20061119 Ver 1_Individual_20060712

E'nV 3764 Rominger Road
FJ'1V11'n11~ C011S~1~11'1g .SeMC@S ~I'1C. Ph/Fax: [phone]
www.env-ecs.com
July 5, 2006
Steve Chapin
Asheville Regulatory Field Office ,' ~ ~ ~~' ~' '! 1 1
US Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, North Carolina 28801-5006
RE: Raymond Von Drehle Stream & Wetland Permit Application Package
Enclosed please find a formal wetland and stream Individual Permit application package
for the proposed Von Drehle lake construction project within Catawba County, North
Carolina. This project will involve the construction of an earthen dam and impoundment
of an approx 1-acre lake along 471-feet of an unnamed tributary of Falling Creek. E'nV
Environmental Consulting Services, Inc. developed this application on behalf of
Raymond Von Drehle. Please review and consider our permit application. As you need
further information, we can be reached anytime at the above contact information.
Sincerely,
E'nV E 'ronmenta~l Consulting Services Inc.
J Vilas
President
CC: Mr. Ron Linville
Ms. Cindy Karoly
d ~~~~~ ,}
OQ~

r

n ~.
- !'t 9 ~ .! ~*t
404/401 INDIVIDUAL PERMIT APPLICATION
for:
Raymond Von Drehle Proposed 1-Acre Lake
11.91-Acre Tract
CATAWBA COUNTY, NORTH CAROLINA
L~
Prepared for: wE~..a~,G~ w~~, ~;r; :a~v~~,, r~-a ~3P.a~c,~,
Raymond Von Drehle
1010 43rd AV NE
HICKORY, NORTH CAROLINA 28601
Prepared by:
E'nV Environmental Consulting Services, Inc.
3764 ROMINGER ROAD
BANNER ELK, NORTH CAROLINA 28604
JULY 5, 2006

APPLICATION FOR DEPARTMENT OF THE ARMY PERMIT OMB APPROVAL NO. 0710-0003
(33 CFR 325/ Expires December 31 2004
The Public burden for this collection of information is ssstimatsd to average 10 hours per response, akhough the majorky of applications should require
5 hours or less. This includes the rims for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and revlewirq the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarten Service Directorate of Information
Operations and Reports, 1215 .leffsrson Davis Highway, Suite 1204, Arlington, VA 22202-4302; and to the Office of Management and Budget,
Paperwork Reduction Project (0710-0003-, Washington, DC 20603. Respondents should be aware that notwithstanding any other provision of law,
ro person ahaq be subject to any penalty for failing to comply with a eolleetion of information if it does not display a currently valid OMB control
number. Please DO NOT RETURN your form to either of those addresses. Completed applications must be submitted to the District Engineer having
jurisdiction owr the location of the proposed activity.
PRIVACY ACT STATEMENT
Authorities: Riwn and Harbors Act, Section 10, 33 USC 403; Clean Water Act, Section 404, 33 USC 1344; Marine Protactbn ,Research and
Sanctuaries Act, 33 USC 1413, Section 103. Principal Purpose: Information provided on this form will be used in evaluating the application for a
permit. Routine Uses: This information may be shared with the Depsrtment of Justice and other federal, state, and local gowrnmsnt sgencies.
Subnrisaion of regwsted information is volunUry, however, if information is not provided the permit application cannot bs evaluated nor can a permk
be issued.
One set of original drawings or good reproducible copies which show the location end character of the proposed activity must be attached to this
application (see sample drawings and instructions) and bs submitted to the District Engineer having jurisdicton owr the bcation of the proposed
activity. An application that is not completed in full wiU be returned.
__ //TFYC 1 TWO/ / A Tn OL Sri , ~n o .....
1. APPLICATION N0. I2. FIELD OFFICE CODE 3. DATE RECEIVED
4. DATE APPLICATION COMPLETED
/!TENS BELOW Tn RF cu / cn av IIDD/ /r w.m
5. APPLICANT'S NAME 8. AUTHORIZED AGENT'S NAME AND TITLE Ian a
e
t i
i

Raymond von Drehle g
n
s not repu
redl
6. APPLICANT'S ADDRESS 9. AGENT'S ADDRESS
1010 43rd AV NE
Hickory, 28601
7.. A ICANT'S PHONE NOS. WlAREA CODE 10. AGENT'S PHONE NOS. W/AREA CODE
a. Residence 8 2 8, 3 0 2. 3 6 7 4 a. Residence
b. Business $ 2 $ , 3 2 2.18 0 5 I b. Business
> > ~ STATEMENT OF AUTHORIZATION
1 hereby authorize, to act in my behalf as my agent in the processing of this application and to
furnish, upon request, supplemental information in support of this permit application.
APPLICANT'S SIGNATURE DATE
NAME, LOCATION AND DESCRIPTION OF PROJECT OR ACTIVITY
12. PROJECT NAME OR TITLE Isee mstrucnons
vonDrehle
13. NAME OF WATERBODY. IF KNOWN rt,,,,,r;,,.irP: 114. PROJECT STREET ADDRESS ~;t eppiicsb/el
Unnamed tributary-Falling Creek
15. LOCATION OF PROJECT
Catawba North Carolina
1010 43rd AV NE
Hickory, 28601
COUNTY STATE
?6. OTHER LOCATION DESCRIPTIONS, IF KNOWN, iseeinstructionsl
BETHLEHEM USGS TOPO QUAD 350 47' 17"N 810 18'6"N, Hickory Township
17, DIRECTIONS TO THE SITE
North through Hickory on Center St (SR 127), turn right onto Cloniger Mill Rd NE before
crossing Lake Hickory. Turn left onto 16th St NE, then left onto 43rd AV NE.
EDITION OF FEB 94 IS OBSOLETE. (Proponent: CECW-OR)

