U5932_Revised PJD_Request_090718_signed

Appendix 2- PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PJD:
B. NAME AND ADDRESS OF PERSON REQUESTING PJD: Mason Herndon, NCDOT Division 3 5501 Barbados Blvd., Castle Hayne, NC 28429
C. DISTRICT OFFICE, FILE NAME, AND NUMBER:
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES AND/OR
AQUATIC RESOURCES AT DIFFERENT SITES)
State: nJC County/parish/borough: BrUiISWICk ���v� Supply
Center coordinates of site (lat/long in degree decimal format):
�at.: 34.0173 �ong.: -78.2728
Universal Transverse Mercator:
Name of nearest waterbody: Lockwoods Folly River
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)
See Attached Table

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:Vicinity Map
� 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: Supply (2013) 1:24000
� 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)
0 Photographs: 0 Aerial (Name & Date): 2016 NC Statewide Aerial Photography
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
Digitally signed by Mason
Herndon
DN: cn=Mason Herndon,
�'�� �� ,��-- o=NCDOT, ou=Division 3,
emai I=tm herndon @ncd ot.gov,
c=US
Date: 207 8.09.07 10:02:49 -04'00'
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.

TIP U-5932 Aquatic Resources in Review Area September 2018
Table 1. Preliminary Jurisdictional Determination Table
Estimated Amount Geographic authority to which
Type of aquatic
Site Name Latitude Longitude of Aquatic Resource the aquatic resource "may be"
resource
in Review Area sub'ect
Streams (Linear Feet)
SA (Int) 34.0152 -78.2776 615 Non-wetland waters Section 404
SB (Int) 34.0152 -78.2765 204 Non-wetland waters Section 404
SC (Int) 34.0157 -78.2747 466 Non-wetland waters Section 404
SC (Per) 34.0156 -78.2747 21 Non-wetland waters Section 404
SE (Per) 34.0187 -78.2669 986 Non-wetland waters Section 404
SF (Int) 34.0136 -78.2687 79 Non-wetland waters Section 404
Surface Waters (Acres)
PA 34.0152 -78.2732 0.14 Non-wetland waters Section 404
PB 34A149 -78.2663 0.44 Non-wetland waters Section 404
SWA 34.0174 -78.2753 0.73 Non-wetland waters -
SWB 34.0160 -78.2690 0.66 Non-wetland waters -
SWC 34.0151 -78.2692 0.21 Non-wetland waters -
(Linear Feet)
TA 34.0155 -78.2720 245 Non-wetland waters Section 404
TB 34.0210 -78.2645 155 Non-wetland waters Section 404
Wetlands (Acres)
WA 34.0148 -78.2772 0.01 Wetland Section 404
WB 34.0152 -78.2765 0.01 Wetland Section 404
WF 34.0162 -78.2783 0.02 Wetland Section 404
WG 34.0160 -78.2784 0.02 Wetland Section 404
WH 34.0157 -78.2782 0.01 Wetland Section 404
WI 34.0171 -78.2700 0.13 Wetland Section 404
WJ 34.0190 -78.2739 0.07 Wetland Section 404
WK 34.0188 -78.2674 0.68 Wetland Section 404
WL 34.0186 -78.2667 0.10 Wetland Section 404
WM 34.0189 -78.2664 0.03 Wetland Section 404
WN 34.0209 -78.2665 0.77 Wetland Section 404
WO 34.0211 -78.2663 0.22 Wetland Section 404
WP 34.0195 -78.2688 0.64 Wetland Section 404
WS 34.0137 -78.2686 0.06 Wetland Section 404
WU 34.0211 -78.2646 0.07 Wetland Section 404

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/�pF N�RTH Qy9 N � Smdy Area � Sheet Limits Map Date: September 2018 TIP U-5932
�� °, US 17/NC 211 Conversion of Intersection to Intechange
/yP y Potential Nou-Wetland Waters of the US (Intermittent Stream) Potential Wetland Waters of the US
� Revised: Brunswick County, NC
Feet �� Potential Non-Wetland Waters of the US (Perennial Stream) Potential Non-Wetland Waters of the US (Pond)
I� 9 P�Q°� 0 100 200 _ Tr�b�tary scormwater Pond Revised: Figure 3: Jurisdictional Features Map
���OFTpAHS� 2016 NC Statewide Aerial Photography Revised: Sheet 1 of 4

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���F NORTH C490 N � Study Area O Sheet Limits Map Date: September 2018 TIP U-5932 �
� � US 17/NC 211 Conversion of Intersection to Intechange
/yP y Potential Nou-Wetland Waters of the US (Intermitteut Stream) Potential Wetland Waters of the US
� Revised: Brunswiek County, NC
Feet �� Potential Non-Wetland Waters of the US (Perennial Stream) Potential Non-Wetland Waters of the US (Pond)
I� 9 P�Q°� 0 100 200 _ Tr�b�tary scormwater Pond Revised: Figure 3: Jurisdictional Features Map
���OFTpAHS� 2016 NC Statewide Aerial Photography Revised: Sheet 4 of 4

NC �VV'Q Stre$� Ide�#i€�cahlvn� Farm Versio� 4.11
�L
Dat�: (, ��,i: � : ��� ��jeat!$ite: ' � � � �
��Yd�iEatO'�: � �i`�r� 1 i ��, f?F��; )f'r,�: � �� - � �.f1�4117�i: _ - � -
Tatal Pa�r�#s: ' Stream Determiur�a.��ar�
� '`�, (circle one
Strearrr is at least i,�termittent }
if? 19 or erennial rf> 30• �-��- Epherneral 1nterrm�tt� Perennial
r" �
��
_ J
Latitvde: $'�{ _ Cj J S �
Langitu�de: -- � �. { -�-� �
Other
e.g. Quad,Narrre:
- --- --------r� --.,.........���..�r.� ��� ���uoiNai
6. Hydral�qY i5ubt4t�l = �. � }
12. �'rese�ce of Baseflow
13. fro� axicfizing bacte�i�
14. Leaf litter
15. Seti�meRt on pl�nts or debris
4B. i]rganic debris Vhnes or pil�s
17. Sad-bssec� �widee�c� of high wat�r t�ble?
2
2
(l.5
1
1
=3
31
3
Q
1.5
1.5

USACE Alb# DWQ # Site # (ir�dicate on aMached map}
;,,,,; ST1��AlVi (�iJALIT4� ASSESSMEN� VVQRKSI���'�
Provide the failowi�g ir�LorQnatio�a for the stream reach under �ssessen��#:
�. Applic�m�'s name: �'JL �1 c.� � 2. Erralwator's �arne: —�_,t r,, � ; _ . � , , _ !- . n �v 1 r r• .
3. Date of e�aluation: �''�!�% � 4, Ti ime �f �ra{uatinn. {�'. n r..' :-� �� l
.
S. l�lame of stream: ; �� i t1 t.1 c i: �i ,�, ; b. River b�sin: �_ �;:: i(,.,- 1� '
7. A�proxi�nate drainage area; ��" -� r�l� $. Siream arde�: '`.
4, Length of r�ach avaruate�: �t't' ��
11. 5ite cvordinates (if known): pre�er in decimal degrees.
�Cl. Covnry: ��� �
12. Subdivision na�e (of ar�y
�.aTitude (ex. 34.872312}: " ' j 1 `.� ! Longiteide (ex. —17.55661 I y: - ; i'. �'� ' '
M�tfiod lacatian deteemir�ed (circle): GP5- Topo Sheet C)rtha {AerialJ F'hotvlGtS �i�er GIS Other
13. �..ocation of reach uadee evaluation (note nearby roads an� �andmarks and attach map identifyirag sirearn[s) location):
14. �eopased char3nel wc,rk (if any}:
15. �tecent weather conditioa7s:
1b. Site co�dit�oMs at time ofvisit: �' °� f�� �^. � �•
17. Tdentify any specia! waterway cla�ssifica�ions known: �5ection C 0 _Tida] Vlaate�s Essential Fisheries Habitat
�Trout V+laters _putstandi�g Resource Wat�rs ` Nutri�nt Sensitive 'VVaters �Water Supply '�h+'atershed (I-iV)
18. is there a pand ar lake Vocated upstream of xfae e��luation paint? 5'ES li�iU; Tf yes, estima�� the water s�rFace area:
19. D4es cl�annef ap�ear oai USGS quad map? YES NU 20. Daes cha�'►ne] appear oe� U513A So►1 Survey? � Nfl
21: Estimated w�tershed land use: '�f '" °f� Residential � {' % �ort�rnerceal ,°r`o �r�dustr�a� °/'o Ago�icu9�ra�
=�' % Forested _% C�e�red 1 Lagged __% I�ther [
�
2.2. Ba�9cful! width: � _ `
Z3. Bank hevght (fr4m bed tv toga af 6ank):=
24. Channel slope down center af stream: �Flat (0 to 2°/q} �Gentle (2 to 4%) �Moderaae {4 do 1(}%) _5teep Q�l p%�
25. �hannel sarou�sity: S�aoght ��Dccasinnal bends _Fr�quent meander _Very sinuous �Braic�ed channel
Instrucaions for cornpMeti�� o� worksheet {laca#ed on page 2): �eg�n by dexermining rtk�e m:ost apprapriate eeoregion based can
location, terrain, vegeCati�n, strea�n c�assification, etc. '�very characteristic must be scored usirrg ahe same ecore;ion. Assign paints
to each characteristic wit�im thb� ran�e shown for the ecoregiv�l. Fage 3 prvr�sdes a brief descriptiora of haw to rewoew the
ckraracterist6c� idet�tiiied in the workshect. Scares shc��tl$ Peflect an overall assessmeni of the stre�r�r Peach under eva�uation. df a
characteristic cas�ncat be eaal�tated dve to site oe weather condations, �siker Q in the scoring box and prc�vide �n explanatiQn in the
con�ment sec�dan. Wlaere ihe�e are abvious chaa�ges in the character aia steeam under a�eview (e.g., [he strearn flows firom a�tasture
inta a forest)„ fhe stre�rn Qnay be divided into smaller reaches that ciisplay more continuiry, and a s�para�e fo�m �sed to e�+�luate each
reach. 'Gh�e trsta� scoce assigned to a stream reaeh must range betwveen 0 and 100, with a scm�e of 1 QO �eprese�nting a stream of ttae
higF�est +quaYity.
Total Score 4froian rer�erse): �� C4mments:
�
E�aluator's Signa�ure -'.� ' ` , �'�= ��'� -j� �� " d�te
C�.
This chann�l ev$1�� form �s int�nrded to be �ased only as a guid+e to assist laAdowners a�d environmental professionals i�
gathering the da#a required by the iJnite� States Ar�y Corps of E�gi�eers ta make a preliminaey assessment of stream
�aatity. �he tota� scoa�e result�ng fra�n the completion of khis form is sul�ject t�o USA�� a�ppr�val and does not imgly a
paarticsslar mi#i�atino ratin nr rerrtierement_ Farm fiuiijee� tn change — varseon 461(13. To C'nrnment, please ca11 919_ft76-R441 x 26.

S���AM QUA,LI'I'Y" A�'SESSNIENT'4�VORKSI�EE'�
� �H�1,;ItACTERISTIC� �CORE�IUN �"UI�T RAIV�(;� ' S��QR�
�uastal Pie ont l�a t�i�n
� �'rese�ce �f Ilow l persi�teot �ae�ols in stream o_ S _ 0 4 �
(na flow or saturation = f}; str�ar�U ���ow = max oints} =�
� E��idence ai pas� humau altaratio� 0—� 0� 0 5
_
extensive alteratian =€?; no alteration = max orttts) '
� Ri ar�an zonc p.� �, Q 4 0 5 �
P �
�.' uo buffer = a; canti o�s, �vtde buffer = n�ax oir�ts) ,�
� Evidence of a�trient or che�nical discharges �_� 0 4 0 4 � 1
(extensive dischar es = Q; no disch;as es = max oints)
,.� � ' Groundwater discbarge 0- 3 0 4 Q �
'� {no discl�ar e� Q; s rin s, se� s, wetiands, etc- = ma�c oints)
� � Presence rrf adjacent �loodpl�in 0_— 4 0 (} —
� (no flood l�in � 0; extensive flood lain = rt�ax oints} �
� �ntrenc�mer�t / tioodp3a�'sn access
p" dee I e�itrenched = 0; fre uent floodin� = rnaY s�Fnts �'� 5 p 0—
8 Presence of adja�cent wetlands Q— 6 p— 0 ,��
(no wetiands — Q; lar�e ati'acent wetlands = max oint�)
� Chatiynel siauasity � A 5 � i � _
(ext�n.��ve chan��elization = 0; r�ateiral tneander = max oints
1� Sedin�ent input 0-.. 5 0— p 4 r
(extensiv� de osit�arr= 0; little car no _sedirr►ent — ma�c points} �
11 (fine, homcj�� o�us�0: l�r e} diverse sazes��ma�c oi�tsj NA�, �-- Q S �� f�,�
/
' I? Evidence of channel incis�an or �vid�e�ing �
� � dee l incised =(1; stable bed & b�r�ks = max oints �— 5 � Q 5 :
�,, �� i'cese�ce vf majar banEc fail�res 0— 5 0" 5
� (severe erosicrn = O; no �rosion, stable ban�s = max vints) �-?
� 34 Root depth an� densiky on ban�:s
�.'�., f�o visible roots = 0; dense raots throu 1�aut = max oints) �- 3 p � �
� I�paci by agrecult�re, lavestocl:, or timber pro��cction .—
�� gr 0-5 0 4 5
substantial i�n ac[ =(l; no evidenee = m�ac oirats) —
1� Presenee of rift�+�poolfri�ple-poo# complexes
E„�' (no rif'fleslri pies or ools = 0; well-develo ed = max aints) fl—�' 0 5 — G �
"� 17 Rabitat cornplex�ty 0— 6 6 - b _ '`�
� (little or no liabitak = t}; fcequenE, varie�i 4aabitats = max oinis)
�W �� [:anopy covera�e aver strearnbed
� (�o shadina ve etation = p; contanuous car►o = m�c vints) � � � — S — � �
� 9 Substrat� embeddedness ��* _¢ � 4 �
(d�e l zrr�bedded = fl; laase sLruccure = n�ax) '%. �
Prese�ce of stream �nvertebrates see a e 4 _ !_ --�
�?0 no ev�derzce = 0: comman nurneraus `�s — m�: o�nts 0�`� � S i
(� � � Prese��ce of s�ttphibians G — � � - 4 `r�
� {no evidence = G; cornman, nutt�erous es = max c�ints
C 22 Presence oT fis� �—�, 4 4
�; (nd er�id�nc�e = 4, common, n�umerous � es � max poir�ts) �_
'�� Evidenee of wildlife use 0— 6 5 5
tna �vid�n�e = �1„ abut�dan2 �vidence = nia,Y oints}
_ o=`��.
Total Po��t,� Passi�ie , t'b0, 0 0
- ' � " '['C)TAL SC�UURF: (alsd �t�ter Q�t f rst �agc;) ' �
, . e ��
* These ef�araec�ristics a��e a��t assess�c� in a;�astal sti-eauias.

� ` �`
' �, x �
s►
N� DWQ Str�e�m Idet�tificati�on Fcrr� Ver-sion 4.11 `�' '
C]ate; �_ A - � _ l�rojecUSit�e: ' � Latitud�: "3 t� . (� � � �
Ev�al�ater: � . fti � � r� , • I' ' � County: ! ; � Lo�gitud�. - �I �i _ � �'
��
�otaM Poi�nts. � Strearn De4er�[s' ' {circle ar��} dther
Sfream is at least intermritenk �� �
ifz 19 or erennial if? 30• r� �Phemeral .�`n ermitt ca Pere��iaN e.g. 4c�adlYame:
A. �eamar hol� (SubtQtal =� ) Absent Weak NM�adera�e Strong
1a Ccrn#inuity of channed bec� and bank Cl 1 ;' 2 3
2. Sinuosity of channel along ihalw�g q � 3
3. In-c�anne� structu�re: ex. ri�fle-paol, step-pnol, � � � 3
ri le- onl se �nence
4. Paeticle size af sirearn subs4rate 1. ' 2 3
5. Active{relict floodplain 0 1 2 3
6. �eposition�l bars �ar t�enches (l fi' 2, 3
7. Recent alduvial deposits 1� 2 3
8. Headcuts � 3
9. Grac�e control ��. Q.� 3 1.5
10. Natur��l va�B�y 0, �, 0.5 1 �.5
11. Second or greater order channel No =�0 Yes = 3
�e��v�ivaa u�ti. �ea�i aPi6V� V�i'G VIJY�4Ja7vIV11�? IYI IIIP#IUQI
B. Eiyc�rolv9Y (Subtntal a
12. Pr�sence of Baseflow
13. Vrvn oxi�izing bacter�a
�4. Leaf litte�
1�. S�diment oe� plar�ts �r debris
16. Qrganic debr�s lines ar piles
17. SQiV-basec! eWide�ce oi high water #able?
C. Bi�lbgy (Subtatal � _ "�'e �
18. Fibrous roots in streambed
19. Roo�ed up�and pfants i�n strearntaed
20. Macrobenthos (n�ale diversity and abundance)
21. Aquat�c Mal'I'us�ks
�"2. '�IS�Y
23. Grayfish
24 Arr� hibia�ns
3- 2
3 2
�
�
�
�
2
2.
(l.5
1
1,
S=3
�-
� P u U.5 T
25. Algae Q - ,�.� 1
�6. Wetland plants �n streambed FA�W = 0.75; QBL = T.5 Qt�er = D
'pe�ennial strear�s rnay also be identified using other �tethods. �� p. 35 of rtaanual.
�Jotes:
IG: •!,, -
Sketch: �; , _
� �t�-. �u,.. � ' �A
�
3
3
Q
1.6
1.5

�� 1rV-�-
tiJ5ACE Aii]# ]�WQ # Site # (anci�cate on attached map}
;,�„ �TREAM f�'L�.�l,�I'�`Y �SS�SSMENr'I`'W��KSHEET
Provide Xhe fnllawat�g infor�ation for the s#rearn reach under sssessment.
1. Applican4'� raarne: � � �� Q � 2. Evaluatc,r's nam�: � �� � - S f'� (< o„ f � � � �' ;�j .., �I% � � r
3. L1ate of ewaluation: ��' � T� 4. Ttme af e�aluation:_ �� %�_�
S.Natneafstream:�(� I�.G� � a ��G'Fwon1 n�{ �y�,brr � �r /
6. Ruve� basi�:
7. Approximate drainage area: � y', i(o �� 8. Stream ordcr: � t f
9, I�ength af u�each e�alsaaccd: � Q o .� {. 1 U. County: i�F ('" ";�-. :�!�
Il l. Si�e coordi�aEes {if know�►): prefer in decimal de�rees. 12� Subd'i^vision narroe 4if any):
Latitude (�. 34.872312j: � �t • � � C L Lpngi[ude {ex. —77.55b511): ' � � . � f � �
Method docation d�term€ned (circle): CiF Topa Sheet f)rtho (Aeria4} PhotolGYS 4ther GiS Other
13. �.ocatian of reach under eaal�att n(note nearby r�ads and landmarks a�nd attach map identifying strearn(s?} Vocation):
14. Proposed channei work {F€
15. �tece�t weati�er co�ditioras;
16. 5ite condit'rons at tirne af
.,.�.,, ? .
:�
1'i. Identify any spe�cial waterway classifcatians known: _Sec4ivn �fl i'�`idal Waters _,�ssential Fisheries Habita�
_Tro�i Waters _Outsta�ding Resource Wa�ers _T�luvient S�nsitive Waters _'�h+'ater Supply V�Iatershed (I�iV}
18. Is the�e a pond dr iake located upstream of t'he eval�a¢ion ppint? YE _NO If yes, estimac� the water surFace area:
� �,
19. aoes c�ia�n�el appear o� �.JSGS quad map? Y�S %Ifi 2g. D�oes channe! appear on USDA Soil �urrrey? ES N�
21. E�#imated watershed lau�d use: ��%o �es�dentia `t �% °lo Commerc�al �°10 Irodwstrial �°�'o Frgt�icultural
�
d o% For�esced % Cleared 1 Lo�ed %o �ther
� ` � �
2"�. Barukiuli width: � �3. Barbk h�ight (from hed to top of bank): �"'� _
24. Channel slope down center vf stream: �Frat (4l to 2%) _Gentle (2 co 4%} _�rloderate (4 to i(]°fo} _Steep (�10%0)
25. Channel sinuasity: V Straight _Clccasional bends �Frequent meander _Very+ sinu�us _$raided channel
Iostructio�s i'or corr�plet�nn of vwnrksheet (located oa pagc �}: B�gin by de¢ermaning nLoe mvst appropriate ecoregiara based on
locatian, terrair�, vegetation, streaan cCaLssificatipn, ete. EWe�y cilaracteristuc anust be scc�red usSng t�e sars�e e�oregion. As�ign points
to each characteristic within the range showa� for the ecaregi+on. �age 3�arovides a brief descriptiott of how to re�+iew the
c�araeteristies ideni�fed 'an the warksheet. Scores should reflect an overa�l assessmer�t af the str�am reactr under eaal�atio�. 7f a
cha�acteristic cannot be e�aluaCec� due io site or weather cmn�itia�ns, enter 0 ir� the scoring box and prorride ae� explanation in tEae
e�mment sect9an. Where there a3-� ob�ious changes in the characrter �f a sErean� under rcview (e,g., the stream flaws ftoro� a pasture
'r�tQ a forest), the s�-eam may be dovided i�to sr�aaller reaches that display mc�r� coro�inuity, a�a�d a separate form used to eu�luatc each
reach. ihe t�tal scoFe �ssigned to a stream reach must range between i7 and r00, wit� a�core of ]Q�0 represencing a stream af the
higllest quali�}r.
Total Score {from reverse): I � Com�nents: � ^ ". r ^' �` "� • ' < . � c � �-.. :'F�,; ; �
\. t � � ,. ..1 ti, � k h : ..
Evaluatar's Signature �" � ' ' ' � � %_r-- Date : ��
�"� _ - " , _ "�� ; _
This c�anneC eva�uatadn"foi-m is iutended to bQ used o�ly as a guide to ass�sk lan�av►�e�s anr� env r�nmental pr�tessionals iui
gatheting the data required by the United States Army Corps of Engi�eers to ��ice a preii�ina�ry assessment of stream
quatity. �'he totaC scnre resulting frmm the compi�tiaa o� this foren is subject tQ QJSA�E a�proval an� does not ianp�y a
par#i�u�ar mitigatimn ra�tio ar reqpt'rement. Farm sub�ect ta chaa��e — versi+�n 06103. Ta Cflmment, �lease capl 4] 9_R76-R441 X?6.

STR.EA� QUAIII�''i� A,SSE�S�4IE1�1T'U�►�[3RKS�IEET
--
� c�:u.�c�r��s°r�cs �co�c�or� ror.��r �+�� scoR�
Coasfal �iediu��st h^Iau�tae�r
' 1 Preseuce ai !]�w� f persisten� poo�s ifl strea� 0-- 5 D 4 G 5 �'�
(no #�owr os saturation = 0; stron r ilow = n�a�: oints)
2 �vidence mf past hum�n aiterati+�n �— 6 5 5 �,
;; (exter3sive aiteraEion = 0; �1Q alteration = ma� oints)
� Ri�sar'ran zvne 0— 6 - 4 -- 5 �
E�o buffer = 0; cflr€ti ous, wide buffer � n�� �f�fi��
4 Ewi�4ence of nutrient pr chemica] diseharges d— 5 a 4 4 �
(extensive dischar �s = 0; na disci�ar es = rnax o��fs)
� � Ground�vafer discharge 0--- 3 0;A 4 4 ,5
'� rso discharg� = �• s rin s, see s, wet3ands, etc. _�a�x poinis3
,.V.. Presence af ad�aeer�t iloodplai� � �
� 6 r�� f�aod lain = 0: extensive flood iain =�na�c ain�s) �—�` 0 4 0.
� 7 E�iren�chment / tlao�plain Pceess � � � 0 — � , �
deepl entrenched T 0; trequent floactin� =[na7c oints �
$ Presence of ad,�aeent wetlaua� 4— 6 0�-' 2
(no wet�ands — t�; iarQe ad'aceiit �wetlands = n�ax aint,$) �
9 �hannel sia�upsity p— S p—' 0 3
iexte►�.s�ve cl3aaai��elizaEion = 0; nati�ea[ aneander = m�c aint�j �
i� (exfensive de ositi4n �Q�]ittle c�r na sedrment = max poi.nts} ��� a yl � �
11 Size & diversity af ct�antael bed sub�IIrate NA* 0..� 5 /
ifas�e, lioina =e:io�s = �; lar��. divecse sizes � max oi��tsl !'�/�
1.� Evi�ience �f chan»e! incisior� or wide�riag o� 5 0� — 5 �
dce #'incised = 0; s�bie i�ed � banks = m��c flints
� 1� , Presence of �n���r ban�k fa�lures 0— 5 {7 — �— 5 �
�: {ser+�re erQsioz� mm 4; no erasion, stable tra��cs = rnax oints
tC 14 Roat depti� ared density on banks �� 3 �; �
F, (no visfble raots = U; cJense �oots tltrau }iouc —�nax oi�xts� �
� ��npacd by agrfcultt�re, li�estack, or timben• productiqa �
l5 ' tsubstantial 'rm act =Q: no evi�enc� _�nax oinCs) 0— 5 0 4 °— S �
1� FreSe�ce of ritfle-pootlrip�le-paol com�texes 0—� �� �� �
� (c�o rifflesiri les or avls =�0; 3�*eil-deveio ed = m� aints) � °�
� � T �abitat cann�lexity � � � � ".ry 6 '� � `�
� (littEe or nu habitat = O; fre uent, varieci I�abit�ts =�na� aints) r�
��' I 8 Canopy caverage nver strear�bed . U_ 5 p 5 i 5 �
(no shadi� ve etaiion — 0; contTiitiot�s canop = max oi�sts; �
SuU;strate e�ebeddedness ' ,,
1� iclee l ern�edd�ed =+0; loose structure = rr�ax) NA* 0� 4 I'��
�� F'resence vt'stre�em mverte�rat�s (see pa�e 4) p�� Q�- 1 j
�,,, ,- na ev€dence = Q, comman_ rrumerous es = niax aints �
� 2l Presence of amphibians fl— 4 0� �; 4 �
Q {no evider�ce = �; �omsnon, n�rnYero�s tv es � max oinfs ;
Presenee �f fsh `
��2 (no evidence = 0: comnlon, nunlerous pes = ma�c oints) 0—'� D'4 0'1 �i '�
�� Evidh�ce of wildli#'e use p- 6 0'S D�-: a �
[n�� evidence �- Q; abur�dant evidence = naax uints} :q •
� � � � �� �_ ,_ . ' - -
Totai Points Pos�ible l4� 1 t�`�Q ',
�� � T(�"T'AL SCd`[2E {atso ent�r on frst page) �` ��' '
* Ti��se ci�aract�ristics are ilac assessec� i¢i cuastal str�a�xts.

