U5863_Revised PJD Request_20180919

Appendix 2- PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PJD: $/2�/� H
B. NAME AND ADDRESS OF PERSON REQUESTING PJD: Mason Herndon, NCDOT Division 3
C. DISTRICT OFFICE, FILE NAME, aN� NunnBER: U-5863 NC-133 Widening
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: NeW Ha110V@I' c�ty: Wrightsboro
Center coordinates of site (lat/long in degree decimal format):
�at.: 34.2888462 �ong.: -77.920792
Universal Transverse Mercator:
Name of nearest waterbody: Ness Creek, Smith Creek, Northeast Cape Fear River
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
❑ Office (Desk) Determination. Date:
❑ Field Determination. Date(s):
TABLE OF AQUATIC RESOURCES IN REVIEW AREA WHICH "MAY BE" SUBJECT TO REGULATORY
JURISDICTION.
Site Latitude Longitude Estimated amount Type of aquatic Geographic authority
number (decimal (decimal of aquatic resource resource (i.e., wetland to which the aquatic
degrees) degrees) in review area vs. non-wetland resource "may be"
(acreage and linear waters) subject (i.e., Section
feet, if applicable) 404 or Section 10/404)
see attached

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 applicanYs 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: Potential Jurisdictional Waters
� 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: 24K Castle Hayne
� Natural Resources Conservation Service Soil Survey. Citation: SSURGO New Hanover Co.
�■ National wetlands inventory map(s). Cite name: Wilmington 100K
� State/local wetland inventory map(s):
� FEMA/FIRM maps:
❑ 100-year Floodplain Elevation is: .(National Geodetic Vertical Datum of 1929)
� Photographs: 0 Aerial (Name & Date): NCOneMap 2016
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
��.--- ��w.a.�-- ° - tl �� �a _ _o��,a� 3.
Signature and date of
person requesting PJD
(REQUIRED, unless obtaining
the signature is impracticable)'
' Districts may establish timeframes for requestor to return signed PJD forms. If the requestor does not respond
within the established time frame, the district may presume concurrence and no additional follow up is
necessary prior to finalizing an action.

U-5863 NC 133
Geographic authority to
Estimated amount of which the aquatic
Site Number Latitude Longitude aquatic resource in Type of Aquatic Resource resource "may be"
review area subject (ie. Section 404 or
Section 10/404)
WETLANDS
WA 34.27110900 -77.92541500 0.44 acre Wetland Section 404
WB 34.27239100 -77.92703300 0.52 acre Wetland Section 404
SURFACE WATER
TG 34.30080500 -77.92134400 0.006 acre Non-Wetland Section 404
TJ 34.30690700 -77.92173500 0.008 acre Non-Wetland Section 404
PA 34.29177000 -77.92085900 0.05 acre Non-Wetland Section 404
PB 34.30682000 -77.92153700 0.11 acre Non-Wetland Section 404
STREAMS
SA 34.27733000 -77.92441700 831 linear feet Non-Wetland Section 404
SB 34.27137500 -77.92524900 252 linear feet Non-Wetland Section 404
SC 34.28601700 -77.92150400 339 linear feet Non-Wetland Section 404
SD 34.28238300 -77.92248600 309 linear feet Non-Wetland Section 404
SF 34.30078100 -77.92122000 177 linear feet Non-Wetland Section 404
SH 34.30128300 -77.92130100 401 linear feet Non-Wetland Section 404
SI 34.30800300 -77.92232000 125 linear feet Non-Wetland Section 404

U-5863 NC133 Castle Hayne Road — Potential Jurisdictional Waters Characteristics
Table 1. Characteristics of potential jurisdictional water resources in the study area
Map ID - Compensatory
Surface Figure Area (ac) Classification Mitigation River Basin
Waters Number Re uired Buffer
TG 3-5 0.006 Tributar No Not Sub'ect
TJ 3-6 0.008 Tributar No Not Sub�ect
Pond A 3-4 0.05 n/a No Not Sub'ect
Pond B 3-6 0.11 n/a No Not Sub�ect
Total ac 0.174
Map ID - Length
Streams (ft)
SA* 3-2 831 Intermittent Undetermined Not Sub�ect
SB 3-2 252 Perennial Yes Not Sub�ect
SC 3-2 339 Intermittent Undetermined Not Sub'ect
SD* 3-3 309 Perennial Yes Not Sub�ect
SF 3-5 177 Perennial Yes Not Sub'ect
SH 3-5 401 Perennial Yes Not Sub�ect
SI* 3-6 125 Intennittent Undetermined Not Sub�ect
Totallf 2,434
* NCSAM forms included
Table 2. Characteristics of potential jurisdictional wetlands in the study area
Map Figure
ID Number
WA 3-2
WB 3-2
NCWAM
Classification
Riverine
Swamp Forest
Headwater
Forest
NCWAM Hydrologic
Rating Classification
High Riparian
High Riparian
Total
Area (ac.) in
Study Area
0.44
0.52
0.96

NC DEPARTMENT OF TRANSPORTATION
��.
DIVISION OF HIGHWAYS
DIVISION 3
2,000 4,000
Feet
1:24,000 (At original document size of l 1x17�
Notes
1. Coordinafe System: NAD 1983 SiafePlone North Carolina FIPS 3200 Feef
2 Basempp - USGS 2aK Topographic Quadrangle - Castle Hoyne
Legend
� Project Study Area
/�/ Major Roads
ProjectLocation 171001773 REVA
New Hanover Counfy, NC Prepared by ALC on 2018-OS-Q2
Technical Review Uy MMR on 2018-08-17
Independent Review by ACS on 2018-08-17
Client/Project
NCDOT - Oivision 3
NC-133 Castle Hayne Road Widening
TIP U-5863
Figure No.
Z
Ttle
Project Study Area Map

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i<�" Legend
ht.� cnpc p«u� -
_ ProjectLocation 171001773 REVB
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��� V Client Pro'ect
DI ISION 3 / i
�' �n.�- Potential Jursidictional Perennial Streams + Wetland Datapoint NCDOT - Division 3
NC-133 Castle Hayne Road Widening
0 200 400 �n.�- Potential Tributary TIP U-5863
Feet
' Potential Jurisdictional Wetlands Figure No.
Wilmington 1:2.400 (At original document size of 1 1x17� 3-�
Ponds Ttle
Notes
- �.Coordlnate5ysfem_ NnD�983StatePlaneNorthCarofinaFif'S3200Feet Potential Jurisdietional Features Map
� Miles 2. Jurisdicfional �elineafion complefed by Staniec on March 26-28. 2018.
0 0.5 1 �� �� :�p Field verified by USACE ond NCDWR on Sepfember 6, 2018.
3.OrihoimpgeryOO NCOneMop.201G-
Fig 1 of 7
Dlsclaimer: Stontec assumes no responsibility for dato supplled in elecRonic FormaL Tho reciplent occepis full responsibllity For verifying fho accuwcy and completeness of the data. ihc recipient releases Stontec, its officers, employees, consul}an}s and agenfs, from any and all daims ansinc� in ony woy from the con}enY or provision o( }he dafa.

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NC DEPARTMENT OF TRANSPORTATION
� DIVISION OF HIGHWAYS
�' V
DI ISION 3
0 200 400
Feet
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Wilmington 1:2.400 (At original document size of 1 1x17�
Notes
- 1. Coordlnate Sysfem_ NnD 1983 StatePlane North Carollna FlPS 3200 Feet
� Miles 2. Jurisdicfional �elineafion complefed by Staniec on March 26-28. 2018.
0 0.5 1 �� �� :�p Field verified by USACE ond NCDWR on Sepfember 6, 2018.
3.OrihoimpgeryOO NCOneMop.201G-
Dlsclaimer: Stontec assumes no responsibility for dato supplled in elecRonic FormaL Tho reciplent occepis full responsibllity For verifying fho accuwcy and completeness of the data. ihc recipient releases Stontec, its
Legend
O Project Study Area Select Pipes
Potential Jurisdictional Intermittent Streams Upland Datapoint
�n.�- Potential Jursidictional Perennial Streams + Wetland Datapoint
�n.�- Potential Tributary
Potential Jurisdictional Wetlands
Ponds
consul}an}s and agenfs, from any and all claims arisinc� in ony woy trom ihe con}enl or provision of }he dafa.
ProjecYLocation 171001773 REVB
New Hanover Counfy, NC Prepared by ALC on 20I8-09-07
Technical Review by MMR on 2018-09-07
Independeni Review by ACS on 2018-09-10
Client/Project
NCDOT - Division 3
NC-133 Castle Hayne Road Widening
TIP U-5863
Figure No.
3-2
Ttle
Potential Jurisdictional Features Map
Fig 2 of 7

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Legend
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Technical Review by MMR on 2018-09-07
Independeni Review by ACS on 2018-09-10
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�.Coordlnate5ysfem_ NnD�983StatePlaneNorthCarofinaFif'S3200Feet Potential Jurisdietional Features Map
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3.OrihoimpgeryOO NCOneMop.201G-
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Field verified by USACE ond NCDWR on Sepfember 6, 2018.
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Upland Datapoint i�depe�ae�,i Re��ew c,v Acs o� 2a� e-o9-io
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Ttle
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NC DEPARTMENT OF TRANSPORTATION
DIVISION OF HIGHWAYS
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Notes
1. Coordlnate Sysfem_ NnD 1983 StatePlane North Carollna FlPS 3200 Feet
2. Jurisdicfional �elineafion complefed by Staniec on March 26-28. 2018.
Field verified by USACE ond NCDWR on Sepfember 6, 2018.
3.OrihoimpgeryOO NCOneMop.201G-
�nt occepis full responsibllity For verifying fho accuwcy and completeness of the data. ihc recipient releases Stontec, its
Legend
O Project Study Area Select Pipes
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�n.�- Potential Jursidictional Perennial Streams + Wetland Datapoint
�n.�- Potential Tributary
Potential Jurisdictional Wetlands
Ponds
consul}an}s and agenfs, from any and all claims arisinc� in ony woy trom ihe con}enl or provision of }he dafa.
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ProjectLocation 171001773 REVB
New Hanover Counfy, NC Prepared by ALC on 20I8-09-07
Technical Review by MMR on 2018-09-07
Independeni Review by ACS on 2018-09-10
Client/Project
NCDOT - Division 3
NC-133 Castle Hayne Road Widening
TIP U-5863
Figure No.
3-7
Ttle
Potential Jurisdictional Features Map
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Freshwater Forested/Shrub Figure No.
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.
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�„�,�.p�.,,� R���' Legend Ba Bayboro loam (mostly hydric) No Norfolk fine sand Project Location 171001773 REVA
:�- Be Baymeade fine sand On Onslow loamy fine sand New Hano�e� co��,�v, Nc P�ena�ea nv A�c o� zois-oe-zi
NCDEPARTMENTOFTRANSPORTATION O Project5tudyArea gp gorrowPits Pm Pamlicomuck�mostlyhydric) Te�n���aiae��ewbvnnMRo�zo�e-oe-z�
' DIVISION OF HIGHWAYS Cr Craven fine sandyloam Pn Pantego loam (mostly hydric) i�depe�ae�,iRe��ewbvncso��a�a-os-z�
.' V USDA-NRCS Soil Survey Client Pro'ect
DI ISION 3 DO Dorovan soils (mostly hydric) Ra Rains fine sandy loam (mostly hydric) � 1
"" NWI JO Johnston soils (mostly hydric) Se Seagate fine sand NCDOT - Division 3
Ke Kenansville fine sand St Stallings fine sand NC-133 Castle Hayne Road Widening
0 600 1,200 Riverine Kr Kureb sand To Torhunta loamy fine sand (mostly hydric) TIP U-5863
Feet La Lakeland sand Ud Udorthents, landfill
_ Freshwater Forested/Shrub Figure No.
1:7,200 (At original document size of l 1x17� Le Leon sand (mostly hydric) Ur Urban land 4_2
Freshwater Pond Ls Lynchburg fine sandy loam W Water
Notes Ly Lynn Haven fine sand (mostiy hydric) Wa Wakulla sand Ttle
i. coo�a��are svsfem= NAo ivassrarePia�e No�nc �a�or�„o FiPs szoo Feer Mu Murville fine sand (mostly hydric) Wo Woodington fine sandy loam (mostly hydric) Soils and NWI Map
�Miies z. ����sa�no�oi �er�eor�o�, �o�,pierea bv sra�fe� o„ nno�on zs-2s. zoia. wr wrightsboro fine sandy loam
0 0.5 1 �� �� :�p 3. OrihoimogeryOO NCOneMop. 2016.
Fig 2 of 2
Dlsclaimer: Stontec assumes no responsibility for dato supplled in elecRonic FormaL Tho reciplent occepis full responsibllity For verifying fho accuwcy and completeness of the data. ihc recipient releases Stontec, its officers, employees, consul}an}s and agenfs, from any and all daims ansinc� in ony woy from the con}enY or provision o( }he dafa.

NC DWQ Stream Identification Form Version 4.11
Date: 3/L�/Z� (�i ProjectlSite: �-, "�j � 3 S A Latitude: 3(� Z� 7 3?�,
O •�
�IV+�.1 � 55c� u � �
Evaluator: n�, �� ����G`n County: N�� �,✓1Ca1/� Longitude: �,'� q 2C� y���
��n
Total Points: Stream Determin circle one) Other C QS��� �'�G� c� ��
Stream is at least intermittent n El Ephem@ral rnnitten Perennial e.g. Quad Name: J
if >_19 or erennial if >_30 �y
A. Geomarpholagy {5ubtatal = IU ]
1a. Continuity of bed and bank
2. Sinuosity of channel along thalweg
3. In-channel structure: ex. riffle-pool, step-pool,
ripple-pool sequence
4. Particle size of stream substrate
5. Active/relict floodplain
6. Depositional bars or benches
7. Recent alluvial deposits
8. Headcuts
9. Grade controls
10. Natural valley
11. Second or greater order channel
' Man-made d'stches are nol rated; see discussions
B.Hydrology (Subtotal=�j
12. Presence of Baseflow
13. Iron oxidizing bacteria
14. Leaf litter
15. Sediment on plants or debris
16. Organic debris lines or piles
17. Soil-based evidence of high water table?
Moderate Stror
` 3
� 3
2 3
2 3
2
2 3
2 3
2 3
1 1.5
1.5
Yes = 3
0.5
1
1
Yes
3
3
0
1.5
1.5
C. Biology (Subfotal = j�}
20. Fibrous roots in streambed 3 2 0
21. Rooted u land lants in streambed 3 2 0
22. MaC�obenthos (note diversity and abundance) 1 2 3
23. Aquatic Mollusks 0 1 2 3
24. Fish 0 0.5 1 1.5
25. Cra�sh 0 0.5 1 1.5
26. Amphibians 0.5 1 1.5
27. Algae 0 0.5 1 1.5
29. Wetland plants in streambed FACW = 0.75; OBL = 1.5 Other
" perennial streams may also be identified using other methods. See p. 35 of manual
Notes:
Sketch:
��
� f l`
���1_.{ _ 2��T
� �l /
� .1,: ` �d �
1D "r1 �
�'�^ o-� w��"� �•!� $ „
� I- � �h,t�- .�- � � , C� S
��,�1 S� �! �`�`� �
G��� SIDvJ VQIOU�`f
/

NC DWQ Stream Identification Form Version 4.11
Date: 3 2� /'�1 ��� ProjecUSite: U' SU�� 5� Latitude: 3 l.� 2� I'3 � S
��55e�1 ku�t
Evaluator: � ` County: N.�,W ����Q,� Longitude: _-1 -� . Q 2 CJ 2��
A M �/' �fi 181�'v� '",
Total Points:
Stream is at least intermittent _�� Stream Determination {c Other Ca S�le
if >_19 or erennial if >_30 Ephemeral Intermlttan p rennial e.g. Quad Name: �.�-a � L
A. Geamorphoiogy (5ubtotaE _�)
1a. Continuity of bed and bank
2. Sinuosity of channel along thalweg
3. In-channel structure: ex. riffle-pool, step-pool,
ripple-pool sequence
4. Particle size of stream substrate
5. Active/relict floodplain
6. Depositional bars or benches
7. Recent alluvial deposits
8. Headcuts
9. Grade controls
10. Natural valle�
11. Second or greater order channel
° Man-made ditches are not ra see disCussfons in
B. Hydrofogy (Subtatal = � y
12. Presence of Baseflow
13. Iron oxidizing bacteria
14. Leaf litter
15. Sediment on plants or debris
16. Organic debris lines or piles
17. Soil-based evidence f high water table?
C. Biology (Subtotal =�j
Absent
0
0
0
0
0
� ��
7 �
� � �
�� �
� �
20. Fibrous roots in streambed 2 1
21. Rooted u land lants in streambed 3 2 1
22. MaC�obenthos (note diversity and abundance) 0 1 2
23. Aquatic Mollusks 1 2
24. Fish (TR M ' A 0 1
25. Cra�sh 0.5 1
26. Amphibians 0.5 1
27. Algae _0� 0.5 1
29. Wetland plants in streambed FACW = 0.75; OBL = 1.5 Other = 0
' perennial streams may also be identified using other methods. See p. 35 of manual
Notes:
Sketch:
��
w� d-'�, ,� _
�\
� �` �`:j-0�� .
2-1� ►�
�, �-r 't"o� - 2-�I' `
�U,,.,n� b� v l � � �+-
���,� , rn o�� o�� e y
0
0
3
3
1.5
1.5
1.5
1.5