ze•d ~elol
ococa ioa--e p, z
This project will iitvolv~e the o~str~ci~ of an aart2~cn dam sod ieipouadment of an approx
1-acre lake along X71-feet o! art ttttttaaed tributary of Palling t_reek_ The height anH
itnpounement capacity of the dam has been designed and sised below, the threshold of Dam Safety
I,av of 1967. {see 82ock 18 Addendum)
19. PtOjerlP-~Ogaei~rr~rr+~~rtr.r~~4r~w~iwraw.~ '
The project has been proposed to preside supplemental eater for a geot2leataal tLeaCittg system
etoplo~red at the vottDrehle reside'ace !opted oa the property. This system detneuad ssxeeds
cursrat well capacity- (xe Hivck 19 Addend~l
of ~
Tn_ ter argea.s.
Ali lili material to be permanently placed in or over testers of the US is associated with
construction of the eastbea dam. _ _ ..._ __-.
21. TtoaisT at sdtmid 9eietl ~e11pM pd tlr /M~eoett at Hd1 Tvw in G~hie 1/er~ds
pill taterial will include clean clay-dominated Pt~ttesial,~as, availab~14._t~ae uplands located on
the property. The dam will raquira app~C'oximately 15 cubic yasde of material placed below ORi11.
2!. Sur/ere /lees in Teas N tlYetle~it a< Otlnr 1Maeere R*s0 a....narw
Z4be total area of jurisdsctionai raters to be impacted by fill is 96-l.iriear feet ~f Z11'-E'C_ Aq
additional 375' of the stream and 670-sq.it. Of wetland .ill be subaequentlY inundated. -
.,33. bti Aegr il~rren of Mee work Mre.atr Cotweiw.~ Yee ~ Wo a Iris. oESCJ1IBE 711E CoM/LSrfu erase
No work on this project has been ooa~sleted.
u. AOdress~ et a~0 tygpRa p~,t lsReee. Ece.. ~ Rpntty Adjoi~is ~ ~1M1wil- gf stem tlms pe M .nmrsd here,
rinse aWc~ a ism.
There are a total of 21 adjacent properties. ?hese are listed is Appendix A_
2b_ ibt of 0!Mur CeriFss6p~s a APw lleoiesd trenl •Mtr FeAmaR 9leM a teeM ~Oatolee fer Ntaek OeeerMd m YKe Aopkeion.
-rrw~w e~eemr nut s net do ~, b~eq ass Aae6 afsw P
20. Ilopl~etien k heresy amd. tv a Permit a^ n.rmNS m aurtarba em wrork aesais.s:, errs epsGetisn. 1 ~v Mat tlw wfonewow w Min
appiaeiew t: eaeapleee aer eonpte. 1 tertlur cyrafy Aret I Peems Mae sud~srity eo MtirM4 d4 wwrt dern>tied MhA or app aatip ee ~
deed s,e of ~Raet
'? 3 ~ (o
7ull~ of ~rtilr~tltr a~-7>< 9lalu7ulr # „~ e~7e
n+• ePai~.ao.w ~ w dvwd by dre ParWw roe e7erigi N vMer+.ra ~ PrMeeea az{Mp- NpPiceeM x it nMy to s~gted str ~ a+v
a~.d spent if ew staeerwews rA !leak t t hee been t~7es err eM s+~ed. .
tS U.S.C. soon '~01 provides dint Yllheer~er, in urll sprees rrplin ~s i~CYMi e/ aey dtemreeiaR ar aQengr ei ee Uadlid gates
Isawiapiy sad wiN1eM!- teleiips. aq+asale. p ores 1q enI ~. selmse, or ditgess a reeeriel hC[ of le>tei MI- tie. er
ir«rdtdrrt adMmrres ar iepresantade~ w wnfas et omet ary ta1N weiWp M degMrent Mewilp tawu d eoni`r1 sny (she. is v
steoemerrec ar every, shell se tird not apex. ttio 410.000 at ie~riceeed rot aron Mme tlwa r~s ar 6sM-. .

ADDENDUM
Block 18
The project is located on UT-Falling Creek approximately 1000 feet above Lake Hickory.
The lake will be constructed at the edge of a sloping grassed yard. UT-Falling Creek
currently flows through a forested corridor adjacent to the grassed yard. Mature trees
will surround the proposed lake on three sides. The existing channel is stable on the
upper reaches of the proposed lake but becomes incised with several areas of severe bank
erosion along the lower section. The proposed dam will be approximately 14 feet in
height with an impoundment volume of less than 4 acre feet.
Block 19
The geothermal system requires a water depth of 12 feet. The lake will also serve to
provide recreational values to the property including fishing and swimming. The
applicant intends to stock the pond with several varieties of native sport fish..
Block 20
The proposed lake is a water dependent use and cannot be constructed without the
placement of fill for the dam and outlet structure. Approximately 96 linear feet of UT-
Falling Creek will be impacted by fill to be discharged for the proposed dam. All the
remaining impacts with this project will be associated with the filling of the lake and will
be flooding impacts.
Block 22
The total area of jurisdictional waters filled by this project will be 0.007 acres. All
remaining impacts will be associated with inundation.
AVOIDANCE AND MINIMIZATION
The applicant desires a lake in his backyard for the purpose of providing water for a
geothermal heating and cooling system previously installed on the property. The system
currently uses a well for this purpose but the well has failed to provide needed capacity in
recent years. The lake will also provide recreational, aesthetic, and habitat values to the
property
The option of constructing an off-line pond was explored in an effort to reduce impacts
but the topography of the site would have created an excessively steep slope from the
existing yard down to the pond.
The option of constructing a smaller pond was also explored. This would have
substantially reduced the depth of the lake, adversely affecting the geothermal function of
the pond. This option would also reduce the other desired values sought by the applicant,
most specifically the recreational and aesthetic values.
Following analysis of these alternatives, it has been determined that there are no
remaining practical alternatives available that are capable of achieving the desired project
goals. It is therefore concluded that the proposed project and associated impacts
represent the least impacting practicable alternative for the applicant.
Von Drehle Permit Application E'nV ECS, Inc

