U5790_PJD_Revised_July2018_signed.pdf

ATTACHMENT A
PRELIMINARY JURISDICTIONAL DETERMINATION FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PRELIMINARY JURISDICTIONAL
DETERMINATION (JD): March 2o�s
B. NAME AND ADDRESS OF PERSON REQUESTING PRELIMINARY JD:
Mason Herndon, NCDOT
5501 Barbados Blvd, Castle Hayne, NC 28429
C. DISTRICT OFFICE, FILE NAME, AND NUMBER:
NCDOT/ U-5790 NC 132 (College Rd) Corridor Improvements in New Hanover County
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
NC 132 intersection with Carolina Beach Rd and surrounding streets
(USE THE ATTACHED TABLE TO DOCUMENT MULTIPLE WATERBODIES AT DIFFERENT
SITES)
State: NC COUIIt�//pal"ISh/b01"OU jh: New Hanover Clty: wilmington
Center coordinates of site (lat/long in degree decimal format):
Lat. 34.13885 °N; L011g. 77•89375 �W.
UIIIV@rSa� Tra1lSV@rS@ M@rCatOr: NAD 1983 UTM Zone 17N
Name of nearest waterbody: Mott creek
Identify (estimate) amount of waters in the review area:
Non-wetland waters:
4966(streams) linear feet: 3- 6 width (ft) and/or 2•9$ �pond) acres.
Cowardin Class: R2ug, R3SB, R4SB
Strgarp F�OW: Intermittent and Perennial
Wetlands: o.�o� acres.
Cowardin Class: PFo
Name of any water bodies on the site that have been identified as Section 10
waters:
TICia�: None
Non-Tidal: None
1

E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT
APPLY):
� Office (Desk) Determination. Date:
�✓ Field Determination. Date(s): �une 2s-2s ana august �s, 2016
SUPPORTING DATA. Data reviewed for preliminary JD
(check all that apply - checked items should be included in case file and,
where checked and requested, appropriately reference sources below):
� Maps, plans, plots or plat submitted by or on behalf of the
applicant/consultant:
❑✓ Data sheets prepared/submitted by or on behalf of the
appl�nt/consultant.
Office concurs with data sheets/delineation report.
� Office does not concur with data sheets/delineation report.
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
❑ U.S. Geological Survey Hydrologic Atlas:
�✓ USGS NHD data
� USGS 8 and 12 digit HUC maps
❑✓ U.S. Geological Survey map(s). Cite scale & quad name: 2a,000 - Wilmington
❑✓ USDA Natural Resources Conservation Service Soil Survey.
Cltat1011: Soil Survey New Hanover County 1977
� Nat1011a� W@t�a1lC�S IIIV@I1t01")/ Il1aj��S�. Clt@ Ilalll@: New Hanover 100k quads
❑ State/Local wetland inventory map(s):
❑ FEMA/FIRM maps:
� 100-year Floodplain Elevation is:
(National Geodectic Vertical Datum of 1929)
❑✓ Photographs: ❑'� Aerial (Name & Date): Nc one nnap 20�5 or
� Other (Name & Date):
� Previous determination(s). File no. and date of response letter:
� Other information (please specify):
�

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

This preliminary JD finds that there "may be"waters of the United States on the
subject project site, and identifies all aquatic features on the site that could be
affected by the proposed activity, based on the following information:
IMPORTANT NOTE: The information recorded on this form has not
necessarilv been verified bv the Corps and should not be relied upon for
later jurisdictional determinations.
Signature and date of
Regulatory Project Manager
(REQUIRED)
�
Digitally signed by Mason Herndon
DN: cn=Mason Herndon,
�%/� o=NCDOT, ou=Division 3,
�� �� email=[e-mail],
c=US
Date: 2018.07.18 09:16:16 -04'00'
Signature and date of
person requesting preliminary JD
(REQUIRED, unless obtaining
the signature is impracticable)

U-5790 US 421 & NC 132
Estimated amount of
Site Latitude Longitude Cowardin Class aquatic resource in Class of Aquatic Resource
review area
W ETLAN DS
WN 34.143888 -77.896674 PFO 0.035 acre Non-section 10 wetland
WY 34.128741 -77.897640 PFO 0.021 acre Non-section 10 wetland
WW 34.131934 -77.896309 PFO 0.045 acre Non-section 10 wetland
PONDS
SPH 34.143682 -77.891579 0.108 acre Non-section 10 non-wetland
SPI 34.143578 -77.890782 0.281 acre Non-section 10 non-wetland
SPJ 34.143493 -77.890179 0.143 acre Non-section 10 non-wetland
SPK 34.143881 -77.895826 0.184 acre Non-section 10 non-wetland
SPL 34.144253 -77.895471 0.041 acre Non-section 10 non-wetland
SPM 34.144481 -77.896138 1.212 acre Non-section 10 non-wetland
SPN 34.142632 -77.897388 0.121 acre Non-section 10 non-wetland
SPO 34.138802 -77.891887 0.558 acre Non-section 10 non-wetland
SPP 34.136789 -77.893670 0.050 acre Non-section 10 non-wetland
SPQ 34.136034 -77.893787 0.070 acre Non-section 10 non-wetland
SPR 34.132837 -77.893042 0.036 acre Non-section 10 non-wetland
SPS 34.134454 -77.896722 0.083 acre Non-section 10 non-wetland
SPT 34.137526 -77.896054 0.008 acre Non-section 10 non-wetland
SPU 34.143322 -77.898905 0.019 acre Non-section 10 non-wetland
SPV 34.143893 -77.895305 0.066 acre Non-section 10 non-wetland
SPW 34.136068 -77.896391 0.005 acre Non-section 10 non-wetland
STREAMS
SA 34.142691 -77.890499 R3SB 370 linear feet Non-section 10 non-wetland
SB 34.140682 -77.892113 R3SB 1,281 linear feet Non-section 10 non-wetland
SC 34.136171 -77.896200 R4SB 124 linear feet Non-section 10 non-wetland
SF 34.142799 -77.897725 R4S6 285 linear feet Non-section 10 non-wetland
SG 34.143631 -77.896598 R3S6 306 linear feet Non-section 10 non-wetland
TA 34.143086 -77.896975 R4S6 190 linear feet Non-section 10 non-wetland
Mott 34.143616 -77.895295 R2UB 2,410 linear feet Non-section 10 non-wetland

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Legend
L_� County Boundary
a U-5790 Project Limits
Notes
I. Caordin�te Syslem: NAD 19835ta:ePlane Norll� Cdralina FIPS 3200 Feet
2. 6tise Image�y: Open $Ireel Map.
pizclai r:5fanlecai5umesnoresponsibilitylordaidsupplied':ne:ecfranicfarmal.iherecipient
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Ind¢pentlen I Review by ALC 201 FI625
Cllent/P�oI�CI
NCDOT - Division 3
US421 at NC132 Intersection Improvements
TIP U-5790
Figure No.
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Project Vicinity Map
Page O1 of O1

