineers Eastem Mountains and Piedmont — Version 2.0

w�
WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
ProjecUSite: �51 31 City oun • QY�d,�O l,a Sampling Date: �—�g'��
ApplicanUOwner: I�DOT state: �i('i sampiing Point:.DP',3
Investigator(s): �. �'J�EI'�'O(1 ��. g1�� Secdon, Township, Range:
Landform (hillslope, terrace, etc.): SW0.�� ,�i12� Local relief (wncave, convex, none): CAt�CAY'P� Slope (%):
Subregior� R�3o� P j 13b �at: 35_ 85`I'$ I'� 27 Long: gD . � g�9 6 Z 5�O Datum:
Soil Map Unit Name: �Pn�nD7)�b>.�.r3��{iex� —�Ur�'t'r COc�wo�.X y�' IJ�/o :�\�p�'�QS NWI classification: �
Are Gimatic / hydrologic conditions on the site typical for this time of year? Yes !1 No (If no, explain in Remarks.)
Are Vegetation , Soil , or Hydrology signficanUy disturbed7 Are 'Normal Circumstances" present7 Yes � No
Are Vegetation , Soil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes X No
Hydric Soil Present? ' Yes � No
WeUand Hydrology Present? Yes � No
Remancs: VJ��Gv�l 7�+�. WG
heQdwock�r' ��es�
HYDROLOGY
Is the Sampled Area
within a Wetland? Yes �_ No
Wetland Hydrology Indicators: Secondarv Indicators (minimum of two reauiredl
Primarv Indicators (minimum of one is reauired: check all that ao�lvl Surtace Soil Cracks (B6)
Surface Water (A1) _ True Aquatic Plants (B14) � Sparsely Vegetated Concave Surtace (BS)
� High Water Table (A2) _ Hydrogen Sulfide Odor (C1) � Drainage Pattems (810)
� Saturation (A3) _ Oxidized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (B16)
_ Water Marics (B1) _ Presence of Reduced Iron (C4) _ Dry�eason Water Table (C2)
_ Sediment Deposits (62) _ Recent Iron Reduction in Tilled Soils (C6) _ Crayfish Burrows (C8)
_ Drift Deposits (B3) _ Thin Muck Surtace (C7) _ Satura6on Ysible on Aerial Imagery (C9)
_ Algal Mat or Crust (64) _ Other (Explain in Remarks) _ Stunted or Stressed Plants (D1)
_ Iron Deposits (BS) _ Geomorphic Position (D2)
_ Inunda6on vsible on Aerial Imagery (B7) _ Shallow Aquitard (D3)
_ Water-Stained Leaves (B8) _ Microtopogrdphic Relief (D4)
_ Aquatic Fauna (B13) _ FAC-Neutral Test (D5)
Fleld Observatlons:
Surtace Water Present? Yes Na � Depth (inches):
Water Table Present? Yes �_ No Depth (inches): g
Saturation Present? Yes � No Depth (inches): ' j Wetland Hydrology Present? Yes � No
includes ca illa fin e
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Artny Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Four Strata) — Use scientific names of plants.
� mu �nu�wian
Tree Stratum (Plot size: � ) ° Cover Soecies? Sta us
1.��0.tAr�v.S OCG�c�.Ev�'Cit�� 5 � �i4CN�1
z. Carp� r,..�s rnra 1;,�,', r�r�n�. 5 _�, F�c.
s. +'�r+,l\a y:.Ar� 6 �_ �1
7
iJ� = Total Cover
Saolina/Shrub Stratum (Plot size: � 'rJ � )
1.L�AU��u�.�n S�r�e�n52. v� � �rAC1A
2.
3.
4.
5.
6.
7.
10.
Herb Stratum (Plot size:
1.
3.
4.
7
11
Sampling Point: D�'3
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: �_ (A)
Total Number of Dominant �
Species Across All Strata: `J (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: �O (q/g�
Prevalence Index worksheet:
Total % Cover of: Muttiolv bv:
OBL species x 1 =
FACW species x 2 =
FAC species x 3 =
FACU species x 4 =
UPL species x 5 =
Column Totals: (A) (B)
Prevalence Index = B/A =
1- Rapid Test for Hydrophytic Vegetation
� 2 - Dominance Test is >50%
3- Prevalence Index is 53.0'
tJ = Total Cover — 4- Morphological Adaptatlons' (Provide supporting
data in Remarks or on a separate sheet)
_ Problematic Hydrophytic Vegetation' (Explain)
= Total Cover
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Deflnitlons of Four Yegetatlon Strata:
Tree - Woody plants, exGuding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft(1
m) tall.
Herb - All herbaceous (non-woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woodv Vne Stratum (Plot size: �� ) Woody vtne - All woody vines greater than 3.28 ft in
1.�,fan��Cp�/7� \A_Do�n�C.la. 6t� � �C� hei ht.
2.
3.
4.
5.
6. _
� = Total Cover
or on a separate sheet.
��5� ���--�a�e.�
Hydrophytic
Vegetatlon
PresentT Yes _� No
US Army Corps of Engineers Eastem Mountains and Piedmont - Version 2.0

S�IL Sampling Point: i�3
Pr�flle DescrlpUon: (Descrlbe to the depth needed to document the Indicator or conflrm the absence of Indicators.)
Depth Matrix Redox Features
(inchesl Color (moistl % Color (moist) % Tv�e, Loc2 Texture Remarks
�_� 7. SYrP �/3 9 0 �aYK 57 � � r� �_ _J` �nd� i �r�elC�ra
-!3 i4 �/ r� � �-�o � M �
� sn�1 �auea•
r
'T : C=Concentration D=D letion RM=Reduced Matrix MS=Masked Sand Grains. ZLocatlon: PL�Pore Linin M=Matrix.
Hydric Soil lndlcators: - Indlcators for ProblemaUc HydNc Solls :
_ Histosol (A1) _ Dark Surface (S7) _ 2 cm Muck (A10) (MLRA 147)
_ Histic Ep�edon (A2) Polyvalue Below Surtace (S8) (MLRA 147, 148) _ Coast Prafrie Redox (A18)
_ Black Histic (A3) _ Thin Dark Surface (S9) (MLRA 147, 148) (MLRA 147, 148)
_ Hydrogen Sulflde (A4) Loamy Gleyed Matrix (F2) _ Piedmont Floodplafn Soils (F19)
_ Stradfied Layers (A5) � Depleted Matrix (F3) (MLRA 136,147)
_ 2 cm Muck (A70) (LRR N) _ Redox Dark Surface (F8) _ Very Shallow Dark Surtace (TF12)
_ Depleted Belnw Dark Su�face (A11) _ Depleted Dark SurFace (F7) _ Other (Explain in Remarks)
Thick Dark Surface (Al2) _ Redox Depressions (F8)
Sandy Mucky Mineral (S1) (LRR N, _ Iron-Manganese Masses (F12) (LRR N,
MLRA 147, 148) MLRA 136)
_ Sandy Gleyed Matrix (S4) _ Umbric Surtace (F13) (MLRA 136, 122) 3lndicators of hydrophytic vegetation and
_ Sandy Redox (S5) _ Piedmont Floodplafn Sofls dF19� (MLRA 148) wetland hydrology must be present,
Stripped Mat�ix (S8) Red Parent Material (F21) (MLRA 127, 147) unless disturbed or problematic.
RestricGve Layer pf observed):
Type:
Depth (inches): HydHc 3oil PresentT Yes No
Remarks
Mo�tnes� �resev�,�' � Z-13.�
US Army Corps of Engineers Eastem Mountains and Piedmont - Version 2.0

uPc.-
WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: ��13_% Ci Coun •�lV►�Of1 Sampling Date: t— �� ���
ApplicanUOwner: �� T State: � Sampling Point: D�l�.
Investigator(s): Fa� ���� ��5���"bn Section, Township, Range: r
Landfortn (hillslope, terrace, etc.): �,L�9�OD� Local relief (concave, convex, none): COr+V`2X Slope (%): �Qa/
0
Subregion���): P I 13�D Lat: �J�.$Sqgy��3 Long: g0. �$�Fc�qq3� Datum: �S �q$'y
Soil Map Unit Name: �PnD� 1�o,v�Pv�.Y' — Wu�ncMrCOrn��uc �$�1��o S�� NWI classification: (,� �
Are Gimatic / hydrologic condiUons on the site typical for this time of year? Yes i� No (If no, explain in Remarks.)
Are Vegetation , Soil , or Hydrology significan8y disturbed? Are "Normal Circumstances' present? Yes � No
Are Vegetation , Soil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present7 Yes No j( Is fhe Sampled Area
Hydric Soil Present7 Yes No x within a Wetland? Yes No X
Wetland Hydrology Present? Yes No �(
UPt. -�,r w-�-No�,�.c4s w� }� �
HYDROLOGY
Wetland Hydrology Indicators: Secondarv Indicators (minimum of two reauiredl
Primarv Indicators (minimum of one is reauired: check all that aoolvl _ Surtace Soil Cracks (B6)
_ Surface Water (A1) _ True Aquatic Plants (B14) _ Sparsely Vegetated Concave Surtace (68)
_ High Water Table (A2) _ Hydrogen Sulfide Odor (C1) _ Drainage Pattems (B10)
_ Saturation (A3) _ Oxidized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (Bi6)
_ Water Marks (81) _ Presence of Reduced Iron (C4) _ Dry-Season Water Table (C2)
_ Sediment Deposits (B2) _ Recent Iron Reduction in Tilled Soils (C6) _ Crayfish Burrows (C8)
_ Drik Deposits (B3) _ Thin Muck Surface (C7) _ Saturation �sible on Aerial Imagery (C9)
_ Algal Mat or Crust (B4) _ Other (Explain in Remarks) _ Stunted or Stressed Plants (D7 )
_ Iron Deposits (B5) _ Geomorphic Position (D2)
_ Inundation vsible on Aerial Imagery (87) _ Shallow Aquitard (D3)
_ Water-Stained Leaves (B9) _ Microtopographic Relief (D4)
_ Aquatic Fauna (613) _ FAC-Neutral Test (DS)
Fleld Observatlons:
Surtace Water Present? Yes No Depth (inches):
Water Table Present? Yes No Depth (inches):
SaturaGon Present? Yes No Depth (inches): WeUand Hydrology Present? Yes No
includes ca illa fin e
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastem Mountains and Piedmont — Version 2.0

VEGETATION (Four Strata) — Use scientific names of plants. Sampling Point:
Absolute Dominant Indicator pominance Test worksheet:
Tree Stratum (Plot size: �" ) ° Cover Soecies? Status
�^ �� Number of Dominant Species
1. V�� �Yt�n �u ���P ��A�. � � FACI.I That Are OBL, FACW, or FAC: ? (A)
—� _
2' ��Y"' �_�'e�a'.' �—�- ���°` Total Number of Dominant
3• Species Across All SVata: _� (B)
4.
Percent of Dominant Species I �, 2
5• That Are OBL, FACW, or FAC: � �,vg�
7
� = Total Cover
Saolina/Shrub Stratum (Plot size: �5 � )
1.ZI�x oor�t,A. _� � F,aru
7
� � J = Total Cover
Herb Stratum (Plot size: )
,. �s �n Y F�L
2.�a1��.��.v�n Qt�rnS�c�no�c�e.S J(7 � '��
s. Z leY �n c.a. 5 ��c�,
7
11
3S = Total Cover
Prevalence Index worksheet:
Total °h Gover of: MulGulv bv:
OBL species � x 1= �
FACW species � x 2= �
FAC species $0 x 3= z4D
FACU species �� x 4= � g0
UPL speaes � x 5= �
Column Totals: �'� (A) �� (B)
Prevalence Index = B!A = ,�. �j�p
Hydrophytic Vegetatlon Indicators:
_ 1- Rapid Test for Hydrophytic Vegetation
_ 2 - Dominance Test is >50%
3- Prevalence Index is 53.0'
_ 4 - Morphological Adaptadons' (Provide supporting
data in Remarks or on a separate sheet)
_ Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Tree - Woody plants, exGuding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling/Shrub - Woody plants, exciuding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft(1
m) tall.
Herb - All herbaceous (non-woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Wood Vine SVatum (Plot size: .�� ) Woody vine - All woody vines greater than 3.28 ft in
1.1C��jS 0.P_S ��IA.��S rj � � � height.
�°1b core+r
5o i� ' `��
Zo'�= lio
� numoers nere or on a
3��-% GwW
Sb%o= l�-S
7A�o = �
'Jr = Total Cover
Hydrophytic
VegetaUon
Present7 Yes
No x
US Army Carps of Engineers Eastem Mountains and Piedmont - Version 2.0

SOIL Sampling Point: pP
Profile Descriptlon: (Describe to the depth needed to document the indicator or conflrtn the absence of Indicators.)
Depth Matrix Redox Features
(inchesl Color (moistl % Color (moistl % Tvoe, Loc2 Texture Remarks
-� Z o �Fi Z � 5Y23iz � � � �...�
'T : C=ConcenVation D=De letion RM=Reduced MaVix MS=Masked Sand Greins. ZLocation: PL=Pore Linin M=Matrix.
Hyd�ic Soll Indicators: Indicators for ProblemaUc Hydric Soils':
_ Histosol (A1) _ Dark Surface (S7) _ 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2) _ Polyvalue Below Surtace (S8) (MLRA 147,148) _ Coast Prairie Redox (A16)
_ Black Histic (A3) _ Thin Dark SuAace (S9) (MLRA 147, 148) (MLRA 147, 148)
_ Hydrogen Sulfide (A4) _ Loamy Gleyed Matrix (F2) _ Piedmont Floodplain Soils (F19)
_ Stratified Layers (A5) _ Depleted Matrix (F3) (MLRA 136, 147)
_ 2 cm Muck (A10) (LRR N) _ Redox Dark Surface (F6) _ Very Shallow Dark Surtace (TF12)
_ Depleted Below Dark Surtace (A11) _ Depleted Dark Surtace (F7) _ Other (Explain in Remarks)
Thick Dark Surface (Al2) _ Redox Depressions (FS)
Sandy Mucky Mineral (S1) (LRR N, _ Iron-Manganese Masses (F12) (LRR N,
MLRA 147,148) MLRA 136)
_ Sandy Gleyed MaVix (S4) _ Umbric Surtace (F13) (MLRA 136,122) 3lndicators of hydrophytic vegetation and
_ Sandy Redox (S5) _ Piedmont Floodplain Soils (F19) (MLRA 148) weUand hydrology must be present,
Stripped Matrix (S6) Red Parent Material (F21) (MLRA 127,14T) unless disturbed or problematic.
ResVictive Layer (N observed):
Type:
Depth (inches): Hydric Soil Present? Yes No
Remarks:
US Army Corps of Engineers Eastem Mountains and Piedmont — Version 2.0

wD
WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
ProjecUSite: R'rJ 1�J% Ci un . bQV �[iS0 (1 Sampling Date: �� ��" �%
ApplicantlOwner: NGL7DT State: �_ Sampling Point: j�QS
Investigator(s): . �� � � S� Section, Township, Range:
Landform (hilislope, terrace, etc.): '�OE � s�pp�e., SV�fOI��. Local relief (concave, convex, none): �9`�C0.Ve � COhYtX Slope (%): 5
Subregion @@.ei�): P � \3� �at: �S `�i 2300`� lo Long: �O. ��� �$�� Datum: W fss Iq g�}
Soil Map Unit Name: ����cSeT � a_ SA�n hAv�n . 2�$% Sit�A2S NWI Gassficadon: PEA/�
Are Gimatic / hydrologic conditions on the sfte typical for this dme of yeari Yes � No (If no, explain in Remarks.)
Are Vegetation , Soil � , or Hydrology significantly disturbedT Are "Normal Circumstances° presentT Yes � No
Are Vegetation , 5oil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes _� No �s }�e Sampled Area
Hydric Soil Present? Yes �_ No W��n a WetlandT Yes � No
Wetland Hydrology Present? Yes _� No
rcemancs: WP.1'IA'no� L�h2 W�
iSav.- tic�aq {'rechwa� nn�s.h ►'v� 01�� RovJ �� ��n�fiti►e.v�c.ed � srh�rwo�• A�ao�,
rrcvJed ( n�Q,�w'�0.�v� �.;,'� -��e, rv-ts Ow�d rn.o�v�dl: �q e,�- so.\ {'rl�v. c�Y�v�� A^n�,
s�or+r.vsa�ke.� 2�roS�or� J
HYDROLOGY
Wetland Hydrology Indicators: . Secondarv Indicators (minimum of lwo reauired)
Primarv Indicators (minimum of one is reauired: check all that aoolvl _ Surtace So.il Cracks (66)
Yj Surface Water (A1) _ True Aquatic Plants (B14) _ 5parsely Vegetated Conqve Surtace (68)
� High Water Table (A2) _ Hydrogen Sulfide Odor (C1) � Drainage Pattems (B10)
� Saturatlon (A3) _ Oxidized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (616)
_ Water Marks (61) _ Presence of Reduced Iron (C4) _ Dry-Season Water Table (C2)
_ Sediment Deposits (B2) _ Recent Iron Reduction in Tilled Soils (C6) _ Crayfish Burrows (C8)
_ Dr'rft Deposits (63j _ Thin Muck Surface (C7) _ Saturation vsible on Aerial Imagery (C9)
_ Algal Mat or Crust (64) _ Other (Explain in Remarics) _ Stunted or SUessed Plants (D1)
_ Iron Deposits (BS) _ Geomorphic PosiGon (D2)
_ Inundation Visible on Aerial Imagery (67) _ Shallow Aquitard (D3)
_ Water-Stained Leaves (B9) _ Microtopographic Relief (D4)
_ Aquatic Fauna (613) _ FAC-Neutral Test (D5)
Fleld Observatlons:
Surtace Water Present? Yes% No Depth (inches): {
Water Table Present? Yes ,� No Depth (inches): 2.,
Saturation Present? Yes �� No Depth (inches): � Wetland Hydrology Present9 Yes � No
includes ca illa fin e
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastem Mountains and Piedmont — Version 2.0

VEGETATION (Four Strata) — Use scientific names of plants.
Tree Stratum (Plot size: ) ° Cover S�ecies? Status
1.
2.
3.
4.
7
Saalina/Shrub Stratum (Plot size: )
1.
Sampling Point: DPS
Dominance Test workshest:
Number of Dominant Species
That Are OBL, FACW, or FAC: �(A)
Total Number of Dominant
Species Across All Strata: � (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: _� (A/B)
Total % Cover of: Multiolv bv:
= Total Cover
OBL species � x 1 = �
FACW species �S x 2= Sb
FAC species 3,S x 3= / Q.s
FACU species �� x 4= � Q�
UPL species � x 5= g
Column Totals: � (A) �_ � (g)
6.
Prevalence Index = B/A = �. �
7.
Hydrophytic Vegetatlon Indicators:
8. —
1- Rapid Test for Hydrophytic Vegefation
9.
� 2 - Dominance Test is >50%
10.
� 3- Prevalence Index is 53.0'
= Total Cover 4- Morphological Adaptations' (Provide supporting
Herb Stratum (Plot size: S ) �/ data in Remarks or on a separate sheet)
1t�r-�'uCA ru.br�. 7� 1 �AC,I,I,, � Problematic Hydrophy6c Vegetation' (Explain)
z. v�n i caro��eAn uw.. v� �nniv�eu �nn 3 S ��RC.
3��c., �ni�P_�,►1�nn G'ov�nv�n���-a'hnw` 5 �.�G� 'Indicators of hydric soil and weUand hydrology must
r � 9 b e p r e s e n t, u n l e s s d i s t u r b e d or pro b lema tic.
4.T � i G �A����oV � � �2,�� 11 Z.S �. �
�
Deflnitlons of Four Vegetatlon Strata:
r�
10
11
12
Woodv �ne Stratum (Plot size: )
1.
2.
8s = Total Cover
= Total Cover
Tree - Woody plants, exGuding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft(1
m) tall.
Herb - All herbaceous (non-woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody vine - All woody vines greater than 3.28 ft in
Hydrophytic
Vegetadon
Present? Yes � No
Remarks: (Include photo numbers here or on a separate sheet.)
�A,,�.�,�,� CZOu� - �(e���i-L'°� ��-� �. Seec� rv�.X � Ot�E �Ro�
�o w� �
5a°Io = 4-Z. �
Zo�n � 17
US Army Corps of Engineers Eastem Mountains and Piedmont - Version 2.0

