R-3430_PJD Request_09072018

ROY COOPER
GOVERNOR
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
September 7, 2018
ATTN: Steven Kichefski and Lori Beckwith
U.S. Army Corps of Engineers
Asheville Regulatory Field Office
151 Patton Avenue, Room 208
Asheville, North Carolina 28801-5006
JAMES H. TROGDON, III
SECRETARY
SUBJECT: Preliminary Jurisdictional Determination Package (PJD) for the following Natural
Resources Technical Report: STIP R-3430 — Widening of SR 1001 (Connelly Springs
Road) from US 70 in Burke County, to SR 1933 (Southwest Boulevard) in Caldwell
County, NC.
Mr. Kichefski and Ms. Beckwith:
The North Carolina Department of Transportation (NCDOT) proposes to widen SR 1001 (Connelly
Springs Road) from US 70 in Burke County to SR 1933 (Southwest Boulevard) in Caldwell County.
Below and attached are a brief description of the project, figures depicting all features, and appropriate
fonns.
Field work was conducted June 20-21, 2018. Three Oaks Engineering (Three Oaks) staff inembers
Nathan Howell and Cody Parks conducted the site investigation (Figure 1). Nineteen potential
jurisdictional features (10 streams, 8 wetlands, and 1 stormwater basin) were identified (Tables 1-4;
Figures 2-3).
North Carolina Division of Water Resources (NCDWR) Stream Identification forms are included for
each potential jurisdictional stream. United States Army Corps of Engineers (USACE) Wetland
Determination forms (wetland and upland) are included for each potential jurisdictional wetland. North
Carolina Stream Assessment Method (NCSAM) and Wetland Assessment Method (NCWAM) forms
were completed for features possessing characteristics conducive to them receiving lower functional
rating values and, subsequently, lower mitigation ratios.
Mailirag Address:
NC DEPARTMENT OF TRANSPORTATION
ENVIRONMENTAL ANALYSIS UNIT
1598 MAIL SERVICE CENTER
RALEIGH, NC 27699-1598
Telephone: [phone]
Customer Service: I -877-368-4968
Wehsite: www.ncdot.gov
Locatiora:
1020 BIRCH RIDGE DRIVE
RALEIGH, NC 27610

Table 1. Potential 'urisdictional streams in the stud area
Stream Name Map ID NCDWR Index Best Usage Figure
Number Classification
Catawba River Catawba River 11- 37 WS-IV; B; CA 2-4; 3-4
UT to Ho le Creek SA ll-45-(2) WS-IV; CA 2-2; 3-2
UT to Catawba River SB 11- 37 WS-IV; B; CA 2-4; 3-4
UT to Catawba River SC 11- 37 WS-IV; B; CA 2-4; 3-4
UT to Stafford Creek SD 11-43- 1) WS-IV 2-6; 3-6
UT to Little
Gun owder Creek SF 11-55-2-(1) C 2-8; 3-8
UT to Gunpowder
Creek SG 11-55-(0.5) C 2-10; 3-10
UT to Gunpowder SH 11-55-(0.5) C 2-10; 3-10
Creek
UT to Gunpowder
Creek SI 11-55-(0.5) C 2-11; 3-ll
UT to Gunpowder
Creek SJ 11-55-(0.5) C 2-11; 3-11
Table 2. Characteristics of
streams in the
Map ID Length (ft.) Classification NCSAM
Rating
River Basin
Buffer
area
Appears on
NRCS Soil
Catawba River 2,551 Pereunial * Sub'ect Yes
SA 73 Intennittent * Not Sub'ect No
SB 1,588 Perennial * Not Sub'ect No
SC 220 Perennial * Not Sub'ect No
SD 131 Perennial Low Not Sub'ect Yes
SF 76 Perennial * Not Sub'ect No
SG 507 Perennial * Not Sub'ect Yes
SH 641 Perennial Low Not Sub'ect No
SI 21 Perennial * Not Sub'ect No
SJ 407 Perennial * Not Sub'ect No
Total 6,215
Note: NCSAM forms were completed for streams possessing characteristics conducive to them receiving lower functional
rating values and mitigation ratios.
Table 3. Characteristics of
Map NCWAM
ID Classification
WA Nontidal Freshwater
Marsh
WB Headwater Forest
WC Headwater Forest
WD Headwater Forest
ential 'urisdictional wetlands in the stuc
NCWAM Hydrologic Figure
Ratin� Classification
�
Riparian � 2-4; 3-4
2-4; 3-4
2-4; 3-4
2-4; 3-4
area
Area (ac.)
0.02
0.01
0.01
< 0.01

Table 3. Characteristics of otential 'urisdictional wetlands in the stud area continued
Map NCWAM NCWAM Hydrologic Figure AreR (ac.)
ID Classi�cation Ratin Classification
WE Headwater Forest * Ri arian 2-4; 3-4 0.06
WF Headwater Forest * Ri arian 2-4; 3-4 0.03
WG Headwater Forest * Ri arian 2-8; 3-8 0.18
WH Headwater Forest * Ri arian 2-11; 3-11 0.13
Total 0.44
Note: All wetlands within this projects study area possessed characteristics conducive to them receiving high functional rating
values. Therefore, NCWAM forms were not completed.
Table 4. Potential surface waters in the stud area
Sui•face Water Area ac Fi ure
BA 0.10 2-1; 3-1
If you have any questions, require additional information, or would like to schedule a site visit, please
contact me by phone at (919)-707-6108 or email at [e-mail]. This is a request for a
preliminary jurisdictional determination. We appreciate your assistance on this project.
Sincerely,
Erin Cheely
Environmental Program Consultant
North Carolina Division of Transportation
Environmental Coordination and Permitting
1598 Mail Service Center
Raleigh, NC 27699-1598
Cc: Dave Wanucha, NCDWR
Kevin Barnett, NCDWR

Appendix A
Figures

Prepared For:
ya a
r *
��
Improvements to SR 1001
(Connelly Springs Rd) From US 70
to SR 1933 (Southwest Blvd)
STIP No. R-3430
Project Vicinity Map
Burke & Caldwell Counties, North Carolina
Date
August 2018
Scale: Q 2,000 4,000 Feet
� , �
Job No.:
18-611
Drawn By: Checked By:
NMS NDH
Figure

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Improvements to SR 1001
(Connelly Springs Rd) From US 70
to SR 1933 (Southwest Blvd)
STIP No. R-3430
Jurisdictional Features Index
Burke & Caldwell Counties, North Carolina
: National Boundaries Dataset, National
raphic Names Information System, National
�tional Land Cover Database, National
National Transportation Dataset; U.S. Census
=RE'�Road Data
Date:
August 2018
Scale:0 2,000 4,000 Feet
i � i
Job No.:
18-611
Drawn By: Checked By:
NMS NDH
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Improvements to SR 1001
(Connelly Springs Rd) From US 70
to SR 1933 (Southwest Blvd)
STIP No. R-3430
Jurisdictional Features Index
Burke & Caldwell Counties, North Carolina
Date
August 2018
Scale:0 2,000 4,000 Feet
i � i
Job No.:
18-611
Drawn By: Checked By:
NMS NDH
Figure

Prepared For:
71mp1
t � ���.
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Fy V
p SPa�'
Improvements to SR 1001
(Connelly Springs Rd) From US 70
to SR 1933 (Southwest Blvd)
STIP No. R-3430
Jurisdictional Features Map
Burke & Caldwell Counties, North Carolina
Date:
August 2018
Scale: 0 200 400 Feet
� � �
Job No.:
18-611
Drawn By: Checked By:
NMS NDH
Figure
2-1

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Q R-3430 Study Area Potential Perennial Stream Culvert �_ �� Sheet Index — Streets
Potential Wetland Potential Intermittent Stream Potential Stormwater Basin �__ i County Boundary
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Job No.:
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August 2018
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18-611
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Jurisdictional Features Map
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STIP No. R-3430
Jurisdictional Features Map
Burke & Caldwell Counties, North Carolina
Date:
August 2018
Scale: 0 200 400 Feet
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Job No.:
18-611
Drawn By: Checked By:
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Jurisdictional Features Map
Burke & Caldwell Counties, North Carolina
Date:
August 2018
Scale: 0 200 400 Feet
� � �
Job No.:
18-611
Drawn By: Checked By:
NMS NDH
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Date
August 2018
Scale:0 200 400 Feet
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Drawn By: Checked By:
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Jurisdictional Features Map
Burke & Caldwell Counties, North Carolina
Date:
August 2018
Scale: 0 200 400 Feet
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Job No.:
18-611
Drawn By: Checked By:
NMS NDH
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Scale:0 200 400 Feet
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Job No.:
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Improvements to SR 1001
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STIP No. R-3430
Jurisdictional Features Map
Burke & Caldwell Counties, North Carolina
Date:
August 2018
Scale: 0 200 400 Feet
� � �
Job No.:
18-611
Drawn By: Checked By:
NMS NDH
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August 2018
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18-611
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Jurisdictional Features Map
Burke & Caldwell Counties, North Carolina
Date
August 2018
Scale:0 200 400 Feet
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Job No.:
18-611
Drawn By: Checked By:
NMS NDH
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Improvements to SR 1001
(Connelly Springs Rd) From US 70
to SR 1933 (Southwest Blvd)
STIP No. R-3430
Jurisdictional Features Map
Burke & Caldwell Counties, North Carolina
Date:
August 2018
Scale: 0 200 400 Feet
� � �
Job No.:
18-611
Drawn By: Checked By:
NMS NDH
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STIP No. R-3430
Jurisdictional Features Map
Burke & Caldwell Counties, North Carolina
Date
August 2018
Scale:0 200 400 Feet
� 1 �
Job No.:
18-611
Drawn By: Checked By:
NMS NDH
Figure
3-10

� R-3430 Study Area Potential Perennial Stream Culvert �__� Sheet Index
Potential Wetland = Potential Intermittent Stream Potential Stormwater Basin �__ i County Boundai
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USGS The National Map: National Boundaries D,ataset, National
ElevatiornDataset,.Geographic Names.InformaYion System, National
Hydrography DataseY, National Land Cover Database, National
Structures Dataset, and National TransportationiDataset; U.S. Census
Bureau - TIGER/Line; HERE Road Data �
Improvements to SR 1001
(Connelly Springs Rd) From US 70
to SR 1933 (Southwest Blvd)
STIP No. R-3430
Jurisdictional Features Map
Burke & Caldwell Counties, North Carolina
Date:
August 2018
Scale: 0 200 400 Feet
� � �
Job No.:
18-611
Drawn By: Checked By:
NMS NDH
Figure
2-11

Q R-3430 Study Area Potential Perennial Stream
Potential Wetland Potential Intermittent Stream
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Culvert �_ �� Sheet Index — Streets
Potential Stormwater Basin �_ �i County Boundary
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Improvements to SR 1001
(Connelly Springs Rd) From US 70
to SR 1933 (Southwest Blvd)
STIP No. R-3430
Jurisdictional Features Map
Burke & Caldwell Counties, North Carolina
Date
August 2018
Scale:0 200 400 Feet
� 1 �
Job No.:
18-611
Drawn By: Checked By:
NMS NDH
Figure
3-11

Appendix B
Stream and Wetland Data Forms

�
��-
N�C D�4�' Streana Ideutification Fvrr�a Versfor� 4.ii
'�ate, ��1,`�� ±� ProjectlSi�e: � _ �a� �� �.aiitude: ?j, ��/� -�a ,
E�aluat�or: �,, �.�.,� ���,{ �,' � , � � Cou�tty; Q �r� �ar��itude; �'�.,j �'�
/�� ' —..___L.'L�� .•,.��..�....�.. ._ -_----- , '�
Total Pvirtts: Stream I]eferm't aa�.n circle onej Crther �
Strearrr is at l�ar�l lnferrnittaRt �/ �-�-
ff � 19 or srenr+ia! rf a 3L�' ,1 `�"i � j— C.'�, �� �Phemefaf��nkermftten# Perennf�E e.g Quad Name: �;; fi,� �'r_�
'� � J
A, Ge�rmar hala Subtatak ���?- ' Absent Weak
1a Co�rinu�ty vf char�nel bed a�,d bank D 1
2. Sinuasity af channei along kha1weg �� 6 � W
3, In-ck�annel structure; ex rifFle-pool, sts�-pooV, Q� �.�
n Ve- oql se uence ��'
�. Pai't1cle slz� af stream substrake p �
5. RctiVelrePict floo�ip4ain 1
6, ❑ep�asitionaf aars ar benches p �
7, Recent a�lu�ial deposi�.s fl �
8. Headcuts p , 7
S. Grade �arrt�al � Q _.- 0.5
1C1. �laturaE Wa�ley p /p,� ;
1�. Secand or great�F order channel � �o,= p
a artlfiofal d�tches are not rated; se� discuss�ons in manual
'�. H drokog (Subtatal = �
12. �resence af Baseflc�w p S
13. fron oxidizing bacteria : p �
14. Leaf iitter — � �_� �
1�. Sediment on plants nr dehris p
16. C]rganic dehris lines or piles p c:i}.5
17. 5cril-based evidence of hig� water table? hJr�� p
C. 6iblo Subtotal =
18. Fibraus raots irt strearnbed 3 ��
ti9. Raated upiar�d plants in strearn�ed ,"3 � �
20. �Vl�cr�benthos (nQte di�ersiky anc� abundance � � �
21. Aquatic Mvllusks .� `_0 1
2�. Fish - --�-- � ~0 � � 5
23 Crayfish _._...._�.�_T.�_ _.-- --- — � Q.5
_24. Arr�phiblans �� I d 5 _
25. Alg ae -- ----_ _. �.__. -� -. O _' �6 5
—�__.
26 W�tiand plants in streambed � �q�+yl+,r �(y �5
'perennial stre�Ts rnay als4 be identified �lsing other melhcads. 5ee p 35 ai manua!
fvOt25: '� 'r n2;�_�.._•r��^ _ %� �P.i �ff _�t ;r�f C' R.r�! ,/' '".i�rp.��
" . --��..-.
J�� � ' ���L_!�.-����.�._._._ ..__..�---�---�--���.---.�..._�.�_w �
5keich: C� J �j�,�`.�
�
Mc►derate
2
- � _.._..r
2
2
2
2
2
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i
1
Skra
Yes=3
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fl,5 0
1 15
1 1.5
Yes � 3
1
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2
Z
1�
1
1
••_---- } ____
� 1 5 Jther = 0
0
Q
3
3
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1.5
1.5 ._
�.5
+ � ''�—�--��e. .._-. �___�'�.��f.��
r ;i '
&ank Hefght {R}: �%'}
�ank�ull whdth (Rj., Y ' • J
Water deptfr {in�. ; � �' �
_--�--
Channel su6strate_• CIaY. Silt, Sand, Gravel� Cabble.
Sedrnek �
VeCacity - fast, maderate: E,�ow �
Clarity, clea�_. II��CIy tU{bRd, lurhid
t'�dJ