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TIP U-5790
Figure No.
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USGS Topoquad Map
Page O1 of O1

Table 1. Jurisdictional characteristics of water resources in the stud area
Compensatory River Basin
Map ID - Ponds Area (ac) Classification Mitigation Required Buffer
SPH 0.108 n/a No Not subject
SPI 0.281 n/a No Not subject
SPJ 0.143 n/a No Not subject
SPK 0.184 n/a No Not subject
SPL 0.041 n/a No Not subject
SPM 1.212 n/a No Not subject
SPN 0.121 n/a No Not subject
SPO 0.558 n/a No Not subject
SPP 0.050 n/a No Not subject
SPQ 0.070 n/a No Not subject
SPR 0.036 n/a No Not subject
SPS 0.083 n/a No Not subject
SPT 0.008 n/a No Not subject
SPU 0.019 n/a No Not subject
SPV 0.066 n/a No Not subject
SPW 0.005 n/a No Not subject
Total ac 2.99
Map ID -
Streams Length (If)
SA 370 Perennial Yes Not subject
SB 1,281 Perennial Yes Not subject
SC 124 Intermittent Yes Not subject
SF 285 Intermittent Yes Not subject
SG 306 Intermittent Yes Not subject
TA 190 Tributary (Open Water) No Not subject
Mott 2,410 Perennial Yes Not subject
Total If 4,966
Table 2. Jurisdictional characteristics of wetlands in the stud area
NCWAM Hydrologic NCDWQ Wetland
Map ID Classification Classification Rating
WN* NA Non-riparian NA
WW* NA Non-riparian NA
WY* NA Non-riparian NA
Total acres
*Delineated by others for W-5130 (SAW-2015-00950)
Area (ac.
0.035
0.021
0.045
0.101

Review Area Photos:
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Photo 3— Stream SC — interrnittent west of Carolina Beach Rd looking downstrea�n
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PF03/4Bd - Palustrine Forested Broad-Leaved � � � � � �.��[, �-�, - ��,_� � :� ' �' �" `� ry�. � , �+� '���`t�° �� "P rI �# � �_� � ; � �.� �' f ��
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PUBHx - Palustrine Uncolidated Bottom Permanently "�) - ,� �� �i `1 - '�� ����1� '� n � m� � ;+1�-, � � �r"�'va *`'�• ✓� �. ti�,�`,..�- tr .�� L< ¢, � - 1► '� �''{
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AAQiunf;�o
,�. .
f,�r�,,; ��,.
� . �# • 1
Legend
� U-5790 Project Limits NWI Wetlands
/�/ Selected Roads - Estuarine and Marine Deepwater
'`�.� Hydrography (NHD) Estuarine and Marine Wetland
Freshwater Emergent Wetland
- Freshwater Forested/Shrub Wetland
Freshwater Pond
I��I Lake
Riverine
Notes
1. Coordinate System: NAD 1983 StatePlane Norfh Curolina FIPS 3200 Feet
2. Wetlands and waters data provided by USFWS
g National Wetlands Inventory (NWIJ.
- 3. Orthoimagery OO NCOneMap, 2015.
Dlsclaiiner� Stantec assumes no resoonsl6illtv for tlata suoolled in electronic format. The re
0
II claims arisina in
1,200 2,400
Feet
1:12,000 (At original documentsize of l 1x17)
nf
�� __`
�V: �°l�
---- - �r
ProjectLocation 171001712
New hlanover County, NC Prepared by AEB on 2016-10-12
Technical Review by MMR 2016-10-21
Intlependent Review Uy ALC 2016-10-25
Client/Project
NCDOT - Division 3
US421 at NC132 Intersection Improvements
TIP U-5790
Figure No.
3
Ttle
National Wetlands Inventory Map
Page Ol of O1

,� ,, .,-
�. <,= r _;;
VWiVnungEon ws �a
US 76
�� � _
-"`i� `
� '� _ NC 132 ��, - �
_ cuas��r ��
.- ateray�merar•
����o
� Jr. � i, �.rrn,; .rv�•
Legend
� U-5790 Project Limits
/�/ Selected Roads
��� Hydrography (NHD)
Notes
1. Coordinate System: NAD 1983 StatePlane Norfh Curolina FIPS 3200 Feet
2. Soils data provided by USDA,
NRCS Pender County Soil Survey, 1977.
3. Orthoimagery OO NCOneMap, 2015.
Dlsclp6nee Stontec assumes no responslbillty for data suppfied in electronic formot. The re
Soil Mapunits Mapped in the Project Limits
� Be - Baymeade fine sand, 1-6%
0 Bh - Baymeade-Urban land complex, 1-6�a
� JO - Johnston soils
� Kr - Kureb sand, 1-8%
� Le - Leon sand
0 Lo - Leon-Urban land complex
- Ls - Lynchburg fine sandy loam, 0-2�
� Ly - Lynn Haven fine sand
0
- Mu - Murville fine sand �
0 On - Onslow loamy fine sand
� Rm - Rimni sand, 1-6%
_ Se - Seagate fine sand
- Sh -Seagate-Urban land complex
0 To - Torhunta loamy fine sand
- Ur - Urban land
- W - Water
� Wr- Wrightsboro fine sandy loam, 0-2%
in
1,000 2,000
Feet
1:12,000 (At original documentsize of l 1x17)
nf
�� ---
l�:�il
--- — - ir
ProjectLocation 171001712
New hlanover County, NC Prepared by AEB on 2016-10-12
Technical Review by MMR 2016-10-21
Intlependent Review Uy ALC 2016-10-25
Client/Project
NCDOT - Division 3
US421 at NC132 Intersection Improvements
TIP U-5790
Figure No.
4
Ttle
New Hanover County
Soil Survey Map
Page Ol of O1