SOIL Sampling Point: ��J
Proflle DescripUon: (Describe to the depth needed to document the Indlcator or conflrm the absence of indicators.)
Depth Matrix Redox Features
(inchesl Color (moistl % Color (moistl % Tvne, LocZ Texture Remarks
o - co LoYf� `'�z �� .5Y�e �'I c� � � �� �� ,1�►.T t r�. ,.
'T : C=Concentration D=De letion RM=Reduced Matrix, MS=Masked Sand Grains. ZLocation: PL=Pore Linin M=Matrix.
Hydric Soil Indicators: Indicators for Problematic Hydric Soils':
_ Histosol (A1) _ Dark Surtace (S7) _ 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2) _ Polyvalue Below Surtace (S8) (MLRA 147, 148) _ Coast Prairie Redox (A16)
_ Black Histic (A3) _ Thin Dark Surface (S9) (MLRA 147, 148) (MLRA 747,148)
_ Hydrogen Su�ide (A4) Loamy Gleyed Matrix (F2) _ Piedmont Floodplain Soils (F19)
_ Stratified Layers (A5) � Depleted Matrix (F3) (MLRA 136, 147)
_ 2 cm Muck (A10) (LRR N) _ Redox Dark Surtace (F6) _ Very Shallow Dark Surtace (TF12)
_ Depleted Below Daric Surtace (A11) _ Depleted Dark Surtace (F7) _ Other (Explain in Remarks)
Thick Dark Surtace (Al2) _ Redox Depressions (FS)
_ Sandy Mucky Mineral (S1) (LRR N, _ Iron-Manganese Masses (F12) (LRR N,
MLRA 147, 148) MLRA 136) �
_ Sandy Gleyed Matrix (S4) _ Umbric Surtace (F13) (MLRA 736,122) 3lndicators of hydrophytic vegetation and
_ Sandy Redox (S5) _ Piedmont Floodplain Soils (F19) (MLRA 148) wetland hydrology must be present,
Stripped Matrix (SB) Red Parent Material (F21) (MLRA 127, 147) unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches): Hydric Soll PresentT Yes � No
Remarks:
US Army Corps of Engineers Eastem Mountains and Piedmont — Version 2.0

wE
WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
ProjecUSite: ��/ 3% C lCountv: � 1JdV�cLS t1n Sampling Date: �-�-(-'�
ApplicanUOwner. �` C S)OY State: ��� Sampling Point: i..e-tip
Investigator(s): �.�� �\ �TS�nP_ ��Un Section, Township, Range:
Landfortn (hillslope, terrace, etc.): SV.1Q.,Q. Local relief (concave, convex, none): COYu'� �!� Slope (°h): '�J
Subregio LRR MLRA): �O Lat: c35, S�O ZZ�P �?j � Long: �� . I S 2� 318 7 Datum: yvGS I�S��
Soil Map Unit Name: - 6 S� NWI classfication: ���
Are Gimatic / hydrologic conditions on the site typical for this time of year? Yes � No (If no, explain in Remarks.)
Are Vegetation , Soil , or Hydrology significantly disturbed? Are "Normai Circumstances' present? Yes � No
Are Vegetatlon , Soil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes � No
Hydric Soil Present7 Yes �. No
Wetland Hydrology Present? Yes �_ No
Remarks: �i a�� ZOY�.2 V`��
}-�e.adwafer {orest"
HYDROLOGY
Is the Sampled Area
within a Wetland? Yes �_ No
Wetland Hydrology Indicators: Secondarv Indiptors (minimum of rivo reauiredl
Primarv Indicators (minimum of one is reauired: check all that aonlv) _ Surface Soil Cracks (66)
_ Surtace Water (A1) _ True Aquatic Plants (814) Sparsely Vegetated Concave Surface (BS)
_ High Water Table (A2) _ Hydrogen Sulfide Odor (C1) � Drainage Pattems (810)
_ Saturation (A3) _ Oxidized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (B18)
_ Water Merks (B1) _ Presence of Reduced Iron (C4) _ Dry-Season Water Table (C2)
Sediment Deposits (B2) _ Recent Iron Reduction in Tilled Soils (C6) _ Crayfish Burrows (C8)
� Drift Deposits (B3) _ Thin Muck Surtace (C7) Saturation vsible on Aerial Imagery (C9)
_ Algal Mat or Crust (B4) _ Other (Explain in Remarks) � Stunted or Stressed Plants (D1)
_ Iron Deposits (BS) _ Geomorphic Position (D2)
_ Inundation vsible on Asrial Imagery (B7) _ Shallow Aquiterd (D3)
_ Water-5tained Leaves (B9) _ Microtopographic Relief (D4)
_ Aquatic Fauna (B13) _ FAC-Neutral Test (D5)
Field Observatlons:
Surtace Water Present? Yes No � Depth (inches):
Water Table Present? Yes � No Depth (inches): �b��
��
Saturation Present? Yes : No Depth (inches): �Ip Wetland Hydrology Present? Yes No
includes ca illa fin e
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastem Mountains and Piedmont - Version 2.0

VEGETATION (Four Strata) — Use scientific names of plants.
� Absolute Dominant Indicator
Tree Stratum (Plot size: � ) ° Cover Scecies? Status
�. C�T s rarn�,v�; n a, _� _� Fa�L
2. P � �.t��`, s �; aP�.t�,�s � � �
s. �,.� n . ;;�r,�,._, � � �
7
Saolina/Shrub Stratum (Plot size: OS, � ��� - Total Cover
�. carQ►_n,bs c�ro\�.n: ��e� S �_ ��
2.
3.
4.
5.
6.
7.
10.
5 a r'J = Total Cover
Herb Siratum (Plot size: )
1. S iM �`Q Y �n{� � ��0� �Ol� � �_ � L
7
10
11
'rJ = Total Cover
Woodv Vine Stratum (Plot size: )
1.
2.
3.
4.
5.
6. _
here or on a separate sheet.)
S�a(.� Go�w
Sb°/o = Z7, s'
ZOa/o = I 1
= Total Cover
Sampling Point: D��o
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: S (A)
Total Number of Dominant
Species Across All Strata: � (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: / 00 �q�g�
Prevalence Index worksheet:
Total % Cover of: Muftiolv bv:
OBL species x 1 =
FACW species x 2 =
FAC species x 3 =
FACU species x 4 =
UPL species x 5 =
Column Totals: (A) (B)
Prevalence Index = B/A =
Hydrophytic Vegetatlon Indicators:
_ 1- Rapid Test for Hydrophytic Vegetation
i� 2- Dominance Test is >50%
_ 3- Prevalence Index is 53.0'
_ 4 - Morphological AdaptaGons' (Provide supporting
data in Remarks or on a separate sheet)
_ Problematic liydrophytic VegetaGon' (Explain)
'Indicators of hydric soil and weUand hydrology must
be present, unless disturbed or problematic.
Deflnitlons of Four Vegetatlon Strata:
Tree - Woody plants, exGuding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft(1
m) tall.
Herb - All herbaceous (non-woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody vine - All woody vines greater than 3.28 ft in
Hydrophytic
Vegetatlon
PresentT Yes � No
US Army Corps of Engineers Eastem Mountains and Piedmont - Version 2.0

SOIL Sampling Point: ��1�
Proflle Descriptlon: (Descrlbe to the depth needed to document the indicator or conflrm the absence of Indicators.)
Depth Matrix Redox Features
(inchesl C °10 Color (moistl % Tvoe, Loc2 Texture Remarks
��4 10 2 3/ loo ��
4_�� 2,5Y g1a l� S 5/Z 2S D M �
5YR'�/� 1� G M
! f� - 20 2. SY�Z 60 SY S7Z 25 D �_ �C� 1lv� Sp�, �,oa(
54'2'�Ir� ! � �- '�
'T ; C=Concentration �D letion RM=Reduced Matrix MS=Masked Sand Grains. zLocatlon: PL�Pore Linin M-Matrix.
Hyd�ic Soil Indicators: Indlcato�s for Problematic Hydric 3oils':
_ Hislosol (A7) _ DaNc Surface (S7) _ 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2) _ Polyvalue Below SurFace (S8) (MLRA 147, 148) _ Coast Prairie Redox (A16)
_ Black Histic (A3) _ Thin Dark Surtace (S9) (MLRA 147, 148) (MLRA 147, 148)
_ Hydrogen Sulfide (A4) Loamy Gleyed Matrix (F2) _ Piedmont Floodplain Soils (F19)
_ Stratlfied Layers (AS) � Depleted Matrix (F3) (MLRA 138, 147)
_ 2 cm Muck (A10) (LRR N) _ Redox Dark Surface (F8) _ Very Shallow Dark Surtace (TF12)
_ Depleted Below Dark Surface (A11} _ Depleted Dark Surface (F7) _ Other (�xplain in Remarks)
_ Thick Dark Surface (Al2) _ Redox Depressions (FS)
_ Sandy Mucky Mineral (S1) (LRR N, _ Iron-Manganese Masses (F12) (LRR N,
MLRA 747, 148) MLRA 138)
_ Sandy Gleyed Matrix (S4) _ Umbric Surtace (F13) (MLRA 136,122) 3lndicators of hydrophytic vegetation and
_ Sandy Redox (S5) _ Piedmont Floodplain Soils (F19) (MLRA 148) wetland hydrology must be present,
Stripped Matrix (S6) Red Parent Material (F21) (AALRA 127,147) unless disturbed or problematic.
ResMctive Layer (if observed):
Type: �
Depth (inches): Hydric Soll Present? Yes � No
Remarks:
US Army Corps of Engineers Eastem Mountains and Piedmont - Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
ProjecUSite: 'rJ% �7 Ci Coun �v�c,Spl� Sampling Date: +- � q- ��
ApplicanUOwner: ��'�DT State: ��'� Sampling Point DP �
Inves6gator(s): 1� .�� � � � T S�P. y'�"i)� Secdon, Township, Range:
Landfortn (hillslope, terrace, etc.): �wa1� Local relief (concave, convex, none):��'1CAV� '�CA�VQ.lf Slope (%): '`�j
Subregion �R r�: � I. V 31D �at: 3S . glol �{ �]90 3 Long: g0 ./ gO Z 70 /L) Datum: W�S 19g�i
Soil Map Unit Name: �i��� O�.+c� � ��r��a�}' CA,nn,�\2a� �\S Z�/o S\,o[�S NWI classifica6on: P�O
Are Gimatic / hydrologic conditions on the site typical for this dme of year? Yes X No (If no, explain in Remarks.)
Are Vegetation , Soil , or Hydrology significan0y disturbed? Are 'Nortnal Circumstances" present? Yes �_ No
Are Vegetation , Soil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes � No
Hydric Soil Present7 Yes � No
Wetland Hydrology PresentT Yes �� No
Remarks: �,.�A� � ��
}��.,oa.� cre.s�-
HYDROLOGY
Is the Sampled Area
within a Wetland? Yes �_ No
Wetland Hydrology Indicators: Secondarv Indicators (minimum of two reauiredl
Primarv Indicators (minimum of one is reauired• check all that aoolvl _ Surtace Soil Cracks (B6)
_ Surface Water (A1) _ Tnie Aquatic Plants (B14) _ Sparsely Vegetated Concave Surface (B8)
_ High Water Table (A2) _ Hydrogen Sulfide Odor (C1) � Drainage Pattems (B10)
_ Saturation (A3) _ Oxidized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (B18)
_ Water Marks (B1) _ Presence of Reduced Iron (C4) _ Dry-Season Water Table (C2)
Sediment Deposits (B2) _ Recent Iron Fteduction in Tilled Soils (C6) _ Crayfish Burrows (C8)
� Drift Deposits (B3) _ Thin Muck Surtace (C7) _ Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (B4) _ Other (Explain in Remarks) _ Stunted or Stressed Plants (D1)
_ Iron Deposits (BS) _ Geomorphic Position (D2)
_ Inundation Vsible on Aerial Imagery (B7) _ Shallow Aquitard (D3)
_ Water-Stained Leaves (89) _ Microtopographic Relief (D4)
_ Aquatic Fauna (613) _ FAC-NeuVal Test (DS)
Field ObservaUons: �/
Surtace Water Present? Yes No /� Depth (inches):
Water Table Present? Yes No �_ Depth (inches):
Saturation Present? Yes No �_ Depth (inches): WeUand Hydrology Present? Yes � No
includes ca illa frin e
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastem Mountains and Piedmont - Version 2.0

VEGETATION (Four Strata) — Use scientific names of plants.
m Absolute Dominant Indicator
Tree 5tratum (Plot size: � ) ° Cover Soecies� Status
�.�, r.a�ra, 15 N �
2. ��fi.�1 D�Y1�S.S O[�_.l d f� r��-Q L�S �_ � F,�GW
3. CQdOi� S� CA�/D�Y�AV�Ia, �� � f�(d
4. i�C.2Y �('u�C►f'U.YY� f 'J� �_ �p�G
7
F �� = To4al Cover
SaolinqlShrub SVatum (Plot size: � �_)
1. ��� t�n S � � [G�S � S �_ �
2. Zl�x ooacn� . �' �_ �n„c� ►1
3. Q\Gl'Tl��v.S (XC'i r o,Y��\� S '�J �'� 'C,b'�
7
r S = Total Cover
Herb Stratum (Plot size: 5 )
1. ���1 US�I(V�YY\ S 1 Y� P�v\S ei 5 ��
2. bolu '�� nC_�o�-�jLka� deS S ���
�
�
1C
11
3�� I � = Total Cover
Woodv Vne Stratum (Piot size: )
,.I�r;�c��ra. �a�oY.:�n... 5 i ��
2.-�r„t i c_nc9 a.. r�►,�� �a� � c� ..ti c � r� ��
� � = Total Cover
Remarks: (Include photo numbers here or on a separate sheet.)
7��%n C.OJ�1/ /J���" �O%�
sz> �= Z5 sD = 7. S �, = s
7A%=�c7 Zo=3 ?��Z
Sampling Point: � 7
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: � (A)
Total Number of Dominant
Species Across All Strata: �_ (B)
Percent of Dominant Species o
That Are OBL, FACW, or FAC: � Z/o (A/B)
Prevalence Index worksheet:
Total °� Cover of: Multiolv bv:
OBL species x 1 =
FACW species x 2 =
FAC species x 3 =
FACU species x 4 =
UPL species x 5 =
Column Totals (A) (B)
Prevalence Index = B/A =
Hydrophytic Vegetatlon Indicators:
1- Rapid Test for Hydrophytic Vegetation
� 2 - Dominance Test is >50%
_ 3- Prevalence Index is 53.0'
_ 4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
_ Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and weUand hydrology must
be present, unless disturbed or problemadc.
Deflnitlons of Four Vegetatlon Strata:
Tree — Woody plants, exGuding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
heighf.
Sapling/Shrub — Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft(1
m) tall.
Herb — All herbaceous (non-woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody vine — All woody vines greater than 3.28 ft in
Hydrophytic
Vegetatlon
Present? Yes � No
US Army Corps of Engineers Eastem Mountains and Piedmont — Version 2.0

SDIL Sampling Point: ��
Proflle DescrlpUon: (Describe to the depth needed to document the Indicator or conflrtn the absence of Indicators.)
Depth Matrix Redox Features
(inches) Color (moistl % Color (moist) °!o Tvne, Loc2 Texture Remarks
U' T 0d�',e �1'3 �o� �--
� -Tj 2.5'j �L �� �g3/4 3o C �� �
�3-7� 2.5 � �.sYR`�lb �_� M� L
'T : C=Concentration D=De IeGon RM=Reduced Matrix MS=Masked Sand Grains. ZLocation: PL=Pore Linin M=Matrix.
Hydric Sotl Indicators: Indicators for Probiematic Hydric Soils':
_ Histosol (A1) _ Dark Surtace (S7) _ 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2) _ Polyvalue Below Surface (S8) (MLRA 147, 748) _ Coast Prairie Redox (A16)
_ Black Histic (A3) _ Thin Dark Surtace (S9) (MLRA 147, 148) (MLRA 147, 148)
_ Hydrogen Sulfide (A4) Loamy Gleyed Matrix (F2) _ Piedmont Floodplain Soils (F19)
_ Stratified Layers (A5) � Depletec! Matrix (F3) (MLRA 136,147)
_ 2 cm Muck (A10) (LRR N) _ Redox Dark Surtace (F6) _ Very Shallow Dark SuAace (TF12)
_ Depleted Below Dark Surtace (A11) _ Depleted Dark Surtace (F7) _ Other (Explain in Remarks)
_ Thick Dark Surtace (A72) _ Redox Depressions (F8)
_ Sandy Mucky Mineral (S1) (LRR N, _ Iron-Manganese Masses (F12) (LRR N,
MLRA 14T, 148) MLRA 136)
_ Sandy Gleyed Matrix (S4) _ Umbric Surtace (F13) (MLRA 136, 122) 3lndicators of hydrophytic vegetation and
_ Sandy Redox (S5) _ Piedmont Floodplain Soils (F19) (MLRA 148) wetland hydrology must be present,
Stripped Matrix (S6) Red Parent Material (F21) (MLRA 127, 747) unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches): Hydric Soll Present? Yes �_ No
Remarks:
US Army Corps of Engineers Eastem Mountains and Piedmont — Version 2.0

�PL
WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
ProjecUsite: R5737 Ci Coun �otv.�S� � Sampling Date: �—Z�`j —� �
ApplicanUOwner: N CUOT State: C
�_ Sampling Poirit: pP$
Investigator(s): �.�11 �T �h�l�e�n Section, Township, Range:
Landfortn (hillslope, terrace, etc.): h.��SOo� Local relief (concave, convex, none): C1�Y�V�.X Slope (%): �� �ts
Subregion LR ML : P�l3(e Lat: 35.�IDZ�g�o� Long: $�. �7or'J�) %Z Datum:y��s 19g•�
Soil Map Unit Name: E l� 2X"—W �� S NWI classification: Ui�L
Are Gimatic / hydrologic conditions on the site typical for this time of year? Yes �, No (If no, explain in Remarks.)
Are Vegetation , Soil , or Hydrology significantly disturbed? Are 'Normal Circumstances° present? Yes X No
Are Vegetation , Soil , or Hydrology nafurally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No X �S U1e gampled Area
Hydric Soil Present? Yes No x
Wetland H drol W��� a Wetland? Yes No x
y ogy Present? Yes No X
uuP�. � r W21'la►r�d Z4�S v,1Cr l W N � w�
HYDROLOGY
Wetland Hydrology Indicators: Secondarv Indicators (minimum of iwo reauired)
Primarv Indicators (minimum of one is reauired: check all that anolvl _ Surface Soil Cracks (B6)
_ Surtace Water (A7 ) _ True Aquatic Plants (614) _ Sparsely Vegetated Concave Surtace (B8)
_ High Water Table (A2) _ Hydrogen Sulfide Odor (C1) _ Drainage Pattems (B10)
_ Saturation (A3) _ Oxidized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (616)
_ Water Marks (B7) _ Presence of Reduced Iron (C4) _ Dry-Season Water Table (C2)
_ Sediment Deposits (B2) _ Recent Iron Reducdon in Tilled Soils (C6) _ CrayBsh Burrows (C8)
_ Drift Deposits (B3) _ Thin Muck Surface (C7) _ Saturation Vsible on Aerial Imagery (C9)
_ Algal Mat or Crust (B4) _ Other (Explain in Remarks) _ Stunted or SVessed Plants (D1)
_ Iron Deposits (B5) _ Geomorphic Position (D2)
_ Inundation �sible on Aerial Imagery (B7) _ Shallow Aquitard (D3)
_ Water-Stained Leaves (69) _ Microtopographic Relief (D4)
_ AquaUc Fauna (B13) _ FAC-Neutral Test (D5)
Field Observatlons:
Surtace Water Present? Yes No Depth (inches):
Water Table Present? Yes No Depth (inches):
Saturation Present? Yes No Depth (inches): Wetland Hydrology Present� Yes No�
includes ca illa fin e
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastem Mountains and Piedmont — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Tree Stratum (Plot size: 30� ) ° Cover Soecies� Status
�. L"�r�odew�ro,n -E-f.l',��i �a. �25 � �
2. ��nu S '�A Pf:�a. Z.5 �_ ��
s. �aus qY�w�'�� \: a, 5 N FA�GvI,
a. �tex ru�bruv�n 10 N F,4L
s. Q.A��r.u.s a�hr�.. !� N F'�
s. C��Y.v�S � � or � do,� � _� F��u-
7.
8.
$� = Total Cover
Saolina/Shrub Stratum (Plot size: 15� )
�.�Faaus ctrah�l�{'o��a. 5 Y �,r� ��-
z. Prt:2Y �� �bruY.n r �� FAG
3. C�.rSiS ca�nade�ns� s 5 �� FAU1�.
5.
6.
7.
Herb Stratum (Plot size: Jc� �- Total Cover
)
�. Lor�ic,err� �aaoY,��a. �� Y �a�C"
2. �o\uS'�'1Gh�AV�n Q['MS�I �o�c�.P- S � FaG
3.
5.
6.
7.
8.
9.
10.
11.
12.
3O� �S - Total Cover
Woodv vne Stratum (Plot size: )
1. v��1 S QeS�'1�%i: S 'r',� _� �,R4Ul..
S = Total Cover
Remarks: (Include photo numbers here or on a
�°�0 15°!0
SD= Y� So=�.S
Z.O = 1 fo Zo = 3
• Sampling Point: �P$
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: �(A)
Total Number of Dominant 8
Species Across All Strata: (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: Sv (AJB)
Prevalence Index worksheet:
Total % Cover of: Multiolv bv:
OBL species � x 1= �
FACW species � x 2= �
FAC species 5 S x 3= �♦oS
FACU species %� x 4= Zy �
UPL species � x 5= p
Column Totals: I15 (A) �OS (B)
Prevalence Index = B/A = 3. 5;�
Hydrophytic Vegetatlon Indicators:
_ 1- Rapid Test for Hydrophytic Vegetation
_ 2 - Dominance Test is >50%
_ 3- Prevalence Index is 53.0'
_ 4 - Morphological Adaptatians' (Provide supporting
data in Remarks or on a separate sheet)
_ Problemadc Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and weUand hydrology must
be present, unless disturbed or problematic.
Deflnitlons of Four Vegetatlon Strata:
Tree - Woody plants, exGuding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
SaplinglShrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft(1
m) tall.
Herb - All herbaceous (non-woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody vine - All woody vines greater than 3.28 ft in
Hydrophytic
Vegetatlon �(
Present? Yes No /\
US Army Corps of Engineers Eastem Mountains and Piedmont - Version 2.0