�
��
� ��
NC 1)WQ Stream Id+e�tificati.on �'nrm Version 4.1 �
Date: / ,��,, Pro ectlSite: r� � , L,atfitwd+e;
� _ r ,� �� �p f',u ! 4= _ -� ru,r)
�
Evaluator: ��J ��' �, � / `, Caunty; ,/' � Longitu�e°
t.,hl�1 ("�l}'� i l��'�l �'r Iv-� ' � �+''�'1''��ia,r!� �
.� ! �
- ._,_-.____.�_T.. .. ... _.__
Tvtal Pair�#s: � 5trearr��et�rmination (circ9e onej CJther
Sh�eam is a! fsasl frrtermrtfent � �
lfa 49 ar erennial if � 3d` � Y r� ,. �� Ephemer� in rmftt�nt Perennlal e.g Quad IVarrra: `���-p .� �
A. Gevmar holo Subt�tal =��� Absent Weak Maderai�
1a Gvntinu�ty o#channel bed and bank 0 ti 2
2. 5inu�sity af Ghannel along thalweg .�... _ a , _1 -- ,.._ _.._ � --
3. In-cf�annel struet�are: ex r`ifFle-pool, step-pool, ._�-� 1 2
�i ie- oof se uenc�
4, f'article size vf stream substrate �p ;�'�� �
5. Acii��freliet flaodplain `` p- � - �
�. Depasitional bars or benches ,��f0 `_ i 2
7. F�e��ni allu�ial deposits �p � 2
8. Heacicuts ` 0 '.� �
9. Gracfe eantrol �, p!, p,� 1
10. M1Jatural valley 0 0,5 1
'i1. 5econd vr greater order channel Nq = p�: Yes = 3
� artlfcfal ciftches are nok rated; see dl cusssons in manual
B. F-! CdrolO SUbtotal = � �
12. Preserwce af'�aseflow � p � �
13. Iron oxidizin bacteria � r,' p � �
14. �eaf lif#er 1.5 �,,�1 ,,;� 0.5
15. Sediment on plants or �ebris (�1�? p.5 1
'f6. Drgat�ic d�bris lines ar piles p ''n 5-'-••! 1
17. Soi�-3�ased e�idence af h�gh water table? {� - p Yes = 3
C. Bto�t� Subtv#al = _ �
18 Fi�r4us raa#s rr� stream�ed 3 - �� �
19. Rooted upland p6anfs in streamb�d ��� � 1
24. Macrobenthos (noke df�ersity and abundanr.�} " i} > � 2
21. Aquatic Mollusks p:� 1 �
22, �is�h ' 0 � 0.5 1
�
23 C�ra�sh —• - —_�_.._ _.._----- — Q _-- Q � } �
24. Amphibians ` 0 � �
25. APgae ___._---- -�------ ...�:��.- . 0 5 �_.__ 1 __ _._
26 'W�tfand plants in streambed � �`'�� �qCU'yl = 0 75; OBL = 1 5 Other =�.�
'per�nnial stre�Ts may also be ident�fied using oEher methods See p 35 ot manual �� �^-
l�lote5: ___.— -
Skefch; � � �� , �,..� r�
� '
3
3
0
15
1.5
_ .
Hank Heighk (�ty: -,'_ j
Bankfull width (ft�: ; �
.�
Watee depth (in}. _'�
Channel substrate �Cla�f`51it Sand, G�yauel'�'at�ble�
Bedrock � 1^
Velocity fast, moderate, slow ,��"�r';�
Clariiy t�ea� slightlyturbid, lurfr�d�/"�.�-
�

�
NC' DWQ S#ream Ide�niifcafian �orm Version 4.1i
��'�: / %��,�I �,� 1 �={, Pr�rJectlSite: � - �'-��r.�
�V��U7�Of: � f r' .
r�:�c,n H.nl,��f�" ����! v.� L f Cvunty �,�i t-� �
__� _= ---- --
Total Points, f,, y,r' Stream 97eterminafion (circ!
S#ream is at leasf rntermltferrf ��
1fa i9orsarennraFlfa3�' -� �' � � Ephemeral Inbermitterat �
� `� � r �.'�: �.�C� �
��,� �r�,:.
��- �
L�ttfude: �� '�-��� �;'�7
Longitude�� �' ��'��L�.`.
�_ � .
[}th er
e:g �+�adn►a+ne; ��r.c,.�n 6
arunoiai aacnes are no� ra�aa; see olscussior�s m manual
B. H dre�fo (Subtata� _ � � ��
12, PCesence of Base�ow p j 2
�3, �rQn oxidqzing hacteri� � " 0 �. � �
1A, Leaf litter �.5 1 �15
15. Sedirnent an pVants or debrls p ,�_� �
16. 4rganic debris lines or piles p ;�"p.�] 1
17. Sail-based ev�idence af high watertahl�� �a =�6 Yes � 3
C. Biola su�t�#al = ---
18. �ibr�us roo#s in str�ambed 3 2 �
19. RaatEd u�land plants in strsambed ; 3 � 1
2(7. M�croben#has (note diverslky and abundancej p 1 � 2
2'�, Aqua#ic �+iallusks � , p�s � �
22. Fish __..� p �' 5 '�
23 Cra�sh _ T------ ----- — ._ 0 � 0 5_ 1
24. Amphit�ians . _.....___- _� --� 0.5 ----_ i ..._._--- --
25. Algae 4, 0 g� 1
_��.�__
26 V1letla nd plants in s#r�ambed � � FAG1N = 4.75; []8L = 1 5 Clther ` a
'perennia[ �kreams may elso be�identified usiRg other met ods. See p 35 of manual -�--
Note�; `.�> '�;��� .tv'; � r- '+' �,Nrr - -�, -� _,� ,,� ~�,,����;;'-'
—7 ', - ---
3
3
0
15
1.5
S�CG'xCh: � r, ..._ �.�. Qartik Hefght Zft}; /��� r '- ------- - —
�,'� �j�; "-",�� � Bankfull widi� (ft}:� � !r-
r ,� �r�
Water depth {'rnj, � ��
[hannel siLbstrateC. a _Silt, �and, Gravel, Cobble,
�--
�Bedroek _�
_ ��
Velacity fast, rnerderate'slv
Clafity �`c ea sligh�ly tur6id, tur6id

r
NC ll'VVQ 5tream Ide��tification �ornn Versivn �,i.i
,
Date: ! �.�,Ir:'�, � -�i Projecil5ife: � 1 ��,��
�
E�aluator. �1 , � _ F Coun ''�
� ,1 UGY���,r� ���±GJr:'!� - �,7� y F'%r �-� a �' �'�s � r , � �
� —�_ �.�_�:._� _.:_.-_�_.._....
Tc3t.�E Pvints: �� Stream peterminaEion jcircl
S[reem r`s at least In[errnftteRt
f�`� i9 orner�nnial ifz 30' � Ephemeral Vnt�rlTsfttellt�rP'e
��
Latttude: ,? �
� �.�.� �! 'i
Langi#ude; _ -� I', � �[�'
�—..... _�. _._ `l _._�r
pth er
B.g Quad Narrla: � t ''i r�[
aT1if1:C]a1 [7RC1105 8�4' I70I FdEBq; see �iscu�sons in manual
B. H droio (Subtotal =
12. Presence of Baseflaw � ti 2
13_ Irorr oxidicing hacteria �D . � �
14. �,eaf litter , ti �� � �,5
15. 5ediment on pfants or debris 0 .4,5 ) 1.
16. �rg�nic debris lines or piles 0 C1.5 �_:"
� 7. Svi1-based e�rid�nce vf high wafer table? h�1a = p Yes �- 3',
C. Bi4�C] 5uk1tC7tal = -'/r.� �� `.��
18 Fitarous rofl#s in streambed ,� `3 � 1
19. Ftaoted upland plants in straamtsed / 3 � 1
20. Macrcabenthps �note diversity and abundance} p � ' Z
2'i Aquatic fvlallusks 'p� 1 2 _
2�. Fish � • D 0.� i
23 Crayfish __ _.Y---------�--� --�-r-.— �.5 1
24 Amphibians q ' p, i
_...._...___. .,.�w . --- -----� --- ---
25. Algae �� �_ _ Q 5 1
_ �.� � - --�-=- _ •- -
�E Wetland plan#s in streamiaecS FACW = 0 75; C7�L = 1 5 C]kher � 4�
`perennial stre��-s may alsa be�e�itified using other methods 5ee p 35 oF inanual � �
IV�[��.f / -i^�r.t.!/!C��x � �! rr p r�.. ,-� �.; ,. .,. � � � y �^f� i �♦
J�.�__. . J _1 . . _� �"i ..,i(' �, f i . . . i ' � 1%,��I. , f • ��:�% �'fU..r/�,
Sketch; ,� � �
_ �� `'t��f � :
�
3
�
3
0
15
1.5
� Bank H�ight {Rl� � '.-�'� f .,r ----•— - `..
Bairkfull width (ft�: �' - !
f�%'
iNater depth (in},l� f -
Channel stah5trate • Clay. Silt, S�nd, Gravpl_ Lot�ble '�
8edrnck
VLIpCI�Y - ��Sl, rnndera�te,�to �
Clarity cY I�'�lightly turhld, turbid

r
NC DWQ Stream identx�cat�on Fo�r�n V,�rs'ron 4,1I
C7ate: ,��i � 1� ),.,� ? ProjectlSite: �� ;!�' �,�
��aluator: 1 //
�`�1crk•�:r_f`� '=1'vU��� ��-;� -� 1'� �� County�� f.-�:,,��-._._._......
Tvtai Poillts: r° Stream petermination (circ�s7ni
Stream+s a� leasf frr�ermlkfe�rt �� �" � � hemaral In#errrsittent= P renni
!f � f 9 or nerennial il � 3U ` � �'�,
�
��
Latitude: �%�G'��, �� �
(..p�ItLICi@���y l, ��.�_�-,•��
a
Other
e.g Quac7Narrre: �rC�,t'�{
artoriciai a+�cnes are nor ratea; see �ts�ussrans in manuai
B. H drolvg (sub�ot�l � l��
12. PCesence af Baseflow p � 2 ;�
13. �ron oxid�zing bacteria p '� Z �
14. Leaf li�er 1 0.5 0
15. Sedirner�t or� pl�nts ar debris fl p,- 1 1 5
16. Drganic debrfs [ines or piles p p,� '� �.$
17. Soil-based err�dence ot hig� water iable? �v = p Yes =4��
C. BfCJID Subtotai = , �
18 Fibrous rotits in streambed 3 1 4
19. Rooted upland plants in streambed �3' 2 1 f3 ��
�n Macrobent'�as (naie diversify and abundancej a � 2 3
21. Aquatic Mollusks ; 0 � 2 3
22. Fish . p 0 5 1 i.5
23 C�a�sh j � "_a.5� -_�' � .��
. �___�— --�---- -
24, Amphibians p {y.� i �_5
--- ---__..... __ - _._. __ __--...__ __ �________._.,_..
25. ,�fgae --- .p._ . . 1 1.5
2f Wetfanci plants ln streambed � � �q�W g� _ � � �ther = � ���
'perennial stre� m may aiso be ielentified using o�her methods 5ee p 35 vf a�rual � mm���
�iOtES: � �� � _ _ �-r�-._.�.,..- ,_c1 __-
.yi : �1�� ��="�.y+{L.��Yi' ��` r� , � -f ��d �^ „J'n... � � .f!� Y�.i. _.� '•=��.�r�"_.�J n� r17 �Le J_7 —
-• r/l.r�'iYr+�.��r��_..._ ���;ly�C: �t_�?.� I� e f'�,,A �' ''l�c�,!"l �����___�. � �._.,... ____.__ .._._... —�
Ske#ch: I�f1�'r7 -a%`%r,% ::�`�%�"a'�i:='F.'� �'��'�F�° G�,l� ''�i�,��i;':-% BankHeight�ft};�-� r
r r ` � Bankfull width (ftj���p
�('�t' I �'/i fi • ��'�� �:% Water de th m'}
p �' 1��. �l::'`'
r,/� J li,�� f f � Channel substrate�� Clay. Silt, Sand, Gravej�Cobble,
r.� r� 9 t A�('� � -
Bedeaek
Vedocity - Fast, mpderafe, sla�w:'
� .� � �,�/�y � ..'�a � CiarPty clear sllghtly lurbirJ, [ur6id
. �
r

This stream flows into stream SD outside of the study area
.�IC �''f�Q Strea�n Ident�f cativn Form Version 4.l I
Ciate: �/�%, I � Sa�! �'d Projec#PSite: � _ �.�� �
r
�vaf�ator: �r. ��f f ; � ��,� � �' r � - Caunty, / � � � �,/�1
• b � �,��,�, �_ . _ n.� � �. r � �-� .+ .r� , �,
Total Roirtks; � 5f�eam 4etermination {circle
Str�arrr rs at feasi+ntermittent �J/,i ����eme�al EnberPTr[#terlt- e
rt? i9 orperennialifz 30' `�^� �__
A. �Ceomorphvaogy {Subtatal= ll ]
ia Cvntinui#y of channel bed and bank
2. 5i�uvsrty of channel along #halweg
3. In-channel structufe: ex. nifiFle-pvoC, step-pool,
ri �e- vol se uence
4. PartiGf� size of stream subs#rate
5_ Act��elre9ict flood}aEain
6. �epositional bars Qr benches
7_ Receflt alluviaf de{�osits
8_ Head�uts
9. Grade confrof
'f0. �IaturaBvalley
11. Secand or greater vrder channei
8 ar#ificial ditc�es are �ot rated; see disa.+ssions dn manua!
B. Hydt'alogy �Subtntal = 1� 3
'I2. Presence of Baseflow
93. Iran oxidi�ing hacteria
14_ Leaf litter
'I'5, Sediment an �fants or dehris
16. CJrganic detsris lines or p�les
17_ 5oii-based e�idence of high wafer tab127
G. �iolagy (Suk�tc�taE _ -
18 Fibrous roa#s in sk�earnbed
i 3, Rooted u�iand ptarats in strearn�ed
2p. Mac�obersthos (note d�versity and ab�ndance�
21. Aquatic Mollusks
22. Fish
�3 Crayfish
24. l�mphibians
25 Alg��
2B V+Jetland plants in streamqed
'pe���nial �eez ms may also be edentfied using othe� mei
P'�Qt�S: �"Prr,Mi�.:�' �r•Se,� r,l� ��� !
SEcetch� � � �-
��� -� i; r �. �
Ahsertt
0
0
D
D
�
0
�
0
Q
0
p _ _�
1� �_5
No�4
�� ��d.��
� J1������
� �; r r r-
Latt#ude:
Langitude:
Othes
e.g. Qvad �farrre: � �-�,�fP�,�
Modera#e
2
2
2
2
2
2
2
� �', Z�
1
2
2
Q.5
1
�`�5 = 3
Yes�3
3
�
3
D
1.5
1,5
,-�3 2 1 �
; ,� 3 2 1 0
p y1 2 3
i' p 1 2 3
fl.5 i 1.5
0 '`�.5�'�� 1 15
Q �"�D.S � i 1-�
,p p� 3 1.5
FACW = d.75; C1BL = 1 5 C3ther 4`r
p 35 04 manual �
��,�r��a4��n�'r�i.,� �:1�� _ "f ,�r j�;t;,d .
�
Ban& Height(ftj:�� `� +
8ankFufl widtE� {ft]:�- � f�
Water depth {irtj: � — '
CMar�nel substrate - C[aS'._5ilt, San�, G�s� a6hle,
eedrotfc
Welo�ity - fast, maderate� s", fo�
Clanty cl�ightiyturbid, tuehid

��
NC DWQ 5tre�m Identxfca�ivn Forzn Version 4.11
Dat�e: � �� � /�y ,j ,�_ Projecfi,+5ite: �% ` ��l � L�tttude: �� �,, ± � �r���
�
Evaluatar: ,1 +� ��f � r * ty ���� Lqngitude,� r,� � r
!V�'�L}ar� hb�Jr� C� Lc�` ��r �y Coun �,�f/'+.��GGI � �, .+�����
_ .__ ��_=— --........._ ---�...�- - -
Total 1'z�ints: ��`� Stream Dehermination {cir I� Other
Stream rs af Igasf fr��e»nfttent
!f a t9 or erannial if a 3D ` �phemgrai Vntarmitk�nt'$erennial e.g Quad Name: ��-� ',,� ��
r�
A. Gearnar fi�olo Subtotal =�� ] Abserrt Weak 'Moderat� Strong
1� Cantinuity ofi channel bed aR1d �ank �.^. _� -- � 1 -- ..__ _i _��—
2. STnuosity vf channe) akong kl�alweg p ,,� �� 3
3. I�-channel structure: ex riffle-poc�l, step-pavl, � �� ,, � 1 �
fi I8- pAI S@ uenc� (�'
4. fi'articie size of strearn subsfrate 4 1 2 3
5. Acti�+eJrelict �oodpiair� p ,� � 1 2 3
B. De osikiana! hars or taer�ches 4 �� � 3
7. F2ecent alluviaf deposits fl ,,� � 3
�. Headcuts .--� - p � �,r � 3
9. Grads control " 0- 0.5 1 1.5f
1 �. Natura{ �raaley 4 0.5 1 �' 1.5
ti 1. Serond flr greater order channel h�o r Q Y�s = 3
a artlfcfal ditches are nok rated; see d'ISc�ssians i� manual
B. H dral� Sub#atal = �
12. presence of 8aseflaw p � � C�
13. 9ron oxidiz'tng bacteria p � _ � 3
14. Leaf litter �` 1. ti 0.5 {7
15. Sediment an plants ar rlebris p ;� - 1� 1 5
16. Carganic debris 16nes nr pEles �p p.5 1 1,5
17. Sail-based e�vidence a'f higFr watertab4e? �a = p Yes = 3
'—, -.' -
C. Biflln �u�tataT = -a
18. Fibraus roots in streambed � � 1 p
� 9_ Ra�ted upland plants ir� straambed 2 1 i7
2D. Macrobe�thos (note diwersity and abundance} p 1 2 3
21. Aqu�#ic Mollusks - Q--- � 2 3
22. Fisl� - - _,� � Q - �.5 � � 5
23 Cra�sh p Q,5 1 1.5
24 Amphibians _F� - -------- -- T' 0 0.5 � 1 '! 5---
• —_ -- . ._ �. r.
_. --- ____
25 Algae _ _.._ �... �-� 5 1 1 5
26 INeiland plants in streambed � -�� F^ Fp�+�,f = 4.75; �BL = 1 5 Qther,, �Q -u��
'parennial stre�Ts may also bQ identified us�other methods. See p 35 of manual ��i�_
i'�OteS: � �� _�;���.�✓1 .�%� i" ' ' �`� � ___.�,
--�----�_�__ ._..� —.--,T�_� ._ __ _� � r �._ �_.__�__ . _
Si(EiCh: � Bank Height �ft�; �/"� �' �
� � Bankfufl widih �ftj:�j - �
� ;= ;� 1 I ;7 ��n 4� � � �r
Water depth (inl.% � �
.---
Channel suhstra[e lay. Siit, 5and, Gravel, obble,
Sedrock
Veloeity � Fast, moderate„51vw�1
Cfa�i;y - cYear 51i�htly turhid, luehid
�.�--�

�
NC D�Y Stxeaxn. identificatian Form VersiaQ 4.� l.
[3ate; ,,, j .�i, � -- Pra}ecVSite: � � � � � �
�T� .J �
E�al u atDr. +f ,r� -, ,✓� 1 /,/
���^&,7 FIOG�� .� � I��� -+ I n r�� CvU nty:,l r` � ln.l'�c/
� �.,_,.F .�._...._...�_,..-..-- -
Tviai Pornfs; Str�eam DQf�rtninafinn [cir�c! �
Stream is at laast Interrrrfttent �� ,� E�hemeraF Inbem�si#ten Per�ni
Jf � 9� or eraRr�rar rfi z 3f?' �
n r-�
/�
�
Latit�de:�� G'��' J 1; � _
Lan �tueie; r �
�. g___..._�_���'�.���..,�}, �%
�ther
a.g QuadAlame: ��-�"dP�
n+un�idi uuuies are r�oE raLea; see oiscGssia�s 1�1 m3nUal
�. H dre�fog �Sra�tatal = �
1�. Presence vf Baseflow
13. Iron dxidizeng bact�ria
14. Leaf litter
15. Sediment on plants or debris
ifi. Organic de}�ris [ines or piles
17. Soil-taased ev�der�ce of high�u-�tertable?
C. gialv 5ubtotal = I
18. Fibrous roo#s in streambed
19 Raoted up�and {�lants in streamhed
2C1 Macrobe�tnos {naie dir�ersity ancf abundanosj
21. Aquatie Mollusks ,�_. -- ._... _
22. Fish
23 cra�st� _�._�_-------.�----._
24. Arc�phfbiaRs
25. Algae -- -�-----...� ----
26 Wet�and plants in straamb�d � �
'perennial stre�.�-s rn�y so be ident�fled using oth m
Nc�tEs:. ��� �. ` '� � '`�! �'+�_� � `�' �
5ketch: �
�.-
�' /'_ - .. � f �� �
�
Q
�
0
n
Yes =
3
3
0
�5
1,5
!" 3 2 1 0
, 3 2 1 4
. {�j � � 3
�r._G�, , i 2 3
0 0.5 � T���� 1,5
_ _ ^� 0.5 1 -- 1.5
'� 4,� 0.5 1 1.5
--�-=- _ _ _ _.__ __--- -•- -•
______ r_���__ � � � __.__�—��
FACIN = �.75: c�8L = 1 5 CJther =� T
iod5 5ee p. 35of mar�ual � `"- � p
-- --- -----�-_- �_ _.... _.—. - --
8ank Heigh4 (ft}: ���`� �
Bankfull yaidth �h},� � ��
Water depth {mf,;� ��,��� �
Channel substraf � and Gravei Coblale.
Bedrock
�--.
Velacity �� mpderate'�s<< I���
CiarRy�- Giea li�f�tly kueh�d, lurtrid

r�
NC llWQ Stream Itienti�ca�ian Form Veraion 4,l l
aate: � ��� ,� ��`�, PrajecUSite: �, }j� (`�
�valuator: � � ! /'� —• � CvnRty; 1 �'
;, ^ �Gf rs�.}�If , L..d� �! l�uf ,�� f ir�lrl {,"��
iotai Points: � �' , r! �j stream oetermination {Gir .._ .n,
Strearrr is sf feasf lrotemr�tteMf E hemeCaf lnterrnitte �rcil
lf � i3 or erenniaf r`f z 30 ` P
�
A. Gevmor h�olo Subtata�=/�� Abserrt Weak
1� Gz�ntinuity af �harrnel bed and bank fl q
2. Sinuc�sity o� channel afong tha3weg ____. .._— � ,,,� _..�
3. In-Ghannel structur�: ex ri�i'fle-pool, step�pc�ol, ����� Q �
ri le- ool se u�nce
4, particle size o� stream substrate p �
5. Activefrelictfloadplain , 0 ;] �
fi. Depositiona! �ars or benches p -
7. Recent all�o�ial depasits p ,� q. H'
8. Headcuts p
�. Grade cantrol 0 ,_{��-�
10. h!a#ural valRey p p,�
1 i. Second or greater order chann�l �a�=
e art4fiClal dftches are not rated; see dis.cussivns in rrran�ual
B. N dre�io (5�btofal = �
12. F�r�sence of Base�4w D �
13. Iron oxidizing bacteria ^�� a `y, _
14. Leaf !i#ter ,T"�,,�._- 1
15. Sediment 4n plants or debris q �,�_'�
�5- Organic dearPs [i�es or piles d p�
'F7, Soil-based evidence of high vv�tertable? Na = 0
C. Biola 5ubtatai R `" - .�
18 F'ibraus roots in streambed 2
19. Rocrted upPand plan#s in streamk�ed !.�.1� �
2{]. MacrabenthQs {noie div�rsi#y and a�undance) '_� .�
21. Ac{uatic Mr�ilUskS 7
22. Fis'h p �
_-
�3 Cra�sh -__... e-------- ----- .� � �� ,
24 Arnphibians p � {�.5
_.._ ...-�--------_._ • -_�..�� _ —
25, Rlgae �� 0 5
26 Weiland plants in streambed �� FAC =�075�
"perennia! stre��s �nay afsv be identified using oth�r metharJs, See p 35 of martual
Nofes:
LatfitUde: �� �,� `!� .��
l.angitqde; � �P ��� }�, �
—� �_ _... . - f: .._.., .:
C3th er
e.g 4uad Name: ���a�r �.�
Moderate
2
2
—�
0
�
�
�
�
0
�
�
�i
Yes = 3
Yes =
1
1
2
2
i
i
��'
__... 1 — -W
= i 5 Other = o
3
D
15
1.5
s -1°; ,i v� f ,:.t�. 1.!�_�ls+�,�s i r� 7 _ � ! �! ?�/ � i+!,� '���.r yp ,c ^
. ! r 1 ' ��_�L'��..� � + Li���'xs� . �.�.--.�1-. �i .' f!� � -
`WvGA"1� � ..-
5kE#Ch; f3ank Height [�tj:,r�- _i r
� �
_'�� '�
� BankfWPl +A+idtki 4�tj: ,� �
�4.� �� f f Ca � Wate� depch iinj•(' _� f
Ctrannel stihstra[e�Cla t Sand Gravei Cob61e,
Bedrack
Vela�ity � Fasl, moderat 'slow
Clarit - Ic ea ighk�y kurbid, 4utb+d

NC DW �tream Id�a�i�icatian Form Versia� 4.11
�ate: �A '� � � e..D 1 � pr+�jecflSite: � _ ; �L�
E�alua#or: ���� Ii N�.�� d� �' �a l��� a County: � f��G� °��
�°�� ����� � 5#ream Det+erminatian (cirde
SYreamrsatJaastinlemrlttent ��. � ERhemeral Intermittent Qe�
if? 19 or erennral if � 30' .r ��
A. Geomo holo SWb#atal =�,� Absertt Weak
+� CQntir�u�ty of channel bed and bank � 1
2. Sinuosiiy af char�ne! alo�� thalweg D �.
3. In-c�annel structure: ex. riffle-paol, step-poo1, a +. �,
ri le- ocl se ueRce
4. F�article size of sf�eam substrate 0 1
5, AetiveJrelict floadpfain a 1
G. �epositianal b�rs or henches f] { 1 j
7. Recent alluvial deppsits Q � 1,�
8. Headcuts � 1
9. Grade canfrol (�fl� 0.5
10. hEatural vafley Q 0.5
1'E. Sscond ar greater order channeE f4a -� �
a artificial ditches ars not rated; see discussions in m�nual
B. H droio (S�rbtatal = �, �
�2. Presence of E�aseflow Q 1
13, Iron oxidizing baeteria a `1
i4. Leafi�tter ,f,i�� 1
15. SEdiment on plants v� debris 4 ��
1B. CJr�anic dehris fines csr piles Cl ,`-0.5
17_ 5ail-based evidence �f high w�rter table? hlo = 0
C. siofo S�,hiata�= ,.�
��
LatFtude: �' �/ � � � �,
1.mrtgifude:_ ,i r'�%r,j �-
�/, � ' / / �
Qtfser
e.g. Quad Name: r�r,� 'r'o l
Moderate
2
�
2
2
2
�
2
�
�
;
Yes = 3
�---
2 ��
2 �
�.5 0
1 1_5
1 1.b
'fes = 3 �',
38. Fibrous roo�s in sfre�mhed � 3 � �
18. F2aQted upland pian#s ir� streambed � 3" � �
20. MaC�7ben#hos (note ciiversfty and abundanae} a � 2
�1. Aquatie Mpllusks ' 0 • 1 2
22. Fisha i'Ll 0.5 �
23 CrayfRsh {1 0-5 �
24. Amphibfens d �':�7.5 �
25 Algae 0 0.5 1
26 Wetland pl�nfs in streambed FA�1N= 0.75; C�BL = 1.b
`perennial streaT �rnay afsD be idenEiSed us�ng aEher msthvds. 5ee p. 35 a1 rnanuel
�C7�0S; . f/ ;s%r'%� ��,Idi tl �"i-7 , P 17�..� h� �'pn� 3 fY � 1� � �
,
Sk�tCh; /
,•�� ��',� ,� � ,�
Bank He�ght [ftl:.��� .
BankfvEl width (ft): �' �
� ,.,
Water depth (mj: ,� � "
Channel substrate -�_��„Si�t,,,�and Grau—e �i6ble.
Bedrock
Velocity - fasz, maderat sla
Clar cfe�,~'slighkly [urbid, turhid

!
NC DV+V Stream Ic#enkification Faraa VersinQ 4.1.1.
C3ate: � � f �'�7 prajsctlSite: '',?�/'��
1 `i�
��raluatvr: �+�_ , � � � � �^ , �; r Caunty; �' r ,�
i .��- ,�nl� t-��,.s�° LA � �-+ !�� I! � __ ���%'�!`'..���..m�..._-- -
Tot�l Polklts; Stream �eterminatian (cirele o�e
Strearrr !s at leasd Frrtermlttenf i� Epheme�al I retermitten e�l
if � 79 or,vererrnial if Z 3fl' �
Latitud�; °��� ��✓��'�'
..� ,
Longitutke; � �� � , r,-
�_ �......___. , a�.-.� ,_ru
C�th er
a.g Quad Name: �� � � i'�
...,.....�.,� ..,�..1.��....«�.. ��.,� �...... � .... .,�uvuaaviio nt a�iaiivai
B. H drolog Esubtatal = /�'
�2. Prese�rce of Base�ow 0 1 �
13. Iron oxidizing bacteria p -� �
14. Leaf lit#er _�1_5..—'- �1 D.5
15. Sediment on plants ar debrls � p,�__ 1
16. C�rganic debris lir,es or piles p � 5 1 l
17. Soil-based evidence of high water tab4e? Nv = D -
�. �iQlo 5ubtatal = �.
18 Fibraus roa#s in s#reambed -�" 3? � �
i9. Rao#ed upland plants in streambed 2 1
2[l. Macrabenthos (nvte di�ersity and a�undance} p �^ � '� 2
�'f. A,quatic Mc�llusks ,- �p q �
22. Fish � • p j 0.5 9
�3 Crayf'fsh p �_ -�y p�_ �
�4. Arnphib�ans -- �.__------�_. ----� �.5 ���
25. Algae _ --_._.�..._ _ .__ -- . Q Q 5 , �_._.... 1 _
- , �_
26 Wetland plants in streamb�d FACW � U.75; C7BL = 1 5 fltF
'perennial stret7s may also be identifted using ofher methods See p. 35 of manual ^
��t�ES, f r �,�; �r� � � ; ;/,if�,+�i'�iP1� ��`� . I �f�'; �,{ L•asSG�/'n�. W —
5k0lGh' �-
��'.� ��1:� ( Y —�
,
3
0
15
1.5
es=:�
9�1
Bank Fietgf�t {ft�:� t `�'"� .._____- - —.--
Bankf+al0 width (ftj: � r-,'� �
WateR depth (in�.
Channel s�fbstra e Cla 5T Sand, Gravel, Cohble,
J.�_�
Bedrock
velocity • Fasl, moderate�5lpw�
Clarity �lear„ li�htly Cur�id, �urb�d

NC SAM FIELD ASSESSMENT RESULTS
Accompanies User Manual Version 2.1
USACE AID #: NCDWR #:
INSTRUCTIONS: Attach a sketch of the assessment area and photographs. Attach a copy of the USGS 7.5-minute topographic quadrangle,
and circle the location of the stream reach under evaluation. If multiple stream reaches will be evaluated on the same property, identify and
number all reaches on the attached map, and include a separate form for each reach. See the NC SAM User Manual for detailed descriptions
and explanations of requested information. Record in the "Notes/Sketch" section if supplementary measurements were performed. See the
NC SAM User Manual for examples of additional measurements that may be relevant.
NOTE EVIDENCE OF STRESSORS AFFECTING THE ASSESSMENT AREA (do not need to be within the assessment area).
PROJECT/SITE INFORMATION:
R-3430 Connelly Springs Rd
1. Project name (if any): Improvements 2. Date of evaluation: 6/21/2018
3. ApplicanUowner name: NCDOT 4. Assessor name/organization: Nathan Howell
5. County: Caldwell 6. Nearest named water body
7. River basin: Catawba on USGS 7.5-minute quad: Stafford Creek
8. Site coordinates (decimal degrees, at lower end of assessment reach): 35.806751, -81.533345
STREAM INFORMATION: (depth and width can be approximations)
9. Site number (show on attached map): Stream SD 10. Length of assessment reach evaluated (feet): 130
11. Channel depth from bed (in riffle, if present) to top of bank (feet): 2-5 ❑Unable to assess channel depth.
12. Channel width at top of bank (feet): 3-6 13. Is assessment reach a swamp steam? ❑Yes ❑No
14. Feature type: �Perennial flow ❑Intermittent flow ❑Tidal Marsh Stream
STREAM CATEGORY INFORMATION:
15. NC SAM Zone: ❑ Mountains (M) � Piedmont (P) ❑ Inner Coastal Plain (I) ❑ Outer Coastal Plain (0)
16. Estimated geomorphic �A � �B
valley shape (skip for
Tidal Marsh Stream): (more sinuous stream, flatter valley slope) (less sinuous stream, steeper valley slope)
17. Watershed size: (skip �Size 1(< 0.1 miz) ❑Size 2(0.1 to < 0.5 mi2) ❑Size 3(0.5 to < 5 miz) ❑Size 4(>_ 5 mi2)
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
18. Were regulatory considerations evaluated? �Yes ❑No If Yes, check all that apply to the assessment area.
❑Section 10 water ❑Classified Trout Waters ❑Water Supply Watershed (❑I ❑II ❑III �IV ❑V)
❑Essential Fish Habitat ❑Primary Nursery Area ❑ High Quality Waters/Outstanding Resource Waters
❑Publicly owned property ❑NCDWR Riparian buffer rule in effect ❑Nutrient Sensitive Waters
❑Anadromous fish ❑303(d) List ❑CAMA Area of Environmental Concern (AEC)
❑Documented presence of a federal and/or state listed protected species within the assessment area.
List species:
❑Designated Critical Habitat (list species)
19. Are additional stream information/su�olementarv measurements included in "Notes/Sketch" section or attached? IRIYes I-lNo
1. Channel Water - assessment reach metric (skip for Size 1 streams and Tidal Marsh Streams)
❑A Water throughout assessment reach.
❑B No flow, water in pools only.
❑C No water in assessment reach.
2. Evidence of Flow Restriction - assessment reach metric
❑A At least 10% of assessment reach in-stream habitat or riffle-pool sequence is severely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impoundment on flood or ebb within
the assessment reach (examples: undersized or perched culverts, causeways that constrict the channel, tidal gates, debris jams,
beaver dams).
�B Not A
3. Feature Pattern - assessment reach metric
�A A majority of the assessment reach has altered pattern (examples: straightening, modification above or below culvert).
❑B Not A
4. Feature Longitudinal Profile - assessment reach metric
�A Majority of assessment reach has a substantially altered stream profile (examples: channel down-cutting, existing damming, over
widening, active aggradation, dredging, and excavation where appropriate channel profile has not reformed from any of these
disturbances).
❑B Not A
5. Signs of Active Instability - assessment reach metric
Consider only current instability, not past events from which the stream has currently recovered. Examples of instability include
active bank failure, active channel down-cutting (head-cut), active widening, and artificial hardening (such as concrete, gabion, rip-rap).
❑A < 10% of channel unstable
�B 10 to 25°/a of channel unstable
❑C > 25% of channel unstable