NC DWQ Stream Identification Form Version 4.11
Date: 3/Z �l ZQ � g Project/Site: (,�- S�, j 5� Latitude: 3►} n pr O' �
� �� o b
En/�e. l i 55� R u'�.
Evaluator: Am��, ��m� County:N� ��n oV� Longitude: _-' 7� A���� D�
�1 1
Total Points: Stream DBte p clrcle one) Other C C� S�-i_Q,
Stream is at least intermittent2�( �5 Ephemeral ntennitten Perennial e.g. Quad Name:
if >_ 19 or erennial if >_30 v �) {i
A. Geomorphalogy (Suhtotaf =��
1a. Continuity of bed and bank
2. Sinuosity of channel along thalweg
3. In-channel structure: ex. riffle-pool, step-p
ripple-pool sequence
4. Particle size of stream substrate
5. Active/relict floodplain
6. Depositional bars or benches
7. Recent alluvial deposits
8. Headcuts
9. Grade controls
10. Natural valley
11. Second or greater order channel
a Man-made ditches are not ed' disCussH
B. Hydrology {5ubtatal=��
12. Presence of Baseflow
13. Iron oxidizing bacteria
14. Leaf litter
15. Sediment on plants or debris
16. Organic debris lines or piles
17. Soil-based evidence of high water table?
C. Biofogy (Subtotal = 5
20. Fibrous roots in streambed
21. Rooted upland plants in streambed
22. MeCrobenthos (note diversity and abundanci
23. Aquatic Mollusks
24. Fish
25. Cra�sh
26. Amphibians
27. Algae
29. Wetland plants in streambed
' perennial streams may also be ident'rfied usinf
Notes:
Sketch:
0
0
0
0
0
�
0
0
�
0
0
�
Weak
1
lerate Stronc
2
2 3
2 3
2
3
2 3
2 3
2 3
1
1.5
Yes = 3
�0 ��
� ��
� i► � �
���' �
fu�l� �
. � - lt►�
3 1
3 1
'' 1 2
1 2
0 0.5 1
0 0.5 1
0.5 1
0.5 1
FACW = 0.75; OBL = 1.5 Other
other methods. See u. 35 of manual
5C
w;o�n 3 -'-f � ,
�, -tT�� y-�' (�P, �o� � ��)
_�`� �� �
�j� l � I
��r"�'` �-�
�
n,,� �,, .��'
.
0
0
3
3
1.5
1.5
1.5
1.5

NC DWQ Stream Identification Form Version 4.11
� ,i� � :�y '
Date: 3%�7 1(� ProjecUSite: u� �� S'' � 3 �� Latitude: 7J C� 2$�3 g' 3
[ E
Evaluator: A ,�O � � ��� � County: A /Q � .1 1� � c ��� Longitude: � � %� � 22 C� g(p
i y T-�r
Total Points: Stream Determination [Cir Other �Gls'���
Sfream is at leastln[ermittent
if �99 or nnial if Z30 �!!� Ephemeral Intermittent erennia e.g. Quad Name: I�-a n�
A. Geomo ho! Subfotal = r..,
18. Continuity of bed and bank
2. Sinuosit of channel along thalwe
3. In-channel structure: ex. riffle-pool, step-pool,
ri le- ool se uence
4. Particle size of stream substrate
5. Active/relict floodplain
6. Depositional bars or benches
7. Recent alluvial deposits
8. Headcuts
9. Grade controls
10. Natural valle
11. Second or reater order channel
a Man-made ditches are noi rated; see discusslons in manual
B. Hydrofogy �5ubtotal=
12. Presence of Baseflow
13. Iron oxidizing bacteria
14. Leaf litter
15. Sediment on plants or debris
16. Organic debris lines or piles
17. Soil-based evidence of hi h water table?
C. Biolagy {Subtatal =
20. Fibrous roots in streambed
21. Rooted u land lants in streambed
22. Macrobenthos (note diversity and abundance)
23. Aquatic Mollusks
24. Fish
Absent
0
0
0
0
0
0
0
Weak
1
0 0.5
0 0.5
No=O
0 1
0 1
1.5 1
0 0.5
0 0.5
No=O
3
3
0 F1,
0 1
0 ) 0.5
25. Cra�sh 0 0.5 )
26. Amphibians 0
27. Algae 0 0.5
29. Wetland plants in streambed FACW = 0.75;
' perennial streams may also be identified using other methods. See p. 35 of manual
Notes:
1 0
1 0
2 3
2 3
1 1.5
1 1.5
1 .5
1 1.
Other = 0
Sketch: �� ����f.l ���E'.k '. �' SA �a �;-��rar.l S � �� c;��'il�,l_.vt,� �``
!
r Gu � �C + ^� �'j C (��. � , '; ,' �i/
i
�� ��� i
W "� � VVo� - -� � �. E c,Q
rr ._a i
� ` � � �`� �C � �'._�.�_ r.2 r _ -,: , -,� ,
P` � �'f a� � J4 �' �. �'i� �' `�F ���.�
) r �°-
:
1"�'1 d" 4•k'�S_L - � � �. �� : ( `-�, , �
Jz��^�,� t� l �-� - ,ra ;i.,ti., c__ C� r�-r : . ,�_ • `,, r'
f` E,
. . J� ��-f f!
n����._t ,` �._ �, .�-,��, , ,,_ �

NC DWQ Stream Identification Form Version 4.11
Date: ,�/yg Z�I 8 ProjectlSite: �-5 �� ��F Latitude: � 4 3 � �� g �
. � S� c.r i� �
Evaluator: County:�p�,J ��s7�Vp�- Longitude: _�-� � 92 � 2v
�/1'l,Ed�( �.a��%ri �i"'
Total Points: Stream QBterminatlOn (ctrCi e Other LA $T ��-
Stream !s at faast Intarmittent 3� Ephemera) Intermitlent erenn a e.g. Quad Name:
if z99 or rerrnlaf !t a30 �-I a Y1�
A. Geomorphofogy (Subtotal=l_ �]
1a. Continuity of bed and bank
2. Sinuosity of channel along thalweg
3. In-channel structure: ex. rifFle-pool, step-pool,
4. Particle size of stream substrate
5. Active/relict floodplain
6. Depositional bars or benches
7. Recent alluvial deposits
8. Headcuts
9. Grade controls
10. Natural valley
11. Second or greater order channel
' Man-made ditches are not rated: see discussions in manual
B. Mydrology (Subtotal =--.`.- ]
12. Presence of Baseflow
13. Iron oxidizing bacteria
14. Leaf litter
15. Sediment on plants or debris
16. Organic debris lines or piles
17. Soil-based evidence of high water table?
0
0
0
0
0
0
�
(0.
1 �2� 3
1 2 3
1 0.5 0
(rb.5 1 1.5
0 1 1.5
No=O Yes=3
C. BlDiogy (Subtotal =% . �
20. Fibrous roots in streambed 3 2 1 0
21. Rooted u land lants in streambed !� 2 1 0
22. MaC�obenthos (note diversity and abundance) � 1 2 3
23. Aquatic Mollusks �D 1 2 3
24. Fish 0 1 1.5
25. Cra�sh C10� 0.5 1 1.5
26. Amphibians (6; 0.5 1 1.5
27. Algae � 0.5 1 1.5
29. Wetland plants in streambed FACW = 0.75; OBL = 1.5 Ofher 0
" perennfal streams may also be identified using other methods. See p. 35 of manual
Notes:
Sketch:
�
�rd �-(., � � �
N���_ 7��, _ ,�- � '
���G� ��n�- � �-�
��
c,l ��� Ir od�ra� ��a r.�
Sa,,-� �°'�-

NC DWQ Stream Identification Form Version 4.11
Date: 3/Zg / 7� �
.l � SS� •�,r �
Evaluator:
A rn�.;�� c fl l�n-►�,...
Total Points:
Stream is at least intermittent ��
if >_19 oreerennial if >30
Project/Site: �- Cjg �3 sl� Latitude: 3�/� O I Z8'2
J
County: ��� �-��v�� Longitude: " 7 7� q Z� 3d �
Stream Daterminatton (cf Other �A ST Qi
Ephemeraf Intermittent erennia e.g. Quad Name: a �O
A. Geoma haG Subt�tai =� Absent Weak Moderate Stran
1a. Continuit of bed and bank 0 1 2
2. Sinuosity of channel along thalweg 0 1 2
3. In-channel structure: ex. riffle-pool, step-pool, 0 1 � 3
ri le- ool se uence
4. Particle size of stream substrate 0 1 2 3 1
5. Active/relict floodplain 0 1 2 3
6. Depositional bars or benches 0 1 2 3
7. Recent alluvial deposits ' 1 2 3
8. Headcuts 1 2
9. Grade controls 0 0.5 1
10. Natural valley 0 0.5 1
11. Second or reater order channel No = 0 Yes # 3
e Man-made ditches are not rated; see discussions in manual
B. Hydrolagy �Subintal = �
12. Presence of Baseflow 0 1 2
13. Iron oxidizing bacteria 0 �� 2 3
14. Leaf litter 1.5 L1 0.5 0
15. Sediment on plants or debris 0 0.5 1 1.5
16. Organic debris lines or piles 0 0. 1 1.5
17. Soil-based evidence of high water table? No = 0 Yes = 3
C. Biology (subtotal =�}
20. Fibrous roots in streambed 2 1 0
21. Rooted u land lants in streambed 2 1 0
22. Macrobenthos (note diversity and abundance) 1 2 3
23. Aquatic Mollusks 0 1 2 3
24. Fish 0.5 1 1.5
25. Cra�sh �' 0.5 1 1.5
26. Am hibians 0.5 1 1.5
27. Algae 0.5 1 1.5
29. Wetland plants in streambed FACW = 0.75; OBL = 1.5 Other 0
* perennial streams may also be identified using other methods. See p. 35 of manual
Notes:
Sketch:
J r►
�- . 12 '� Jr �
i..� r d -�-�"
�� ��1�� 7dg _ �_ $ ,
��
ar � � (. -� t„�c�.'� �,� � . � �
p�. � D� ���
� ��( e�o� ��
�.�,, ����a� GT S-� �� Ca� f�S
7

NC DWQ Stream Identification Form Version 4.11
Date: � / Pro ect/Site: J� 7, Latitude: !� I.� /?� O �
,..,y / �_�' � �s ��' ; U - 5 b'� Sl. � , � o 00
Evaluator: �'�. �✓c� ��� o��.� •, • Count : _, � � l � 23 2
y � ��� �- }�i �: ,� �;•,� Longitude:
Total Points:
Straam Is af least Intermittent �!_ C Stream Dete fon circle one) Other (,Gt $�" �L
if zi9 or renniel !f z30 17 � J Ephemaral erm tten erennial e.g. Quad Name: �1 a � n�
A. reomor holo Subtotal = f. S Absent Weak Moderate
1a. Continuit of bed and bank 0 1 2
2. Sinuosit of channel alon thalweg 1 2
3. In-channel structure: ex. riffle-pool, step-pool, 0 1 2
ri le- ool se uence
4. Particle size of stream substrate 0 1 y 2
5. Active/relict floodplain 1
6. De ositional bars or benches 0 1 2
7. Recent alluvial deposits 0 1 2
8. Headcuts 1 2
9. Grade controls 0 0.5 1
10. Natural valle 0 0.5 1`
11. Second or greater order channel N= U\
e Man-made ditches are not rat ; s e discussions in manual
B. Hydrology (Subtotal =
12. Presence of Baseflow 0 1 2
13. Iron oxidizing bacteria 1 2
14. Leaf litter 1 0.5
15. Sediment on plants or debris 0 1
16. Or anic debris lines or piles 0 0.5 1
17. Soil-based evidence of hi h water table? No = 0
C. Bi�[Ogy (Subtotal = f.
20. Fibrous roots in streambed 2 1
21. Rooted u land lants in streambed 2 1
22. MeC�Obenthos (nbte diversity and abundance) 0+ 2
23. Aquatic Mollusks 0 1 2
24. Fish ' 0.5 1
25. Cra ish 0.5 1
26. Amphibians 0.5 1
27. Algae 0 0.5 1
29. Wetland plants in streambed FACW = 0.75; OBL = 1.5 �
' perar�nial streams may also be identified usfng other methods. See p. 35 of manual
Notes:
Sketch: �`--�� � / r S
.� ... p���j�11 f
S�CGX'M• -~_c � ' -�"c�
r'�a
Lrl
I 1 r � � f�,��'�z,�.�v'� -
(o � )1
_ !
�� /
x z-y�' I
3'
:��`' ' �
� � � � ���" �
5 � o v►�' ,
� f ! .�
�� ' `; ��� `. � �
�: i

NC SAM FIELD ASSESSMENT FORM
�ccompanies User Manual Version 2.1
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 any 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 I SITE INFORMATION:
1. Project name (if any): U5863 2. Date of evaluation: 3/26/2018
3. ApplicanUowner name: NCDOT 4. Assessor name/organization: M. Ruiz, A. Coleman, Stantec
5. County: New Hanover 6. Nearest named water body
7. River Basin: Cape Fear on USGS 7.5-minute quad: Smith Creek
8. Site coordinates (decimal degrees, at lower end of assessment reach): 34.27733, -77.924417
STREAM INFORMATION: (depth and width can be approximations)
9. Site number (show on attached map): SA 10. Le�gth of assessment reach evaluated (feet): 100
11. Channel depth from bed (in riffle, if present) to top of bank (feet): 1-3' � Unable to assess channel depth.
12. Channel width at top of bank (feet): 2-4' 13. Is assessment reach a swamp stream? 4`� Yes �ts No
14. Feature type: �i Perennial flow �s` Intermittent flow i- Tidal Marsh Stream
STREAM RATING INFORMATION:
15. NC SAM Zone: v` Mountains (M) ;' Piedmont (P) ��i Inner Coastal Plain (I) �i' Outer Coastal Plain (0)
16. Estimated geomorphic � /
valley shape (skip for vi a�� R b
Tidal Marsh Stream): (more sinuous stream, flatter valley slope) (less sinuous stream, steeper valley slope)
17. Watershed size: (skip � Size 1(< 0.1 mi`) af' Size 2(0.1 to < 0.5 mi`) �; ' Size 3(0.5 to < 5 mi`) 4F' Size 4(>_ 5 mi`)
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
18. Were regulatory considerations evaluated? �t'i Yes �i No If Yes, check all that appy to the assessment area.
u Section 10 water ( Classified Trout Waters I Water Supply Watershed ( ti� ` I w II �t` III
II� Essential Fish Habitat I Primary Nursery Area I High Quality Waters/Outstanding Resource Waters
V Publicty owned property � NCDWR riparian buffer rule in effect � Nutrient Sensitive Waters
� Anadromous fish I 303(d) List I CAMA Area of Environmental Concem (AEC)
f Documented presence of a federal and/or state listed protected species within the assessment area.
List species:
f Designated Critical Habitat (list species):
19. Are additional stream information/suoolementarv measurements included in "Notes/Sketch" section or attached? d" Yes
1. Channel Water - assessment reach metric (skip for Size 1 streams and Tidal Marsh Streams)
�� A Water throughout assessment reach.
i- B No flow, water in pools only.
n�' C No water in assessment reach.
�`�` IV u`� V)
No
2. Evidence of Flow Restriction - assessment reach metric
[" A At least 10°/ of assessment reach in-stream habitat or riffle-pool sequence is adversely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impounded on flood or ebb within
the assessment reach (examples: undersized or perched culverts, causeways that constrict the channel, tidal gates).
ii B Not A
3. Feature Pattern - assessment reach metric
K� A A majority of the assessment reach has altered pattem (examples: straightening, modification above or below culvert).
�i�' B Not A.
4. Feature Longitudinal Profile - assessment reach metric
ii 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).
n" 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).
�s A < 10% of channel unstable
�` B 10 to 25°/ of channel unstable
N� 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� A Little or no evidence of conditions that adversely affect reference interaction
i"' B u' 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])
n�' 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.
I� A U!��•colored water In stream or in�� �ual z�;,ie (n��ilky ��vni(e, b�ue, unnalural vvat�r di5color<?lion oil s',eei �tiean�� uai>>)
u B E�;;:cssive sedirncntation (burying of stream features or intertidal zone)
V C PJoticeable evidence of pollutant discharges entering the assessment reach and causing a water quality problem
u D Cdor (not including natural sulfde odors)
u E Current published or collected data indicating degraded water quality in the assessment reach. Cite source in the "Notes,'Sk�tr.h"
52CTIOII.
u F Livestock with access to stream or intertidal zone
� G Er.cessive algae in stream or intertidal zone
V H Dc-graded marsh vcociation in the intertidal mne (remov2l. bum(ng. regufar mowing. destructlon, etc.l
V I Othar je;<{:�lain in "NpteslSkeLr�if ser.±ion)
f� J Little to no stressors
8. Recent Weather — watershed metric
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.
�" q Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
µ� 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
i- Yes ni 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. �i�` Yes �ti 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 1�9�_d'i{ I G,ztrc i Z�roph � ,n, �, �+[i� mo�,,�as � �+ V F 5% oysters or other natural hard bottoms
� incliic,z uveiv��ort;, Ilchons. ��no �igal mats) �� If G Submerged aquatic vegetation
� B !VI� dtiple sticks andlor leaf packs and/or emerger.i o� � II H Low-tide refugia (pools)
vayetation ��� V I Sand bottom
f C Ivlulriple snags and logs (including lap trees) L e� II— J 5% vertical bank along the marsh
f D "�+� underout banks and/or root mats andlor roo4s U� � K Little or no habitat
[n f ��ni =, rxien[ io ihe noii I ��-t1�d 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)
11 a. �i Yes �i 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 Ri((I�; un �ciin � ( .� �alu��',� 'i i rj
� B Por,l-� li i_�c!i -alcaie 11d1
I� C Natural bedform absent (skip to Metric 12, Aquatic Life)
11c In n �I s v_�ch�� 7'hecl: ��II traf �� �i Lalow the normol +,cu�d � i n�iar _f �ht as.,.:.,arnant r�c,cl �vi �.U�er�rrot �ubi��erged
Clieck at least one box in each row (skip for Size 4 Coastal Plain Streams and Ti�da� CUVarsh Sirearr�s) Not Pre;2nt (NP) _
<�bsent, Rare (R) = present but <_ 10%, Common (C) _ > 10-40°/ . Abundant (A) _ > 40-70°��. Predominant (Pj = % 70°ro. CumulaPiv�
percentages should not exceed 100% for each assessment reach.
�dP R C A P
ri� �' �' t' �' Bedrock/saprolite
�' C' �` �` � Boulder(256-4096mm)
�:" �i" l�' {�' �' Cobble(64-256mm)
2" (' �` �` (' Gravel(2-64mmj
K �' �' {' �' Sand (.062 — 2 mm I
��" {' (' �` {` SilUclay (<0.062 m��i)
�' {' �' f' �' Detritus
i {' (' (` {` Artificial (rip-rap, concrete. etc.)
i id. �� Yes �' No ,�re pools fi!I��I wi�h sediment? (�kiµ� �fort� Slze d Coastn! Plau:i s4'u�eet�xis ar.cV Tudal Mar�s°� SY�-earr�s)
12. Aquatic Life — assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
12a.a;i Yes i 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. 4' No Water i 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.
I � %'�iiul[ iro ;��
� � Aquatic reptiles
� � Aquatic macropfiytes and ac�uatic; i;iusses (inrlude IivPro✓orts, lichens. and algal matsJ