34' '0"N
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34' '0"N
Legend 0 500 1,000 "'
�'�
� U-5790 Project Limits Potential Non-Wetland Waters of Feet r�t� ���� ��a`�i�
Parcel Boundary the US (Intermittent Stream) 1:7,200 (At original document sze of l 1x17) � ___ _.•� �%
Potential Non-Wetland Waters of
NHD Hydrography (Outside Study .,iti,..� Project Location i�iooi��s- REv e
AreaJ the US (Perennial Stream) New��a�o�e�co��,rY,Nc re nn�a�R bewbvA�czo,e�-�s
Selected Culverts Potential Non-Wetland Waters of �naepe�de�rRe��ewbYMMe2o,a-�-s
the US (Perennial Stream) Client/Project
W-5103 Wetlands (SAW-2015- NCDOT - Oivision 3
00950) Potential Wetland Waters of the US 421 at NC 132 Intersection Improvements
United States TIP U-5790
W-5103 (SAW-2015-00950) -
Tributary Potential Non-Wetland Waters of Figure No.
the US (PondJ 3
Nores W-5103 (SAW-2015-00950) - rt�e
��
- 1. Coordlnafe5ysfem: NA01983StatePlaneNcrthCarolinaFIPS3200Feet Intermittent Potential Jurisdietional
- 2. NHD provitled by USGS
s. co��ei doru r�om New Ho�,o�e� co��rY W-5103 (SAW-2015-00950) -
' 4. Delinealion complefed by Sfantec in June 2&29 and Augusf 18, 2016 �.�- Features Ma p
5. OrfhoimageryOO NCOneMap, 2015. Perennla�
Disclplmec Sfoniec ossumes no responsibility for data suppfied in elecfronlc formpi. The reclplent occepis full responsibilliy for verifying fhe accuracy and completeness of ine dato. The reclpieni releases Sfaniec. ils officers. employees. consultanfs and agenfs, trom ony and all cloims arising in any woy from fhe contenf or provision of fhe dafa.

NC DWQ Stream Identification Form Version 4.11
�ate: 6/28/2016 Pro�ect�site: MOtt Creek
E�a�uator:A. Baldwin & A. Coleman
Total Points:
Stream is at least intermittent 30 .%'rj
if >_ 19 or perennial if >_ 30`
county: New Hanover
Stream Determination (circle one
Ephemeral Intermitten erennia
�atitude: 34.143577
�ongitude: _77.89505
Other
e.g. Quad Name: WI�I711flgt011
A. Geomor holo (Subtotal =13 ) 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, � O 2 3
ripple-pool sequence
4. Particle size of stream substrate 0 1 2 3
5. Active/relict floodplain 0 1 2 3
6. Depositional bars or benches 0 1 2 3
7. Recent alluvial deposits 0 1 2 3
8. Headcuts 0 1 2 3
9. Grade control 0 0.5 1 1.5
10. Natural valley 0 0.5 1 1.5
11. Second or greater order channel No = 0 es = 3
a _�:r:-'-' -"•-'--- --- --` --`--' -- -°-- --'---'
B. Hydrology (Subtotal = �o.s �
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?
0 1
0 1
1.5 1
0 0.5
0 0.5
No=O
2 (3�
2 3
0.5 0
1 1.5
1 1.5
es=3
C. Biology (Subtotal = � z5 )
18. Fibrous roots in streambed 3 2 1 0
19. Rooted upland plants in streambed 3 2 1 0
20. Macrobenthos (note diversity and abundance) 0 1 2 3
21. Aquatic Mollusks 0 1 2 3
22. Fish 0 0.5 1 1.5
23. Crayfish 0 0.5 1 1.5
24. Amphibians 0 0.5 1 1.5
25. Algae 0 0.5 1 1.5
26. Wetland plants in streambed ACW = 0.7 � OBL = 1.5 Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Phragmites and parrot feather observed in channel.
Sketch:

USACE AID# DWQ # Site # Mott (indicate on attached map)
;,�,; STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: NCDOT 2. Evaluator's name: A• Baldwin and A. Coleman
3. Date of evaluation: 6/28/2016 4. Time of evaluation: 15:30
5. Name of stream: Mott Creek 6. River basin: Cape Fear
7. Approxiinate drainage area: 1.02 Sq Illl
9. Length of reach evaluated: 1,975 ft
1L Site coordinates (if known): prefer in deciil�al degrees
Latituc�� �eX. 34.s�z3 i z�: 34.143577
8. Stream order: SeCond
l0. County: New Hanover
12. Subdivision name (if any):
Lo,�gitti�de (ex. -77.55661 i �: '77.89505
Methocl location deternlined (circle): GPS Topo Sheet Ortho (Aerial) Photo/G[S Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
Behind Lowes Foods on S College Road
l4. Proposed channel work (if any):
15. Recent weather conditions: Thunderstorms yesterday
16. site conditions at time ofvisit: High 80's, recent downpours.
l7. Identify any special waterway classifieations known: Section 10 Tidal Waters Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters _Water Supply Watershed (I-IV)
18. Is tl�ere a pond or lake located upstream of the evaluation point? YES NO If yes, estiinate the water surface area: 3.4 8C
19. Does channel appear ou USGS quad map? YES NO 20. Does cl�annel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: �� % Residential 15 % Conunercial _% Industrial _% Agricultural
10 0�o Forested 5% Cleared / Logged % Other (
22. Bankfull widtli: 3.5 ft 23. Bank hcight (froi�1 bed to top of bank); 5 ft
24. Channel slope down center of stream: X Flat (0 to 2%) Gentle (2 to 4%) Moderate (4 to 10%) Steep (>10%)
25. Channel sinuosity: X Straight Occasional bends Frequent meander Very sinuous Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregiou based on
location, terrain, vegetation, stream classification, etc. Every characteristic inust 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 sn-eam reach Linder evaluatioil. If �
cl�aracteristic cannot be evaluated due to site or weatl�er conditions, enter 0 in the scaring box and provide an explanation in tl�e
conunent section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pashire
into a forest), tlie stream may be divided into smaller reaches that display more cont�imiiry, and a separate form lised to eva1uate each
reach. The total scare assigned to a stream reach must range between 0 and 100, with a score of ] 00 representing a stream of the
1lighest qtitality.
Total Score (from reverse): 38 Comments:
Evaluator's Signature Date
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Foin� sLibject to change - version O6/03. To Comment, please c111919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
ECOREGION POINT RANGE
# CHARACTERISTICS Coastal Piedmont Mountain SCORE
� Presence of flow / persistent pools in stream 0- 5 0- 4 0- 5
(no flow or saturation = 0; strong flow = inax �oints) 4
� Evidence of past human alteration 6
(extensive alteration = 0; no alteration = imax points) 0- 6 0- 5 0- 5
3 Riparian zone 0- 6 0- 4 0- 5 �
(no buffer = 0; contiguous, wide buffer = max points)
4 Evidence of nutrient or chemical discharges 0- 5 0- 4 0- 4 �
(extensive discllarges = 0; no dischai,�es = max points)
,.� Groundwater discharge ,�
� 5 (no discharge = 0; springs, seeps, wetlands, etc. = max poiilts) 0- 3 0- 4 0- 4
� � Presence of adjacent floodplain 0- 4 0- 4 0- 2
(no floodplain = 0; extensive floodplain = max points) �
0. � Entrenchment / floodplain access 0- 5 0- 4 0- 2 2
(deeply entre��ched = 0; frequent floodiilg = m�x ��oints)
� Presence of adjacent wetlands 0- 6 0- 4 0- 2
(no wetlands = 0; lai,�e adjacent wetlands = max points) �
9 Channel sinuosit,y 0- 5 0- 4 0- 3 �
(extensive cllannelization = 0; natural meancler = max points)
10 Sediment input 0- 5 0- 4 0- 4 2
(extensive deposition= 0; little or no sediment = max points)
� t Size & diversity of channel bed substrate NA* 0- 4 0- 5 -
(fine, homogenous = 0; large, diverse sizes = rnax points)
I2 Evidence of channel incision or widening 0- 5 0- 4 0- 5 4
y, (dee�ly incised = 0; stable bed & banks = max points)
F" Presence of major bank failures
� �3 o-s o-s o-s 4
� (severe erosion = 0; no erosior�, stable ba�11<s = max poiizts)
� Root depth and density on banks
Q 14 0-3 0-4 0-5 2
� (i�o visible roots = 0; dense roots througllout = max points)
� Impact by agriculture, livestock, or timber production 5
15 0-5 0-4 0-5
(substanti�l impact =0; no evidence = max points)
� 6 Presence of riffle-pool/ripple-pool complexes 0- 3 0- 5 0- 6
F (no riffleshipples or pools = 0; well-developed = max points) �
� Habitat complexity ,�
�, 17 0-6 0-6 0-6
� (]ittle or no habitat = 0; frequent, varied habitats = max points)
Canopy coverage over streambed
Q 18 0-� 0-5 0-5 Q
�., (no shading vegetation = 0; continuous canopy = max points)
� 9 Substrate embeddedness NA* 0- 4 0- 4 -
(cleeply embedded = 0; loose struchire = max)
20 Presence of stream invertebrates (see page 4) 0- 4 0- 5 0- 5 �
� (no evidence = 0; coininoil, numerolis types = max points)
C7 Presence of amphibians 2
O ��� (no evidence = 0; common, numero�is 0- 4 0- 4 0- 4
� rypes = max poiilts)
� �2 Presence of fish �
�+ (no evidence = 0; coinmon, numerous types = max points) 0- 4 0- 4 0- 4
� Evidence of wildlife use
23 (no evidence = 0; abundant evidence = inax points) 0- 6 0- 5 0- 5 Q
Total Points Possible 100 100 100
TOTAL SCORE (also enter on first page) 38
* These characteristics are not assessed in coastal streams.