6. Streamside Area Interaction — streamside area metric
Consider for the Left Bank (LB) and the Right Bank (RB).
LB RB
❑A ❑A Little or no evidence of conditions that adversely affect reference interaction
�B �B Moderate evidence of conditions (examples: berms, levees, down-cutting, aggradation, dredging) that adversely affect
reference interaction (examples: limited streamside area access, disruption of flood flows through streamside area, leaky
or intermittent bulkheads, causeways with floodplain constriction, minor ditching [including mosquito ditching])
❑C ❑C Extensive evidence of conditions that adversely affect reference interaction (little to no floodplain/intertidal zone access
[examples: causeways with floodplain and channel constriction, bulkheads, retaining walls, fill, stream incision, disruption
of flood flows through streamside area] or too much floodplain/intertidal zone access [examples: impoundments, intensive
mosquito ditching]) or floodplain/intertidal zone unnaturally absent or assessment reach is a man-made feature on an
interstream divide
Water Quality Stressors — assessment reach/intertidal zone metric
Check all that apply.
❑A Discolored water in stream or intertidal zone (milky white, blue, unnatural water discoloration, oil sheen, stream foam)
❑B Excessive sedimentation (burying of stream features or intertidal zone)
❑C Noticeable evidence of pollutant discharges entering the assessment reach and causing a water quality problem
❑D Odor (not including natural sulfide odors)
❑E Current published or collected data indicating degraded water quality in the assessment reach. Cite source in "Notes/Sketch"
section.
❑F Livestock with access to stream or intertidal zone
�G Excessive algae in stream or intertidal zone
❑H Degraded marsh vegetation in the intertidal zone (removal, burning, regular mowing, destruction, etc)
❑I Other: (explain in "Notes/Sketch" section)
❑J Little to no stressors
8. Recent Weather — watershed metric (skip for Tidal Marsh Streams)
For Size 1 or 2 streams, D1 drought or higher is considered a drought; for Size 3 or 4 streams, D2 drought or higher is considered a drought.
❑A Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
❑B Drought conditions and rainfall exceeding 1 inch within the last 48 hours
�C No drought conditions
9. Large or Dangerous Stream — assessment reach metric
❑Yes �No Is stream is too large or dangerous to assess? If Yes, skip to Metric 13 (Streamside Area Ground Surface Condition).
10. Natural In-stream Habitat Types — assessment reach metric
10a. ❑Yes ❑No Degraded in-stream habitat over majority of the assessment reach (examples of stressors include excessive
sedimentation, mining, excavation, in-stream hardening [for example, rip-rap], recent dredging, and snagging)
(evaluate for Size 4 Coastal Plain streams only, then skip to Metric 12)
10b. Check all that occur (occurs if > 5% coverage of assessment reach) (skip for Size 4 Coastal Plain streams)
❑A Multiple aquatic macrophytes and aquatic mosses ��, ❑F 5% oysters or other natural hard bottoms
(include liverworts, lichens, and algal mats) �� ❑G Submerged aquatic vegetation
�B Multiple sticks and/or leaf packs and/or emergent o Y ❑H Low-tide refugia (pools)
vegetation � y ❑I Sand bottom
❑C Multiple snags and logs (including lap trees) �� ❑J 5% vertical bank along the marsh
❑D 5% undercut banks and/or root mats and/or roots �� ❑K Little or no habitat
in banks extend to the normal wetted perimeter
❑E Little or no habitat
*********************************REMAINING QUESTIONS ARE NOT APPLICABLE FOR TIDAL MARSH STREAMS****************************
11. Bedform and Substrate — assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
11a. ❑Yes �No Is assessment reach in a natural sand-bed stream? (skip for Coastal Plain streams)
11 b. Bedform evaluated. Check the appropriate box(es).
�A Riffle-run section (evaluate 11c)
❑B Pool-glide section (evaluate 11d)
❑C Natural bedform absent (skip to Metric 12, Aquatic Life)
11 c. In riffle sections, check all that occur below the normal wetted perimeter of the assessment reach — whether or not submerged. Check
at least one box in each row (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams). Not Present (NP) = absent, Rare
(R) = present but < 10%, Common (C) _> 10-40%, Abundant (A) _> 40-70%, Predominant (P) _> 70%. Cumulative percentages
should not exceed 100% for each assessment reach.
NP R C A P
� ❑ ❑ ❑ ❑ Bedrock/saprolite
� ❑ ❑ ❑ ❑ Boulder (256 — 4096 mm)
� ❑ ❑ ❑ ❑ Cobble (64 — 256 mm)
❑ � ❑ ❑ ❑ Gravel (2 — 64 mm)
❑ ❑ ❑ � ❑ Sand (.062 — 2 mm)
❑ ❑ � ❑ ❑ Silt/clay (< 0.062 mm)
❑ � ❑ ❑ ❑ Detritus
� ❑ ❑ ❑ ❑ Artificial (rip-rap, concrete, etc.)
11d. ❑Yes ❑No Are pools filled with sediment? (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)

12. Aquatic Life — assessment reach metric (skip for Tidal Marsh Streams)
12a. �Yes ❑No Was an in-stream aquatic life assessment performed as described in the User Manual?
If No, select one of the following reasons and skip to Metric 13. ❑No Water ❑Other:
12b. �Yes ❑No Are aquatic organisms present in the assessment reach (look in riffles, pools, then snags)? If Yes, check all that
apply. If No, skip to Metric 13.
1 >1 Numbers over columns refer to "individuals" for Size 1 and 2 streams and "taxa" for Size 3 and 4 streams.
❑ �Adult frogs
❑ ❑Aquatic reptiles
❑ ❑Aquatic macrophytes and aquatic mosses (include liverworts, lichens, and algal mats)
❑ ❑Beetles
� ❑Caddisfly larvae (T)
❑ ❑Asian clam (Corbicula)
❑ ❑Crustacean (isopod/amphipod/crayfish/shrimp)
❑ ❑Damselfly and dragonfly larvae
❑ ❑Dipterans
❑ ❑Mayfly larvae (E)
❑ ❑Megaloptera (alderfly, fishfly, dobsonfly laroae)
❑ ❑Midges/mosquito larvae
❑ ❑Mosquito fish (Gambusia) or mud minnows (Umbra pygmaea)
❑ ❑Mussels/Clams (not Corbicula)
❑ ❑Other fish
❑ �Salamanders/tadpoles
❑ ❑Snails
❑ ❑Stonefly larvae (P)
❑ ❑Tipulid larvae
❑ ❑Worms/leeches
13. Streamside Area Ground Surface Condition — streamside area metric (skip for Tidal Marsh Streams and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB). Consider storage capacity with regard to both overbank flow and upland runoff.
LB RB
❑A ❑A Little or no alteration to water storage capacity over a majority of the streamside area
❑B ❑B Moderate alteration to water storage capacity over a majority of the streamside area
�C �C Severe alteration to water storage capacity over a majority of the streamside area (examples: ditches, fill, soil compaction,
livestock disturbance, buildings, man-made levees, drainage pipes)
14. Streamside Area Water Storage — streamside area metric (skip for Size 1 streams, Tidal Marsh Streams, and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB) of the streamside area.
LB RB
❑A ❑A Majority of streamside area with depressions able to pond water >_ 6 inches deep
❑B ❑B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
❑C ❑C Majority of streamside area with depressions able to pond water < 3 inches deep
15. Wetland Presence — streamside area metric (skip for Tidal Marsh Streams)
Consider for the Left Bank (LB) and the Right Bank (RB). Do not consider wetlands outside of the streamside area or within the normal
wetted perimeter of assessment reach.
LB RB
❑Y ❑Y Are wetlands present in the streamside area?
�N �N
16. Baseflow Contributors — assessment reach metric (skip for Size 4 streams and Tidal Marsh Streams)
Check all contributors within the assessment reach or within view of and draining to the assessment reach.
�A Streams and/or springs (jurisdictional discharges)
❑B Ponds (include wet detention basins; do not include sediment basins or dry detention basins)
❑C Obstruction passing flow during low-flow periods within the assessment area (beaver dam, leaky dam, bottom-release dam, weir)
�D Evidence of bank seepage or sweating (iron in water indicates seepage)
�E Stream bed or bank soil reduced (dig through deposited sediment if present)
❑F None of the above
17. Baseflow Detractors — assessment area metric (skip for Tidal Marsh Streams)
Check all that apply.
❑A Evidence of substantial water withdrawals from the assessment reach (includes areas excavated for pump installation)
❑B Obstruction not passing flow during low-flow periods affecting the assessment reach (ex: watertight dam, sediment deposit)
❑C Urban stream (>_ 24% impervious surface for watershed)
�D Evidence that the streamside area has been modified resulting in accelerated drainage into the assessment reach
❑E Assessment reach relocated to valley edge
❑F None of the above
18. Shading — assessment reach metric (skip for Tidal Marsh Streams)
Consider aspect. Consider "leaf-on" condition.
❑A Stream shading is appropriate for stream category (may include gaps associated with natural processes)
�B Degraded (example: scattered trees)
❑C Stream shading is gone or largely absent

19. Buffer Width — streamside area metric (skip for Tidal Marsh Streams)
Consider "vegetated buffer" and "wooded buffer" separately for left bank (LB) and right bank (RB) starting at the top of bank out
to the first break.
Vegetated Wooded
LB RB LB RB
�A �A ❑A ❑A >_ 100 feet wide or extends to the edge of the watershed
❑B ❑B ❑B ❑B From 50 to < 100 feet wide
❑C ❑C ❑C ❑C From 30 to < 50 feet wide
❑D ❑D ❑D �D From 10 to < 30 feet wide
❑E ❑E �E ❑E < 10 feet wide or no trees
20. Buffer Structure — streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Vegetated" Buffer Width).
LB RB
❑A ❑A Mature forest
❑B ❑B Non-mature woody vegetation or modified vegetation structure
�C �C Herbaceous vegetation with or without a strip of trees < 10 feet wide
❑D ❑D Maintained shrubs
❑E ❑E Little or no vegetation
21. Buffer Stressors — streamside area metric (skip for Tidal Marsh Streams)
Check all appropriate boxes for left bank (LB) and right bank (RB). Indicate if listed stressor abuts stream (Abuts), does not abut but is
within 30 feet of stream (< 30 feet), or is between 30 to 50 feet of stream (30-50 feet).
If none of the following stressors occurs on either bank, check here and skip to Metric 22: ❑
Abuts < 30 feet 30-50 feet
LB RB LB RB LB RB
❑A ❑A ❑A ❑A ❑A ❑A Row crops
�B ❑B ❑B ❑B ❑B ❑B Maintained turf
❑C ❑C ❑C �C ❑C ❑C Pasture (no livestock)/commercial horticulture
❑D ❑D ❑D ❑D ❑D ❑D Pasture (active livestock use)
22. Stem Density — streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Wooded" Buffer Width).
LB RB
❑A ❑A Medium to high stem density
❑B �B Low stem density
�C ❑C No wooded riparian buffer or predominantly herbaceous species or bare ground
23. Continuity of Vegetated Buffer — streamside area metric (skip for Tidal Marsh Streams)
Consider whether vegetated buffer is continuous along stream (parallel). Breaks are areas lacking vegetation > 10 feet wide.
LB RB
�A �A The total length of buffer breaks is < 25 percent.
❑B ❑B The total length of buffer breaks is between 25 and 50 percent.
❑C ❑C The total length of buffer breaks is > 50 percent.
24. Vegetative Composition — streamside area metric (skip for Tidal Marsh Streams)
Evaluate the dominant vegetation within 100 feet of each bank or to the edge of the watershed (whichever comes first) as it contributes to
assessment reach habitat.
LB RB
❑A ❑A Vegetation is close to undisturbed in species present and their proportions. Lower strata composed of native species,
with non-native invasive species absent or sparse.
❑B �B Vegetation indicates disturbance in terms of species diversity or proportions, but is still largely composed of native
species. This may include communities of weedy native species that develop after clear-cutting or clearing or
communities with non-native invasive species present, but not dominant, over a large portion of the expected strata or
communities missing understory but retaining canopy trees.
�C ❑C Vegetation is severely disturbed in terms of species diversity or proportions. Mature canopy is absent or communities
with non-native invasive species dominant over a large portion of expected strata or communities composed of planted
stands of non-characteristic species or communities inappropriately composed of a single species or no vegetation.
25. Conductivity — assessment reach metric (skip for all Coastal Plain streams)
25a. ❑Yes �No Was conductivity measurement recorded?
If No, select one of the following reasons. ❑No Water ❑Other:
25b. Check the box corresponding to the conductivity measurement (units of microsiemens per centimeter).
❑A < 46 ❑B 46 to < 67 ❑C 67 to < 79 ❑D 79 to < 230 ❑E >_ 230
Notes/Sketch:
Stream SD is a man-made ditch that conveys perennial flow into Stafford Creek furhter downstream.