NC D'WQ Stre�m Idrentificatioa Farm Version 4.11
C}a$e: I/ � _j� � � !P�r4Zeetl�itE�: 1 � �, - -• �,atitude: ;�. "�,
!J I r
n
�Vdlu�t4)r: �,�t � w, r� � 1,, �f i ��r r �� �i � Y (t • � �'��W�Ity�`; . , � i/ L��ngitudE: � �. ; � ; �c; �<
J � -
TOt�I PQints: Streartn Deterrr�ia�ation {c�Kcl ) �(3ther -
5tream is at feast intermrtter�C ���� EphemeraY Ir�terdrubttent eren ''I e.g. 4�uao� N�me:
if z 19 or erennra! if z 30'
A. GeorraQ� hol� 4Subtc�tal = �� 1 Absent Weak �Floderate Strang
1� Contin�uity af cha�nneb' k�ed and bank 0 1 2 3
2. Sinuosity of ahannel almng thalweg D 1 2 3
3. 6n-channel strue#ure: ex. rif�e-pool, s4ep�pooi, 0 � 1 2 3
ripple-pool se uence
4. PaRiel� size a� strearn substr�te 0 1 2 3
6. Activ�elrelict fifoodplain - I 1 2 3
fi. Depositiou��l bars or ben�ches 1 2 3
7. Recen# alluvial sieposits � 1 3
$. Hea�icu4s '0 1 2 3
9. �rade control (} , .5 1 1.5
10. Natural r�alley a �.5 1 �.5
11. �ecc�rrd or greater order channel No = 0 Yes = 3
ant�ficiai ditc�hes are not rated; see discussi ns in manuaV
B. H dralc� SUbtatal =
12. Pre:�er�ce of Basefl'o�r 0 1 � 3
13. Iron oxidizing bacterda 0 1 2 3
14. iteaf litter �.5 ;�I 0.5 fJ
15. Sec9iment �n plants or debris 0 ''�i.5 1 3.5
_16. C�rgan6c debris dines ar piles D ` 1 1,5
1i. Soil-based e+�ider�ce of h'rgh wat�r taible? �� =� �$ _� ;
C. �iaEa S�rbtotal =
18. �ibraus ro�ts ir� streamoed 3 , 2 � - �
19. Roo#�d upland plants in streambed � 3 � 1 0
2�0. Maerobe�thas (raote diversaty and abundae�cej Q � �!' 3
21. Aquatic Modlusks Q 3 2 3
22: �ish _ ,� 0.5 1.�
23. Crayfish 0 4,5 1.5
2�1. Amphibians ,�.� ,� �'.�
25. Algae [�, Q.S� 1 1.5
26. UVetiar,d plants i� streain�ied FACW = t1.75; QS� = 1.5 er -
`perennial strea�ns may aEsa be idenfiT�ed using oRher me4hmds. See g. 35 of manual.
hJoteS: -
Sketch� ���n� � y l f, �l ; � �� r yti7�� L�c7K'1 (� A� 1 M1` '� r • , rl P: �� � I� ry� � in . Q
� R�j n�S} S
�

USACE A�D#_ DWQ # 5ite # {indicate on attached rnap)
;,s„ ' ST��AIVI �p�JA�I�Y A,SS�SSMENT''�►''Q�S�IE +� T _ -
Pror�id� the fo7lawing informatinn for the strea�n r,each uu�der assessme�t:
i. Ap�licant's nar�e: i�, C!�0 t Z. E�aluator's name: �. I1 N r, l l. :•" I' �„�; r, , Q�� (• � �,: � I r r'
3. Date af evaluatiaer: C, �' Iy �� �<- 4. T�one of eval�ation: I j'• �C1 F� ,N� _
5. Naene vf s�ream: �� ( � ! j !„ �c,< K �_�.r"� �-. � „ ` � ,� d� :Y�: ) f. Riwer �as�n: �_ ti i? � _ /
�
7. Approxima¢e dra.ir�agc �rea: --� , ��- 8. 5tre� order: � j
9. C.en 11 oireach eval�tated: "`�' ���� 10. Caur� _� �^' ��
� � ty: � r r; , �..�
� l. Site cacrrdjnat�s (i� kriown}: prefer in deczmal degrees. 1�. 5t�bdi�ision narr�e �i�any):
Lakitude (ex. 34.872312): �� �f ��9 Long�tude (ex. —77.SS6611): " � { �
Mcthod loeation determined (circ➢e); �GPS Topo 5heet �reho (AeriaII} PhotofGiS (D�er GIS Other
�3. Location of reach under er•a9ustibn {inoze �ear�iy roads ar�� lan�rr�arks and �ttach rt�ap id�ntiFying stream(s) location):
14. PrvpasecE �harrnel work (if any}:
15, �tecent weather eonditions:
1 G. 5ite conditiorns at time of visit: {�' �: ;�, 9
, -
1� 7. identify any special wateer�ray classii"rcakions kn�owot: =Sectaor� 1 Q _TidaJ '�u'aters _Essential Fisheries Habitat
_Trout'UVa[ers ,Qutstanding Resource W�.ters _Nutrsec�t Sensiti�e Waters _Wa�ter Supply Watershed (I-[V)
18. is there a p�ond or lake ]acaled upstream af t1�� evaluation pao�t? YES NCT-�Cfyes, estimate the watet surfaee area:
19» �oes channel appear an USGS quad tna�? Y'ES I�1Q �0. I?oes chanr�el app�ar an USDA Sc��l SuFvey? `e'�S r'�10
2l. Estirnated water�hed Iand use: '� �` °,/o Residentia]
='� °10 Enr�ested
a �z'% �oenrnercia�] ,°/a Ind�astria[ _% Agricufturaf
_% C�eared / Log,�ed �%� (7ther (
22. Ba�EciulE width: �"`� 23. Barnk height (f'rom bed to to�p af bank}:_ ��`-� ,
24. ��hanne� sl�pe cla�wn center of stream: %� Flat {Q ta 2°fo) �Gent�� (2 to 4°/a} `Moderate (4 tv 0�0°✓a) _5teep (>➢0%)
25. Char�r�el sinuc�sity: Straight �Occasi�nal bends _Frequent meander _�'ery si�iuous _Braided channel
Iatstruct�oas for completion uf worl�shect (located on pa�e 2): Begirt by deterrnining tha �n�st apprapriate ecoregion based on
lacation, terrain, vege�tion, stream elassi�caaion, etc. Every characteristic must be scored using the sarne ecdregion. Assign points
to eaeh charactermscie within tf�e r�ge showr� fc�r t�ie ecore,gion. �age 3 provides a brmef descroPtion of haw tr� review t�e
characteristics iden#ified in the worksheet. Sco�es sho�ld eeflect �� averal0 assessment of the steeam r�each under evaEuatic�n. If a
charactcristi� cannoi be eWaluated dve ta site or we.ather �onditions, enter 0 ir� Che scormn� 6dx and provide an explanatian in the
comment section. VU�here th�re are cabvovus changes in the character of a strea�n undee reuiew (e.�., t��e skreavn flaws from a pasture
in�o �%rest), khe sir�eam may 6e divided into smna�ler reacMes thaE display onore ccrn�inuity, and a separate fc�rni used to evalwate each
reach. ihe it�ta0 sc�re assigroea� ta a stream reaCto rnusi range betw�e�n 0 and t0(�, with a seare of ]00 repres�ntir�g a stream of the
high�est quality.
�
Total Scare {fram reverse): �l Co�ments:
Evaivato�ys Si ature �- _ -: � �� ' � .-- - � ' , ,
� �'- �`� � " Date f r..; , ��r` ;�
This chaanel evalua�n %rm is antended to be usecl only as a guide to assist landowoers abd ro0mewtal professia�als in
gather�t�g the �ata required l�y the Uaited� States Army Corps of Engineers to u�aite a preii�ina�y assessrnemt of stream
q�alit)+. The total s�nre resu�lting frpm the coQnpletaon of t�is farm is subject to USA+CE approval and does not imply a
parkica�lar �nitigatiae ratio ar re�uirement. Form subject �o change — version Ob10�3. Ta �pmment, please c�r� q] q-876-8441 x?6.

f-
;��}P/
S'I'�t�AN� QTJA,L�'�.'Y ASS�SSMENT WC�R.�SHEET
_ �cor�Glor� �an�r r ���c
� �GHAitACTE�LISTIC�: _ SCt3RE
Caastal Pied ont _. Mau in
D-5 (i 4 0 -
I �resenc�e of 1lUrn / persistent �onls in �tream ,.
(cro fla�v or saturatifln = 0; stron fio�v = maa: oirtts) -
2 ��iden�e o€ past human �Iteration 0— 6 0 5 p" � �
{eateslsive alteration = 0; tio alteration = r��c oints) '— ,
3 Ripari�ta� zone _ p_ 6 4 0 5 ""
��o buffer � 0: canti uaus, wide buffer = rtaa�t ointsi ._
� Evidence af reutrient nrr chemical discharges 0—� q p 4 � I
4extensive dischar es �{}; no discliar es = ma�c oints� �
,,a S Geo�ndwater disc�arge Q_ 3 — 4 Q 4 I -
� {�a dischar�e = t}; s rin�s, see s, wetlands, etc. = max oints
�i ' Presence of �d,�acent lloarlplain ,�
� �' n� flood 3ain = 0; extensive �lood iain = max oints q— 4 4 d y 1
� E�trenchmen# / f�oodplain access �
a' dee ! entrenched = 0; fre uent floodinII = ma.[ ai�tts d— 5 6 4 fl 2
$ �resenee af adjaceat we�lan�s 0— 6 4 4 p '� �
c�o ��r��as - a; lar e adjace��t wvetlands � max aints}
� Channe� siQuosity n— 5 4 U— �
e�er�sive chan.neiization � 0; natural rr��ander = max oin#s�
' 1 � Secliinenk ����t 0— 5 0— 0— �
(extensive de osition= b; li�tle or no 3ediment = r�a�c oi�ts) ,
�� Size & cliversity of channel bed subsh-ate .NA, Q— 0
�����, hc�rna eiYous =�0� �ar e, d�ivers� s3zes= rna� oints) �''�� %�
�vidence of chanr�et inc�sinn or r��idening .
� 12 �ee � incised = 0; stabl� bed & banks = ratax oints � i i �— 0— -
� 1� Prese�rce of major bank failures p_� 4— 0—
,., �� = P n. stable �+anks_= max oints �.-�
severe eros�on � 0• r�o �ro��a
� 14 at de th and density an bar�� 4— 3 4 4 0—
� (Etio visible roo� — 0; c3ense covts Chrau lu,ut = max aints� (?
�' I�1p:3Ct by �p�t-ecult�rer livestr�el:, or t�naber praductivn
15 (substarstial im aci =0; no eyidenc� = max points} 4- 5 q 4 0— �
� 6 Presence of riffle-p�o�fripp�e-po41 eomplexes 0— 3 — S �—
� (n4 rifflesJri l�s pr ools = 4; well-der�elo ed = max oir�ts} �
� � � _ Rabitat camplexity � p— 6 — 6 0— ,_._"
� {�'ttle ar no ��a�rtat � 0_ frequent, varied habitats —�r�ax points) ;—
m �� Canopy coverage aver s#resmbed
'� (r�o st�adin 7 ve etaison =�U; contii�uous cano = rnax oints ) �— 5 4— 5 Q— _�
Su�str�te embed�edness
19 {dee f errpbedded = 0; Ioose structure � rreax) NA* Q- 4 �— `/ ,��
�� Presence uf stream invertebrates (see gage 4}
E�o evidence � 0; cotnanax�, namerous t es g maac oints p`� � � 0— S �—
y+' -
�., � Presence af a�phibiaus _ 0-- 4 Q— 4 4 a
Q ` {nc� evidence ={�; carntnon nur��rota� es = ma7c oin#s
� 22 �'resenCe ofi fish
�' (no evidence = 0• cammo�t, nurne��us es = r�ax arnts) � mm 4 ��`� Q 4 �
`�3
� E�videraee of wild�tife use 0�� �� �� .�
(na evidence m �; ak�undant evidence = ���x €�i�rts)
Tsrt�tl Po�nts Possih�le � �100 l00 � Q -
�;;a;�, TATAL SC012� (alsa enter �n �irst page� _- ` �
'� These chaf•acte��isti�s ar�: c�yc �ass�ssec� in coastaV streams,

� � '� � 1
R
NC DW+Q Sta�ca� �deA#��cation F'or� Ve�sia� 4.1�
�iate: � `� �,1�� � �` ( � f ProjeeVSit�: I,/{ - S � �i �. Latitut�e: � � . (j 1 '� �
Evalvatar: (� �� � { 1 o r 1 � �, ( } ; � I �ounty: � �, � � V.� ; �, � Longitude; r 7 �, � "] � �
fiatal Point�� �,� Sta�a�m Dete tion (�ircle c�ne) �ther -
Stream is at least rnierrniMe�it ��phernearal fitertn enh PerenniaV e.g. Quad Narne:
i�� i9 arr�er�rrrrral df? 3Q"
A. Geam�rphc�logy {Subtatal = � � � )
1H Contiryuity of channel bed amd ban�k
2. Sinuosity of channel alcang thaGweg
3. In-chanr�el structur+�: ex. riffle-poai, step-pool,
rippte-paol sequence
4. P�rticle size of stream substrat�
5. Activelreiict f�oodplain
fi. Clepc�sitit�nal laars or b€;rrchEs
7. Recent alluvial deposits
�. Ffeadcuts
9. Grade cantral
10. �V�tural valtey
11. Second or greater order channe6
artificial ditch�s are nat rated; see discussions in manual
B. Hydrology (SubtQtal = 7• S l
12. Prese�ce af Basefla^w
13. Iror� oxidizing bacteria
14. Leaf litter
'f 5. Sediment ae� plants ar debris
16. �7rg�nic debris lines o� piles
'Ii. Soil-t�ased ev�derace af high water tab'!e?
k IModerate
2
2
2
2
2
z
z
2
� 1
1
Yes = 3
2
0.5
'&
Yes�3
�trang
3
3
3
3
3
3
�
3
1.5
1.5
3
3
�
1.5
1.5
�. Bt!0!a Subtat�l = i�
i$. Fibraus roais im streambed �3 2 'D Q
19. '�aoted upa�ar�d plants in strearnbed 3 2 1 p
2Q. Macraben2hos (note divers�ty and abundancej Q 1 2 3
2'l. Aquatac 1Mo]la�sks �3 1 2 3
22. Fish �f3 t1.5 1 1.5
23. Crayfish fl.5 1 1.5
24. AmphibEans f1.5 1 1.5
25. Algae ` Q� 0.5 � 1.5
25. 4'Wetland plants uc� �trearrabed --- FACW = 0.75; QBL = 1.5 Uthe �_ (?
*perennial streams may also he id�ntifi�d using other methods. See p. 35 of rnanual.
f��te5:
S�cetct�: �, f � � ,n� S

� USACE A�T3# C3WQ #_ 5ite # (indicate on attached map) �
;,�,; S'I`REA�NI (�'CT�'�iLYTY' �'�SESST"VIENT V4�'C)RKSH��T ��#�;
,� .
grovpde the �'allvwtng in%rmation iar the s�ream re�ch under assessment: �`:��4
/l� ���� 2» �valuator's na�r,e: J I'� , f ti-) 1 J �i�,. f P �� �' i��� d-. P r
l. Applicamt's name: -
3. il�te af e�raltia4ion: �� � / � { �. Tirr�e of eval�ation: �� � � � �
S. N2une +�f streaen: S C% `� T'� � � n c�` �~. � nu� j �" ��`i6. Riv+ee �asin: L- � ti� f � ��` �� '�' �
�- r
7. Apyaraxirriate drainag�e ar�ea: �+ • � r � � — - 8. 3tream �rdez: � '
9. Lengti'� of P�ach ev�luated. � ^ f ` 'r� �0. County:_ ��� "' r " �� � �`
1 l. Site coord'snates {if known):
Latitude (ex. 34.872312}: � y
prefer in decimal degrees.
r% f � �i
12. Subd�vision name (if any):
Lon�itude (ex. -77.556h 1➢ }: � � � . � �f f "�
Methad'locatio�� detcrmined (corclel: GPS Topo Sheet �rtho {Aerisl) Phnio/GT5 Other fiiS Other _ _
�3. I�ocak'son of reach under evaluatian (noze nearby Toads and �andmarks and attach map identify�ng stream(s} Iveatian);
14. FroposecG channel work (if any):
15. Recent weather cocaditicans:
16. Site condotio¢�s at tiroie of vosit:�,� �'� ^+ � �� �� r^ ''�
17. [dent�fy ar�y special ►�raterway classnfcatioras kna�vn: _____Section 10 _Tidal 4Vaters �Essential Fisheries �-Iataitat
�Traut'I�Taters _Outstanding Resource Waters �]'�lutrient 5e►�sitive Wartess _'Water Suppay V4'atershed (i-IV}
l8, �s there a p�nd oc l�ke �oeated upstream of the evaluatio� �oint? YES�l�iO� If yes, estirnate tlte water surFace area:
�9. Does �cha�rnel ap�ear o� U5G5 quad rr�ap? Y�S � 20. Does channel ap�ge�r ort �JSD,q Soil Survey? YES �f
21. Estimated watershed Vand use: ��% kZesiden#ia1
�p �I °i'o Fore�ted
22. Bankfull wid�h:
24. Cham�el slope down cer�ter of stre�m: �Fla� �0 to 2°%j
25. Channel sinaas�ty: f Strai�h4 _�Qccasianal bends
�'� "/o Commercial
�°to Cleared / �:�gged
°/n Industl•ial %o Agricuttural
°!'o C'Jther
23. Bank hei�ht (frorn beci ta tap of taank): `� �
`� Ge�tle (2 tQ 4%) j9vladerate (4 to 1(}%) �5teep (�4{1%)
_Fre�Uent n��ander _Very sinuous ,Braided channel
[natruuctions for comp�etion r�f wor�csheet (Ivcated o� pa,�e x): '�egiil by deterrraining the mpst app�opriate ecaregion based or�
locatio�, terra'sn, v�egetation, saream classifcation, etc. Fuery characteristic musA be scored using the same ecoregior�. Assign p+�ints
t� e�,ch characcerist�c within t3�e ran�e shawn fo� the ecacegion. Page 3 pro�'sd�s a brief descripiio� of hor�+ to re�iew iFre
characterastics identi�ec� in the worksheet. Scores should retlect an overall assessitie�t of the stream reach under eWal�aation. Qf a
charac�eristic cannoi be ev�ivated duc �cs site oe weath�r conditions, enker d in the scc�r�ng box and pro�ide sr� expl�nation in the
comment section. WYsere i�rere �re obv�bus channes in the cha��acter oi�s stre�in �and�r review (�.�., 1he stream flows feorn a p�str�re
into � forest}, the strearn snay be c�ivided inta srr�aller ceaches chat dispfay more cantinuity, and a separate for�n used ta evalua4e eac3�
reach. `�he total score assigned to a streana reacli must range bctw•een 0 and 1U4, wit� a score ai 100 re}�resenting a strea��z of t�7e
highest quality.
'd'otal Sco�e (from re�erse): � � Co�nments:
��a��a�tar's Signatua�e , -�-z --�.���'� -�, �� -- I)afie �� �i'`-�� ; `.r �
c'
This �t��anne1 �val�a ' n forsn is int�;lded to be usec� anly xs � guide to assist la[�tla►vners and enviror�mental professionals in
gatherr�g the dafa requ�ted by t3�e United States Ar�ny Cor�s o� Engir�eers �o make m prelimin�ry ass�ssment �►f sireain
quality, The �nta� sco�e resu�king ��orn the e4mpletian o€ t�ois forr� rs subject to USA�C� app�owal afi� d''oes not impiy a
�aa�tieu�Dar mit�gation ratia or requarement. ronn subject to chan�e - versi4r� 0{yFU3. l a Lomrnent, ple�5e C�11 9 Q 3-8%G-�f441 x�b.

STR��1V� C�1LTA�.�'T� A��'�SSPv'TEI�i'�" WORKSHEE'�'
� � c��.�.a������������� � ' ��o��,c��a� �}�a��r���a��rc� scc��.� j
, 6� a
� i C�nastai iYedndasnt �^Vlcatetiut��a �
� Presei�ce of fio�r /�ersisteaYt p�ools i�e st�-�.�r�� �
1 4-5 C!•-� i)-� f7
(no fl�w ar sat�lration -- 0_stmn >�� = r��;x �oints)
�vic�e�sce of pf�st i��mnn :�iter�tivyt � 1'
z . . � c� - s a— s E� --� fi -r
�ht�ns�vti alteratic��� = ft; no alt�;ratiE�n = ni�.x po�nts) I
3 Ftipa��is�rr zc�ia� . � 0- G 0-� �3 -• 5 �
(np'vuffer = 0; �onti��:aaus. +w�de �iuffer = r1z� ��ts}
� Cvicle�cc �i �utrie�f or ck�enaical ciass.tanrges. U- 5 0-�€ €� ._ 4 �
(extensive disch�r�cs �i3; �tc� dis�ka�ars��s =ni� �,o�rtt�) �
„� � �rnesra�e+,�r�r �iisc92:�r�E
,� � [l�3 �m� f}�4 �
� fno c�isc�ia��ee �= 0: s�rin��, s�:e�}s. �tieiia�td5, ctc. = max �air�t�}
� Pre�enr..e nf Hei,�acent f�oocf�la�in
;s � p-� p-� q-? �j
�, (no ticr�ci ��ain � �); utte�tsive flood�iarn = ina� �oints}
;3� �ntrenrf��ne�t i flQot��alai� :�ccess y �
� 1 0-S U�� (J-t
"" (d�e lti� entrench�� = t�: fr� �.pe��t floodin�; = m.a�: c�i�its� , �
� PfCS�RCC (1� Atljmf.6[l� WE'{�3i1f�S Q- 6 Q- 4 Q- 2 r J
(�0 4vetlaY�ds =�; lar e ac3ja�ei�t �h��tlands = rwia�: e�ints)� �1
�_..����.��. 3� _.-._
C;ftans�el sinuosit�� �
9 U-S 0-4 U-3
(extensive c�annelir.�ii�n = 4; natural �r�e�rider =- n�ax ,�c�) �
�edi�ner��# in��u� � �
�� a—s c�—� c�—� �
[�xtensive c4e�ra�itit�M��' O�iiiile car nc� sedi��teni =- n�zt,� oirtits3
5i�e & diversity c�f ehannei beci ssr%str�ce ` i'�'
11 . j iti'ta* 0-4 (3-5
_ (fine. ho�nc��c�us = (}: l�r�e, d��erse si�es � ��a���; ���n�) �
12 � uidenee of chanr�ei �ctctsie��t ur w�adr_nin� U- S {� -� t� - 5 �
3+ (dee l� ;�acisecl -_ (); stab�e hed a� 1���.�.s -�i��ati�c�int�} -
�. P�•e»�ea�ce c39' n�a��c�i taaaZ�C �ailuri�s L
� � 13 4--5 0---5 d-5 �
� (severe ero5ioaa U;_no erasion. �Yab�c; �oartks = rnax c�ir�t5) �
q Rc�ot denth ana� tleensit�• �r� i�ar��:� �
� l� (�Q visible rc�ots �= (}; cle�se r•ac�ts tl�rc����l�o�Fr � rA��x p�c�int�5 4- 3 0-�F U- 5
��
� lmpact �iy ��ricu�tu�•e, iawestaGk, ar t�rr�fy�r �rc+d��ct�an �
�5 {l-5 (l-4 �--�
, sutsstanti��l Bn'1�aCt -C?; nc3 �1'sclencc -' �a�ax �joi��ts�
16 Presea�+ce s�f ciftle-potrl/rig��le-��oai co��}#e��s 0- 3 0- 5 0- G �
� (nU ri€fi�.s(ri �es or a�ris = �: �veal-c�eveli3p�d -- ��ax �ni�tsi
�i�bit�t �com �e?►ei�� D,
� 17 p 0-6 0-ii 0-6
� ttiltte ar no 3�aiaitat � fl; fr���a�nt, waried hab6tuts = na�.ti {�ti�iEzts)
�Canopy covera�e aVer stfeamk�a:d �
1g � p4� t}-5 U-5
� {na shatiin� ���et�tio�1= 0; conti���sc�ua cazt�py = na�t pois�ts)
�i+R�stt•ate errti�iecic�e�ln�ss �
19 ' N�� * 0 -- �+ 0 - � /'✓�f�
�cleeply en�be�ideei = �l: laase str�cd�i��e = max)
Freser�ce �1'stceabn invcrtebx�ates (s�e �,a�c � j �
�p 0-4 0-5 t�-5
� ino evide�icc: = 0: cc�n�n�ors, nur�7�rcrus typ�,s = ts�t�x oints�_.
--
� t�resence nf a�i�hib��i�s �
�? 21 (no �aridct��e =- 0, cc�s7l����n, ratarne�•�aus ty�e:� � nla�s rc�ix��s) � � � b �- �• 0 - � '
� __ _ -- _.�.. __ _ _
� 2,� Pr�sence t�f fsh a_� �_� fl_� Q
� (nra evidence = �; conzrrtran, nur�zer��as tvpts = n��x �c�ints) -
�, L r�it4�wee �rf rtelc�i�fe �jse j �- G �-; 0- 5 �
-a f
(no evir�ence 9� �jbu�rcl�t tvidencc; == rnax p�ints?
Tt►��i �nirat� PrissitaEe 10�7 � t 1?�3 2€1�i
i
T(�'T�.i �it`C��� {�ls�� �.n��r t�n f �rs+ d��,�c} . �; �D
��'hes� c6�aracterisfics ae�: ��ot �i�:e�;sed in c�asi�sd str+:a���s.