$�IL SampNng Point: DP$
Proflle Description: (Descrlbe to the depth needed to document the Indlcator or conflrm the absence of indicators.)
Depth MaVix Redox Features
(inchesl lor o' % Color (moistl % Tvoe, Loc2 Texture Remarks
�1�3 1e5�IQ2� 2 �00 _� �rqqY►1L
�-l� �. �`fR`I� �10 _� �
(0-12 �.�r-� 4�3 100 _�
'T : C=ConcenUation D�D letion RM=Reduced Matri MS=Masked Sand Grains. 'Location: PL�Pore Lini M�Matrix.
Hydric 3oil Indicators: Indicetors for Problematic Hydric Soils':
_ Histosol (A1) _ Dark Surface (S7) _ 2 cm Muck (A10) (MLRA 147)
_ His4ic Epipedon (A2) _ Polyvalue Below Surtace (S8) (MLRA 147, 148) _ Coast Prairie Redox (A18)
_ Black Histic (A3) _ Thin Dark Surface (S9) (MLRA 147, 148) (MLRA 147, 148)
� Hydrogen Sulfide (A4) _ Loamy Gleyed Matrix (F2) _ Piedmont Floodplain Solls (F19)
_ StraUfied Layers (A5) _ Depleted Matrix (F3) (AALRA 136,147)
_ 2 cm Muck (A10) (LRR N) _ Redox Da�lc Su�face (F8) � Very Shallow Dark Surtace (TF12)
_ Depleted Below Dark Surtace (A11) _ Depleted Dark Surtace (F7) _ Other (Explain in Remarks)
Thick Dark Surtace (Al2) _ Redox Depressions (F8)
Sandy Mucky Mineral (S1) (LRR N, _ Iron-Manganese Masses (F12) (LRR N,
MLRA 147, 148) MLRA 736)
Sandy Gleyed Matrix (S4) _ Umbric Surtace (F13) (MLRA 136,122) 'Indicators of hydrophytic vegetation and
_ Sandy Redox (S5) _ Piedmont Floodplain Soils (F79) (MLRA 148) wetland hydrology must be present,
Stripped Matrix (S6) Red Parent Material (F21) (MLRA 127, 147) unless disturbed or problematic.
RestHctive Layer (if observed):
Type:
DepYh (inches): Hydric Soll PresentT Yes No �
Remarks:
US Army Corps of Engineers Eastem Mountains and Piedmont - Verslon 2.0

��
WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
ProjecUSite: R 5%�J% Cily oun �QV �dSp � Sampling Date: `'�-5—��
ApplicanUOwner: N G pO'r State:
�_ Sampling Point: �
Invesdgato�(s): $. g� �� �T ��Pd��dl Section, Township, Range:
Landform (hillslope, terrace, etc.): fioud�lA►v� ��il' Local relief (concave, convex, none): Co �Caµ�, Slope (%): `o�
Subregion�o�ALI�): P' 13tp Lat: 3S• $� 4 ��b `2 Long: �SO .( 7$10►�}-Z'Z Datum: W�pS \°�$y
Soil Map Unit Name: Gh�c Ck�Pv�IACaA. �6ZIrn� 0�Z°�o S�o6�►2S NWI dassfication: �FO
Are Gimatic / hydrologic conditions on the site typical for this time of yeai`? Yes � No (If no, explain in Remarks.)
Are Vegetation , Soil , or Hydrology significantly dislurbed? Are "Normal Circumstances' present? Yes � No
Are Vegetation , Soil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetatlon Present? Yes _� No
Hydric Soil Present7 Yes c� No
Wetland Hydrology Present? Yes _� No
emarks: ��Av� Zo�� �J�
g,otto�\av� lnardwpQo6 �O�S,-�
HYDROLOGY
Is the Sampled Area
wkhin a WeUand? Yes �� No
Wetland Hydrology Indicators: Secondarv Indicators (minimum of two reauiredl
Primarv Indicators (minimum of one is reauired: check all that aoclvl _ Surtace Soil Cracks (B6)
_ Surtace Water (A1) _ True Aquatic Plants (B14) _ Sparsely Vegetated Cancave Surtace (68)
� High Water Table (A2) _ Hydrogen Sulfide Odor (C1) X Drainage Pattems (810)
_ Saturation (A3) _ Oxidized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (B76)
_ Water Marks (61) _ Presence of Reduced Iron (C4) _ Dry-Season Water Table (C2)
� Sediment Deposits (82) _ Recent Iron Reduction in Tilled Soils (C6) _ Crayfish Burrows (CS)
_ Drift Deposits (63) _ Thin Muck Surtace (C7) _ Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (B4) _ Other (Explain in Remarks) _ Stunted or Stressed Plants (D1 }
_ Iron Deposits (B5) _ Geomorphic Position (D2)
Inundation vsible on Aerial Imagery (B7) _ Shallow Aquitard (D3)
X Water-Stained Leaves (69) _ Microtopographic Relief (D4)
_ Aquatic Fauna (B13) _ FAC-Neutral Test (D5)
Ffeld Observatlons:
Surface Water Present? Yes No X Depth (inches):
Water Table Present? Yes � No Depth (inches): S
Saturation Present? Yes No � Depth (inches): Wetland Hydrology PresentT Yes � No
includes ca illa frin e
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastem Mountains and Piedmont — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
,. ��Tree Stra (Plot size: �+ ) ° Cover Soecies? Status
�,-v,s �cc;�le�.t�.�s 3° Y �
2. ArGe+r �f ub rurv� � � �
3. C��,nv.S COI�rO����GV�(7l. 5 n% FP•
a. \ 5 N �aw
5. � 1Y�o�E�n�rC�n -�p,.�:G�� dt... �� I�i FAGIa
6.
7.
8.
� �D = Total Cover
Saolina/Shrub Stratum (Plot size: � S )
1.S'ra�P� r�uS CA►�i \�►�► av�Li.- { �
2. _
3. _
4. _
5. �
6.
7.
8.
9.
10.
���
P � = Total Cover
Herb Stratum (Plot size: )
�. �0.ruY.d��na�r� a�. c� ��,n�nt P�. `+o � Fi�c,v�!
2. Go��ex c,r', �,�n�. c �/ o6L
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
• �e,, , �-+'S = Total Cover
Woodv Vine Stratum (Plot size: �.+ )
�.Tox � c.od�►�dran ra�d;cans 3o Y F.4G
2. V�tis r�►�ar�a 5 N FAcv✓
3.
4.
5.
6.
3S = Tota� Cover
temarks: (Include photo numbers here or on a separate sheet.)
Cj0% �% 35°)c
�cp=45 Sa=zZ.S �s I?.S�
Zo= Ig Zo' 9 z-A � 7
Sampling Point: ��9
Number of Dominant Species
That Are OBL, FACW, or FAC: s (A)
Total Number of Dominant
Species Across All Strata: s (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: IOD (A/B)
Index worksheet:
Total % Cover of: Multiolv bv:
OBL species S x 1= S
FACW species �� x 2= I(p0
FAC species $S x 3= Z 5 S
FACU species 1 D x 4= l.�p
UPL species � x 5= a
Column Totals: � $� (A) ''f'lo� (B)
Prevalence Index = B/A = Z . �
Hydrophytic Vegetatlon Indlcators:
_ 1- Rapid Test for Hydrophytic Vegetation
,� 2 - Dominance Test is >50%
� 3- Prevalence Index is 53.0'
_ 4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
_ Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft(1
m) tall.
Herb - All herbaceous (non-woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody vine - All woody vines greater than 3.28 ft in
Hydrophytic
Vegetatlon
Present7 Yes � No
US Army Corps of Engineers Eastem Mountains and Piedmont - Version 2.0

SOIL Sampling Pofnt: �P q
Proflle Descrlptlon: (Describe to the depth needed to document the Indlcator or conflrm the absence of Indicators.)
Depth Matrix Redox Features
(inchesl Color (moist) % Color (moist) % Tvpe, Loc2 Texture Remarks
-0 12 tvYR`��2 �ec� 7.'3YR`�/3 ?� � M �_I�
�•5YR5�� 2o C M
'T : C=ConcenVation D-D le4ion RM�Reduced_Matrix MS-Masked Sand Grains. xLocatlon: PL=Pore �.inl M=Malrix.
HydNc Soll Indicators: Indicators tor ProblemaGc HydMc Soils':
_ Histosol (A1) _ Dark Surface (S7) _ 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2) _ Polyvalue Below Surface �S8) (MLRA 147, 148) _ Coast Prairie Redox (A16)
Black Histic (A3) _ Thin Dark Surtace (S9) (MLRA 147, 148) (MLRA 147, 148)
_ Hydrogen Sulfide (A4) Loamy Gleyed Matrix (F2) _ Piedmont Floodplain Soils (F19)
_ StraUfied Layers (A5) ZC Depleted Matrix (F3) (MLRA 136, 147)
_ 2 cm Muck (A10) (LRR N) _ Redox Dark Surtace (F6) _ Very Shallow Dark Surtace (TF12)
_ Depleted Below Dark SurFace (A11) _ Depleted Dark Surtace (F7) _ Other (Explain in Remarks)
Thick Dark Surface (Al2) _ Redox Depressfons (F8)
Sandy Mucky Mineral (S1) (LRR N, _ Iron-Manganese Masses (F12) (LRR N,
MLRA 147,148) MLRA 138)
_ Sandy Gleyed Matrix (S4) _ Umbric Surface (F13) (MLRA 136, 122) 3lndicators of hydrophytic vegetation and
_ Sandy Redox (S5) _ Piedmont Floodplain Soils (F18) (MLRA 148) wetland hydrology must be present,
Stripped Matrix (S8) Red Parent Material (F21) (MLRA 127, 147) unless disturbed or problematic.
Reshicfive Layer (N observed):
Type:
Depth (inches): Hydric Soil Present? Yes � No
Remarks:
YV�A++�O�v�@SB. �'lQAr1(�..+M�
�
US Army Corps of Engineers Eastem Mountains and Piedmont - Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
ProjecUSite: � � 7 37 City ounty: __L1�aV ►�vl'0 _ Sampling Date: � - �-�� � �
ApplicanUOwner: ��OT State: �_ Sampling Point: p P� �
Inves6gator(s): �, B� (� �T J��2��0+/� Section, Township, Range:
Landform (hillslope, tertace, etc.): �IOof�PIA�h ��Gl� Local relief (concave, convex, none): �K1CAv2 i� C(}+�VCx Slope (%): �
Subregio LR o ML ): Q� `��,e �at: 35. �loO�j(p1o�-`'Z Long: g�• ��q0��'4� Datum: Wf�+ i�j8�
0
Soil Map Unit Name: i� ��2. o S� S NWI classfication: �p
Are Gimatic / hydrologic conditions on the site typical for this time of year? Yes �_ No (If no, explain in Remarks.)
Are VegetaUon , Soil , or Hydrology significantly disturbed? Are `Nortnal Circumstances' present? Yes � No
Are Vegetation , Soil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes � No
Hydric Soil Present? Yes �� No
Wetland Hydrology Present? Yes � No
HYDROLOGY
Is the Sampled Area
within a Wetland? Yes �_ No
Wetland Hydrology Indicators: Secondarv Indicators (minimum of two reauired)
Primarv Indicators (minimum of one is reauired: check all that aoolv) _ Surtace Soil Cracks (B6)
_ Surtace Water (A1) _ True Aquatic Plants (614) � Sparsely Vegetated Concave Surtace (88)
_ High Water Table (A2) _ Hydrogen Sulfide Odor (C1) ,� Drainage Pattems (B10)
_ Saturation (A3) _ Oxidized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (616)
Water Marks (61) _ Presence of Reduced Iron (C4) _ Dry-Season Water Table (C2)
� Sediment Deposits (B2) _ Recent Iron Reduction in Tilled Soils (C6) _ Crayfish Burrows (C8)
� Drift Deposits (B3) _ Thin Muck Surtace (C7) _ Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (B4) _ Other (Explain in Remarks) _ Stunted or SUessed Plants (D1)
_ Iron Deposits (BS) _ Geomorphic Position (D2)
Inundation �sible on Aerial Imagery (B7) _ Shallow Aquitard (D3)
� Water-Stained Leaves (B9) _ Microtapographic Relief (D4)
_ Aquatic Fauna (B13) _ FAC-Neutral Test (D5)
Fleld Observatlons:
Surtace Water Present? Yes No r� Depth (inches):
Water Table Present? Yes No ( Depth (inches):
Saturation Present? Yes No � Depth (inches): WeUand Hydrology Presentl Yes _�___ No
includes ca illa frin e
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastem Mountains and Piedmont - Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
, Absolute Dominant Indicator
Tree Stratum (Plot size: 30 ) ° Cover Soecies? S atus
,. � -t' 3O Y �"�
2. t�,�r�odP�ndr� �,�.�:..�. a. 25 i FAGU..
s. P\a.ara,�n.�s occ��vct-a�.:s Z5 � F��
a. carp��r.v�s c�.�ro�;.v�:av.a. 10 N F�
7
� �Q = Total Cover
Saolina/Shrub Stretum (Plot size: �S )
�. carp�nu.s caw\.��aY.n�_ 5 `( ��
7
, 5 = Total Cover
Herb Stratum (Plot size: � )
1, c ' Y� Y S 1 �A V1�
2. Src��`Qy fU'�1.1Y�.� ►a.. 5 � �
a
10
11
12
Woodv vne Stratum (Plot size: 30� )
,. V;�is r�oari ct.
Remarics: (Include photo numbers
q Q°%
,� = �S
ZA ^- 1$
or on a separate
� � = Total Cover
s Y Fac
5 = Total Cover
Sampling Point:
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: �_ (q)
Total Number of Dominant
Species Across�All Strata: � (B)
Percent of Dominant Species $S
That Are OBL, FACW, or FAC:
worksheet:
�as�
Total % Cover of: Muttiolv bv:
OBL species x 1 =
FACW species x 2 =
FAC species x 3 =
FACU species x 4 =
UPL species x 5 =
Column Totals: (A) (B)
Prevalence Index = B/A =
Hydrophytic Vegetatlon Indicators:
1- Rapid Test for Hydrophytic Vegetation
X 2- Dominance Test is >50%
_ 3- Prevalence Index is 53.0'
_ 4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
_ Problematic Hydrophytic Vegetation' (Explain)
'Indiptors of hydric soil and weUand hydrology must
be present, unless disturbed or problematic.
Deflnitlons oi Four Vegetatlon Strata:
Tree - Woody plants, exGuding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft(1
m) tall.
Herb - All herbaceous (non-woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody vine - All woody vines greater than 328 ft in
Hydrophytlt
Vegetatlon
Present? Yes � No
US Army Corps of Engineers Eastem Mountains and Piedmont - Version 2.0

SOIL Sampling Point: � 1� � �
Proflle Descriptlon: (Descrlbe to the depth needed to document the Indicator or conflrtn the absence of Indicators.)
Depth Matrix Redox Features
(inchesl Color (moistl % Color (moistl % Tvoe, LocZ Texture Remarks
o-y loY�e`��� !00 CL-
4- b 10 `�/ 8'0 .s R`� 2fl C PV CL.
�-�a �oYR'�3 � 5YR'�i� 3o c�_ e�
'T : C=Concentration D=De letion RM=Reduced MaVix MS=Masked Sand Grains. 'Location: PL=Pore Linin M=MaVix.
Hydric Soll Indicators: Indicators for Problematic Hydrit Solls':
_ Histosol (A1) _ Dark Surface (S7) _ 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2) _ Polyvalue Below Surtace (S8) (MLRA 147, 148) _ Coast Prairie Redox (A18)
_ Black Histic (A3) _ Thin Dark Surface (S9) (MLRA 147, 148) (MLRA 147, 148)
_ Hydrogen Sulfide (A4) _ Loamy Gleyed MaVix (F2) � Piedmont Floodplain Soils (F19)
_ Stratified Layers (AS) _ Depleted Matrix (F3) (MLRA 136,147)
_ 2 cm Muck (A10) (LRR N) _ Redox Dark Surface (F6) _ Very Shallow Dark Surtace (TF12)
_ Depleted Below Dark Surface (A11) _ Depleted Dark Surtace (F7) _ Other (Explain in Remarks)
_ Thick Dark Surface (Al2) _ Redox Depressions (F8)
_ Sandy Mucky Mineral (S1) (LRR N, _ Iron-Manganese Masses (F12) (LRR N,
MLRA 147, 148j MLRA 136)
_ Sandy Gleyed Matrix (54) _ Umbric Surtace (F13) (MLRA 136, 122) 'Indicators of hydrophytic vegetation and
_ Sandy Redox (SS) _ Piedmont Floodplain Soils (F19) (MLRA 148) weUand hydrology must be present,
Stripped Matrix (S6) Red Parent Material (F21) (MLRA 127, 147) unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches): Hydric Soll Present7 Yes �_ No
Remarks:
��-�.. Pa;�t- +�.x��.. i� � oPe,�, �.,.a�,►.�cr3e, o�e.a. e� -�iood��lai�,, W��.
de�s',-ha., ba.rs aN.cQ. �a��c, c.�+.hr�s_ `�:��. a�e.o�s ��- b�s 2x.1�;,�a;}-
s�o:\s �;.stied �r S � �\ �re�;1Q, . �w o�-e.as �r.�ow� h�g� w a+� -4-a.1�1� Lwl �h
2. -'�-� " o � 5.�,..r-�, �„�. � � �2,��e�e� N/��v� x . �-�- � s ��, �'h� de�l:,�etx.x:�'o ss
�a�£esS�o+�a.� o����ar� -�D�� ��s o��C2,0., '�s � W2�A� �nl�'�M ipr�bl�w�A-'hG
�c So,\s a.w� -�Co �Y�eo�o�,,,,-'t -�10 �d;� o„�d, �Y.-�,S,v�e. �1�g`,-4-►on c�-
serl ��e�n� .
US Artny Corps of Engineers Eastem Mountains and Piedmont — Version 2.0

WETLAND DETERMINATION DATA FORM — Eastem Mountains and Piedmorrt Region
ProjecUSite: � 5� 3� C' Coun �V I�Sb+�'e Sampling Date: �' 25� t 1
ApplicanUOwner: 1� G��� - State: ��� Sampling Point: �' I
Investigator(s): �.�L'i�li . ��nE�'`"OY1 Section, Township, Range:
Landfortn (hillslope, terrace, etc.):',02 S10�¢. ��- Local relief (concave, convex, none): Ct]vYfdV�_ Slope (°h): a
Subregion LR o ML ): ��� 3 iA Lat: 3'T..) .�to 342. oso Long: _� �• � 1��O �o� S � �atum: W�oS �'`� g�-I
Soil Map Unk Name:CC.1n�t1 ��V�0.G�+ 1�`M � O'Z°/9 S\o(.�es NWI classficadon: (,�PL
Are Gimatic ! hydrologic conditions on the sfte typical for this time of year? Yes i� No (If no, explain in Remarks.)
Are Vegetation , Soil , or Hydrology signficanUy disturbedT Are 'Normal Circumstances" present? Yes �_ No
Are Vegetation , Soil , or Hydrology naturally problematic? (If nesded, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
HydrophyGc Vegetation Present?
Hydric Soil Present?
Wetland Hydrology Present?
Yes No X
Yes No X
Yes No x
UI°L -� we,t1C�.�d a.ohL °r1N�WCr�W=
HYDROLOGY
Is the Sampled Area �
within a Wetland? Yes No
Wetland Hydrology Indicators: Secondarv Indiptors (minimum of iwo reauiredl
Primarv Indicators (minimum of one is reauired: check all that aoolvl _ Surtace Soil Cracks (BB)
_ Surtace Water (A1) _ True Aquatic Plants (814) _ Sparsely Vegetated Conpve Surtace (BS)
_ High Water Table (A2) _ Hydrogen Sulfide Odor (C1) T Drainage Pattems (B70)
_ Saturation (A3) _ Oxidized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (B16)
_ Water Marks (61) _ Presence of Reduced Iron (C4) _ Dry-Season Water Table (C2)
_ Sediment Deposits (B2) _ Recent Iron Reduction in Tilled Soils (C6) _ Crayfish Burrows (C8)
_ Drift Deposits (B3) _ Thin Muck Surface (C7) _ Saturation vsible on Aerial Imagery (C9)
_ Algal Mat or Crust (B4) _ Other (Explain in Remarks) _ Stunted or Stressed Plants (D1)
_ Iron Deposits (85) _ Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (B7) _ Shallow Aquitard (D3)
_ Water-Stained Leaves (B9) _ Microtopographic Relief (D4)
_ Aquatic Fauna (B13) _ FAC-Neutral Test (D5)
Field Observatlons:
Surtace Water Present? Yes No � Depth (inches):
Water Table Present? Yes No x Depth (inches):
SaturaGon Present7 Yes � No Depth (inches): �3 Wetland Hydrology Present? Yes No X
includes ca illa fin e
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastem Mountains and Piedmont — Version 2.0