NC DWQ Stream Identification Form Version 4.11
�ate: 6/28/2016 Project/site: SA
E�a�uator: q. galdwin & A. Coleman
Total Points:
Stream is at least intermittent 30 .%'rj
if >_ 19 or perennial if >_ 30`
county: New Hanover
Stream Determination (circl e
Ephemeral Intermitte Perennia
�atitude: 34.136916
�ongitude: _77.890074
Other
e.g. Quad Name: WI�I711flgt011
A. Geomor holo (Subtotal =12 ) 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, � O 2 3
ripple-pool sequence
4. Particle size of stream substrate 0 1 2 3
5. Active/relict floodplain 0 1 2 3
6. Depositional bars or benches 0 1 2 3
7. Recent alluvial deposits 0 1 2 3
8. Headcuts 0 1 2 3
9. Grade control 0 0.5 1 1.5
10. Natural valley 0 0.5 1 1.5
11. Second or greater order channel No = 0 Yes = 3
a _�:r:-'-' -"•-'--- --- --` --`--' -- -°-- --'---'
B. Hydrology (Subtotal = �o )
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?
0 1
0 1
1.5 1
0 0.5
0 0.5
No=O
2
2
0.5
1
1
es =
�
3
0
1.5
C. Biology (Subtotal = $ 75 )
18. Fibrous roots in streambed 3 2 1 0
19. Rooted upland plants in streambed 3 2 1 0
20. Macrobenthos (note diversity and abundance) 0 1 2 3
21. Aquatic Mollusks 0 1 2 3
22. Fish 0 0.5 1 1.5
23. Crayfish 0 1 1.5
24. Amphibians 0 0.5 1 1.5
25. Algae 0 0.5 1 1.5
26. Wetland plants in streambed ACW = 0.7 � OBL = 1.5 Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:

USACE AID# DWQ # Site # SA (indicate on attached map)
;,�,; STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: NCDOT 2. Evaluator's name: A• Baldwin and A. Coleman
3. Date of evaluation: 6/28/2016 4. Time of evaluation: 16:45
5. Name of stream: UT to Mott Creek 6. River basin: Cape Fear
7. Approxiinate drainage area: 0.0927 sq ml
9. Length of reach evaluated: 350 ft
1L Site coordinates (if known): prefer in deciil�al degrees
Latituc�� �eX. 34.s�z3 i z�: 34.136916
8. Stream order: Fii"st
l0. County: New Hanover
12. Subdivision name (if any):
Lo,�gitti�de (ex.-77.55661 i): -77�890074
Methocl location deteimlined (circle): GPS Topo Sheet Ortho (Aerial) Photo/G[S Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
l4. Proposed channel work (if any):
15. Recent weather conditions: High 80's - Sunny to T. storms
16. Site conditions at time ofvisir. Cloudy, high 80's - downpours/T. storms earlier.
l7. Identify any special waterway classifieations known: Section 10 Tidal Waters Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters _Water Supply Watershed (I-IV)
18. Is tl�ere a pond or lake located upstream of the evaluation point? YES NO If yes, estiinate the water surface area: NA
19. Does channel appear ou USGS quad map? YES NO 20. Does cl�annel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: 85 % Residential 5% Conunercial _% Industrial _% Agricultural
5 0�o Forested 5% Cleared / Logged % Other (
22. Bankfull widtli: 3 ft 23. Bank hcight (froi�1 bed to top of bank); 1.5 ft
24. Channel slope down center of stream: X Flat (0 to 2%) Gentle (2 to 4%) Moderate (4 to 10%) Steep (>10%)
25. Channel sinuosity: Straight X Occasional bends Frequent meander Very sinuous Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregiou based on
location, terrain, vegetation, stream classification, etc. Every characteristic inust 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 sn-eam reach Linder evaluatioil. If �
cl�aracteristic cannot be evaluated due to site or weatl�er conditions, enter 0 in the scaring box and provide an explanation in tl�e
conunent section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pashire
into a forest), tlie stream may be divided into smaller reaches that display more cont�imiiry, and a separate form lised to eva1uate each
reach. The total scare assigned to a stream reach must range between 0 and 100, with a score of ] 00 representing a stream of the
1lighest qtitality.
Total Score (from reverse): 45 Comments:
Evaluator's Signature Date
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Foin� sLibject to change — version O6/03. To Comment, please c111919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
ECOREGION POINT RANGE
# CHARACTERISTICS Coastal Piedmont Mountain SCORE
� Presence of flow / persistent pools in stream 0- 5 0- 4 0- 5
(no flow or saturation = 0; strong flow = inax �oints) 4
� Evidence of past human alteration ,�
(extensive alteration = 0; no alteration = imax points) 0- 6 0- 5 0- 5
3 Riparian zone 0- 6 0- 4 0- 5 4
(no buffer = 0; contiguous, wide buffer = max points)
4 Evidence of nutrient or chemical discharges 0- 5 0- 4 0- 4 3
(extensive discllarges = 0; no dischai,�es = max points)
,.� Groundwater discharge 2
� 5 (no discharge = 0; springs, seeps, wetlands, etc. = max poiilts) 0- 3 0- 4 0- 4
� � Presence of adjacent floodplain 0- 4 0- 4 0- 2
(no floodplain = 0; extensive floodplain = max points) �
0. � Entrenchment / floodplain access 0- 5 0- 4 0- 2 �
(deeply entre��ched = 0; frequent floodiilg = m�x ��oints)
� Presence of adjacent wetlands 0- 6 0- 4 0- 2
(no wetlands = 0; lai,�e adjacent wetlands = max points) �
9 Channel sinuosit,y 0- 5 0- 4 0- 3 2
(extensive cllannelization = 0; natural meancler = max points)
10 Sediment input 0- 5 0- 4 0- 4 3
(extensive deposition= 0; little or no sediment = max points)
� t Size & diversity of channel bed substrate NA* 0- 4 0- 5 -
(fine, homogenous = 0; large, diverse sizes = rnax points)
I2 Evidence of channel incision or widening 0- 5 0- 4 0- 5 2
y, (dee�ly incised = 0; stable bed & banks = max points)
F" Presence of major bank failures
� 13 0-5 0-5 0-5 2
� (severe erosion = 0; no erosior�, stable ba�11<s = max poiizts)
� Root depth and density on banks
Q 14 0-3 0-4 0-5 2
� (i�o visible roots = 0; dense roots througllout = max points)
� Impact by agriculture, livestock, or timber production 4
15 0-5 0-4 0-5
(substanti�l impact =0; no evidence = max points)
� 6 Presence of riffle-pool/ripple-pool complexes 0- 3 0- 5 0- 6
F (no riffleshipples or pools = 0; well-developed = max points) 2
� Habitat complexity 2
�, 17 0-6 0-6 0-6
� (]ittle or no habitat = 0; frequent, varied habitats = max points)
Canopy coverage over streambed
Q 18 0-� 0-5 0-5 �j
�., (no shading vegetation = 0; continuous canopy = max points)
� 9 Substrate embeddedness NA* 0- 4 0- 4 -
(cleeply embedded = 0; loose struchire = max)
20 Presence of stream invertebrates (see page 4) 0- 4 0- 5 0- 5 �
� (no evidence = 0; coininoil, numerolis types = max points)
C7 Presence of amphibians 2
O ��� (no evidence = 0; common, numero�is 0- 4 0- 4 0- 4
� rypes = max poiilts)
� �2 Presence of fish �
�+ (no evidence = 0; coinmon, numerous types = max points) 0- 4 0- 4 0- 4
� Evidence of wildlife use
23 (no evidence = 0; abundant evidence = inax points) 0- 6 0- 5 0- 5 2
Total Points Possible 100 100 100
TOTAL SCORE (also enter on first page) 45
* These characteristics are not assessed in coastal streams.

NC DWQ Stream Identification Form Version 4.11
�ate: 6/29/2016 Project/Site: SB
E�a�uator: q. galdwin & A. Coleman
Total Points:
Stream is at least intermittent 33
if >_ 19 or perennial if >_ 30`
county: New Hanover
�atitude: 34.137093
�ongitude: _77.890086
Stream Determination (circle one Other
Ephemeral Intermittent erennial e.g. Quad Name: WIIC711Clgt011
A. Geomor holo (Subtotal =15 ) 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, � O 2 3
ripple-pool sequence
4. Particle size of stream substrate 0 1 2 3
5. Active/relict floodplain 0 1 2 3
6. Depositional bars or benches 0 1 2 3
7. Recent alluvial deposits 0 1 2 3
8. Headcuts 0 1 2 3
9. Grade control 0 0.5 1 1.5
10. Natural valley 0 0.5 1 1.5
11. Second or greater order channel No = 0 Yes = 3
a _�:r:-'-' -"•-'--- --- --` --`--' -- -°-- --'---'
B. Hydrology (Subtotal = 9 5 )
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?
0 1
0 1
.5 1
0 0.5
0 0.5
No=O
2
2
0.5
1
1
es =
C. Biology (Subtotal = $ 5 )
18. Fibrous roots in streambed 3 2 1 0
19. Rooted upland plants in streambed 3 2 1 0
20. Macrobenthos (note diversity and abundance) 0 1 2 3
21. Aquatic Mollusks 0 1 2 3
22. Fish 0 0.5 1 1.5
23. Crayfish 0 0.5 1 1.5
24. Amphibians 0 0.5 1 1.5
25. Algae 0 0.5 1 1.5
26. Wetland plants in streambed FACW = 0.75; OBL = 1.5 Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch: Home Depot
SWP
Outlet �
------- --- --------� Concrete Culvert 6 ft