MITIGATION PLAN
Impacts associated with the proposed project will be approximately 96 linear feet of fill
impact to UT-Falling Creek, 375 l.f. of flooding impact to UT-Falling Creek, and 670
sq.ft. of flooding impact to adjacent riparian and spring seep wetlands.
On-site options for mitigation were explored but could not be adequately developed. The
existing topography and property boundary constraints preclude stream relocation and
there are not sufficient restoration or enhancement options on-site.
An off-site location for mitigation has been found at the Cline Plantation Subdivision.
This site is located in the Catawba River basin approximately 5 miles from the Von
Drehle site. The Cline stream was originally permitted (USAGE Action ID #200330235)
in December 2002 (attached). The Cline project is a priority-one restoration of a small
perennial stream UT-Clines Creek. During the winter of 2005, approximately 500 linear
feet of the 1200 linear feet permitted was constructed. This amount satisfied the
mitigation requirement for previous impacts at the Cline site.
To provide mitigation for the Von Drehle project impacts, the stream at the Cline
Plantation Subdivision will be extended approximately 570 linear feet to complete the
original Cline project as permitted. All conditions of the original permit will be followed
including long tern monitoring. The attached mitigation plan (Figure 7) shows the
original Cline project with the section completed in 2005 indicated.
Von Drehle Permit Application E'nV ECS, Inc

Figure 1. Vicinity Map for Von Drehle
* Approximate location of VonDrehle property within Catawba County, NC
Von Drehle Permit Application E'nV ECS, Inc

Figure 2. Topo Map & 1998 Aerial
~ '~
~...____
~_..~
i;
~~; l
~.
i; ~ ~ ~„'
_ ( i
~` ~
e ~ ` ~ ~~ ~ . ~ ~~~
~~ `~ E ~ x. 'rrf
~~
~ ~ t ~ i ''`....
i ~ r! ~'~ r..._
,~
~_ ~ ~~ t
Approx location of impact
Bethlehem USGS Topo
Not to Scale
'Z,~ l' `
~-
`'
,.:`
ti~~
1~
~ it
-~ •
~, { ~
.__ ' ~ ~~ •
i
Owner: Raymond VonDrehle
Parcel ID: 371408894861
Address: 1010 43~d AV NE
City: Hickory, 28601
Acreage: 11.91
Von Drehle Permit Application E'nV ECS, Inc

Figure 3. VonDrehle Site Map
/ - -.~ i
~ J
i
~ U U = ''
~ Q ~ ~ ~ ~ ~ i
~ + 41
~ ~° r' ~ //
f,,m -~- - -1 li. U :.. ~
~f~j ~ ~~. -. ~ ~«
i
' a ~ m
! ~ 'r ~ l g

=-- ~~ ~,,
=- ~--~-_
-- -= it ,`
.,
! jJ i.
-~~ ~,~ ~`
!; ~ ,~j~
~,.~~ ,
// , ~/
/ %~~ 1 ~ y
,~
u
,,. :C G
~~~ U ~ /
,,
;j~ ( ~ ~ ~ j
.+ ~
v C o c«, 4.
M Si N V7
~ ~ ~ _
~' ~ ' , w~ ~M .3333
~ ' ~~~. ~ cz. ~ r~. . ~ cL rte. cJ.. c-. =
t 1 j F b E-- ~ E=- H E=- Fr
'; ~; cn= cn= 3~===
Von Drehle Permit Application E'nV ECS, Inc

Figure 4. VonDrehle Photo Sheet 1
.::# ~-~
~~~'~ t
Above: Location of dam and lake site
proposed on VonDrehle property.
Von Drehle Permit Application E'nV ECS, Inc
Above: Small wetland (UT-FC W 1)
located along unnamed tributary of Falling
Creek near VonDrehle property boundary.
Above: Proposed lake site is located
within mature forest with thick understory
and herbaceous community.
Above: Severe bank erosion and stream
incision along UT-FC.

Figure 5. VonDrehle Photo Sheet 2
.. ,.
~w~
,. .
~:
Von Drehle Permit Application E'nV ECS, Inc
Above: Stream channel of
UT-FC at property boundary
and upper reach of inundation.
Above: Vegetated corridor of
UT-FC at confluence of UT-
FC W3.
Above: Stream channel at
location of proposed dam. Area
to be filled during construction
of earthen dam.
Above: Close-up of streambed
display USDA texture diversity
and moderate silt deposition.

Figure 6. Von Drehle Mitigation Location
Newton USGS, Catawba County, North Carolina
~. ~y r
(12~~ ~~~
,. ~ ~ ~
~ f;
NoNh Hickory ~~~ - `;~"~.
c
~, KOiN Puk Rd ~, Sprrge Rd Ne
28tH Ave Ne $ ~ SL Sl~phens
C •`~ ~ Cq~
a y
''S~
c o,~
r
~`9^~t ~ tt~nwrn Bunch
2a j~Av+Pia n
~,, ~ ~~
~ ~ ~'a,
x R ~ ,A
Siy o ~ `eP l 'ova 8jre ~ o
~~.
?005 Ma tweet, Inc . ~ 2045 Tele
j fF
~w 1 ~.~:ai ..,. .

~'~' c-..«,w
.~
t~ t4
Von Drehle Permit Application E'nV ECS, Inc

Figure 7.
L
rl
M.
K,
~..~
V
f
O
• ^~
~~
t~
O
r~~
w
YY~
I^
O
.wr
.w5~
/~
a~
0
a
0
a
a~
a~
(^~l
1~~1
i~
I
3
a~
a.
d
r
/J
L '~
v;
e
:J X
C
n ~-
. ~
7 G
~~
1,
~ C
0
~" f 7
O r~
ir, 7
.J
Y. !~
t`~. G.
G
C J