VEGETATION (Four Strata) — Use scientific names of plants.
a Absolute Dominant Indicator
Tree Stratum (Plot size: � ) ° Cover SDe'csies? Status
1. $00.k'rn�nuS OCLiC!►2v�'ti"Q.��S Zp Y �aGvJ
2. �' Y���h Y�dl. �O Y FA-C�
s. 1:���, ear ;dron � 1�n; a. �_� v,,l
7
� �J = Total Cover
Saolina/Shrub Stratum (Plot size: �5 )
,. ; • �_ Y F,�c..
2.�uqv�S A`�AY1L�� �\0.. /0 �. �
3.
4.
5.
6.
7.
10.
5 � � = Total Cover
Herb Stratum (Plot size: )
�. L4►1; Uw� ascla lo�n; (' �w. �_ Y uPL
s. -�raaar►o� NeScu. /5 �_ FAU�L-
3.�Av\�C�('0. \(a�rnn�C1L �_ �(_ {kC.
7
�, 3J� = Total Cover
Woodv Vine Stratum (Plot size: ) �/
�. �,n�c.e�a ov��c.a 20 1 �F G
�
2.
5.
6.
� = Total Cover
or on a separate sheet.)
`.is% 3'S°�� ��. S
� _ ZZ.s . � �
70=9 Z�'�
Sampling Point: DP � �
Number of Dominant Species
That Are OBL, FACW, or FAC: ,�_ (A)
Total Number of Dominant n/
Species Across All SVata: 15 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: � (A/B)
Prevalence Inden worksheet:
Total % Cover of: Multiolv bv:
OBL species � x 1= o
FACW species Z� x 2= �'�'n
FAC species _�� X s= � 3�
FACU species �i' 0 x 4= � bb
UPL species IS x 5= � S
Column Totals: �� (A) �i 1 b (B)
Prevalence Index = B/A = 3 . �
_ 1- Rapid Test for Hydrophytic Vegetation
_ 2 - Dominance Test is >50°h
_ 3- Prevalence Index is 53.0'
_ 4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
_ Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Tree — Woody plants, exGuding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling/Shrub — Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft(1
m) tall.
Herb — All herbaceous (non-woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody Wne — All woody vines greater than 328 ft in
Hydrophytic
Vegetatlon �
Present? Yes No
US Army Corps of Engineers Eastem Mountains and Piedmont — Version 2.0

SDIL Sampling Point: ��1
Proflle DescrlpUon: (Describe to the depth needed to document the Indlcator or conflrtn the absence of indicators.)
Depth Matrix Redox Features
(inchesl Color (moistl % Color (moist) % Tvoe, Loc2 Texture Remarks
0- l2 i oY�e'�/� � sY2`��� so e� �
'T : C=Concentration D=De letion RM=Reduced Matrix MS=Masked Sand Grains. ZLocation: PL=Pore Linin M=Matrix. •
Hydric Soil Indicators: Indicators for Problematic Hydric Solls':
_ Histosol (A7 ) _ Dark Surtace (S7) _ 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2) _ Polyvalue Below Surtace (S8) (MLRA 147,148) _ Coast Prairie Redox (A76)
_ Black Histic (A3) _ Thin Dark Surface (S9) (MLRA 147, 148) (MLRA 147, 148)
_ Hydrogen Sulfide (A4) _ Loamy Gleyed Matrix (F2) _ Piedmont Floodplain Soils (F19)
_ Stratified Layers (AS) _ Depleted Matrix (F3) (MLRA 136, 147)
_ 2 cm Muck (A10) (LRR N) _ Redox Dark Surtace (F6) _ Very Shallow Dark Surface (TF12)
_ Depleted Below Dark Surface (A11) _ Depleted Dark Surface (F7) _ Other (Explain in Remarks)
_ Thick Dark Surface (Al2) _ Redox Depressions (F8)
_ Sandy Mucky Mineral (S1) (LRR N, _ Iron-Manganese Masses (F12) (LRR N,
MLRA 147, 148) MLRA 136)
_ Sandy Gleyed Matrix (S4) _ Umbric Surtace (F13) (MLRA 136,122) 3lndicators of hydrophy6c vegetation and
_ Sandy Redox (SS) _ Piedmont Floodplain Soils (F19) (MLRA 148) wetland hydrology must be present,
_ Stripped Matrix (S6) Red Parent Material (F21) (MLRA 127, 147) unless disturbed or problemaGc.
Restrictive Layer (H observed):
Type:
Depth (inches): Hydrlc Soil PresentT Yes No �
Remarks:
US Army Corps of Engineers Eastem Mountains and Piedmont — Version 2.0

��
WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
ProjecUSfte: 1`513� Ci Countv: �A,br�5br1 SamplingDate: ���5'f�
ApplicanUOwner: N GDOT State: ,�_ Sampling Point: Dp I�L
Investigator(s): U� �►l� / T. 5��,'��y\ Sectlon, Township, Range:
Landform (hillslope, terrace, etc.):�i�oPS�TI � LL I� Local relief (concave, convex, none): C�'i1C,QV`2 Slope (%): 2
Subregion LRR MLRA P� i 3Io �at: 3S.Sb 3�}9 �3`� Long: ��� l? 88b3 �o Datum: WGS q_IS�
Soil Map Unrt Name: ��t�C�QtJAG`0. �Ci�YY� ��2,°�o S�O�S NWI classificabon: PEM
Are GimaGc / hydrologic conditions on the site typical for this time of year? Yes � No (If no, explain in Remarks.)
Are Vegetation , Soil , or Hydrology significantly disturbed? Are 'Nortnal Circumstances' present? Yes �_ No
Are Vegefation , Soil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes i� No
Hydric Soil Presentl Yes � No
WeUand Hydrology P►esent? Yes �_ No
Remarks: �e Q� -�g W�
1�eo.dw a�r {'o c�c'
Is the Sampled Area
wkhln a WeUand9 Yes � No
Y�2�'DtfiGA �ihP.QY W@�CtA� G�Gin�s Ic�e,�!'e.SS��S
�
HYDROLOGY
Wetland Hydrology Indicators: Secondarv Indicators (minimum of two reauiredl
Primarv Indicators (minimum of one is reauired: check all that aoolv) � Surtace Soil Cracks (B6)
i1 Surface Water (A1) _ True Aquatic Plants (B14) � Sparsely Vegetated Concave Surtace (B8)
� High Water Table (A2) _ Hydrogen Su�ide Odor (C1) � Drainage Pattems (B10)
X Saturadon (A3) _ Oxidized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (B18)
_ Water Marks (B1) _ Presence of Reduced Iron (C4) _ Dry-Season Water Table (C2)
_ Sediment Deposits (B2) _ Recent Iron Reduction in Tilled Soils (C6) _ Crayfish Burrows (C8)
_ Drift Deposits (63) _ Thin Muck SuAace (C7) _ Saturation �sible on Aerial Imagery (C9)
_ Algal Mat or Crust (B4) _ Other (Explain in Remarks) _ Stunted or Stressed Plants (Di )
_ Iron Deposits (BS) _ Geomorphic Position (D2)
_ Inundation vsible on Aerial Imagery (B7) _ Shallow Aquitard (D3)
_ Water-Stained Leaves (B9) _ Microtopographic Relief (D4)
_ Aquatic Fauna (613) _ FAC-Neutral Test (DS)
Fleld Observatlons:
Surtace Water Present? Yes X No Depth (inches): 2
Water Table Present? Yes i� No Depth (inches): Z
Saturation Present? Yes � No Depth (inches): I�„ Wetland Hydrology Present? Yes X No
includes ca illa fin e
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastem Mountains and Piedmont - Version 2.0

VEGETATION (Four Strata) — Use scientific names of plants.
Tree Stratum (Plot size: ) ° Cover Soecies? Status
1.
2.
s.
4.
7
Saolina/Shrub Stratum (Plot
1.
Sampling Point: �Q I Z
Domtnance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC:
Total Number of Daminant
Species Across All Strata:
2 (A)
2 �B�
Percent of Dominant Species
That Are OBL, FACW, or FAC: I 0�7 (A/B)
Total % Cover of: Muftioiv bv:
= Total Cover OBL species x 1=
FACW species x 2 =
FAC species x 3 =
FACU species x 4 =
UPL species x 5 =
Column Totals: (A) (B)
6.
Prevalence Index = B/A =
7.
Hydrophytic Vegetatlon Indicators:
8 �i 1- Rapid Test for Hydrophytic Vegeta6on
9.
� 2 - Dominance Test is >50%
10. —
3- Prevalence Index is 53.0'
� = Total Cover — 4- Morphological Adaptations' (Provide supporting
Herb Stratum (Plot size: 5 ) � data in Remarks or on a separate sheet)
1. C0.Y2X %f i�n �� 5 1 QBj� — Problematic Hydrophytic Vegetation' (Explain)
z. L�oY•�c.�'a \ o,.Q o�: c.a.. a � FA L
3. 'Indicators of hydric soil and wedand hydrology must
4 be present, unless disturbed or problematic.
�
Deflnitlons of Four VegetaUon Strata:
7
1C
11
Woodv Vne Stratum (Plot size: )
1.
� 0 = Total Cover
= Total Cover
Remarks: (Include photo numbers here or on a separate sheet.)
�a✓SP.I•� Ye� C-��� L�sJtGAJQ� $u��"�7lCL
Tree - Woody plants, exGuding vines, 3 in. (7.6 cm j or
more in diameter at breast height (DBH), regardless of
height.
SaplinglShrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft(1
m) tall.
Herb - All herbaceous (non-woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody Wne - All woody vines greater than 3.28 ft in
Hydrophytic
Vegetatlon �(
Present? Yes " No
US Army Corps of Engineers Eastem Mountains and Piedmont - Version 2.0

SOIL Sampling Point: �r �
Proflle Descriptlon: (Describe to the depth needed to document the Indicator or conflrm the absence of Indicators.)
Depth Matrix Redox Features
(inches) Color oi % Color (moist) % Tvne, Loc2 Teuture Remarlcs
o—� 7.5YR �3 ►o �_ wl o,��v. h,�s Iw►�ck
a_�- . 7.5YRb�l 80 51IRN�b ��° r1 L
fo -12 7.5 il° 7'�3 � 5`�R `�/to 2-� G M I�
7. 5 `�/ IS �^ �
12- I 2.5Y �I �► 0 2-�{R`h� ��_ M S,1•5 �p�"
'T e: C=ConcentraGon D=De let3on RM=Reduced Matrix MS=Masked Sand Grains. ZLocation: PL=Pore Linin M=Matrix.
Hydric Soll Indicators: Indicators for Problematic Hydric Soils':
_ Histosol (A1) _ Dark Surtace (S7) _ 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2) _ Polyvalue Below Surtace (S8) (MLRA 147,148) _ Coast Prairie Redox (A16)
_ Black Histic (A3) _ Thin Dark Surface (S9) (MLRA 147, 148) (MLRA 147, 148)
_ Hydrogen Sulfide (A4) Loamy Gleyed Matrix (F2) _ Piedmont Floodplain Soils (F19)
_ Stratified Layers (A5} � Depleted MaVix (F3) (MLRA 136, 147)
_ 2 cm Muck (A10) (LRR N) _ Redox Dark Surtace (F6) _ Very Shallow Dark Surtace (TF12)
Depleted Below Dark Surface (A11) _ Depleted Dark Surface (F7) _ Other (Explain in Remarlcs)
Thick Dark Surface (Al2) _ Redox Depressions (FS)
_ Sandy Mucky Mineral (S1) (LRR N, _ Iron-Manganese Masses (F12) (LRR N,
MLRA 147, 148) MLRA 136)
_ Sandy Gleyed MaVix (S4) _ Umbric Surface (F13) (MLRA 136,122) 3lndicators of hydrophytic vegetation and
_ Sandy Redox (SS) _ Piedmont Floodplain Soils (F19) (MLRA 148) wetland hydrology must be present,
Stripped Matrix (S6) Red Parent Material (F21) (MLRA 127,147) unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches): Hydric Soil PresenYt Yes � No
Remarks:
US Army Corps of Engineers Eastem Mountains and Piedmont — Version 2.0

� _
WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
ProjecUSite: ��J�%�% Ci Coun i�QV ��i O�h Sampling Date: �' Z'r-+' - � 7
ApplicanUOwner: NCD�r State:��. SamplingPoint:UP�3
Investigator(s): g.C3�\1 j T S�l�aw Sec6on, Township, Range:
Landfortn (hillslope, terrace, etc.): � S�� -�04_.� Local relief (concave, convex, none): �o�nV�x � Cn nGea/P . Slope (%): ���j
Subregion LRR r LR _���'�_ Lat: �•$1� 3110 $� Long: g� . �l �} �O10 �S $ Datum: �/JI'o$ IQ6 �
Soil Map Unit Name: � Pn�� �o�vv�P1�fN' -VJ ura't'� GorhP��X ,�S-Z.S°�fl NWI classfication: �FO
Are Gimatic / hydrologic conditions on the site typical for this 6me of year? Yes �_ No (If no, explain in Remarks.)
Are Vegetation , Soil , or Hydrology significanUy disturbed? Are "Nortnal Circumstances" presentl Yes X No
Are Vegetation , Soil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes � No
Hydric Soil Present? Yes No
Wetland Hydrology Present? Yes No
rcemancs: Uu�'1'�0.nA Lov�e wZ
headv�a�t�r -�,re..s�
HYDROLOGY
Is the Sampled Area
wifhln a Wetland? Yes � No
Wetland Hydrology Indicators: Secondarv Indicators (minimum of iwo reauiredl
Primarv Indicators (minimum of one is reauired: check all that aoolv) _ Surface Soil Cracks (66)
Surtace Water (A1) _ True Aquadc Plants (B14) _ Sparsely Vegetated Concave Surtace (B8)
� High Water Table (A2) _ Hydrogen Sulfide Odor (C1) � Drainage Pattems (B10)
� Saturation (A3) _ Oxidized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (Bi6)
i� Water Marks (61) _ Presence of Reduced Iron (C4) _ Dry-Season Water Table (C2)
� Sediment Deposits (B2) _ Recent Iron Reduction in Tilled Soils (C6) _ Crayfish Burrows (CS)
� Drift Deposits (63) _ Thin Muck Surface (C7) _ Saturadon vsible on Aerial Imagery (C9)
_ Algal Mat or Crust (B4) _ Other (Explain in Remarks) _ Stunted or Stressed Plants (D1)
_ Iron Deposits (B5) _ Geomorphic Position (D2)
_ Inundation Vsible on Aerial Imagery (67) _ Shallow Aquitard (D3)
_ Water�tained Leaves (68) _ Microtopographic Relief (D4)
_ Aquatic Fauna (B13) _ FAC-Neutral Test (DS)
Fleld Obsenratlons:
Surtace Water Present? Yes No x Depth (inches):
Water Table Present? Yes _� No Depth (inches): �
Saturation Present? Yes �_ No Depth (inches): 9 Wetland Hydrology Present? Yes � No
includes ca illa fin e
Describe Recorded Data (stream gauge, monitoring well, aeriat photos, previous inspections), 'rf available:
Remarks:
US Army Corps of Engineers Eastem Mountains and Piedmont - Version 2.0

VEGETATION (Four Strata) - Use scientific names of plarrts.
1 „ua��u�o �nmmia�n mwc;aw�
Tree Stratum (Plot size: � ) ° C ver Soecies? Status
�. P\ a�v� us c�cc..Ce�e�n'�A,�j S _� Y Fa,cvJ
2. ��'� �� . FP�CW
3._ L.�� o�ex� rlran �,\'�P� 0.� 20 _� Fp�C,�,�.
4._�PGex- rubr�ev.^ ZO �_ ,��
7.
, � = Total Cover
SaolinalShrub Stratum (Plot size: �S ) �/
1.�AAus QrL1�n(�fo\iGL ZS 1 �j
2. �['_2� Y'ubC�tYv� � Y ��
3. Go�lnus -�1o�r;�a. 5 I� �l�
4.
5.
6.
7.
10.
S � J�Q . = Total Cover
Herb Stratum (Plot size: )
�. Sw�',\nx �fn�uv�d���ol'�r.� 5 N �
2. ' us-lv s� s 5 N ��,
s. sP av...�.�. �n�fo,�h�a�n.,.r.,. 1S Y 1JL
4._��rJn�, taw. ���FannatU�nn S � ��
5.
7
1C
91
3 C9 = Total Cover
Woodv vne Stratum (Plot size: )
1.
6.
numbers here or on a separate sheet.)
= Total Cover
'J O'/O Gdv�@.+r SZ� % 3a °�n
Sp = 'aS s�= zs � _ IS
za � �+{ z� = i n �o -�
Sampling Point: �� 1
Number of Dominant Species
That Are OBL, FACW, or FAC: � (A)
Total Number of Dominant
Species Across All Strata: � (B)
Percent of Dominant Species � O
That Are OBL, FACW, or FAC: (A/B)
Prevalence Index worksheet:
Total % Cover of: Multiolv bv:
OBL species x 1 =
FACW species x 2 =
FAC species x 3 =
FACU species x 4 =
UPL species x 5 =
Column Totals: (A) (g)
Prevalence Index = B!A =
Hydrophytic Vegetatlon Indicators:
1- Rapid Test for Hydrophytic Vegetation
� 2 - Dominance Test is >5Q%
_ 3- Prevalence Index is 53.0'
_ 4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
_ Problematic Hydrophytic VegetaGon' (Explain)
'Indicators of hydric soil and weUand hydrology must
be present, unless disturbed or problematic.
Definitlons of Four Vegetatlon Strata:
Tree — Woody plants, exGuding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling/Shrub — Woody plants, excluding vines, less
than 3 in. DBH and greater ihan or equal to 3.28 ft(1
m) tall.
Herb — All herbaceous (non-woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody vine — All woody vines greater than 3.28 ft in
Hydrophytic
Vegetatlon
Present7 Yes � No
�PKt� �.ded. S y�q�nv�.w, -��.n�. -�.StS C1�wk.�A.h.tn �'C�C'�1✓�.-�Ca.�� � `�-c* ��.
US Artny Corps of Engineers Eastem Mountains and Piedmont — Version 2.0

SOIL Sampling Point:� ��'3
Proflle Descriptlon: (Descrlbe to the depth needed to document the indicatar or conflrm the absence of Indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moistl % Tvoe, Loc2 Texture Remarks
o_� ��Y��a �op S w
I- 9 2.SY `��� Z 5 YR'��t� 25 C M L
�-� z.5 Y`�ii �o s �Z�+� � c M S��S �rnt�cl 4i- 9a
'T : C=Concentration D=De letion RM=Reduced Matrix MS=Masked Sand Grains. ZLocation: PL=Pore Linin M=Matrix.
Hydric Soil Indicators: Indicators for Problematic Hydrtc Soils':
_ Histosol (A1) _ Dark Surtace (S7) _ 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2) _ Polyvalue Below Surtace (S8) (MLRA 147,148) _ Coast Prairie Redox (A16)
_ Black Hisuc (A3) _ Thin Dark SuAace (S9) (MLRA 147,148) (MLRA 147,148)
_ Hydrogen Sulfide (A4) Loamy Gleyed MaUix (F2) _ Piedmont Floodplain Soils (F19)
_ Stratified Layers (A5) � Depleted Matrix (F3) (MLRA 136,147)
_ 2 cm Muck (A10) (LRR N) _ Redox Da�lc Surface (F6) _ Very Shallow Dark Surtace (TF12)
_ Depleted Below Dark Surtace (A11) _ Depleted Dark Surtace (F7) _ Other (Explain in Remarks)
_ Thick Dark Surtace (Al2) _ Redox Depressions (F8)
_ Sandy Mucky Mineral (S1) (LRR N, _ Iron-Manganese Masses (F12) (LRR N,
MLRA 147, 148) MLRA 136)
_ Sandy Gleyed MaVix (S4) _ Umbric Surtace (F13) (MLRA 136,122) 'Indicators of hydrophytic vegetation and
_ Sandy Redox (S5) _ Piedmont Floodplain Soils (F19) (MLRA 148) weUand hydrology must be present,
_ Stripped Matrix (S6) Red Parent Material (F21) (MLRA 127,147) unless disturbed or problematic.
ResMctive Layer (if observed):
Type:
Depth (inches): Hydric Soll Present? Yes No
Rema�lcs:
�•
US Army Corps of Engineers Eastem Mountains and Piedmont — Version 2.0
j�y,C�

WS
WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
ProjecUSite: ��+� �� City unty 1 1aV 1�5�� Sampling Date: 4- o�CJ"�7
ApplicanUOwner: �iC �T State: N C Sampling Point: Dp, �
Invesdgator(s): _B� $� �� � T�J�B (�t� Section, Township, Range:
Landform (hilislope, terrace, etc.): � O� �OP2.�,,GfNQ�2. Local relief (concave, convex, none): COnCQ1/'�i Slope (°k): a
Subregio (LR o ML ): Q (3 � Lat: �-��D ��11 � 1 Long: � �+� o �q �"Jr �� Datum: w� l tg �
Soil Map Unit Name: h9 —`N GO g' (�/ NWI Gassificadon: P�-p
Are Gimatic / hydrologic conditions on the sfte typical for this time of year? Yes _
Are Vegetation , Soil , or Hydrology significantly disturbed?
Are Vegetation , Soil , or Hydrology naturally problemadc?
No (If no, explain in Remarks.)
Ar�e'Normal Circumstances' present? Yes �_ No
(If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetadon Present? Yes I� No
Hydric Soil Present? Yes � No
Wetland Hydrology Present? Yes _� No
Remarks: �-�„� Zoy�Q, WT
N-e.a-d�a�e.r �-�S}
HYDROLOGY
Is the Sampled Area
within a Wetland? �Yes No
Wetland Hydrology Indicators: Secondarv Indicators (minimum of two reauiredl
Primarv Indicators (minimum of one is reauired: check all that aoolvl _ Surface Soil Cracks (B6)
� Surtace Water (A1) _ True Aquatic Plants (614) _ Sparsely Vegetated Concave Surtace (BS)
� High Water Table (A2) _ Hydrogen Sulfide Odor (C1) _ Drainage Pattems (610)
� Saturation (A3) _ Oxidized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (B16)
_ Water Marks (B1) _ Presence of Reduced Iron (C4) _ Dry-Season Wa4er Table (C2)
_ Sediment Deposits (82) _ Recent Iron Reduction in Tilled Soils (C6) _ Crayfish Burrows (C8)
_ Drik Deposits (B3) _ Thin Muck Surface (C7) _ Saturation vsible on Aerial Imagery (C9)
_ Algal Mat or Crust (B4) _ Other (Explain in Remarks) _ Stunted or Stressed Plants (D1)
_ Iron Deposits (B5) _ Geomorphic Position (D2)
_ Inundation Vsible on Aerial Imagery (67) _ Shallow Aquitarcl (D3)
_ WaterStained Leaves (B9) _ Microtopographic Relief (D4)
_ Aquatic Fauna (B13) _ FAC-Neutral Test (D5)
Field Observatlons:
Surtace Water Present? Yes � No Depth (inches): 2��
Water Table Present? Yes �_ No Depth (inches): 2 �/
Saturation Present? Yes �_ No Depth (inches): � Wefland Hydrology Present? Yes 1� No
includes ca illa fin e
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), ff available:
Remarks:
US Army Corps of Engineers Eastem Mountains and Piedmont - Version 2.0
�

VEGETATION (Four Strata) — Use scientific names of plants. Sampling Point:
Absolute Dominant Indicator pominance Test worlcsheet:
Tree Stratum (Plot size: �� ) ° over Soecies? S tus Number of Dominant Species
1. �IA'�'a v��IS OCC.I�KFT..l�1S S �_ � That Are OBL, FACW, or FAC: (A)
Z. ��Cn�h� CA����� ahG� �� ���G Total Number of Dominant
3• Species Across All Strata: (B)
4.
7
�S = Total Cover
Saolinq/Shrub Siratum (Plot size: )
1.
Percent of Dominant Species
That Are OBL, FACW, or FAC: (A/B)
Total % Cover of: Multiolv bv:
OBL species x 1 =
FACW species x 2 =
FAC species x 3 =
FACU species x 4 =
UPL species x 5 =
Column Totals: (A) (B)
6.
Prevalence Index = B/A =
7.
Hydrophytic Vegetatlon Indicators:
8.
� 1- Rapid Test for Hydrophytic VegetaGon
9. —
2 - Dominance Test is >50%
10. —
3- Prevalence Index is 53.0'
4 - Morphological Adaptations' (Provide supporting
� = Total Cover —
Herb Stratum (Plot size: � ) data in Remarks or on a separate sheet)
1. Sv�n �, Q k Y'c%t'1�v�/� � � 1�. �_ ��� _ Problemadc Hydrophytic Vegetation' (Explain)
7
1C
11
1"e
�J' = Total Cover
Woodv �ne Stratum (Plot size:
1.
2.
= Total Cover
Remarks: (Include photo numbers here or on a
'Indicators of hydric soil and weUand hydrology must
be present, unless disturbed or problematic.
DeflniNons of Four Vegetatlon Strata:
Tree - Woody plants, exGuding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Saplfng/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft(1
m) tall.
Herb - All herbaceous (non-woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody vine - All woody vines greater than 3.28 ft in
Hydrophytic
Vegetatlon
Present? Yes � No
US Army Corps of Engineers Eastem Mountains and Piedmont - Version 2.0

SOIL Sampling Point: +'f'�
Proflle Descrlptlon: (DescMbe to the depth needed to document the Indicator or conflrm the absence of indicators.)
Depth Matrix Redox Features
(inchesl Color (moistl � Color (moistl % Tvoe, LocZ Texture Remarks
o -1 '7. 5YR3�a 00 �
I - (o ic�yR'��z `Ta �.sY,e�i� � C Nt �
(� � GI s/� o '7 0 '5Y(Z �1� 3o C M 1_ w�'C
'T : C=Concentration D=De letion RM=Reduced Matrix MS=Masked Sand Grains. ZLocation: PL=Pore Linin M=Matrix.
Hydric Soil lndicators: Ind(cators Tor Problematic Hydric Solls':
_ Histosol (A1) _ Dark Surtace (S7) _ 2 cm Muck (A10) (MLRA 147)
_ Histic Eplpedon (A2) _ Polyvalue Below SuAace (SS) (MLRA 147, 148) _ Coast Prairie Redox (A16)
_ Black Histic (A3) _ Thin Dark Surtace (S9) (MLRA 147, 148) (MLRA 147,148)
_ Hydragen Sulfide (A4) Loamy Gleyed MaUix (F2) _ Piedmont Floodplain Soils (F19)
_ SVatified Layers (A5) � Depleted MaVix (F3) (MLRA 136,14T)
_ 2 cm Muck (A10) (LRR N) _ Redox Dark Surface (FB) _ Very Shallow Dark Surtace (TF72)
_ Depleted Below Dark Surtace (A11) _ Depleted Dark SurFace (F7) _ Other (Explain in Remarks)
_ Thick Dark Surtace (Al2) _ Redox Depressions (F8)
_ Sandy Mucky Mineral (S1) (LRR N, _ Iron-Manganese Masses (F12) (LRR N,
MLRA 147, 148) MLRA 136)
_ Sandy Gleyed Matrix (S4) _ Umbric Surface (F13) (MLRA 136,122) 3lndicators of hydrophytic vegetation and
_ Sandy Redox (S5) _ Piedmont Floodplain Soils (F19) (MLRA 148) weUand hydrology must be present,
Stripped MaVix (S6) Red Parent Material (F21) (MLRA 127,147) unless disturbed or problematic.
ResMctive Layer (if observed):
Type:
Depth (inches): Hydric Soil Present? Yes � No
Remarks:
�; �.�=. .
US Artny Corps of Engineers Eastem Mountains and Piedmont — Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
ProjecUSite: �513� C Coun :�`/�CISOrr SamplingDate: I'Z-S"�1
ApplicanUOwner. ���� State: ��� Sampling Point: ]�j �j
Investigator(s): �.���� l T J r�'L `�Or1 Sectlon, Township, Range:
Landform (hillslope, terrace, etc.): i����S�O� Local relief (concave, convex, none): ror�� Slope (%): �J '�
Subregion RR LRA •�' 13�0 Lat: �-4+1a2'� 1$ �� Long: $ b• i$ ��i 3 SS S Datum: W�j Iq $ y
Soil Map Unit Name: 17 �0 Y�X�� 'e ��\ 1° o NWI classification: (,((�L
Are Gimatic / hydrologic conditions on the site typical for this time of yearl Yes � No (If no, explain in Remarks.)
Are Vegetation , Soil , or Hydrology significantly disturbedl Are °Normal Circumstances' present? Yes �_ No
Are Vegetation , Soil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation PresentT
Hydric Soil PresenYt
WeUand Hydrology Present?
Remarks: up` �� �
HYDROLOGY
Yes No /� Is the Sampled Area
Yes No �( w��n a Wetland?
Yes No X
w e,�\Qv,d zohe s w o, w E, wF � wT
Yes No �
Wetland Hydrology Indicators: Secondarv Indiqtors (minimum of iwo r�eauiredl
Primarv Indicators (minimum of one is reauired: check all that aoolvl _ SurFace Soil Cracks (66)
_ Surface Water (A1) _ True Aquatic Plants (B14) _ Sparsely Vegetated Concave Surtace (BS)
_ High Water Table (A2) _ Hydrogen Sulfide Odor (C1) _ Drainage Pattems (B10)
_ Saturdtion (A3) _ Oxidized Rh¢ospheres on Living Roots (C3) _ Moss Trim Lines (B76)
_ Water Marks (B1) _ Presence of Reduced Iron (C4) _ DrySeason Water Table (C2)
_ Sediment Deposits (B2) _ Recent Iron Reduction in Tilled Soils (C6) _ Crayfish Burrows (C8)
_ Drift Deposits (B3) _ Thin Muck Surtace (C7) _ Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (64) _ Other (Explain in Remarks) _ Stunted or SVessed Plants (D1)
_ Iron Deposits (B5) _ Geomorphic Position (D2)
_ Inundabon Vsible on Aerial Imagery (B7) _ Shallow Aquitard (D3)
_ WaterStained Leaves (B9) _ Microtopographic Relief (D4)
_ Aquatic Fauna (B13) _ FAC-Neutral Test (DS)
Field Observatlons:
Surface Water Present? Yes No Depth (inches):
Water Table Present? Yes No Depth (inches):
Saturation Present? Yes No Depth (inches): Wetland Hydrology PresenYt Yes No X
includes ca illa fin e
Describe Recorded Data (stream gauge, monitoring well, aerial photos, pr�evious inspections), if available:
Remarks:
US Army Corps of Engineers Eastem Mountains and Piedmont — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
O, Absolute Dominant Indicator
Tree Stratum (Plot size: 3 ) ° Cover Soecies? Status
1. �i '�G Gl. ?.s� � ��G
2. L,�r� o��clro� -tul' ' eY` 40 ��
s.-pec.��r r�,.brv��., S —NT—
4. �(IAS `rv�YO�. 'rJ ►�/ 'Fp„C11�
7
� � = Total Cover
Sa�lina/Shrub Stratum (P�lo+t size: � � )
1. lTO�OiuS A`�/A�ii�`�l1L Z� � ��
2.
3.
4.
5.
6.
7.
10.
�.� Z� = Total Cover
Herb Stratum (Plot size: )
�.�es�,,.c.a 1ru b�'.�, b y ��
2. �Y��f�/'d�. \�.�'01�� C.QI - `S � �
3.
7
� �'� = Total Cover
Sampling Point: QP15
Number of Dominant Species
That Are OBL, FACW, or FAC: � (A)
Total Number of Dominant 1-
Species Across All Strata: f� (B)
Percent of Dominant Species S�
That Are OBL, FACW, or FAC: (A/B)
Prevalence Index worksheet:
Total % Cover of: Multiotv bv:
OBL species � x 1= �
FACW species � x 2= O
FAC species iD� x 3= ($(�
FACU species �� x 4= Z�
UPL species O x 5= �
Column Totals: �3� (A) y bo (B)
Prevalence Index = B/A = 3. 53
Hydrophydc VegetaUon Indicators:
_ 1- Rapid Test for Hydrophytic Vegetation
_ 2 - Dominance Test is >50°/a
_ 3- Prevalence Index is 53.0'
_ 4 - Morphological Adaptabons' (Provide supporting
data in Remarks or on a separate sheet)
_ Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and weUand hydrology must
be present, unless disturbed or problematic.
Tree - Woody plants, exGuding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft(1
m) tall.
Herb - All herbaceous (non-woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woodv vne Stratum (Plot size: �% ) Woody vine - All woody vines greater than 3.28 ft in
1. �-ov��CE�fO�• \(1�PO�n� C�l.� ��_ �p�C I height.
3.
4.
5.
6.
z•O = Total Cover
numbers here or on a separate sheet.)
Hydrophytic
Vegetatlon
Present? Yes
No x
US Army Corps of Engineers Eastem Mountains and Piedmont - Version 2.0

SOIL Sampling Point: V��_
Proflle Descriptlon: (Describe to the depth needed to doeument the indicator or conflrtn the absence of Indicators.)
Depth Matrix Redox Features
(inches) Color (moistl _(y_ Color (moist) °!o Tvoe, LocZ Texfure Remarks
0-3 Z.5Y3/3 00 �_
� 2. 5�'' `�/+� i oo lr
-S5 I L JoY k(L /3 0o L
'T : C=Concentration D=De letion RM=Reduced Matrix MS=Masked Sand Grains. ZLocation: PL=Pore Linin M=Matrix.
Hydrlc Soll Indicators: Indicators tor Problematic Hydric Soils':
_ Histosol (A7) _ Dark Surfaoe (S7) _ 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2) _ Polyvalue Below Surtace (S8) (MLRA 147,148) _ Coast Prairie Redox (A16)
_ Black Histic (A3) _ Thin Dark Surface (S9) (MLRA 147,148) (MLRA 147,148)
_ Hydrogen Sulfide (A4) _ Loamy Gleyed Matrix (F2) _ Piedmont Floodplain Soils (F19)
_ Stratified Layers (A5) _ Depleted MaUix (F3) (MLRA 136,147)
_ 2 cm Muck (A10) (LRR N) _ Redox Dark Surface (FB) _ Very Shallow Dark Surface (TF12)
_ Depleted Below Dark Surtace (A17 ) _ Depleted Dark Surtace (F7) _ Other (Explain in Remarks)
_ Thick Dark Surtace (Al2) _ Redox Depressions (FS)
_ Sandy Mucky Mineral (S1) (LRR N, _ Iron-Manganese Masses (F12) (LRR N,
MLRA 747,148) MLRA 136)
_ Sandy Gleyed Matrix (S4) _ Umbric Surface (F13) (MLRA 136, 122) 'Indicators of hydrophytic vegetation and
_ Sandy Redox (S5) _ Piedmont Floodplain Soils (F19) (MLRA 148) weUand hydrology must be present,
Stripped Matrix (SB) Red Parent Material (F21) (MLRA 127, 147) unless disturbed or problematic.
Restrictive Layer (H observed):
Type:
Depth (inches): Hydrlc Soll Present? Yes No �
Remarks;
US Army Corps of Engineers Eastem Mountains and Piedmont — Version 2.0

wS
WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont Region
ProjecUSite: �'rJ� � I Ci Countv: 17(hd� tL�30{1 Sampling Date: (— Z5 —�`%
Applicant/Owner: NC+fl'OT� state: pP�(p
�� Sampling Point:
Invesdgator(s): ���� . S e�}'O Section, Township, Range:
Landform (hillslope, terrace, etc.). S Local relief (concave, convex, none): COY1CAd`� Slope (%): 5— I�.
Subregion LR r L ��13� �at: 35. �(� 3 ��9 S� Long: �O . �� ���� 31 Datum: W ETS 1 g �6�
Soil Map Unit Name: ITv�� "f��v.�eX�PX' —�1 `��W�� CA ��k y$� 1`"ja/q NWI classification: (��N�
Are Gimatic / hydrologic conditions on the site typical for this time of year? Yes �_ No (If no, explain in Remarks.)
Are Vegetation , Soil , or Hydrology significantly disturbed? Are "Normal Circumstances' present? Yes X No
Are Vegetation , Soil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No �s �e gampled Area
Hydric Soil Present7 Yes No W��n a Wetland� Yes No
Wetland Hydrology.Present7 Yes No
Remarks:W�Np�nd l�v��. w S
1�eadwo�� Cvr�S'r �vr�� b� ot�E 2�v� 'i'�o-�' �s rn�4�.1 Yvw�h.-�ri��v`ed
HYDROLOGY
Wetland Hydrology lndicators: Secondarv Indicators fminimum of two reauiredl
Primarv Indicators (minimum of one is reauired: check all that aoolvl _ Surface Soil Cracks (66)
� SuAace Water (A1) _ True Aquatic Plants (B14) _ Sparsely Vegetated Concave Surtace (BS)
,� High Water Table (A2) _ Hydrogen Sulfide Odor (C1) _ Drainage Pattems (610)
� Saturation (A3) _ Oxidized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (B16)
_ Water Marlcs (B1) _ Presence of Reduced Iron (C4) _ Dry-Season Water Table (C2)
_ Sediment Deposits (B2) _ Recen4 Iron Reduction in Tilled Soils (C6) _ Crayfish Burrows (CS)
_ Drift Deposits (B3) _ Thin Muck Surface (C7) _ Saturation vsible on Aerial Imagery (C9)
_ Algal Mat or Crust (B4) _ Other (Explain in Remarks) _ Stunted or Stressed Plants (D1)
_ Iron Deposits (BS) _ Geomorphic Position (D2)
_ Inundation vsible on Aerial Imagery (B7) _ Shallow Aquitard (D3)
_ Water-Stained Leaves (B9) _ Microtopographic Relief (D4)
_ Aquatic Fauna (B13) _ FAC-Neutral Test (D5)
Field ObservaUons:
Surtace Water Present? Yes � No Depth (inches): �
Water Table Present? Yes �_ No Depth (inches): 2
Saturation Present? Yes � No Depth (inches): 7 Wetland Hydrology Present? Yes � No
includes ca illa fin e
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspectlons), if available:
Remarks:
US Army Corps of Engineers Eastem Mountains and Piedmont — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Tree Stratum (Plot size:
1.
7
Saulina/Shrub Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
8.
10.
° Cover Soecies? Status
Sampling Point: �1�� lo
Number of Dominant Species �
That Are OBL, FACW, or FAC: (A)
Total Number of Dominant Li
Species Across All Strata: 7 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: �(A!B}
Total % Cover of: MulGolv bv:
= Total Cover OBL species x 1=
FACW species x 2 =
FAC species x 3 =
FACU species x 4 =
UPL species x 5 =
Column Totals: (A) (B)
� = Total Cover
Herb Stratum (Plot size: )
1.�—.�YY���Q�l �i0�1AY�/� � ,\Q� S � �
2. Y�11 �Y �l S CI �iA U1.'�L.S �_ ��
s.1pr� c�exa, � Co�. 5 �_ ��G
aT�.��, �_ £o\:a, i0 �_ n8L
7
1Q
11
12
Woodv Vine Stratum (Plot size:
1.
2.
3.
4.
5.
6.
.�"� = Total Cover
or on a separate sheet.)
= Total Cover
�°cs
� : f2.s
�' " 5 — �t� I ►z�e.c� '— 5°!� c�s �,,�,�C
Prevalence Index = B/A =
Hydrophytic Vegetatlon Indicators:
1- Rapid Test for Hydrophytic Vegetation
� 2 - Dominance Test is >50%
_ 3- Prevalence Index is 53.0'
_ 4 - Morphological Adaptations' (Provide supporting
data in Remarics or on a separate sheet)
_ Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Deflnitlons of Four Vegetatlon Strata:
Tree — Woody plants, exGuding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling/Shrub — Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft(1
m) tall.
Herb — All herbaceous (non-woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody Nne — All woody vines greater than 328 ft in
Hydrophytic
Vegetatlon
Present� Yes � No
US Army Corps of Engineers Eastem Mountains and Piedmont — Version 2.0