� � Beetles (Includiny water pennles)
� I— Caddisfly larvae (Trichoptera jTJ)
I j— Asian clam (Corbicula )
� � Grustacean (isopod/amphipod/cra�ilsh;shrimp)
I I— Damselfly and dragonfly larvae
� � Dipterans (true flies)
f � MayFly larvae (Ephemeroptera [E�)
f � Megaloptera (alderfly, fishfly, dobsonfly larvae)
f j— Midges/mosquito larvae
� j— Mosquito fish (Gambusia ) or mud minnows l,Umbia pygmaea)
I� j— Mussels/Clams (not Corl�icula )
� j— Other fish
I � Salamanders/tadpoles
� � Snails
I I— Stonefly larvae (Plecopter.a [P��
( j— Tipulid larvae
I� � �Nom�;�IN��chr�,
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
p" A n A Little or no alteration to water storage capacity over a majority of the streamside area
� B �fi B Moderate alteration to water storage capacity over a majority of the streamside area
a" C �i� C Severe alteration to water storage capacity over a majority of the streamside area (examples include: 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 �l" B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
��` C ti 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
N� Y n� Y Are wetlands present in the streamside area?
4 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 Qurisdictional discharges)
E B Ponds (include wet detention basins; do not include sediment basins or dry detention basins)
h� C Obstruction that passes some flow during low-flow periods within assessment area (beaver dam, bottom-release dam)
� D Evidence of bank seepage or sweating (iron oxidizing bacteria in water indicates seepage)
� E Stream bed or bank soil reduced (dig through deposited sediment if present)
u 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� D Evidence that the stream-side area has been modified resulting in accelerated drainage into the assessment reach
E Assessment reach relocated to valley edge
V F None of the above
18. Shading — assessment reach metric (skip for Tidal Marsh Streams)
Consider aspect. Consider "leaf-on" condition.
d" A Stream shading is appropriate for stream category (may include gaps associated with natural processes)
n B Degraded (example: scattered trees)
i� 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
p" A i- A �� A �i' ' A >_ 100-feet wide or extends to the edge of the watershed
ti B �' B d" B �� B From 50 to < 100-feet wide
d� C � C n: C �i C From 30 to < 50-feet wide
" D � D i D v" D From 10 to < 30-feet wide
u;` E �'` E y� E �zs 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

u� � A v" A Mature forest
�' B K B Non-mature woody vegetation or modified vegetation structure
ii C �ii C Herbaceous vegetation with or without a strip of trees < 10 feet wide
N'� D ;' D Maintained shrubs
� E �i 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 22V
Abuts < 30 feet 30-50 feet
LB RB LB RB LB RB
n�' A �i' A �^ A �` A � A �� A Row crops
ks g tii g �`- g y g �(" g �f" g Maintained turf
ry. C �`" C �i C �' C �i� C �i C Pasture (no livestock)/commercial horticulture
t`�` D �i' D �[`� D ��` D n� D �i" 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
d�` A � A Medium to high stem density
x~ B � B Low stem density
N� C �is 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
di A n A The total length of buffer breaks is < 25 percent.
�' B �i B The total length of buffer breaks is between 25 and 50 percent.
�" C �C` C The total length of buffer breaks is > 50 percent.
24. Vegetative Composition - First 100 feet of 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
N'� 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.
ii C k� 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 no�-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.�i�` Yes �ii No Was a conductivity measurement recorded?
If No, select one of the following reasons. � No Water K Other:
�;,I:,. Cf-i ,,i e� uc ., i�:��;x uu -; to t� �� rn?�.i�'i,i , i i,a..i-.-r�:;3�i �.i- i., oi n i ,, t�ie . i;r cei� i .t���rl.
2� �� <_li� ;i, F. ' i�J ` Fii Y`- _ I; t. < 7�-i r�`_ D I.� .':r i(" L _:i0
Notes/Sketch:

NC SAM Stream Rating Sheet
Accompanies User Manual Version 2.1
Stream Site Name U5863
Stream Category la1
Notes of Field Assessment Form (Y/N)
Presence of regulatory considerations (Y/N)
Additional stream information/supplementary measurements included (Y/N)
NC SAM feature type (perennial, intermittent, Tidal Marsh Stream)
Function Class Ratirn
(1) Hydrology
(2) Baseflow
(2) Flood Flow
(3) Streamside Area Attenuation
(4) Floodplain Access
(4) Wooded Riparian Buffer
(4) Microtopography
(3) Stream Stability
(4) Channel Stability
(4) Sediment Transport
(4) Stream Geomorphology
(2) Stream/Intertidai Zone Interaction
(2) Longitudinal Tidal Flow
(2) Tidal Marsh Stream Stability
(3) Tidal Marsh Channel Stability
(3) Tidal Marsh Stream Geomorphology
(1) Water Quality
(2) Baseflow
(2) Streamside Area Vegetation
(3) Upland Pollutant Filtration
(3) Thermoregulation
(2) Indicators of Stressors
(2) Aquatic Life Tolerance
(2) Intertidal Zone Filtration
(1) Habitat
(2) In-stream Habitat
(3) Baseflow
Date of Evaluation 3/26/2018
Assessor Name/Organization . Ruiz, A. Coleman, Stant�
USACE/
All Streams
LOW
MEDIUM
LOW
MEDIUM
HIGH
LOW
MEDIUM
LOW
HIGH
LOW
LOW
NA
NA
NA
NA
NA
LOW
MEDIUM
LOW
LOW
LOW
NO
LOW
NA
LOW
LOW
MEDIUM
NO
NO
NO
Intermittent
NCDWR
Intermittent
LOW
MEDIUM
LOW
MEDIUM
HIGH
LOW
MEDIUM
LOW
HIGH
LOW
LOW
NA
NA
NA
NA
NA
LOW
MEDIUM
LOW
LOW
LOW
NO
NA
NA
LOW
LOW
MEDIUM

NC SAM FIELD ASSESSMENT FORM
�ccompanies User Manual Version 2.1
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 any 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 I SITE INFORMATION:
1. Project name (if any): U5863 2. Date of evaluation: 3/26/2018
3. ApplicanUowner name: NCDOT 4. Assessor name/organization: M. Ruiz, A. Coleman, Stantec
5. County: New Hanover 6. Nearest named water body
7. River Basin: Cape Fear on USGS 7.5-minute quad: Northeast Cape Fear River
8. Site coordinates (decimal degrees, at lower end of assessment reach): 34.282383, -77.922486
STREAM INFORMATION: (depth and width can be approximations)
9. Site number (show on attached map): SD 10. Le�gth of assessment reach evaluated (feet): 100
11. Channel depth from bed (in riffle, if present) to top of bank (feet): 6' � Unable to assess channel depth.
12. Channel width at top of bank (feet): 6' 13. Is assessment reach a swamp stream? 4`� Yes �ts No
14. Feature type: ��s Perennial flow n Intermittent flow i- Tidal Marsh Stream
STREAM RATING INFORMATION:
15. NC SAM Zone: v` Mountains (M) ;' Piedmont (P) ��i Inner Coastal Plain (I) �i' Outer Coastal Plain (0)
16. Estimated geomorphic � /
valley shape (skip for vi a�� R b
Tidal Marsh Stream): (more sinuous stream, flatter valley slope) (less sinuous stream, steeper valley slope)
17. Watershed size: (skip 4 Size 1(< 0.1 mi`) a� Size 2(0.1 to < 0.5 mi`) �; ' Size 3(0.5 to < 5 mi`) 4F' Size 4(>_ 5 mi`)
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
18. Were regulatory considerations evaluated? �t'i Yes �i No If Yes, check all that appy to the assessment area.
u Section 10 water ( Classified Trout Waters I Water Supply Watershed ( ti� ` I w II �t` III
II� Essential Fish Habitat I Primary Nursery Area I High Quality Waters/Outstanding Resource Waters
V Publicty owned property � NCDWR riparian buffer rule in effect � Nutrient Sensitive Waters
� Anadromous fish I 303(d) List I CAMA Area of Environmental Concem (AEC)
f Documented presence of a federal and/or state listed protected species within the assessment area.
List species:
f Designated Critical Habitat (list species):
19. Are additional stream information/suoolementarv measurements included in "Notes/Sketch" section or attached? d" Yes
1. Channel Water - assessment reach metric (skip for Size 1 streams and Tidal Marsh Streams)
�� A Water throughout assessment reach.
i- B No flow, water in pools only.
n�' C No water in assessment reach.
�`�` IV u`� V)
No
2. Evidence of Flow Restriction - assessment reach metric
[" A At least 10°/ of assessment reach in-stream habitat or riffle-pool sequence is adversely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impounded on flood or ebb within
the assessment reach (examples: undersized or perched culverts, causeways that constrict the channel, tidal gates).
ii B Not A
3. Feature Pattern - assessment reach metric
K� A A majority of the assessment reach has altered pattem (examples: straightening, modification above or below culvert).
�i�' B Not A.
4. Feature Longitudinal Profile - assessment reach metric
ii 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).
n" 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).
�s A < 10% of channel unstable
�` B 10 to 25°/ of channel unstable
N� 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
�f A a� A Little or no evidence of conditions that adversely affect reference interaction
ii B u' 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])
n�' 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.
I� A U!��•colored water In stream or in�� �ual z�;,ie (n��ilky ��vni(e, b�ue, unnalural vvat�r di5color<?lion oil s',eei �tiean�� uai>>)
u B E�;;:cssive sedirncntation (burying of stream features or intertidal zone)
V C PJoticeable evidence of pollutant discharges entering the assessment reach and causing a water quality problem
u D Cdor (not including natural sulfde odors)
u E Current published or collected data indicating degraded water quality in the assessment reach. Cite source in the "Notes,'Sk�tr.h"
52CTIOII.
u F Livestock with access to stream or intertidal zone
� G Er.cessive algae in stream or intertidal zone
V H Dc-graded marsh vcociation in the intertidal mne (remov2l. bum(ng. regufar mowing. destructlon, etc.l
V I Othar je;<{:�lain in "NpteslSkeLr�if ser.±ion)
f� J Little to no stressors
8. Recent Weather — watershed metric
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.
�" q Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
µ� 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
i- Yes ni 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. �i�` Yes �ti 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 1�9�_d'i{ I G,ztrc i Z�roph � ,n, �, �+[i� mo�,,�as � �+ V F 5% oysters or other natural hard bottoms
� incliic,z uveiv��ort;, Ilchons. ��no �igal mats) �� If G Submerged aquatic vegetation
� B !VI� dtiple sticks andlor leaf packs and/or emerger.i o� � II H Low-tide refugia (pools)
vayetation ��� V I Sand bottom
f C Ivlulriple snags and logs (including lap trees) L e� II— J 5% vertical bank along the marsh
f D "�+� underout banks and/or root mats andlor roo4s U� � K Little or no habitat
[n f ��ni =, rxien[ io ihe noii I ��-t1�d 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)
11 a. �i Yes �i 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)
i� B Pool-glide section (evaluate 11d)
I C Natural bedform absent (skip to Metric 12, Aquatic Life)
11c In n �I s v_�ch�� 7'hecl: ��II traf �� �i Lalow the normol +,cu�d � i n�iar _f �ht as.,.:.,arnant r�c,cl �vi �.U�er�rrot �ubi��erged
Clieck at least one box in each row (skip for Size 4 Coastal Plain Streams and Ti�da� CUVarsh Sirearr�s) Not Pre;2nt (NP) _
<�bsent, Rare (R) = present but <_ 10%, Common (C) _ > 10-40°/ . Abundant (A) _ > 40-70°��. Predominant (Pj = % 70°ro. CumulaPiv�
percentages should not exceed 100% for each assessment reach.
�dP R C A P
ri� �' �' t' �' Bedrock/saprolite
�' C' �` �` � Boulder(256-4096mm)
�:" �i" l�' {�' �' Cobble(64-256mm)
2" (' �` �` (' Gravel(2-64mmj
K �' �' {' �' Sand (.062 — 2 mm I
��" {' (' �` {` SilUclay (<0.062 m��i)
�' {' �' f' �' Detritus
i u'` ��" �+"'� ��� A.ri.rfic�i�l (r�p-r�p, concrete, �ie)
11 d. R,� 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 Size 4 Coastal Plain streams and Tidal Marsh Streams)
12a.a;i Yes i 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. 4' No Water i Other:
12b. �;� Yes �l 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
� V Aquatic reptiles
I � Aquatic macrophytes and aquatic mosses (include liverworts, lichens, and algal mats)

f V Beetles (including water pennies)
� � Caddisfly larvae (Trichoptera [T])
� V Asian clam (Corbicula )
� � Crustacean (isopod/amphipod/crayfish/shrimp)
I T Damselfly and dragonfly larvae
� � Dipterans (true flies)
f� f MayFly larvae (Ephemeroptera [E])
I u Megaloptera (alderfly, fishfly, dobsonfly larvae)
f� A Midges/mosquito larvae
I � Mosquito fish (Gambusia ) or mud min�ows (Umbra pygmaea)
I � Mussels/Clams (not Corbicu/a )
� � Other fish
f V Salamanders/tadpoles
� u Snails
� il Stonefly larvae (Plecoptera [P])
� V Tipulid larvae
' V 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
p" A n A Little or no alteration to water storage capacity over a majority of the streamside area
� B �fi B Moderate alteration to water storage capacity over a majority of the streamside area
a" C �i� C Severe alteration to water storage capacity over a majority of the streamside area (examples include: 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 �l" B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
�i C �i 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
N'� Y n Y Are wetlands present in the streamside area?
.�a` N �fi 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 Qurisdictional discharges)
E B Ponds (include wet detention basins; do not include sediment basins or dry detention basins)
h� C Obstruction that passes some flow during low-flow periods within assessment area (beaver dam, bottom-release dam)
� D Evidence of bank seepage or sweating (iron oxidizing bacteria in water indicates seepage)
� E Stream bed or bank soil reduced (dig through deposited sediment if present)
u 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� D Evidence that the stream-side area has been modified resulting in accelerated drainage into the assessment reach
E Assessment reach relocated to valley edge
V F None of the above
18. Shading — assessment reach metric (skip for Tidal Marsh Streams)
Consider aspect. Consider "leaf-on" condition.
d" A Stream shading is appropriate for stream category (may include gaps associated with natural processes)
n B Degraded (example: scattered trees)
i� 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
p" A n- A �� A �i" A >_ 100-feet wide or extends to the edge of the watershed
ti B �fi B d" B �� B From 50 to < 100-feet wide
d� C i C n: C �i C From 30 to < 50-feet wide
i" D �` D �C� D v" D From 10 to < 30-feet wide
u;` E �t" E �� E �zs 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

u� � A v" A Mature forest
�' B K B Non-mature woody vegetation or modified vegetation structure
ii C �ii C Herbaceous vegetation with or without a strip of trees < 10 feet wide
N'� D ;' D Maintained shrubs
� E �i 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 22V
Abuts < 30 feet 30-50 feet
LB RB LB RB LB RB
n�' A �i' A �^ A �` A � A �� A Row crops
ks g tii g �`- g y g �(" g �f" g Maintained turf
ry. C �`" C �i C �' C �i� C �i C Pasture (no livestock)/commercial horticulture
t`�` D �i' D �[`� D ��` D n� D �i" 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
d�` A � A Medium to high stem density
x~ B � B Low stem density
N� C �is 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
di A �ii 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 �f' C The total length of buffer breaks is > 50 percent.
24. Vegetative Composition - First 100 feet of 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
N'� 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.
ii C k� 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 no�-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.�i�` Yes �ii No Was a conductivity measurement recorded?
If No, select one of the following reasons. � No Water K Other:
�;,I:,. Cf-i ,,i e� uc ., i�:��;x uu -; to t� �� rn?�.i�'i,i , i i,a..i-.-r�:;3�i �.i- i., oi n i ,, t�ie . i;r cei� i .t���rl.
2� �� <_li� ;i, F. ' i�J ` Fii Y`- _ I; t. < 7�-i r�`_ D I.� .':r i(" L _:i0
Notes/Sketch:

NC SAM Stream Rating Sheet
Accompanies User Manual Version 2.1
Stream Site Name U5863
Stream Category la2
Notes of Field Assessment Form (Y/N)
Presence of regulatory considerations (Y/N)
Additional stream information/supplementary measurements included (Y/N)
NC SAM feature type (perennial, intermittent, Tidal Marsh Stream)
Function Class Ratirn
(1) Hydrology
(2) Baseflow
(2) Flood Flow
(3) Streamside Area Attenuation
(4) Floodplain Access
(4) Wooded Riparian Buffer
(4) Microtopography
(3) Stream Stability
(4) Channel Stability
(4) Sediment Transport
(4) Stream Geomorphology
(2) Stream/Intertidai Zone Interaction
(2) Longitudinal Tidal Flow
(2) Tidal Marsh Stream Stability
(3) Tidal Marsh Channel Stability
(3) Tidal Marsh Stream Geomorphology
(1) Water Quality
(2) Baseflow
(2) Streamside Area Vegetation
(3) Upland Pollutant Filtration
(3) Thermoregulation
(2) Indicators of Stressors
(2) Aquatic Life Tolerance
(2) Intertidal Zone Filtration
(1) Habitat
(2) In-stream Habitat
(3) Baseflow
Date of Evaluation 3/26/2018
Assessor Name/Organization . Ruiz, A. Coleman, Stant�
USACE/
All Streams
LOW
HIGH
LOW
MEDIUM
HIGH
LOW
LOW
LOW
HIGH
LOW
LOW
NA
NA
NA
NA
NA
MEDIUM
HIGH
LOW
LOW
LOW
NO
MEDIUM
NA
LOW
LOW
HIGH
NO
NO
NO
Perennial
NCDWR
Intermittent

NC SAM FIELD ASSESSMENT FORM
�ccompanies User Manual Version 2.1
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 any 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 I SITE INFORMATION:
1. Project name (if any): U5863 2. Date of evaluation: 3/28/2018
3. ApplicanUowner name: NCDOT 4. Assessor name/organization: M. Ruiz, A. Coleman, Stantec
5. County: New Hanover 6. Nearest named water body
7. River Basin: Cape Fear on USGS 7.5-minute quad: Ness Creek
8. Site coordinates (decimal degrees, at lower end of assessment reach): 34.308003, -77.92232
STREAM INFORMATION: (depth and width can be approximations)
9. Site number (show on attached map): SI 10. Le�gth of assessment reach evaluated (feet): 100
11. Channel depth from bed (in riffle, if present) to top of bank (feet): 5' � Unable to assess channel depth.
12. Channel width at top of bank (feet): 6' 13. Is assessment reach a swamp stream? 4`� Yes �ts No
14. Feature type: �i Perennial flow �s` Intermittent flow i- Tidal Marsh Stream
STREAM RATING INFORMATION:
15. NC SAM Zone: v` Mountains (M) ;' Piedmont (P) ��i Inner Coastal Plain (I) �i' Outer Coastal Plain (0)
16. Estimated geomorphic � /
valley shape (skip for vi a�� R b
Tidal Marsh Stream): (more sinuous stream, flatter valley slope) (less sinuous stream, steeper valley slope)
17. Watershed size: (skip � Size 1(< 0.1 mi`) af' Size 2(0.1 to < 0.5 mi`) �; ' Size 3(0.5 to < 5 mi`) 4F' Size 4(>_ 5 mi`)
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
18. Were regulatory considerations evaluated? �t'i Yes �i No If Yes, check all that appy to the assessment area.
u Section 10 water ( Classified Trout Waters I Water Supply Watershed ( ti� ` I w II �t` III
II� Essential Fish Habitat I Primary Nursery Area I High Quality Waters/Outstanding Resource Waters
V Publicty owned property � NCDWR riparian buffer rule in effect � Nutrient Sensitive Waters
� Anadromous fish I 303(d) List I CAMA Area of Environmental Concem (AEC)
f Documented presence of a federal and/or state listed protected species within the assessment area.
List species:
f Designated Critical Habitat (list species):
19. Are additional stream information/suoolementarv measurements included in "Notes/Sketch" section or attached? d" Yes
1. Channel Water - assessment reach metric (skip for Size 1 streams and Tidal Marsh Streams)
�� A Water throughout assessment reach.
i- B No flow, water in pools only.
n�' C No water in assessment reach.
�`�` IV u`� V)
No
2. Evidence of Flow Restriction - assessment reach metric
[" A At least 10°/ of assessment reach in-stream habitat or riffle-pool sequence is adversely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impounded on flood or ebb within
the assessment reach (examples: undersized or perched culverts, causeways that constrict the channel, tidal gates).
ii B Not A
3. Feature Pattern - assessment reach metric
K� A A majority of the assessment reach has altered pattem (examples: straightening, modification above or below culvert).
�i�' B Not A.
4. Feature Longitudinal Profile - assessment reach metric
ii 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).
n" 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).
�s A < 10% of channel unstable
�` B 10 to 25°/ of channel unstable
N� 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� A Little or no evidence of conditions that adversely affect reference interaction
i"' B u' 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])
n�' 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.
I� A U!��•colored water In stream or in�� �ual z�;,ie (n��ilky ��vni(e, b�ue, unnalural vvat�r di5color<?lion oil s',eei �tiean�� uai>>)
u B E�;;:cssive sedirncntation (burying of stream features or intertidal zone)
V C PJoticeable evidence of pollutant discharges entering the assessment reach and causing a water quality problem
u D Cdor (not including natural sulfde odors)
u E Current published or collected data indicating degraded water quality in the assessment reach. Cite source in the "Notes,'Sk�tr.h"
52CTIOII.
u F Livestock with access to stream or intertidal zone
� G Er.cessive algae in stream or intertidal zone
V H Dc-graded marsh vcociation in the intertidal mne (remov2l. bum(ng. regufar mowing. destructlon, etc.l
V I Othar je;<{:�lain in "NpteslSkeLr�if ser.±ion)
f� J Little to no stressors
8. Recent Weather — watershed metric
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.
�" q Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
µ� 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
i- Yes ni 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. �i�` Yes �ti 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 1�9�_d'i{ I G,ztrc i Z�roph � ,n, �, �+[i� mo�,,�as � �+ V F 5% oysters or other natural hard bottoms
� incliic,z uveiv��ort;, Ilchons. ��no �igal mats) �� If G Submerged aquatic vegetation
� B !VI� dtiple sticks andlor leaf packs and/or emerger.i o� � II H Low-tide refugia (pools)
vayetation ��� V I Sand bottom
f C Ivlulriple snags and logs (including lap trees) L e� II— J 5% vertical bank along the marsh
f D "�+� underout banks and/or root mats andlor roo4s U� � K Little or no habitat
[n f ��ni =, rxien[ io ihe noii I ��-t1�d 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)
11 a. �i Yes �i 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 Ri((I�; un �ciin � ( .� �alu��',� 'i i rj
� B Por,l-� li i_�c!i -alcaie 11d1
I� C Natural bedform absent (skip to Metric 12, Aquatic Life)
11c In n �I s v_�ch�� 7'hecl: ��II traf �� �i Lalow the normol +,cu�d � i n�iar _f �ht as.,.:.,arnant r�c,cl �vi �.U�er�rrot �ubi��erged
Clieck at least one box in each row (skip for Size 4 Coastal Plain Streams and Ti�da� CUVarsh Sirearr�s) Not Pre;2nt (NP) _
<�bsent, Rare (R) = present but <_ 10%, Common (C) _ > 10-40°/ . Abundant (A) _ > 40-70°��. Predominant (Pj = % 70°ro. CumulaPiv�
percentages should not exceed 100% for each assessment reach.
�dP R C A P
ri� �' �' t' �' Bedrock/saprolite
�' C' �` �` � Boulder(256-4096mm)
�:" �i" l�' {�' �' Cobble(64-256mm)
2" (' �` �` (' Gravel(2-64mmj
K �' �' {' �' Sand (.062 — 2 mm I
��" {' (' �` {` SilUclay (<0.062 m��i)
�' {' �' f' �' Detritus
i {' (' (` {` Artificial (rip-rap, concrete. etc.)
i id. �� Yes �' No ,�re pools fi!I��I wi�h sediment? (�kiµ� �fort� Slze d Coastn! Plau:i s4'u�eet�xis ar.cV Tudal Mar�s°� SY�-earr�s)
12. Aquatic Life — assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
12a.a;i Yes i 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. 4' No Water i Other:
12b. �;� Yes �l 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.
' il Adult frogs
� V Aquatic reptiles
I � Aquatic macrophytes and aquatic mosses (include liverworts, lichens, and algal mats)

f � Beetles (including water pennies)
� � Caddisfly larvae (Trichoptera [T])
I— 0 Asian clam (Corbicula )
� I Crustacean (isopod/amphipod/crayfish/shrimp)
I T Damselfly and dragonfly larvae
� � Dipterans (true flies)
f� f MayFly larvae (Ephemeroptera [E])
I u Megaloptera (alderfly, fishfly, dobsonfly larvae)
f� A Midges/mosquito larvae
I � Mosquito fish (Gambusia ) or mud min�ows (Umbra pygmaea)
I � Mussels/Clams (not Corbicu/a )
� � Other fish
f V Salamanders/tadpoles
� u Snails
� il Stonefly larvae (Plecoptera [P])
� V Tipulid larvae
' V 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
p" A i� 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
a" C ��� C Severe alteration to water storage capacity over a majority of the streamside area (examples include: 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 �l" B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
��` C ti 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
N'� Y n Y Are wetlands present in the streamside area?
.�a` N �fi 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 Qurisdictional discharges)
E B Ponds (include wet detention basins; do not include sediment basins or dry detention basins)
h� C Obstruction that passes some flow during low-flow periods within assessment area (beaver dam, bottom-release dam)
� D Evidence of bank seepage or sweating (iron oxidizing bacteria in water indicates seepage)
� E Stream bed or bank soil reduced (dig through deposited sediment if present)
u F None of the above
17. Baseflow Detractors — assessment area metric (skip for Tidal Marsh Streams)
Check all that apply.
� A t i�� :,�ce � f�ul�stanh�,l .�.�ar ��i[t li ���vals from tl'ic ,_,..��;�rir rt i+�.� h(includes arEas excavated for pump installaUon)
V B Ubs[ructiun nui ��assing flcw cl��u�ing low Plow perlods aficcting ihe a^,sessment reach (ex: waiertlgh[ dam, sediment deposi[j
Q C Urban stream (% 24% impervious surface for watershed)
� D E�/�dance that the stream-side area has been modified resulting in accelerated drainage inlo [i�e assessment reacii
I E �4sses:=,mr-.nf�. n�ach rab,�., �;t.�d to �,i:�,lley vr_I;,i,=
� F None of the above
18. Shading — assessment reach metric (skip for Tidal Marsh Streams)
Consider aspect. Consider "leaf-on" condition.
r" A Stream shading is appropriate for stream category (may include gaps associated with natural processes)
n� 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 R� A �� A �i" A >_ 100-feet wide or extends to the edge of the watershed
� B �fi B d" B �� B From 50 to < 100-feet wide
�f C �C C n: C �i C From 30 to < 50-feet wide
i" D �` D �C� D v" D From 10 to < 30-feet wide
u;` E �t" E �� E �zs 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

u� � A v" A Mature forest
�' B Ki B Non-mature woody vegetation or modified vegetation structure
ii C �i' C Herbaceous vegetation with or without a strip of trees < 10 feet wide
N'� D ;' D Maintained shrubs
� E �i 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 22V
Abuts < 30 feet 30-50 feet
LB RB LB RB LB RB
n�' A �i' A �^ A �` A � A �� A Row crops
ks g ti'' g �`- g y g �(" g �f" g Maintained turf
ry. C �'� C �i C �' C �i� C �i C Pasture (no livestock)/commercial horticulture
t`�` D �i' D �[`� D ��` D n� D �i" 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
d� A � A Medium to high stem density
x~ B a�" B Low stem density
N� C �i ` 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
di A �ii 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 �f' C The total length of buffer breaks is > 50 percent.
24. Vegetative Composition - First 100 feet of 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
N'� 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 ui 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.
di C �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 no�-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.�i�` Yes �ii No Was a conductivity measurement recorded?
If No, select one of the following reasons. � No Water K Other:
�;,I:,. Cf-i ,,i e� uc ., i�:��;x uu -; to t� �� rn?�.i�'i,i , i i,a..i-.-r�:;3�i �.i- i., oi n i ,, t�ie . i;r cei� i .t���rl.
2� �� <_li� ;i, F. ' i�J ` Fii Y`- _ I; t. < 7�-i r�`_ D I.� .':r i(" L _:i0
Notes/Sketch:

NC SAM Stream Rating Sheet
Accompanies User Manual Version 2.1
Stream Site Name U5863
Stream Category la1
Notes of Field Assessment Form (Y/N)
Presence of regulatory considerations (Y/N)
Additional stream information/supplementary measurements included (Y/N)
NC SAM feature type (perennial, intermittent, Tidal Marsh Stream)
Function Class Ratirn
(1) Hydrology
(2) Baseflow
(2) Flood Flow
(3) Streamside Area Attenuation
(4) Floodplain Access
(4) Wooded Riparian Buffer
(4) Microtopography
(3) Stream Stability
(4) Channel Stability
(4) Sediment Transport
(4) Stream Geomorphology
(2) Stream/Intertidai Zone Interaction
(2) Longitudinal Tidal Flow
(2) Tidal Marsh Stream Stability
(3) Tidal Marsh Channel Stability
(3) Tidal Marsh Stream Geomorphology
(1) Water Quality
(2) Baseflow
(2) Streamside Area Vegetation
(3) Upland Pollutant Filtration
(3) Thermoregulation
(2) Indicators of Stressors
(2) Aquatic Life Tolerance
(2) Intertidal Zone Filtration
(1) Habitat
(2) In-stream Habitat
(3) Baseflow
Date of Evaluation 3/28/2018
Assessor Name/Organization . Ruiz, A. Coleman, Stant�
USACE/
All Streams
LOW
HIGH
LOW
MEDIUM
HIGH
LOW
MEDIUM
LOW
HIGH
LOW
LOW
NA
NA
NA
NA
NA
MEDIUM
HIGH
LOW
LOW
MEDIUM
NO
MEDIUM
NA
LOW
LOW
HIGH
NO
NO
NO
Intermittent
NCDWR
Intermittent
LOW
HIGH
LOW
MEDIUM
HIGH
LOW
MEDIUM
LOW
HIGH
LOW
LOW
NA
NA
NA
NA
NA
MEDIUM
HIGH
LOW
LOW
MEDIUM
NO
NA
NA
LOW
LOW
HIGH

WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region
ProjecUSite: �� -Sg�o3 C!lylCounty:/VP�J f'�n ��%� Sampling Date: 3 Z�n Z� � p
ApplicanUOwner: G � � State:�� SamplingPoint: r't' -U%�T
Investigator(s): �' �� �� r Section, Township, Range:
Landform (hillslope, terrace, etc.): ,� fl o� A� r>.-�,�n- Local relief (concave, convex, none�: CO h C Gt �l �. Slope (%); �
Subregion (LRR or MLRA}: � Lat: Long: Datum:
Soil Map Unit Name: �—�O L'1✓l Sl�► NWI classification: ►'1 ��-
Are climatic / hydrologic conditions on the site typical for this time of year? Yes � No (If no, explain in Remarks.)
Are Vegetation , Soil , or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes � No
Are Vegetatian , Soil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling paint locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes � No
Hydric Soil Present? Yes � No
Wetland Hydrology Present? Yes �_ No
Remarka:
HYDROLOGY
Is the Sampled Area
within a Nletland? Yes � No
Wetland Hydrology Indicators: 5econdarv Indir,alors lmintmum ot two reouiredl
Primary Indicators lminimum of one is reauired: check all that annlv,) _ Surface Soil Cracks (66)
Surface Water (A1) _ Aquatic Fauna (B13) _ Sparsely Vegetated Concave Surface (B8)
�High Water Table (A2) = Marl Deposits (B15) (LRR U� � Drainage Patterns (610)
Saturation (A3) Hydrogen Sulfide Odor (C1) Moss Trim Lines (B16)
_ Water Marks (B1) _ Oxidized Rhizaspheres along Living Roots (C3) _ Dry-Season Water Table (C2)
_ Sediment Deposits (B2) _ Presence of Reduced Iron (C4) _ Cra�sh Burrows (C8) a
_ Drift Deposita (83) _ RecenE Iron Reduction in Tilled Soils (C6} Seturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (64) _ Thin Muck Surtace (C7) � Geomorphic Position (D2)
Iron Deposits (B5) _ Other (Explain in Remarks) _ 5hallow Aquitard (D3)
_ Inundation Visible on Aerial Imagery (B7) _ FAC-Neutral Test (D5)
WatervStained Leaves (69) _ Sphagnum moss (DS) (LRR T, U)
Field Observations: y
Surface Water PreseM? Yes /` No Depth (inchesJ: �
Water Table Present? Yes � No Depth (inches): b - Z
Saturation Present? Yes �, No Depth (inches): � Wetland Hydrology Present? Yes � No
includes ca ID frin e
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Atlandc and Gulf Coastal Plain Region - Version 2.0

VEGETATION {Four Strata) - Use scientific names of plants.
4 � Absdute Dominant In�icfltor
(Plot size: 3� X Sta s
�r� r,� (� r u.n•► f �� �_ r��
z. �,,, 25 �. FP�G
3.
4.
5.
6.
7.
8.
�J O = Total Cover
50% of total cover: 25 20% of total cover: �_
Sa ' rub refum (Plot size; �i� X �S � j
1. � U Slrlen5�. Z�_ F�L
2. 5d►.m btaE.us C��� .�s�s _� �_ P�cw
3.
4.
5.
6.
7.
8.
3 0 = Total Cover
50% of total cover: �� 20% of total cover: �
�
Her6 Stratum (Plot size: 3� X i _)
1. _ t�.� (flL�1'jOl� g�C3a�•-rF'�[�l � � ��'�
z. l/W o or� Wa �[� t.�. 't"e O I c�-`i'x- ,� o � O P l.
s. L .� � N P� � U
a. r e I� �+ ta ,�Q_ N PPsL
5.
6.
7.
8.
9.
10.
11.
12.
( O S = Total Cover2
50% of total cover: 5�� S 2U°� of total ccver. �
o Vf (Plot size: j
1.
2.
3.
4.
5.
50% of total cover:
rved, list morphological adaptatic
= Total Cover
20% of total cover:
Sampling Point: �r ��'T
Dominanee Test uwrksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: (A)
Total Number of Dominant
Species Across All Strata: (B)
Percent of Dominant Species ?�
That Are OBL, FACW, or FAC: � v (A/B)
Preralence Index worksheet:
7otai 96 Cover nf: NlultfDlv hv:
OBL species x 1 =
FACW species x 2 =
FAC species x 3 =
FACU species x 4 =
UPL species x 5 =
Column Totals: (A) (B)
Prevalence Index = B/A =
Hydrophytic Vegetation Indlcators:
1- Rapid Test for Hydrophytic Vegetation
�2 - Dominance Test is >50%
3 - Prevalence Index is <_3.0'
_ Prohlematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be present, unless distur6ed or problematic.
Definitions of Four Vagat�ion Strata:
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at hreast height (DBH), regardless of
height.
Sapling/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than 3.28 ft (1 m) tall.
Her6 -All herbaceous (non-woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody vine - All woody vines greater than 3.28 ft in
height.
Hydrophytic
Vegetation
PresentT Yes No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Version 2.0

SOIL Sampling Point: ���
Profile Description: (Describe to the depth needed to document the indicator or confirm
DepEh Matrix , y Redox Features
[fn�hesl do asf % Coloi (moist) % Tvpe Loc�
D-(o �a �� l�� �
i5 Ia�22 r
� t �o yQ 3 2 5� v'/(� y z�� �
`TyPe: C-ConCentratton, D=Dep[etion, RM=Reduced MetriX, MS=Masked Sand Grains.
Hydric Soil Indicators: (Applicable to all LRRs, unless otherwise noted.)
_ Histosol (A1) �
_ Histic Epipedon (A2)
_ Black Histic (A3)
= Hydrogen Sulfide (A4)
_ Stratified Layers (A5)
Qrganic Bodies (A6) (LRR P, T, U)
� 5 cm Mucky Mineral (A7) (LRR P, T, Uj
_ Muck Presence (A8) (LRR U)
_ 1 cm Muck (A9) (LRR P, Tj
_ Depleted Below Dark Surface (A11)
_ Thick Dark Surtace (Al2)
_ Coast Prairie Redox (A16) (MLRA 15DA)
_ Sandy Mucky Mineral (S1) (LRR O, S)
_ Sandy Gleyed Matrix (S4)
_ Sandy Redox (S5)
_ Stripped Matrix (S6)
Dark Surface (S7) (LRR P, S, T, Uj
Restrictive Layer (if observed):
Type:
Depth (inches):
Remarks:
e absence
Texture Remarks
(Au cky rn� r�er.: �
SL�
LS
2Location: PL=Pore Lining, M=Matrix.
Indicators for Problematic Hydric Soi
_ Polyvalue Below Surface (S8) (LRR S, T, U) _ 1 cm Muck (A9) (LRR O)
_ Thin Dark Surtace (S9) {LRR S, T, U) _ 2 cm Muck (A10) (LRR S)
_ Loamy Mucky Mineral (F1) (LRR O) _ Reduced Vertic (F18) (outside MLRA i50A,B)
_ Loamy Gleyed Matrix (F2) _ Piedmont Floodplain Soils (F19) (LRR P, S, T)
_ Depleted Matrix (F3) _ Anomalous Bright Loamy Soils (F20)
_ Redox Dark Surface (F6) (MLRA 153B)
_ Depleted Dark Surface (F7) _ Red Parent Material (TF2)
_ Redox Depressions (F8) _ Very Shallow Dark Surtace (TF12)
_ Mar1 (F10) (LRR U) _ Other (Explain in Remarks)
_ Depleted Ochric (F11) (MLRA 151)
_ Iron-Manganese Masses (F12) (LRR O, P, T) 3lndicators of hydrophytic vegetation and
_ Umbric Surtace (F13) (LRR P, T, UJ wetland hydrology must he present,
_ Delta Ochric (F17) (MLRA 151) unless disturbed or problematic.
_ Reduced Vertic (F18) (MLRA 150A, 150B)
_ Piedmont Floodplain Soils (F19) (MLRA 749Aj
_ Anomelous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D)
Hydric Sail Present? Yes � No
�
US Amiy Corps of Engineers Atlantic and Gulf Coastal Plain Region — Version 2.0

WETLAND DETERMINATION DATA FORM -Atlantic and Gulf Coastal Plain Region
ProjecUSite: "' � � � � 3 City/County: ��, ��' °� Kr Sampling Date: � � �� � 6
ApplicanUOwner: NL ��T State: �]� Sampling Point: �/�i ' V1. i—
Investigator(s): �� ` �� t'irn�C � en'Y�.l�Section, Township, Range:
Landform (hillslope, terrace, etc.): Y�� 11� f o�� Local relief (concave, convex, none): _ G � n✓�x Slope (%): '7
Subregion (LRR or MLRA): T Lat: Long: Datum;
Soil Map Unit Name: �l) —O/1 S� Ov�l NWI classification:
Are climatic 1 hydrologic conditions on the site typical for this time of yearl Yes _,� No (If no, explain in Remarks.)
Are Vegetation , Soil , or Hydrology significantly disturbed? Are `Normal Circumstances" present? Yes /� No
Are Vegetation , Soil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Nydrophytic Vegetation Present?
Hydric Soil Present?
Wetland Hydrology Present?
Remarks:
HYDROLOGY
Yes � No
Yes No �
Yes No �_
Is the Sampled Area
within a Wetland? Yes No �
Wetland Hydrology Indicators: 5eoondarv Indicatars lminimum of two reauiradl
Primary Indicators (minimum of one is reauired; check all ihat aanlv) _ 5urface Soil Cracks (66)
Surface Water (A1) _ Aquatic Fauna (B13) _ Sparsely Vegetated Concave Surface (B8)
^ High Water Table (A2) _ Marl Deposits (B15) (LRR U) _ Drainage Patterns (B10)
Saturation (A3) _ Hydrogen Sulfide Odor (C1) _ Moss Trim Lines (B16)
r Water Marks (61) _ Oxidized Rhizospheres along Living Roots (C3) _ Dry-Season Water Table (C2)
Sediment Deposits (B2) _ Presence of Reduced Iron (C4) _ Cra�sh Burrows (C8)
Drif1 Deposiks (B3) _ Recent fron Reduction in Tilled Soils (C6) _ Saturetion Visible on Aerial Imagery (C9)
Algal Mat or Crust (B4) _ Thin Muck 5urtace (C7) _ Geomorphic Position (D2)
Iron Deposits (B5) _ Other (Explain in Remarks) _ Shallow Aquitard (D3)
Inundation Visible on Aerial Imagery (B7) � FAC-Neutral Test (D5)
Water-Stained Leaves (69) _ Sphagnum moss (D8) (LRR T, U)
Field Observations:
Surface Water Preserrt? Yes No � Depth (inches):
Water Table Present? Yes No � Depth (inches):
Saturation Present? Yes No � Depth (inches): Wetland Flydrolagy Present? Yes No�
includes ca illa frin e
Describe Racorded Data (stream gauge, manitarinS wall, aer€al photos, pravious Inapeation&), if availah[e:
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
� Ahsdute Dominant Indicator
Tre ratum (Plot size: } ° ver ecie 7 Status
1. 1 � � ��GU
2. i f S � r�AZ
3.
4.
5.
6.
7.
8.
( 4 � = Tota! Ca�er
50% of total caver. S Z� S 2036 af total cover: a �
SaDlinolShrul7 Stratum �Pjlat size: � � � ) �/
1. i��A�,�'C.Itib /lYl��1v$ � 1 �f �
i'
2.
3.
4.
5.
6.
7.
8.
S = Total Cover 1
50% totel cover: 7. 5 2a96 af totel cover:
,
Sampling Point: V!' ��
Dominance Test worksheet:
Number of Dominant Species L
That Are OBL, FACW, or FAC: (A)
Total Number of Dominant
Species Across All Strata: (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: ��o (A/B�
Prevalence Index worksheet:
Total % Cover of: Multi I b:
OBL species x 1 =
FACW species x 2 =
FAC species x 3 =
FACU species x 4 =
UPL species x 5 =
Column Totals: (A) (B)
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
1- Rapid Test for Hydrophytic Vegetation
✓2 - Dominance Test is >50%
3 - Prevalence Index is <_3.0'
_ Problematic Hydrophytic Vegetation' (Explain)
Herb Stratum (Plot size: � C j 'Indicators of hydric soil and wetland hydrology must
.� � �. p � � � be present, unless disturbed or problematic.
2. � S �/le �I , S _� � Definitions of Four Vegetation Strata:
3� Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
4, more in diameter at 6reast height (DBH), regardless of
5 height.
6.
7.
8.
9.
10.
11.
12.
�= Totsl Cover
50% of total cover: r 20% o� total caver: �--
Woody Vine 5tratum (Plot size:
1.
2.
3.
4.
5.
50% of total cover:
observed, list morphological adaptatla
)
= Total Cover
20% of total cover: _
Sapling/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than 3.28 ft(1 m) tall.
Herb - All herbaceous (non-woody) plants, regardless
of size, and woody plants less than 3.28 tt tall.
Woady vine - All woody vines greater than 3.28 ft in
height.
Hydrophytic
Vegetatian
Present? Yes No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Version 2.0

SOIL
or
Depth Matrix Redox Features
(inches) Co m i � r o' % Tvpe Loc
� �bYR2 z Go lo ,�� 4 n l�
�-,ZO 2�5 k��3 � 2 s y0
��+10 1L53 100
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.
Hydric Soil Indicators: (Applicable to all LRRs, unless otherwise noted.)
Sampling Point: ��
dicators.j
Texture Remarks
� (,c.r+Go�r� _''�..•7
LS
��
ZLocation: PL=Pore Lining, M=Matrix.
Indicators for Problematic Hydric Sc
_ Histosol (A1) _ Pdyvalue Below Surface (S8) (LRR S, T, U) _ 1 cm Muck (A9) (LRR O)
_ Histic Epipedon (A2) _ Thin Dark SurFace (S9) (LRR S, T, U) _ 2 cm Muck (A10) (LRR Sj
_ Black Histic (A3) _ Loamy Mucky Mineral (F1) (LRR O) _ Reduced Vertic (F18) (outside MLRA 150A,B)
_ Hydrogen Sulfide (A4) _ Loamy Gleyed Matrix (F2) _ Piedmont Floodplain Soils (F19) (LRR P, S, T)
_ Stratified Layers (A5) _ Depleted Matrix (F3) _ Anomalous Bright Loamy Soils (F20)
_ Organic Bodies (A6) (LRR P, T, U} _ Redox Dark Surtace (F6) (MLRA 153B}
_ 5 cm Mucky Mineral (A7) (LRR P, T, Uj _ Depleted Dark Surface (F7) _ Red Parent Material (TF2)
= Muck Presence (A8) (LRR U) _ Redox Depressions (FB) _ Very Shallow Dark Surtace (TF12)
_ 1 cm Muck (A9) (LRR P, T) _ Marl (F10) (LRR U) _ Other (Explain in Remarks)
_ Depleted Below Dark Surtace (A11) _ Depleted Ochric (F11) (MLRA 151)
_ Thick Dark Surtace (Al2) _ Iron-Manganese Masses (F12) {LRR O, P, T) 3lndicators of hydrophytic vegetation and
_ Coast Prairie Redox (A16) (MLRA 15DAj _ Umbric Surtace (F13j (LRR P, T, U) wetland hydrology must be present,
_ Sandy Mucky Mineral (S1) (LRR O, S) _ Delta Ochric (F17} (MLRA 151) unless disturbed or problematic.
_ Sandy Gleyed Matrix (S4) _ Reduced Vertic (F18) (MLRA 150A, 150B)
_ Sandy Redox (SS) _ Piedmont Floodplain Soils (F19) {MLRA 149A)
_ Stripped Matrix (S6) _ Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D)
Dark Surface (S7) {LRR P, S, T, U)
Restrictive Layer (if observed):
Typ e:
Depth (inches):
Remarks:
Hydric Soil Present? Yes No 7`
US Army Cwps of Engineers Atlantic and Gulf Coastal Plain Region — Version 2.0

WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region
ProjecVSite: V1 - City/County: 1►►�� �hv�� Sampling Date: � 2 �v18
ApplicanUOwner: C � v State:� Sampling Point: W� ����
/
Investigator(s): � 6 �� '�_ ►� � � (1'� �a !Yb*/�ection, Township, Range:
Landform (hillslope, terrace, etc.): a I G�Y\ Local relief (conca�e, convex, none): C-� G A V�t� Slope (%): �
Subregion (LRR or MLRA): % Lat: Long: Datum:
Soil Map Unit Name: NWI classification:
Are climatic 1 hydrologic conditions on the site typical for this time of year? Yes No (If no, explain in Remarks.)
Are Vegetation , Soil , or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes � No
Are Vegetation , Soil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.�
SUMMARY OF FINDIfVGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes aC No
Hydric Soil Present? Yes �� No
Wetland Hydrology Present? Yes � No
Remarks:
HYDROLOGY
Is the Sampled Area
within a Wetland? Yes � No
Wefland Hydrology Indicators: 5eoandarv Indicatq�(minlmy�m�f lwo r�}ufredl
rima dl t ml im f fs re ir d� ch ck all h a _ Surface Soil Cracks (B6}
Surface Water (A1) _ Aquatic Fauna (B13) _ Sparsely Vegetated Concave Surface (B8)
High Water Table (A2) _ Marl Deposits (B15) (LRR U) , Drainage Pattems (B10)
Saturation (A3} _ Hydrogen Sulfide Odor (C1) _ Moss Trim Lines (B16)
_ Water Marks (61) _ Oxidized Rhizospheres along Living Roots (C3) _ Dry-Season Water Table {C2)
_ Sediment Deposits (B2) _ Presence of Reduced Iron (C4) _ Cra�sh Burrows (C8)
_ Drift Deposits (B3) _ Recent Iron Reduction in Tilled Soils (C6) _ Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or CrusE {64) _ Thin Muck Surtace (C7) _ Geomorphic Position (D2)
_ Iron Deposits (B5) i Other (Explain in Remarks) _ Shallow Aquitard (D3)
_ Inundation Visible on Aerial Imagery (B7) _ FAC-Neutral Test (D5)
_ Wafer-Stained Leaves {69) _ Sphagnum moss (D8) (LRR T, U)
Field Observations: �(
Surtace Water Preserit? Yes �\ No Depth {inches): �— 2
Water Table Present? Yes � No Depth (inches): U�-�2
Saturation Present? Yes � No Depth (inches): � Wetland Hydrology Present? Yes � No
includes ca illa frin e
Qascribe Recorded Data (stream gauge, monitoring well, aer3al photas, prevlous inspections), if availahle:
Rernarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Absdute Dominant Indicator
(Plot size: ) °�, ..��B.L, � �
1. � �"
2. � O 1 �Z � �. �
3. � `v . r�
4.
5.
6.
7.
8.
� 00 = Total Cover
50% of total cover: � 20% of total cover: ��
SaolEnnlShrub 5tratum (Plat size: j
1. � �) 1 � � �� � � '" 4 W
2.
3.
4.
5.
6.
7.
S.
� = Total Cover
50% of total cover: � Z� S 20% of total cover: ��
Herb Stratum (Plot size•1 ) � �/�l
1. �SlY�ul1G GL__ l C^�L.1►s - 1� ,�
2. Y � C��c r CI� � � i t��
3. w b o c1 ��1 a r el i o� �-,( ��: '� �_ � d S L
a. c� o� �n c nT� _ c,�r, b e i i��• �� �_ �L� �.
5. f- , �''�i � ��
6.
7.
S.
9.
10.
11.
��
Woodv Vine 5tratuilt (Plot size:
1.
2.
3.
4.
5.
� = Total Cover q
50% of total cover: �- %� � 2t196 of total cover: r f
)
= Total Cover
50% of total cover: 20% of total cover:
morphological adaptations bd[anr).
Sampling Point: �i���
DOminance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: (A)
Total Number of Dominant
Species Across All Strata: (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: �� (A/B)
Prevalence Index wol'ksheet:
Tdal 9ro Cover ot: Multioly�v:
OBL species x 1 =
FACW species x 2 =
FAC species x 3 =
FACU species x 4 =
UPL species x 5 =
Column Totals: (A) (B)
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
_ 1- Rapid Test for Hydrophytic Vegetation
✓2 - Dominance Test is >50%
3 - Prevalence Index is <_3.0'
_ Problematic Hydrophytic Vegetation' (Explain)
' Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (D6H), regardless of
height.
SaplinglShrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than 3.28 ft(1 m) tall.
Her6 -All herbaceous (non-woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody vine - All woody vines greater than 3.28 ft in
height.
Hydrophytic
Vegetatlon
PresentT Yes No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Version 2.0