1'�C llW(� Streatn xden�ifica�ion For�n Verszo�, �.l I
Dahe: �: ,;��/Jf �rojectl5ite: �^.
� _.
��alua#ar: Cflunty: '� r • . • -; .
`Lat�U Poi�ts: Stream Deterarninati�n (cir
Stream rs atleast intermittent �� E,phermeral Intermitter�t ere
if z 19 or perennia! if _ 3�' �.
A. Gec�u'norpYuQl�gy (Subtotal = '� � r '� )
1a Continuity ofi channel bed and bank
2. S'snuosity s�f channel afong thalweg
3. I�-cha�nnel s#ructu�re: ex. ri�flesppol, s�ep-pcsal,
�ri I�- Qol se u�rrce
4. Particle size of streaar� subs�rate
5. Actiuelrelict filoodp9arn
6. C1epc�sitional bars or k�e�nches
7. Recent alluvia0 deposits
a. ���d��t�
9. Grad�; control
1p. Naturai valley
1'9. Second ar greater order charnnel
artifcial ditches ar� n+at rated; see disCussior�s in manual
l�t�tude: '. �l , ��� �r
_ _ , .
Longitude: �$ - , ,�
,.
Other
nia� �.g. 4uad lUame:
�. H drolo (�ubtotal � . "�
12. Pr+�sence of �asefla�w 0 1 2 3
13. Iran oxidizi�g bacteria Q' 1 2 3
14. Leaf &itter 'F.5 1 IJ.S C1
15. Sediment on pla�ots pr deb�s a 1�.�
1�. Organ�c debris Gin�s or �iles (} .5 '� �- 3.5
17. Soil�based e�vide�rc�e af high watsr table7 Na = 4 Yes =.3
C. Biolp (Su�atotal =
18. Fibr�us roets in s4reamk�ed � � � �p
19. Root�d upland pl�nts in strearr�6ed 3 2 1 �(�
2D. Macrs�benthos (note diversity and abun�anc�) p Z 3,
2'd. Aq�atic h+iollusks q � Z �
22. Eish a 0.5 1
2�. Crayfish 0 a.5 . y
�4. Amphihuans � a.5 _�' S
25, Adgae d 0.5 1 1.5
2fi. Wetland plants ira strearnbed - FAC'Vlf g Q.7�; UBL = 1.5; ather = D
'perennial streams may aeso be identified using oiher methods. �e p. 35 of manual. --- --� �
�C1��S:
r, I �' -
��SEx�C��h�: E �.� , ! � � < ; � "� � / i c� � . r , r� , � _ , � ,i % �� � �
r-.
. I f -� � ' , F� .
�

� i7p�r
USACE AI�# DWQ # _ Site # (indica�e a�n attact�ecl rnap)
„�„ STREAM (�CJAI�ITY ASSESS�ENT W+CIRKSi���'�i'
Pro�+ide the fallawing infvrmatian fnr the stre�m Teaeh under assessr�ent:
2. Evaluatoo-'s name: � M � � � . > �� f � r, �. � ti � , ��l 1 j � � � P
4. Tirr�e of er�aluaticat�: �� r r�'� '� -
6. R�ver basin: � ��, � r r i`�. - l �
�,,.�._
f� �;;
I. Applicanc's name: ./✓ C I1� �`C
3. Date ofevaltpation: �I�i � � / f �
5. Name af stream: S�i ti^ � k n � nc (� `- o aJ 1( ��f �
7. Approximate draonage area:
�� ,�u `f
9. T.engtf� �f r�ach e�+a�uated: � �l'� �-I ,
'�l. 5hxe coo�dlinates (ifknawn): prefer in decimal degrees.
8. Strea� ord r: �
10. Cou�ity: � 1+� `" � S w� � r�
1Z'. Subd�vision name ��f �ny}:
�,atit�de �(ex. 34.8���3i 2�: � �i . �1 r �� � T.ongitude (ex. —F7.55fb I I ): � � • � f ' �%
Tvlethod location dete�s�rined (ci�-cle): ��GPjS� Tapo Sheet Qa�tito (Aerial) PhotolGIS Other C'i15 (J�er
1�3. Locatio� of reach under e�raluat n(note nearby roads and landmarks an� attach map identifying strearn(s) locativn):
14. Proposed chanroel woek (iiany):
r
15. Recent wea.ther c�nditivns:
1�6. Si¢e cor�ditions at time of wisit: I} r 5�"' �'° � �" r`1 '"'
17. Identify any apeciai wate�rway classi�cations known: _Section O Q �'Cidal Waters �Essential Fisltieries %iabitat
�TTout Waters �(�utsta►tding Resowrce Waters i Nutriei�t 5ensitive Wa¢ers _Water Supply Watershed (I-IV}
IS. ls IIhere a pand or lake Iv�ated upstream o�th� evaluation posnt? YES NO ;ifyes, estimate �he wa4er surface area:
19.17o�s channel appea� on USCaS quacl map? YES i�O 20. Daes channe� appear ar� US�33� S�il Survey? YE NU
21. Esximat�d wateeshe+� ]and use: � �% Residential °� �%o Cammercoal �% lndustrial _% Agricultural
� �� %a Fcarested _"% Cleaced C�oggec3 ,% 4ther 4� )
� e
2Z, Bankfaill rvidth: � � 23. Bank height (fe�m 6ed tu top af banka: "� ��
24. Ck�annel s9oQe down center af stream: _Flat (0 ta 2�%) �,�,Gentle (2 to 4%) _Moderate (4 tm 1 p°/a} _�Steep (� l fi%}
25. Channel sin�osity: _� S�raigh¢ _Occasiana� bends _Fr�equent �neander Very si�luous _Braided channel
Instructions inr comp9etipn af worksheet (lacated a�n page 2): Begin by deterr�ini�g t.�e most a�g�ropriate ecoregion based on
lacatiori, terrain, vegetation, st�earm classificati��, ete. E�ery charact�P�stic must be scored us�ng the sa►ne ecotegion. Assign pairnts
to each ehar�cteeistic wothin the r�nge shown for the ecnregion. Page 3 prawides a brief descriptivn o� how to re�uew the
characteristics id�ntified in tk�e worksheet. 5cares stoo�ld refleot an overal� asse�srnent of the stream reach ue►der eva9uation. If a
characteristic catmat be evaluated d�ue tq syte or ��eather conditions, enter Q in the scoring bax �n� p�ovide an explanation in the
, cc�mmertt seckion. Where tliere are obvious c9iaa�ge� in the character af a stream utti�er review (e.g., the strean� flows �i'�rn a pastazee
�- inta.a forest), the stre�rn rtoay be di�ided inta smalBer r�aeh�s that dlisplay more cantinuity, an� a separate %orm used to er+aEuate each
reach. The total score assigned to a strea�rn r�ach must san�e betwe�rv 0 and 10�1, wit9� a score o�' l0G r�preseo��ing a stream of the
higllest quality.
Total Score �(frurn reverse): � � Com�eents. -
Evaiuua�ar's Signature ,.-�"�l' `'��( 1 Uate ' _i'_- � t_
This cha��e7 evalu�tion fv�-rn is intended to be �sed anly as a gufid� tra assist landowne�-s ansl e�vironmental professiaaals in
gather�i�g fhe da�a required by the Unite� States Army Corps af Engin�ers to �ake a prelsminary assessment of strrea�
quality. The totay scare resultang from the completiun 6� �Il!'S fQFtli is s��jeca K� USACE ap�ra�al and does not imply �
par�isular mitigaEiun r�tia or requireEnent. Form subieet to change - ver�iora Ci61413. To Comment, �Slease ca�l 919-876-$441 x 2b.

STR�AM QTJALiTY ASSESSI�'��NT �VO1tKSI�EET
- �CQREGION POINT RACVVGE '
� CIiAT�ACTF.RIS'CICS SCURE
�'oascal �� Pie �� ant �� M�u� i�n �
� Presence af �]ow f persistent �oats in s�ream 0- S U 4 Q 5 %
(no #low qr saturatian = fl; sFron flow = n» oinis) �
� EvideF�ce of �ast hut�an alQ�eratias� 0- 6 0 5 -� 'T
(extensive �ltera�.ion = U; �Zo alterazion = tn� oints)
� Ripari,an zone p_ 6 @_ S T
�no b�ffer = 0; conti - oius, wid� buf��r � n�a� oints) i
4 Evidence af nutrient oP chemica! discharges �_� 0- �- 4 �
�extensiv� dischar�es � 4; no discl�sr es = ma��c ainfs) J
a: � Groundwater disehar�e 0- 3 0- 4
� (��o dischar�e = 0; s rin s, see s, wetlands, etc. = max o�nts}
� ! Peesence of acl,�aeent floodpla�� ?
��,, � no fl�ot3 lain = Q; extensive #�ood iain = m�c aints . � - 4 (� -- d - - , ��
'�y ' � Entre�ci�me�t I floodplain aceess 0- g 0-� 2 i
�"' (dee ] enErenc�ed a Q; 'Fre uent f�oodi�Q = max mints �
$ Presence nf adjaecnt wetlands a- 6 0---4 0 2
(nn wetlands - 0; tar e adjacent wetlarstis = nia�c oints)
_ -
9 Chau�nei sinuasily 4- 5 �} -�} 0 3
(exiensive chan�ieli2at�on - 0; naturak �neartd�r = max aints) `-
10 Seditr+ent isnput 0- j 0-- 4 Q 4 �'--
(extansswe de ositiun- [�; 1ittle �r no sediment - max oints �
� 1 �ize &[iiversiry of channel bed sui�strate �A� p..� 4 0 5 ��; �
(fne, tiomc� ei�aus = Q; larue, diverse si�es = r��ax oints} %:
l� Evidence o�' ch�nnel incision oe widening p� S 0-- 4 �0 5 7
,yq dee 1 incised = 4; stable bed � banks = t�ax o►nts
�Presence af rnajor bank failures -
� l� . . . 0-5 �-� 0] j
_
{�e�ere erasior� = 0; no eros�vi�, stable ba�ks -= max points)
� 14 Rfl�t depth a��d de�asity an banks p�� 0-� 0 5 '�
� {nm v�sible roats = 0; denseroats t�ira� ltout = rnax Qints)
�' j� daaipact by agricul�ure, livestack, vr tu�b+er praducri�n 0- 5 0- 4 5 �
substantial im act =0; na evidence = max ainrs}
�� Presence of ri!'ile-paol.lripple-paol cv�nplexes �_,� 0-� � -
� (no rift7es(ri, 4es ar ovls = U; r�+ell-cievelo �d = rnax oints) .--
Q 17 Habitat complexi'ty �-� 0-- 6 - 6 �"�
F+ {liitle or no kiabita[ = 0; frequent, �varied iia6itats = max oints)
�
� t 8 C��opy co�erag+e over stream�red �_� 0- 5 - 5 ��
� no shadin ve eCation = 0; contin��ou� cana = rnax aints)
19 Substrate emb�eddedness �q* 0- - 4 �.
{�iee ! embedd�d = �Q; ��afls� struct�re = rna�c} _ `'�''
� Fresence of stream invertebrates (see page �l} �_� p^ � '�
� "� �to evidcnce = �; common s�usneraus �s = ►r�� airrts
r^
�' Presence of amphibiaas ,� - 4 Q U '7
O z� (no evidence = 0; c�m�n�n, ns�rneraus es = enax on�ats '�
' � Freser�ce erf fis�
C' 22 �-4 0 4 0- ,
� (fio evidence = D; common, numeeous es = rnax aintsi —
�,, �vi�e�ce of wildlife use 0- 6 0 5 4- �)
`, (e�o evider�ce = 0; abu��cia�it �y�dence - n�ax oir�tsl
Total �'aints Possibie 100 16 l0
_ -
__ Tt'�T��, �`��IR� � �(�lse� eitter on firsfi p�ag�� � ,,: = �
* Tl�ese cl�aractenstics are ��Qt assess�� in c�astaV slreai��s.

NC DW Stream Ideata#�catian Fortn Yersion 4.1,T
�ate: (���� �- -, �� � ProjeaUS�M: '/ �'-� . � Latitude: � � .� � ,
J
€val�uator: � . 1`��,1 ; y' (`' ��, ��, ; Caunty: (� . , . . _ . c �i Langitude• f 'v . ._
. �
Tatal P�i�t�5: � Str�a�m Deterrmin�tin��cir�te or�e) Qt#ter C� I-
St7e�m rs at �easf ir,termitten! 1(� �� Eph�r�eral [�nte�rn�tbent Perennial e. Quad Nsme: '�
rF _? 9 or erenniel if a 3Q° �-1 .(T 9�
r
1�. Ge�rr�tar halc� [Subta�al = � Ab���t Weak Mn�erate Stmng
1�' Cont�r�uityr of channeV bed ar�d� bank 0 1 � 3
2. 5inuasaty of cha�nel along thalweg � "� ' 2 -- g
3. in�ehan�el strueture: ex, riffle-poo9, step-paal, � ,;'� z � 3
ri le- ool se ueruce �'
4. �articis suze of strear� substrate 0 2 � 3
5. Aetivelrelict iloodplaTr� 0 1 3
6. Etepasitional �ars pr benches 0 1 2 3
7. Recent alluvaa9 de osits
P Q' 1 2 3
8. �ieadc�ts 1 2 3
9. Gr�de cdnt�ol L�; p.5 1 1.5
10. Natural valley � p.� 1 T,�
11. Ser,�nd s�r greater order chrann�l �10�4 'Yes p 3
vru���nca� .a�.a.i�ca rsv.c ieva �atcu, acc ulai,ua.7lVtla IMI IYisxl4ural .
E�. f"i �iro�C� 57abt�Ot�� = �1 J ��� �
12. Presence of Baseflow 4 �,,1� 2
13. Iro� axidizing b�cteria � 0 1 2
14. I�eaf Nitter 1.5 '1 `; 0.5
1�. Sed�irrier�# pn plants or de:bris 0 0.5 1�
16. C�rganic debris li�es or p�les �1 0.5 % 1 �
'i7. Soil-based evEdence o6 high wate� tatale? I�o =[Y (4'ss =
C. �Ilola Subtatal = 3. �
1�. Fibrous roots in strear�rbed 3 2 `1
�9. Roo��d upland plant$ in strear�bed 3 2 1
20. Macrobentt�4s �nate divarsity and abundance} 4 1 2
21. Ac�uatic IUtollusks � 0 'Y 2
22. Fish , 0 0.5 �
23. Crayfis� - -- !` a Q.5 1
24. Ampfnil�i�ns 'i Q 0.5 �
25. Algae - Q.� 1
2B. Wetiand pl�nts in str�arnbed FACW = t7.75;'�,OBl. = 1.5 �ther = 0
"per�nnial s4r�ams may alsc� be iderr4ified using ather methads. See p. 3� of manvai.
NQt85:
Sketch: � �,, � ,� � : � � s ( . �� � f - S
. . S�f41f�4'1}t.[� ! �f��+'Y �'� ta���rF 11(N�- •
I
� J�' rt% ,Ma�C[r?S G�fh• ^ 5 r�,n � ql,tdr �CnL S A�C A
J �
3
3
0
�.5
1.5

- - -- _. _ Q .
I usaeE a.�a# r�w #�
� -_,..__......
Sate #
(ir�di�cate an attached map)
',�', �TRE��'I �UAL�TY ASS'�SSM�I�iT "W'OR�SH��T .
,�
PrQvide the following infarmation 6or �he stream reach urnr�er assessment:
1.Applic�t'sname: �Lf�f' � 2.E�alua�or'sname: 3. i1?�,�1„�. jJ�, f;AG�l1«, d�.6'�!i�;
3. Date �f evaluation: � %� � /� � � 4. Time ei ewaluation: = �'�!` � ,
5. l`��.rne af streatn: � � ( l J �f '� � , ; . �"�od s � �� 1+, 6. �Ri�er 'basin: �- + ,�, r-:. �7 r � � 1.
7. Appraxirnate drainage area: `' -f � f C 8. Stream Qr�er: ��, -
4. Length of rea�ch eualuated: I ,, �' �: ' 10. County: � � - � � %�� . � i
11. 5ite coard'ur�ates (if knawn): preier in decianal ei�grees. 12. Subdivosian name (ofi a�ty}:
� ., .A-�
C.atitude (ex. 34.872312): � �. �� � r � Longi4ude [ex. -77.556619 y: � G � ��
Method Incacion deterrnined (�irclej: �Gk'S Topo Sl�eei [)rtho (Aerial� PhotofGlS FJther GIS Other
13. Lo�ation of reach under eaaluation (r��te ne�.�6y �oads and landmar�Cs and a�tact� map identi�ying strearn(s) Ivcatiorm):
14. Propasec� eha�nel we�rk (if any):
�5. Reees�t weather conc�irions: ' t. � 1/, ,. `� �,� ��.
1b. Sixe conditions at time of wisit: =�<c ���i'C
17. Ide�tify any special waterway classificaticans �cnowt�: _Section la _'Il'idal Waters �Essent�al Fis�eries Hahotat
�`Tr�v� Waters �utsta�ding Resaurce 1Naters _Nutrier�t Ser►sotive "�'ateFs _V�r'ater Supply Watershed (I�I�T)
1$. Is there a p�nd or lake lo�atec� upstream of the evaluation point? YES I�lf yes, estimate t}�e watez surface area:
19. Does charr�ef �ppear on USGS quacY rnap? YES �1� 2�0. Dfles charrr�e� appear an US�A �oil Surwey? �5 Z*f0
21. Estimated watershed �and us�: '�'% Residential �" % Com�mercial �°/a Industrial _% A�rrc�ltur�l
' '' % �orested �% C1eared ! Logged �.% �ther ( _ �
2�. Bankfull widtlt. �- � 23. Bank height (�rom bed tca tap of bank): '-� �
24. Channel slope down center of s�ream: �� Flat (0 tfl 2%) �Gentle (2 to 4°✓a} _Moderat� {4 tc� 1 Q°r"o) �Steep (� 10�/0)
i
25. Channel sinu�osity: Straight _C)ccasiona9 bends _Frequent onear�der �Very sinu�us s�c'aided channel
[nstructions for co��ietian of worksheet (loeated on �age 2): �e�in by deterrnini�g the rnast appropriate ecaa�egi+�n based on
lflcation, terraen, �vegetatiaii, streanrt classification, eic. Every c�aracteristic must be scc�red n�sing th� same ecoregiQ�. Assigc� points
to each eh�aracteristic within the range shawn for Clae ecvregian. �'age 3 prowides a brief clescriptro� of i�ow tv re�iew �he
eha�°ac�eristics identifined in the works�eet. S�ores shnuld re��ct an owerall assessment of the stream reach under e�raluatian. [i a
c�roaracteristic cannot be er�afuated due to ssfie or weather co�dotio�s, enter 0 in the scorin� bs�x and pro�ide an �xplanation in the
coinment section. W here ti�ere are crbvious changes in tt�e character ef a stream ua�der review �e.g., t;�e stream flows fr�m a past�eee
into a fasest), fhe sh'earn may b� dd�ic�ed into smaller reaches that display �no�e continuity, at�d a separate form used tv e�a6uate each
reacl�. 'I'he ta�a� scare assigroe� to a sir�am ceaeh rr�tast range batw�ero 0�nd 1 l�D, with � sec�re of 1 QfJ representing a strearn o�' the
highest quality.
Tata� Score (from rev�rse): `� -' Comroents:
E�al�uator's Signature . � r �. ' -yf ` �'�'`- _ - �}ate �� � t�� !" �
This channel eva�r� n�form Es �nter�ded to be used on�y as a guide t� assist Sandowners and enr��rvnme�tal pwofessionals in
�ath�ri�� tMe data requufred b� the Linited States Army �Corps uf Enginee� to make a�prelimioary assessmen� of strea�n
quality. Tt�e tatal score resu�t�n� from t�e comp�etion of this forrm is subject to USPrCE approv�� a.n� �oes nos ��psy �
particular miti�ati�n ratio or requirer�roent. Farrn subject to charoge - versior� �b103. To Camrnen�, please call 419-876-8441 x 26.
0

S'P�tEAM [�LTA,��'Ti''Y A'�SE5SIV�EN'�'Vf�(�RK�`I�EET
_
�co�Ecio� por�v�r ���vc� .
# CHA�tACT`�:RISTICS ' Coastal Piean�ant ivi� �ain SCORE
� Presenee of ilow I persistent ��vls un stream �_ 5 U 4 (1' S
{na flow or sata�ratiat� —(i; str�z�; flow = m�x poir�t�) �
2 Ev�dent�e of past hunnam afieration �—� S � �
, .�
(extensive alteration = C1; no alterativn = n�ax pair�ts�
� Ftiparian zone a� 6 4 5
�na buffer = U; conti uous, wide bu�fer = max c�i_r�ts -
� Ewiden�e of nutrie[�t �r c�temical dischar�es d— 5 — 4 — 4 <
CXx�I15BVe C{1SG�'7�1'��S = �, na dischar�es = m� vints) �
a � Gs�oundwater �iisc6arg,e 4 — 3 — �4 — 4 �
d {no dischar e= Q; s r�in�s, see s, wc;tlands, etc. = m� oiarts} y
�' � Presence of adjace�t tloodplain a — � — � � � �
�,,, (no floezd�lai� = 0; extensi�+� flood lain = max oin�s
� .� EnQrenchment 1 tloadplai� aceess Q— 5 � �
R"' (deeply entrenched = D; fre uenc iload�n = max oir�ts) — ��' -
8 Preser�ce a� acl;�acent wetiands a_,� — 4 — 2 �
no wetlands = 0; Var � adjac�rnt vvetlands = max oints
9 Char�ne� sinuosity �—� 0 4 — 3 �
extensive cl�annel'azatioii = 0; natu�•al aneander = max oints '
Sediment input �
l� extensiu� depositia�n— �?: little or t7a s�diment =�rtax oints) a—` T� —� �
� 1 Size & diversity a�channel t�ed substrate
(fine, �hontin ei�ous = Q; lar e, divecse siz�s = rnax poi�ts)
12 Evidence of cbannet inc�ion or wiele�i�g q— 5 4 0— 5 _
�; dee ! � inc�secf � �; staiale bed � �anks = �nax oints}
�'' l� Presence of majo� bank failures p— 5 p 5 i� — 5
� (se��ere erosian = a; no eros€on, stabie l�anks = max oints) —
�--�
� 1� ' f2uot d�pth and density on l�a�nks
(i-3 Q 4 �-5 `�
�, (no visil�le rc�ots = 0; dense roots throu�haut = rrcmaY oin�:s
� � S Im�paet i�y agr�cultupe, li��es#ock, ar ti�nuer production �_� 0 4 U— 5 �
substasatial in� act =0; no evidence �- n�a� oints)
� 6 �resence of rift�e-poof/rx�a�le-pool c�►m{�fexes Q_ 3 p� �—� f
� no r�ftleslri 1es or � oals a 0; we11-d�velo ed � xna.�c oints _
� 17 Hauitat cnmp}exity 0—� C� 6 tD — 6 �
� (little or no habitat = f1; fTenuen�, variecf l�abitats = nza�c o�rsts) '
p'� 1 g Canopy coverag�e over strearri'�ed 0— j p j 0— 5 _�
Q� w
� (na shadin� �e et�tion = 0; cont�nuous cana = max oints
�� ' S�bstrate embeddedness � _4
(deeplv ennl�edded = 0; 4ouse structu��e = max} _
,�� Presence of stre�m invcrtebrates (see pa�e �) p— 4 0 5 D^ 5
� no evid�nce = 0; common, numerous ' es = m� aints -
.� � PresQnee of arnphibians �— 4 �,� p— r�
Q —1 no evid�ene� � Q: commor�, nu�nerous es = ra�ax oints) -
� �rese�ce af fish �
� �� �-4 C� 4 —4
� (no evidence = 0; comr�idn, numeraus es = max oints Y
23
�vid'ence �f w�id�tife use �p -- 6 0 5 �� — S
{n� e�icierace =�l: a�undant evidence � rna� oinks) _
Tota� Paints Poss�ble ��"a � a ���
� ��� Ta'�'A�.., S��QRE (�.lso en�er o� f�rst a �) �� � � �a��� ��� , T
�`'� �r� �n �!� �� `�
*`i'Ii�7� cl7atiact4ristics arc not assessed in coastal str�arns,

.• ��i . �
- . . .I� ' y '_
� . . �
/ �
WIE1�L►AND ��1'�RMINATIC�N i�ATA F�RM — Atlar�tic and Guif Caastal P1ain Regioro
t` � _ � � f <:' �.; .,., � Q
� % '��
Praject+Si#e: l/� �; = CihyfCount�: " 5ampli�mg Bate.
f7 1
AppFicanVC3v�mer: ati�.1!_t"�C� � State: 'I.1C _ Sampling P�in4: '
le�vestigator{s): fl r ; �_, � � . �I r . � . �;, Seetian, Tow�-iship, Range:
Landfor�n (hllls9crpe, ke�ac�, etc.}: � � � � �! : � � � + oa-� Local relief (c�nca�ue, canvex, �ane}: ' cJ� ; � �:. : SIaPe (°rfi): . -
r _ , - .
5ub�egi0n (LRF2 or MLF�Ap: ,, � � `� Lat: i . ' I ��r 1 Long: , � � ; �atum: 1:�r �= � �1
5oil Map Unit Na�re. ' , 1 , ; `-, ; �. :
NV'+r'I cl�ssifi�tion: ('' `f_ �,
�Are clirstatio! hydralogic conditi+ar�s on the site typical for this time of ysar? Yes FJo {if no, explaira in Ftem�arks.)
Are Vegetation , Soil , or HydroCogy signi66cantly disturhed? 'v�' Are "Alormal Circumstances"" present? Ye5 �%� No
Are Ver�eta�ion , 5oil , or Hydreslogy _�aturally probl�ematic? 11+`u (li needed, explain any answers in Remarks.j
3UMNitARY QF FIMD�NCS — A�tach site map s'�owia�g sa�mplir�g point locations, tra�sect�, impvt#ant f�e�t�ures, etc.
Piydrophytic Vegetation Preserot?
Hyc9�ie Soil Preservt?
W�tland Hydrology Peesent?
F2emarks:
�� �.��� -� a,
MYDR��O�GY
Yes '" hJo
Yes _ � �� Na
Y�s `✓ A�o _
a,,. ! � !�� � s w '�� +�S
Is the Sarrapled Area
wRhin a'4Yetlamd? Yes �' No
Wetlansi Hydrolagy Undicators: Secondarv Indica4ors {minimum of two reaui�reda
Pri In ic tars minimum vf ane is re uiTed� �eck ait that a I y� Surfa� Sail Cracics (B6)
,SurFace V+dater (A1j ❑ Aquatic Fauna {B13) lu Sparsety Vegetated Conrave Surface {68}
�-�/�High Vw'�ter Table {A2] ��A+larl Deposits {615) (��R LO} ❑ �rafnage Pahtems (B'i0j
L� Saturation (A3) � fk-lydrogen Sulfide �cior (C1) � FJ�oss Tatim L'ones (�1$}
� 1Nate� Marks (B7j TL—W1� Qxidized Rhizaspheres along LiWung Raots (C3) I�ry-Season 1Nater Tatale (C2}
�Sedimer�t �ep�ssits (62J 1lo--l� Presencs af Reduced I�ara (C4) Cra�sh Burrows (C8}
�rift Deposits {B3} }��.! Recent 6rc�n Retiuct�4n in 'fil9etS Sails (C�6y � 8�turatian Visible on Asrial 9magery {C9)
� Algal Mat ar Crust (B4) lJ 7hin iNuc�C Surface (C7) � Geam�sphic Pcssitiran (D2}
� Irnn �eposits (�5) � dther (€xplai� ir� Remarks) Sha6low Aquitard �D3)
�, Imundation Visible an Pterial 4rrmagery (87j � FAC-Neu�tal T�st (�5}
a Water-Stained Leaves {89) � Sphagnum mass (Q8) (LR'R T, Uy
�ieY� Ohservatuons:
Surtace Wat�er Preserat? Yes � No Depth (it�ches}: ��''�
4"4'ater Table F'resent? Yes f �ia Depth {�nches): �
Saturation Present? Yes _,� No �3epth (inches): � W�tland HydroYa�y Present? Xes No
includes ca ilka frin e
Descr�be 'Re�orded �ata (stream gauge, monitaring w�ell, aeriai phatos, previous ir�spectians}, if available:
REfI"I�fkS:
� � � . _ " . < - . d , a� t . f' i �" . . . (-- � . i � ��
J
US Army Ccsrps of Engineees AtVar�fie and Gulf Caastal Plain Region — Version 2.0