USACE AID# DWQ # Site # SB (indicate on attached map)
;,�,; STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: NCDOT 2. Evaluator's name: A• Baldwin and A. Coleman
3. Date of evaluation: 6/29/2016 4. Time of evaluation: 10:40
5. Name of stream: SB - UT to Mott Creek 6. River basin: Cape Fear
7. Approxiinate drainage area: 0.41 sq ml 8. Stream order: FII"St
9. Length of reach evaluated: 175 ft 10. County: New Hanover
1L Site coordinates (if known): prefer in deciil�al degrees. 12. Subdivision name (if any):
Latitud� �eX. 34.s�z3 � z�: 34.137093 C,ongitude (�X. -��.ss�b� ��: -77.890086
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/G[S Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
l4. Proposed channel work (if any):
15. Recent weather conditions: Rained yesterday
16. Site conditions at time of visit: �Vel'CBSt, high 80�S
l7. Identify any special waterway classifieations known: Section 10 Tidal Waters Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters _Water Supply Watershed (I-IV)
18. Is tl�ere a pond or lake located upstream of the evaluation point? YES NO If yes, estiinate the water surface area: 2•75 aC
19. Does channel appear ou USGS quad map? YES NO 20. Does cl�annel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: 25 % Residential _% Conunercial 15 % Industrial _% Agricultural
50 0�o Forested � �% Cleared / Logged % Other (
22. Bankfull widtli: 4 ft 23. Bank hcight (froi�1 bed to top of bank); 1 ft
24. Channel slope down center of stream: X Flat (0 to 2%) Gentle (2 to 4%) Moderate (4 to 10%) Steep (>10%)
25. Channel sinuosity: X Straight Occasional bends Frequent meander Very sinuous Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregiou based on
location, terrain, vegetation, stream classification, etc. Every characteristic inust 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 sn-eam reach Linder evaluatioil. If �
cl�aracteristic cannot be evaluated due to site or weatl�er conditions, enter 0 in the scaring box and provide an explanation in tl�e
conunent section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pashire
into a forest), tlie stream may be divided into smaller reaches that display more cont�imiiry, and a separate form lised to eva1uate each
reach. The total scare assigned to a stream reach must range between 0 and 100, with a score of ] 00 representing a stream of the
1lighest qtitality.
Total Score (from reverse): 44 Comments:
Evaluator's Signature Date
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Foin� sLibject to change — version O6/03. To Comment, please c111919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
ECOREGION POINT RANGE
# CHARACTERISTICS Coastal Piedmont Mountain SCORE
� Presence of flow / persistent pools in stream 0- 5 0- 4 0- 5
(no flow or saturation = 0; strong flow = inax �oints) 5
� Evidence of past human alteration 0
(extensive alteration = 0; no alteration = imax points) 0- 6 0- 5 0- 5
3 Riparian zone 0- 6 0- 4 0- 5 3
(no buffer = 0; contiguous, wide buffer = max points)
4 Evidence of nutrient or chemical discharges 0- 5 0- 4 0- 4 2
(extensive discllarges = 0; no dischai,�es = max points)
,.� Groundwater discharge ,�
� 5 (no discharge = 0; springs, seeps, wetlands, etc. = max poiilts) 0- 3 0- 4 0- 4
� � Presence of adjacent floodplain 0- 4 0- 4 0- 2
(no floodplain = 0; extensive floodplain = max points) 2
0. � Entrenchment / floodplain access 0- 5 0- 4 0- 2 3
(deeply entre��ched = 0; frequent floodiilg = m�x ��oints)
� Presence of adjacent wetlands 0- 6 0- 4 0- 2
(no wetlands = 0; lai,�e adjacent wetlands = max points) �
9 Channel sinuosit,y 0- 5 0- 4 0- 3 Q
(extensive cllannelization = 0; natural meancler = max points)
10 Sediment input 0- 5 0- 4 0- 4 2
(extensive deposition= 0; little or no sediment = max points)
� t Size & diversity of channel bed substrate NA* 0- 4 0- 5 -
(fine, homogenous = 0; large, diverse sizes = rnax points)
I2 Evidence of channel incision or widening 0- 5 0- 4 0- 5 4
y, (dee�ly incised = 0; stable bed & banks = max points)
F" Presence of major bank failures
� �3 o-s o-s o-s 4
� (severe erosion = 0; no erosior�, stable ba�11<s = max poiizts)
� Root depth and density on banks
Q 14 0-3 0-4 0-5 2
� (i�o visible roots = 0; dense roots througllout = max points)
� Impact by agriculture, livestock, or timber production 4
15 0-5 0-4 0-5
(substanti�l impact =0; no evidence = max points)
� 6 Presence of riffle-pool/ripple-pool complexes 0- 3 0- 5 0- 6
F (no riffleshipples or pools = 0; well-developed = max points) �
� Habitat complexity 2
�, 17 0-6 0-6 0-6
� (]ittle or no habitat = 0; frequent, varied habitats = max points)
Canopy coverage over streambed
Q 18 0-� 0-5 0-5 �j
�., (no shading vegetation = 0; continuous canopy = max points)
� 9 Substrate embeddedness NA* 0- 4 0- 4 -
(cleeply embedded = 0; loose struchire = max)
20 Presence of stream invertebrates (see page 4) 0- 4 0- 5 0- 5 �
� (no evidence = 0; coininoil, numerolis types = max points)
C7 Presence of amphibians ,�
O ��� (no evidence = 0; common, numero�is 0- 4 0- 4 0- 4
� rypes = max poiilts)
� �2 Presence of fish �
�+ (no evidence = 0; coinmon, numerous types = max points) 0- 4 0- 4 0- 4
� Evidence of wildlife use
23 (no evidence = 0; abundant evidence = inax points) 0- 6 0- 5 0- 5 2
Total Points Possible 100 100 100
TOTAL SCORE (also enter on first page) 44
* These characteristics are not assessed in coastal streams.

NC DWQ Stream Identification Form Version 4.11
�ate: 6/28/2016 Pro�e�t�site: SB - UT to Mott �atitude: 34.140658
E�a�uator: A. Baldwin & A. Coleman
Total Points:
Stream is at least intermittent 32 .%'rj
if >_ 19 or perennial if >_ 30`
county: New Hanover
Stream Determination
Ephemeral Intermittei
�ongitude: _77.892096
e� I Other
ial� e.g. Quad Name: WIIC711flgt011
A. Geomor holo (Subtotal=125 ) 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, � O 2 3
ripple-pool sequence
4. Particle size of stream substrate 0 1 2 3
5. Active/relict floodplain 0 1 2 3
6. Depositional bars or benches 0 1 2 3
7. Recent alluvial deposits 0 1 2 3
8. Headcuts 0 1 2 3
9. Grade control 0 0.5 1 1.5
10. Natural valley 0 0.5 1 1.5
11. Second or greater order channel No = 0 Yes = 3
a _ �:�:-'-' -"•-'--- --- --` --`--' -- -°-- --`--- '
B. Hydrology (Subtotal = �o )
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?
0 1
0 1
.5 1
0 0.5
0 0.5
No=O
�
2
0.5
es =
3
3
0
1.5
C. Biology (Subtotal = �o.zs �
18. Fibrous roots in streambed 3 2 1 0
19. Rooted upland plants in streambed 3 2 1 0
20. Macrobenthos (note diversity and abundance) 0 1 2 3
21. Aquatic Mollusks 0 1 2 3
22. Fish 0 0.5 1 1.5
23. Crayfish 0 0.5 1 1.5
24. Amphibians 0 0.5 1 1.5
25. Algae 0 0.5 1 1.5
26. Wetland plants in streambed ACW = 0.7 � OBL = 1.5 Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:

USACE AID# DWQ # Site # SB (indicate on attached map)
;,�,; STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: NCDOT 2. Evaluator's name: A• Baldwin and A. Coleman
3. Date of evaluation: 6/28/2016 4. Time of evaluation: 10:40
5. Name of stream: SB - UT to Mott Creek 6. River basin: Cape Fear
7. Approxiinate drainage area: 0.41 sq ml 8. Stream order: FII"St
9. Length of reach evaluated: 815 ft 10. County: New Hanover
1L Site coordinates (if known): prefer in deciil�al degrees. 12. Subdivision name (if any):
Latitud� �eX. 34.s�z3 � z�: 34.140658 C,ongitude (�X. -��.ss�b� ��: -77.892096
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/G[S Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
l4. Proposed channel work (if any):
15. Recent weather conditions: Rained yesterday
16. Site conditions at time of visit: �Vel'CBSt, high 80�S
l7. Identify any special waterway classifieations known: Section 10 Tidal Waters Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters _Water Supply Watershed (I-IV)
18. Is tl�ere a pond or lake located upstream of the evaluation point? YES NO If yes, estiinate the water surface area: 2•75
19. Does channel appear ou USGS quad map? YES NO 20. Does cl�annel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: 25 % Residential _% Conunercial 30 % Industrial _% Agricultural
40 0�o Forested 5% Cleared / Logged % Other (
22. Bankfull widtli: 4 ft 23. Bank hcight (froi�1 bed to top of bank); 1 ft
24. Channel slope down center of stream: X Flat (0 to 2%) Gentle (2 to 4%) Moderate (4 to 10%) Steep (>10%)
25. Channel sinuosity: X Straight Occasional bends Frequent meander Very sinuous Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregiou based on
location, terrain, vegetation, stream classification, etc. Every characteristic inust 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 sn-eam reach Linder evaluatioil. If �
cl�aracteristic cannot be evaluated due to site or weatl�er conditions, enter 0 in the scaring box and provide an explanation in tl�e
conunent section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pashire
into a forest), tlie stream may be divided into smaller reaches that display more cont�imiiry, and a separate form lised to eva1uate each
reach. The total scare assigned to a stream reach must range between 0 and 100, with a score of ] 00 representing a stream of the
1lighest qtitality.
Total Score (from reverse): 44 Comments:
Evaluator's Signature Date
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Foin� sLibject to change — version O6/03. To Comment, please c111919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
ECOREGION POINT RANGE
# CHARACTERISTICS Coastal Piedmont Mountain SCORE
� Presence of flow / persistent pools in stream 0- 5 0- 4 0- 5
(no flow or saturation = 0; strong flow = inax �oints) 5
� Evidence of past human alteration 0
(extensive alteration = 0; no alteration = imax points) 0- 6 0- 5 0- 5
3 Riparian zone 0- 6 0- 4 0- 5 3
(no buffer = 0; contiguous, wide buffer = max points)
4 Evidence of nutrient or chemical discharges 0- 5 0- 4 0- 4 2
(extensive discllarges = 0; no dischai,�es = max points)
,.� Groundwater discharge ,�
� 5 (no discharge = 0; springs, seeps, wetlands, etc. = max poiilts) 0- 3 0- 4 0- 4
� � Presence of adjacent floodplain 0- 4 0- 4 0- 2
(no floodplain = 0; extensive floodplain = max points) 2
0. � Entrenchment / floodplain access 0- 5 0- 4 0- 2 3
(deeply entre��ched = 0; frequent floodiilg = m�x ��oints)
� Presence of adjacent wetlands 0- 6 0- 4 0- 2
(no wetlands = 0; lai,�e adjacent wetlands = max points) �
9 Channel sinuosit,y 0- 5 0- 4 0- 3 Q
(extensive cllannelization = 0; natural meancler = max points)
10 Sediment input 0- 5 0- 4 0- 4 2
(extensive deposition= 0; little or no sediment = max points)
� t Size & diversity of channel bed substrate NA* 0- 4 0- 5 -
(fine, homogenous = 0; large, diverse sizes = rnax points)
I2 Evidence of channel incision or widening 0- 5 0- 4 0- 5 4
y, (dee�ly incised = 0; stable bed & banks = max points)
F" Presence of major bank failures
� �3 o-s o-s o-s 4
� (severe erosion = 0; no erosior�, stable ba�11<s = max poiizts)
� Root depth and density on banks
Q 14 0-3 0-4 0-5 2
� (i�o visible roots = 0; dense roots througllout = max points)
� Impact by agriculture, livestock, or timber production 4
15 0-5 0-4 0-5
(substanti�l impact =0; no evidence = max points)
� 6 Presence of riffle-pool/ripple-pool complexes 0- 3 0- 5 0- 6
F (no riffleshipples or pools = 0; well-developed = max points) �
� Habitat complexity 2
�, 17 0-6 0-6 0-6
� (]ittle or no habitat = 0; frequent, varied habitats = max points)
Canopy coverage over streambed
Q 18 0-� 0-5 0-5 �j
�., (no shading vegetation = 0; continuous canopy = max points)
� 9 Substrate embeddedness NA* 0- 4 0- 4 -
(cleeply embedded = 0; loose struchire = max)
20 Presence of stream invertebrates (see page 4) 0- 4 0- 5 0- 5 �
� (no evidence = 0; coininoil, numerolis types = max points)
C7 Presence of amphibians ,�
O ��� (no evidence = 0; common, numero�is 0- 4 0- 4 0- 4
� rypes = max poiilts)
� �2 Presence of fish �
�+ (no evidence = 0; coinmon, numerous types = max points) 0- 4 0- 4 0- 4
� Evidence of wildlife use
23 (no evidence = 0; abundant evidence = inax points) 0- 6 0- 5 0- 5 2
Total Points Possible 100 100 100
TOTAL SCORE (also enter on first page) 44
* These characteristics are not assessed in coastal streams.