Stream Site Name
Stream Category
Draft NC SAM Stream Rating Sheet
Accompanies User Manual Version 2.1
R-3430 Connelly Springs Rd Date of Assessment 6/21/2018
Improvements
Pa1 Assessor Name/Organization Nathan Howell
Notes of Field Assessment Form (Y/N) YES
Presence of regulatory considerations (Y/N) NO
Additional stream information/supplementary measurements included (Y/N) YES
NC SAM feature type (perennial, intermittent, Tidal Marsh Stream) Perennial
USACE/ NCDWR
Function Class Rating Summary All Streams Intermittent
(1) Hydrology LOW
(2) Baseflow MEDIUM
(2) Flood Flow LOW
(3) Streamside Area Attenuation LOW
(4) Floodplain Access MEDIUM
(4) Wooded Riparian Buffer LOW
(4) Microtopography LOW
(3) Stream Stability LOW
(4) Channel Stability MEDIUM
(4) Sediment Transport LOW
(4) Stream Geomorphology LOW
(2) Stream/Intertidal Zone Interaction NA
(2) Longitudinal Tidal Flow NA
(2) Tidal Marsh Stream Stability NA
(3) Tidal Marsh Channel Stability NA
(3) Tidal Marsh Stream Geomorphology NA
(1) Water Quality MEDIUM
(2) Baseflow MEDIUM
(2) Streamside Area Vegetation LOW
(3) Upland Pollutant Filtration LOW
(3) Thermoregulation MEDIUM
(2) Indicators of Stressors NO
(2) Aquatic Life Tolerance MEDIUM
(2) Intertidal Zone Filtration NA
(1) Habitat LOW
(2) In-stream Habitat LOW
(3) Baseflow MEDIUM
(3) Substrate LOW
(3) Stream Stability MEDIUM
(3) In-stream Habitat LOW
(2) Stream-side Habitat LOW
(3) Stream-side Habitat LOW
(3) Thermoregulation LOW
(2) Tidal Marsh In-stream Habitat NA
(3) Flow Restriction NA
(3) Tidal Marsh Stream Stability NA
(4) Tidal Marsh Channel Stability NA
(4) Tidal Marsh Stream Geomorphology NA
(3) Tidal Marsh In-stream Habitat NA
(2) Intertidal Zone NA
Overall LOW
Stream SD

NC SAM FIELD ASSESSMENT RESULTS
Accompanies User Manual Version 2.1
USACE AID #: NCDWR #:
INSTRUCTIONS: Attach a sketch of the assessment area and photographs. Attach a copy of the USGS 7.5-minute topographic quadrangle,
and circle the location of the stream reach under evaluation. If multiple stream reaches will be evaluated on the same property, identify and
number all reaches on the attached map, and include a separate form for each reach. See the NC SAM User Manual for detailed descriptions
and explanations of requested information. Record in the "Notes/Sketch" section if supplementary measurements were performed. See the
NC SAM User Manual for examples of additional measurements that may be relevant.
NOTE EVIDENCE OF STRESSORS AFFECTING THE ASSESSMENT AREA (do not need to be within the assessment area).
PROJECT/SITE INFORMATION:
R-3430 Connelly Springs Rd
1. Project name (if any): Improvements 2. Date of evaluation: 6/21/2018
3. ApplicanUowner name: NCDOT 4. Assessor name/organization: Nathan Howell
5. County: Caldwell 6. Nearest named water body
7. River basin: Catawba on USGS 7.5-minute quad: Gunpowder Creek
8. Site coordinates (decimal degrees, at lower end of assessment reach): 35.863314, -81.539216
STREAM INFORMATION: (depth and width can be approximations)
9. Site number (show on attached map): Stream SH 10. Length of assessment reach evaluated (feet): 600
11. Channel depth from bed (in riffle, if present) to top of bank (feet): 2-3 ❑Unable to assess channel depth.
12. Channel width at top of bank (feet): 3-6 13. Is assessment reach a swamp steam? ❑Yes ❑No
14. Feature type: �Perennial flow ❑Intermittent flow ❑Tidal Marsh Stream
STREAM CATEGORY INFORMATION:
15. NC SAM Zone: ❑ Mountains (M) � Piedmont (P) ❑ Inner Coastal Plain (I) ❑ Outer Coastal Plain (0)
16. Estimated geomorphic �A � �B
valley shape (skip for
Tidal Marsh Stream): (more sinuous stream, flatter valley slope) (less sinuous stream, steeper valley slope)
17. Watershed size: (skip �Size 1(< 0.1 miz) ❑Size 2(0.1 to < 0.5 mi2) ❑Size 3(0.5 to < 5 miz) ❑Size 4(>_ 5 mi2)
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
18. Were regulatory considerations evaluated? ❑Yes ❑No If Yes, check all that apply to the assessment area.
❑Section 10 water ❑Classified Trout Waters ❑Water Supply Watershed (❑I ❑II ❑III ❑IV ❑V)
❑Essential Fish Habitat ❑Primary Nursery Area ❑ High Quality Waters/Outstanding Resource Waters
❑Publicly owned property ❑NCDWR Riparian buffer rule in effect ❑Nutrient Sensitive Waters
❑Anadromous fish ❑303(d) List ❑CAMA Area of Environmental Concern (AEC)
❑Documented presence of a federal and/or state listed protected species within the assessment area.
List species:
❑Designated Critical Habitat (list species)
19. Are additional stream information/su�olementarv measurements included in "Notes/Sketch" section or attached? IRIYes I-lNo
1. Channel Water - assessment reach metric (skip for Size 1 streams and Tidal Marsh Streams)
❑A Water throughout assessment reach.
❑B No flow, water in pools only.
❑C No water in assessment reach.
2. Evidence of Flow Restriction - assessment reach metric
❑A At least 10% of assessment reach in-stream habitat or riffle-pool sequence is severely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impoundment on flood or ebb within
the assessment reach (examples: undersized or perched culverts, causeways that constrict the channel, tidal gates, debris jams,
beaver dams).
�B Not A
3. Feature Pattern - assessment reach metric
�A A majority of the assessment reach has altered pattern (examples: straightening, modification above or below culvert).
❑B Not A
4. Feature Longitudinal Profile - assessment reach metric
�A Majority of assessment reach has a substantially altered stream profile (examples: channel down-cutting, existing damming, over
widening, active aggradation, dredging, and excavation where appropriate channel profile has not reformed from any of these
disturbances).
❑B Not A
5. Signs of Active Instability - assessment reach metric
Consider only current instability, not past events from which the stream has currently recovered. Examples of instability include
active bank failure, active channel down-cutting (head-cut), active widening, and artificial hardening (such as concrete, gabion, rip-rap).
❑A < 10% of channel unstable
�B 10 to 25°/a of channel unstable
❑C > 25% of channel unstable

6. Streamside Area Interaction — streamside area metric
Consider for the Left Bank (LB) and the Right Bank (RB).
LB RB
❑A ❑A Little or no evidence of conditions that adversely affect reference interaction
❑B ❑B Moderate evidence of conditions (examples: berms, levees, down-cutting, aggradation, dredging) that adversely affect
reference interaction (examples: limited streamside area access, disruption of flood flows through streamside area, leaky
or intermittent bulkheads, causeways with floodplain constriction, minor ditching [including mosquito ditching])
�C �C Extensive evidence of conditions that adversely affect reference interaction (little to no floodplain/intertidal zone access
[examples: causeways with floodplain and channel constriction, bulkheads, retaining walls, fill, stream incision, disruption
of flood flows through streamside area] or too much floodplain/intertidal zone access [examples: impoundments, intensive
mosquito ditching]) or floodplain/intertidal zone unnaturally absent or assessment reach is a man-made feature on an
interstream divide
Water Quality Stressors — assessment reach/intertidal zone metric
Check all that apply.
❑A Discolored water in stream or intertidal zone (milky white, blue, unnatural water discoloration, oil sheen, stream foam)
❑B Excessive sedimentation (burying of stream features or intertidal zone)
�C Noticeable evidence of pollutant discharges entering the assessment reach and causing a water quality problem
❑D Odor (not including natural sulfide odors)
❑E Current published or collected data indicating degraded water quality in the assessment reach. Cite source in "Notes/Sketch"
section.
❑F Livestock with access to stream or intertidal zone
❑G Excessive algae in stream or intertidal zone
❑H Degraded marsh vegetation in the intertidal zone (removal, burning, regular mowing, destruction, etc)
❑I Other: (explain in "Notes/Sketch" section)
❑J Little to no stressors
8. Recent Weather — watershed metric (skip for Tidal Marsh Streams)
For Size 1 or 2 streams, D1 drought or higher is considered a drought; for Size 3 or 4 streams, D2 drought or higher is considered a drought.
❑A Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
❑B Drought conditions and rainfall exceeding 1 inch within the last 48 hours
�C No drought conditions
9. Large or Dangerous Stream — assessment reach metric
❑Yes �No Is stream is too large or dangerous to assess? If Yes, skip to Metric 13 (Streamside Area Ground Surface Condition).
10. Natural In-stream Habitat Types — assessment reach metric
10a. ❑Yes ❑No Degraded in-stream habitat over majority of the assessment reach (examples of stressors include excessive
sedimentation, mining, excavation, in-stream hardening [for example, rip-rap], recent dredging, and snagging)
(evaluate for Size 4 Coastal Plain streams only, then skip to Metric 12)
10b. Check all that occur (occurs if > 5% coverage of assessment reach) (skip for Size 4 Coastal Plain streams)
❑A Multiple aquatic macrophytes and aquatic mosses ��, ❑F 5% oysters or other natural hard bottoms
(include liverworts, lichens, and algal mats) �� ❑G Submerged aquatic vegetation
�B Multiple sticks and/or leaf packs and/or emergent o Y ❑H Low-tide refugia (pools)
vegetation � y ❑I Sand bottom
❑C Multiple snags and logs (including lap trees) �� ❑J 5% vertical bank along the marsh
❑D 5% undercut banks and/or root mats and/or roots �� ❑K Little or no habitat
in banks extend to the normal wetted perimeter
❑E Little or no habitat
*********************************REMAINING QUESTIONS ARE NOT APPLICABLE FOR TIDAL MARSH STREAMS****************************
11. Bedform and Substrate — assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
11a. ❑Yes �No Is assessment reach in a natural sand-bed stream? (skip for Coastal Plain streams)
11 b. Bedform evaluated. Check the appropriate box(es).
�A Riffle-run section (evaluate 11c)
❑B Pool-glide section (evaluate 11d)
❑C Natural bedform absent (skip to Metric 12, Aquatic Life)
11 c. In riffle sections, check all that occur below the normal wetted perimeter of the assessment reach — whether or not submerged. Check
at least one box in each row (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams). Not Present (NP) = absent, Rare
(R) = present but < 10%, Common (C) _> 10-40%, Abundant (A) _> 40-70%, Predominant (P) _> 70%. Cumulative percentages
should not exceed 100% for each assessment reach.
NP R C A P
� ❑ ❑ ❑ ❑ Bedrock/saprolite
� ❑ ❑ ❑ ❑ Boulder (256 — 4096 mm)
� ❑ ❑ ❑ ❑ Cobble (64 — 256 mm)
❑ ❑ � ❑ ❑ Gravel (2 — 64 mm)
❑ ❑ ❑ � ❑ Sand (.062 — 2 mm)
❑ ❑ ❑ ❑ � Silt/clay (< 0.062 mm)
❑ � ❑ ❑ ❑ Detritus
❑ � ❑ ❑ ❑ Artificial (rip-rap, concrete, etc.)
11d. ❑Yes ❑No Are pools filled with sediment? (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)

12. Aquatic Life — assessment reach metric (skip for Tidal Marsh Streams)
12a. �Yes ❑No Was an in-stream aquatic life assessment performed as described in the User Manual?
If No, select one of the following reasons and skip to Metric 13. ❑No Water ❑Other:
12b. �Yes ❑No Are aquatic organisms present in the assessment reach (look in riffles, pools, then snags)? If Yes, check all that
apply. If No, skip to Metric 13.
1 >1 Numbers over columns refer to "individuals" for Size 1 and 2 streams and "taxa" for Size 3 and 4 streams.
❑ �Adult frogs
❑ ❑Aquatic reptiles
❑ ❑Aquatic macrophytes and aquatic mosses (include liverworts, lichens, and algal mats)
❑ ❑Beetles
❑ ❑Caddisfly larvae (T)
❑ ❑Asian clam (Corbicula)
❑ ❑Crustacean (isopod/amphipod/crayfish/shrimp)
❑ ❑Damselfly and dragonfly larvae
❑ ❑Dipterans
❑ ❑Mayfly larvae (E)
❑ ❑Megaloptera (alderfly, fishfly, dobsonfly laroae)
❑ ❑Midges/mosquito larvae
❑ ❑Mosquito fish (Gambusia) or mud minnows (Umbra pygmaea)
❑ ❑Mussels/Clams (not Corbicula)
❑ ❑Other fish
❑ �Salamanders/tadpoles
❑ ❑Snails
❑ ❑Stonefly larvae (P)
❑ ❑Tipulid larvae
❑ �Worms/leeches
13. Streamside Area Ground Surface Condition — streamside area metric (skip for Tidal Marsh Streams and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB). Consider storage capacity with regard to both overbank flow and upland runoff.
LB RB
❑A ❑A Little or no alteration to water storage capacity over a majority of the streamside area
❑B ❑B Moderate alteration to water storage capacity over a majority of the streamside area
�C �C Severe alteration to water storage capacity over a majority of the streamside area (examples: ditches, fill, soil compaction,
livestock disturbance, buildings, man-made levees, drainage pipes)
14. Streamside Area Water Storage — streamside area metric (skip for Size 1 streams, Tidal Marsh Streams, and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB) of the streamside area.
LB RB
❑A ❑A Majority of streamside area with depressions able to pond water >_ 6 inches deep
❑B ❑B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
❑C ❑C Majority of streamside area with depressions able to pond water < 3 inches deep
15. Wetland Presence — streamside area metric (skip for Tidal Marsh Streams)
Consider for the Left Bank (LB) and the Right Bank (RB). Do not consider wetlands outside of the streamside area or within the normal
wetted perimeter of assessment reach.
LB RB
❑Y ❑Y Are wetlands present in the streamside area?
�N �N
16. Baseflow Contributors — assessment reach metric (skip for Size 4 streams and Tidal Marsh Streams)
Check all contributors within the assessment reach or within view of and draining to the assessment reach.
�A Streams and/or springs (jurisdictional discharges)
❑B Ponds (include wet detention basins; do not include sediment basins or dry detention basins)
❑C Obstruction passing flow during low-flow periods within the assessment area (beaver dam, leaky dam, bottom-release dam, weir)
❑D Evidence of bank seepage or sweating (iron in water indicates seepage)
�E Stream bed or bank soil reduced (dig through deposited sediment if present)
❑F None of the above
17. Baseflow Detractors — assessment area metric (skip for Tidal Marsh Streams)
Check all that apply.
❑A Evidence of substantial water withdrawals from the assessment reach (includes areas excavated for pump installation)
❑B Obstruction not passing flow during low-flow periods affecting the assessment reach (ex: watertight dam, sediment deposit)
❑C Urban stream (>_ 24% impervious surface for watershed)
�D Evidence that the streamside area has been modified resulting in accelerated drainage into the assessment reach
❑E Assessment reach relocated to valley edge
❑F None of the above
18. Shading — assessment reach metric (skip for Tidal Marsh Streams)
Consider aspect. Consider "leaf-on" condition.
❑A Stream shading is appropriate for stream category (may include gaps associated with natural processes)
❑B Degraded (example: scattered trees)
�C Stream shading is gone or largely absent

19. Buffer Width — streamside area metric (skip for Tidal Marsh Streams)
Consider "vegetated buffer" and "wooded buffer" separately for left bank (LB) and right bank (RB) starting at the top of bank out
to the first break.
Vegetated Wooded
LB RB LB RB
�A ❑A ❑A ❑A >_ 100 feet wide or extends to the edge of the watershed
❑B �B ❑B ❑B From 50 to < 100 feet wide
❑C ❑C ❑C ❑C From 30 to < 50 feet wide
❑D ❑D ❑D ❑D From 10 to < 30 feet wide
❑E ❑E �E �E < 10 feet wide or no trees
20. Buffer Structure — streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Vegetated" Buffer Width).
LB RB
❑A ❑A Mature forest
�B ❑B Non-mature woody vegetation or modified vegetation structure
❑C �C Herbaceous vegetation with or without a strip of trees < 10 feet wide
❑D ❑D Maintained shrubs
❑E ❑E Little or no vegetation
21. Buffer Stressors — streamside area metric (skip for Tidal Marsh Streams)
Check all appropriate boxes for left bank (LB) and right bank (RB). Indicate if listed stressor abuts stream (Abuts), does not abut but is
within 30 feet of stream (< 30 feet), or is between 30 to 50 feet of stream (30-50 feet).
If none of the following stressors occurs on either bank, check here and skip to Metric 22: �
Abuts < 30 feet 30-50 feet
LB RB LB RB LB RB
❑A ❑A ❑A ❑A ❑A ❑A Row crops
❑B ❑B ❑B ❑B ❑B ❑B Maintained turf
❑C ❑C ❑C ❑C ❑C ❑C Pasture (no livestock)/commercial horticulture
❑D ❑D ❑D ❑D ❑D ❑D Pasture (active livestock use)
22. Stem Density — streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Wooded" Buffer Width).
LB RB
❑A ❑A Medium to high stem density
�B ❑B Low stem density
❑C �C No wooded riparian buffer or predominantly herbaceous species or bare ground
23. Continuity of Vegetated Buffer — streamside area metric (skip for Tidal Marsh Streams)
Consider whether vegetated buffer is continuous along stream (parallel). Breaks are areas lacking vegetation > 10 feet wide.
LB RB
�A �A The total length of buffer breaks is < 25 percent.
❑B ❑B The total length of buffer breaks is between 25 and 50 percent.
❑C ❑C The total length of buffer breaks is > 50 percent.
24. Vegetative Composition — streamside area metric (skip for Tidal Marsh Streams)
Evaluate the dominant vegetation within 100 feet of each bank or to the edge of the watershed (whichever comes first) as it contributes to
assessment reach habitat.
LB RB
❑A ❑A Vegetation is close to undisturbed in species present and their proportions. Lower strata composed of native species,
with non-native invasive species absent or sparse.
�B ❑B Vegetation indicates disturbance in terms of species diversity or proportions, but is still largely composed of native
species. This may include communities of weedy native species that develop after clear-cutting or clearing or
communities with non-native invasive species present, but not dominant, over a large portion of the expected strata or
communities missing understory but retaining canopy trees.
❑C �C Vegetation is severely disturbed in terms of species diversity or proportions. Mature canopy is absent or communities
with non-native invasive species dominant over a large portion of expected strata or communities composed of planted
stands of non-characteristic species or communities inappropriately composed of a single species or no vegetation.
25. Conductivity — assessment reach metric (skip for all Coastal Plain streams)
25a. ❑Yes �No Was conductivity measurement recorded?
If No, select one of the following reasons. ❑No Water ❑Other:
25b. Check the box corresponding to the conductivity measurement (units of microsiemens per centimeter).
❑A < 46 ❑B 46 to < 67 ❑C 67 to < 79 ❑D 79 to < 230 ❑E >_ 230
Notes/Sketch:
Stream SH originates in a roadside ditch and flows into a UT to Gunpowder Creek (Stream SG). An adjacent business (Industrial Glass Products)
appeared to have an unpermitted discharge of a milky-white liquid into the roadside ditch, about 10' upstream of SH's perennial origin.