SOIL
Profile Qescriptlon: (Describe ta the depth n�aded to document the indicator orcoRflrrri tlte absence
p8pt� Matrix Redox Features
IinchesL or m t � Cdar �ma�— °� T�r e—�Lac=
� - � o � rao
� -1� - ' t �ti o
� _ 0 ¢ 6ti r o0
'7 e: C-Concentration, D=De letlan, RM=Reduced Matrtx, MS=Masksd Sand Grains.
Hydric Soil Indicators: (Applicable to all LRRs, unless otherwise noted.)
Sampling Point: y ° � w� �
Textare Remerks
nI� M
�—
��
2Location: PL=Pore Llnin , M=Malrix.
Indicators for Problematic Hydric Soils':
Histosol (A1) _ Polyvalue Below Surface (S8) (LRR S, T, U) _ 1 cm Muck (A9) (LRR O)
Histic Epipedon (A2) _ Thin Dark SurFace (S9) (LRR S, T, U) _ 2 cm Muck (A10) (LRR S)
Black Histic (A3) _ Loamy Mucky Mineral (F1) (LRR O) _ Reduced Vertic (F18) (outside MLRA 150A,B)
_ Hydrogen Sulfide (A4) Loamy Gleyed Matrix (F2) _ Piedmont Floodplain Soils (F19) (LRR P, S, T)
Stratified Layers (A5) _ Depleted Matrix (F3) _ Anomalous Bright Loamy Soils (F20)
Organic Bodies (A6) (LRR P, T, U} Redox Dark Surtace (F6) (MLRA 153B)
� 5 cm Mucky Mineral (A7) (LRR P, T, U) _ Depleted Dark Surface (F7) _ Red Parent Material (TF2)
Muck Presence (AS) (LRR U) _ Redox Depressions (F8) _ Very Shallow Dark Surtace (TF12)
_ 1 cm Muck (A9) (LRR P, T) _ Marl (F10) (LRR U) _ Other (Explain in Remarks)
pepteted Below Dark Surface (A11) Depleted Ochric (F11) (lNLRA 157j
1� 7hick Dark Surtace (Al2) _ Iron-Manganese Masses [�12) (LRR O, P, T) 3lndioatofs ofhydrophyticvegetation and
Coast Prairie Redox (A16) (MLRA 150A) _ Umbric Surtace (F13) (LRR P, T, U) wetland hydrdogy must be present,
_ Sandy Mucky Mineral (S1) (LRR O, S) _ Delta Ochric (F17) (MLRA 151) unless disturbed or problematic.
Sandy Gleyed Matrix (S4) _ Reduced Vertic (F18) (MLRA 150A, 150B)
_ Sandy Redox (S5) _ Piedmont Floodplain Soils (F19) (MLRA 149A)
_ Stripped Matrix (S6) _ Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D)
Dark Surface (S7) (LRR P, S, T, U)
Restrictive Layer tlf obsarved}:
Type:
Depth (inches):
Remarks:
Hydric Soil Present? Yes f' No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Version 2.0

WETLAND DETERMINATION DATA FORM - Atlantic and Gulf Coastal Plain Region
ProjecUSite: � ` .�� � City/County: , Iv f.t.�J �`L�-•v� c�•t;'C'.�- Sampling Date: � � j � �
ApplicanUOwner: ,�i1� ���� 7 State: �1� Sampling Point: Q•
Investigator(s): �� C�t� �Q r 1'. a�� y.� 1� �-u �� Section, Township, Range:
Landform (hillslope, terrace, etc.): S�a-�.e.. Local relief (concave, convex, none): Gr�n V�P�fC Slope (%); Z
Subregion (LRR or MLRA): � Lat: Long: Datum:
Soil Map Unit Name: NWI classification:
Are climatic 1 hydrologic conditions on the site typical for this time of year? Yes � No (If no, explain in Remarks.}
Are Vegetation , Soil , or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes � No
Are Vegetation , Soil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetatian Present? Yes � No
Is the Sampled Area
Hydric Soil Present? Yes No 1i �/
within a Wetland? Yes No
Wetland Hydrology Present? Yes No ��
Remarks:
HYDROLOGY
Wetland Hydrology Indicators: SgqQp,¢�ryJn�jr��{$ �tpj�jl�ym Qf �iy��ired)
Primary Indicators (minimum of one is reauired; check all that aflolv) _ Surtace Soil Cracks (B6)
Surface Water {A1) _ Aquatic Fauna (B13) _ Sparsely Vegetated Concave Surface (68)
High Water Table (A2) _ Marl Deposits {B15) (LRR U) _ Drainage Patterns (B10)
Saturation (A3) _ Hydrogen Sulfide Odor (C1) _ Moss Trim Lines (B16)
Waler Marks (B1) _ Oxidized Rhizospheres along Living Roots (C3) _ Dry-Season Water Table (C2)
� Sediment Deposits (B2) _ Presence of Reduced Iron �C4) _ Crayfish Burrows (C8)
Drift Deposits (B3) _ Recent Iron Reduction in Tilled Soils (C6) _ Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (B4) _ Thin Muck Surtace (C7) _ Geomorphic Position (D2)
Iron Deposits (B5) _ Other (Explain in Remarks) _ Shallow Aquitard (D3)
Inundation Visible on Aerial Imagery (B7) _ FAC-Neutral Test (D5)
Water-5tained Leaves {69) _ Sphagnum moss (�8) (LRR T, U}
Field Observatians:
SurFace Water Present? Yes No Depth (inches):
Water Table Present? Yes No Depth (inches):
Saturation Present? Yes No Depth (inches): Wetland Hydrology Present? Yes Nov
includes c� iUa frin e
Describe Recorded Data (stream gauge, monitaring we�l, asrial photos, preuious fnspections), if avaflable:
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Version 2.0

VEGETATION (Four Strata} — Use scientific names of plants. sampiing Point: � r�-
Absdute Dominant Indicator pominance Test wnrksheet:
�(Plot size: Status Num6er of Dominant Species %�
) °% C�aL Soecies7
j. , �/�,(,� ,� �Q_;1�[,�.. ��_ F/} G' That Are OBL, FACW, or FAC: . Y —(A)
2, t" °� `L" � f'� LC�.� Total Number of Dominant
3. Species Across All Strata: � (B�
5• Th t Are OBL FACW, ore FAC: v S ���A/B�
6.
Prevalence Index worksheet:
7.
Total % Cover of: Multiplv bv:
8. 7 '
�/ G� = Total Cover OBL species x 1=
50% of total cover: `� 20% of total cover: �� FACW species x 2=
5a lin 5hrub StrEi (Ptot size: � FAC species x 3=
,��� FACU species x 4 =
1� C I_ � ! r ��� L' ��, UPL species x 5=
2. p � !?.t,�n�.t-s r7 -' �r„�,�L_..
3.
Column Totals: (A)
(B)
4• Prevalence Index = B/A =
5� Hydrophytic Vegetation Indicators:
6� 1- Rapid Test for Hydrophytic Vegetation
�• ✓2 - Dominance Test is >50%
8� 3- Prevalence Index is <_3.0'
�= Total Co�er problematic Hydrophytic Vegetation' (Explain)
50% of total cover: � 204ro tit total coVer: .�t�
Herb Stratum (Plot size: ) ��� 'Indicators of hydric soil and wetland hydrology must
� 1 ,� be present, unless disturbed or prohlematic.
2, -- •1 n�- 1 �� �/�'2• Definitions of Four Vegetation Strata:
3• Tree — Woody plants, excluding vines, 3 in. (7.6 cm) or
4, more in diameter at 6reast height (DBH), regardless of
5 height.
6. 3aplinglShru6 — Woody plants, excluding vines, less
7 than 3 in. DBH and greater than 3.28 ft (1 m) tall.
8• Herb —All herbaceous (non-woody) plants, regardless
g, of size, and woody plants less than 3.28 ft tall.
��• Woody vine — All woody vines greater than 3.28 ft in
11, height.
12.
� �� = Total Cover
50% of total cover: � Z� S 2(3°.6 of total cover: �
o Vi e u (Plot size: j l
1. �t t�l�l.l.�t � 1 c.t.,1 D � Lf �� �� � 1--C]-�
2.
3.
4.
5.
1 ��= Total Cover
50% of total cover: f Z096 of total Gover Z
Remarlts: (If obseNed, fi� mOrpho[o�cal adaptations below).
Hydrophytic
Vegetation
Present? Yes ✓ No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Version 2.0

SOIL
to
r or
Depth Matrix Redox Features
(inchesl dor moist °� Color (moistl % Tvpe Loc
� �d/ Z
`t - Id � l� �rR sl�
'7ype: C=Concentration, D=bepletion, RM=Reduced Metrix, MS=Masked Sand Grains.
Hydric Soil Indicators: (Applicable to all LRRs, unless otherwise noted.)
_ Histosol (A1)
_ Histic Epipedon (A2)
_ Black Histic (A3)
_ Hydrogen Sulfide (A4)
_ Stratified Layers (A5)
_ Organic Bodies (A6) (LRR P, T, U)
_ 5 cm Mucky Mineral (A7) (LRR P, T, Uj
_ Muck Presence (A8) (LRR U)
_ 1 cm Muck (A9) (LRR P, T)
_ Depleted Below Dark Surface (A11)
_ Thick Dark Surface (Al2)
_ Coast Prairie Redox (A16) (M LRA 150Aj
_ Sandy Mucky Mineral (S1) (LRR O, S)
_ Sandy Gleyed Matrix (S4)
_ Sandy Redox (S5)
_ Stripped Matrix (S6)
_ Dark Surface (S7) (LRR P, S, T, U)
rces�ncuve �ayer
Type:
Depth (inches):
Remarks:
US Army Corps of Engineers
Sampling Point: ��..
Texture Remarks
C J
s_ �
2Location: PL=Pore Lining; M=Matrix.
Indicators for Problematic Hydric Soils3:
_ Polyvalue Below Surface (S8) (LRR S, T, U) _ 1 cm Muck (A9) (LRR O)
_ Thin Dark Surtace (S9) (LRR S, T, U) _ 2 cm Muck (A10) (LRR S)
_ Loamy Mucky Mineral (Fi )(LRR O) _ Reduced Vertic (F18) (outside MLRA 150A,B)
_ Loamy Gleyed Matrix (F2) _ Piedmont Floodplain Soils (F19) (LRR P, S, T)
_ Depleted Matrix (F3) _ Anomalous Bright Loamy Soils (F20)
_ Redox Dark Surtace (F6) (MLRA 153B)
_ Depleted Dark Surface (F7) _ Red Parent Material (TF2)
_ Redox Depressions (F8) _ Very Shallow Dark Surtace (TF12)
_ Marl (F10) (LRR U) _ Other (Explain in Remarks)
_ Depleted Ochric (F11) (MLRA 151)
_ Iron-Manganese Masses (F12) {LRR O, P, T) 3lndicators of hydrophytic vegetation and
_ Umbric Surtace (F13) (LRR P, T, U) wetland hydrology must be present,
_ Delta Ochric (F17) (MLRA 151) unless disturbed or problematic.
_ Reduced Vertic (F18) (MLRA 150A, 150B)
_ Piedmont Floodplain Soils (F19) (MLRA 749A)
_ Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D)
Hydric Sofl Present? Yes No
Atlantic and Gulf Coastal Plain Region — Version 2.0

Wetland Site Name
NC WAM Wetland Rating Sheet
Accompanies User Manual Version 5.0
WA
Wetland Type Riverine Swamp Forest
Notes on Field Assessment Form (Y/N)
Presence of regulatory considerations (Y/N)
Date 3/27/18
Assessor Name/Organization Coleman / M. Ruiz - Stan
Wetland is intensively managed (Y/N)
Assessment area is located within 50 feet of a natural tributary or other open water (Y/N)
Assessment area is substantially altered by beaver (Y/N)
Assessment area experiences overbank flooding during normal rainfall conditions (Y/N)
Assessment area is on a coastal island (Y/N)
YES
NO
NO
YES
NO
YES
NO
Sub-function Rating Summary
Function Sub-function Metrics Rating
Hydrology Surface Storage and Retention Condition HIGH
Sub-Surface Storage and Retention Condition MEDIUM
Water Quality Pathogen Change Condition LOW
Particulate Change
Soluble Change
Physical Change
Pollution Change
Condition/Opportunity
Opportunity Presence? (Y/N)
Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Condition
LOW
YES
MEDIUM
HIGH
YES
HIGH
HIGH
YES
HIGH
HIGH
YES
NA
Condition/Opportunity NA
Opportunity Presence? (Y/N) NA
Habitat Physical Structure Condition HIGH
Landscape Patch Structure Condition LOW
Vegetation Composition Condition LOW
Function Rating Summary
Function Metrics/Notes Rating
Hydrology Condition HIGH
Water Quality Condition HIGH
Condition/Opportunity HIGH
Opportunity Presence? (Y/N) YES
Habitat Condition LOW
Overall Wetland Rating HIGH

NC WAM Wetland Rating Sheet
Accompanies User Manual Version 5.0
Wetland Site Name WB
Wetland Type Headwater Forest
Notes on Field Assessment Form (Y/N)
Presence of regulatory considerations (Y/N)
Date 3/26/18
Assessor Name/Organization Coleman / M. Ruiz - Stan
Wetland is intensively managed (Y/N)
Assessment area is located within 50 feet of a natural tributary or other open water (Y/N)
Assessment area is substantially altered by beaver (Y/N)
Assessment area experiences overbank flooding during normal rainfall conditions (Y/N)
Assessment area is on a coastal island (Y/N)
YES
NO
NO
YES
NO
YES
NO
Sub-function Rating Summary
Function Sub-function Metrics Rating
Hydrology Surface Storage and Retention Condition HIGH
Sub-Surface Storage and Retention Condition HIGH
Water Quality Pathogen Change Condition LOW
Particulate Change
Soluble Change
Physical Change
Pollution Change
Condition/Opportunity
Opportunity Presence? (Y/N)
Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Condition
LOW
YES
HIGH
NA
NA
HIGH
HIGH
YES
HIGH
HIGH
YES
NA
Condition/Opportunity NA
Opportunity Presence? (Y/N) NA
Habitat Physical Structure Condition HIGH
Landscape Patch Structure Condition LOW
Vegetation Composition Condition MEDIUM
Function Rating Summary
Function Metrics/Notes Rating
Hydrology Condition HIGH
Water Quality Condition HIGH
Condition/Opportunity HIGH
Opportunity Presence? (Y/N) YES
Habitat Condition MEDIUM
Overall Wetland Rating HIGH