SOIL Sampling Point: �` � �p
Proflle Descriptlon: (DescMbe to the depth needed to document the Indlcator or conflrtn the absence of Indlcators.)
Depth Matrix Redox Features
(inchesl Color (moistl % C I r moi ��b Tvoe, Loc2 Texture Remarks
�- g ��1� ��Z $� ��o � Ci ��- �
' ��. �� g� �iR�� � � _� C
'T : C=Concentration D=De letion RM=Reduced Matrix MS=Masked Sand Grains. ZLocation: PL=Pore Linin M=Matrix.
Hydric Soil Indicators: Indicators for Problematic Hydric Soils':
_ Histosol (A1) _ Dark Surface (S7) _ 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2) _ Polyvalue Below Surtace (SS) (MLRA 147, 148) _ Coast Prairie Redox (A18)
_ Black Histic (A3) _ Thin Dark Surface (S9) (MLRA 147, 148) (MLRA 147, 148)
_ Hydrogen Sulfide (A4) Loamy Gleyed Matrix (F2) _ Piedmont Floodplain Soils (F19)
_ Stratitied Layers (A5) � Depleted Matrix (F3) (MLRA 136, 147)
_ 2 cm Muck (A10) (LRR N) _ Redox Dark Surface (F6) _ Very Shallow Dark Surtace (TF12)
_ Depleted Below Dark Surface (A71) _ Depleted Dark Surface (F7) _ Other (Explain in Remarks)
_ Thick Dark Surface (A72) _ Redox Depressions (FS)
_ Sandy Mucky Mineral (S1) (LRR N, e Iron-Manganese Masses (F12) (LRR N,
MLRA 147,148) MLRA 136)
_ Sandy Glsyed Matrix (S4) _ Umbric Surtace (F13) (MLRA 136,122) 3lndicators of hydrophytic vegetation and
_ Sandy Redox (S5) _ Piedmont Floodplain Soils (F19) (MLRA 148) wetland hydrology must be present,
Stripped Matrix (S6) Red Parent Material (F21) (MLRA 127, 147) unless disturbed or problematic.
Restridive Layer(H observed):
Type:
Depth (inches): Hydric Soli Present? Yes � No
Remarks:
US Army Corps of Engineers Eastem Mountains and Piedmont - Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
ProjecbSite: ��S-) 3� Ci Gounty �a� ��S b,n Sampling Date: �-�� -��
ApplicanUOwner: N GDOT State: � Sampling Point: ,�P I�
Investigator(s): �_ ���� �T S�%�Oh Section, Township, Range:
Landfortn (hillslope, terrace, etc.): S�ne��o� Local relief (concave, convex, none): CAf1�l'2X Slope (°�): ��
Subregion LR o�): � 1 �3 le Lat: �'✓ 'Jr. $l03 I 8$% lC Long: �d l� . 1$ 5$q �`d 1 Datum: W6� � 1��
Soil Map Unit NameCEx��1—c1^�or� ^r���� �r^rro i��4� b S��od2S NWI classification: la�L
Are Gimatic / hydrologic conditions on the site typical for this time of year? Yes x No (If no, explain in Remarks.)
Are VegefaGon , Soil , or Hydrology significanUy disturbed? Are "Nortnal Circumstances" present? Yes �_ No
Are Vegetation , Soil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present?
Hydric Soil Present?
Wetland Hydrology Present?
Remarks: UPL c�a.tu -fur
HYDROLOGY
Yes No x
Yes No X
Yes No x
'�A� Z'o�� 1
Is the Sampled Area �
within a Wetland? Yes No
Wetland Hydrology Indicators: Secondarv Indicators (minimum of two reauired)
Primarv Indicators (minimum of one is reauired: check all that aoolv) _ Surtace Soil Cracks (B6)
_ Surtace Water (A1) _ True Aquatic Plants (B14) _ Sparsely Vegetated Concave Surface (B8)
_ High Water Table (A2) _ Hydrogen Sulfide Odor (C1) _ Drainage Pattems (610)
_ Saturation (A3) _ Oxidized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (Bi6)
_ Water Marks (Bi ) _ Presence of Reduced Iron (C4) _ Dry-Season Water Table (C2)
_ Sediment Deposits (B2) _ Recent Iron Reductlon in Tilled Soils (C6) _ Crayfish Burrows (C8)
_ Drift Deposits (B3) _ Thin Muck Surtace (C7) _ Saturation Vsible on Aerial Imagery {C9)
_ Algal Mat or Crust (B4) _ Other (Explain in Remarks) _ Stunted or Stressed Plants (D1)
_ Iron Deposits (BS) _ Geomorphic Position (D2)
_ Inundation vsible on Aerial Imagery (B7) _ Shallow Aquitard (D3)
_ Water-Stained Leaves (69) _ Microtopographic Relief (D4)
_ Aquatic Fauna (813) _ FAC-Neutral Test (D5)
Field ObservaUons:
Surtace Water Present? Yes No Depth (inches):
Water Table Present? Yes No Depth (inches):
Saturadon Present? Yes No Depth (inches): Wetland Hydrology Present? Yes No x
inGudes ca illa fin e
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), 'rf available:
Remarks:
US ARny Corps of Engineers Eastem Mountains and Piedmont - Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
� Absolute Dominant Indicator
Tree Stratum (Plot size: �� ) ° Cover Soecies? Status
�. Lir'iodehdror� -h��;�a� re_. �O �� �.c�.
2.�cauS ara.td.`�o1�a. �_ �� ��
3.�j V�P�lGUS YI.��D�A.. '?1� � �
7.
8.
� �� = Total Cover
Saolina/Shrub Stratum (Plot size: � 5 )
,.��Aus ara►�: �; ._ �5 Y �c�u.
2. Z ��X O p0.G0.. 10 �_ �rOc(
3.
4.
5.
6.
7.
8.
9.
10.
5 � �_ = Total Cover
Herb Stratum (Plot size: )
1. _ � eX o'ixl CA.. ���.C�i
2. �I r�LO�.- Y�ni �nD f' �O �_ �Z
3.
4.
5.
6.
7.
10.
11.
12.
�.C� = Total Cover
Woodv Vine Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
Remarks: (Include photo numbers here or on a separate sheet.)
�p`�9 ZS°)o 30°?e
r� : c.(.5 S'D = 12.5 ,5p = ►`-��
zo = � � � � � Zo = S�
= Total Cover
Sampling Point: D� �1
Number of Dominant Species
That Are OBL, FACW, or FAC:
Total Number of Dominant
Species Across All SVata:
Percent of Dominant Species
That Are OBL, FACW, or FAC:
O (q)
5 �B�
� (A/B)
Prevalence Index worksheet:
Total % Cover of: Multiulv bv:
OBL species � x 1= Q
FACW species � x 2= O
FAC species � x 3= O
FACU species I� x 4= S'DD
UPL species O x 5= Q
Column Totals: I� (A) JT�D �g,
Prevalence Index = B/A = �
Hydrophytic Vegetatlon Indlcators:
_ 1- Rapid Test for Hydrophytic Vegetation
_ 2 - Dominance Test is >50°h
_ 3- Prevalence Index is 53.0'
_ 4 - Morphological Adaptadons' (Provide supporting
data in Remarks or on a separate sheet)
_ Probiematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Tree - Woody plants, exGuding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft(1
m) tall.
Herb - All herbaceous (non-woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody vine - All woody vines greater than 3.28 ft in
Hydraphytic
Vegetatlon ` ,
Present? Yes No �\
,�i� r1D'�` 1tiS� 1�= w. CL1.�G�Ct�1.�
� �.�� c..r� �r p�r�ru.( e�c,.�,,
US Army Corps of Engineers Eastem Mountains and Piedmont - Version 2.0

SDIL Sampling Point: �UP �1
Proflle Descriptlon: (DescMbe to the depth needed to document the Indicator or conflrtn the absence of Indicators.)
Depth Matrix Redox Features
S�nches) Color (moist) % Color (moisfl % Tv�e, LocZ Texture Remarks
o-�o i�Y2��F o� io yh4 io ' I.
(o -- I� �. 51f rQ �/� 2� �'�k �io 5 G M �_
'T : C=Concentration D=De letion RM=Reduced Matrix MS=Masked Sand Grains. 2Location: PL=Pore Linin M=Matrix.
Hydric Soil Indicators: Indicators for Problematic Hydric Solls':
_ Histosol (A1) _ Dark Surtace (S7) _ 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2) _ Polyvalue Below Surface (S8) (MLRA 147, 148) _ Coast Prairie Redox (A18)
_ Black HisGc (A3) _ Thin Dark Surface (S9) (MLRA 147, 148) (MLRA 147, 148)
_ Hydrogen Sul�de (A4) _ Loamy Gleyed Matrix (F2) _ Piedmont Floodplain Soils (F19)
_ Stratified Layers (A5) _ Depleted Matrix (F3) (MLRA 136, 147)
_ 2 cm Muck (A70) (LRR N) _ Redox Dark Surtace (F6) _ Very Shallow Dark Surtaae (TF12)
_ Depleted Below Dark Surtace (A11) _ Depleted Dark Surtace (F7) _ Other (Explain in Remarks)
Thick Dark Surtace (Al2) _ Redox Depressions (F8)
_ Sandy Mucky Mineral (S1) (LRR N, _ Iron-Manganese Masses (F12) (LRR N,
MLRA 147, 148) MLRA 136)
_ Sandy Gleyed Matrix (S4) _ Umbric Surface (F13) (MLRA 136,122) 3lndicators of hydrophytic vegetation and
_ Sandy Redox (S5) _ Piedmont Floodplain Soils (F19) (MLRA 148) wetland hydrology must be present,
Stripped Matrix (SB) Red Parent Material (F21) (MLRA 127, 147) unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches): Hydric Soil Present? Yes No %C
Remarks:
US Army Corps of Engineers Eastem Mountains and Piedmont — Version 2.0

NC DWQ Stream Identification Form Version 4.11
Date: �-�$' _�'� Projectisite: R 5-7 3%
Evaluator: �j.$;�I �-rshe � County:�av►clsp,n
Total Points: ' � � � StNream Determination (cir
Stream is at least intem►ittent E hemeral Intermitten�
if _ 19 or nerennial if _ 30* '
��
Latitude: 35.$(02`��o��f �
Longitude: g0. / g'�(�7 / t� �
Other �ac � �g'�o� �S't' , �G
e.g. Quad Name: ZO � b
A. Geomor holo (Subtotal =/o ) Absent Weak Moderate Strong
1a Continuity of channel bed and bank 0 1 2 3
2. Sinuosity of channel along thalweg 0 1 2 3
3. In-channel structure: ex. riffle-pool, step-pool, � � 2 3
ri le- ool se uence
4. Particle size of stream substrate 0 1 2 3
5. Active/relict floodplain 1 2 3
6. Depositional bars or benches 1 2 3
7. Recent alluvial deposits 0 1� 2 3
8. Headcuts 0 1 2 3
9. Grade control 0 0.5 1 1.5
10. Natural valley 0 0.5 1 1.5
11. Second or greater order channel No 0 Yes = 3
a_
wu��.,�o� anw�ica a�c nv� �aic�, occ u�awaa�v�w ni niaiwa�
B. H drolo Subtotal = 1� .5�
12. Presence of Baseflow 0
13. Iron oxidizing bacteria 0
14. Leaf litter 1.5
15. Sediment on plants or debris 0
16. Organic debris lines or piles 0
17. Soil-based evidence of high water table? No = 0
C. Biolo Subtotal = � ?
18. Fibrous roots in streambed 3
19. Rooted upland plants in streambed 3
20. Macrobenthos (note diversity and abundance) 0
21. Aquatic Mollusks 0
22. Fish t 0
23. Cra�sh 0
24. Amphibians 0
25. Algae 0
26. Wetland plants in streambed FF
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:�,n PRn� 9' sca.a s. � �..,.. ..�'s{�. �P �� a n.,...n� Aa._
Sketch:
�f'
� �°
SA �
-� �
.
eP�nne.ral �
- - - ��+�=�i'�` ..
1
1
1
0.5
0.5
2
2
1
0.5
� 3
2 3
'0.5 0
� 1� 1.5
1 1.5
Yes ��
0.5 1,
0.� , 1
N= 0.75; OBL = 1.5 04her
0�-'� �G�d- 8�..
b�eLo��
0
0
3
3
1.5
1.5
1.5
1.5

NC DWQ Stream Identification Form Version 4.11
Date: �� I�. �� Project/Site: � 57 c
Evaluator: �j,���� �'�,� County: DaJidSOrl
Total Points: Stream Determination
Stream is at least intermittent 2O `� Ephemeral Intermlttei
if Z 19 or verennial if Z 30� ��
0
Latitude: �'.$c�q-�-�9g$
Longitude: 80_ ($4c�-�
Other �X�v�p}p� �g�� 1�C.
e.g. Quad Namb� .�l�
A. Geomp holo (Subtotal =� S. 7 ) Absent Weak Moderate Strong
1a Continuity of channel bed and bank 0 1 2 3
2. Sinuosity of channel along thalweg 0 1 3
3. In-channel structure: ex. riffle-pool, step-pool, 0 1 �2 3
ri le- ool se uence
4. Particle size of stream substrate 0 1 2 3
5. Active/relict floodplain 0 1 2 3
6. Depositional bars or benches 0 2 3
7. Recent alluvial deposits 0 1 2 3
8. Headcuts 0 1 3
9. Grade control 0 0.5 1 1.5
10. Natural valley 0 0.5 1 '�5
11. Second or greater order channel No 0 Yes = 3
e_�:�_:_� �:.-'--- --- --` --•--'• --- �:__.._-'---'- ----.._�
B. H droloVV " Subtotal = V� VVV,V��V ", .,,y.,yy,
12. Presence of Baseflow 0
13. Iron oxidizing bacteria 0
14. Leaf litter 1.5
15. Sediment on plants or debris 0
16. Organic debris lines or piles 0
17. Soil-based evidence of high water table? No = 0
C. Bi010 Subtotal = -7'
18. Fibrous roots in streambed 3
19. Rooted upland plants in streambed 3
20. Macrobenthos (note diversity and abundance) 0
21. Aquatic Mollusks
22. Fish 0
23. Crayfish 0
24. Amphibians 0
25. Algae 0
26. Wetland plants in streambed
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: Sca.�d rr+a,r�a.�.�- . 1�►�uca . sala.,,.�.w...�l�^
Sketch:
(��, � !j .
r � E� �$
/�
- wc.
� sg
�Qac�
1
1
1
0.5
2 1
1
1 2
1 2
0.5 1
05 1
5 1
0.� 1
FACW = 0.75; OBL = 1.5
3
3
0
1.5
1.5
0
0
3
3
1.5
1.5
1.5
1.5

NC DWQ Stream Identification Form Version 4.11
Date: �� I�-' 7 Project/Site: ��� 3�
Evaluator: 'g ,'��� 1-`' �� p County:��Y � a So�
Total Points: Stream Dete "' n(circle one)
Str�am is at least intermittent z(� Ephemer ntermitten Perennial
if z 19 or verennial if 2 30* v
A. Geomo�holoqy (Subtotal = �
1a Continuiry of channel bed and bank
2. Sinuosity of channel along thalweg
3. In-channel structure: ex. riffle-pool, step-pool,
4. Particle size of stream substrate
5. Active/relict floodp(ain
6. Depositional bars or benches
7. Recent alluvial deposits
8. Headcuts
9. Grade control
10. Natural valley
11. Second or greater order channel
artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = �'�� )
12. Presence of Baseflow
13. Iron oxidizing bacteria
14. Leaf litter
15. Sediment on plants or debris
16. Organic debris lines or piles
17. Soil-based evidence of high water table?
Absent
0
0
U
0
Weak
1
1
1
1
1
1
1
�. �
�
Latitude: 3.rj• $(o � 90� �' jo
Longitude:� 0�'�$7 55S
Other �C�ng�Co� EA�, NG
e.g. Quad Name: Zp ( �
C. Biolo Subtotal = 7 a S
18. Fibrous roots in streambed 2 1 0
19. Rooted upland plants in streambed 2 1 0
20. Macrobenthos (note diversity and abundance) 0� 2 3
21. Aquatic Mollusks 1 2 3
22. Fish 0 0.5 1 1.5
23. Crayfish 0 .5 1 1.5
24. Amphibians 0 0.5 1 1.5
25. Algae 0 0.5 1 1.5
26. Wetland plants in streambed FACW = 0.75; OBL = 1.5 Other z 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: 5 � �„- ti
Sketch:
�
i
„>9
Wti �L R►� � ��'�'

�
NC DWQ Stream Identification Form Version 4.11
�ate: �_� q_ � Project/site: RcJ-13`7 �atitude:,�5.S7o/7 J05o
Evaluator: �, g�� `� T s � County: ��� Longitude: ��. � S0� �� ql
Total Points: Stream Dete ' ion (circle one) Other �; �q'���� � NC
Stream is at least intem►ittent �[ �� Ephemeral Intermitten erennial e.g. 4uad Na�1r�: Zol�
if z 19 or nerennial if Z 30 ✓
A. Geomor holo (Subtotal = � 2 e� ) Absent Weak Moderate Strong
1a Continuity of channel bed and bank 0 1 2 3
2. Sinuosity of channel along thalweg 0 Q 2 3
3. In-channel structure: ex. riffle-pool, step-pool, 0 � 2 3
ri le- ool se uence
4. Particle size of stream substrate 0 1 3
5. Active/relict floodplain 0 2 3
6. Depositional bars or benches 0 Q 2 3
7. Recent alluvial deposits 0 1 C� 3
8. Headcuts 0 2 3
9. Grade control 0 1 1.5
10. Natural valley 0 0.5 1.5
11. Second or greater order channel No Yes = 3
e
minn.m� anwnca a�c �w� �a�vu, JGG VIAtrYAA1V11.7 m iiiaiwai
B. H drolo Subtotal = , �
12. Presence of Baseflow 0 � 2 3
13. Iron oxidizing bacteria 1 2 3
14. Leaf litter 1.5 0.5 0
15. Sediment on plants or debris 0 1 1.5
16. Organic debris lines or piles 0 0.5 1.5
17. Soil-based evidence of high water table? No = 0 Yes �
C. Biolo Subtotal = (o . S
18. Fibrous roots in streambed 3 2 0
19. Rooted upland plants in streambed � 2 1 0
20. Macrobenthos (note diversity and abundance) 0 1 3
21. Aquatic Mollusks 1 2 3
22. Fish 0.5 1 1.5
23. Crayfish 0 0. 1 1.5
24. Amphibians 0.5 1 1.5
25. Afgae 0.5 1 1.5
26. Wetland plants in streambed FACW = 0.75; OBL = 1.5 Other
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: r un r rL, ri�lYiA Kr . i ��I��lli !S '�c IJI f'•E.�A Y� � W
Sketch

NC DW Stream Identification Form Version 4.11
Date: I- �� _ I� ProjecUSite: `R �'"�' 3`]
Evaluator: $�-�'� �rs���.� County: � ` �
Total Po(nts: �
Stream is at least intermittent
if � 19 or nerennial if z 30"
Stream Det��circle one)
Ephemeral Intermitten P�erennfa
�G
Latitude: � j_$b �(o0s 0 �
Longitude: ��, �$�47237
Other VeX�n9�on '�:1�, (��►.
e.g. Quad Name: �n���
A. Geomo hol Subtotal =�i ) Absent Weak Moderate Strong
18 Continuity of channel bed and bank 0 2 3
2. Sinuosity of channel along thalweg 0 1 3
3. In-channel structure: ex. riffle-pool, step-pool, � 1 2 3
ri le- ool s uence
4. Particle size of stream substrate 0 2 3
5. Active/relict floodplain � 1 2 3
6. Depositional bars or benches 1 2 3
7. Recent alluvial deposits 0 � 1 3
8. Headcuts 1 2 3
9. Grade control �0 0.5 1 1.5
- -- -
10. Natural valley 0 0.5 � 1.5
11. Second or greater order channel No ZO Yes � 3
artificial ditches are not rated; see discussions in manual
B. H drolo Subtotal = �
12. Presence of Baseflow �0 1 2 3
13. Iron oxidizing bacteria 1 2 3
14. Leaf litter 1.5 0.5 0
15. Sediment on plants or debris 0 0.5 �j 1.5
16. Organic debris lines or piles 0 0.5 1 1.5
17. Soil-based evidence of high water table? No = 0 Yes 3
C. Biolo Subtotal =
18. Fibrous roots in streambed 3 2 1 0
19. Rooted upland plants in streambed 2 1 0
20. Macrobenthos (note diversity and abundance) 1 2 3
21. Aquatic Mollusks 1 2 3
22. Fish 0.5 1 1.5
- -- - _ _
23. Crayfish 0 0.5 1 1.5
24. Amphibians 0.5 1 1.5
25. Algae 0 0.5 1 1.5
26. Wetland plants in streambed � FACW = 0.75; OBL = 1.5 Other z0
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: o SC. 0.s f2
Sketch:
's wE R4 �P►i �I' EPN
iF
w�

NC DWQ Stream Identification Form Version 4.11
Date: � � ��_�7 ProjecUSite: '�f.�. 7 2��
Evaluator: $. �1 � . Jn County: �av.`� �
Total Points: S m Determination (circle one)
Stream is at least intermittent I� phemera Intermittent Perennial
if 2 19 or nerennial if >_ 30"
Latitude: 35.g� I 2(0 �!p 3
Longitude: 8� � g'�07� � �
Other ��j(; �pn Fq�'' j�,
e.g. Quad Nam . Zp � b
A. Geomo hol Subtotal = J`J'.5 Absent Weak Moderate Strong
1a� Continuity of channel bed and bank 0 2 3
2. Sinuosity of channel along thalweg 0 1 3
3. In-channel structure: ex. riffle-pool, step-pool, � 1 2 3
ri le- ool se uence
4. Particle size of stream substrate 0 2 3
5. Active/relict floodplain 1 2 3
--- - -__
6. Depositional bars or benches 1 2 3
7. Recent alluvial deposits 0 •� 2 3
8. Headcuts (�} 1 2 3
9. Grade control `0 0.5 1 1.5
10. Natural valley 0 1 1.5
11. Second or greater order channel No'= 0 Yes = 3
a_,.�_,_.,..-�-- - -----•-� --- �_-- � - , __
a�.���..�o�..�..���� a�� ��.,. �o,�.., ��� ,.��..,.���.,��� ��� ���a��,.a�
B. H drolo Subtotal = "�
12. Presence of Baseflow 0 1 2
13. Iron oxidizing bacteria 0 1 2
14. Leaf litter 1.5 1 0.5
15. Sediment on plants or debris 0 0. 1
16. Organic debris lines or piles 0 1�
17. Soil-based evidence of high water table? No = 0 Yes
C. Biolo Subtotal =
18. Fibrous roots in streambed 3 1
19. Rooted upland plants in streambed 3 2 1
20. Macrobenthos (note diversity and abundance) 1 2
21. Aquatic Mollusks CO`} 1 2
22. Fish 0.5 1
23. Crayfish 0 0.5 1
24. Amphibians 0 0.5 1
25. Algae 0 0.5 1
26. Wetland plants in streambed FACW = 0.75; OBL = 1.5 Other
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: h���.� w�.kl0.�nd �►�+� V pd s»[ '� �. �n:\ S
Sketch:
R� � �t
�o c- .aa wti �'� � e^`�. ( ( \ \ .�. _ 1"'� 1 A�
3
3
0
1.5
1.5
0
0
3
3
1.5
1.5
1.5
1.5
�

NC DWQ Stream Identification Form Version 4.11
Date: t_ 18 � �� ProjecUSite: Rt-J`]37
�
Latitude: � 5, g�073 `/3
Evaluator: �,'��l -�s���� County: '�a��� o� Longitude: g�. !-� q30%2�
Total Points: Str Determination (circle one) Other �ya�'�� �,g-��N�,
Stream is at least intem►ittent pheme I termittent Perennial e.g. Quad Nam .
if z 19 or nerennial if z 30' �� 20��
A. Geomo holo (Subtotal =(� ) Absent Weak Moderate Strong
1a� Continuity of channel bed and bank 0 1 2 3
2. Sinuosity of channel along thalweg 0 1 2 3
3. In-channel structure: ex. riffle-pool, step-pool, � 1 2 3
ri le- ool se uence
4. Particte size of stream substrate 0 1� 2 3
5. Active/relict floodplain 0 1 � 3
6. Depositional bars or benches 0 1 2 3
7. Recent alluvial deposits 0 2 3
S. Headcuts 1 2 3
9. Grade control 0 0.5 1 1.5
10. Natural valley 0 0.5 1 1.5
11. Second or greater order channel No = 0 Yes = 3
e
GIl11Rr1O1 VIl1.r{IGA QIG IIVI IOlG4� �IGG VIJli4JJIV1IJ 111 IIIOIIYOI
B. Hydrology (Subtotal = � )
12. Presence of Baseflow
13. Iron oxidizing bacteria
14. Leaf litter
15. Sediment on plants or debris
16. Organic debris lines or piles
17. Soil-based evidence of high water table?
2 3
2 3
0.5 0
1 1.5
1 1.5
Yes = 3
C. Biolo Subtotal =
18. Fibrous roots in streambed 3 2 1 0
19. Rooted upland plants in streambed 2 1 0
20. Macrobenthos (note diversiry and abundance) 1 2 3
21. Aquatic Mollusks 1 2 3
22. Fish 0 0.5 1 1.5
23. Crayfish 0 0.5 1 1.5
24. Amphibians 0 0.5 1 1.5
25. Algae 0 0.5 1 1.5
26. Wetland plants in streambed FACW = 0.75; OBL = 1.5 Other 0
"perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: �,.p,�-
Sketch: w y y � „-
�
_ _ __ --�� ��_ �
���� = -� � 11 , � ���
- �
� �
� _ ,
_ � ' � �,
,

NC DWQ Stream Identification Form Version 4.11
Date: I - � � � t
l
Evaluator: � ,� � �' /T
Total Points:
Stream is at least intermittent 3 C,�
if z 19 or verennial if z 30' J
ProjecUSite: ��7,�j�
County: j�„_��,� _
Stream Determination
Ephemeral Intermittei
s�
Latitude: ,�_ g�3�gc.�.G�1
Longitude:g�, � gpZ? 73%
Other�X�'�t{or� EDCSt,NG
e.g. QuadNam'8: Zp�b
A. Geomo holo (Subtotal = ��` ) Absent Weak Moderate Strong
1a Continuity of channel bed and bank 0 1 2
2. Sinuosity of channel along thalweg 0 1 2 3
3. In-channel structure: ex. riffie-pool, step-pool, 0 1 � 3
ri le- ool se uence
4. Particle size of stream substrate 0 1 2
5. Active/relict floodplain 0 2 3
6. Depositional bars or benches 0 1 3
7. Recent alluvial deposits 0 1 2 3
8. Headcuts 0 1 2 3
9. Grade control 0 1 1.5
10. Natural valley 0 0.5 1
11. Second or greater order channel No 0 Yes = 3
a artificial ditches are not rated; see discussions in manual
B. H drolo Subtotal =?� • S
12. Presence of Baseflow 0 1 �2 3
13. Iron oxidizing bacteria 0 2 3
14. Leaf litter 1.5 1 0.5 0
15. Sediment on plants or debris 0 0.5 1.5
16. Organic debris lines or piles 0 1 1.5
17. Soil-based evidence of high water table? No = 0 Yes 3
C. Biolo Subtotal =
18. Fibrous roots in streambed 2 1 0
19. Rooted upland plants in streambed 3 2 � 1 0
20. Macrobenthos (note diversity and abundance) 0 1 2 3
21. Aquatic Mollusks 0 2 3
22. Fish 0 0.5 1 1.5
23. Crayfish 0 0.5 1 1.
24. Amphibians 0 0.5 1 1.5
25. Algae 0.5 1 1.5
26. Wetland plants in streambed FACW = 0.75; OBL = 1.5 Other 0
"perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: x +
Sketch: �� �„@� ~iy�
���w er'C
� "��.

NC DW Stream Identification Form Version 4.11
oec�: �_ ZS _,� ProjecUSite: R�"j � 3� Latitude: 35. �e �Faz l 8y2
Evaluator: ��$��1� County: DQV►clS�h Longitude: �,��93?8120
Total Points: Stream Determination (circle one) Other �2at�n '�0 ��QS� I�iG
Str�am is at least intermittent � y ,C Ephemeral n ermitbe Perennial e.g. Quad Nam�
if t 19 or werennial if 2 30• �� 201 �G
A. Geomor�ohology ��Subtotal_= 1 )
1 a� Continuity of channel bed and bank
2. Sinuosity of channel along thalweg
3. In-channel strudure: ex. riffle-pool, step-pool,
rip�le�ool se�uence
4. Particle size of stream substrate
5. Active/relict floodplain
6. Depositional bars or benches
7. Recent alluvial deposits
8. Headcuts
9. Grade control
10. Natural valley
11. Second or greater order channel
artificial ditches are no4 rated; see discussions in manual
B. Hydrology (Subtotal = �a )
12. Presence of Baseflow
13. Iron oxidizing bacteria
14. Leaf litter
15. Sediment on plants or debris
16. Organic debris lines or piles
17. Soil-based evidence of high water table?
C. Biology (Subtotal = (�.. )
Absent
0
0
0
0
r0
0
0
0
0
1.5
0
0
Moderate
2�
2
2
2
2
2
2
2
1
2
2
0.5
1
1
Yes=3
18. Fibrous roots in streambed 3 2 1
19. Rooted upland plants in streambed 3 2 1
20. Macrobenthos (note diversity and abundance) 0 2
21. Aquatic Mollusks 0 1 2
22. Fish 0 0.5 1
23. Crayfish 0 0. 1
24. Amphibians 0 0.5 1
25. Algae 0� 0.5 1
26. WeUand plants in streambed FACW = 0.75; OBL = 1.5 Other
'perenn.ial streams may also be identified using other methods. See p. 35 of manual.
Notes: so��, �,� ��4 . cr u��. car� . � c.l..
Sketch: � -_-?o _ ---
.�\ cu�vtYts
S°1. ��+aaf. V__1C'�
�
Strong
3
3
3
- =3 -
3
3
3
3
1.5
1.5
3
3
0
1.5
1.5
0
0
3
3
1.5
1.5
1.5
1.5
s�

� _ �
� USACE AID# DWQ # Site #,� (indicate on attached map) I
;,�,; STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: �ii�OT
3. Date of evaluation: l���`/%
5. Name of stream: GlT r
7. Approximate drainage area: � O• �3 rv��Z
9. Length of reach evaluated: � �
11. Site coordinates (if known): prefer in decimal degrees.
Latitude (ex. 34.872312): 35 •$� z� � 5 y�
2. Evaluator's name:��, s��Y�� 5���,,�� � w'�,oer�r� t
4. Time of evaluation: ��27
6. River basin _Y��_ ��a�_.��
8. Stream order: _ �'1 �St
10. County:_�, i c� d,1 , ,
12. Subdivision name (if any): tJt A—
Longitude (ex. �77.556611): �� . i O �G� 7 � � I
Method location determined (circle): � Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
5 , Q
14. Proposed channel work (if any):�������.�, _, ^
15. Recent weather conditions: C�,1�U��y t�-,; �1 �. � v`�+�`4. � e�- ��y, J•.,�- lm5° �
16. Site conditions at time of visit: sUn�,�� bre�,�,1 .�(Ol�a F
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters �Water Supply Watershed�(I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES � If yes, estimate the water surface area:
19, Does channel appear on USGS quad map? YES NO 20. Does channel appear on USDA Soil Survey? YES �
21. Estimated watershed land use: �% Residential
� 0% Forested
�% Commercial o% Industrial �% Agricultural
�% Cleared / Logged /� % Other (_�D W- i��Q,� S )
22. Bankfull width: �� 23. Bank height (from bed to top of bank): ��
24. Channel slope down center of stream: _Flat (0 to 2%) X Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: Straight �Occasional bends _Frequent meander _Very sinuous _Braided channel
lnstructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse):
� � • i / � ) L' �aLia�ll�l " : • � .i_ � / .i
■ -
-r`1rrlP �rr��. sf�t `5 �n,�,l.�v��"' -
Evaluator's Signature _ , �� ^ ~ Date ` � .� � � — ��
This c6annel evaluation form �s 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 06103. To Comment, please call 9] 9-876-844] x 26.

STREAM QUALITY ASSESS�NT WORKSHEET
- -
--- -
;. -�����- ' , .,�,�s .- � .. ECORE�ION POIIVT �A�G�
-, # ... . C�AI�A .CT� a .: ; � C-S
- � �CORE
,: Coastal _ Piiedmont Mountafn
1 Presence of flow / persistent pools �n stream 0- 5 0- 4 0- 5
no flow or saturation = 0• stcon �flow = max oints 2
' 2 Evidence of past human alteration � 0- 6 0- 5 U- 5
extensive aiteration = 0• no alteration = max oints 2
_ -
Riparian zone
3 no buffer = 0• conti ous wide b�'er = max oints 0- 6 0- 4 0- 5 2
Evidence of nuMent or chemical discharges 3
4 extensive dischar es = 0• no dischsr es = max ints 0- 5 0- 4 I 0- 4
Gronndwater dischar,ge
� 5 no dischar e= 0• s rin se s w,eflands etc. = max oints �-� � 0- 4 0- 4 L�
r� 6 � Presence of ad jacent floodplain 0- 4 0- 4 0- 2
� no flood lairi - 0• extensive ilood lain = max oints) ___ � �
� � Entrenchment / ftoadplain access p_ 5 � U- 4 0- 2
� dee 1 entrenched = 0• uent�floodin = max oints �
__ - - - - -
Presence of adjacent wetlands �
8 no wetlands = U; lar e ad'acent wetlands = max oints 0- 6 U- 4 0- 2
Channel siuuosity �
9 extensive channelization = Q� natural meander = max oints ' 0- 5 U- 4 0- 3
10 Sediment input _ . 0- 5 U- 4 0- 4
' extensrve d osihon- 0• little or- no sediment = ma�c OIAtS �
�: 11 Size & diversity of channel bed substrate NA* 0- 4 0- 5 2
fine homo enous = 0• lar e diverse sizes = max oints
12 Evidence of channel incision or widening 0- 5 0- 4 0- 5 �, .
,� d 1'incised = 0• stable bed & banks = max aints
13 Presence of major bank failures 0- 5 � 0- 5 0- 5 !�.
�� severe erosion = 0• no erosion stable banks = m�ax oints
�Root depth and density on banks
14 .. . 0-3 0-4 i 0-5
�
no v�sible roots = 0• dense roots thro.0 out = max wts) 3
� Impact by agricultare, livestock, or timber production
15 substantial im act �• no evideqce = max oints U- 5 0- 4 0- S l�.
� 6 Presence o�riflle-pooUrlpple-pool aompleaes 0- 3 0- 5 0- 6
,E no riffles/ri les or ools = 0• well-develo ed = max oints. _ 2-
� Habitat complexity '
17 . . . 0-6 0-6 ' 0-6
�" _ httle or no habitat = 0• fr uen vaned habitats = max omts 2
�Canopy coverage over streambed �
1 g no shadin ve etaiion = U• continuous cano _=_max oints.} 0- 5 U- 5 0- 5 L-{
Substrate embeddedness � �
19 d I embedded = 0• loose shvcture = m� �� 0- 4 0- 4
20 , Presence of stream invertebrates (see page 4) 0- 4 0- 5 0- 5 �
.- __ _ no evidence = 0• common numerous = mau oints
-
--
� 21 Presence of amphibians 0- 4 0- 4 0- 4 3
O no evidence = 0• commo numerous , es = max oints i
�.7 - - - _
G 22 Presence of flsh -- - 0- 4 � 0- 4 � 0- 4
� no evidence = 0• commo numerous es = max oittts C�
2� . . 0-6 U-5 0-5
Evidence of wIldlife nse �
no ewdence = 0• abundant evidence = max mts
'�'otal Points Possibie 1'00 ' �:OU 1U.0 -
, TOTAL SCORE (�1so enter on � page) - , ' �
i=y
* These characteristics are not assessed in coastal streams.

USACE AID# DWQ # Site #� (indicate on attached map)
;,�,; STREAM QUALITY ASSESSMENT WORKSHEET
Provide t6e following information for the stream reach under assessment:
l. Applicant's name: �G�OT
3. Date of evaluation: 1- �$'��i
5. Name of stream: UT ? .
7. Approximate drainage area: ��• o3r•n ► 2
9. Length of reach evaluated: �¢ ' __
2. Evaluator's name: �� �i �� ���In�,j{�s,r�
4. Time of evaluation:�� � �
6. River basin: -
8. Stream order: �iv'�;r-
10. County: �al�lt,t� S e�r'1
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): NI A—
Latitude (ex. 34.872312): 3� • S5 I 77 1� 0 Longitude (ex. -77.55661 I): �� • ���T � 7 730
Method location determined (circle): t,�'jp,SJ Topo Sheet Ortho (Aerial) PhotoAGIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
�'�iY'evrwl e,11ar.�E? 5 Sot....'�"�v�- ��Sti1`�--.e,4-�,�� �1�1'�'g i.--,�%✓s�r�jp, uiC� t'f67� �'�C`3
14. Proposed channel work (if any): v��+��,nr, t.r�+�
15. Recent weather conditions: �D—�
16. Site conditions at time of visit: Su�,��,�� _ Ce+�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? �'E�` NO lf yes, estimate the water surface area: �4— O.Q7�Qc
,,��
r.R.
19. Does channel appear on USGS quad map? YES QO
21. Estimated watershed land use: ((� % Residential
20. Does channel appear on USDA Soil Survey? YES �
0% Commercial �% Industrial �% Agricultural
�% Forested �% Cleared / Logged L% Other (BOl.�1- R�� )
22. Bankfull width: _�ir F 23. Bank height (from bed to top of bank): 3�
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 tor 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): � �J Comments: ,�#-r'P,4rvt �eaC,�► r...n�Gt �n�� ����
�� ����.e�- - — _ ..�
i
Evaluator's Signature Date � � � ^ � �
This channel evaluation for s inte d to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change -- version 06103. To Comment, please ca11919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
_ . .- - =- . _-
.,-. .
� � - : _ E�CORE'GION POI�T RANGE; .
� # r "' � CHARACTERISTIGSY' �-� ^� �- - � � ' Coastal Piedmont Mountain SCOR�E ,
�:j Presence of flow / persistent pools in stream 2
1 no flow or saturation � 0• stron flow = max oints �� 5 0-- 4 0- 5
2 Evidence of past human alteration p� 6 0- 5 0- 5, '�j
extensive alteration = 0• no alteration = max oints �
Riparian zone - - �.�, 1 `
3 no buffer � 0• conti uous wide buffer = max oints �` 6 0- 4 0- 5 � _�.
� 4 Evidence of nutrient or chemical discharges ;i �
extensive dischar es = 0• no dischar es = max oints 0-- 5 0- 4 0- 4 i�
�] Groundwate� discharge � �
<C 5 no dischar e= 0• s rin s see s wetlands etc. � max oints 0- 3 0- 4 0- 4
n_V"'
� i 6 Presence of adjacent floodplain 0- 4 0- 4 0� 2 ��� �
no flood Isin = 0• extensive flood lain = max oints �
� � Entrenchment / floodplain access - ': 2
� de I entrenched = 0• fre uent floodin = max oints 0- 5 0- 4 0- 2 :�
_ _ �,
�} g Presence of adjacent wetlands 0- 6 0- 4 0- 2� ."� �
� no wetla�ids = 0� lar e ad'acent wetlands = max oints .
� Channel sinuosity - �t
ry 9 0-5 0�4 0--3 �.
extensive channelization = 0• natural meander = max oints ,,-, 2-
� � p Sediment input 0- 5 0- 4 0-- 4 3
extensive de osition= 0• little or no sediment = max oints
�� u� 11 Size & diversity of channel bed substrate N�* 0 � 4 0- 5. 2,
!' fine, homo enous = 0• lar e diverse sizes = max , oints
Evidence of chaonel ineisian or widening 0- 5 0- 4 0- 5, �
�, � 2 dee I incised = 0• stable bed & banks = max oints
rH'' , 13 Fresence of major �ank failures 0- 5 0- 5 0- 5 ^�
,a severe erosion = 0• no erosion stable banks = max oints J
Root depth and density on banks
14 . . _
� no v�s�ble roots = 0• dense roots throu hout = max oints 0- 3 0 4 0-- 5 �
'� Impact by agriculture, livestock, or timber production
� S substantial im act =0; no evidence = max oints 0- 5 0- 4 0- 5 1...�
� 6 Presence of riftle-pooVripple-pool complexes 0-- 3 0- 5 0- 6 �
F _ no riftleslri les or ools = 0• well-develo ed = max oints _
� 17 Habitat complexity p_ 6 �- 6 � � 6 3
little or no habitat = 0• fr uent varied habitats = max oints
- - -
� 1$ Canopy coverage over streambed 0- 5 0- 5 0- 5 �
� no shadin ve etation = 0• continuous cano '= max oints �
Substrate embeddedness * � �
� 9 dee I embedded = 0• loose structure = max NA 0- 4 0- 4
Presence of stream invertebrates (see page 4) -
t 20 no evidence = 0• common numerous es = max oints} 0- 4 0- 5 0- 5 .:_.�,Y 'L
�� 21 Presence of amphi6ians ''��
'O no evidence = 0• common numerous es = max oints 0- 4 0- 4 0- 4 ,. �
�a Presence of fish _ _ , ,�;
;O 22 no evidence = 0• common numerous es = max oints �^ 4 0- 4 0- 4_� O
� Evidence of wildlife use
�' :ti 23 no evidence = 0; abundant evidence = max oints 0- 6 0- 5 0- 5 3
�1 - - - -- ` -
� Total Points Possible i 00 ] 00 ] 00 r� �
��
r � , . ' �enter on frst page) � _ ,• _ ,:. . .� .. . � Co 3
TOTAL SCO�E, (also
* These characteristics are not assessed in coastal streams.
2

�
USACE AID# DWQ # Site # SG (indicate on attached map)
;,�,; STREAM QUALITY ASSESSMENT WORKSHEET
Provide the followiog information for the stream reach under assessment:
1. Applicant's name: I�CDt�T
3. Date ofevaluation: _ 1-�4� -�1�
5. Name of stream: l.lT 3
7. Approximate drainage area: � O. D5 i.,�, z'
9. Length of reach evaluated: �'
�- �����
h�..;��
2. Evaluator's name: $ � �� � 5�,�� �(���Y��
4. Time of evaluation: O
6. River basin:
8. Stream order: �
l0. County: S
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):_�1A� ,
Latitude (ex 34_872312): ��•$lo � 1 � 0� O Longitude (ex. -77.556611): $O . � g 0�O�
Method location detertnined (circle): GPS Topo Sheet Ortho (Aerial) PhotoAGIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
� s� aF � sa l�sZq-7D cJ�o�.ar,�trt�v,,��'r W� h �+��A�,.. � t.�,'�r
14. Proposed channel work (if any): IJ,rt� �� &rhrv� ��n;� _
l5. Recent weather conditions: �r� �n � ; ���d _ _ u�,� �^a,,,,� � r�,k'��� � . � S"�
16. Site conditions at time of visit: Suv,�,,�.� ,��Q � ° F
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 � 20. Does channel appear on USDA Soil Survey? YES QO
21. Estimated watershed land use: �% Residential 5% Commercial d% Industrial d% Agricultural
(�% Forested s % Cleared 1 Logged �J_O % Other ( RDW - (Zoads ,�r1G_�r.a )
22. Bankfull width: Z-3, 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 (>]0%)
25. Channel sinuosity: Straight �Occasional bends _Frequent meander ,Very sinuous �Braided channel
Iostructions 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. lf 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 beriveen 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score from reverse): J� � � Comments: G
� _
Evaluator's Signature��I}(�1�� � Date � - I'� - � �-
This channef evaluation form mtended 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
�,- � -�• , r�` � _ _ �-� - � ECOREGION POI'NT RAl'rTGE -,,
# CHARAC'�'ERISTICS ' , - SCORE
' Coastal Piedmont Mountain _ �
t
' Presenee of flow / persistent pools in stream (
1 0-5 0-4 0-5
Gno flow or saturation = 0• stron flow = max oints
;, 2 Evidence of past human alteration 0•m 6 0- 5 0- 5 5
� extensive alteration � 0• no alteration = max oints
� Riparian zone � �
3 no buffer = 0• conti uous, wide buffer -� max oints 0- 6 0- 4 0- 5
Evidence of nutrient or chemical discharges
�'� 4 extensive dischar es = 0• no dischar es = max oints 0- 5 0- 4 0- 4 L� I
� Groundwater discharge �
5 no dischar e= 0• s rin s. see s wetlands etc. � max oints 0- 3 0- 4 0- 4
� Presence of adjacent tloodplain Q
v� b I 0-4 0-4 0-2
�� no flood lain = 0• extensive flood lain = max oints)
�q Eotrenchment / floodplain access
p"' � de 1� entrenched = 0• fre uent floodin = max oints 0- 5 0- 4 0- 2 Z
I g i Presence of adjacent wetlands
; no wetlands = 0• Iar e ad'acent wetlands = max oints 0- 6 0- 4 0- 2 �
y Channel sinuosity �
�� 9 extensive channelization = 0• natural meander = max oints 0- 5 0� 4 0- 3
� 0 Sedimeot input 0- 5 0- 4 0- 4 �
' extensive de osition= 0• little or no sediment = max oints
Size & diversity of channel bed sabstrate * �
! 1 I fine homo enous = 0• lar e diverse sizes � max oints NA 0- 4 0- 5
� 2 Evidence of channel incision or widening 0-- 5 0- 4 0- 5
� dee incised = 0• stable bed & banks = max oints � �
� 13 presence of major bank failures 0-- 5 0- 5 0- 5 �
a severe erosion = 0• no erosion stable banks = ma�c oints
� � 4 Root depth and density on banks 0- 3 0- 4 0- 5
H_ no visible roots = 0• dense roots throu hout = max oints �
� lmpact by agriculture, livestock, or timber production
15 substantial im act �0• no evidence - max oints 0- 5 0- 4 0- 5
� 6 Presence of riffle-pooUripple-pool complexes 0- 3 0- 5 0- 6 �
� no rii%leslri les or ools = 0• well-develo ed = max oints
� � � Habitat complexity 0- 6 0- 6 0- 6 3
little or no habitat = 0• fr uent varied habitats = max oints
� 1 g Canopy coverage over streambed
(no shadin ve etation = 0• continuous cano = max oints 0- 5 0-- 5 0- 5 �
Substrate embeddedness * �
19 dee I embedded == 0• loose structure - max NA 0- 4 0- 4
Zp Presence of stream invertebrates (see page 4) 0�- 4 0- 5 � 0- 5 2
� no evidence = 0• common numerous es - max oints
� 21 Presence of amphibians 0- 4 0- 4 0- 4 Q
O no evidence = 0• common, numerous es = max oints
0 22 Preseoce of fish p_ 4 0- 4 0- 4 Q I�
� no evidence = 0; common numerous es = max oints
� Evidence of wildlife use , �
23 no evidence - 0; abundant evidence = max oints 0- 6 0- 5 0- 5
,�:- _
�
Total Points Possible 100 100 i�'U I
TOT,AL S�COR� (also enter on first page) -_.� �'�
* These characteristics are not assessed in coastal streams.