Stream Site Name
Stream Category
Draft NC SAM Stream Rating Sheet
Accompanies User Manual Version 2.1
R-3430 Connelly Springs Rd Date of Assessment 6/21/2018
Improvements
Pa1 Assessor Name/Organization Nathan Howell
Notes of Field Assessment Form (Y/N) YES
Presence of regulatory considerations (Y/N) NO
Additional stream information/supplementary measurements included (Y/N) YES
NC SAM feature type (perennial, intermittent, Tidal Marsh Stream) Perennial
USACE/ NCDWR
Function Class Rating Summary All Streams Intermittent
(1) Hydrology LOW
(2) Baseflow MEDIUM
(2) Flood Flow LOW
(3) Streamside Area Attenuation LOW
(4) Floodplain Access LOW
(4) Wooded Riparian Buffer LOW
(4) Microtopography LOW
(3) Stream Stability LOW
(4) Channel Stability MEDIUM
(4) Sediment Transport LOW
(4) Stream Geomorphology LOW
(2) Stream/Intertidal Zone Interaction NA
(2) Longitudinal Tidal Flow NA
(2) Tidal Marsh Stream Stability NA
(3) Tidal Marsh Channel Stability NA
(3) Tidal Marsh Stream Geomorphology NA
(1) Water Quality LOW
(2) Baseflow MEDIUM
(2) Streamside Area Vegetation LOW
(3) Upland Pollutant Filtration MEDIUM
(3) Thermoregulation LOW
(2) Indicators of Stressors YES
(2) Aquatic Life Tolerance LOW
(2) Intertidal Zone Filtration NA
(1) Habitat LOW
(2) In-stream Habitat LOW
(3) Baseflow MEDIUM
(3) Substrate LOW
(3) Stream Stability MEDIUM
(3) In-stream Habitat LOW
(2) Stream-side Habitat LOW
(3) Stream-side Habitat LOW
(3) Thermoregulation LOW
(2) Tidal Marsh In-stream Habitat NA
(3) Flow Restriction NA
(3) Tidal Marsh Stream Stability NA
(4) Tidal Marsh Channel Stability NA
(4) Tidal Marsh Stream Geomorphology NA
(3) Tidal Marsh In-stream Habitat NA
(2) Intertidal Zone NA
Overall LOW
Stream SH

WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region
ProjecUSite: R-3430 Improvements to Connelly Springs Road City/County: Caldwell Sampling Date: 6/20/2018
ApplicanUOwner: NCDOT State: NC Sampling Point: WA-3 Wet
Investigator(s): Nathan Howell & Cody Parks Section, Township, Range: Cajah's Mountain
Landform (hillside, terrace, etc.): Floodplain Local relief (concave, convex, none): Flat Slope (%): 0
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 35.782585 Long: -81.528431 Datum: NAD 83
Soil Map Unit Name: Hibriten-Woolwine complex, 15-50% slopes NWI classification: None
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation , Soil , or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes X No
Are Vegetation , Soil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes X No Is the Sampled Area
Hydric Soil Present? Yes X No within a Wetland? Yes X No
Wetland Hydrology Present? Yes X No
Remarks: NCWAM: Nontidal Freshwater Marsh
HYDROLOGY
Wetland Hydrology Indicators: Secondarv Indicators (minimum of two required)
Primarv Indicators (minimum of one is required; check all that applv) Surface Soil Cracks (B6)
X Surface Water (A1) True Aquatic Plants (614) Sparsely Vegetated Concave Surtace (68)
X High Water Table (A2) Hydrogen Sulfide Odor (C1) X Drainage Patterns (610)
X Saturation (A3) Oxidized Rhizospheres on Living Roots (C3) Moss Trim Lines (616)
Water Marks (61) Presence of Reduced Iron (C4) Dry-Season Water Table (C2)
X Sediment Deposits (B2) Recent Iron Reduction in Tilled Soils (C6) Crayfish Burrows (C8)
X Drift Deposits (B3) Thin Muck Surface (C7) X Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (B4) Other (Explain in Remarks) Stunted or Stressed Plants (D1)
Iron Deposits (B5) X Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (B7) Shallow Aquitard (D3)
Water-Stained Leaves (69) Microtopographic Relief (D4)
Aquatic Fauna (B13) X FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes X No Depth (inches): 1
Water Table Present? Yes X No Depth (inches): 0
Saturation Present? Yes X No Depth (inches): 0 Wetland Hydrology Present? Yes X No
includes capilla frin e
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
rmy orps o ngineers as ern oun ains an ie mon — ersion .0

VEGETATION (Four Strata) - Use scientific names of plants.
Absolute Dominant
Tree Stratum (Plot size: 30' radius ) % Cover Species?
1. Absent
2.
3.
4.
5.
6.
7.
Sampling Point: WA-3 Wet
Indicator
Status Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: 4 (A)
Total Number of Dominant
Species Across All Strata: 4 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 100.0% (A/B
=Total Cover
50% of total cover: 20% of total cover:
Saplinq/Shrub Stratum (Plot size: 15' radius )
1. Cephalanthus occidentalis 40 Yes OBL
2. Platanus occidentalis 20 Yes FACW
3.
4.
5.
6.
7.
8.
9.
60 =Total Cover
50% of total cover: 30 20% of total cover:
Herb Stratum (Plot size: 5' radius )
1. Juncus effusus 20 Yes
2. Boehmeria cylindrica 20 Yes
3. Sagittaria sp.
4.
5.
6.
7.
8.
9.
10.
11.
40 =Total Cover
50% of total cover: 20 20% of total cover:
Woodv Vine Stratum (Plot size: 30' radius )
1. Absent
2.
3.
4.
5.
=Total Cover
50% of total cover: 20% of total cover:
Remarks: (Include photo numbers here or on a separate sheet.)
fE
FACW
FACW
8
Prevalencelndex worksheet:
Total % Cover of: Multiply by:
OBL species 40 x 1= 40
FACW species 60 x 2= 120
FAC species 0 x 3= 0
FACU species 0 x 4= 0
UPL species 0 x 5= 0
Column Totals: 100 (A) 160 (B
Prevalencelndex = B/A = 1.60
Hydrophytic Vegetation Indicators:
1- Rapid Test for Hydrophytic Vegetation
X 2- Dominance Test is >50%
X 3- Prevalence Index is <_3.0'
4 - Morphological Adaptations' (Provide supportin
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation' (Explain)
�Indicators of hydric soil and wetland hydrology must t
present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) c
more in diameter at breast height (DBH), regardless o
height.
SaplinglShrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft
m) tall.
Herb - All herbaceous (non-woody) plants, regardles:
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 X No

SOIL
Sampling Point: WA-3 Wet
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) % Type' Loc2 Texture Remarks
0-5 10YR 4/3 100 Sandy Sandy overwash
5-12 10YR 4/2 90 10YR 4/6 10 C M Loamy/Clayey Sand/Organic inclusions I
�Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains. ZLocation: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: Indicators for Problematic Hydric Soil:
Histosol (A1) Polyvalue Below Surface (S8) (MLRA 147, 148) 2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2) Thin Dark Surface (S9) (MLRA 147, 148) Coast Prairie Redox (A16)
Black Histic (A3) Loamy Mucky Mineral (F1) (MLRA 136) (MLRA 147, 148)
Hydrogen Sulfide (A4) Loamy Gleyed Matrix (F2) Piedmont Floodplain Soils (F19)
Stratified Layers (A5) X Depleted Matrix (F3) (MLRA 136, 147)
2 cm Muck (A10) (LRR N) Redox Dark Surface (F6) Red Parent Material (F21)
Depleted Below Dark Surface (A11) Depleted Dark Surface (F7) (outside MLRA 127, 147, 148)
Thick Dark Surface (Al2) Redox Depressions (F8) Very Shallow Dark Surface (F22)
Sandy Mucky Mineral (S1) Iron-Manganese Masses (F12) (LRR N, Other (Explain in Remarks)
Sandy Gleyed Matrix (S4) MLRA 136)
Sandy Redox (S5) Umbric Surface (F13) (MLRA 122, 136) 3lndicators of hydrophytic vegetation and
Stripped Matrix (S6) Piedmont Floodplain Soils (F19) (MLRA 148) wetland hydrology must be present,
Dark Surface (S7) Red Parent Material (F21) (MLRA 127, 147, 148) unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches): Hydric Soil Present? Yes X No
Remarks:
Soils within this delta-like wetland are disturbed due to heavy sediment input from stream SA. Soils are a mix of sand, loam, and organics.
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region
ProjecUSite: R-3430 Improvements to Connelly Springs Road City/County: Caldwell Sampling Date: 6/20/2018
ApplicanUOwner: NCDOT State: NC Sampling Point: WA-3 Upl
Investigator(s): Nathan Howell & Cody Parks Section, Township, Range: Cajah's Mountain
Landform (hillside, terrace, etc.): Hillslope Local relief (concave, convex, none): Convex Slope (%): 35
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 35.782743 Long: -81.528412 Datum: NAD 83
Soil Map Unit Name: Hibriten-Woolwine complex, 15-50% slopes NWI classification: None
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation , Soil , or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes X No
Are Vegetation , Soil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No X Is the Sampled Area
Hydric Soil Present? Yes No X within a Wetland? Yes No X
Wetland Hydrology Present? Yes No X
Remarks:
The upland plots for Wetlands WB-WH all possess similar edaphic, floristic, and hydrologic characteristics. Therefore, they are included under this
form.
HYDROLOGY
Wetland Hydrology Indicators: Secondarv Indicators (minimum of two required)
Primarv Indicators (minimum of one is required; check all that applv) Surface Soil Cracks (B6)
Surface Water (A1) True Aquatic Plants (614) Sparsely Vegetated Concave Surtace (68)
High Water Table (A2) Hydrogen Sulfide Odor (C1) Drainage Patterns (610)
Saturation (A3) Oxidized Rhizospheres on Living Roots (C3) Moss Trim Lines (616)
Water Marks (61) Presence of Reduced Iron (C4) Dry-Season Water Table (C2)
Sediment Deposits (B2) Recent Iron Reduction in Tilled Soils (C6) Crayfish Burrows (C8)
Drift Deposits (B3) Thin Muck Surface (C7) Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (B4) Other (Explain in Remarks) Stunted or Stressed Plants (D1)
Iron Deposits (B5) Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (B7) Shallow Aquitard (D3)
Water-Stained Leaves (69) Microtopographic Relief (D4)
Aquatic Fauna (B13) FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No X Depth (inches): 0
Water Table Present? Yes No X Depth (inches): 0
Saturation Present? Yes No X Depth (inches): 0 Wetland Hydrology Present? Yes No X
includes capilla frin e
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
rmy orps o ngineers as ern oun ains an ie mon — ersion .0

VEGETATION (Four Strata) - Use scientific names of plants.
Absolute Dominant Indicator
Tree Stratum (Plot size: 30' radius ) % Cover Species? Status
1. Pinus echinata 40 Yes UPL
2. Pinus strobus 30 Yes FACU
3.
4.
5.
6.
7.
50% of total cover: 35
Saplinq/Shrub Stratum (Plot size: 15' radius )
1. Carya tomentosa
2. Quercus falcata
3.
4.
5.
6.
7.
8.
9.
50% of total cover:
Herb Stratum (Plot size: 5' radius )
1. Coreopsis major
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
70 =Total Cover
20% of total cover: 14
40 Yes UPL
30 Yes FACU
70 =Total Cover
35 20% of total cover: 14
20 Yes UPL
50% of total cover: 10
Woodv Vine Stratum (Plot size: 30' radius )
1. Smilax glauca
2. Vitis rotundifolia
3.
4.
5.
20 =Total Cover
20% of total cover: 4
10 Yes FACU
10 Yes FAC
20 =Total Cover
50% of total cover: 10 20% of total cover: 4
Remarks: (Include photo numbers here or on a separate sheet.)
Sampling Point: WA-3 Upl
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: 1 (A)
Total Number of Dominant
Species Across All Strata: 7 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 14.3% (A/B
Prevalencelndex worksheet:
Total % Cover of: Multiply by:
OBL species 0 x 1= 0
FACW species 0 x 2= 0
FAC species 10 x 3= 30
FACU species 70 x 4= 280
UPL species 100 x 5= 500
Column Totals: 180 (A) 810 (B
Prevalencelndex = B/A = 4.50
Hydrophytic Vegetation Indicators:
1- Rapid Test for Hydrophytic Vegetation
2 - Dominance Test is >50%
3 - Prevalence Index is <_3.0'
4 - Morphological Adaptations' (Provide supportin
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation' (Explain)
�Indicators of hydric soil and wetland hydrology must t
present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) c
more in diameter at breast height (DBH), regardless o
height.
SaplinglShrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft
m) tall.
Herb - All herbaceous (non-woody) plants, regardles:
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 X