USACE AID #:
Name
ApplicanUOwner Name
Wetland Type
Level III Ecoregion
River Basin
County
j$( Yes ❑ No
NC WAM FIELD ASSESSMENT FORM
Accompanies User Manual Version 5
NCDWR #:
Date of ��aluation
�(�(r� Wetland Site Name
i V''�{ i�`C,� Si�.1G.Mp e5♦ Assessor Name/Organization
•�? , � J T— Nearest Named Water Body
� �t �,� .Q� { USGS 8-Digit Catalogue Unit
/�/; �.;,J �:;� r�.�� f;=(` NCDWR Region
PreCipifation within 48 hours? LatitudelLongitude (deci-degrees)
I?vl
Qi�i.` fv����>ir:� ��?
�te c.
Doo-�
` L`L�.
1� �_ _ - 77 - 5 �s-.
Evidence of stressors affecting the assessment area (may not be within the assessment area)
Please circle and/or make note on the last page if evidence of stressors is apparent. Consider departure from reference, if appropriate, in
recent past (for instance, within 10 years). Noteworthy stressors include, but are not limited to the following.
• Hydrological modifications (examples: ditches, dams, beaver dams, dikes, berms, ponds, etc.)
• SurFace and sub-surface discharges into the wetland (examples: discharges containing obvious pollutants, presence of nearby septic
tanks, underground storage tanks (USTs), hog lagoons, etc.)
• Signs of vegetation stress (examples: vegetation mortality, insect damage, disease, storm damage, salt intrusion, etc.)
• HabitaUplant community alteration (examples: mowing, clear-cutting, exotics, etc.)
Is the assessment area intensively managed? ❑ Yes �, No
Regulatory Considerations - Were regulatory considerations evaluated? �Yes ❑No If Yes, check all that apply to the assessment area.
❑ Anadromous fish
❑ Federally protected species or State endangered or threatened species
❑ NCDWR riparian buffer rule in effect
❑ Abuts a Primary Nursery Area (PNA)
❑ Publicly owned property
❑ N.C. Division of Coastal Management Area of Environmental Concern (AEC) (including buffer)
❑ Abuts a stream with a NCDWQ classification of SA or supplemental classifications of HQW, ORW, or Trout
❑ Designated NCNHP reference community
❑ Abuts a 303(d)-listed stream or a tributary to a 303(d)-listed stream
What type of natural stream is associated with the wetland, if any? (check all that apply)
� Blackwater
❑ Brownwater
❑ Tidal (if tidal, check one of the following boxes) ❑ Lunar ❑ Wind ❑ Both
Is the assessment area on a coastal island? ❑ Yes � No
Is the assessment area's surface water storage capacity or duration substantially altered by beaver7 ❑ Yes .�J No
Does the assessment area experienCe o�erbank flooding during normal rainfall conditions? � Yes ❑ No
1. Ground Surface Condition/Vegetation Condition – assessment area condition metric
Check a box in each column. Consider alteration to the ground surface (GS) in the assessment area and vegetation structure (VS) in
the assessment area. Compare to reference wetland if applicable (see User Manual). If a reference is not applicable, then rate the
assessment area based on evidence of an effect.
GS VS
��A Not severely altered
B �,B Severely altered over a majority of the assessment area (ground surface alteration examples: vehicle tracks, excessive
sedimentation, fire-plow lanes, skidder tracks, bedding, fill, soil compaction, obvious pollutants) (vegetation structure
alteration examples: mechanical disturbance, herbicides, salt intrusion [where appropriate], exotic species, grazing,
reduced diversity [if appropriate], hydrologic alteration)
2. Surface and Sub-Surface Storage Capacity and Duration – assessment area condition metric
Check a box in each column. Consider surface storage capacity and duration (Sur� and sub-surface storage capacity and duration
(Sub). Consider both increase and decrease in hydrology. A ditch <_ 1 foot deep is considered to affect surFace water only, while a ditch >
1 foot deep is expected to affect both surface and sub-surface water. Consider tidal flooding regime, if applicable.
Surf Sub
�A �A Water storage capacity and duration are not altered.
❑B B Water storage capacity or duration are altared, hut not substantially (typically, not sufficient to change vegetation).
❑C ❑C Water storage capacity or duration is substantially altered (typically, alteration sufficient to result in vegetation change)
(examples: draining, flooding, soil compaction, filling, excessive sedimentation, underground utility lines).
3. Water StoragelSurface Relief – assessment area/wetland type condition metric (skip for all marshes)
Check a box in each column for each group below. Select for the assessment area (AA) and the wetland type (WT).
AA 1/VT
3a. �A �A Majority of wetland with depressions able to pond water > 1 foot deep
B❑B Majority of wetland with depressions able to pond water 6 inches to 1 foot deep
❑C ❑C Majority of wetland with depressions able to pond water 3 to 6 inches deep
❑D ❑D Depressions able to pond water < 3 inches deep
3b. �A Evidence that maximum depth of inundation is greater than 2 feet
�B Evidence that maximum depth of inundation is between 1 and 2 feet
❑C Evidence that maximum depth of inundation is less than 1 foot
viii

W�
4. Soil TexturelStructure — assessment area condition metric (skip for all marshes)
Check a box from each of the three soil property groups below. Dig soil profile in the dominant assessment area landscape feature.
Make soil observations within the top 12 inches. Use most recent guidance for National Technical Committee for Hydric Soils regional
indicators.
4a. ❑A Sandy soil
�B Loamy or clayey soils exhibiting redoximorphic features (concentrations, depletions, or rhizospheres)
C Loamy or clayey soils not exhibiting redoximorphic features
❑D Loamy or clayey gleyed soil
�E Histosol or histic epipedon
4b. �'A Soil ribbon < 1 inch
❑B Soil ribbon >_ 1 inch
4c. ❑A No peat or muck presence
�B A peat or muck presence
5. Discharge into Wetland — assessment area opportunity metric
Check a box in each column. Consider surFace pollutants or discharges (Sur� and sub-surface pollutants or discharges (Sub).
Examples of sub-surface discharges include presence of nearby septic tank, underground storage tank (UST), etc.
SuA f'$�A Little or no evidence of pollutants or discharges entering the assessment area
❑B ❑B Noticeable evidence of pollutants or discharges entering the wetland and stressing, but not overwhelming the
treatment capacity of the assessment area
❑C ❑C Noticeable evidence of pollutants or discharges (pathogen, particulate, or soluble) entering the assessment area and
potentially overwhelming the treatment capacity of the wetland (water discoloration, dead vegetation, excessive
sedimentation, odor)
� 6. : Land Use — opportunity metric (skip for non-riparian wetlands, tidal marshes, and Estuarine Woody Wetland)
— Check all that apply (at least one box in each column). Evaluation involves a GIS effort with field adjustment. Consider sources
draining to assessment area within entire upstream watershed (WS), within 5 miles and within the watershed draining to the assessment
area (5M), and within 2 miles and within the watershed draining to the assessment area (2M).
WS 5M 2M
I�LIA �A j�,A > 10°/a impervious surFaces
❑B B ❑B Confined animal operations (or other local, concentrated source of pollutants)
❑C ❑C ❑C >_ 20% coverage of pasture
❑D ❑D ❑D >_ 20% coverage of agricultural land (regularly plowed land)
❑E ❑E ❑E >_ 20% coverage of maintained grass/herb
❑F ❑F ❑F >_ 20% coverage of clear-cut land
❑G ❑G ❑G Little or no opportunity to improve water quality. Lack of opportunity may result from little or no disturbance in
the watershed or hydrologic alterations that prevent drainage and/or overbank flow from affecting the
assessment area.
7. Wetland Acting as Vegetated Buffer — assessment arealwetland complex condition metric (skip for non-riparian wetlands)
7a. Is assessment area within 50 feet of a tributary or other open water?
�Yes ❑No If Yes, cantinue to 7b. If No, skip to Metric 8
t 7b.: Haw much of the first 50 feet ftom the bank is wetland? (Wetland buffer need only be present on one side of the .water body. Make
^- buffer judgment based on the average width of wetland. Record a note if a portion of the buffer has been removed or disturbed.)
❑A >_ 50 feet
❑B From 30 to < 50 feet
�C From 15 to < 30 feet
D From 5 to < 15 feet
❑E < 5 feet or buffer bypassed by ditches
7c. Tributary width. If the trihutary is anastomosed, combine widths of channels/braids for a total width.
�5 15-feet wide ❑> 15-feet wide ❑ Other open water (no tributary present)
7d. [?o roots of assessment area vegetation extend into the bank of the tributary/open water?
j�Yes ONo ,
7e. Is the hibutary or other apen water sheltered or exposed2
�heltered — open water width < 2500 feet and no regular boat traffic.
❑Exposed — open water width >_ 2500 feet or regular boat traffic.
',. 8. Wetland Width at the Assessment Area — wetland type/wetland complex condition metric (evaluate VYT for all marshes and
Estuarine Woody Wetland only; evaluate WC for Bottomland Hardwood Forest, Headwater Forest, and Riverine Swamp Forest
only)
Check a box in each column. Select the average width for the wetland type at the assessment area (WT) and the wetland complex at
the assessment area (WC). See User Manual for WT and WC boundaries.
WT WC
❑A �A >_ 100 feet
❑B ❑8 From 80 to < 100 feet
❑C ❑C From 50 to < 80 feet
�D �D From 40 to < 50 feet
E ❑E From 30 to < 40 feet
❑F ❑F From 15 to < 30 feet
❑G ❑G From 5 to < 15 feet
❑H ❑H <5feet
ix

� �
9. Inundation Duration - assessment area condition metric (skip for non-riparian wetlands)
Answer for assessment area dominant landform.
❑A Evidence of short-duration inundation (< 7 consecutive days)
❑B Evidence of saturation, without evidence of inundation
�C Evidence of long-duration inundation or very long-duration inundation (7 to 30 consecutive days or more)
10. Indicators of Deposition - assessment area condition metric (skip for non-riparian wetlands and all marshes)
�nsider recent deposition only (no plant growth since deposition).
A 5ediment deposition is not excessive, but at approximately natural levels.
❑B Sediment deposition is excessive, but not overwhelming the wetland.
❑C Sediment deposition is excessive and is overwhelming the wetland.
<' 11. Wetland Size - wetland type/wetland complex condition metric
�� Check a box in each column. Involves a GIS effort with field adjustment. This metric evaluates three aspects of the wetland area: the
size of the wetland type (WT), the size of the wetland complex (WC), and the size of the forested wetland (FW) (if applicable, see User
Manual). See the User Manual for boundaries of these evaluation areas. If assessment area is clear-cut, select "K" for the FW column.
WT WC FW (if applicable)
❑A ❑A ❑A >_ 500 acres
❑B ❑B ❑B From 100 to < 500 acres
❑C ❑C ❑C From 50 to < 100 acres
❑D ❑D ❑D From 25 to < 50 acres
❑E ❑E ❑E From 10 to < 25 acres
❑F ❑F ❑F From 5 to < 10 acres
❑G ❑G ❑G From 1 to < 5 acres
❑H ❑H ❑H From 0.5 to < 1 acre
�I [�I �I From 0.1 to < 0.5 acre
J ❑J ❑J From 0.01 to < 0.1 acre
❑K ❑K ❑K < 0.01 acre or assessment area is clear-cut
12. Wetland Intactness - wetland type condition metric (evaluate for Pocosins only)
❑A Pocosin is the full extent (>- 90%) of its natural landscape size.
❑B Pocosin is < 90% of the full extent of its natural landscape size.
�13; ,� Connectivity to Other Natural Areas - landscape condition metric
13a. Check appropriate box(es) (a box may be checked in each column). Involves a GIS effort with field adjustment. This metric
evaluates whether the wetland is well connected (Well) and/or loosely connected (Loosely) to the landscape patch, the contiguous
naturally vegetated area and open water (if appropriate). Boundaries are formed by four-lane roads, regularly maintained utility line
corridors the width of a four-lane road or wider, urban landscapes, maintained fields (pasture and agriculture), or open water > 300
feet wide.
Well Loosely
❑A ❑A >_ 500 acres
❑B ❑B From 100 to < 500 acres
❑C '�C From 50 to < 100 acres
❑D ❑D From 10 to < 50 acres ,
�E ❑E < 10 acres
❑F ❑F Wetland type has a poor or no connection to other natural habitats
13b. Evaluate for marshes only.
❑Yes ❑No Wetland type has a surface hydrology connection to open waters/tributary or tidal wetlands.
14. Edge Effect - wetland type condition metric (skip for all marshes and Estuarine Woody Wetland)
May involve a GIS effort with field adjustment. Estimate distance from wetland type boundary to artificial edges. Artificial edges include
non-forested areas >_ 40 feet wide such as fields, development, roads, regularly maintained utility line corridors, and clear-cuts, Consider
the eight main points of the compass. Artificial edge occurs within 150 feet in how many directions? If the assessment area is clear cut,
select option "C."
❑A 0
❑B 1 to 4
j�C 5 to 8
15. Vegetative Composition - assessment area condition metric (skip for all marshes and Pine Flat)
❑A Vegetation is close to reference condition in species present and their proportions. Lower strata composed of appropriate
species, with exotic plants absent or sparse within the assessment area.
❑B Vegetation is different from reference condition in species diversity or proportions, but still largely composed of native species
characteristic of the wetland type. This may include communities of weedy native species that develop after clearcutting or
clearing. It alsa includes communities with exotics present, but not daminant, o�er a large portion of the expe�ted sFrata.
f�G Vegetation severely aEtered from reference in composition, or expeated species are unnaturally absent (planied 5tands of non-
characteristic species or at least one stratum inappropriately composed of a single species), or exotic species are dominant in at
least one stratum.
16. Vegetative Diversity - assessment area condition metric (evaluate for Non-tidal Freshwater Marsh only)
pA Vegetation diversity is high and is composed primarily of native species (< 10% cover of exotics).
f,$� Vegetation diversity is low or has > 10% to 50% cover of exotics.
❑C Vegetation is dominated by exotic species (> 50% cover of exotics).

�
17. Vegetative Structure — assessment arealwetland type condition metric
17a. �s vegetation present?
�Yes ❑No If Yes, continue to 17b. If No, skip to Metric 18.
17b. Evaluate percent coverage of assessment area vegetation for all marshes only. Skip to17c for non-marsh wetlands.
❑A >_ 25°/a coverage of vegetation
❑B < 25% coverage of vegetation
17c. Check a box in each column for each stratum. Evaluate this portion of the metric for non-marsh wetlands. ;Consider structure
in airspace above the assessment area (AA) and the wetland type (WT) separately.
AA UV"f
''�A ❑A Canopy closed, or nearly closed, with natural gaps associated with natural processes
�� �B Canopy present, but opened more than natural gaps
C.��{C ❑C Canopy sparse or absent
�❑A Dense mid-storylsapling layer
� � Moderate density mid-storylsapling layer
gQC ❑C Mid-story/sapling layer sparse or absent
�❑A ❑A Dense shrub layer
��B � Moderate density shrub layer
u�j�� ❑C Shrub layer sparse or absent
�]A ❑A Dense herb layer
�� � Moderate density herb layer
=OC ❑C Herb layer sparse or absent
18. Snags — wetland type condition metric (skip for all marshes)
❑A Large snags (more than one) are visible (> 12 inches DBH, or large relative to species present and landscape stability).
�B Not A
19. Diameter Class Distribution — wetland type condition metric (skip for all marshes)
�A Majarity of canopy trees have stems > 6 inches in diameter at breast height (DBH); many large trees (> 12 inches DBH) are
present.
❑B Majority of canopy trees have stems between 6 and 12 inches DBH, few are > 12 inch DBH.
❑C Majority of canopy trees are < 6 inches DBH or no trees.
20. Large Woody Debris — wetland type condition metric (skip for all marshes)
Include both natural debris and man-placed natural debris.
❑A Large logs (more than one) are visible (> 12 inches in diameter, or large relative to species present and landscape stability).
�B Not A
21. VegetationlOpen Water Dispersion — wetland type/open water condition metric (evaluate for Non-Tidal Freshwater Marsh only)
Select the figure that best describes the amount of interspersion between vegetation and open water in the growing season. Patterned
areas indicate vegetated areas, while solid white areas indicate open water.
�7� ����'� �!� ;r�r�;+.J ��� �y '�3J�"� t�+ � lis .� ��y{.-
��'�i
, ,�;r';�;�� ��{���{s:.��s� �;; ,� � E,�6ti,�:;,�; r�;�;
�}�C�t ;,}ti rR�x`y� ,Y�t. 'i���'i��i�r'�+�. � M �!
i
,^-,^ '�{ l� ��� � 1ii',��` �� �� ..� ' w�� C
•':,� `�:.. '� -!f, "�:.J''r
22. Hydrologic Connectivity — assessment area condition metric (evaluate for riparian wetlands and Salt/Brackish Marsh only)
Examples of activities that may severely alter hydrologic connectivity include intensive ditching, fill, sedimentation, channelization,
diversion, man-rnade berms, beaver dams, and stream incision. I�a�umentation required if evaluated as B, C, or D.
�A Overbank an overland f€o++v are not s�werely aVter�d in 4he assessment area.
❑B Overbank flow is severely altered in the assessment area.
❑C Overland flow is severely altered in the assessment area.
❑D Both overbank and overland flow are severely altered in the assessment area.
Notes
0 3'� '� a, i ��'t ��
XI