V��G�TAZ�ON (Four S�rata) - IJse sci�r�tific names of �lanis.
Absolute Dominant Indicator
Tree Stratum �Plotsize: �-� /r� �`�'' ) °,� Co�uer Sneciea? Slatus
1.
2.
3.
4.
5. � � /) i
- ,�_'T�
fi.
7.
8.
= 7c�tal Gave�
5Q°k of to#al cov�:� 2{1% of Eota! cover.
SaplinqlShc�b Stratur'rl (P�rs4 size: ���,',f � r� y
1. 1' f<..-_. ;, v c- ^�.
2. 'v.vd�(v5 i�S,rV'ic'�
3.
4.
5.
6.
7.
8
✓
= � ` = Tv4al CO�u�r
�
� 50°h� �f to4al cover: I c� 2fi9'o of totaf car+er: %
�ierb Stratum (P6o� size: � � )
L � 1-4���St.tS S �' y , �:�_
2. �,: ,, ��I • (,. r � � � t� v'� � T �.
3.
�.
5.
6.
7.
$.
g.
1 �0.
��.
�2.
( �� �" = Tota� Cnv�:r
5Q% of Yr�taV �ca�er: �� f�' 20% af total G�ver: 4 t'
W+Jo�d �ne 5tratu�m (PIQt size: 1� �'� � )
1.
2.
3 �� '
d. �
5.
= Tpta6 Co+�er
50% af to#al cover. 2D% of tot�l caver:
�tl5 Arrny Carps oi �r�giraeers
V U�W(f`
,
, � � �:
�arnpling Poirsf:
aomiu�anae Te�t worksheet:
Murrrber of Dominant Speeies
Xhat Are BBL, FACW, oe EAC:
Total IVumber afi Darninant
Spec6es Acrass All 5trata:
PercenE of Dominant Species �
That Are OBL, �AGW, or FAC: �� (FJBj
�revatene� Index w+ark�Poeet:
Total °% Cawer of: Multiplv hy:
QBL specDes x 1 =
FACW speeies x 2 =
FAC species x 3 =
FRCU species x 4 =
UPL s,�ecies x 5 =
Cvlumn iata9s: {A} (B�
Pre�alen�e �I�ndex = BfA =
f�,'f - Rapid "�est far Hycirophaytic Vegetativn
� 2 - Daminance Test is �60%
� 3- Prevalence I�dex is s3.4'
[� Problematic Hydrophytic VegetaUon' (Explainy
'Indicators o# hyd+�ic sodl �rrd wetland �hydralagy must
be present, uo�iess dis#urbed or probE�m�tic.
�fef�itions of Four Yegetation S�raia:
"�ree - Woody pla�u�ts, exclvd�ng vin�s, 3 in. (7.6 cmj o�
mare ira diameter at breast heigMt (DBH}, regardless a'�
heighT.
SaplinglShruts - Woody plants, �xcluddng vines, less
than 3 irt. [�B"H and greater than 3.28 ft(1 m� tall.
HerG - All her�a�eaus (nan-wvvdy� pfants, regardless
pf size, and woody plarn�ks l�ss than 3.28 ft taU.
Wnody vine - AI7 wroody vines greater ths� 3.28 ft in
'hE69fl'�.
Hydvop?nykic
Yegetatian `
P'resent? Y�s "� h10
AUantic and Gulf Coastal Plain Regian - Versioa� Z.�

S�IL
frfi:. '�'
�l, ` r
�
��escrih� to the depth needed ta dvcurrrent the Bmdicator vr can�nrr the absence
Sampling Point:
Depth Matrix Redmx Features
�inches) Calor [moistl °�5 Color [r�oistl 9� _ Twoe Q_c_ Texture _ Remarks
: t, � . � � � r �
._ „ ; _
'T : C=Cancentration. D=De letion, RM=Reduced N�atrix, I�S=Masked Sand Grains.
Hydrac Sa9f Indieators: (Applicabfe to all LRRs, untess Qtherwise rooied.)
�; �listosol (A1)
�Hist�c Epipedan (�12}
Bkack bist�c (A3}
� Hydrogen Sulfide (A4)
�Strat6#ied Layers (A5)
C}rg8nic �pdies (A&) (LRR P, 7, Uj
� 5 cm Eulucky B,+lit�eral (A7} (LRR P, T, U}
� Muc�c Presenc�: (A8) �L�R Uj
❑ 1 cm Muck {A9} (LRR P, 'i)
Q oepleted� Belaw C�ar�C Surtace {Aa 1}
� Thick Llaak Surtace (Al2)
,� Coast Prairie �tedox {A1B) (�1�RA 150A)
II sandy Mucxy tNinerai {s1) {LRR a, s)
D Sandy Gleyed M�t�ix (S4J
D Sandy Redax (S5)
,� St�ipped Matrix (S6)
�I Dark SurFa[ae (S7J (L12R F+, 5, T, U�
Restractive Layar Q1fi abs�rved):
Ty�e:
depth (inches):
Remarks:
�Locatiom: PC=Pore Lining, Iuti=Matrix.
lndgeators frar RrQtrlematic Hy�riC SCriis':
Po�yva&ue Belavw SurFaoc (S$j {LRR 5, T, i9} � 1 cm Muck (A9} (LRR 0)
Thft� Dark Surface (S9) �LRR S, T, I�j ��--Y 2 cm PNuck (A'�0) (LRR S)
Loamy Mucky Minera[ (F'D) {LRR O} -ur��teduced Verti� (F18) {outs3de'ML�tA 154A,R}
Loara�y G1eyetl Matrix �F2) T4��I Piedmont Floodplain Soils (F19) (LR�i P, S, Tj
pepleked Ma6rix (F3j U Ancsm�sous Brighi Loamy Soils (F20)
R�dox Dark Suriace (F6} (MLR,4 1538}
Depleted Dark Surface (F� � F3ed ParenC Material {TF2}
Redox Depressians (F8) � V�n,+ S�altaw [3ark Surta� (TF12y
Marl {F10) (LRR U} � Other {�cplain in Remarks)
�}epleted Ochric {F11y (MLRA 151]
Irvn-Ma�ganese Masses (F12j [LR�i �}, P, T) 'Indic�dors of hydrophytic vegeEation arrd'
l7mbrrc SurFaee (F13) (�LRR P, '�, 4�) wetfand hydrofogy must be present,
Clelta C77chric (F17) {AALRA 1S1j unless disturt'bed ar pr�sblematic.
Reduced VertiC (F18) (NNLRA 15DA, 'B5Di3)
�iedmont Floadplai� Sails {F19) (MLRA 749A)
Anomalous Bright Loazny Saiis (�20) {MLRA 1�#9A, 153C, 153D)
�� �+11 � �
� J��
Hydrlc Soi� Present? Yes " No
US ,Army CQrps oi Engineers Atlantic and Gulf Coastal Plain R�eyiat� — Wsrsivn 2.(D

,��.� �; �
'VwIETLAND 'f�ETE�MIf�A71�M Ol�`fA F�]RN! � Atlantic �nd Gulf Coastal 'Plain R'egiom
� „ _ . � , � � �-� r . � �
ProjecG�Site: ` % - , _ CityiGounty: � � 5ampling I�ate. !��l � a:/ � :,
�PPlicantlCDwner: ���rd�' ( T State: �1�[ Sarropfsn� IFaint: ���T"G� �� r �
In+�es4igatvr(s}: � � �''; •, * i � �, , ��;, ��� M�a�! � � �;"� _ �( , n�, � �� ,�,�' 9eGfion, Towrtshi,p, R'�nge:
,
Landf��rn {hi�lslope, te�rae,e, etc.}: � � � � r�• Loca1 re9ief {concave, convex, noney: r C�+ � t� �.! Sl�p� (96): �" �
� �y � r� • � �� - ^ E ` C?atlJm: , �- `` "� �'�
5ubregion {LRR ar N�LRA}: r%1` 5 ` Lat: _ �-��g: � � . �
�oil Ma� �Jnit Name: � , - p ��r_,, ��_ •` �'-, . . � i , � i �. r, , , + � , _ NWi �lassificati�n:
�
Are climatic 1 hydrolog,ic c�anditions on the site typical for this tirz�e af year? Yes �f No (If no, explain in Ftemarks.)
Y�e Vegetation , Soil , or Hydr�flagy significantly distur6ed? ��:',_ Are "Nrarmal Circumstances" present? Yes iJ� h�a
P,re Vegetatian , SviP _, or Hydralagy natur�dly problematic7 �1, , ([f �needed, ex�lain any answers in Remark,s.)
SUfl�iIWIA�RY QF FIh1DIh1G3 — Attach site �ap showing s�mpl�ng poir�t �ocat�o�s, tran�sects, impvrtani features, �tc.
kiydrophytic Vegetation '#�resent %
Hydric Soil Present?
Wetland Hydrolagy Present?
Remarks:
,� � j .� � � � �7
�YaRa�o��r
Yes
Yes
Yes
��� ����
VS the Sampled Area
within a 1N¢tland7 Yes No,
LMfetland Hydrology Indic�tors: Secs�ndarr �ndicators fmin6mum of two [e�ui[ed�
Prima;y Indicators (mirmimudn o� one is r�pwired; check al� th�t aDqlvi � Se�rface Sail Gracks (�6�
�Sur#ace UVa#er (A.1) � Aquatic Fauna {B13) � Sparsely Vege�ated Ccrncave Surfac� �BS)
High Water Table {,A2j � Marl Qeposits (B15j �LRR U) � Drainage Patterns (BiQ)
Q 5atura4ion (A3) � k#ydrogen Sul�ide t��or (C1y 0In' Moss Zr�m 4�nes {�16�
�'UVater Marks Q61j Q tjxidized Rhizospheres along �8wing Ftoots (�3) � Bry-Seasor� V1later Table (C2j
�Sedim�e�t Dep�sits (B2) ��f Preser�ce af Reduced 4ron {C4) 0 Crayfish Eurra�nrs (C8}
draft Deposits {63) V--� Rerent 4�rpn Reduction in Tllled Soi@s (C6) II�aturation �sibl€ on Aeria� Imagery {C9}
a,49ga6 Mat ar Caust {B�b} � Thir� Mssck S�rf'ace (C7j � Geomvrphio Positian (D2]
a dron Deposits (B5} � dther (�xpVain in RemarksJ II Shallow Aquitard (D3}
� Inundatior� �sible on AeriaV Imagery (B7',r �FAC-Neutral �est (D5}
�], Water-Stained �Le�ves (B9) � Sphagslum moss (D8) (LRR T, &�j
Field dbservatinns: -
Surface Water Present? Yes 1�0 � Qepth {nnches): /
Wa#er l`able Pt�esent? Yes Na ++'� Depth �inchesj: %
Saturatifln Preseraf?" Yes nl�o v Depth (inchesj: Wetland Hydralagy Pre�ent7 Yes Flo ��
i�Gudes ea ilka frin e
Deseribe Rer,�rded dafa �stream gauge, monitaring we11, aeria� phatos, pre�+ious irospectiorasj, if avaiVable:
Remarks:
l!S Arrny Corps of Engir�eers AUanlic aa�d Gulf CaestaQ Plaun Region -'�Aersian 2.[1

VE�ETATI[lN (F�u� Strataj - l�se scienti�ic names ca# plants.
Absalute DaKn�narrt lndiGa6ar
Tree S4ratum (Plot size: �� f y °,b Caver S� Status
1. ��,� �� :,�' � , r dl, � � v = �A� 4.
2.
3,.
4.
5,
8.
7.
8. -
� 4� = Total Cover
50% �i tatal �cnnv�r: ��a 20�'o of tota'I cove�: � L'
[ `
SaplincalShrub Stratum (Plmi size: �-' ] r f
1. �, r �,� f �� �I C.
�
2.
3.
4.
5,
6.
7.
8.
� = Total Cover
50°� 4f total cover �� 2496 of #flta[ couer: �
P'
Flerb Stratum (P9ot size. - � )
1. �n'`., G.�,� t� , � Yt i�; t? y9„C�� �� r� { 1�,�
,
2. H�-ir,1��r:,t- -4 �,� '�a.r�,i-rc.. � `� ✓ I��If.�._,
3. Q�'Q - � t) ; c1I�°, ���j � � � �', i,+�V�y'4 ��` � a` s}� ��
4.
5.
6.
7.
8.
9.
1(Y.
11.
12.
~ � = Tatal Cover
:_ ,
5CY°/o ni total cover. I t-� 2Q°% of total cciver: �
� ,. }
Wood Vine 5tratum (Plat size: - ,,
- r.- � �,
3. f� r�: �� r_ - �i
2.
3.
�.
5.
� = To#al Cove�
50% of total caver: �-- •� 2�°Io ot totaC cQver: 1
Remarks: ilf observed, Gist marpho]ogica8 adaptations helowy.
�� ��
h, , , ti �j �'
�
5ampiing Po�nC:
Dororunarece Tes! warksheet:
Number of Domina�t Sp�cies
Tha1 Are t]�L, FACW, or FAC
Total Numher ofi Dominant
Specie& Across A�I Str�ta:
Percent of Domin�nt Species �
Tha4 Ar� C}BL, �A�CW, or �AC. �r l; (AJ�y
Pre�alence Index worksheet:
Total % Cover of: Muliki I b:
pBL species x 1 =
�SCW species x 2 =
FAC species x 3 =
FACU species x 4 �
UPL speeies x 5 =
Colucnn Totafs: {A) (Bj
Prewalence Index = BfA =
f� 1- Rapid Test far Hydrophytic Veyetation
� 2 - Darminarace Test is �50%
�, 3 - Preval�ence Indsx is <_3:D'
'a Prablematic Hydrephytic Vegetatien9 (�xpfair�)
�6ndicators of �ydr�c sai� and wetlarui hydrology m�ast
be �resent, �nless disturbed or probVematic.
[lefin�tions of Four lfegetaiian Strata:
�ree - Woody pfarrts, excluding r�ines, 3 in. (�.6 cmj ar
mars in diamet�r at hreast height {D�H)„ regardless af
height.
Saplingl5fi�ruh - Woody plants, excluding �ric�es, less
than 3 in. pBH and gceater than 3.28 ft(1 rn) tal9.
Fferh-All herbaeeous (r�vn-woody) plar�ts, regard{ess
oi size, and woody piants less than 3.28 ft tall.
Woody vbne - All woady vines greater than 3.28 ft in
height.
Eiydrnphytie
VegeLahi�ru
Present? Xes I�o
liS Arrny Corps vf �ngineers Atlantic �nd Gulf Cvastal Plairro Reg6vn - Version 2.0

Sf]IL
�rofile Desc�iptian: (Describe to th� deptri neaded to dacument the indicator or contirr
Depth Matsix Redox Features
(anchesl CQEor fmoista `3� Coior {moist� °,6 Tvpe �oc
��. '�• �"�a t, ;� ,�,� — —
'�ype: C=Concentration„ �=�epleEior�, RM=Reduced Matrix, M1,MS=Mask�d� Sarad Grai�s
Hydric Soil Indicafiors; �Applicable to all 4.RRs, unlc�s otherwise naLe�d.p
Q Histosal {A1)
Histic Epipedon (A2)
BlaCk Has'tiC (A3)
Hydrogen 5u6fide (A4)
�S#�atifed Layers (A5j
Qrgaaic Bod9es (�6) {C.RR P, T, UJ
� 5 cm Ma��ky Minera0 (A7} (LRR P, T, U}
❑ AAuck Peesence (A8) (Lt2�R R�j
� 1 cm Muck (A9) (LRR P, Tj
❑ Qep(et�rl 6elow Dack Surtaae (A11)
� �hick Dark Su�aee (Al2�
a Coast Prairie Redox (A16} (MLRA 150Aj
II 5andy h+1uc.�y Nlineral {S1} �LRR O, S)
� Sandy fileyed Mat�ix {S4}
� Sandy Redox (S5)
,� Strlpped INatrix {56�
� Dark Surtace {57) (��R'R, S, T, 'U)
Restrictiue I�ayer (if ohserved]:
Type:
�3epth (in�hesj:
US Army Corps of Ea�guneers
�
�,��-�,'� C? �
5a�xrpling Paint:
af indi�ators.)
Te�crure �emarks
�i'.,- , ��
,,,
�Lnc�t;fon: PI�=Pare �ining, M�MatPix.
Indi�atprs f�r Problsmatic Hydrie Soils':
Palyva9ue Bel4w Surtace (58) (LRR 5, 'P, U) T❑1 1 cr�u Muck (A9) �L�RR O)
Thin Dar�c Sur€ace (S9} (LIRR S, T, i!} LJ 2 cm lu�uck (A10) (LRR Sj
Loamy Mucky Mineral (F1j (LRR Q} � Re�uce� ifertic (F18J (outsicie N'ICRA tiSQA,6)
Lvamy G9eyeti Matrix (F2} � Piedmarat Flaodplaon Soils (F19} {L�RR P, S, T)
Depketed Matrix (F3} � Anom�lous Bright Loamy Soi4� (F�0}
Redax Dark Surface (F6) (AII�RA 753B}
bepleted Dark SurFace (F7) 0 Red Parent Materia� (TF2)
Redox Depressi�ns (F8y � 4"�ry 5ha0law Dark S�rface {TF12j
Mar4 (F10) {�RR �Ij � C}ther (Facplain �n Remarksj
Depleted Qchric (F'V'V) (1NLRA iS1)
Iron-Mangaroese Masses (F12} (LRR p, R, 1'� 3lndicaiors of hydrophytic �+egetation and
llmbric Surtace (Fi3) �LI�Ft �, T, Uj wetland hydroiogy must be present,
[7elta ClCh�ic {F17) (hfILRA 9 S'4� unless dasIIurbed or peoblematic.
Red�aced Vertic {F�8j (14lLR,i4150A, 1508}
Piedmant Floodplai� Soi1s (F79) (MLRA 1b9A�
,Anama�ous Br�ght La�my Soiis �F20) {MLRA 149A, 153G, 153R)
Fiydric Soi6 Presesnt? Y�s ' µa �
A�t�antic as�d Gu�lf Coa�taV Piaan Region — Versdon 2.Q

�,, � �.- c -�
WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region
� ,�9 r
Y ty: 1"ji'^ '' t`` • t�� Sampling Date: � H �` �' i�
ProjecUSite: � ' � � � Cit /Coun
ApplicanUOwner: /� L�� T State: �✓L Sampling Point: �"" F� y
Investigator(s): �-��r��v � Q v� .��< � v� � v�-t1 Section, Township, Range:
Landform (hillslope, terrace, etc.): C ��`` �^ �^�' °�' Locai relief (concave, convex, none): L �`� f q�� Slope (%): �"�'
Subregion (LRR or MLRA): �� 1 �� �a �at: � `� • � � 6 � Long: ' � �i. a 7 � � Datum: �' G S �V l
Soil Map Unit Name: � 0�" �n �v� i c��4 f'�� � f � n u� ti � D°1 ""� NWI classification: �? �' �
Are ciimatic / 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 � 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?
���•��a � � S
HYDROLOGY
Yes No �
Yes � No
Yes ✓� No
� ., 4 M�: �f�'..��
Is the Sampled Area
within a Wetland? Yes � No _
,�Qr�� ��y�,��-�� ,�-,�w�� ,
��
Wetland Hydrology Indicators: Secondarv Indicators (minimum of two reauired)
Primarv Indicators (minimum of one is reauired� check all that appivl II Surface Soil Cracks (B6)
❑ Surface Water (A1) �❑f Aquatic Fauna (613) ❑ Sparsely Vegetated Concave Surface (BS)
Q High Water Table (A2) I--� Marl Deposits (B15) (LRR U) ❑ Drainage Patterns (610)
Q Saturation (A3) Qil`iydrogen Sulfide Odor (C1) ❑ Moss Trim Lines (B16)
� Water Marks (B1) 1��f Oxidized Rhizospheres along Living Roots (C3) II Dry-Season Water Table (C2)
� Sediment Deposits (62) �LJT Presence of Reduced Iron (C4) � Cra�sh Burrows (C8)
❑ Drift Deposits (B3) u Recent Iron Reduction in Tilled Soils (C6) II Saturation Visible on Aerial Imagery (C9)
a Algal Mat or Crust (64) ❑ Thin Muck Surface (C7) � Geomorphic Position (D2)
a Iron Deposits (B5) � Other (Explain in Remarks) II Shallow Aquitard (D3)
Q, Inundation Visible on Aerial Imagery (67) II FAC-Neutral Test (D5)
a Water-Stained Leaves (B9) ❑ Sphagnum moss (D8) (LRR T, U)
Field Observations:
SurFace Water Present? Yes No X Depth (inches):
Water Table Present? Yes No X Depth (inches): /
Saturation Present? Yes No �C Depth (inches): Wetland 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 Atlantic and Gulf Coastal Piain Region — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
� , Absolute Dominant Indicator
Tree Stratum (Plot size: ��� ' ) % Cover SDecies? Status
1.
2.
3.
4.
5.
6.
7.
8.
= Total Cover
50% of total cover: 20% of total cover: _
Saolinq/Shrub Stratum (Plot size: °' � ` � )
1. _
2. _
3. _
4. _
5. �- _
6. _
7. _
8. _
= Total Cover
50% of totai cover: 20% of total cover: _
�
Herb Stratum (Plot size: � )
�. FL��s-F�c� 5�. I ��l
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
d_
Sampling Point: �' `�' ` t`: �'
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: � (A)
Total Number of Dominant !
Species Across All Strata: 1 (B)
Percent of Dominant Species /�
That Are OBL, FACW, or FAC: {-f (A/B)
Prevalence Index worksheet:
Total % Cover of: Multiplv 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 Vegetation Indicators:
❑ 1- Rapid Test for Hydrophytic Vegetation
❑ 2 - Dominance Test is >50%
❑ 3- Prevalence index is 53.0'
� Problematic Hydrophytic Vegetation' (Explain)
/ � �� 'Indicators of hydric soil and wetland hydrology must
� � be present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
= Total Cover
50% of total cover: 20% of total cover: _
Woodv Vine Stratum (Plot size: i���� )
1. -
2. -
3. -
4. -
5. -
= Total Cover
50% of total cover: 20% of total cover: _
RPmarks: (if observed. list morpholoqical adaptations below).
���'�` n '�
a �.qw�.
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 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
height.
Hydrophytic
Vegetation /
Present? Yes No �/
,� p f
��vc�V�JY c73::��1 ����, �cow� �,`� a,v��n��vr�l_ wtov�.�� c� ;
U
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Version 2.0