Von Drehle Permit Application E'nV ECS, Inc

Appendix A. Adjacent Land Owners to Von Drehle Property
PARCEL ID ADDRESS
OWNER NAME CITY, STATE ZIP
STREET
371520809072 HEDRICK, BRYCE ERVIN 1061 REMINGTON DR HICKORY, NC 28601
371408993382 TAYLOR, CRAIG & KRISTIN 4035 16`~ ST NE HICKORY, NC 28601
371408992125 KAMP, GERALD & ELIANOR 4005 165h ST NE HICKORY, NC 28601
371408980996 GRANGER, THOMAS & p.0. BOX 135 HICKORY
NC 28603
KELLY ,
371408894015 BURTON, WILLIAM & p,0. BOX 2576 HICKORY
NC 28603
JUDITH ,
371408891130 CHANG, YANG 1011 CLO
N
IN~ER MILL HICKORY, NC 28601
D
R
371408799147 HAHN, GEORGE 951 CLON
IN
ER MILL
G HICKORY, NC 28601
l`
~
~
371408798344 LINNEY, VINCENT & 948 4155 AV DR NE HICKORY
NC 28601
CYNTHIA ,
371408797482 TEAGUE, HAL P.O. BOX 505 HICKORY, NC 28630
371408797610 CITY OF HICKORY P.O. BOX 398 HICKORY, NC 28603
371408797724 HULL, JOHN 1015 85n ST LN NW HICKORY, NC 28601
371408798668 MEANS, BETTY 4202 10~' ST PL NE HICKORY, NC 28601
371408890783 LANKEWICZ, CATHERINE 4208 105h ST PL NE HICKORY, NC 28601
371408891803 CHUN, JAMES & SADAKO 4214 105h ST PL NE HICKORY, NC 28601
371408891933 STONE, FRANCES MARIE 4220 105h ST PL NE HICKORY
NC 28601
MILLER ,
371408798668 HC CLINE BUILDING & 10 5`~ ST SW HICKORY
NC 28602
SUPPLY CO ,
Von Drehle Permit Application E'nV ECS, Inc

PARCEL ID OWNER NAME ADDRESS CITY, STATE ZIP
STREET
371520801063 SCOTT, CAROL 4226 10`x' ST PL NE HICKORY, NC 28601
371520801194 MEIER, DAVID & SHARI 4232 10~' ST PL NE HICKORY, NC 28601
371520804357 KERLEY, JOSEPH & JEANNA 964 44't' AV CT NE HICKORY, NC 28601
371520805386 HAYES, GREGORY &
KIMBERLY p,0. BOX 4 HICKORY, NC 28603
37152080857 HELTON, VIVIAN P.O. BOX 9126 HICKORY, NC 28603
Von Drehle Permit Application E'nV ECS, Inc

WETLAND DELINEATION DATA FnRM
Pro'ect/5ite: ~t'e« Date- -
A - nt/~O~vner. sue. Coon - ~ ~ 4~,,.. rt
Iav ators: ~ G C.__ State:
weWna w
Comm I.D.: U'C- ~ Ptht LD.:.v i t= t:.. t-•~ LD.: + Plot LD : v'f r .y-L W
Do normal cinarnurt~ces on the site? i..: Do rmnnal circur~oes exist on the site? ~(
Si ificairt di~nhance ( ical situation ? N Si ificaot disarrbaace ( ical sitrratiar ? PJ
is this a - lean area? TS this a lan area9
V etatioa v t;~
Dominants 'es Stratum ' 'lndieator DootiBant Stntam Indicator

2 - 'C4 ~ o '~a
3 ~
~ ~ r ~
4 ....S (bt ~vx.
5
6
7
8
Percent of darniaaus OBL, FACW or FAC ? ~ J ~ Peireeat of dpninaots OBC; F. na F~ 1~ - i "G% F~
Remarks: Remarks:
H d H drol
i' field Observations: Depth of Surface Watea_ L { (in.)
Depth to Flee Water_C (~ in.)
th to Saturated Soil
(m•) Feld 066a~vatioas: Depth a~f Surface Water
Delrth to Free Water

Depth to Saturated Soil (in.)
(in.)

(inJ
Pri Indicators Indicators Indicators le dieators
Inundated -_ Oxidiacd Rh" hnndaMd "died Rh'
Saturated Q2" warner-stained leaves Saturated <l2" water-stained leaves
Water Marks Local soil surv data Warner Males Local soil sure data
Sed®errt its FAC-nartral test Sodiment AC-neutral test
Patterns
Remarks:
+~, \ Other (Remarks

~j~ Patterns Other (Remarks

Remarks- :1.- ~'`-e_~- '7~ `\'~

~f ~i. ~-~~,,
Soils Soils
Soil Ma Unit Name: Sal UaN Nape:
Profile tioa: p~ -
Depth Matrix Mottle Depth Matrix Mottle
inches. Horizoa Color Cdors Texture mches. Hordon Cdor Colors Tex
6- ru';;t I D - c~7~r
~- a~ e

H Soil Indicators "e Soil Indieators
Histasol Conc ~ior~s Histosol
Conaetiau~s
Histic E ' Cort6ent Histic is Content sand
Sulfidic Odor
"
' 'c streakin ) Sulfidic Odor .e
A
c Moisture R
me Local "Sons List Moisture Loe~l dric Soils Liu
Conditions -c SoOs Lixt R - Cooditiaos National So7s List
Gl or I.ow-Cht~oma Other pnuks) G or Low-Chroma Othrr (Remarks)
Remarks: .~', ; ~ ~ : w ~,~ - Remarlts: ~ ~+
_ ~-, L

Wetland Determination WNlaad Determiaatioo
'c Ve - Preset? +. f I{ - y - pt,~~ k
weuand Present? walard Present? K
H dric Soils Present? H - Soils PresenC!
Is this Sara Point Within a W B this Point Within a Welland? ~{
Remarks: ~+M9y`•, -`,~~-~='Iq, _.€~ ~,e ~c (°° Renar,~: t ; t~+~,r'- ~ ~~„ ~ ,~.,k ~<~G, - r)