SOIL
Sampling Point: WA-3 Upl
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) % Type' Loc2 Texture Remarks
0-4 10YR 4/4 100
4-12
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains
Hydric Soil Indicators:
Histosol (A1)
Histic Epipedon (A2)
Black Histic (A3)
Hydrogen Sulfide (A4)
Stratified Layers (A5)
2 cm Muck (A10) (LRR N)
Depleted Below Dark Surface (A11)
Thick Dark Surface (Al2)
Sandy Mucky Mineral (S1)
Sandy Gleyed Matrix (S4)
Sandy Redox (S5)
Stripped Matrix (S6)
Dark Surface (S7)
Restrictive Layer (if observed):
Type:
Depth (inches):
Loamy/Clayey
Polyvalue Below Surface (S8) (MLRA 147, 148)
Thin Dark Surface (S9) (MLRA 147, 148)
Loamy Mucky Mineral (F1) (MLRA 136)
Loamy Gleyed Matrix (F2)
Depleted Matrix (F3)
Redox Dark Surface (F6)
Depleted Dark Surface (F7)
Redox Depressions (F8)
Iron-Manganese Masses (F12) (LRR N,
MLRA 136)
Umbric Surface (F13) (MLRA 122, 136)
Piedmont Floodplain Soils (F19) (MLRA 148)
Red Parent Material (F21) (MLRA 127, 147, 148)
Rock
ZLocation: PL=Pore Lining, M=Matrix.
Indicators for Problematic Hydric S
2 cm Muck (A10) (MLRA 147)
Coast Prairie Redox (A16)
(MLRA 147, 148)
Piedmont Floodplain Soils (F19)
(MLRA 136, 147)
Red Parent Material (F21)
(outside MLRA 127, 147, 148)
Very Shallow Dark Surface (F22)
Other (Explain in Remarks)
3lndicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Hydric Soil Present? Yes No X
Remarks:
This data sheet is revised from Eastern Mountains and Piedmont Regional Supplement Version 2.0 to include the NRCS Field Indicators of Hydric
Soils, Version 8.0, 2016.
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region
ProjecUSite: R-3430 Improvements to Connelly Springs Road City/County: Caldwell Sampling Date: 6/20/2018
ApplicanUOwner: NCDOT State: NC Sampling Point: WC-6 Wet
Investigator(s): Nathan Howell & Cody Parks Section, Township, Range: Cajah's Mountain
Landform (hillside, terrace, etc.): Hillside Local relief (concave, convex, none): Convex Slope (%): 15
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 35.784756 Long: -81.529587 Datum: NAD 83
Soil Map Unit Name: Hibriten-Woolwine complex, 15-50% slopes NWI classification: None
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation , Soil , or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes X No
Are Vegetation , Soil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes X No Is the Sampled Area
Hydric Soil Present? Yes X No within a Wetland? Yes X No
Wetland Hydrology Present? Yes X No
Remarks:
NCWAM: Headwater Forest. Wetlands WB and WD possess similar edaphic, floristic, and hydrologic properties. Therefore, they are included under
this form.
HYDROLOGY
Wetland Hydrology Indicators: Secondarv Indicators (minimum of two required)
Primarv Indicators (minimum of one is required; check all that applv) Surface Soil Cracks (B6)
X Surface Water (A1) True Aquatic Plants (614) Sparsely Vegetated Concave Surtace (68)
X High Water Table (A2) Hydrogen Sulfide Odor (C1) Drainage Patterns (610)
X Saturation (A3) Oxidized Rhizospheres on Living Roots (C3) Moss Trim Lines (616)
Water Marks (61) Presence of Reduced Iron (C4) Dry-Season Water Table (C2)
Sediment Deposits (B2) Recent Iron Reduction in Tilled Soils (C6) X Crayfish Burrows (C8)
Drift Deposits (B3) Thin Muck Surface (C7) Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (B4) Other (Explain in Remarks) Stunted or Stressed Plants (D1)
Iron Deposits (B5) X Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (B7) Shallow Aquitard (D3)
X Water-Stained Leaves (69) Microtopographic Relief (D4)
Aquatic Fauna (B13) X FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes X No Depth (inches): 1
Water Table Present? Yes X No Depth (inches): 0
Saturation Present? Yes X No Depth (inches): 0 Wetland Hydrology Present? Yes X No
includes capilla frin e
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
rmy orps o ngineers as ern oun ains an ie mon — ersion .0

VEGETATION (Four Strata) - Use scientific names of plants.
Absolute Dominant Indicator
Tree Stratum (Plot size: 30'x6' ) % Cover Species? Status
1. Absent
2.
3.
4.
5.
6.
7.
50% of total cover:
Saplinq/Shrub Stratum (Plot size: 30'x6'
1. Viburnum nudum
2.
3.
4.
5.
6.
7.
8.
9.
50% of total cover:
Herb Stratum (Plot size: 30'x6' )
1. Absent
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
50% of total cover:
Woodv Vine Stratum (Plot size: 30'x6' )
1. Absent
2.
3.
4.
5.
=Total Cover
20% of total cover:
)
10 Yes OBL
10 =Total Cover
5 20% of total cover: 2
=Total Cover
20% of total cover:
=Total Cover
50% of total cover: 20% of total cover:
Remarks: (Include photo numbers here or on a separate sheet.)
Plot size is indicative of wetland shape.
Sampling Point: WC-6 Wet
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: 1 (A)
Total Number of Dominant
Species Across All Strata: 1 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 100.0% (A/B
Prevalencelndex worksheet:
Total % Cover of: Multiply by:
OBL species 10 x 1= 10
FACW species 0 x 2= 0
FAC species 0 x 3= 0
FACU species 0 x 4= 0
UPL species 0 x 5= 0
Column Totals: 10 (A) 10 (B
Prevalencelndex = B/A = 1.00
Hydrophytic Vegetation Indicators:
1- Rapid Test for Hydrophytic Vegetation
X 2- Dominance Test is >50%
X 3- Prevalence Index is <_3.0'
4 - Morphological Adaptations' (Provide supportin
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation' (Explain)
�Indicators of hydric soil and wetland hydrology must t
present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) c
more in diameter at breast height (DBH), regardless o
height.
SaplinglShrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft
m) tall.
Herb - All herbaceous (non-woody) plants, regardles:
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 X No

SOIL
Sampling Point: WC-6 Wet
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) % Type' Loc2 Texture
0-8 10YR 3/2 90 7.5YR 4/6 10 C M Loamy/Clayey
8-12
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.
Hydric Soil Indicators:
Histosol (A1) Polyvalue Below Surface (S8) (MLRA 147, 148)
Histic Epipedon (A2) Thin Dark Surface (S9) (MLRA 147, 148)
Black Histic (A3) Loamy Mucky Mineral (F1) (MLRA 136)
Hydrogen Sulfide (A4) Loamy Gleyed Matrix (F2)
Stratified Layers (A5) Depleted Matrix (F3)
2 cm Muck (A10) (LRR N) X Redox Dark Surface (F6)
Depleted Below Dark Surface (A11) Depleted Dark Surface (F7)
Thick Dark Surface (Al2) Redox Depressions (F8)
Sandy Mucky Mineral (S1) Iron-Manganese Masses (F12) (LRR N,
Sandy Gleyed Matrix (S4) MLRA 136)
Sandy Redox (S5) Umbric Surface (F13) (MLRA 122, 136)
Stripped Matrix (S6) Piedmont Floodplain Soils (F19) (MLRA 148)
Dark Surface (S7) Red Parent Material (F21) (MLRA 127, 147, 148)
Restrictive Layer (if observed):
Type:
Depth (inches):
Remarks:
Soils within this seepage-fed wetland are sandy loams.
Remarks
SL
Rock
ZLocation: PL=Pore Lining, M=Matrix.
Indicators for Problematic Hydric S
2 cm Muck (A10) (MLRA 147)
Coast Prairie Redox (A16)
(MLRA 147, 148)
Piedmont Floodplain Soils (F19)
(MLRA 136, 147)
Red Parent Material (F21)
(outside MLRA 127, 147, 148)
Very Shallow Dark Surface (F22)
Other (Explain in Remarks)
3lndicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Hydric Soil Present? Yes X No
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region
ProjecUSite: R-3430 Improvements to Connelly Springs Road City/County: Caldwell Sampling Date: 6/20/2018
ApplicanUOwner: NCDOT State: NC Sampling Point: WE-3 Wet
Investigator(s): Nathan Howell & Cody Parks Section, Township, Range: Cajah's Mountain
Landform (hillside, terrace, etc.): Floodplain Local relief (concave, convex, none): Convex Slope (%): 5%
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 35.785363 Long: -81.529589 Datum: NAD 83
Soil Map Unit Name: Hibriten-Wollwine Complex, 15-50% slopes NWI classification: None
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation , Soil , or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes X No
Are Vegetation , Soil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes X No Is the Sampled Area
Hydric Soil Present? Yes X No within a Wetland? Yes X No
Wetland Hydrology Present? Yes X No
Remarks:
NCWAM: Headwater Forest. Wetland WF possesses similar edaphic, hydrologic, and floristic properties. Therefore, it is included under this form.
HYDROLOGY
Wetland Hydrology Indicators: Secondarv Indicators (minimum of two required)
Primarv Indicators (minimum of one is required; check all that applv) Surface Soil Cracks (B6)
X Surface Water (A1) True Aquatic Plants (614) Sparsely Vegetated Concave Surtace (68)
X High Water Table (A2) Hydrogen Sulfide Odor (C1) X Drainage Patterns (610)
X Saturation (A3) Oxidized Rhizospheres on Living Roots (C3) Moss Trim Lines (616)
Water Marks (61) Presence of Reduced Iron (C4) Dry-Season Water Table (C2)
Sediment Deposits (B2) Recent Iron Reduction in Tilled Soils (C6) X Crayfish Burrows (C8)
Drift Deposits (B3) Thin Muck Surface (C7) Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (B4) Other (Explain in Remarks) Stunted or Stressed Plants (D1)
Iron Deposits (B5) X Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (B7) Shallow Aquitard (D3)
X Water-Stained Leaves (69) Microtopographic Relief (D4)
Aquatic Fauna (B13) FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes X No Depth (inches): 1
Water Table Present? Yes X No Depth (inches): 0
Saturation Present? Yes X No Depth (inches): 0 Wetland Hydrology Present? Yes X No
includes capilla frin e
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
rmy orps o ngineers as ern oun ains an ie mon — ersion .0

VEGETATION (Four Strata) - Use scientific names of plants.
Absolute Dominant Indicator
Tree Stratum (Plot size: 30' radius ) % Cover Species? Status
1. Quercus bicolor 30 Yes FACW
2.
3.
4.
5.
6.
7.
50% of total cover: 15
Saplinq/Shrub Stratum (Plot size: 15' radius )
1. llex opaca
2.
3.
4.
5.
6.
7.
8.
9.
50% of total cover:
Herb Stratum (Plot size: 5' radius )
1. Unknown fern
2. Carex sp.
3.
4.
5.
6.
7.
8.
9.
10.
11.
50% of total cover:
Woodv Vine Stratum (Plot size: 30' radius )
1. Smilax rotundifolia
2.
3.
4.
5.
30 =Total Cover
20% of total cover: 6
30 Yes FACU
30 =Total Cover
15 20% of total cover: 6
=Total Cover
20% of total cover:
15 Yes FAC
15 =Total Cover
50% of total cover: 8 20% of total cover: 3
Remarks: (Include photo numbers here or on a separate sheet.)
Sampling Point: WE-3 Wet
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: 2 (A)
Total Number of Dominant
Species Across All Strata: 3 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 66.7% (A/B
Prevalencelndex worksheet:
Total % Cover of: Multiply by:
OBL species 0 x 1= 0
FACW species 30 x 2= 60
FAC species 15 x 3= 45
FACU species 30 x 4= 120
UPL species 0 x 5= 0
Column Totals: 75 (A) 225 (B
Prevalencelndex = B/A = 3.00
Hydrophytic Vegetation Indicators:
1- Rapid Test for Hydrophytic Vegetation
X 2- Dominance Test is >50%
X 3- Prevalence Index is <_3.0'
4 - Morphological Adaptations' (Provide supportin
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation' (Explain)
�Indicators of hydric soil and wetland hydrology must t
present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) c
more in diameter at breast height (DBH), regardless o
height.
SaplinglShrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft
m) tall.
Herb - All herbaceous (non-woody) plants, regardles:
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 X No

SOIL
Sampling Point: WE-3 Wet
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) % Type' Loc2 Texture Remarks
0-12 10YR 4/2 85 10YR 4/6 15 C M Loamy/Clayey Prominent redox concentrations
�Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains. ZLocation: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: Indicators for Problematic Hydric Soil
Histosol (A1) Polyvalue Below Surface (S8) (MLRA 147, 148) 2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2) Thin Dark Surface (S9) (MLRA 147, 148) Coast Prairie Redox (A16)
Black Histic (A3) Loamy Mucky Mineral (F1) (MLRA 136) (MLRA 147, 148)
Hydrogen Sulfide (A4) Loamy Gleyed Matrix (F2) Piedmont Floodplain Soils (F19)
Stratified Layers (A5) X Depleted Matrix (F3) (MLRA 136, 147)
2 cm Muck (A10) (LRR N) Redox Dark Surface (F6) Red Parent Material (F21)
Depleted Below Dark Surface (A11) Depleted Dark Surface (F7) (outside MLRA 127, 147, 148)
Thick Dark Surface (Al2) Redox Depressions (F8) Very Shallow Dark Surface (F22)
Sandy Mucky Mineral (S1) Iron-Manganese Masses (F12) (LRR N, Other (Explain in Remarks)
Sandy Gleyed Matrix (S4) MLRA 136)
Sandy Redox (S5) Umbric Surface (F13) (MLRA 122, 136) 3lndicators of hydrophytic vegetation anc
Stripped Matrix (S6) Piedmont Floodplain Soils (F19) (MLRA 148) wetland hydrology must be present,
Dark Surface (S7) Red Parent Material (F21) (MLRA 127, 147, 148) unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches): Hydric Soil Present? Yes X No
Remarks:
This data sheet is revised from Eastern Mountains and Piedmont Regional Supplement Version 2.0 to include the NRCS Field Indicators of Hydric
Soils, Version 8.0, 2016.
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region
ProjecUSite: R-3430 Improvements to Connelly Springs Road City/County: Caldwell Sampling Date: 6/21/2018
ApplicanUOwner: NCDOT State: NC Sampling Point: WH-9 Wet
Investigator(s): Nathan Howell & Cody Parks Section, Township, Range: Cajah's Mountain
Landform (hillside, terrace, etc.): Hillside Local relief (concave, convex, none): Convex Slope (%): 20%
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 35.868725 Long: -81.539204 Datum: NAD 83
Soil Map Unit Name: Fairview sandy clay loam, 8-15% slopes, moderately eroded NWI classification: None
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation , Soil , or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes X No
Are Vegetation , Soil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes X No Is the Sampled Area
Hydric Soil Present? Yes X No within a Wetland? Yes X No
Wetland Hydrology Present? Yes X No
Remarks:
NCWAM: Headwater Forest. Wetland WG possesses similar edaphic, floristic, and hydrologic properties. Therefore, it is included under this form.
HYDROLOGY
Wetland Hydrology Indicators: Secondarv Indicators (minimum of two required)
Primarv Indicators (minimum of one is required; check all that applv) Surface Soil Cracks (B6)
Surface Water (A1) True Aquatic Plants (614) Sparsely Vegetated Concave Surtace (68)
X High Water Table (A2) Hydrogen Sulfide Odor (C1) Drainage Patterns (610)
X Saturation (A3) Oxidized Rhizospheres on Living Roots (C3) Moss Trim Lines (616)
Water Marks (61) Presence of Reduced Iron (C4) Dry-Season Water Table (C2)
Sediment Deposits (B2) Recent Iron Reduction in Tilled Soils (C6) X Crayfish Burrows (C8)
Drift Deposits (B3) Thin Muck Surface (C7) Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (B4) Other (Explain in Remarks) Stunted or Stressed Plants (D1)
Iron Deposits (B5) X Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (B7) Shallow Aquitard (D3)
X Water-Stained Leaves (69) Microtopographic Relief (D4)
Aquatic Fauna (B13) X FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No X Depth (inches): 0
Water Table Present? Yes X No Depth (inches): 2
Saturation Present? Yes X No Depth (inches): 0 Wetland Hydrology Present? Yes X No
includes capilla frin e
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
rmy orps o ngineers as ern oun ains an ie mon — ersion .0

VEGETATION (Four Strata) - Use scientific names of plants.
Absolute Dominant Indicator
Tree Stratum (Plot size: 30' radius ) % Cover Species? Status
1. Nyssa sylvatica 60 Yes FAC
2. Ulmus rubra 30 Yes FAC
3.
4.
5.
6.
7.
50% of total cover: 45
Saplinq/Shrub Stratum (Plot size: 15' radius )
1. Viburnum nudum
2. Toxicodendron vernix
3. Aronia arbutifolia
4.
5.
6.
7.
8.
9.
50% of total cover:
Herb Stratum (Plot size: 5' radius )
1. Osmunda spectabilis
2. Osmundastrum cinnamomeum
3. Carex sp.
4.
5.
6.
7.
8.
9.
10.
11.
90 =Total Cover
20% of total cover: 18
30 Yes OBL
10 Yes OBL
10 Yes FACW
50 =Total Cover
25 20% of total cover: 10
50% of total cover: 25
Woodv Vine Stratum (Plot size: 30' radius )
1. Toxicodendron radicans
2.
3.
4.
5.
30 Yes OBL
20 Yes FACW
50 =Total Cover
20% of total cover: 10
15 Yes FAC
15 =Total Cover
50% of total cover: 8 20% of total cover: 3
Remarks: (Include photo numbers here or on a separate sheet.)
Sampling Point: WH-9 Wet
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: 8 (A)
Total Number of Dominant
Species Across All Strata: 8 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 100.0% (A/B
Prevalencelndex worksheet:
Total % Cover of: Multiply by:
OBL species 70 x 1= 70
FACW species 30 x 2= 60
FAC species 105 x 3= 315
FACU species 0 x 4= 0
UPL species 0 x 5= 0
Column Totals: 205 (A) 445 (B
Prevalencelndex = B/A = 2.17
Hydrophytic Vegetation Indicators:
1- Rapid Test for Hydrophytic Vegetation
X 2- Dominance Test is >50%
X 3- Prevalence Index is <_3.0'
4 - Morphological Adaptations' (Provide supportin
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation' (Explain)
�Indicators of hydric soil and wetland hydrology must t
present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) c
more in diameter at breast height (DBH), regardless o
height.
SaplinglShrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft
m) tall.
Herb - All herbaceous (non-woody) plants, regardles:
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 X No