USACE AID #:
Project Name
Applicant/Owner Name
Wetland Type
Level III Ecoregion
River Basin
County
� Yes ❑ No
NC WAM FIELD ASSESSMENT FORM
Accompanies User Manual Version 5
U`J%��n3
.,,. �.r
�a a <.� Fs>
�:
0.
P _ ��. n _ ��l' ✓
PrecipitatiDn within 46 hours?
Date of Evaluation
Wetland Site Name
Assessor Name/Organization
Nearest Named Water Body
USGS 8-Digit Catalogue Unit
NCDWR Region
Latitude/Longitude (deci-degrees)
n.���� - -�cvi�f <
L..
— 7 7 . ?' °3.�
Evidence of stressors affecting the assessment area (may not be within the assessment area)
Please circle and/or make note on the last page if evidence of stressors is apparent. Consider departure from reference, if appropriate, in
recent past (for instance, within 10 years). Noteworthy stressors include, but are not limited to the following.
• Hydrological modifications (examples: ditches, dams, beaver dams, dikes, berms, ponds, etc.)
• Surface and sub-surface discharges into the wetland (examples: discharges containing obvious pollutants, presence of nearby septic
tanks, underground storage tanks (USTs), hog lagoons, etc.)
• Signs of vegetation stress (examples: vegetation mortality, insect damage, disease, storm damage, salt intrusion, etc.)
• HabitaUplant community alteration (examples: mowing, clear-cutting, exotics, etc.)
Is the assessment area intensively managed? ❑ Yes � No
Regulatory Considerations - Were regulatory considerations evaluated? ❑Yes ❑No If Yes, check all that apply to the assessment area.
❑ Anadromous fish
❑ Federally protected species or State endangered or threatened species
❑ NCDWR riparian buffer rule in effect
❑ Abuts a Primary Nursery Area (PNA)
❑ Publicly owned property
❑ N.C. Division of Coastal Management Area of Environmental Concern (AEC) (including buffer)
❑ Abuts a stream with a NCDWQ classification of SA or supplemental classifications of HQW, ORW, or Trout
❑ Designated NCNHP reference community
❑ Abuts a 303(d)-listed stream or a tributary to a 303(d)-listed stream
What type of natural stream is associated with the wetland, if any? (check all that apply)
� Blackwater
❑ Brownwater
❑ Tidal (if tidal, check one of the following boxes) ❑ Lunar ❑ Wind ❑ Both
Is the assessment area on a coastal island? ❑ Yes � No
Is the assessment area's surface water storage capacity or duration substantially altered by beaver? ❑ Yes � No
Does the assessment area sxperienCe overbank flooding during normal ralnfall conditions? j� Yes ❑ No
Ground Surface ConditioNVegetation Condition — assessment area condition metric
Check a box in each column. Consider alteration to the ground surface (GS) in the assessment area and vegetation structure (VS) in
the assessment area. Compare to reference wetland if applicable (see User Manual). If a reference is not applicable, then rate the
assessment area based on evidence of an effect.
GS VS
�'A �A Not severely altered
❑B ❑B Severely altered over a majority of the assessment area (ground surFace alteration examples: vehicle tracks, excessive
sedimentation, fire-plow lanes, skidder tracks, bedding, fill, soil compaction, obvious pollutants) (vegetation structure
alteration examples: mechanical disturbance, herbicides, salt intrusion [where appropriate], exotic species, grazing,
reduced diversity [if appropriate], hydrologic alteration)
2. Surface and Sub-Surface Storage Capacity and Duration — assessment area condition metric
Check a box in each column. Consider surface storage capacity and duration (Sur� and sub-surface storage capacity and duration
(Sub). Consider both increase and decrease in hydrology. A ditch <_ 1 foot deep is considered to affect surface water only, while a ditch >
1 foot deep is expected to affect both surface and sub-surface water. Consider tidal flooding regime, if applicable.
S rf Sub
�A ($�A Water storage capacity and duration are not altered.
❑B ❑B Water storage capacity or duration are altered, but not substantially (typically, not sufficient to change vegetation).
❑C ❑C Water storage capacity or duration is substantially altered (typically, alteration sufficient to result in vegetation change)
(examples: draining, flooding, soil compaction, filling, excessive sedimentation, underground utility lines).
3. Water Storage/Surface Relief — assessment area/wetland type condition metric (skip for all marshes)
Check a box in each column for each group below. Select for the assessment area (AA) and the wetland type (1NT).
VV"f
3a. A�A Majority of wetland with depressions able to pond water > 1 foot deep
❑B ❑B Majority of wetland with depressions able to pond water 6 inches to 1 foot deep
❑C ❑C Majority of wetland with depressions able to pond water 3 to 6 inches deep
❑D ❑D Depressions able to pond water < 3 inches deep
3b. �A Evidence that maximum depth of inundation is greater than 2 feet
❑B Evidence that maximum depth of inundation is between 1 and 2 feet
❑C Evidence that maximum depth of inundation is less than 1 foot
viii

��sg�3 w�3
4. Soil TexturelStructure — assessment area condition metric (skip for all marshes)
Check a box from each of the three soil property groups below. Dig soil profile in the dominant assessment area landscape feature.
Make soil observations within the top 12 inches. Use most recent guidance for National Technical Committee for Hydric Soils regional
indicators.
4a. ❑A Sandy soil
❑B Loamy or clayey soils exhibiting redoximorphic features (concentrations, depletions, or rhizospheres)
❑C Loamy or clayey soils not exhibiting redoximorphic features
❑D Loamy or clayey gleyed soil
�E Histosol or histic epipedon
4b. �A Soil ribbon < 1 inch
B Soil ribbon >_ 1 inch
4c. ❑A No peat or muck presence
�B A peat or muck presence
5. Discharge into Wetland — assessment area opportunity metric
Check a box in each column. Consider surface pollutants or discharges (Sur� and sub-surface pollutants or discharges (Sub).
Examples of sub-surface discharges include presence of nearby septic tank, underground storage tank (UST), etc.
Surf S b
�A �A Little or no evidence of pollutants or discharges entering the assessment area
❑B ❑B Noticeable evidence of pollutants or discharges entering the wetland and stressing, but not overwhelming the
treatment capacity of the assessment area
❑C ❑C Noticeable evidence of pollutants or discharges (pathogen, particulate, or soluble) entering the assessment area and
potentially overwhelming the treatment capacity of the wetland (water discoloration, dead vegetation, excessive
sedimentation, odor)
6. Land Use — opportunity metric (skip for non-riparian wetlands, tidal marshes, and Estuarine Woody Wetland)
Check all that apply (at least one box in each column). Evaluation involves a GIS effort with field adjustment. Consider sources
draining to assessment area within entire upstream watershed (WS), within 5 miles and within the watershed draining to the assessment
^, area (5M), and within 2 miles and within the watershed draining to the assessment area (2M).
�t WS 5M 2M
[Y�A [�AA A > 10% impervious surfaces
❑B ❑B �B Confined animal operations (or other local, concentrated source of pollutants)
❑C ❑C ❑C >_ 20°/a coverage of pasture
❑D ❑D ❑D >_ 20% coverage of agricultural land (regularly plowed land)
❑E ❑E ❑E >_ 20% coverage of maintained grass/herb
❑F ❑F ❑F >_ 20% coverage of clear-cut land
❑G ❑G ❑G Little or no opportunity to improve water quality. Lack of opportunity may result from little or no disturbance in
the watershed or hydrologic alterations that prevent drainage and/or overbank flow from affecting the
assessment area.
7. Wetland Acting as Vegetated Buffer — assessment arealwetland complex condition metric (skip for non-riparian wetlands)
7a. Is assessment area within 50 feet of a tributary or other open water?
�,Yes ❑No If Yes, continue to 7b. If No, skip to Metric 8
7b. How much of the first 50 feet from the bank is wetland? (Wetland buffer need only be present on one side of the .water body. Make
buffer judgment based on the average width of wetland. Record a note if a portion of the buffer has been removed or disturbed.)
�A >_ 54 feet
� B From 30 to < 50 feet
❑C From 15 to < 30 feet
❑D From 5 to < 15 feet
❑E < 5 feet or buffer bypassed by ditches
7c. Tributary width. If the tributary is anastomosed, combine widths of channels/braids for a total width.
�<_ 15-feet wide ❑> 15-feet wide ❑ Other open water (no tributary present)
7d. Da roots of assessment area vegetadon extend into the bank of the tributary/open water?
�Yes ❑No
7e. Is the tributary or other open water sheltered or exposed7
-�Sheltered — open water width � 25Q0 feet and no regular boat traffic.
❑Exposed — open water width >_ 2500 feet or regular boat traffic.
8. Wetland Width at the Assessment Area — wetland typelwetland complex condition metric (evaluate WT for all marshes and
Estuarine Woody Wetland only; evaluate WC for Bottomland Hardwood Forest, Headwater Forest, and Riverine Swamp Forest
only)
Check a box in each column. Select the average width for the wetland type at the assessment area (WT) and the wetland complex at
the assessment area (WC). See User Manual for WT and WC boundaries.
WT WC
�A �A >_ 100 feet
❑B ❑B From 80 to < 100 feet
�' ❑C ❑C From 50 to < 80 feet
❑D ❑D From 40 to < 50 feet
❑ E ❑ E From 30 to < 40 feet
❑F ❑F From 15 to < 30 feet
❑G ❑G From 5 to < 15 feet •
❑H ❑H < 5 feet
ix

�l-5�� � W3
9. Inundation Duration — assessment area condition metric (skip for non-riparian wetlands)
Answer for assessment area dominant landform.
❑A Evidence of short-duration inundation (< 7 consecutive days)
❑B Evidence of saturation, without evidence of inundation
�,C Evidence of long-duration inundation or very long-duration inundation (7 to 30 consecutive days or more)
10. Indicators of Deposition — assessment area condition metric (skip for non-riparian wetlands and all marshes)
Consider recent depositian only (no plant growth since deposition).
�A Sediment depvsition is not excessive, but at approximately natural levels.
❑B Sediment deposition is excessive, but not overwhelming the wetland.
❑C Sediment deposition is excessive and is overwhelming the wetland.
11. Wetland Size — wetland typelwetland complex condition metric
Check a box in each column. Involves a GIS effort with field adjustment. This metric evaluates three aspects of the wetland area: the
size of the wetland type (WT), the size of the wetland complex (WC), and the size of the forested wetland (FW) (if applicable, see User
Manual). See the User Manual for boundaries of these evaluation areas. If assessment area is clear-cut, select "K" for the FW column.
WT WC FW (if applicable)
❑A ❑A ❑A >_ 500 acres
❑B ❑B ❑B From 100 to < 500 acres
� ❑C ❑C ❑C From 50 to < 100 acres
❑D ❑D ❑D From 25 to < 50 acres
❑E ❑E ❑E From 10 to < 25 acres
❑F ❑F ❑F From 5 to < 10 acres
� � �G From 1 to < 5 acres
❑H ❑H ❑H From 0.5 to < 1 acre
❑I ❑I ❑I From 0.1 to < 0.5 acre
❑J ❑J ❑J From 0.01 to < 0.1 acre
❑K ❑K ❑K < 0.01 acre or assessment area is clear-cut
12. Wetland Intactness — wetland type condition metric (evaluate for Pocosins only)
❑A Pocosin is the full extent (>_ 90%) of its natural landscape size.
❑B Pocosin is < 90% of the full extent of its natural landscape size.
13. Connectivity to Other Natural Areas — landscape condition metric
13a. Check appropriate box(es) (a box may be checked in each column). Involves a GIS effort with field adjustment. This metric
evaluates whether the wetland is well connected (Well) and/or loosely connected (Loosely) to the landscape patch, the contiguous
naturally vegetated area and open water (if appropriate). Boundaries are formed by four-lane roads, regularly maintained utility line
corridors the width of a four-lane road or wider, urban landscapes, maintained fields (pasture and agriculture), or open water > 300
feet wide.
Well Loosely
❑A ❑A >_ 500 acres
❑B ❑B From 100 to < 500 acres
❑C ❑C From 50 to < 100 acres
❑D ❑D From 10 to < 50 acres
❑E �E < 10 acres
�F ❑F Wetland type has a poor or no connection to other natural habitats
13b. Evaluate for marshes only.
❑Yes ❑No Wetland type has a surface hydrology connection to open waters/tributary or tidal wetlands.
14. Edge Effect — wetland type condition metric (skip for all marshes and Estuarine Woody Wetland)
M�y involve a GIS effort with field adjustment. Estimate distance from wetland type boundary to artificial edges. Artificial edges include
non-forested areas >_ 40 feet wide such as fields, development, roads, regularly maintained utility line corridors, and clear-cuts. Consider
the eight main points of the compass. Artificial edge occurs within 150 feet in how many directions? If the assessment area is clear cut,
select option "C."
❑A 0
❑B 1 to 4
�C 5to8
15. Vegetative Composition — assessment area condition metric (skip for all marshes and Pine Flat)
❑A Vegetation is close to reference condition in species present and their proportions. Lower strata composed of appropriate
species, with exotio plants absent or sparse within the assessment area.
�B Vegetafion is different trom refierence condition in species diversity ar proportions, but still largefy composed of native species
charactsristic of the wetland type. This may €nclude cammunities of wee�y native species that dev�lap after cfearcutting or
clearing. It also includes communities with exotics present, but not dominant, over a large portion of the expected strata.
❑C Vegetation severely altered from reference in composition, or expected species are unnaturally absent (planted stands of non-
characteristic species or at least one stratum inappropriately composed of a single species), or exotic species are dominant in at
least one stratum.
16. Vegetative Diversity — assessment area condition metric (evaluate for Non-tidal Freshwater Marsh only)
�A Vegetation diversity is high and is composed primarily of native species (< 10% cover of exotics).
❑B Vegetation diversity is low or has > 10% to 50% cover of exotics.
❑C Vegetation is dominated by exotic species (> 50% cover of exotics).

r b �l
+'1�' . _ .. ;�",1i�
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17. Vegetative Structure — assessment arealwetland type condition metric
17a. �s ve�etation present?
QYes [�No If Yes, continue to 17b. If No, skip to Metric 18.
17b. Evaluate percent coverage of assessment area vegetation for all marshes only. Skip to17c for non-marsh wetlands.
❑A >_ 25% coverage of vegetation
❑B < 25% coverage of vegetation
17c. Check a box in each column for each stratum. Evaluate this portion of the metric for non-marsh wetlands. Consider structure
in airspace above the assessment area (AA) and the wetland type (VV� separately.
AA 1/VT
'�A �A Canopy closed, or nearly closed, with natural gaps associated with natural processes
�❑B ❑B Canopy present, but opened more than natural gaps
U❑C ❑C Canopy sparse or absent
�[]A ❑A Dense mid-story/sapling layer
��B �B Moderate density mid-story/sapling layer
�❑C ❑C Mid-story/sapling layer sparse or absent
�❑A ❑A
��B �B
c�n❑C ❑C
QA �A
a`a�B ❑B
=❑C ❑C
Dense shrub layer
Moderate density shrub layer
Shrub layer sparse or absent
Dense herb layer
Moderate density herb layer
Herb layer sparse or absent
18. Snags — wetland type candition metric (skip for all marshes)
❑A Large snags (more than one) are visible (> 12 inches DBH, or large relative to species present and landscape stability).
�B Not A
19. Diameter Class Distribution — wetland type condition metric (skip for all marshes)
❑A Majority of canopy trees have stems > 6 inches in diameter at breast height (DBH); many large trees (> 12 inches DBH) are
present.
�$ Majority of canopy trees have stems between 6 and 12 inches DBH, few are > 12 inch DBH.
❑C Majority of canopy trees are < 6 inches DBH or no trees.
20. Large Woody Debris — wetland type condition metric (skip for all marshes)
Include both natural debris and man-placed natural debris.
❑A fi�arg� logs (more than one) are visible (> 12 inches in diame#er, or large relative to species present and landscape stability).
�B Nat A
21. VegetationlOpen Water Dispersion — wetland type/open water condition metric (evaluate for Non-Tidal Freshwater Marsh only)
Select the figure that best describes the amount of interspersion belween vegetation and open water in the growing season. Patterned
areas indicate vegetated areas, while solid white areas indicate open water.
❑� I�a ❑C �'�
,
cti� � �''� ��+'�4 yr` •✓"'_`�'.'�„ 5' �p ..�it���
a. t h, p � "i� . . � i + � t� , ,
��` � y ",� }����+ �,'R ;1. � f;���r �Y �� t.
4;f,� �r 7�\� � rt ,y�f. 1�'�'' ��.�� �ftii!° ri�� d'� j'
-,��,a�,� ��'ti� �� �. �_�� .�.��".+ti ���
..�,�,� ���'�' M1�.y1"� �, ��x i �j:r .�
.:.u,G� `�.;; "�:.
22. Hydrologic Connectivity — assessment area condition metric (evaluate for riparian wetlands and Salt/Brackish Marsh only)
Examples of activities that may severely alter hydrologic connectivity include intensive ditching, fill, sedimentation, channelization,
diversion, man-made berms, beaver dams, and stream incision. Documentation required if evaluated as B, C, or D.
�A Overbank and overland flow are not severely altered in the assessment area.
❑B Overbank flow is severely altered in the assessment area.
❑C Overland flow is severely altered in the assessment area.
❑D Both overbank and overland flow are severely altered in the assessment area.
Notes p`
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xi