SOIL
�..r r `-�-G fi
G It y
Sampling Point: ���`� ��� � �
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color moist % Color moist % Tvpe Loc Texture Remarks
��(?� i�� �10 l.� i�R fn � �L �
�, - 11� �� 0; 1� � l��. 5 � i'� `� G l j � M �-
'Type� C=Concentration D=Depletion RM=Reduced Matrix MS=Masked Sand Grains. ZLocation: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: (Applicable to aIl LRRs, unless otherwise noted.) Indicators for Problematic Hydric Soils':
Histosol(A1)
Histic Epipedon (A2)
Black Histic (A3)
Hydrogen Sulfide (A4)
Stratified Layers (A5)
Organic Bodies (A6) (LRR P, T, U)
5 cm Mucky Mineral (A7) (LRR P, T, U)
Muck Presence (A8) (LRR U)
1 cm Muck (A9) (LRR P, 7)
Depleted Below Dark Surface (A11)
Thick Dark SurFace (Al2)
Coast Prairie Redox (A16) (MLRA 150A)
Sandy Mucky Mineral (S1) (LRR O, S)
Sandy Gleyed Matrix (S4)
Sandy Redox (S5)
Stripped Matrix (S6)
Dark Surface (S7) (LRR P, S, T, U)
trictive Layer (if observed):
Type:
Depth (inches):
Remarks:
Polyvalue Below Surface (S8) (LRR S, T, U) -❑I� 1 cm Muck (A9) (LRR O)
Thin Dark Surface (S9) (LRR S, T, U) LJ 2 cm Muck (A10) (LRR S)
Loamy Mucky Mineral (F1) (LRR O) � Reduced Vertic (F18) (outside MLRA 150A,B)
Loamy Gleyed Matrix (F2) � Piedmont Floodplain Soils (F19) (LRR P, S, "�
Depleted Matrix (F3) � Anomalous Bright Loamy Soils (F20)
Redox Dark Surface (F6) (MLRA 1536)
Depleted Dark Surtace (F7) T❑—t Red Parent Materiai (TF2)
Redox Depressions (F8) u Very Shallow Dark SurFace (TF12)
Marl (F10) (LRR U) D Other (Explain in Remarks)
Depleted Ochric (F11) (MLRA 151)
Iron-Manganese Masses (F12) (LRR O, P, 1) 3lndicators of hydrophytic vegetation and
Umbric Surface (F13) (LRR P, T, U) wetland hydrology must be present,
Delta Ochric (F17) (MLRA 151) unless disturbed or problematic.
Reduced Vertic (F18) (MLRA 150A, 150B)
Piedmont Floodplain Soils (F19) (MLRA 149A)
Anomalous Bright Loamy Soils (F20) (MLRA 149A, 753C, 153D)
Hydric Soil Present? Yes v No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Version 2.0

w (� � c k
�WETLAIVD DEi�RMINATIC?N �ATA FaRAII � Atlan�tic ar�d Gulf Cvastal Plain Regic�c�
Pr�j�ct+Site: � ` � 7 `� Gityl�oua�ty: �) �' ^ ^ ; +-„ ' c �` Sampling pate: � ��} d i/ / �
ApplicarrUQwner: N�( �I 5tate: /� G Sam�ling f'oint: `''� G+� •�
Jnvestigatvr(sy: _�` [ I n�--�" �^ Cr� 1� C� h'�,�' � 5ecfaon, Township, Range:
Land�vrm (hills[ope, terrace, et�.j: C,f f�^� h�'` "� � Lacal �elief (concau�, con�ex, none}: f•� �[ ti � f �oop� �fl,��; '� '�
5ubregi�n (L6�R or M�RA}: � 7 � �"l Lai: � �'"� � n � � '1 ��n9� � � � � 7 � � �ratum: �^' L � ��
�oil Map Unit Name: G� f� �i Q f�" s� r� r r� � �" T� G � n n�� ��i q^� NWI classificat�on: I� .. O
i
Are clirraatie I hydrolagi�c cc�nditions on� the site typical far this time of ysar? Yes _'l% No {If no, explain in Remarks,}
Are Vegetatitin , Sfli� , ar Ffydrolagy significaa�fly disturbed7 ,rV'0 Are "fVarmal Circuro�starnces" preserrt? Yes "f No
Are Vegetatio� , Svil , vr iiydr�logy naZr,�raaly �roblematic7 /1��1 {If neede+d, expiain any am�wers i� Remarlks.j
SUMMAFtY OF F��DINGS — Attacfa site map shavlrin� sarnpling point la�atior�s, transe�ts, �rrsportant fea�ures, etc.
Hydropk�yrtic Vegstatian F'�esent?
Hydric Sa�l P�esent?
Wet�and Hydre�logy �resent?
�� ���t a
HYDR�QL[�GY
Yes � No
Yes ✓ No
h'es ✓ No
�� wc� rht�� �/`� �
Is the 5ampled Ar�a
within a Vtif�f�ndT Yes '/ Na
Y4fetiand tl�ydralogy Ind`ecators: Secondarv Indicators (�ninimum af two reauireda
Pra�lndicakors frninianum of one is reaui�red� ctleck all that aaplvl �] Surfaee Sool Cracks (86)
SurfaCe Watet (A1} ❑ Aquatic Faun� (E313) ❑ Sparsely Veg�tated Cancave Suriace {B8}
�7 High VNater Table (A2) Q�i Marl �eposi�s (815) QLI�R Uj � Urainaga Pattems (B14}
�1 Saturation (A3} 1u--f Fiydrogen Sulfide �dor (C1j � NVoss 7rim Lines (8�6}
� WaQer Marks (B'1) }u� Oxidized Rhizospheres alang Living Roots (C3) II Ury-Season Water �ahfe (C2}
�Sediment C7epr�sits (B2} L1I �resence of Reduced lron (C4) ❑ Crayflsh Burrows {C8)
Clrift �eposits {63) ��ecent Iror� Reduction in 7il4ed Soils (C$j II Saturatipn �sible on Aerial Imagery {C9}
a Algal Mat ar Crust (&4) ��hin Muek Surface (C7) �. �Georr�orpMic Pos�t6�an {p2)
a Aron L3eposdts (B5} {3ther (F�rplain in RemaarM1csj � Shal�ow Aquikard {D3)
[Z Inundation Visible on Aerial Imagery {Biy � FAC�FJeuiral Test (D6)
� UVater-Stained L�eaves {�9j � Sphag�um mass (D8) {LRR T, U)
P�eld Observations: �,t
Surface Water �res�nt? Yes No '` De,pth (incP�es):
Water �abPe Present? Yes i� No Depth {dnchres): � 0'
Saturatian Present? Yes i'� I�v Depth {inches}: � YNetland Hydrology Pressnt? Yes � No
includes ca illa frin e
i�escribe Recorded t3aia {Strea�n gauge, tnpnitori�g vve41, aeria! phatos, previous ir�spectians), if avaiYabte:
Rema�ks:
US Army Cvrps of Engineers AtCanlic and Gulf Coastal Plain Region — Versian �:4

V��G��'ATION jFour 5tr�taj — Use sclentific narr�es af plan�s.
' Absolute Dominant In[ticator
Tree 5tratur� (Plot s�ze: � d } % Cauer Saecies7 5takus.
1.� � ca�� r ; .✓ �/�<.
2.
3.
4.
�.
&.
7.
$.
� � � Tatal Cover
50% ot total caver: ��� 20� of tdtal cover: �
�
Sa�linalShrub 5tratum (Plot size: � � ).
�. I�uh:�fA.�.L,f r fa c.� �ra� �-�J
2.4nV'-�. � ra �
3. /�'"� ^ S n O d_� � 5 af�n -i r'F � a�+ �_
4.
5.
6.
7.
�.
✓
� �1 =1`ota0 �over
50°Jc of total �coyer: �� �(]% of todal cover. ly
Her/b� Si�atum (Pl9t size: � )
1. Yl C�n-� �% ; nrAF; n fti : l�nr, �� A �'� ,� ��t 4
2.
3.
4.
5.
6.
7.
8.
9.
1 Q.
��.
12,
� �J = Tnt�l Covet
50°,la of total caver. � 4 �(7�'0 of tatal c�+rer. 4�
Wc�od Vine Stratvm (R �t size: � � ' } q
1. 5 M�'1 � it �� �' r! �i � i n � f ��IL aw
2. �(�`^��L��� (a�qc,�e�q: 1 �- ✓ r�G�
3.
4,
5.
7 = Total Cor+ec
50°,6 oi total cover: �•� 2Q% of tatal caver: ��`
Rere�arks: (If opserved, �ist morpt�r�logical adaptatians be�awj.
Sarnpiirag Padnt: F �� �
[)orninance �'�t w�rksheet;
Number af Da�rrinant Sp�ci�s
That Are OBL, FAGW, or FRC: � (A)
Tc�tal M11ur�ber of Do�rrinant
S�aeci�s Across f11G Strata:
Percent of [�omir�ant Species
Tfi�at Ar� C}BL, FACW, ar FAC:
PrevaBence Index worYc$heet:
Total 96 Cmver of: Multinly 6v:
t?�L spe�ies x 1 =
FACW species x � �
FA� sp�cies x 3 =
FACU species x 4 =
UPL species x 5 =
Co6Wmr� Totafs: fA) (8)
P�re�uatence Index = BIA =
Hydrophytic Vege#ati�n lndicatars:
� � - �tapid Test for Hydropk�ytiF Vegetatxon
� 2 - �or�si�ar�c� Test is >50°k
� 3- Pcevalance Index is s3.Q'
� Problematic Hydraphylic Vegetalion' (ExpVain}
'Indicators of hydrie soil and weUand fiydrology must
Ge present, ur�less dist�rbed or problematic.
De�nifians af Four Vegetation Strata:
7rs� — Woody plarats, excludi�g �rines, 3 in. (7.6 cm) �r
mare in diamet�r at breast height (I�BFV), regardless vf
height.
SaplinglSMrub — Woody plar�ts, excl�sling vtnes, less
than 3 in. ��H and gre�tet th�n 3.28 ft(1 rr�) tall.
Herb—AJI h�rbaceous (ntsn-waady) piants, regardless
o� size, and woody plarots less than 3.28 ft tall.
Woodyr vin� —All waady vines greater than 3.28 ft in
height.
Fiydraghytic
Vegetation
�rasant? Yes Na_
US Army Carps of Emgineers Atlan4ic and G�alf Coasta9 Piain Regian — Versican 2,(�

•��
Pr�fi6e Das�rkptian: �Descri�e to the d�pth needed Ea dn��ament tFoe fnd9catar or coniirrn
Caepth Matrux Redox Features
dnches Calor m i °6 Colcar (moist) °% TVpe Lvc
{l � d i� � � l'` ( � C? —��!
�,� �i `{ 9�� "� � � � � �f !� `�1 _t � L /�
' lype: C:=C:oncentratuan, E]=p�pletic�n, Rh�1=Reduc�d Matrix, MS=Ndasked Sand Grains.
Hydrin 5+dil Indicators: (Applicable to �II f�RRs, �anless otheruv3se noted.y
HAstosol (A9)
Histic Epipedon {A2]
Black H'sstic (A3)
Hydragen Sunfide {A4)
Stea#"fied �ayers (A5}
Organic Bor�ies (A6) (LRR �, T,1Jj
5 cm �rlucky'Mineral (A7) (LRR R, T, U)
MuGk PresenCe (A$) {LRR U)
1 c.�t� Muck {A9} (L�tfi P, TI
Depleted Below C�ark Surfaee (Aa �y
Thick �aric �urtace (Al2)
Coast Prairi� Redpx (A1Fi} (M�LRA 15�A}
Sa�dy Mucky �7i�eral (51) (LRR Q, S)
5andy Gleyed Matrix (S�4)
S4
Sandy Redox (S5)
Sttipped INatrix (86)
Dark 5�rtace {S7) (LRR P, S, T, U)
trictive Layer �ii observed):
����.
Depth {inchesj:
Remarks:
8arnp�ing PQ�nt: �"`� � � ?
absenee of ie�d�c�tars.}
"�ext�re Remarks
�
L
zLocation: PL=Pore Lininq, M=Matrix,
Indi�ators for Prablematic Hydric Sa11s':
Pobyrialue ��low Surf�r� (S8} (LRR 5, 7, U) ❑ 1 cm dNuck (A9) qI,RR C7�
Thi� Dark SurFace (S9) (LRR S, T, U� � 2 cm �1uck (A�0) dLRR S}
Loamy Mucky Mineral (F1) (LRR �3] � Rsduced Vertic {F18} {outside MLRA 150A,BA
Lflamy Gleyed Matrix {F2) ��'iedma�t Fl�odpl�in Soils {F1 J) (�LRR P, S, Tj
Depleted Mateix {F3) � Anorn�laus Brigi�t Loamy Soi�s (F20)
R�dox Qark Surtace {F6) (N�LRA 953Bj
Depleted C?ark Surfac� (Fly � Red Parent A+{�terial (T'F2)
Redox I��pressions (FS} � Ve�y Shallow Rark Surface (TF12)
VNarl (F1Q) {l�!RI� �U} D �ther {Explain in 'Remarks)
�?ep�eteci Ochric (F11} ('�f1��4 a5'4y
Iron-Mangastese Mssses (F� 2) QLRR �, F, T} 'Indicators af �ydra�hytic vegetatipn and
l�mbric Surface {F13) (LRR P, T, Uj wetland hydrealogy must me ptesent,
Delta Och�ic {�17) �MLRA 15'�) unaess disturbed or ptal�lematic.
Reduced Veftic (�1&} {M�RA 150A, 1508)
Piedmont FloodpBair� Soils (F19} (iWl'LRF1148Ay
Aai�maYous �ngh4 Loamy S9il� {F2{fJ (M7LR{1149A, 953C, � 33D}
Hyd�ic Soi! Present? �"es � Na
US Army Corps �f Engineers AtlaaUc and Gu�f Coastal Plain Re�ion – Version 2.0

WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region
4/-Cc��,� f� 1vt15 ''% 0���� l�
Project/Site: � ��-' L City/County: v �/ � � Sampling Date:
'� � State: /�' � Sam Im Point: ��I�-��`}
ApplicanUOwner "���� p g
Investigator(s): �. �u ��1� � 1', !� ��'`< < Section, Township, Range:
Landform (hilislope, terrace, etc.): � �� '� r � Local relief (concave, convex, none): !: f� a' C� Slope (%): �
Subregion (LRR or MLRA): � l 3 r� Lat: J�{ � 0 ��� Long: !� � Z� 6� Datum: ``� �' `' "�
/ � .
Soil Map Unit Name: t 70 �7 ta,f �`�`<�, �J f,%1� �c� ,:='� �-s 1 C`° �`� NWI classification:
Are climatic / hydrologic conditions on the site typical for this time of year? Yes vr No (If no, explain in Remarks.) �
Are Vegetation , Soil , or Hydrology significantly disturbed? i� Are "Normal Circumstances" present? Yes No
Are Vegetation , Soil , or Hydrology naturally problematic? ,�b (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
Hydric Soil Present? Yes
Wetland Hydrology Present? Yes
Remarks:
���E�� `' -�
HYDROLOGY
UJ I�� � � F
No
No
No
u,�l a �d 5
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 aIl that aoplvl II Surface Soil Cracks (66)
❑ Surface Water (A1) ❑ Aquatic Fauna (613) ❑ Sparsely Vegetated Concave Surface (68)
Q High Water Table (A2) Q1--f Marl Deposits (B15) (LRR U) ❑ Drainage Patterns (B10)
Q Saturation (A3) lL---I� Hydrogen Sulfide Odor (C1) ❑ Moss Trim Lines (616)
� Water Marks (B1) I--I Oxidized Rhizospheres along Living Roots (C3) � Dry-Season Water Table (C2)
❑ Sediment Deposits (B2) QT—f Presence of Reduced Iron (C4) ❑ Cra�sh Burrows (C8)
� Drift Deposits (63) I--I Recent Iron Reduction in Tilled Soils (C6) � Saturation Visible on Aerial Imagery (C9)
a Algal Mat or Crust (B4) ❑ Thin Muck Surtace (C7) ❑ Geomorphic Position (D2)
a Iron Deposits (B5) � Other (Explain in Remarks) ,Q Shallow Aquitard (D3)
a Inundation Visible on Aerial Imagery (B7) II FAC-Neutral Test (D5)
a Water-Stained Leaves (B9) II Sphagnum moss (D8) (LRR T, U)
Field Observations:
Surface 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 frin e
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
s Absolute Dominant Indicator
Tree Stratum (Plot size: z� r"" ) % Cover Species? Status
1. �„�<�t-, r,..,=�/.� SI��.�t,rt�J�* ''� � ����C,
,
2.�;,�;�s ?� *dG =n Y�o��
s. M�_�, .8; _ r� ,�; t� '�<< �;r? �-��
4. J
5.
6.
7.
8.
50% of total cover: ` ��
; :r f
Saolina/Shrub Stratum (Plot size: ' � )
1.
2.
3.
4.
5. ,�� y � r�'` ; �.
6.
7.
8.
, 50% of total cover:
Herb Stratum (Plot size: � � )
1. ���%��n�; ,a;r,r,, -rt,
2. J vi
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
"�'�'' = Total Cover
20% of total cover: ;1
= Total Cover
20% of total cover:
w�, u,�
Sampling Point: ��
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 <'s �� '/
That Are OBL, FACW, or FAC: �`� / (a✓B)
Prevalence Index worksheet:
Total % Cover of: Multinlv 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)
Prevalencelndex = B/A =
Hydrophytic Vegetation Indicators:
❑ 1- Rapid Test for Hydrophytic Vegetation
Q 2- Dominance Test is >50%
a 3- Prevalence Index is <_3.0'
a Problematic Hydrophytic Vegetation' (Explain)
�� 'Indicators of hydric soil and wetland hydrology must
� -,� C: r,n/ be present, unless disturbed or problematic.
Definitions of Four VegeWtion Strata:
�n = Total Cover
50% of total cover: � 20% of total cover: �
Woodv Vine Stratum (Plot size: � C� � )
�. � .��.Y. tr):v �,t�i � � ' f.��
r' _ s j,
2. ����:�{/-.t,��0 C, � rJi n�.�fr�L, i ri I;r_ J -• �r Q1
3.
4.
5.
Remarks: (If observed,
r
50% of total cover:
�hologicai adaptations below).
= Total Cover ,
20% of total cover: `
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 3.28 ft(1 m) tall.
Herb - AII 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
height.
Hydrophytic
Vegetation ✓ �
Present? Yes No
US Army Corps of Engineers Atiantic and Gulf Coastal Plain Region - Version 2.0

SOIL
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence
Depth Matrix Redox Features
(inches) Color (moist) % Color (moistl % Type Loc Texture
�i`R � U�� .:.�,� �Op �
a� -�4-� l c� ��t� 4/:� � l�?�2 ���� � � �'�1 c�
.
�f�� � ���
�: ,,t
Sampling Point: ���' ' ��
Remarks
'Type� C=Concentration D=Depletion RM=Reduced Matrix MS=Masked Sand Grains. ZLocation: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: (Applicable to all LRRs, unless otherwise noted.) Indicators for Problematic Hydric Soils':
Histosol (A1)
Histic Epipedon (A2)
Black Histic (A3)
Hydrogen Sulfide (A4)
Stratified Layers (A5)
Organic Bodies (A6) (LRR P, T, U)
5 cm Mucky Mineral (A7) (LRR P, T, U)
M�ck Presence (A8) (LRR U)
1 cm Muck (A9) (LRR P, �
Depleted Below Dark SurFace (A11)
Thick Dark Surface (Al2)
Coast Prairie Redox (A16) (MLRA 150A)
Sandy Mucky Mineral (S1) (LRR O, S)
Sandy Gleyed Matrix (S4)
Sandy Redox (S5)
Stripped Matrix (S6)
Dark Surface (S7) (LRR P, S, T, U)
,trictive Layer (if observed):
Type:
Depth (inches):
Remarks:
Polyvalue Below Surface (S8) (LRR S, T, U) ❑ 1 cm Muck (A9) (LRR O)
Thin Dark Surface (S9) (LRR S, T, U) � 2 cm Muck (A10) (LRR S)
Loamy Mucky Mineral (F1) (LRR O) �T-1 Reduced Vertic (F18) (outside MLRA 150A,6)
Loamy Gleyed Matrix (F2) Tu�I Piedmont Floodplain Soils (F19) (LRR P, S, �
Depleted Matrix (F3) u Anomalous Bright Loamy Soils (F20)
Redox Dark SurFace (F6) (MLRA 1536)
Depleted Dark Surface (F7) T❑�I Red Parent Material (TF2)
Redox Depressions (F8) u Very Shallow Dark Surface (TF12)
Marl (F10) (LRR U) � Other (Explain in Remarks)
Depleted Ochric (F11) (MLRA 151)
Iron-Manganese Masses (F12) (LRR O, P, T) 'Indicators of hydrophytic vegetation and
Umbric Surface (F13) (LRR P, T, U) wetland hydrology must be present,
Delta Ochric (F17) (MLRA 751) unless disturbed or problematic.
Reduced Vertic (F18) (MLRA 150A, 1506)
Piedmont Floodplain Soils (F19) (MLRA 149A)
Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D)
Hydric Soil Present? Yes No �
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Version 2.0

l�l � ��-+.
W�TLAND QET�f�IMAiNATI'�QN QA'�A �O#�M — Atlantic and �Gu�€ C���tal Plain RegiQn
- c r, ��, � � � � _ ,r- , `�
ProjectfSite: _ �, ) ? � _,.� „ CityJ�oun�y: � Sampling [J�te; � ' �' ,� ,- � ✓ -
Appl'sca�tf�]wner: 1(�(� I Staie: r'uf '� Sampleng Poirrt: i��. I�'�
lnvestigatorQs}: ��; �`- r_ ,, Sectuon, Tnvu�ship, Rar�ge:
L�nd�orrn [hilEslope, terrace, etc.j: _� " � � � • � � Laoal! relief (concave, convex, none): C <r � <% �� Slape (°foj: C'
Subregion (LRR ar MLRAj: r " � ' •�� Lat: � ' Lonq: r :. � � � ' �ats�rr�: �"' �- `��`"r�
St�ilMapUnitN�me, E � � �r:�r^�,.;-. �..,� `�r,tc.�� �`!'c,,;_- "
, _ NVw'I classification: �
Are caimatic J hydrologic cva�difions ar� the si�e rypica� for this time of y�ar7 Yes No (It no, explai� in Remar�ksJ
Are'V'egetation , Sail , ar Hydrolct�y significar�tly disturhed? '- .• Are "Narmal Ciccumstances" present? Yes ' hfo
Are Vegeta#ion , Sail , or �lydrolm�y naturally problemat�c? , i r (!f needed, expl�it� any arasvwers iru Remarks.)
SUMMARY OIF FINDtNGS — Attach site map shova�ing �am�aling� paint locatio�sy transectsy ImpO�Clt ��eltUceS� etc.
Hydrophytic Vegeta4iaro Present? '�es . M1la
Is 1he SampPed Area
Wydric 5oil Present? Yes No
within a 1ilN�tf�nd? Y�s ✓ No
4'U'etland Hydralagy Present? Yes No �
M�'�ROLOCY
Y'V�ila��d Hydrology 9ndicato�s: Secflndary Indir.atars [miniraium of two re�uiredl
Prima la�dicat�+rs minQmum of ane is r� uored• ch�ck all that a I [] 5ueface 5fl�1 Gracks �86}
/SurFace Water (A'lJ ❑1—I� Aquatic Fauna {�13} ❑ Sparsely Vegetated Conca►re 5urface (88)
� High W'Vater Table (A2) lJ NJarl �Deposi#s {B'l5j �LRFt U} ��rainage Patterns �81Qj
��{ �aturakion (A3j � Hydrogen 5�ulfide Odor (C1) � Moss Tnm �enes (B18j
LJ Wa4er Marks (�1� � �pxidized F�hi�aspheres along Lirring IRoats �C3} � ary-Season Water Table (C2)
�5ec3iment iJep4sits {B2} � P�esence af Fceduced Iron (C4) 0 Cra�sh Bucrows {C8j
D�ift Deposits (83} � Fiecent Iron Reduc#don in �CilEed Soils (Cfi} II 5at�ratiom ��ible on Aeriab Imagery {C9�
�' AIga1 Mat 4r Crust �B4) � Thin M�uek Surface (C7) � Geamorphic Posiiion (D2}
a Iron Oeposits (�5} � Other (Explain in Rerna�icsy II Shallow Aquitard �D3)
��nundation Visfble Qn Aerial 9magery (�T} � FAC-Neutra4 Test {D5)
a� VWater-Stained Leaves (89) � 5phagnum moss (D8) (�.f�R T, W)
FisAd Observa+kians: -
SurFace Water Present? `�es 4Ver Depth (inehes}: �
. ���
Water Tab1e Present? Yes f�a Depth (inchesj:
Sa#urativn F'resent? Yes �lp �Yepth (ir�ch�s): � '4"Vetland FkydroNagy Pr�er�t? Yes No
inGudes aa illa f�in e
�eseribe Recarded Data {stream ga�age, monita�irrg weA, aena4 phvtos, previous inspectior�s), if avai0ab@e:
R�marks:
� � � � � � '`� • � a 1 " ,. 1 � � _
�
� c � , . � , � , � '�. �, � . �
US Army Co�ps of Engiraeers Atlantic and Gulf Coastal Plain aegion - Version 2A

VEG�TATI{�N (Four 5tra�aj - Use scier�tific names of plants.
Absoluke �aminant Indicator
Tree �Vatum (�Plat size. -' `y ' J °k Cover Soecies? Status
��',
i. r.��rr� r � r, �, • +r
2. �';i+ i� ^ri� � '
- �` �
3. t - ,P. � rr i;
.�� __
4.
5.
6.
7.
8.
5(?9'0 of total cover: -
SaolinalShr�ob Stratum (Plot size: r � _ )
1.
2.
3.
4, h .
5 d � l-t
6.
7.
8.
� J = T�ta� Gover
20�`0 of total coaer: � 1
= Total Co+rer
5a°/a of 4ota6' cover. 2t7% o� tota� cover:
Herb Stratum (i�lat size: � ' } ,
r,
;b) iF ��7--.? r� . �e^l1a ('i �tl�ti--, � `� ���
2. 4��«i. � �G� cl �� �� �� ����
P
3.
4.
5.
6.
7.
8.
9.
'i 0.
11.
12.
f E' = Tota1 Cover
54°Io of totati cover: r 2b�'o oi tcataU caver: __
Woodv Vine Stra#um {Plot size: ` �� � � }
1.
2. �
3. •" p _
i ; n.
4.
I �•
= Tota6 Cov�r
5096 of total cover: 2b°,� of tatal co+�er. _
�halagical adaptat'tpns below).
5ampling� Point: � � � -�
¢7orninance lest wnrf�she�t:
Nv�rtber af Dominant Species
That Ar� OB�, FP��W, ar FAC:
Tptal fVumb�r of Dcamimant
Species AcFoss All 5trata:
Percen4 oi Qominant Sp�cies
Tha1 Are OBL, FACW, or FAG:
� r' c� ' 4�,B)
r�wa�ence unaex wnrKsne�c:
Total % Cover of: Multiolv bv:
QBL �pecies x 1 =
�ACW s�ecies x 2 =
FAC species x 3 =
FACU species x 4 =
UPL species x 5 =
Co�umn Totals: {A} (Bj
PrevaVence Index t B!A =
Hydroptryt�c Vegetatian l�dicators:
II;1 - Rapid Test for Hydrophytic Vege#ation
II 2 - Dominence �est is �Sp%
� 3- Prevafens;� Index is s3.[7'
C1 Rroblem�tic Hydrophytic Vegetatiz�n' {F�cplain}
'Indicators af hydrie soil and w8tiand hydrolagy must
be present, �n�ess disturbed or problemat9c.
Definitions of Faur Wegetadiorro S3rata:
�Tree - Woady piants, excluding vines, 3 in. (7.6 cm) or
ma�e in diameter at breast height (DBH), regardless of
height.
5aplingl5hrub - Wsody p6ants, excluding vines, qess
tharv 3 in. 176hY and gre�ter 4han 3.28 ft(1 m) tayl.
Herb-All herbaceous (na�-wo+adyj plamts, regardless
af size, and waody g4ants 1ess tha�n 3.28 ft ta9l.
Vhloady v3ne - All waody �ines greater than 3.28 ft i�r
heighE.
Hydrophytic
Vegetalion
Presen�t? Yes �� No
US Army Corps of Engineers AClantic and Guli Cuastal F�lain F2egiorn � Versi�an 2.0