NC DWQ Stream Identification Form Version 4.11
�ate: 6/29/2016 Project/Site: SC
E�a�uator: q. galdwin & A. Coleman
Total Points:
Stream is at least intermittent 2 �.'rj
if >_ 19 or perennial if >_ 30`
county: New Hanover
�atitude: 34.194431
�ongitude: _77.88818
Stream Determination (circle one) Other
Ephemeral ntermitten Perennial e.g. Quad Name: WIIC711Clgt011
A. Geomor 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, � O 2 3
ripple-pool sequence
4. Particle size of stream substrate 0 1 2 3
5. Active/relict floodplain 0 1 2 3
6. Depositional bars or benches 0 1 2 3
7. Recent alluvial deposits 0 1 2 3
8. Headcuts 0 1 2 3
9. Grade control 0 0.5 1 1.5
10. Natural valley 0 0.5 1 1.5
11. Second or greater order channel No = 0 Yes = 3
a _�:r:-'-' -"•-'--- --- --` --`--' -- -°-- --'---'
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?
0 1
0 1
1.5 1
0 0.5
0 0.5
No=O
�
2
0.5
es =
3
3
0
1.5
1.5
C. Biology (Subtotal = s.s �
18. Fibrous roots in streambed 3 2 1 0
19. Rooted upland plants in streambed 3 2 1 0
20. Macrobenthos (note diversity and abundance) 0 1 2 3
21. Aquatic Mollusks 0 1 2 3
22. Fish 0 0.5 1 1.5
23. Crayfish 0 0.5 1 1.5
24. Amphibians 0 0.5 1 1.5
25. Algae 0 0.5 1 1.5
26. Wetland plants in streambed FACW = 0.75; OBL = 1.5 Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:

USACE AID# DWQ # Site # SC (indicate on attached map)
;,�,; STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: NCDOT 2. Evaluator's name: A• Baldwin and A. Coleman
3. Date of evaluation: 6/29/2016
5. Naine of stream: Stl'eam C
7. Approximate drainage area: 2•31 Sq Illl
9. Length of reach evaluated: 125 ft
1L Site coordinates (if known): prefer in deciil�al degrees
Latituc�� �eX. 34.s�z3 i z�: 34.194431
4. Time of evaluation: 12:30
6. River basin: Cape Fear
8. Stream order: Fii"st
l0. County: New Hanover
12. Subdivision name (if any):
Lo,�gitti�de (ex. -77.55661 i �: -77.88818
Methocl location deteimlined (circle): GPS Topo Sheet Ortho (Aerial) Photo/G[S Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
Holly Tree Road by The Woods at Holly Tree
l4. Proposed channel work (if any):
15. Recent weather conditions: Rained Yesterday
16. Site conditions at time of visit: Sunny, mid 80'S.
l7. Identify any special waterway classifieations known: Section 10 Tidal Waters Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters _Water Supply Watershed (I-IV)
18. Is tl�ere a pond or lake located upstream of the evaluatiou point? YES NO If yes, estimate the water surface area: NA
19. Does channel appear on USGS quad map? YES NO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: 5% Residential _% Coinmercial 90 % Industrial _% Agricultural
5% Forested % Cleared / Logged % Other (
22. Banlcfull width: 5 23. Bank hcight (froi�1 bed to top of bank); 1
24. Channel slope down center of stream: X Flat (0 to 2%) Gentle (2 to 4%) Moderate (4 to 10%) Steep (>10%)
25. Chamlel sinuosity: X Straight Occasional bends Frequent meander Very sinuous Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregiou based on
location, terrain, vegetation, stream classification, etc. Every characteristic inust 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 sn-eam reach Linder evaluatioil. If �
cl�aracteristic cannot be evaluated due to site or weatl�er conditions, enter 0 in the scaring box and provide an explanation in tl�e
conunent section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pashire
into a forest), tlie stream may be divided into smaller reaches that display more cont�imiiry, and a separate form lised to eva1uate each
reach. The total scare assigned to a stream reach must range between 0 and 100, with a score of ] 00 representing a stream of the
1lighest qtitality.
Total Score (from reverse):31 Comments:
Evaluator's Signature Date
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Foin� sLibject to change - version O6/03. To Comment, please c111919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
ECOREGION POINT RANGE
# CHARACTERISTICS Coastal Piedmont Mountain SCORE
� Presence of flow / persistent pools in stream 0- 5 0- 4 0- 5
(no flow or saturation = 0; strong flow = inax �oints) 2
� Evidence of past human alteration O
(extensive alteration = 0; no alteration = imax points) 0- 6 0- 5 0- 5
3 Riparian zone 0- 6 0- 4 0- 5 �
(no buffer = 0; contiguous, wide buffer = max points)
4 Evidence of nutrient or chemical discharges 0- 5 0- 4 0- 4 �
(extensive discllarges = 0; no dischai,�es = max points)
,.� Groundwater discharge ,�
� 5 (no discharge = 0; springs, seeps, wetlands, etc. = max poiilts) 0- 3 0- 4 0- 4
� � Presence of adjacent floodplain 0- 4 0- 4 0- 2
(no floodplain = 0; extensive floodplain = max points) �
0. � Entrenchment / floodplain access 0- 5 0- 4 0- 2 �
(deeply entre��ched = 0; frequent floodiilg = m�x ��oints)
� Presence of adjacent wetlands 0- 6 0- 4 0- 2
(no wetlands = 0; lai,�e adjacent wetlands = max points) �
9 Channel sinuosit,y 0- 5 0- 4 0- 3 Q
(extensive cllannelization = 0; natural meancler = max points)
10 Sediment input 0- 5 0- 4 0- 4 �
(extensive deposition= 0; little or no sediment = max points)
� t Size & diversity of channel bed substrate NA* 0- 4 0- 5 -
(fine, homogenous = 0; large, diverse sizes = rnax points)
I2 Evidence of channel incision or widening 0- 5 0- 4 0- 5 2
y, (dee�ly incised = 0; stable bed & banks = max points)
F" Presence of major bank failures
� �3 o-s o-s o-s 3
� (severe erosion = 0; no erosior�, stable ba�11<s = max poiizts)
� Root depth and density on banks
Q 14 0-3 0-4 0-5 2
� (i�o visible roots = 0; dense roots througllout = max points)
� Impact by agriculture, livestock, or timber production 5
15 0-5 0-4 0-5
(substanti�l impact =0; no evidence = max points)
� 6 Presence of riffle-pool/ripple-pool complexes 0- 3 0- 5 0- 6
F (no riffleshipples or pools = 0; well-developed = max points) �
� Habitat complexity 2
�, 17 0-6 0-6 0-6
� (]ittle or no habitat = 0; frequent, varied habitats = max points)
Canopy coverage over streambed
Q 18 0-� 0-5 0-5 4
�., (no shading vegetation = 0; continuous canopy = max points)
� 9 Substrate embeddedness NA* 0- 4 0- 4 -
(cleeply embedded = 0; loose struchire = max)
20 Presence of stream invertebrates (see page 4) 0- 4 0- 5 0- 5 �
� (no evidence = 0; coininoil, numerolis types = max points)
C7 Presence of amphibians ,�
O ��� (no evidence = 0; common, numero�is 0- 4 0- 4 0- 4
� rypes = max poiilts)
� �2 Presence of fish ,�
�+ (no evidence = 0; coinmon, numerous types = max points) 0- 4 0- 4 0- 4
� Evidence of wildlife use
23 (no evidence = 0; abundant evidence = inax points) 0- 6 0- 5 0- 5 �
Total Points Possible 100 100 100
TOTAL SCORE (also enter on first page) 31
* These characteristics are not assessed in coastal streams.