,~

_ - - ~.
USACE AID# I~WQ # Sitc # (',indicate on attached map)
;,~,; STREAM QUALITY ASSESSMENT ~YORKSHEET '`'
~rrg .
Pro~~idc the follo~r-ing information or the stream reach nder assessment: -
/'
1. Applicant-s name: ~~ ~~ ~~~ 2. Evaluator's name: J
3. bate of evaluation: 3 ' ~ ~ ^ D~ _ -l. Mime of evaluation:
5. Name of stream: ~T` ~ ~~ ? n ~~ ~~ 6. River basin: +~~'~~~t~'~»~ +'~'
7..~~pproximate drainage area: ~ d " ~ ~ ~ S. Stream order:
9. Length of reach evaluated: ~' ~©~ 1t}. County: t ~--'~`~'~''~~
11. Site coordinates (if known): prefer in decimal deRrces.
s ~ ~ 7 ' ~ 7 "1+/
Latitude (eti. X4.872312):
12. Subdivision name (if any}:
Longitude (es. -77.556611)
~~ ~!~~'.
M _ /
Method location determined (circle): GPS Ortho (Aerial) Yhoto.~GIS Other G1S Other
13. Location of reach under e~°aluatian mote nearby roads and landmarks and attaach trap identifyeing a-trearn(s ~ l~cati~n):~
1-t. Proposed channel work (if any:r. ~~
1 >. Recent weather conditions: / ~, u ,,~ r3
1G. Site conditions at time of visi
17. Identil~~ any special watena~ay classifications known: Section 10 _"tidal Waters -Essential Fisheries fIabitat ~~~55
-Trout Waters -Outstanding Resource Waters _ Nutrient Sensitive Waters -Water Supply Watershed (1-I V)
t8. Is there a pond or lake located upstream of the evaluation paint? YES ~If yes. estimate the t~~ater s-ttrface area:
l9. Does channel appear an I1SGS quyad map? YF~£._._~'' 20. Does channel appear on USI3A Soil Sw-~~ey'? YI?S N(7 _
2!. Estimated watershed ]and use: > ~% Residential % Cozmnercial ~_`fo Industrial
Forested % Cleared l Logged % Other t____
}
32. Bat~full Width: ~ 3 _ 23. Bank height (from bed to top of bank):
%, Agricultural
2-1. Channel slope do~~n center of stream: plat (0 to 2°l°) MMGentle {"2 to 4%) -Moderate (4 to 10%) -Steep (>l0'%)
25. Channel sinuosity: Straight -Occasional bends ~^Frequent meander -Very sinuous -Braided channel
Instructions for completion of u°orksheet (located on page 2): Begin b~° determining the mast appropriate ecoregian based on
]vcation, terrain, vegetation, stream classification, etc. lover}- characteristic must be seared using the same ecoregion. Assign paints
to each characteristic within the range shotam far the ecorcgian_ Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic i:atutot be evaluated due to site or weather eanchtians, enter tJ nt the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a lorest), the stream may be divided into smaller reaches that display more continuity, and a separate fornt used to evaluate each
reach. 77te total score assigned to a stream reach must range berivicen 0 and 100, with a scare of 100 representing a stream of the
highest quality.
Total Score (from reverse): ~~ Comments: V Q ,~-~C.T e~-~'
E~~aluator's Signature Date ~ ' .~ ~ - ~
This channel evaluation form is intended to be used only as a guide to assist landowners and en~•ironmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Fonn stthjcct to •change -version 06/0. Tv Continent. please call 919-R76-R4~! 1 x 2G.

STREAM QUALITY ASSESSMENT WORKSHEET
~_
k ry
I''" ;.
`r
F
!.

ry
1~
~
I t Prescncc Of flti~i / pCrStSti'nt ElOU~S In StreanZ ~}
,
~ - ~ ~ i) - ~
S (t.
'"~
lnc, t1ol~ or sz~turtlticm = f1; strong #low~ -= may points3
--~ Et -denre of past httmatt alteration ~; _ ~ (~ ~ ~ ~ t) - y 3

~ ~C~tl.rltiL~'~ dllCri9tkHl = ~): rlO alteration = iT1aX ktlintS~

-
_
--Riparian zone Q ~ ~ ~ ,~ ,# ty _ ~
2
'
i i no t}uff~:t i} c~~ntiguaits. w~i~e bt~ller = ~nax rots} _
:l Eridenceotnatrientarchemecatclischar~es c~_5 [)-4 t)--t ~ '?~,
' {extensi~-e disvhar as = t?;rut dix hams = max~xaixits) { } ~ ~
Groundriattr discharge ~ ! , t
f
} (nE~ di~~l~arge - U ;pang,, scep~+ ~~etlanel4. etc _ Itta~: potnts~ ~

~~ - -
Presence of adjacent floadplain
'
' _
--- --~
~ ~ L
ti _ ~ i
~ ~
t? - 2
I Z -
S
lt?ck3plvtn = nia:~ p~3ntsl
toisdt~l~iin = (f: e~tensi~v f
tno f ~
;_~ ~ _ .
_
Entrebchtnent 111uodplain access ~
~ _
t) -~ !
t7--t ~
~J-~
_ -T ~de~critrenched = t); frequent l1c?~,du ~ = nia:~ pointsi
- i
~ Presence et€as}acettt ~ret(ands
~ ~ ~ - fil` t;-,_- ~ ,=~
p •~~ f _ ~ i
'~ no wetlands = 0• lar ,e acl~acent wetlaruis = may pointtij ~
t ~ ~ -_-.}1-t
~
' ,
~ Ghanne3 sinuosity t ft - 5 } (1 _ ~ ~ c? - 3 ? `~ I
'
~ (extensive channeiization = t); naiural meander = max paints) ~ ~ - I ~
--~
'-
_
y ~ -
Sectimegt input
(1-5 ~
i3=4 ~ ~
I I
t?--t `'~
t i
t extensii ~ ~lepo~ition- U; little or rro sedimtvni = mus paintsl~ ~
lP ~ 5irc & dis er5ih' of channel: bed substrate ~
~ ~ x'# ~} _ ~ ~ ~ _ ,, .~
} [._]S3C hOn]c2 ~C.}lOtti =~; l~r e~ dl~`crs~ SJlE~ = rTlaa 6ll]LS ~ --- -- --
-.__ _. -~

Ps id~nce of channel itirisien or ~v iden~ng

tde Is u~~„ed = U; stable bed ~, hanks= max amts'?
r
,)-~. .