S�DI I
"�l�l � w� t
SamPling� Paint: '" �-�' � ,� � �
rofils Dascriptinn: [�7�scr[be to the depth need�ed to document the lndicator a� �onfirrn t�e al�sence o# indicators.)
Qepth Mat�ox Redax Featuces
finehes) Color mois4 9'0 �alar imflist] °h TYRe Lac TextuPe €terr�arks
�, _ - ��; ;���, . - �;:� ,� ,: ._:�,.,;; . � � �
'TYpe: C=GoncentraUor
Hydric Soil9ndicatar�:
a-Depletibn, �tM=Reduced Matrix MS=Masked Sand Grains. �Location: PL=Pore Lining, M=Makr�x.
(Applaca�le tv �11 L4iRs, u�►less othemise noYed'.� Indicators fnr PEo6lem�kic Hydric Soils3:
� Histaso9 (A1) ,�[ Po�yva6ue Belaw SurFace {58) {Llit� s, T, L�} �� cm AAuek dA9j �L,RA Oj
�Histic EpipedQn (p+2) 7hin !Dark 8vrface (S9) (LRR S, T, U) �j2 crn Muck (A14) (LRR S)
Biack Histic (A3) � LQamy Mucky Niin�eral (F1} (LRR O) 6'rl Reducsd Verti� (F18} (outside MY.ftA'��OR,B}
� Hydragen Sulfide (A4} � Loamy Gleyed Matrix (F2} �-f--1 Piedmant Floadplain Soils {F19) (LR'R P, S, T}
3 Stra#ified l.ayers (A5) �DepEetesi Matrix (F3} iJ Ancrrna1aus Bright Laamy Soils (F2�3)
drganic Bodies (A6) (LRR P, T, U) Redox Dar�c SurtaCe (F6) i���+ ����)
] 5 cm Mwcky Mineral (A7) (6RR'P, T, 41} � Depletad Dark Surface (F7) -��--I Red Rar�rn# Material {TF2)
� Muck Presence (A8) tLRR U] Redox I�epressions (F8} �L^�-� Very Shalfow Qark Sur�ace (TF�2}
] 1 cm �h+l�ek (A8) iL�tR �+, � � lu�a�l (F�{}� (L�f2 k�j .7.J CJther (Explain in Ftemarks)
� d�pleted Below Dark Surface {A1'{y ��epleted Ochric (F11} (MLRA 151j 3
� Thick i?ark 5urface {Al2) � Iron-I+�anganese Masses (�12j (LRR Gt, P, T) 6ndicators afi hydraphytic vegetatioc� and
�CQast Prairie Redax �A16} (MLRA 15DA) � 4.lrstibric Surface (�13) fLR�t P, T, Up wetlarvd hydrology must be pressnt,
Sandy Mucky Mineraf (S"Yj (L�tR 0, S) � Delta Ochric (F17� {MLRA �S1) un9ess disturbed ar problemaiic.
[� s�nay �ieye� r�afrix (sa) � Reduced Vertic (F18} (1NILRA 150A, �3�g}
�Sandy Redox (S5} � Piecimont Floodp6ain 5oils {F19} (ML7�A 9+�9A}
Stripped Mateix {S6} Anomalaus Bright Loamy Soils �F20} (fiALRA 44$A, �153C, ti 53D)
Q�3a�k Sucface (S7) �tRR P, S, �, U}
Restrictive Layer [if observedy:
iype:
Depth ��nches):
lkS Army Carps pf �r�gineers
F4ydric Soii t�resent? Yes No
A9lantic and Gu6f �oastal Flain Region � Version 2.0

� r
�. �� � �
�
WETLAhID DETERM�I�I�T��N �A'�A FQRM — Atlanti� �n�l �u�f Coa�tal Plain Reg3an
�� _ .
PrpjectlSite: ���� - � �� � � C�ifiylCown#y: t� � � `. ,' � 5ampling �Date: " ��- �~ �-� � ; �
ApplicantlOwr�er: �� �l` --" 5xate: J��'� i SarnpBing Pain9�: ` _ �
I'nveslig�tar(s): _; i- r �,; L.�, , i' i^ U� ���' r -- Sec�ion, �ownship, Range:
Land%rm (hillslape, terrac,e, etc.y: � r � � � � Local relie# {cc�ncave, cflnvex, noney: `- '�'' � + ' Sfope (%}:
� �., �, r �� r,,- � i _� r
Subregion (LRR or MLRAj: /� �' Lah: .. L4ng: •- �atum:
Svil Map l9nit �lame: 2�, I,,; r� � I", r- ��. �., r � �., � � �` r r,� NWl cl�ssification:
�
Are dimatic 1 hydrologic co�diti�ans on the site typical �or thds t�me of year? Yes ' No (If no, explain in Remarks.j i
i
Are 4'egetation , 5oi1 , c�r Hydrofogy significantly disturbed? �`^ Are'"NormaV Circumstances" preser�t? Yes �' No
Are V�ge#ation , Soil , or Hydrolo�y nsturaily prabb�matic? `. <+ (Cf neededl, explain any answers in Rerrzarks.)
SllMMA�RY OF �FINa�NGS — A#tacN site ma� shawir�g sarnpGng point locatimns, transects, irr�po�tant #eatures, etc.
HydrophyTic Vegetation Pr�ese�t?
Nydric Soul P��sent?
Wetland Hydralc�gy Rresent?
Remarks:
� c��� S � �]�
HYpRC}�.�GY
Yes ✓ tJo
'�es No �
Yes No �
Is Yhe Sampled� Area
within a Wetfane�Y Yes Ma '_
WetCand liydroGagy Irtc63catars: Secaradanf Indicators (minimum of iwo recsv3red5
Prima Ind'acators fmir�imurn of ane is neauired• check 11 that aoplvl II� Surtac� SaiN Cracics {66}
l� Surface Wa#er {A1 j 0 Aquatic Fauna (S13} Lu Sparsely Vegetated Gorocave 5urfac:e {�$)
Q Nigh Water Table (A2} � Marl t3eposits (B't5} (CRR U} ❑ Drainage Patterc�s (B1�}
� Saturation (/�3) � Nydcogerr 5ulfide Odar (C1) � h+loss '�rirr� Lines (B16}
� Water Marks {B1) Q pxidezed Rhizospheres alang Living Roats (C3) II Dry�Season Water Zab4� (C2}
�5ediment Deposits (B2� � Presence of Reduced Iron (C4} ❑ Crayfish �urrows (CSj
Drift �epo5its (83} ��teceni Iron Ret3uction in Tilled Soils (C$} II Saturatiorn Visible on Aerial Imag�ry {G9j
� Algal Mat or Crust (B4} � Thin Mu�ck Surface (C7) II�aeamarphic Positiorn (Q2)
� Iron Deposits (85) � Other (�xpSa+n in Remarks} [� Sha4law Aquitard ([}3}
Q lnundatian Visible on Aerial Imagery (67} ]� F,hC-�leufral Test (�5j
� 4Nater-Stai�ned �eaves (B9} � Sphagnum moss {DS) (LRR T, Uj
Field �Qbservations: r
Sueface Water Present? Yes No � pepth {ir�ches}:
Water `fak��e �'resent? �es No Depth {inct�es):
Saturatiqn �'resent? Yes �Jo DepYh (irochesj: Wetland F�ydrology �resent7' Yes �Q `
in�ciudes ca iila frin e
aescribe Recorcied Data (stream gauge, cnoni:taring weA, aerial pho#os, prewiaus 6nspectivnsj, ifi available:
Remarks:
US ,qrmy Carps vf Engineers At6antic and Gulf Coastal Plain Regibn — V�rsion 2.0

V�G��TATI4N �Four S�rata) - Use scier�tific names of pfan�s.
, ,� � At�sol�t�e Dominar�t lndicstor
TE�;e Stratvm {Plot45ize: � j ° CoWer SDec'res? Status
1. i !,,��r. r r •J�
_ N'
2.
3.
4.
5.
6.
7.
8.
� = Total Cawsr
5a°k of totaV �over: �� 2f?°/a o# iQtaP �[sver: '�
SaolinalShrub Stratu�n (Plot size: '�' � )
1. � ' ; I'� (
2.
3.
4.
S.
�.
7.
8.
��
Ftef6 Stratum {�lot sEze: �' �
1.
2.
3.
4.
5.
6.
7.
a.
9.
1 L,
11.
12.
r-
- Total Co+rer
�0°,b vfi tataE cover: �- r 209�o af tdt�f cover: ,��
7
= Tata9 Cov�r
50°,� ai tratal c4ver: 2096 af total c.�ve�: _
1Napdy Vine Stratum (P6ot size: `� ' }
�,
�. �. . r �t .,, r�i . � . . r� .��. T
3. �
4.
5.
� �l � �ota6 Ca�er
5Q°� of total c�over. r ZO% of total cover: --
hological adaptatians belaw).
rks:
Samplang f�aint:
Dorrnin�nce Te�k workshe�et:
Number crf �ominarat Species 5
Thai Are OBL, FACW, or F�,C:
TcataE hCurnber of 4lomimarut ,� f
Sp�oies Acrass AII Strata: ? �g�
Percent of Dtirninant Species [` r
T�hat Are �BL, FACW, tsr FAC: '�" /� (A/Bj
PreWalence Index warksh�et:
�otal °k Cover of: Multiply !by,:�
OBL species x 1 =
FACW specfea x 2 =
FAC species x 3 =
FACU species x 4 =
UPL species x 5 =
Calumn �otals: (A) (Bj
Prevalence Index = B1P� _
II.1 - Rapid Test far Hydraph�tic Vegetation
�, 2 - Domina�ce Test is ?54%
L] 3- Prevalence Index is s3.0'
� Problematic F6ydrophytic V�getatian' {Explain)
'Indicators of hydric soil and wetland hydrology musl
6e pres�nt, unless disturbed ar problemaiic.
Definitions af Four Vegetatinn Str�ta:
Tree = Wo�dy pManis, excluding vines, 3 in. (7.6 cm) ar
more in diameter at breast heighrt {�B�ly, regardless af
height.
5aplinglSh�ub-Woody p'lants, excluding vines, less
�har� 3 in. OBH and greater than 3.2& ft(1 m) tail.
Fferb-AIC herbaceous (non-woaciy) pi�nts, regardless
ot sizs, and waody plants less than 3.28 ft tall.
INoody wine - All wac�dy uiroes greater t6�an 3.28 ft ir�
i�eight.
Hydraphytic
Vegetation �
�Qesent? Yes No
US Army Corps of Engineers AtDan4ic and Gulf Coastae Plain Region - Version 2.fl

S�IL
�, �'� � "� _
Sarrwpling Poin:t: � '�`% �J
�rafile asscriptian: {[lescribe to tFae depth needetl fio doeument the iradicator ar can�rnn 4he al�nce of indicaaars.y
Depth Matrix Redc�x Features
{inchesj_ Color {mais4� °Io_ _. Gqlvr moist °,� Tvoe Lo �exture Reroia�ks
' - �,z ,�. ,� ' � r' �l — _ _ �+
'T e: C=Cor�centratiam, D=�e I'etion, ROu1=Reduced hAat�ix, MS-Masked Sar�d Grains. zLocation: PL=Pore Linin , h+f=Matrix.
Hyd�eic 5oil In�'ica#ors: {Applicable to aIV LR�s, unless otherw�se noted.) ln�iicators f[sr Problerr�atic Hydric Spils :
FiistosoSi (A4 }
Histic �pipeda€� (,A2}
Slack Histic (A3y
Hydrvgen 5ulfide (A4)
Stratifted L�yers (A5)
C7rganic �odies (A$} (LRR P, T, U�
5 cm 'Mucky Mineral (A7} (LRR P, T, U}
Muek Presence {A8) (LRR U)
� cm Muck {A8} (LRR P, T}
t�eple4ed Below Dark 5urtace (A11)
Thick Dark 5urface �A72}
CaasG Prairie Redox (A16} (MLRA 150Aj
Sandy Mucky �wlineral (S'1) �i.RR 4, 5}
5andy ��ey�d Matrix (S4}
5andy Redox (S5}
Str'tpped EVlatrix {S6}
�]ark $urFace (S7� (L1tF! P, S, T, UJ
stricti�e Layer (if abservedj:
Type:
�epth (inches):
US Army Corps of Engineers
E'o6yvalue 6e14w S�rtace (S8) 4LRR S, T, �� � 9 cm Mu�k (A9) dLRR f�)
T6��n Oark Surface (88) {L�tR S, T, �p � z cm �nnuc�c �a�o� (�Ra sy
Loamy Mucky VlAineral (F1} (LRR 0} Reduced Ve�tic �F18) (crutside NYLRf415QA,Bj
Losmy G9eyed Mahix (F2} ��—I Piedmon�t Floodplaire Soils (F19j (LRR P, S, Tj
[}epleted Matrix (F3y �..J Anomalous Brlghf Loamy Soils (F24]�)
Redax park SurFace (F6} �I—I {M�RA 1538}
Depleted Dark Surface (F7} l--u Red Parent Material (T�2)
Etedox �epressions (f8} � Very Shallow Dark Surface (TF12)
VNari {�10) �LRR LI} � �theP (Explafa� in Rem�ua�ks}
Depleted Qehric (F11) {MLRA 151�y
9ron-Maoiganese 6Nasses (F12y [LRR fi, �, �'j 'Indicators of hydraphyt'sc vegetation and
Llmlaric Surtace (F13) (LR�R P, T, tJj wetland hydro4ogy must be present,
Delta Ochrfc (F'V7) (MLitA �5'�p unless �isturbed or prc�blematic.
Redueecl VertEc (�18) (MLRA 150A. 16QB}
�fedmvn4 F400dplain Soils (F19) {MLiiA i�49A)
Anornalaus Bright Loamy Soils (F20) {M�62A 14SA, 153G, 153D)
HycEric Soil Present? Yes No �/
ARlantic and �Gu�f Coastal Plain Region - Version 2.6

Y'�' I\ � , i �
VWETLAND �E��RMINATION ��4T�'l F�33E�,M — Atlaruti� and +�uif Coastal Plairo Region
ProjectlSite: - C `:� � " Y tY� � P . 9 ! �s'` ' � / r �'
� d_. � C�t ICoun Sam lin Date: /— -: �
ApplicanVGnnmer: 1';{. i� �'' ( State: 5amp9ing Pflint:
lnvestigator(s): _ _? � _ _ _ � Sectio�, Township, Range:
Landforrn (hills�ope, tert�ce, etG.): � Locail relief (can�a�re, cvnuex, none): � 51o�e {'9�oj: ' -
Suhregit�n (LRR 9� t1+ILRA : � %1 �, � 'I Lat �`� ` , � :^ �ang; - I v . --� 0 � Aatum:
Soi1 Map Unbt tlUame: ����r "�c ,,,;;r'r.,i�- = ��c :�, � '� NWI classi�ieatdon:
�
Are ciimatic 1 hydrologic co�dilior�s on the site typical far khis ti�ae of year? 'x'es > No t1f na, explairo yn Fteraiarks.)
Are Vegetatian , Sofl , or Hysiro�ogy sig�ificanUy distu�bed? ' Are '"Normal Circumstances" pres�nt? Yes ` 'No
Are Vegetation , Soil , or Hydra1ogy r�aturaVly problemaUc? (�f needed, explaEn any ans�w{ers in R�marks.}
S�N�MARY �F F1NDlMGS — AttacE� siie rn�p sh�ow�ng �ampl�ng pvint Icrcatiar�s, trae�sects, in^ipmrtant featur�s, etc.
Hydrop9�ytic V�getation Present?
Fiydric Scai� Present?
'Wetland Hydrofagy P�sent?
�Remarks:
{ C �� `�� � t
HYDRC3L()GY
Yes �o Is the 5ampl�d Area
��� µo within � WetEand7 Yes ' � �to
Xes No
� 1 � %n/ �_ L.i q'�
�- � �.. C'� � ^k I
Wetlan� Hydrologyr �ndicators: S�candau� Indicatar� tminimum of iwo rea�ai�edl
Primarv lndicato�s irstinim�nrn of one as repuired: check all that aqply) � Surtac;e Soil Cracks (E3B)
❑ Surface Water (A1) i❑—� Aquakic Fauna (B13} 0' Sparseky Vegetated �oncave Surface (B8}
� Hugh V1later Table (A2} LJ Marfi Depsrsits (B15) �LR� W} ❑ Qrai�;age Patterons (B76}
Q Saturatian (A3) Q HytJrogen Sulficie Odor (�1) �'-.� Nloss �'r�m Lir�es �B16}
� Water Marks (B1) � Qxidizetl Fi'�lzaspheres afiong Living �toots tC3j � Dry-Season Water Table �C2�
�Sedimerat beposiis {62) � Presence af Reduced lson (C4) Crayfish E�wr�aws {C8)
Drift �eposiks �S3) �, Recent Iror� Reduction in Tilled Soils {C6) � Saturation Visible tsru ti"+eaial Imagety (G9j
a AIga1 Mat ar �rust (B4) u Thln Muck Surta�e (C7� � Georr9arphic Posifion {D2)
� Iron Deposits (B5) a C}ther (�xpda�n in Remarks) � Sha1Bow Aeyuitard (D3�
�- {nun�ation Visih1e on Aerial lmagery {B7j ��AG-NeutraV Test {D5)
,�i' , Wa'der=5tained Leau�es (69} � SpFaagnuto� moss (D$) (LRR T, UA
Fi�ld Observrations:
Surtace AN�ter �re�er�t? Yes IVo �, Qepth (inches):
Water Tabte �'eesent? Yes � Np flepth (inches):
Satucatian Present? Yes� h�o Depth {inches}: YYeUand Hydrology Present7 Yes l Ka
includes ca illa irin e
pescribe Recorded Data (stream gauge, mani�aring well, aerial photos, preu�ous inspe�ctions), if availabte:
Remarks:
i ,
US Army Cor�a& of Engineers Atlar�tic and Gulfi Cnastal Plain Region — Versian 2.(5

VEGETA�IQw (Four �tratay - use scieniifoc nam�s of pl�nts.
- Absolutre Dominarrt Indica4or
Tree Straturn (RBot size: ' ) °I� Cover Snecies? Status
1. � ! - c� i' %tf
2. � ,; � + �r � �''t,
3. ��.: d��C� �c�rtJ;4��i� �•.,�.� � _ �(-h��
4. �k �;� r�r5 p�'� c aN+�^ , � A�Gt,�+
� ;',�'i,, � � , � 'r�C V,..}
6. �
7.
8.
�" � = Tata� Caver
;.:
50°�5 of total eQuer: 209'0 of total cover. !^
San4inalShr�ab Stratur�r (Plot size: ' �
1. ;'�r� f f��
2. � � /� � i � t' i , t � � _ - _ � �`f�! �Ir��l
3. :�;�.�, a, .,, (��
j�4 -
4.
5.
S.
7.
8.
I / ='�otal Cav�r
5a�o of ��ta� caver: °-� 2D°k ot totab caver. `-� ��
r.
Herb� (Plat size: )
1. iP���n �G.. � `�r„ L. �C� ✓ C��+L
' � 11l 1.
2. ( ., i.c � ��� , :
�. L. .n -� �:,� � .: � ; �" �� ✓ n3�
4. l�o�i�r1�1�!'c�: [.�ii�1�1";C�. :���, �'f�Cl_f
5.
1 �� = Tcstal Cover
5�1",b of tptal cover. ��� 20°% af total �cawer� ��
Woodv Vine Stratutri (Plot size: �' � D
1.
2.
3. b ( � � c.
4.
�.
= Total Cover
5Q°% of total Cover: �f1°,� of total cover:
J�
5ampling Poirst: � ° '� f -.�
Domin�nce T�t works9�eet:
N�amber of �3omio�ant Spe�i�s ,t
That Ar� Q'BL, FACW, ar �AC: / �A)
fiotal Number af Dominacrt
Species Across A11 Strata: � {B)
Percent of Dominant Species
That d'v�e Cd�L, FACW, or FAC: ����
tndex wrarksh�eet:
{AI'B)
Yotal °% Gaver of: Mulkiolv bv:
OBL speCies x 1 �
FACV'� species x 2 =
FAC species x 3 =
FACIG species x 4 =
U€�l. SpsCieS x 5 =
Cplumn Totals: (A) (8]
PrevaBence Index = BIA =
F�y�raphytic Vegetation larvt��cators:
� 1- Rapid Test #flr liydrophytic Vegetation
� 2 - Dorr�inance Zest is >50°k
� 3- Prevalence Index is 53.d'
� Pcoblematic Hydroph+yrkic Vegetatiora' {E3cplain)
'Indicators o4` hydric sail and +�v+�tland hydre�lagy must
be present, unles� dis3urbed a� prvbEematec.
'fr�e - Woady pf�r�ts, exclud"ung vinas, 3 in. (Y.6 cm) ar
more in diameter at br�ast heighk �D6Fi}, regardless o'6
height.
Sap9inglShrub - Waody planfs, excfuding r�iraes, less
tlhan 3 in. I7�H and grea'ter khan 3.28 �t (1 m) tall.
NFkerb-AI1 henbac�aus (non-woody� p�ants, re�ardless
of size, and woody plants less than 3.28 ft tall.
Woody vine - All woo�y vines greacer than 3.28 ft in
height.
Hydrophy4i�
Yegetatlon
Present? Yes iVa
l�S Anmy Carps of Eng�neers Atl�r�t�c and �u�f Coastal P6ain Region - Version 2.0

541L
Sampling Poin�: V'� �f' �
ProfiGe Descrip#ior�: (Describe to t9te depth needed to document ths in�icator vr ca�firrtn the alhse�nte af andEc�tars.)
❑epth Matnx Redcrx Featvres
(inches� _Golor�moist] °k �ol'or �mvist} °Io Tvne Loc Te�ture Remarlcs
(,I . ; .' q : i - �. � r `_ � _ � r
. '- _ i , , . . -�_ _ �
l. _ • — r
�(� ��l . We` ' :
� I l r � � �� L . - J _�-�d �� �� � '
'Type: �C=Canr�entration, D-Qepeei6on, RM=Reduced �+latrix, MS-Masked Sand Grains. ZLocatian: PL=Pore �ining, M=Matrix.
Wydeic Soil trrdicatnrs; �Applicable fio all LRRs, unless ohhemarise nated.j Indfc�tors for'�Prablematic Hydric So�ls3:
� Histosol �A1 } ,Q Polyvaliue Below Surtace (58) {LRR S, T, U� T❑�, 'Y cm �+luCk (A9} (�RR Oj
f� Histi� Epipedon (A2) f� Thin Dark Surtace {S5) (LiiR S, T, I�) Lu 2 Cm MuCk (A10) (LRR $}
�� BI2�Ck HistiC (P�3} L� Loamy Mucky Mimeral (F3 )(LRR O} � ftBduCed 1Yertic (�18) {outside NiL�RA 150A,Bj
� Hydreagen Sulfide (A4) � Laamy Gleyer� V+Aatrux {F2y �T�,I Piedmant Floodplain 5oils {F1Sy (LRR P, S, T}
�8teatified Layers (A5) Depleted Matrix {F3) LY Anomalous Bright Loamy SoiRs (F20�
Organic Bodies {A6) (LRR F, 7`, W) � Redox Dar6c Surface (FFi} (iUILRA 1536)
,[] 5 cm Mu�j Min�raP (A7} {LRR P, T, Up ,Q Deplet�:d Qark Surface (F7} � Red Parenk Materia0 (TF2}
� Muck PresenCe (A8) {LRR U} [] Redox Depressions (FS} � Very Shwalloar Clark SurFace (TF12y
� 1 em Muck {A9y (LRR P, � �] Mar� (F10) [LRR Uj D Othes� (F�cplain in Remarks3
II p�Rlet�d 0elow Daric Surface (A11) � QepEeted achric {F11) (14�LRA 951j
� Thick Dark Surtace (Al2} � Iron-Manganese Masses (F12} (LFfR 4, P, Tj 'B�dir,.ators of hydrssphytic vegetation and
�Coast Prairie Redox (A1 f} �ML�lA 150A} � Umbric �urFa+c� (F� 3y (LRR P, �, U} vvetland hydrolagy must be present,
Sandy Mvcky Minera0 (S�) j_LRR [�, 5) ,� Delta Ochric (F17j {MLRA 15i) unless disturk�ed or problema6c.
D andy Gfeyed Mat�ix (54} � Reduaed 1Jerkic (�18j {AALRA t50A, 15QB)
4
Sandy Redax (S5) Piedmant FlaodpVain Soils (F'l9} QhIVLRA 14gA)
Strippet9 M�trix (S6} Artiomaiaus Brighf Laamy Soils (F24Y) [lN�RA 149A, 1S3C, ���Dj
D Oark Surfaoe (S7} (LRR P, S, T, U j
R�striFtive Layer (i# 4bseevedJ:
Type:
aepth (inchesJ:
R�emarks:
My�rie Snib Presenk`'a Yes�'� No
US Army Corps of Engineers Atlanti:c an�i Gulf Cvastal Plain 'Ftegiors - Version 2.4

W��LAND DETERI�IINATIQN DATA �FflF�N1—Atlantic ahd Gulf CQastal Pl'�ain �ie��o�
P�ro'ectlSit�e: ' � - ' � Cit IC�Qun � � � �_ n ; �. . . '�� (1 ��g a <,
J - - -- Y t5': ( Sampling �ate: i � � � �
Rpplican#fCMwner. State: Sampling Paint� }��`� :+� �
Onvestigatar(s): �. +�`'�c.si, ; d<. r,-,,j �.+, � r. Sectian, Tawmship, Rang�:
i �
��ndfc�rm �hillslope, terrace, etc.): ' , Lacal relief {canca�re, convex, nane}: '' • �" �� �' Siqp� {q�); �= �'k
Subregian (LRR pr MLR�4�: � � � J �� �at: 5� . �' 'd : � Long: - I cfi � � � 1 ; [7atum: V"Y�� �4t
Soil �+lap U�it Name: r �, �' r� �� r �£� ��- j,;, f `; C„ . r� NWI classificativn: —
,0.se elimatdc 1 hydrologic conditior¢s an the site typiea� dar this time of year? Yes • No _(If a�a, explain iro Remarks.) �,
Are Vegetatian , Soil , o� Mydrology sign%fieantly disturbed? Are "NarrnaV Cireumstances" pressrot? Yes �r Na
Are Vegetation , Soil ,+or bydro0ogy naturally �roblematic? (16 need�d, ex!�lsin a�y answers in Remarks.)
SIINfMARY OF F!'NDINCS — A^ttach site map shQwin� sampiing �oint locations, transects, impnrtant �eatwres, etc.
Fiydraphytic Ve�etation Present?
Hydric Sail Pcesent?
Wetland F4ydrology Present?
HYiDR�Lt�GY
ves ✓ No
Yes Na
Yes No
Is the Sarr�pled Area
within a Wetland? Yes No L
�- n 4,, c�� n � 1{ S �� 1 � ti7
Wetland F�ydralagy Ind`acators: Secondarv lndicators (m�nimum of twu reauired3
Paimarv Indicatbrs fminimum of ane is �epuired� check all that aoa4v) � Sur£ac� 5ail Cracks (BB}
I� Surf�ce 1Nater {A1j ❑ AauBtiC Fauna (S't3) � Spdrsely Vegetated Cancave Sutfaee (B8)
Q Yiigh Water Table �A2} II�'ka�i �posifis (8153 d�R� �? � prainage Pattems (B10)
� Saturation (A3j � kiydrogen Sulfide Oda�` (C1} � Mvss T�irrv Lines (B16}
II Water M�rks (81) � Oxidized 4�hizosphe�es along �iving Roots (C3} ary�-Se�son W�ter Satsle (C2j
�Sediinent peprssits (62} Q Pres�nce ca� Fteduced Iron (C4J � Crayfish 8urrows (C8y
ariR Deposits (B3j � Recent bron Reductian ir�� �iUed 5oiis (C6) � Saturation �sibfe an A�rial Vmagery (C9}
a ppg�yG �j�{ �� �r�s� (g4) � Thin Muck SurFace {G7) � Geomvrphic Posi3ion (Q2j
� 4ron beposias (B5) � dther (�xplain in �tema�lcs} � Shallow Aquitard (D3}
❑ Inundatiort Visiqle on Aerial Imagery {B7} II'FAC-Neutra6 Test {D5)
a VWater-5tained Lea�es (B9) � Sphagnum rnoss (08] (LRR T, l9)
F6eld �bservatians.
Surface Watec Presen4? �'es No �ep#h {inctr�es): _
Wat�r Table Present? Yes No Qepth (ir�chesj:
Sakuratian Ptesent? Yes Ata Depth (inches}: Wetland hiydra�agy Prssent7 Yes No '
includes ca il9a frin e
Describe �teeorded D�#a {stream gauge, manitoring wel�, aerial photos, �rewious ie�specfiions}, 'rf available:
Rsmarks:
L1S ,4rmy Corps of Engineers Atiantic and Gulf Caastal Plain Region - Versi�n 2.i?