SOIL
Sampling Point: WH-9 Wet
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) % Type' Loc2 Texture Remarks
0-8 10YR 4/1 80 10YR 4/6 20 C M Loamy/Clayey Prominent redox concentrations
8-12 10YR 5/1 80 10YR 4/6 20 C M Loamy/Clayey Prominent redox concentrations
�Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains. ZLocation: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: Indicators for Problematic Hydric Soil
Histosol (A1) Polyvalue Below Surface (S8) (MLRA 147, 148) 2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2) Thin Dark Surface (S9) (MLRA 147, 148) Coast Prairie Redox (A16)
Black Histic (A3) Loamy Mucky Mineral (F1) (MLRA 136) (MLRA 147, 148)
Hydrogen Sulfide (A4) Loamy Gleyed Matrix (F2) Piedmont Floodplain Soils (F19)
Stratified Layers (A5) X Depleted Matrix (F3) (MLRA 136, 147)
2 cm Muck (A10) (LRR N) Redox Dark Surface (F6) Red Parent Material (F21)
Depleted Below Dark Surface (A11) Depleted Dark Surface (F7) (outside MLRA 127, 147, 148)
Thick Dark Surface (Al2) Redox Depressions (F8) Very Shallow Dark Surface (F22)
Sandy Mucky Mineral (S1) Iron-Manganese Masses (F12) (LRR N, Other (Explain in Remarks)
Sandy Gleyed Matrix (S4) MLRA 136)
Sandy Redox (S5) Umbric Surface (F13) (MLRA 122, 136) 3lndicators of hydrophytic vegetation anc
Stripped Matrix (S6) Piedmont Floodplain Soils (F19) (MLRA 148) wetland hydrology must be present,
Dark Surface (S7) Red Parent Material (F21) (MLRA 127, 147, 148) unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches): Hydric Soil Present? Yes X No
Remarks:
This data sheet is revised from Eastern Mountains and Piedmont Regional Supplement Version 2.0 to include the NRCS Field Indicators of Hydric
Soils, Version 8.0, 2016.
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

Appendix C
JD Request Form
PJD Form

urisdictional Determination ReQuest
US Army Carps
of Engineers
Wilmingkon �istrict
This fortn is intended for use by anyone requesting a jurisdictional determination (JD) from the
U.S. Army Corps of Engineers, Wilmington District (Corps). Please include all supporting
information, as described within each category, with your request. You may submit your request
via mail, electronic mail, or facsimile. Requests should be sent to the appropriate project
manager of the county in which the property is located. A current list of project managers by
assigned counties can be found on-line at:
http://www.saw.usace.ai-�ny.mil/Missions/Regulatoi_yPermitPrograin/Contact/Count_yLocator.aspx,
by calling 910-251-4633, or by contacting any of the field offices listed below. Once your
request is received you will be contacted by a Corps project manager.
ASHEVILLE & CHARI.OTTE REGULATORY
FIELD OFFICES
US Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, North Carolina 28801-5006
General Number: [phone]
Fax Number: [phone]
RALEIGH REGULATORY FIELD OFFICE
US Army Corps of Engineers
3331 Heritage Trade Drive, Suite 1 OS
Wake Forest, North Carolina 27587
GeneralNumber: (9l9) 554-4884
Fax Number. [phone]
INSTRUCTIONS:
WASHINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
2407 West Fift11 Street
Washington, North Carolula 27889
General Number: [phone]
Fax Number. [phone]
WILMINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
69 Darlington Avenue
Wilmington, North Carolina 28403
General Number: 910-251-4633
Fax Number: [phone]
All requestors must complete Parts A, B, C, D, E, F and G.
NOTE TO CONSULTANTS AND AGENCIES: If you are requesting a JD on behalf of a
paying client or your agency, please note the specific subinittal requirements in Part H.
NOTE ON PART D— PROPERTY OWNER AUTHORIZATION: Please be aware that
all JD requests must include the current property owner authorization for the Corps to
proceed with the determination, which may include inspection of the property when
necessary. This form must be signed by the current property owner(s) or the owner(s)
authorized agent to be considered a complete request.
NOTE ON PART D- NCDOT REQUESTS: Property owner authorization/notification for
JD requests associated with North Carolina Department of Transportation (NCDOT)
projects will be conducted according to the current NCDOT/USACE protocols.
NOTE TO USDA PROGRAM PARTICIPANTS: A Corps approved or preliminary JD
may not be valid for the wetland conservation provisions of the Food Security Act of
1985. If you or your tenant are USDA Program participants, or anticipate participation in
USDA programs, you should also request a certified wetland determination from the local
office of the Natural Resources Conservation Service, prior to starting work.
Version: May 2017 Page 1

Jurisdictional Determination Request
A. PARCEL INFORMATION
street address: Multiple Parcels
city, state: Cajah's Mountain, NC
county: Burke & Caldwell
Parcel Index Number(s) (PIN): MUItIple PIN'S
B. REQUESTOR INFORMATION
Name: Erin Cheel
Mailing Address: 1598 Mall SeIVICe Centel'
Raleigh, NC 27699-1598
Telephone Number: 919-707-6108
Electronic Mail Address: ekCil@@�y q�ilCdOt.gOV
Select one:
� I am the current property owner.
� I am an Authorized Agent or Environmental Consultant'
� Interested Buyer or Under Contract to Purchase
� Other, please explain.
C. PROPERTY OWNER INFORMATIONZ
Name: Multiple Property Owners
Mailing Address:
Telephone Number:
Electronic Mail Address:
� Must provide completed Agent Authorization Fonn/Letter.
Z Documentation of ownership also needs to be provided with request (copy of Deed, County GIS/Parcel/Tax Record).
Version: May 2017 Page 2

Jurisdictional Determination Request
D. PROPERTY ACCESS CERTIFICATION3,4
By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of
Engineers (Corps) to enter upon the property herein described for the purpose of conducting on-
site investigations, if necessary, and issuing a jui-isdictional determination pursuant to Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. I, the
undersigned, am either a duly authorized owner of recard of the property identified herein, ar
acting as the duly authorized agent of the owner of record of the property.
Print Name
Capacity: ❑ Owner ❑ Authorized Agents
Date
Signature
E. REASON FOR JD REQUEST: (Checic as many as applicable)
� I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all aquatic resources.
� I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all jurisdictional aquatic resources under Corps authority.
✓❑ I intend to construct/develop a project or perform activities on this parcel which may
require authorization from the Corps, and the JD would be used to avoid and minimize
impacts to jurisdictional aquatic resources and as an initial step in a future permitting
process.
� I intend to construct/develop a project or perform activities on this parcel which may
require authorization from the Corps; this request is accompanied by my permit application
and the JD is to be used in the permitting process.
❑ I intend to construct/develop a project or perform activities in a navigable water of the
U.S. which is included on the district Section lO list and/or is subject to the ebb and flow of
the tide.
� A Corps JD is required in order obtain my local/state authorization.
� I intend to contest jurisdiction over a particular aquatic resource and request the Corps
confirm that jurisdiction does/does not exist over the aquatic resource on the parcel.
� I believe that the site may be comprised entirely of dry land.
� Other:
For NCDOT requests following the cunent NCDOT/USACE protocols, skip to Part E.
If there are multiple parcels owned by different parties, please provide the following for each additional parcel on a
continuation sheet.
5 Must provide agent authorization form/letter signed by owner(s).
Version: May 2017 Page 3

F.
❑✓
�❑
❑
G.
�
Jurisdictional Determination Request
JURISDICTIONAL DETERMINATION (JD) TYPE (Select One)
I am requesting that the Corps provide a preliminarX JD for the property identified herein.
A Preliminary Jurisdictional Determination (PJD) provides an indication that there may
be "waters of the United States" or "navigable waters of the United States"on a property.
PJDs are sufficient as the basis for permit decisions. For the purposes of permitting, all
waters and wetlands on the property will be treated as if they are jurisdictional "waters of
the United States". PJDs cannot be appealed (33 C.F.R. 331.2); however, a PJD is
"preliminary" in the sense that an approved JD can be requested at any time. PJDs do
not expire.
I am requesting that the Corps provide an approved JD for the property identified herein.
An Approved Jurisdictional Determination (AJD) is a determination that
jurisdictional "waters of the United States" or "navigable waters of the United
States" are either present or absent on a site. An approved JD identifies the limits of
waters on a site determined to be jurisdictional under the Clean Water Act and/or
Rivers and Harbors Act. Approved JDs are sufficient as the basis for permit
decisions. AJDs are appealable (33 C.F.R. 331.2). The results of the AJD will be
posted on the Corps website. A landowner, permit applicant, or other "affected
party" (33 C.F.R. 331.2) who receives an AJD may rely upon the AJD for five years
(subject to certain limited exceptions explained in Regulatory Guidance Letter OS-
02).
I am unclear as to which JD I would like to request and require additional information
to inform my decision.
ALL REQUESTS
Map of Property or Project Area. This Map inust clearly depict the boundaries of the
review area.
❑ Size of Property or Review Area 654 acres.
❑ The property boundary (or review area boundary) is clearly physically marked on the site.
Version: May 2017 Page 4

Jurisdictional Determination Request
H. REQUESTS FROM CONSULTANTS
� Project Coordinates (Decimal Degrees): Latitude: 35.808424
Longitude: -81.533667
� A legible delineation map depicting the aquatic resources and the property/review area.
Delineation maps must be no larger than 11x17 and should contain the following: (Corps
signature of submitted survey plats will occur after the submitted delineation map has been
reviewed and approved).6
■ North Arrow
■ Graphical Scale
■ Boundary of Review Area
■ Date
■ Location of data points for each Wetland Determination Data Form or tributary
assessment reach.
For A�proved 7urisdictional Determinations:
■ Jurisdictional wetland features should be labeled as Wetland Waters of the US, 404
wetlands, etc. Please include the acreage of these features.
■ Jurisdictional non-wetland features (i.e. tidal/navigable waters, tributaries,
impoundments) should be labeled as Non-Wetland Waters of the US, stream, tributary,
open water, relatively permanent water, pond, etc. Please include the acreage or linear
length of each of these features as appropriate.
■ Isolated waters, waters that lack a significant nexus to navigable waters, or non-
jurisdictional upland features should be identified as Non-Jurisdictional. Please
include a justification in the label regarding why the feature is non jurisdictional (i.e.
"Isolated", "No Significant Nexus", or "Upland Feature"). Please include the acreage
or linear length of these features as appropriate.
For Preliminary Jurisdictional Determinations:
Wetland and non-wetland features should not be identified as Jurisdictional, 404,
Waters of the United States, or anything that implies jurisdiction. These features can be
identified as Potential Waters of the United States, Potential Non-wetland Waters of
the United States, wetland, stream, open water, etc. Please include the acreage and
linear length of these features as appropriate.
� Completed Wetland Determination Data Forms for appropriate region
(at least one wetland and one upland form needs to be completed for each wetland type)
� Please refer to the guidance document titled "Survey Standards for Jurisdictional Determinations" to ensure that the
supplied map meets the necessary mapping standards. http://www.saw.usace.army.miUMissions/Regtilatory-Pennit-
Pro,�;ram/Jurisdi ction/
Version: May 2017 Page 5

✓❑
�J
�
✓❑
❑
Jurisdictional Determination Request
Completed appropriate Jurisdictional Determination form
PJDs, please complete a Preliminary Jurisdictional Determination Fonn' and include the
Aquatic Resource Table
AJDs, please complete an Approved Jurisdictional Determination FonnB
Vicinity Map
Aerial Photograph
USGS Topographic Map
Soil Survey Map
� Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps)
u
�
Landscape Photos (if taken)
NCSAM and/or NCWAM Assessment Fortns and Rating Sheets
aNC Division of Water Resources Stream Identification Forms
� Other Assessment Forms
� www.saw.usace.army.mil/Portals/59/docs/re_u� latory/regdocs/JD/RGL 08-02_Ap� A_Prelim JD Form_fillable.pdf
g Please see http://www.saw.usace.army.mil/Missions/Re ug latory-Permit-Pro�ram/Jurisdiction/
Principal Purpose: The information that you provide will be used in evaluating your request to determine
whether there are any aquatic resources within the project area subject to federal jurisdiction under the regulatory
authorities referenced above.
Routine Uses: This infonnation may be shared with the Department of Justice and other federal, state, and local
government agencies, and the public, and may be made available as part of a public notice as required by federal
law. Your name and property location where federal jurisdiction is to be determined will be included in the
approved jurisdictional detennination (AJD), which will be made available to the public on tbe District's website
and on the Headquarters USAGE website.
Disclosure: Submission of requested information is voluntary; however, if information is not provided, the
request for an AJD cannot be evaluated nar can an AJD be issued.
Version: May 2017 Page 6

Appendix 2- PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PJD: $/6/ZO'I 8
B. NAME AND ADDRESS OF PERSON REQUESTING PJD: Erin Cheely
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: BUI"k@/CaIdW@II ���v� Cajah's Mountain
Center coordinates of site (lat/long in degree decimal format):
�at.: 35.808424 �ong.: -81.533667
Universal Transverse Mercator: � 7
Name of nearest waterbody: CataWbB RIVeI"
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 List

A uatic resources in the review area which "ma be" sub'ect to re ulator 'urisdiction
Estimated amount of Type of Geographic
Site Number Latitude Longitude aquatic resource in aquatic authority to which
review area (lf & ac) resource the aquatic resource
"ma be" sub'ect
Catawba River 35.781099 -81.525873 2,552 linear feet Non-wetland Section 404
SA 35.760803 -81.527980 73 linear feet Non-wetland Section 404
SB 35.785290 -81.529562 1,588 linear feet Non-wetland Section 404
SC 35.783221 -81.529665 2201inear feet Non-wetland Section 404
SD 35.806752 -8L533346 131 linear feet Non-wetland Section 404
SF 35.829061 -81.534188 761inear feet Non-wetland Section 404
SG 35.862528 -81.539539 507 linear feet Non-wetland Section 404
SH 35.863315 -81.539216 641 linear feet Non-wetland Section 404
SI 35.868583 -81.539780 21 linear feet Non-wetland Section 404
SJ 35.868831 -81.539147 407 linear feet Non-wetland Section 404
WA 35.782572 -81.528447 0.02 acre Wetland Section 404
WB 35.784457 -81.529536 0.01 acre Wetland Section 404
WC 35.784757 -81.529587 0.01 acre Wetland Section 404
WD 35.784995 -81.529501 < 0.01 acre Wetland Section 404
WE 35.785364 -81.529589 0.06 acre Wetland Section 404
WF 35.786142 -81.529791 0.03 acre Wetland Section 404
WG 35.828975 -81.534155 0.18 acre Wetland Section 404
WH 35.868726 -81.539204 0.13 acre Wetland Section 404
BA 35.740162 -81.526305 0.10 acre Non-Wetland Section 404

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:
0 Data sheets prepared/submitted by or on behalf of the PJD requestor.
� Office concurs with data sheets/delineation report.
� Office does not concur with data sheets/delineation report. Rationale:
� Data sheets prepared by the Corps:
� Corps navigable waters' study:
❑ U.S. Geological Survey Hydrologic Atlas:
� USGS NHD data.
� USGS 8 and 12 digit HUC maps.
�❑ U.S. Geological Survey map(s). Cite scale & quad name: 1:24,000 Valdese & Drexel
2006 Burke County 1989 Caldwell Count Soil Surve
Soil Survey �❑ Natural Resources Conservation Service Soil Survey. Citation: y y
� National wetlands inventory map(s). Cite name:
� State/local wetland inventory map(s):
❑ FEMA/FIRM maps:
� 100-year Floodplain Elevation is: .(National Geodetic Vertical Datum of 1929)
� Photographs: � Aerial (Name & Date):
or � Other (Name & Date):
� Previous determination(s). File no. and date of response letter:
� Other information (please specify):
IMPORTANT NOTE: The information recorded on this form has not necessarilv
been verified bv the Corps and should not be relied upon for later iurisdictional
determinations.
Signature and date of
Regulatory staff member
completing PJD
�(5���
� ature an d f
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.