(i_:f ~~_
-- _~J
1 _~•' Presence of major bank faiinres
sii,rt_ stable bank = max lxfints? ~
Ise~'ere erosion ~ t>: rn~ erI> , _ . _
` ' ~
" _
~ Root depth and density on banks
ono ~ is~ble rc?<~t5 = U dense roots throughout = mat puilats) j O - 3
I ~ U _ ~ ~ y _ ~ ~ j
~ +
_

_ _`
- -
I
Impact br agriculture lix•estock, or tinirber prc-duction ~`~`..

~ ~~_._~--

!
----
~ --- -
~ _
~ ~ ~

- }
till~St~IItttit il2~) Ill ~1: Tln L"Y"idE'T3CC = 7~17c EkFYfL; --- ~ ^----- --a
~
I
~PCCSCnfC n~ ff#fle-jfOQt/r1~A~G-~OO~ Ct1111p1C?~CS i
t r
~ t7 ~
fno rifi"lc ~:h-ippleJ ~,r p<~„iti = t}: will-developed = it3t~ pc~ints) ~ _ ( _;
(_ ~ Habitat complecit.- ~ is C~ ~
t)-fi ,."-
i ~-1~

~

-
' t little or I1P l~bitat = (#; frequent ~°aricd habitats = tna;~ p4inL5)
Canvlt~~ chti'crage oc~cr stre~ambed

~ nc~ shaduIe eegetation = ~; c-onlinuous canopy _ max _tminta}
t ~

l
t)-5

~
i7-5 *
__
~
(t-~ '~` j
~ ~ • .~ ,
~"

l~ r
Substrate emt~eddcdness
ueepl~~ C,itbedded= ~: ~EX)sV' S1rtIChIi'c` Inrij_ _~ ~
, ~~
, ~-~ _-_
- ~ i
~_~ ~ ~~

,,,,,
Presence of str~ am invertebrates f sec page 4)
11 - ~ a
O - ~ ~
~) ~
~

tnc~ ~ t`ICl4'I1Gt' = t3; coniltlan, nunlerc,uti t~ txs - tna~ paints} ~
-~
y 21 Presence of amphibians ~
(no ~ vidence - t~, common: t~iam~~ravs ty ~ = may rots) ~
_ "
~ _ q
^'.
_

..i Presence of fish

a tno evldenct = t3; c„mmon_ numerous types = nta_x pouris) _

tl -~ q - =# ~
l
~~
{? - =~
~ ~
E~ idencc o#'svikitifc use ~
i ,.~ et-idciice _ [); ai~iutdant evident tri'3~ paint ~ , f