V��ESATION (Four Stra�a) — Use scier�tific names �# pPamts.
Abaolute. Qr�minant Indicator
Tree Str�tum (Plot sizs: _ } 4/o Cov�r 5__�e_ci�s? Status
�• r _ ' �'��(l�
2. ., ,; � �( I�C
3, f - ti' �-,:%( c�r
4.
5.
�6.
Sara�pling �oirat: Y " � �� �
D�aminarnce Test worksheet:
Number of Dorminant Species
That Are Of3L, �ACVH, or FAC: � {q)
Total Numkrer vf Dominant
Species Acnpss All Strata: �� {B)
Perc.�:nt af L�omiraant Species % '�
That Are OB�., FACVW, ar FAC: `� -� (PJB)
7 PreyaEencs Ind�x worksheet:
8 Total 96 Caver qf: Multidlv k�y:
� r' = Total GoveE ��L s�ecies x 1=
5Q9G of total caver: ��� 24% of total cover: °� ��'�� species x 2=
Banlinc�lShrub 5iratum (R3ot size: � � Ff1C species x 3=
1. � , �
'- /` �-� � W FACI� spec'ses x 4=
2. 1 t�, r: r r_ � �, �;�.��, � FQ � UPL species x 5=
V`
�. + . " ,� ( l,i C�lumn Totals: 4A) {BD
�:
4' Preva9ence Index = B!A =
'" Nydraphytic Vegetatien Indicatars:
s' ❑ 1- Rapid Test for Hydrophytic Vegetatio�
7' II 2- �omunance Test is >5Q`Ya
6. II '
� `� = Tata1 Cover
50°�6 of total cc�ver: �• � 2096 of t�tal �Qver: j
Herb Stratum (Pf�t size: )
1.
2. �
3.
4.
5.
6.
7. �' � '
8.
9.
10.
11.
�i 2.
50% of total ccaver:
Wr�c�tiy Vine Stratum (Plot si�e; )
1.
2.
s. � ' F .
4.
5.
50°Jo of total cover:
= TotaV Ca�er
209'0 �f tatal ersver-
3� Preualence Index is 53.0
� Prohlematic Hydrophytic Vegetati[�n' (�cplain}
'Ondicators of hydriC soil and wetland hydralogy must
he present, unless disturbe� t�r prablematic.
Definitoons of Fa�ur Vegetatian Strata:
Tree— Woody plants, exclu�ding vdr�es, 3 ir�. (7:6 crn} or
more in dkameter at breast heighi (DBFV}, regard9ess c�f
h$Ight.
Saplfa�glShrub � Waody plants, excluding vines, less
4han 3 in. �3�3H ac�d �realer than 3.28 R(� sn) tali.
Herb—All herbaceous (nvn-woodyj plants, eegardless
of size, and wdody plants less than 3.28 ik tall.
4Yo�dy v�ne — AIG wcrody v�nes greater than 3.28 flt in
heigh#.
Hyd�vpfayfic
= Totai Cover '��9$�t19�
209'0 oi #otal co�rer. P�s�nt? Yes _�� No
lJS Army Corps of Engineers A#laniic and Guli Coasial Plain FZegior� — Version 2.0

+�r]T�
Proiiie Descripfao�: �Descrbbe to the de�
Depth Nlatrix
iroches}_ Go�or lmo�st] %
( ;, ' �
u t- �l. i Yt.' ��' �
`_ - �
� ��
Sampling Pcsint: V� �`` � _
th needed to docurnemt the indlcator or confiem the absenc� of (nriicators.)
Redax Fe r
Calor (rnaestl 9b Ty� Loc Texture Remarks
- -z __ �
'Type: C=Cancentratiort, 47aClcpletit�n, FtM-EtEduced Matrdx, M5=N1asked 5and Grains. ZLocation: PL=Pore Lini�g, M=ilrlatrix.
F6ydria Soal Indicalars: �Applica6le to aIV LRRs, unles� atherwise nated.� lnd'aaakors for Problamatic Hydri� 3oiPs':
� His#crsal (Ai} �'
Histic Epipedarn (A2}
81ack Histic (A3}
� Hydrogen Sulf�de (A�}
Stratified Layers (A5)
Qrganic Bodies (A6) (LRR P, T, U)
❑, 5 cm INueky Mine�al (A7) (LRR P, T, U)
al Muck Presenc� (,48} �LRR 4U}
Q 1�rt� Muck {A8} (�LRR R� Ti
Q Depleted 8elaw Daric Su�fiac2 (A11)
[] Thi�k Dark Surtace (Al2)
,[] Ctrast Prairie Redox �,A16) (MLRA '�5QA)
D Sandy Mweky Mir�eral (S1j (�i2R O, Sj
� Sandy Gleyed Ma4rix (S4)
�Sandy Redax {55}
5tripped Matrix (SE)
II CJardc Surface (�7) (�Rit P, S, Z, Ui
Restrac4ive �.auyer (if observedp:
Type: _
I�epth (inehesj:
Remarks:
Palyvalue Below Surrace �sa� ��R� s, T, ua -t❑� 1 crn NYuck (A9} (LRR O)
Thin Da�k Surtace (�9} [l.RR S, �, u? �u--�I 2 cm Muck (A'k0) (LRR Sj
�oamy Me�cky M1in�ral (F1} (L.RR �j T�-u� Reduced Vertic dF18) (crutside ML'RA 156A,Bj
B.oarrry Gleyed NGatrix {FFj u Piedmornt Floo�plain Soals {�"! 9} (�.RR P, S, Tj
Depleted Ma#rix (F3} � Anoma�aus �right �oarny Soils (F2a)
Redox �ark Surface (F6) {M�LRA 7538}
Depleted Daek 5urfac,s {F7} � Red ParQnt Maierial (TF2)
Ftedax Depressions {F8) � Very Shailour Dark Surfar.e (TF12}
Mari {�1�0) (LR�i U) � Other (�c�iain in Remarks)
Depleted Ochrdc (F11) {ML�tA i5�)
lror�-Manganese Masses (E12) (L�R b, �, Ty 'Indicators of hydrophyt�c vegetation and
llmbric Surface (�13) [L.RR P, T, Uj wetf�and hydro�ogy rnust b�: present,
Delta Och�ie (F17y ((YILFtA 157y un0ess distur�ed or problematic.
Red�aced Vertic {�is) (NALRA 150A, 150�}
Piedmont'Floodpl�in Soils {F19} (fYA2RA 149A)
Anomalvus �3right l.oamy Soils (�2fl} QML�FtA 149A, 153C, 153'�j
Hydric S�ail Pressnt? Ye� No �.�
US Y'�ny Corps o€ �ngineers At6antic and Gulf Caas#�f Plain Regipn - Versian 2.0

4nil�j I�'c �
WETLA�iD �€F�RMIMATIC}N E�AT`A, FC)F�A�II — Atlantic and ��[f �oastal Plain Re�ion
ProteeVSEte: � � �� 1 ^ CitylCaur�ty: � , � � S�mpling [7ate: /, / -
f : Y � C (� , , +, � r � '/ (j�/ E.� i r -'
ApplicantlOwner: !� C l�(� -( State: �l�< sampl�n� Paint: ''?'�'Nr �"�
Investigatar(s): .._ 1 , r'�'" `,1 !, :<, , �� r , s .-. : - , f'�. 14 � � '' i Sectior�, Tawnship. Range:
Landform {t�illslope, terraee, etc.}: ,�p r/a, t Local reluef (cnrocave, convex, no�e): C�� r i _, r Slope {°,�j: �n -'
Subregian (L�R or MI�RA}: � % 1 �� �i �at a� , �� t c 9 ��ng: - Y1' � � � rr �} �atum: ��'S u �
-t
Soil �Map U�ni4 �Nam�e: � ��'`(. . n r ��� � � � ;:l�f � � 1 r . �,� � � i �� ``r� � � `, �IWI classificatior�: 1��� ��
Are dimatic f hydrologic cor�diticans fln the site typica� fiar this tdme �f year? Yes �// No (If c�o, explain irr Remarks.}
Are Vegetatian , Sai9 , or Fkydrology sign�caratly disturt�ed? 'V�� ,4r� "NormaC Cireum�tanc�p present? Yes ;� Nc�
Are Vegetation ,�ail , or Hydrology naturally prpk�lematic? ''U� �> (If n�eded, explain any answers in ��emarks.j
SW�411141�ARY gF FIHDIMGS —�lttack� s�te ma� showing sarnplirog ,�o�nt locations, tFansects, important featuur�s, e#c.
diydrophytic Vegetation �reserroG? Yes ..� No
Hydric Soil 'Presenk? Yes ✓ No
tiNetiand Fiy�ralogy P�resent7 �"es � Mo
rc����5
HYDRf]�O�'sY
�. n �'✓ L�� ' � n� S
ts the Sarripl�d Aeea
within a VMJetland7
� f � � �.`/ {r
i
Yes ?: No
W�tland Hydralogy Undicators: �condary Indicatars tminimum of twa reauiredl
�'rrrnan,r Indicators {minirrium af one is req,uir�d; �heck all that araplyl II S�rtace Soil Ceacics (Bfi}
� Sur�a� Waker (A1y ❑ Aquatic �auna (813) � Sparsely Vegetatetd Concave Surface (B$}
�f�T HFgh W�ter Table (A2) �q� Marl I]eposits {B15) (L�RR 47) ❑ Drainage Patt�ms {S14}�
lJ Saturation 4A3} u Hydrogen SuGfide Odor (C1) � h+Yass Trim �Li�es (816}
� INater Marks (61) IIp� pxidizeti F�hizospheres along Li�ing Roots (C3`� Dry-Season Water Tanle (C2}
�Sediment deposits (B2) U Presence o# Reduced 1ron (Cd} ��ra�sh Burraws iC8}
C�rift ��posits (B3� � R�c�r�t 1ran Ftec4uction in Tilled Soi1s {�6j II aturatian Visibie on Aerial Imagery (C9)
[� Algal Mat or Crusk {64) � Thin Muck Surface (C7} � eoenarphic �ositivn {D2)
a lron aeposits (85) � 4ther (Explai� ira Remarks) 'II Shal9ow Aquifiard {f�3)
a I undaiian V't�ible an AeriaB Imagery (�7y t' FAC-Neutra{ Test (�5J
'�, Wat+�r-�tained Lea�es (B9y � Sphagnum �noss (D8} (LRR T, U)
Field Observatics�s:
i'
Surtace Water �resent? Y�s KQ • Depth (anchesj;
� „
U"+later Table �resent? Yes � No bepth {in�hes):
SaturatEon Preserat? Yes �'� No �epth (inches): � Wetiand Hydrology Pres�nt? Yes �% No
inc�udes ca illa frin e -
Describe Recorded Data �stream gauge, rnanitoring well, aerial phatos, prerriaus inspeckaons), if availab1e:
�erraaracs: ,r
! )-�C����/•.��,�i ..�.1u. i . .. -t� ��� . �-.!�, � ' - .. �. r� �-'!i , �,,; ,R.� �i..
ti � f r,��� �� � �r �.� �� �l, e r G� �- � J
��
US Arrv�y Corps af Engineers Ariantic and G�alf Cvasta6 P1ain Region — V�rsion 2.0

V'EGETATIa�I (Fou� Strataj - Use s�r�e�t�fc narnes of pfar�ts.
.� , Afasol�ate Dominant Ondicator
Tree Strat�am �Flotsize: �J' ' } °�b C�ver S�ecies? Status
� � �
1. !� o e i r u f. , c,,�, , E' C C
,-
2. 1M1'p �� r� 1 I�. r r� 4 f.�- �r% -'' �
3.
4.
5.
fi.
7.
$.
f �i = TQtal Cover
�
50% Qf tatal cover: �-' 20°/o af total caver. �
I��
S�n1in41St�rum Stratum Q�lot size: )
�
t. �'�/�� <<I-��, � �,'�l
2. �^�<'•r!f< rr ,�.,�_ fr� !'aC
3.
4.
5.
6. _
7.
8.
= TotaV Co�er
54% oi tataV cover: 2�°k of tota[ cauer: �`
lierb ratum (PVot size: r ' }
�� r �
1. .,,�<<- ` �' t d� �<<�5 -0 ;,.
2. � r C,�! ' r l�f .�'
3. �. 1'!<, .�,`: �. ,� ,. � � �. � c7
J
4.
5.
6._
7.
8.
9.
10.
b1.
�om
���,�`� ����r
Sampli�g Paint: U }� r • �
warksheet:
htumber af Qominant Species �
7hat Are D�L, FA�CW, or FAC: f�)
Total �lumber of l7ominant
Species Acrass All 5trata: � (B)
Perces�f of �ominant Species �
'�hat Are aBL, �ACV1l, or FAC: n�� (,AJB)
Prevalence Index workshe�t:
Total °k Cover Uf. Multi 'I h:
QEiL� species x 1 =
FACW species x 2 =
�AC speci�:5 x 3 =
FA�U species x 4 =
11PL species x 5 =
Column Tota�s: (Ay i�)
RTevalence mo�dex = SIA =
�i 1- Rapid Test far Hydrophytic Veyetaticrn
�✓ �2 - Daminance Test is �5fl°�
� 3- Pre�alence I��iex is 53.4'
� Proble�natic Hydrophytic Wegetadon' (�xpl�in)
'Indicatars af hydric soil and wet�and hydrology must
be present, u�n9e�s disturbed oe peob�ematic.
af F�ur Vegetation Strata:
�ree-4Naody plants, excludir�g �ines, 3 in. (7.6 crri) or
more in diameter at breast 6�eight (ID8N), regardless oi
heigPot.
�SaplinglS�ivuh - Woody pfants, excluding vines, Sess
than 3 in. t7Bki and �reet�r than 3.28 ft{1 rny ta9l.
F4erb-AI6 �erbaceous (non-waaady} p�ants, regard�ess
ai s9ze, and woody plerats less tirary 3.28 fit tall.
Wa�dy vene-All waody via�es� greater than 3.28 R'sn
hsight.
t z.
� � = Tatal Caver
5[l% of tota6 cover: `� 1.� 20°/o af total cc��ner: 1 i
1N odv Vi�e 5tratum (Plot size: ` �= )
'� .
?. , ,. , � �
3.
4.
� �lydrophytic
='Latai Ca�er Veget�tfon
Present?
5C�°Ja of tota9 cc�ver: 2q% o�tatai cover:
Yes ,` Na
US Asmy Corps caf Engineers Atlantic and Gu6f Coastal Plain Region - Versian 2.6

SCyIL
S�mpl��ng f�oirok: � r I �� `�
Prcafile Description: (Describe to the �l�pth rteeded ka document tbe indicatQr c�r cor�fir�n the absernce of indlcators.)
Depth Matrix Redox Features
LChes) Colvr moisC °fa Color(maisU 9"o Tx er� Loe� Texture Remarks
1 !n �
'�' _ � + _/`L i �^ C� r — � --- f -
�y � r��6z �f' 1 �� d�YQ �/�� '-, � ,'�'", `
(- J :: �' f , ,1 �r �J�' l F � � - S Y' R �/C. � � rr, E � �
'Type: C=C�nce�tration, �=Depletic+n, RNY=Reduced P�+latrix, MS=Masked Sand �rains. zLocatian: PL=Pare �ining, MLLMatrix.
Hydrlc Sail I�dicatc+rs; (Applicable to all LFi�is, unle�� atherrnris� nated.y Indocatcsrs fpr Probtema�#ic Hydric 5oils':
,� Histos�i (,41} ,Q Polyvalue Be4ow Su�€ace (S8} (�RR 5, T, 41) � 1�m Muck (A9) (LRR O)
�Histic Epipedan {,�k2} � Thim �ark Surface (S9) (LRR S, �, UJ 2 cm Puluck �A10) (�RR S}
Black Histic {A3j Loamy Mueky Minerai (F1) {LRR f}j � Redueed Vertic (F18) (outside MLRA '�50A,B}
,� Nydrogen Sulfide (A4y ,Q,Loamy �leyed Matrix (F2y ��I Piectrnont F9oodp9ain Soils {F�5) (�.RR �, S, T)
�Stratified Layers (A5) �� 2}epieted Matrix (F3) ILI Anamalous Bright Loamy Soils (�2Q}
Organic Bodies (A8} (L�2R P, i, U} � Redax Dark Surtace (F6} {Ii11LR�4153Bj
II 5 cm Mucky Mine�al (ATj {GRit P, �, ll) Depleted Dar�c SurFa� (F7} 0 Red Parent M�terial (TEZ)
� M�uck Presence (�8) �LRR U) � Redox Depressians (FS} � Very 81�a114w Daek Surface (i�12�
D 1 cm Mu�kt (A9) (LRR P, 'F� ,� Vulari (F10j (��tR Uj � 04her {Explain ir� Re�narks}
II pepleted Below Dar4c Surface (,A11) ��epleted Ochric (Fti 1} iMLRA 151}
�] Thick Dark Surface (Al2� �' Ir�n-Manga�ese Mass€s (F12) {LRR C7, P, � 'Indicatocs of hydraphy�ie vegetatifln and
�Caast Prairie Redvx {/•116j (MLRA 15�A� � Umbcic Surfac� (F13} {LRR P, T„ Uj wetlac�d hydrology rtnust be prese�t,
5a�dy Mucky Minerai (S1) {LRR U, S} ,� �elta Ochric {F17) (MLRA 151j unless disturbed pr prpblematic.
Q�andy G9eyed Malrix (54) � Reduced Vertic {F18} (lI,fILR.4 950A, 950�J
�5andy Redax {S5} � Piedmont Faoodplain SoiQs {F19j (MLRA 143A)
Stripped M�tvix {Sfi7 Anvmalous Bright Loamy Sc�ils (F24) {MLRA 149A, 15SC, 153DJ
�l Dark Surface {S7} (�RR P, �, T, Uj
Restrictive Laver iifi observedl:
Type:
Dep�h {inches):
Remarks:
%
Hydric 5011 Preser�t? Yes �� No
YJS Army Cerps of Engineers Atlantic antl Gulf Caastal Pl�in �sgiorn — Versiorn 2.0

'�.��,'� �,°�
YIIETLANp �ETE6tMINATIdN DATA �ORNE — Atlan�ic �rod Culf Coa�t�l Pla�n �egic�n
ProjectlSit�: ( r - J�� � L CitylCounty: �-�' c'; � � �. ; � �i Sampli�g pate: �' `�I -r°' �
Ap�licanU(]wner: _�L �0 i State: '��'�C Samp[ing Point: ' ,- d
InvestigatQr{sy: � Jl'a�ih�� ��' . l_ , o�. i.�- '' .'• `a�, Sectian, TQwnship, Range:
Lamdforrrr (hillslape, terrar,.�, et�.): �}� IFSlr��� �' �.�rcal relief (concaue, con+vex, nane): � e�� i ��x 51ope (9b); -- '-�
5uhregican (I,.RR or MiLRA): 1 � �i �at: �-� . r� � ' ( � L�ng: 1 � � ( C:. � Qatu�: irJ � � � �'t`
�oil hAap Unot �lame: _ � �( - �'' �, c� ( -� '1 b� • , r � ':� ' - --
= , "' � � `� NWI �assific.atiara:
Are cfima�iC 1 hydroPogic condotions on the site typical for this time ot year? Yes ✓ �Do {If no, explain in Remarks.}
Are'I,J,�getakion ,�oil , or kiydrology sigrtificar�y disturk�ea'? �' � Ane "N�ormai Circum5tances° present? Y�s r hlo
A� Vegetati4n , Soil , or Hydrmlogy natura�ly pcoblematic? �}� � {bf needed, explain anyr answers in Rerttarks.)
SUMAAARY OF FlNDINGS — Attach site r�rap sho�nring s�mpling �a►int Co�ativns, �ransects, importan# features, �tc.
Hydrophytic Vegetation Preseni?
Hydr'sc Soil Present?
Wetland Hydrology Present?
Remarks:
�r �,�=S �-�
HYQROL�CaY
��� � NQ is th� Samples� Area
��� �fl � wiihin a Wetland?
Yes h➢a T
�^- t � � a -, � 9 �_� � t,� } �„i [
I �I
Yes ko r%
�Nfeiland Hydrolo�y andica�ars: Sec�ndarv Indica#ors fminimum of two required�
Primarv fndicators fminimum of one is rsauired: cheek all that a�otv � Svrface Soil Cracks (�6j
❑ Surtace Wa4er (A1j 1�—If Aquatic Fauna (��3) � SparseGy Vegetated Cerrcave SurFace (BB)
Q High W�ter Tabie (A2) 1—J MarU Deposits {B15} (LRR 4Jj � Drainage Patter�s {B1(�}
�Satura4ion (A3} Q Wydrvgen Sulfide C3dar (�G1} � h+l�ss Tnm Lines (B� 6j
_ 4"Jater Marks (81} �f—i[]xidized Rhizaspheres along Living Raats (G3) II Dry-Season VVater TahBe (C2)
�Sedirnerrt aeposits (�62} L� Presence pf Reduced b'ron (C4) � Crayfish Burraws (C8y
Clrift Qeposits (�83} ��tecent Ir�sn Reductnon in Tilled SQifs �C6} � 5aturation Vdsible an ,9erial Imagery (C9}
� Algal Mat or Crust (k�4) �-V�hAn hA��uck Surface (C7j '� Geamorphic Position (D2}
� 1ron �}eposbts (�5} 0 fliher {�xplain in I�em�rks} II Shallow Aquitard (D3)
[] Inundatian �sible pn Aeria9 Irnagery (B7) II FAC-NeutraM1 Test {D5J
�] Water-Stained Leaues (B9) � 5phagnum moss {D8j {L�� T, �ly
Fueld [�bseruatiaers_
SurfaCe Water Present? Yes �Io %� Repth (inChes}: _
Water Tabtie Preser�t? Yes �o �/ Depth {inches): _
8aturation Present? Y'es No �epth (inchesj: Wetland kly�rolca+gy Present7 'd�s Na �
includes ea illa frin e
D2scribe Recvrded 9�ta (stream gauge, manito�ng well, aerial photos, previous inspecfior�sy, if avail�ble:
Rernarks: -
US Army Corps of Engineers At9ar�tic and Gulf Cc�as#a) Plain Region - Versipn 2.d

WEGETAt�+�]N (�oa�r Strataj � 4Js� scien�ifc names of pla�ts.
Absolute []ominant Indicatar
?eee Stratum (P�ot size: � C� �A } °!� Cover Sr�ecies? Status
1. !�r r. J„ h,�:,,, I� •-' F,�1 C
2. flln rir, Ir' tF,i. �n �i �r(
3.
4.
5.
6.
7.
8.
r f = Total Cover
50°h �a# total c4ver: �� � 2Q°/n of total cover: ��
Sa�linglShrua St�atum (Plat size: ( r • �
1. r��n � � s i-., 1� .�' :�[
l r- ,' .�; %
2 ��ca , ii�- rf, , ��r. 7
3.
4.
5.
fi.
7.
8.
�' � = Zotal Cover
50°,� pf �ota! cover: 12 •� 2a°r'a ot toia9 couer: �
r- " .
Herb Sttatum (Plat size: - � )
1.
2.
3. `.
4. �
5.
6.
7.
8'.
9.
1 �l.
11.
12.
= Tca#al Cvver
50°,� c�f tatal cover: 20°Io of total co+rer:
, -
Wood Vine S#ratum �P9'ot size: ` � � )
1.
�. - y � .. a..
3.
4.
Sampling Point; � �'��� � �
bpmiiaamce Test wprksh�et;
NunnbeE af �ominant 5pecies
That Are {78L„ FACW, or FAC� � (Ay
Tdtal Numk�r pf Dominant
Species Acresss A41 Strata: � (B}
Rercerit of Dominant Species ,i-�,
That Are �BL, �ACW, or FAC: � (AIB)
�revalenee fnd+�x warksheet:
Tatal °Io Co�uer of: Multiplv hv:
O�� speciess x 1 =
FA�W speCies __ x 2 =
FAC sg�ecies x 3 =
FACU species x 4 =
L7PL species x 5 =
Colu�n Totals: (A) (B)
Prevalence Irtdex = B!A =
Hyd��ophytic l/�g�fatipn Ir�dicators:
a,1 - Rapid Test%r Hydrophytic Vegetation
� 2 - Dorr�inarace Test is >50�4s
� 3- Prevaience Index is s3.0'
� Problematic Hydrophytic Vegetatian" (Exalainj
�Indicators of hydric s+�il and wetiand �ydeolagy must
be present, unless disturbed or problematic.
�efniiions of Four Vegeta#ion Slrata:
TRee - Woady p9ants, exclwdi�ng vir�eg, 3 in. (7.6 crr�) or
more ir� di�rneter at breast height �DBH), r�gardless of
height.
SaplimgfShrub - Wofltiy p�'ants, exclutiing vines, �less
than 3 in. 4?Bh1 and greater than 3.28 ft(1 m} �all.
HQr6 � A41 herba�cec�us {raon-woodyj plar�ts, regardless
af size, and w�ody plants less thaa 3.28 R tall.
Waody v��ne � A!I waady vir�ses greater 4han 3.28 ft ir�
height.
fi. Hydrvphytbc
= 7otal Cover Vegetation
Prasent7
50°,� of to#al cover. 20°/0 of total cover.
Yes � No
US Army Corps of Engi�eers Atl�nUc and GuGf Coastal Plain Region - Version 2.4