S�
USACE AID# DWQ # Site #� (indicate on attached map)
;,�,; STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following informatioo for the stream reach under assessment:
1. Applicant's name: �V" G'Q�i
3. Date of evaluation: 1' �°� '��
5. Name of stream:_ Ul.'<<}
7. Approximate drainage area: �1— O. 03 M,�"
9. Length of reach evaluated: �^I
2. Evaluator's name: �����1� � ,r�
4. Time of evaluation: ��i00
6.Riverbasin: �a,�'�s��•� -k�e-_��.� __
8. Stream order:��' _
10. County: ��SO�
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): t�) �f!
Latitude (ex 34 872312): �J J. ��P3� S T� � Longitude (ex -77 556611): ��. ��� 1.?% 3%
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) PhotoIGIS Other G1S Other
13. Location of reach under evaluation (note nearby roads and Iandmarks and attach map identifying stream(s) location):
�J eGt�r o� �.C'_C. �� 2`� -] L� �cr�. la�p__ �nsl�re,r`Z v.v^�dp �• .�
14. Proposed channel work (if any): Ur,��rrti���C�A , y
15. Recent weather conditions: S „r���lS � ��.n �-;,\b �,,� �S �D� (�S°rr
—���--
16. Site conditions at time of visit: cg ,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 (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 map? YES � 20. Does channel appear on USDA Soil Survey? YES �
21. Estimated watershed land use: �% Residential �% Commercial d% Industrial �% Agricultural
��% Forested O°to Cleared / Logged 30% Okher ( Ro� - Ymd a�pr�}
22. Bankfull width: 3• 5' 23. Bank height (from bed to top of bank): I S��
24. Channel slope down center of stream: _Flat (0 to 2%) �Gentle (2 to 4%) _Moderate (4 to ] 0%) _Steep (> 10%)
25. Channel sinuosity: Straight _Occasional bends �Frequent meander _Very sinuous iBraided 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 smaBler reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): �7 Comments: _ O�n�� N1Qf.�-nS i�fu ,Qi y,tQy°p SC� S}Crc�.r�h�h�
'(�. `�.V.�� S� '�-�`- � d�'
Evaluator's Signature { Date �' � I���
This channel evaluation fo 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 06r'03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
_-��_ -. _ , .:
� _ # � � - CHARACTERISTICS . ` - �� ECOREGIOI'� POINT RAi1iGE �CORE
� Coastai Piedmont Mountain
I Presence of flow / persistent pools in stream 0- 5 0- 4 0- 5 3
� no flow or saturation = 0• stron flow = max oints
�' 2 Evidence of past human alteration 0- 6 0-- 5 0- 5 l-�.
p extensive alteration = 0• no alteration = max oints
� ' Ripariau zone ' ,Z
3 no buffer -� 0• conti uous wide buffer = max oints 0- 6 0- 4 0- 5
� 4 Evidence of nutrient or chemical disc6arges 0- 5 0- -
extensive dischar es = 0• no dischar es � max oints 4 0 4 y
�I Groundwater discharge �
5 no dischar e= 0• s rin s see s wetlands etc. = max oints I 0- 3 0- 4 0- 4
� Preseace of adjacent floodplain
.y�,, 6_ no flood lain - 0; extensive flood lain = max oints 0-- 4 0- 4 0- 2 0
� � Entrenchment / floodplain access 0- 5 0- 4 0- 2 2 I
dee 1 entrenched = 0; fr uent floodin = max oints �
� ' g Presence of adjacent wetiands p_ 6 � 0- 4 0- 2 Q
no wetlands = 0• lar e ad'acent wetlands = max oints
� Channel siouosit�y
9 extensive channelization = 0• natural meander = max oints 0- 5 0- 4 0- 3
� 10 Sediment ioput 0- 5 0- 4 0� 4
�i extensive d osition= 0• little or no sediment = max oints 2
; Size & diversity of channel bed snbstrate
I� {fine homo enous = 0• lar e diverse sizes = max oints NA* 0- 4 0- 5 '1J
� 2 Evidence of channel incision or widening 0- 5 0- 4 0- 5
j. dee I incised = 0• stable bed & banks = max oints 2
'�,,,'' 1,� Presence of major bank failures 0-- 5 0� 5 0-- 5 I
� severe erosion -= 0; no erosion stable banks = max oints
� 14 Root depth and density on banks 0- 3 0- 4 0- 5
,N (no visible roots � 0; dense roots throu hout = max oints ,3
'� Impact by agriculture, livestock, or timber production �
� 5 substantial im act =0• no evidence = max oints 0-- 5 0- 4 0- 5
r 6 Presenee of riffle-pooUripple-pool complexes ' 0- 3 0- 5 0- 6 �
� no rifilesJri les or ools = 0• well-develo ed = max oints
� I � Habitat complexity 0- 6 0- 6 0- 6 3
:� little or no habitat = 0• fre uent varied habitats = max oints
Canopy coverage over streambed y
� � 8 no shadin ve etation - 0• continuous cano = max oints� 0- 5 0- 5 0- 5
Sabstrate embeddedness * Z
19 {de I embedded = 0• loose structure = max NA 0- 4 0- 4
20 Presence of stream invertebrates (see page 4) 0- 4 0- 5 0-- 5 3
�� no evidence = 0; common numerous es = max_ oints
(�j Presenee oi amphibians
21 0-4 0�4 0-4
O no evidence = 0• common numerous es = ma�c oints) �
� 22 Preseoce of fsh 0- 4 0- 4 0- 4 '
�-+ no evidence = 0• common numerous es = max oints
�' Evidence of wildlife use
23 no evidence � 0; abundant evidence � max oints 0- 6 0- 5 0- 5 �
� Total Points Possible 100 �00 1{l0 ;''`3 -
i
'� � TOTAL SC+OI2E (also enter on first page) - I 5 7
�. _
* These characteristics are not assessed in coastal streams.

s�
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: 1�'.bQT 2. Evaluator's name: U-Bi�1
3. Date of evaluation: �- 25 =(% 4. Time of evaluation: 13�-''�
5. Name of stream: i�� r 6. River basin:
7. Approximate drainage area: �—��►�. � Z 8. Stream order: 3'�
9. Length of reach evaluated: ZUO' 10. County: �,��,;�� p�
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): 1�f �
Latitude (ex. 34.872312): 3 � • � �O� p 3� � O� _ _ Longitude (e�. —77.556611):�� �O�D 1 � Z
Method location determined (circle): PS Topo Sheet Ortho (Aerisl) Photo/G1S Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
�- S S \ S- GUeSi' c. � �E' I U S 2-7 D
14. Proposed channel wark (if any):,�(v ,�L�errMn,��,ec�l
15. Recent weather conditions: S�n��� W ��`�n,�� r� S o� �"c�.l ��; y�,. �x�n�75 J�' �a° F
16. Site conditions at time of visit: Su��� �. (00� s�� __ _
17. Identify any special waterway classifications known: �Section 10 _Tidal Waters �Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters `Water Supply Watershed _(I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES NO If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? � NO 20. Does channel appear on USDA Soil Survey7 � NO
21. Estimated watershed land use: �% Residential /O % Commercial /� % Industrial /O % Agricultural
30 % Forested � % Cleared / Logged �% Other (_J�i�G�? -�"puG�"S 1 � )
22. Bankfull width: 25, 23. Bank height (from bed to top of bank): '�J�
24. Channel slope down center of stream: _Flat (0 to 2%) �C 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): 7� Comments:
Evaluator's Signature��Y Date ,� 'Z5 #�
This chaunel evaluation o �s intend�ed to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army �orps of Engineers to make a preliminary assessment of stresm
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 requiremen� Form subject to change -- version 06103. To Comment, please ca11919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
.- -- = _:_. _ - -
� -' ' - � � ECOREGION POINT RANGE
# , " . , , ' .� CHARACTERISTICS ` - - SCORE
- Coastal Piedmont ' Mountain
�. 1 Presence of flow / persistent pools in stream 0- 5 0- 4 0- 5
'� �no flow or saturafion = 0• stron flow = max mints �
'' . 2 Evidence of past human alteration 0- 6 0- 5 0- 5 C
�, extensive alteration = 0• no alteration = max oints 7
P u
_ - - - .
�'�� 3 no buffer = 0• con � ousaw d_e bu _ff_er = max ints 0- 6 0- 4 0- 5 -�
4 Evidence of nutrient or chemical discharges 0- 5 0- 4 0- 4 I.-�
' extensive disc ._ es = 0• no dischar es = max oints
� 5 Groundrrater discharge 0- 3 0- 4 0- 4 !-4
no disc _ e= 0• s.__ _ see _ wetlan etc, = max ints
� ' Presence of adjacent floodplam �
� 6 I no ilood _lain = 0� extensive tloo _d lain = max oints 0- 4 0- 4 0- 2
-�a- � Entrenchment / floodplain access 0- 5 0- 4 0- 2 , 4-�
d_ __1 eritr_enched = U• fr __ uent floodin = max oints
. 8 Presence of adjacent wetlands 0- 6 - 0- 4 ' 0- 2 �
,: . no wetl�ds = 0•_lar e jacent w. _etlands = max oints
._; _ - -
9 � CLannel sinuosity U- 5 0- 4 0- 3 ?�,
�� extensi�e channeli7ation� = 0• natural meander = max _oints
�'�' 10 — - - Sediment input - _ 0 - 5 0 - 4 �, 0 - 4 �
extensive de osction= 0; little or no sedunen_t = max oints �
4 11 Size & diversity of channel bed sabstrate NA* 0- 4 0- 5 3
'� fine homo enous = 0� 1: diverse sizes = max ., ints �
-
� " Evidence of channel incision or widening ( 2
12 . . 0-5 0-4 0-5
� dee 1, incised = 0• stable bed & banlcs = max omts;
�' 13 • -, - --- - '__ �-5 - 0-S 0-5 __ 2
Presence of ma'or bank failures
a (severe erosion = 0• no erosio _ stabte banks - max. _o�nts II
�' Root depth and density on banks ''
14 0-3 0-4 0-5 2
H (no v�isible roots = 0• dense roots throu _ out = malc oints _
� Impact by agriculture, livestock, or timber production �
15 sabstamdal un act =0• no evidence = max oints 0- 5 0- 4 0- 5
.._ -- _
Presence of riflle-pooUripple-pool compleaes �
16 0-3 0-5 0-6
E no riffles/ri les or ools = 0; well-develo _ed = max oints ,
Habitat compleaity _ _ ;
� 1� ittle or no habitat = 0• fir uen varie_d habitats = max oints 0- 6 , 0- 6 0- 6 � E�
-�-i - -
� Canopy coverage over streambed �
18 0-5 0-5 0-5
no shad' v etation = 0; continuous can_ ..= ma.x oints
Substrate embeddedness * 2
19 d I embedded = 0� loose structure = max NA 0- 4 0- 4
_ _ .___ _ _
20 Pnesence of st�reauo; invertebrates (see page 4.) 0- 4 0- 5 0- 5 Z,
no evidence = 0• common numerous _ s= max oints .
(�,� Presence of amphibians
21 I 0-4 0-4 0-4 2
O no evidence = 0• comm numerous = max oints
'� Presence of 5sh - - - - - -
O 22 . . 0-4 � 0-4 0-4 y 2.
� no evidence = 0• comm nwnemus es = max mts
Evidence of wilillife use �
23 no evi d ence = 0• a bun d a n t evi dence = max oin t s 0- 6 0- 5 0- 5
�� Total Points Possible 100 100 100 �`='%�
� �. � � ��
�: - � TOTAL SCORE (also enter on first page) _ - - - '7 S '
''1'hese charactenst�cs are not assessed in coastal streams.

S�
USACE AID# DWQ # Site # S� (indicate on attached map)
;,�,; STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following iaformation for the stream reach under assessment:
1. Applicant's name: NCDOT 2. Evaluator's name: $. �i ��
3. Date of evaluation: l— ZS' ��i 4. Time of evaluation: 1513
5. Name of stream: UI,T 6. River basin: 1�K�i� —�t�.�.�.
7. Approximate drainage area: L �•� M��' 8. Stream order: �Y9'h
9. Length of reach evaluated: Ib0 ' 10. County:_ DAv�,aSt3�
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): N`�
Latitude (e�. 34.872312): 35 gi0 �1 O2I �N 2 Longitude (e�. -77.556611): SO. I?`� 37 � 120
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) PhotolGlS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
t5a��a,.`4'�c�'t,iS�R -`�� � Gc��v�e,�t-S undar r't�aa(� SE tr� c�! 1�e�r�
14. Proposed channel work (if any): U.�d��r`rn�r�,C�,
15. Recent weather conditions: Suw.�;��, v�� t�?�,ix�.S e��,aq rn�''�kc�. �I�,�S � �O�F
16. Site conditions at time of visit: 5 U�hh� '(`n� �(OO�s . _�_
17. Identify any special waterway classifications known: �Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters ,_,Outstanding Resource Waters _ Nutrient Sensitive Waters �Water Supply Watershed _(I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES � If yes, estimate the water surface area:
19. Does channel appear on USGS quad map7 YES NO 20. Dces channel appear on USDA Soil Survey? YES �
21. Estimated watershed land use: �% Residential �n % Commercial �% Industrial a% Agricultural
I o % Forested �% Cleared / Logged �% Other (�- Cc�#t aclrk�,1
22. Bankfull width: t'�� 23. Bank height (from bed to top of bank): ��2 ' ��
24. Channel slope down center of stream: _Flat (0 to 2%) � Gentle (2 to 4%) 7� Moderate (4 to 10%) _Steep (> 10%)
25. Channel sinuosity: Straight � Occasional bends �Frequent meander _Very sinuous _Braided channel
Instructions for coropletion of worksheet pocated 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. ]f a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): � Comments:
Evaluator's Signature Date 1—ZS (�
This channel evaluation to is iutended 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 requiremen� Form subject to change � version 06103. To Cornment, please ca11919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
` ECOREGION POINT RANGE _ � i
.�
._
' #! - , , -_. � CHARACTERISTTCS � - = - Coastal Piedmont Mountsin SCORE' i
- _. _ �
1 Presence of flow / persisteat pools in stream 0— 5 0— 4 0— 5
�. u, no flow or saturation = Q; stron flow = max ints �
� 2 Evidence of past hnman alterstion 0— 6 0— 5 0— 5 3
�; {extensive alteration. = 0� no alteration = max oints
j Riparian wne
,-j 3' no bu_ff�r = 0• conti ous wide. buffer = max oints 0— 6 0— 4 0— 5 �
,_` ; 4 Evidence of nntrient or chemical discharges 0— 5 0— 4 0— 4 L+
(extensive disc es = 0• no dischar es = max .oints
� Gronndwater discharge
-- _ - -
S . . 0-3 0-4 0-4 �J
no disc... _ e= 0• s_rui s__ s w_etlands etc. = m� _ oints
� Presence of adjacent floodplain B
� 6 . . 0-4 0-4 0-2
no flood lain = 0• extensiv_e flood _lain = max omts
� � Entrenchment % floodplaiu access 0— 5 0— 4 0— 2 2
de 1 entrenched = 0 uent floodm = max oints
- - - .. _ _---- -- ---
8 Presence of adjacent wetlands 0— 6 0— 4 0— 2 Q
' no wetlands = 0• lar e ad acent wetlands = p�ac niats
� 9 Channel sinuosity 0— 5 0— 4 0— 3 3
� extensive channelization = U� natura.l meander = max _ ints
�: Sed'mient input 2
10 extensi�e d_ osition= 0� little pr no sediruent = max _ints 0— 5 0— 4 0— 4
Ll Size & diversity of channel bed substrate NA* 0— 4 � 0— 5
,� �fine homo enous = 0• 1_._ e diverse sizes = rnax oints I �'
� 12 Evidence of channel incision or widening 0— 5 0— 4 0— 5 2
� d_ __ 1 incised = 0• �table bed & b�I�s = max oints �
a � Presen¢e of major bank failures �
13 0-5 0-5• 0-5
(severe erosio_n = 0• no erosion, stable banks = max. .oints
� 14 Root depth and density on banks _ 0— 3 0— 4 0— 5 2,
E, no visible roots �= 0; dense roots ttuou ont = max _oints i
� Impact by agricultnre, livestock, or timber production
15 i� 0-5 0-4 0-5 !�
__. (substantial im act �; no e�vidence = m_ax : ints�
.._
Preseuce of ri8l�pooUripple-pool compleaes
16 " . . . 0-3 0-5 0-6
E no nffles/n les or ools = 0• well-devel. .___ = max qints 3
�Habitat compleaity '
17 ittle or no habitat = 0• _ uen varied habitats = max oints 0— 6 0— 6 0— 6 �
� Canopy coverage over streambed 5
18 0-5 0-5 0-5
no shadin �e etation = 0 continuous can = max , oints
19 ; Substrate embeddedness NA* 0— 4 0— 4 3
�_ _ 1_ embedded = 0• loose structure = max
Presence of stream invertebrates (see page 4) � 2
20 , . . 0-4 i 0-5 0-5
�„i no eyidence = 0• commo ._ nu_m_erous = max omts I,
� 21 Presence of ampWbians 0— 4 0— 4 0— 4 - i�j
OO no evidence = 0• commo_ numerous ; = max oints
Presence of fish
O 22. 0-4 0-4 0-4 �
�-+ no evidence = 0� common numerous es = max oints
P�1 =.
23 I Evidence of wildlife use 0— 6 0— 5 0— 5 �
no er�idence = 0• abundant evidence = max ints
�_ Total Points Possible 100 100 100 �:f� !���
,��`. TOTAL SCORE (also enter on first page) _ -.` . r � > - - - - 53
' l�hese charactenst�cs are not assessed �n coastal streams.

NORTH CAROLINA DEPARTMENT
OF TRANSPORTATION
DIVISION OF HIGHWAYS
DIVISION 9
DAVIDSON COUNTY
DAVIDSON COUNTY
COMMUNITY COLLEGE INTERCHANGE
(CONVERT AT-GRADE
INTERSECTION TO INTERCHANGE)
STIP R-5737
FIGURE 1 VICINITY MAP

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O�NopTHc49 NORTH CAROLINA DEPARTMENT
yP� O 9
o z OF TRANSPORTATION
q O
9 �P DIVISION OF HIGHWAYS
�F�OFTPPHSe°Q DIVISION 9
.
WJ
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WD �
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Davidson County
Davidson County Community College Interchange
(Convert At-Grade Intersection to Interchange)
STI P R-5737
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2610 Wycliff Road, Suite 410
Raleigh, North Carolina
�
Legend
Streams
��������� Intermittent
- Perennial
- Ephemeral
� Wetlands
� Study Area
�
Co�yright:0 2013 National Geographic S;ociety,'i-cubec
� USGS QUAD MAP
Quad Name: Lexington East
FIGU RE 2

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