]:~, K it ~ ;~ '~S~F'T-, 4 l l _
~ ~ r p'' ~r ~R
h~~~ K~'Y
~~~~ yrr. h
# These characteristics are not assessed in coastal streams.
'~ #- r~ ~ ,may G~1~
t~
2

t JS/1CF ~IIT)#_ DWQ # Sitc # (indicate on attached map)
STREAM (QUALITY ASSESSMENT V~'C?RKSHEET ="~
.~
~.
Provide the following information for the tr am reach under assessment:
1. 1\pplicant"s name: ~ y~6r~ ~~~ 2. Evaluator's name: ~ `~
3. I~atc of evaluation: ~ - 1 ~ ' ~ ~ ~1. Time of evaluation:
5. 1`lantc of stream: t 1 ~ ~ ~~~` . "<,-~.-u ~'~` 6. River basin: C~-~~
7. Appro~imatc drainage area: ~ 70 ~~C ~ 8. Stream order:
N ~~ U f
9. Lenttth of Hach evaluated: 10. County: '~} '~ `~`' '~
11. Stte coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
,,,,) r •~
I_.atitudc (cx.d.372~t2): ~ s , y 7 ' 1 7 n _ Longitude {es. -77,SSFiG11): ~ 1 ~ 1 ~e
Method location determined (circle): GPS T ~ S Oriho (Aerial) Photo~GlS Other GIS Other
13. l ,ocation of reach under evaluation (not earby roads and landmar - and attach map identif ittg stream(s) location):
1~1. Proposed channel wor3; (if
1~. Reccitt weather conditions:
1G. Site conditions at time of
17. Idcntit• any special waterway classificat~lnown: _Sc~tion t0 _I`idal Waters -Essential Fisheries 1labirit
"17out ~Vatcrs -Outstanding Resource Waters _ Nutrient Sensitive Waters _Arater Supply Watershed (I-IV}
18. Is there a pond or Lake Iocated t~pstrcam of the evaluation paint? YE NO f}•es, estimate the r~~ater surface area:
1). 1)ucs channel appear on t1SGS qu>>ad~~map? YE. NC) 20. Does channel appeitr on USDA Soil Sun•ey'? Y1~:S Nt) _
21. t:atimatcd ~~atershed land use: ~(./ % Residential % Commercial _% Industrial _% Agricultural
Forested _% Cleared /Logged _% Other (_
22. Banl:full width: __ 23. Bank height (from bed to top of bank):
2-1. Channel slope down center of stream: -Flat (0 to 2%) -Gentle (2 to 4%) -Moderate (4 to 10%) -Steep (>10%)
?5. Channel sinuosity: Straight -Occasional bends -Frequent meander -Very sinuous -.Braided channel
Instructions for completion of worksheet (located on page 2): Begin by deterntining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must he scored using the same ecoregion. Assign points
to each characteristic within the range sho~~ro for the ecoregion. Page 3 provides a brief description of how to revie~~ the
characteristics identified in the worksheet. Scores should retleet an overall assessment of the strewn reach under evaluation. If a
characteristic cannot he evaluated due to site or weather conditions, enter 0 in the scoring bos and provide an csplanation in the
comment section. Where there arc obvious changes in the character of a stream under review (e.g., the stream slows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range betveen ~ and 100, ~~nth a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): ~~• ~~ Comments: S ev2f P ~~Nk era S~ ~~
Evaluator.'sSignature Date 3' (~-~~O
Tttis channel evaluation form is intended to be used onl}~ as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminan' assessment of stream
quality. The total score resulting from the completion of this farm is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change -version (16/03. To Conunent, please call 919-87C,-84-11 ~ 2C.
~.i ~,

STREAM QUALITY ASSESSIVIENT WORKSHEET
~`_'.r--_-....-~'

~.: -'°c~ -per £3 .. ,_ ~,. ,:, -. ..-,.. .. ,...~, ., -
_,

_t..

,. .1

'. -a,iw.
~+ i .~:r
~
~
.-
~
,

~.~___
;:- - -
Fresens~ of~ftlw f ~re~istetst-pools is xtream ~
,~ _
~ _ ~
4 _ .{ ~ y
} ~ (Iia flu~~rvr Saturation = t3. stro flctcr = Ipax ~

Evidence of past human alteration 1
0 _ ~~ t} _ 5 ~ - 5
~
~ ~h't~lit~ifV$ alteration = ~}; nLl &Itertttl(in = IIISti IntS) ~ ~
~pariau zone ~
~ - E~ ~ - 4 ~ U - 5 ~ 2 _ Z~
~ {iic~ buffer = ~: Conti us, uide;buffer = may rots?
E~•idence of nutrient ar chemical dischai~es ~ _ ~ Cl _ ~ G - 4
~ f;Xl~li$i4~ iliSG C3 = t3;-ao .tllsclmr = 7IlaX' .flits} c ~
~ - ~ ~ Groundwater discharge ~ _ 3 ~ - ~ ~ (} - =4
~
~;' s ne, diseharpe = ~; springs. seeps wetlands, etc: = inaxpviriis~
;~ prer~ce of ztdjacetrf ftoadplattt CI _ ,~ ~ -:~' C} - Z (~ iC
~
~ na t~ocxlpialn - tT; el:tensive ftoocipiain -matt pn~~}, i
i~
~~ Entrt~ic3-ment / #toodptaia access s ~ _ ~ ~ ~.,~ C1- 2 ; (;,) I ~'
* ~ ~ ~ {F}ez h• snlz~ked -13; . t~t~ood- =zilux Ints)
4 Presence of adjacent wetlands ~_
(na ~r•etlsnds = {l; far a adjacent eketlmads= max L,inis}
E ~~ Channnel sinuosity ~ ll _ ~ ( (~ - ~ ~ - ? ~
~_ C,;
~
'
~
~ { e~-tensi~Te chaamelization = t}, natural meander =mat rots } ~ _~ .
~
=
-
~
Sedime>~t input p _ $ ~ (1- ~ ~ (} - ~ '~.
~ ~ t~' (eXteliSlti'~ depaSltltlLi- ~; little f>I' na seduneIit = IR3x palms') ~

t ~
~~ ~ Size 8c ~ersity of channel bed substrate p - 4 ~ - ~
, ~ ~ . ~' I
i e filFerse suss = inaa pamts;
(fief., hamct~cnaus = o- larg -
Evidence of chaaael incision ar widenuig ~ _ 5 {} _:l (; - S ~ ~ '
}4 ~ tdeenh Incised - t}, stable fled e9G bffiI1~5 - Alan alts) c
~^ ~ ` j T Presence of ~~Ijur bank f~itures j tl - 5 ~ ~ - ~ f ~ - ~ `}
1