SQEL
Sarrrpiin� Poin�: V Y 1' i C� d
Prafi4e DescriptiQn: (�escribe to th� depth needed ta dscumen4 the indicator or confirm �e �4seneQ of andicators.}
�epth Matrpx Redax Features
{inchesl Calrar (moistl °�O Cnlor (moistl °k Type Loc Texture asmarks
�•
�;� - iJ, I i� '� !' � /'�� i a C �' � _ -- :� �
'+' �G� � d7��� �! ` �G�17 �� `_ ` _ �(
'T : C=Cor�centratic�r�, D=De ietion, RM=R+�duced 1�+lat�ix, MS=Masked 5and GFair�s. $Locatior�: PLrPore Linin , M--Ma#rix.
Flydria Sai� lndieafors: (Ap,plica6le to all CRRs, unless otherwise no#ed.j I�dicator� #dr PrUblertti�tiC Hydu�iC S4ils':
� Histosol (A1 } � Poiyva9ue Belorv Surface {58j {LRR S, 7, U) �❑I i cm Muck (A9j dLRa �}
�Hesfic Epipedon {F�) � Th3n Darbc Surface {S9) (LRR S, �, U) L.c 2 cm Muck (A1f1) (�RR S)
Black Histic (A3) Laamy Nlucky Mineral (F� )(Li�Ft O} � 1�educed Verti� (�18) (outside M�RA 150A,Bp
� Hydragen 5u'➢fide {A4) �I Loamy Gleyed Matrix {F2} � Piedmont Flopdplain Soils (F19} (LRR P, S, Tj
St�atified Layers {A5j Depleteci Matrix (F3) � Anomalous Bright Loars�y Soi{s (�20)
e
� Organic Sodies (Afia {LRR P, T, ��j Redox Dar9c 5urface (Ffi) (N7LfiA 153Bj
II b cm Muckyr Mineral (A7} (CRR P, T, U} Deple#ed �3ark Surfaee {Fly ❑ Red �'arent hAaterial (TF2)
� M�ck Presence �A8} �LRR Ub � Redax Depressiaras (F$) � Very Shallow Dark Swrtac� (TF12}
D 1 cm 6V1u�lc (A9j {L�RR �, 7j ]� Marl {F10) (LRR Uj � Other (€xplain in Rernarks}
,Q �epCet�i Below park Surtace (A1l} � �epleted Ochr6c (F11} (MLFt�4151}
� Thic}c f�ark 5urface (Al2) ��ron-Ma�ganese �+Aasses (F12) [LRR �, P, Tj 3lndicatcsrs of hydrophyt�c �egetativn and
�Coast Prairi� Red4x {A16) (M4�RA 150Ap Umbrie SGoface (F13) (LRR P, T, U) +�tland hydrofogy must be present,
5andy Mucky Minera, (S1) (I�RR t], Sj � Delt� Ochric (F1�) (M�.RA'd5ij uNess disturbed ar probtematia
� 5andy Gleyed IM1Aat�ix (SA;) L] Reduced Vertic (F18} (M�RI� 150A, 950B�
�Sandy Redox (S6} � Piedrnont FloAdplain 5ouls (Fi!3} (MLRA 145�Aj
Stripped Matrix (S5) AnomaVous Bright �oamy S4ils (F24) (MLRA 149A, l53C, 153D}
� Dark Surtace (S7) {LRR P, 5, T, Uj
Restrictive �ayer (if rakserved�:
Type:
�epth (inehes}: Flydr�� Soi� Present? Yes �No v�
R�marks:
US Army Cbrps oa Engineers Atlantic and Gulf Ceastal Ptain R�gion — Version 2.0

�1/� [�✓c t-
WET'LAND DETER'�JlINA��O� aATA FE3RM — Atlantic an�i GWI# Coastal Plairo Rer�inn
/�
�'rojecUSite: � i- J'q �i. CitylCaunty: l-' r � , : • , . � ��� Sampling [?ate: t'� / �
Applsca�U'awe�er. '11rC !J 7 State: 'n`'� � 5ampling Poinr : w'�-
V�vestigator(sj: �� C��s.,; �;,�� ; : �. �la��„ : �� �''. ����, � F : Sectia¢�, Township, Range:
' �. �
Lar�df�rrr� (hillslope, terrace, etc.): ��!: �., i s: V. . u,�. Loea1 relief (cor�cave, cc�nvex, nor�ey: l=n- �r �. . r Slope (9G): �
Subregion (LRR or MLR�+A): 1 � � } �S �i Lat: _, `f ," • Long: � �� �` 23atum -� `�
r 1 `
�Qi1 I�a� Unot �lame: [�' � �� i� - ���'�,� �; fir � t ; �•rC 5 �C, � �, �'� �W6 cl�giflcatiQn_
��� —
Are climatic 1 hydrologie conditions on the site typical for this time af year? Yes �� M1fo (If no, expl�ir� in R�marks.)
Are Vegetation , 5oil , or �lydrolc�gy sigruificantly distvrbed? n; ; Are "IVormal Circurtastances" �resen6? Yes � No
Are Vegetatian ,�o[I , or Myd�olc�gy naturally pra4lerrt�at#c? '„ (Of needed, explain any ar�swers in Remarks.�
SUMM�I�tY f3F FII�D�NGS T Attach �ite cn�p shawing sampl�ng paint la�cations, transects, im�ark,�n# features, etc.
Fiydrophytic Vegetation Present? Yes ✓ �o Is ih� Sarnpled Area
Hydric Siril Present? Y�s ✓ �4 within s VYetland�' Yes ' Na
Wetlanci Hydrology Present? Yes f Na
�temarks: r
� � � A i C } � f� �^- c � [ A ' � 1 'W � {/�� vt
/
HYDRQLOGY
Wetland Hydrolagy lndicators: Secondarw Gndicatars (m�nomum of iwa reauiredl
Rrirta-aiv Endicatoars imin'smum of vne is reo�uired: check all that aDo9v) IIi Suriace itril Cracks (�6}
`' �Surface Water {Y�1) 1��I� Aquatic Fauna (613} ,� Sparsely Vegetated Concawe Surfac�: (88)
- High iNater Table (A2y lJ A/iarl Deposits (B'E5) (LRR Uy ❑@rainage Pattems (B'60)
� Saturation (A3j � �iydre�gen 5ulfide �ddor (C1) � Moss'�r6m Linss (�163
Water Marks (B'V) � Qxidized Rhizospheres along Living Roots (C3} �Dry-Season Water Table (C2�
�~ Sedirnent Deposits (��j Q Preser�ce oi Reduced� 4'ron (C4] � Crayfish Burrows (C8}
I7ri#t peposits (63j �}� Rece�t l�ron Reduclion in Tilled Soils (C6) � Satu�ation �sible on Aerial Ir►roagery (C9)
a Algal Mat or Grust {64j J�, ihim �,+1uck Surtace (C7) ��Geamorphic Pasitiors (�12}
a Ir�n D€posits (85} 0(]ther (Ex�a9ain in Ftemarks) �i S�aVlaw Aquitard (i}3}
[� Iraundation V�sible on A�erial Imagery (B7) ,� FAC-hJeutral Test (�5)
� WVater-Stained Leaves {S9y � Sphagnum moss (�}8y ('LR�i T, B�j
Field Obsarvdtians:
Svrface Water Present? Yes Na • Qepth (inches):
Water Ta6be Present? Yes No � Cleptt� (inches}:
/,
Saturation Present? Yes No .` Pepth (irachesj: Wetland Hydrology PresenY? "les � No
in�ludes ca illa frin e -
Describe Recc+rded data (stre�m gauge, mcrnito�ing weGl, aeriaV photos, previoa�s inspectionsj, if awailable:
Remarks:
�►^� ,� _ '�� �t, « .. l. 1 f (�- ° �"'� , �9 � 1 R , . {` � ' +r� .. , � I r . .. , , � � , . . , , _ _. � . I l _- d r >.
l3S Army Cor�s af Engin�ers F4tlantic and Gulf Coastal Plavn Region — Verston 2.rJ

W'EG�T�AT��N �Four Stratao� - Us� scientifc names of plan#s.
Absalute Dominant lnd'ocator
Tree Stra um (Plcrt size: ��7 % ) °k Co�er 8 ies? 5ka s
� s .FJ ���
1. ,,,�.,r<, sc rdc,
2. ��'�di (�f�. l �. ; l 4' i( ,�� (�
�. "�L 4� i � �'s� 4� r4-, �� �_
4.
5.
6.
7.
8.
.�i'� = idtal Cove�
5Q94, of tretap cov�s: ���` •� 2(3°fm of �at�V cover: � I
5�olinqfShrub 5tratum (P�ot size: �r e )
1. P`.., , ; .i�, r�i c. � �l �/ ��'�L
2. �''�n,rltt� �Ci �t.� 4�.i -r�c
r ��L3. `�ff� � t�(.,e+.ti�
4.
5.
7.
�.
� `� = Total Cover
fia°I� of to4al eover. % f•�' 20% of total cover: � �
Herb Strat� {Plo@ s6z�e: '� ' }
�. ��W���S li��_�t���5 �C' ✓ rt'�C.
2.
3.
4.
5.
$.
7.
8.
9.
1 {}.
11.
17 -
1 �" = Tota� Cover
5f}9b oi to3ah covet; � 2tY`� of totaf cover: �
: '
Woodv Vine Sdr u {�lot size: ��' " 1
1.
2.
s. ]� r
4.
5.
= Toial Cover
50% of total cover: 2[1°Io of toSal cover.
US Army Corps of Engineers
�� UU+�e i"
�i�l � I �
samp�u�g �oir,t:
�?ominance T�t worksheet:
hlumber of Domin�nt Speci�s
That Are C3�L, FACW, or FAC� � fa)
Total l4umb�r af Darz�i�na�rt
Species Across l�l 8trata:
Percent o� aominant Species
That Are t)BL, �ACWW, c+r FAC:
� �g)
�` �� c�,e>
Rre�alence Index warics'heet:
iotal °k Cover of: Mult�nly bv:
QBL speeies x 1 =
FACW 5pecies x 2 =
�AC species x 3 =
FACU species x 4 =
LDE'L species � `� _
Columro Tatals: (A) (B)
F�revalence Index = BIA =
II�Y - Fiapid Test for Hydrophytic Vegeta3ion
� 2 - Rvminance Tesi is �50%
� 3 - �revahence Index is 53.d'
[� Problematic Hydrophytic Vegetalion' {F�plai�r�
'lndicat�rs af hydroc scril arad wetland hydrolog�y ra'tust
b� pr�sen�, unless disturbed ar pr�blematic.
��iinitinns of Four Veg�tation Strafia:
TTee - Woody planis, ex�lud�ng vines, 3 in. (7.6 cm) or
more in d@a�mexer at breast height {�BH), regardless of
height.
Saplingl5hr�b-Waody plants, excluding uines, less
than 3 un. D�H and grea4er than 3.28 fit ('E m} talV.
lierh - All her�aceaus {non-waody) piants, tegardless
af size, and woody plants tess thac� 3.28 it tall.
Wo�dy vine - All wotsdy vines greater tk�an 3.28 ft in
height.
liydrophyrtic
V�geta4ion �
Frt�ent? Yes � No
Atlantic and Gulff Caastal Plain Region - VersiQra 2.0

SQIL
Praflle
t�4 the
Dept� Matrix
(inchesl Color {moistl 9'0
(� � —� � p,p'r �� f f `, c •
6 T ,_ � � ! � )" )�; �� �{ �'
�
+� U�' U �� T
r
��� ���
Samplinq Point:
Ch r�eeded to daaum�nt the indicaiflr �r confirm t�e ahsenca oi indicators.)
Red x Features
Color i�noist� % TY�e Lo Texture Remarks
� � � ✓�
, . '' P< � %� ` �. %��� �
`Type: C=Cancentra4ian, D�Depletinr�, RM=R�ecluced Matrix MS=Maskad 5and Grains
Ny�ric $oiU Inrlicafors: (Apq�licable to all LRRs, unless othsn�vise n4ted�j
Histosol (A1}
Histic Epipedor� (A2}
�I�c9c Hist3c (A3y
Hydrogen Sulfide (A4y
5tratified Layers �A5)
Or�anic BoQi2s �A6J {LRR F, T, Ub
5 cm Mucky Mimeral (A7} (�RFt P, T, U)
Muck �res�nce (A8} (�.RR 11)
9 er� C�AuCic (A9j {L'R9i F�, T}
�3epgeted Below Dark 5urface {A11)
T�ick �ark SurFace �Al2)
Coast Praine Redox (Ai6} �M�R/L 150A)
Sandy Mucky Mineral (SiJ {L92R d, Sj
�andy �teyed IWatrix (54)
5andy Redax (S5)
5t�ipped M�trix (S6)
�ark SurFace (S7'} (LRR P, S, T, U}
tractiv� Laye� (if observe�):
Type:
Depth {anches):
Remarks:
ZLocatian: PL-�ore L�ning, M=Matrix.
Indieakcses far'Problerroatic H'yd�ic Soil�':
�olyuafue Belaw Surface {58) (4.RR S, l', L7� � 3 cm Muck �A9) (LRR Oj
�hin Dark S�arFace (59) {lREi 8, T, Uy � 2 em NEuck (A10j (LRR S]
Loamy Mucky Muneral (F1) (LRR f7) _T❑-� R�duced Veriic (F18} (outside MCRA �50A,B}
Loamy G�eyed Matnx (F2y u P�edn^uont Floodptain 5oiJs (F19) {LRR P, S, T}
pepleted h+Yatrix (F3} � AriomaPaus Bright Loarny Svils (F2(D)
Redox Dar�c SurFace (Ffi) {MI�RA 153Bj
rc
Depleted Dark 5urface {F7) ❑ Red �arent M�terial (TF2)
ROCIOX D2�1�£S516f3S (�8y � Very Shallow Dark Surfface (1'F12j
Marl (F10j (LRI� U} � �ther {�xplain i�r Rernarks)
Qepleted �Ocfi�ric (F11y (IMLRA 751j
Qron-Manganes� Masses {F12} [�RR O, P, T} 'Indicators of hydropt�ytic �egetation and
llmbric Sur�ace (�13) (LRR P, T, U} wetland� hydrvlpgy m�st be pressnt,
[}elta �chric tF17} (N7�.RA � 5t] uRless disturbed �c pra�tersiatic.
Reduced Verti� (F18y (ML�A 15�OA, � a0�]
Paedtmont Ffoc�dplain Soils {F19) (MP�RA 149/�}
Anamelous �rrght Loamy Soils (F20) (lNLRA U43A, '�53C, 1�3Dj
.-
hlydrie 5oil Present? Yes '' Wo
US Army Corps of Engineers Atlantic and Gulf Coastal �'lain Fiegi4n - VersiQn 2�

W�'�LANC3 DETERIVIIMATI�N DA7A ��F�fill — Ai��nt"sc and Gulf Coastal P�ain �tegion V��„ �'�
ProjeCUSite: F� -��� L C�tylCounty: � r �• r. r,� r`} �arnpling C3ate: U���� !�'
Applicantr£]wner: St�te:� SamplingPaint; ��r�+��`�.'�� �
In�vestigator�s): � nr•= ��, �- ��:'i Section, 7ownship, �tanc�e:
i''��.� �
Landtorm (hil�slope, tercace, etc•j: _-� r 1�� L.c Local relief (wnca�re, can��z, none): l�f.h.K-- Slope (96): �_
Subregion (LRR or MLFL4}: ' ��, i6� La�: � �-1 . � A� ��� Lang: ` � i� . �tll,� �" Datum: I t- � �' "� + �I
Soil Map Unit Name: �nb Y ��G �' ��U(' ��'1� % r�� 5 NV+�'I classification:
Are Gimatin! hydrol�ogic conditions o� tFae sit� typical for this time of year� Yes ' hio (If na, explain in Remarks.}
Are Vegetatit�n , Soi9 , tsr hdydraVogy significantly �list�rbed? /`'7 Are "'�lorma4 Circumstances" pres�ent? Yes f Nn
Are Ve�etatiorr , Soil , or IHydralc�gy natvra�ly problematic? �',%' (9f �eeded, explain any ansuv�rs in Remarks.}
SUMIII�'ARY �QF FIt�CIIT�'GS — A�tach site rr�ag� showing samplir�g pQ�nt Iv�ations, tr�a�sects, ireiportant ie�tures, etc.
HydrophyCic Vegetation PresemY? Yes ��lo � �s �Q ���yp1$d Area
Hydric Soil Present? '�E� �4 w�th�r� a Wet[and?
Wetla�d Hydiology Present? Yes No �
Remarks:
f,j n,jCniP � -"C�D �1� �Rtr�, � '�N {� � a,+�r`', 1 f.� l%
Yes Mo �
H�IQR�LUGY
Wetlar�d Hydrology fndicatars: 5eco_nda Indi tors rr�inirnurn of fvrro re uYrsd
Primarw lndicators (min�mum of one is reau�red� check all #hat a Y � Su�fac� S4+1 Cracks (B6)
� Suriace V+later (A�) y❑—� Aquatic Fauna (B13) g Sparsely Vegetated Concave Surfaee (88J
Qp� High Water Table {F12J �1-�T Ma�4 Deposits (B15} (LR� U) � Dr�inage Pattems {61fl)
IJ Saturation (A3} 1� kiydrogers Sulfide ddor {�1) � h+loss Trim Lines (616)
� UVater Marks �B1J � Oxidiz�d Rhizos�heres alang Living Roots (C3j II ary-season Water Tabre (C2}
�Sed�men# Depvsits {B2) � Prese�ce of Reduced Iran (C4) � CTa�sh Burrotws (C$)
Drift �eposits �63j ��ecent Irar� Reduction in �il�ed 5csils (C6j � 5aturatioN �sible on Aeri�b Imagery (C9)
a A9gal N'Vat ar Crust {IB�t} 0 Thin Muck Surface (C7) � Ceomorphic Position {D2}
� 1ror� t�e�osi#s (B5} � Other (Explain iry Remas�{�s) II 5hallow Aquitard {�3�
�, 9nundati�n Vasible on Aeraal Imagery {67) � FA�-Ne�u��al �est (�3 r}
� Water-Stained teaves (��) � 5phagnum mas� (D8} (LRR T, ll}
Fietd Ota�ervatlons:
S�rtace Water Present? Yes No � aep4h (inches):
Water Table PT�sent7 Yes Na �}eptY� [inches): �
Saturation Present? Yes Ns�� Depth (inches}: Wetland Hydroio�gy Pres�nt? Ye� N�
includes ca i�la f�in e
Describe Recorded 'C�a#a (stream gauge, monitoring, we'll, aerial photos, pre�i�rus irwspections}, i# avai9ab9e:
Rer�sarks:
�Dg pn�s�y Corps oi Engineers Atlantic and Guff Coastal P6ain Regian � Version 2.4

IAEG�TAT�flN (Faur Stratay — lJse scien�ifc nam�es of plan#s.
' Ahsalute porruinar�t Indicator
Tnee Stratum �Plot size: �%{!' ' j °�6 �over S�reci�a7 _ Status _
T. �'���5 �o.Ltin- �J �'��r'�
2. i'� . p tn �� d, r� @:"�n/ e� It.-a ,� f;,.r_ %f% � I'� 1�-
3.
4.
5.
6.
7.
8.
':�. � Tvtal Cawer
5D96 c�f tatal caver. �� i ZO% of total cc�ver. �%
SaoGnalShrub Stratur�r {Plot size: �%�°7 � ( � �
1. � �:1.�,�r � '11 G ,ilA.t • � /w�_ ��%
2
3.
4.
5.
6.
7.
8.
."� = Tqt�l Co�er
2(�°�6 af tataV cover: ��
54°,6 of tatab couer: �
Herb 5tratum (P1ot size: .i�° I � )
1. �f5jk�! +N (:�,•,n Cb..�'G^
z.
3.
4.
5.
fi.
7.
8.
9.
10.
11.
'd 2.
Sampling Poirtt: ` y �'� �
Dnrmiraance Zest wprk�heet:
Number of Dominant Species ,� �
That Ar� c�BL, FACW, or FAC: "i (A}
�o4al Number Qf �ominant r
Species Across �111 Si�ata: L"� (B}
Pereent of �ominarut Species /�1��
That Are C7�L, FACW, or FAC: r (a,i�3
Prev�l�n�e Index wnrk�heet:
1 otal °% C�ueQ of: _ _M1A�Itigaq4_bv: -
OBL species x 'b =
FACW species x 2 =
FAC species x 3 =
FACII specles x 4 =
UPL species x 5 =
Column Totals: (Aj (Bj
Preualence Index = B!A =
II 1- Rapid Test �o� Hydsophytic Vegetation
,�,, 2 - F?omimance TesQ is >5Q%
� 3 - Pre�aler�ce 6ndex is �3.4'
a ProbBern�tic Hydrophytie Wegetatian' (Explain}
'Indicators of hydric soil and vvu�et6�nd hy��ology must
fJ �' ��� be present, �anless disturbed ar problematic.
De#inutoons of Four Il�getatio� Strata:
� = Tatal Cover
50°fm af total r.t�ver. S 20°% of t9tal co+�rar: Z
Wood Vine Strat�am (Pfot size: j
1.
z.
s.
a.
s.
5Q9'a mf tc�tal co�er:
morphal�gical adaptatio
='�otal CoWer
209b of tata� co�rer:
Tree — Woodp plants, exctud�ing yines, 3 dn. (7.6 cm) qr
mar� i� diarneter at breast height ([3�H), regardless ofi
height.
5a��inglShru6 Q 1Noody plan4s, excl�uding vines, less
thare 3 in. [78�1 �nd greater tharu 3.28 fC (1 m) tall.
Herb—All herdaceous (nvn-woody] plants, regardless
of size, anc9 woody p{ants less than 3:28 ft tall.
Woody �ine —All wvody vines greater 4han 3.28 R in
height.
F�yr�rophyttc
Wegetatiae� J
�resent? Yes No
US Arrny Carps of €ngineers Atlankic an�i Gulf CoastaQ P1ain Region — Version 2.0

�� �
Sam�Bin� Point: ���'�
Pro6ile �escripti[�n: (Desc�ibe to the depth neede� t,� dncument the indicator crr c+�nfirm the absence Qf indicators.)
[]epth Nlatrix Redox Feaiures
iinchesl Cmlor fmsaist} 95 Colcar (mnistl % �� �.�� Te ure Rernarks
�}' f 1"+ l�c,r t� �i� ('
`Type° C=Coracentration D=Dep�etiv�o RM�Reduced �Yatrix NiS=Masked Sand Grains. ZL�cativn: PL=�oee Linira , M=Mat�ix.
FBycBric Sai4 Bndicatars; (Ap�licabls to aBl LRRs, �nless otheruvise noted.) Indlcators for Prv6le�atic Hycirac Sm�ls':
� Histosol (A1) ,I[� Pofy�alue Below Sur#ace (S8] (LRR S, T, U) � 1 cm 6Nuck (A9) (LRR O}
�HiStiC Epipedon (A2} Thin �ark Surface (89} (LR'R S, T, U) � 2 cm MuCk (A1 D) �LItR S)
Blaclt Histic (A3} ��oamy M1Aucky Muneral (F1) (�R1i O) Reduced Vertic (F18) (outsode MLRA �aOA,B)
�] F�ydrogen S�lfd'2 (A4) ,Q Loamy Gleysd Ma�rix (F2J ��I Piedmont Floodpiain Soims (F19) (LI�R P, S, T]
�Stratified Laqers (A,) Dep9eted Matrux (�3j LJ Anorrtalous Bright Loamy SoVls (F20)
Org;�nic 8odies (A6) (LRR P, T, UJ � Redox Dark Surface (�6) (MLRA 1538}
D 5 em Nlucky �ulineral (A7} (CRR P, T, lJ) Depleted Dark Surface {F7� T�—I Red Parent Mate�ial (TF2}
� Muck Presence {A$) (LR� Uj � Redox �epressians (FB) LJ Ver�r Shallow Dark Surface (TF12)
� 9 cm Muck {P,9j �LR� R, T} II Mar� {�10) (LRR U} � Other (F.�cplain in Remarks}
II Depleted Belpw aark Surface (A11} � oepleted �chric (�11} (M1�l�A 15i}
��hiek �ark Surface (Al2} � Iron-Manganese Masses (F'�2j (LRR O, P, Tb 'Indica#ors a�f hydrophytic vegetation a�nd
�Coast Prairie Redox (A16) (N1LRA 1�C1A) �] Llmbric Su�face �F13) {L�iR �P, T, Uj vv�eiland �ydralagy must be present,
Sandy Mueky Mineral {S1) (lkiR O, S) � Delta dchric {F17} (MLRA 151y uraless disturhed oc probfem�tic.
� Sandy Gleyed Matrix (S4) ,�' Reduced Vertic {F98j (1UILRA �50A, 1506)
�S�ndy Redox {S5y Piedmont Flc�odplain Soils (F19j 4MLRA 149Aj
Strfpped Matrix (S6) � Anvm�lous Bright Loamy St�i�s (F2Q} (MCRA 145A, 153C, 753DJ
�] Dark Surf�Ce (S7} (ILitR P, 5, T, U)
�iestrict�ve �ayer (ii a6servedJ:
Type:
Depth {�nches):
Remarks:
/
Hydric Soil IPneseni? Ye� No �
U$ qrmy Cor�ps of Engineers Atlantic and Gulf Coastal PYain Region — Version 2,