f ~ l3 $
ise~'ere erosion= (?; Iio e~rc3szon, stable banh~ = miix paints}
~ _
_~
!
.__
-..._~- Root ~te{lif--atld. densit} asl banks ~ () - 3 ~ [? - ~# t) -- 5 ; 1 ~,
t
-'~ !''~ 3 t ~
~nC) ~'~Il~le.;'aat5 = X24 Tatii~~.1~2i{~ Ut = Ina.'ti Irtt.~) __.,.,~_.-._ _..3
-
~ tf? IlnpaCt by sgncnitrite, livestock, or timber prodnctitnn ~ _ i {) _ 4 ~ _ g } '...~ ~
r
3 l7 ~
'SIil33t~r1t1sil lrli ~3 sm t%vidCIlce = rnBX IIIt.S}
~ ? '
-~ I
'
._~-_{ Prr~ence of riftae-pnoUtzppie_pcnolcvrlapleaes ?
i} - 3 i ~ - ~ (} ~ f, ; -L /
"7
l ~' les or pools = 0; well-developed = iria:t paints)
it~les/ri
~~. ,
~ ; , pp
{na r
Flabitut ce~mplexity ~ (? - b 0 - E~ i} _ 6 3
~
~..~ 1,
~ ._
(little army ~ibliat ci; freak-'t+nrfEdliabitats=lllaY points}
t' R
~ _ ,
}}
~' 18 ! Canopy coi'erage ut~streambed
(na shadm ~-e thin = ~', cantillua~ utTia ~~ = mas aiiitsl Q -- ~
(3 - ~ Cl - 5
' ~ Substrate eucbexide~ness ~ }
d l em~seddf:d =fl; li'iose stxuctfus = max:}
T
0 Presence at" stream invertebttat'es (sf;e page d3 ~ _ ,~ () _ > ' p - 5 ~ ?j
2
- ~
tici evidence = t3, oamiiian, nulnercnlis = Inax ~ilits) .
r '~ : Presence of oat hibians ~
~ ~ ~ (na e~~idence = 0; conunozl, numerous =mat amts}
Presence of fish ~ ~ - 4 (? - ~ (} - ~ Z , r
~L t nn ~;t~idencc = t), comlztalk nilmera~us h~pf:s = inztx paints]
Evidence of wildlife use t~ - 5 0 5
(;no ec~zdellcc: = U: abtllldal~l ~~id+ea>~e - inax pt~ints}
'~
; ~ f
'
~;
x 'these characteristics are rnt)t assessed in coastal streams.
2

Y NCDW Stream Classification Form site: ~l « '? Point: „~„ter' ~'~'>' ~` ' ' `*
Project Name: ~,,.,.~ ~j,.~'~r ,~ River Basin: C~~-~.R County: G,~~ . ,r.:c~t Evaluato'r_~E`c- /
DWQ Project Number. Nearest Named Stream: ~,g1}•~ (`d.SLatitude: Signature:
Date: '~ _ i y - p ~ USGS QUAD: ~° Gee Longitude: Location/Dirrctions:
*PLEASE NOTE: Ijevaluator and bmdowner agile the ja uuatnwde ddeh, ~ use efthis jonu & not uoaessary. Also, ifin iJlre bent professional
judgment ojthe evaluator, thejeature is a man-nwde match and not a modfi~ nataral s7reani--this ra/ing system should not be usedk
Primary Field Indicators: (Circle One Number Per Line)
I Geomorpholoey Absent Weak Mode_ ra_ to Strs-aa
it Is There A Riffle-Pool Se~uenoe~ 0 1 2 3 J-
2) [s The USDA Texture In Streambed is-..
5) Is There An Active (Or Relic)
9) Is A Continuous Bed & Bank Present? 0 l 2
10) Is A 2"0 Order Or Greater Channel (As Indicated on Topo Mai
PRIMARY GEOMORPHOLOGY INDICATOR POINTS:
IL Hydrolo~v Absent `Weak _ ___ y Moderate - . Strom:
I) Is There AGroundwater flow/Discharge Present? 0 l L, 3
PRIMARY HYDROLOGYINDICATORPOINTS: ~_
PRIMARY BIOLOGY INDICATOR POINTS: ~
Secondary Field Indicators: (Circle One Number Per Line)
3) Does Topography Indicate A
SECONDARY GEOMORPHOLOGY INDICATOR POINTS:
II. Hydroloev Absent Weak Moderate Strong -
I) Is This Year's (Or Last's) Leaf litter ~
4) Is Water In ChannelAnd>48 Hrs. Since 0 :5 L../ L5
Last lCuorvn 'n? NOTI+ Ditch Indicated In #9 Above SJFi This St And #S low''
S) Is There Water In Channel Outing Dry 0 S 1 1 S
Conditions Or In Growin~Season)? ~.T
SECONDARYHYDROLOGYINDICATOR PrOIN'IS
III. Biol A t Weak Moderate Stron
I) Are Fish Present? .5 I LS
Than Or Equal To 19 Points The Stream Is At Least Intermittent)
8) Ane Wetland Plants in Streambod? SAV Mostly OBL Mastly~ACVY Mostly FAC Mostly FACU Mostly UPL
(• NOTE: If Total Absence OfAll Plants In Streambed 2 I .75 .5 0 0

vs. ~x camas of ~~~s ~~~~~
D~r~tcr - e ~r ~. z 3 t
,r~~~,~ru~~~a~r~wiv~ ort
Pra~peny'pa~na / A~ i-w.. .1~C_
~ ~
t~ 1~C~f
~~ x
~e~cp#,co~ No.:
Si~ea svdlocation afpropectY t'R+~~Y+_~asaoadnl>mba',i.~~e~se~r
C' _
of atesamdat~rYq'
~ ~. ~ gp~,~~ (Clem Wstorll~ 33 USG 13~M)
C~iP~e~ott~tanobec ~'33vf9c~}
~~ ~
~asasooessedctaooaaaaooe sd~dye
Y~,~~~~yy~~~oraoedlecsi~Ps'~~~ ~ oarde~
~~~, ~~io4etiisegad~edooad~
~~ i-~ ~ ~ P~°iq°e b ~ slop aNdc ao~e~ a ~~~ictaber ~°~
kgal action.
s~ Yemw valid ~ tirc dsac iamdlfied ~ ~ ~ aasi°'nw'de
Tf~.eii ~ saviomd. $ p~ o ~ ire ida~i6ed bed tie p~
moil. tim .aei~oa ~ ~10i ,~ ~g deae ids
~~aased ~ ~ ~eareaaz of is aned"dsd . Pasit ffaamaa~ede
~°` ~~, sta+otied, ar ~ aoilBa~. tam tipt fre aedvity ~~ees>Adet ooa~a+r~? as
tbe~es~foe^~~eveaftbe~ap ~Iia~~eP~,° a~+-oatioe,
to aass~eeos iitseS~~4eM-
g aibia t~el~a tooo~C a~'tira da~x of ire P~'e X10'4 ac rota ~
uttias 7 lass bem eroniaoed m a Lams is tasa+~,
is Sei~b440it~"iwts}ms1raroaego~ee a ~e°4d1 WasaQne~Y
Cep co~mctmeNCDi~isiaaofwseert~-tr(dieplroaat9i43T~-i~aod~
Sectiom<901 requm~-
Fa~ adtidwai oaaa~ wi~is'dra t~ coas+sl pp°°~s a ~ dre t7oae~al Area
Manege~ ~t(CAMA),poartobe~,iia~•~ad~~a~~etBieN:C. Dinsrasa~"Oou®tal
'Tbia Depadsant of t>rs Aimsg s~cadoa does sat ae>ito~ ~ P~ °~~ ='0°~° b ab~m ~- offer
F~- S1pe a taalsppeouoeld~e~.
1Ed~aaesmgr~~~0°'iellroftveamdidomafO,eP~xmiR. aRtiaCcsps o£
~' P~,~tAmweda.Te~ at 871 T960 ~c731.

~y Office
~ og Jtr•
~a~r°6e•~~~eL1S ~~d~B-
~ta~
~m~~
~° ,~;s~~ ~,~~:ate
~~ ~~iaeani
Q 'l~~~d~d ~~
yATS, ~ ' ~pF'1~S PORM~ l'F R~~~ ~ AVAII.A~LF.
P
BE ATTAR TO ~~t~0~'~'
CaPY'
J~Vs~