20090096 Ver 1_More Info Received_20090720

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IMPROVEMENTS § r` s SEE DRIVEWAY P R
CMS ENGINEERi Nc ~ = SS1BL .
~ • F
'BUILDING ' i i V ~ F i i STANDIRD CLEAN WATER DIVERSION
~x.,
,•r ~ , a. . ~ . . NOTES:
5 ~ 1. SIDE SLOPES SHALL BE NO GREATER
~ 5 THAN 3:1.
w. , .fir .a ~ ~ - ~ ~ ~ / ~ r~,,r~,~~, n~J~~P~i.~'s~z B SHALL BE LOCATED IN A r~ n~~z RECORDED DRAINAGE EASEMENT WITH A .
/ ; Q a % rmmC;ry~U(~f~ ,.~U"1-I ~ `-ii?~.Jt~'L,:?t~
\o. ~ i I ti P \ ~ Q ~ ~ RECORDED ACCESS EASEMENT TO A ~ ~ ~ PUBLIC RIGHT OF WAY. _
r ' I 'P I ~ ~ - ~ ~ ~ I 3. MULCH SHALL BE FREE OF WEED
,a .~68 % j C 1 - SEEDS, SOIL ROOTS & OTHER MATERIAL ~ ' ~ ~
; a ' i ! 1 AND SHALL BE DOUBLE OR TRIPLE .
c ' • a, a ~ 9'-12'PONDING ~ . ~r ` f SHREDDED HARDWOOD. RENEW MULCH ~
~ , ~ , ..•554 ~ h ~ ' ` AS NEED TO MAINTAIN A 2-4" DEPTH. ~ ;
4. FILL SOIL MEDIA IN BIORETENTION I m
/ r i • FACILITY SHALL MEET NC DWQ SPECIFICATIONS. ~ _ ~;,,f , ~ I ~
/ / . / / d/ ~ y ~ ~ ~f i. ~ ' / , . ~ 5. ALL UNDERDRAINS TO BE 6" SCH 40
- [652] . = ~ c ~ m ~ r : -1l~ U `_w3 _ / ~ ~ • ~ OR SDR 35 SMOOTH WALL PVC. ALL _ F. , ; r
' 1 i ~ '~JP. 46 u'''Z ~ ~ ~ Ei LATERALS TO BE 4 SCH 40 OR SDR ~ ~?~w
b r ' ~ I r 35 SMOOTH WALL PVC. UNDERDRAINS
~ .C''. - it ~r c;n . SHALL NAVE A MINIMUM OF 3" OF
- ~ ~.-r WASHED X57 STONE ABOVE AND ON _
~ l}~ _ . ~ ° EACH SIDE OF THE PIPE, WITH FILTER DWG NAME:
FABRIC ABOVE THE STONE. f„.., ;....4
6. MAINTAIN BIORETENT(ON FACILITIES AS -
F%IE~~~ N~C~AR1' TO P.N~URP OPTIMUM DRAWN: w..
1 INFILTRATION.
~ I I TENTI 7. BOTTOM OF BIORETENTION FACILITY CHECKED:
~i MUST BE AT LEAST 2' ABOVE THE SEASONABLY HIGH WATER TABLE. ~
R 11 G"ih! C" f"1
I\ L.. V I" V Y L„. L! .
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NOT TO SCALE N.C. UNDERGROUND UTILITIES DATE:
3 DAYS BEFORE DIGGING CALL TOLL FREE 1800-632-4949
A ONE CALL SYSTEM FOR COMMUNITY AND JOB SAFETY of
I'

•
Mitchell Environmental, P.A.
July 17, 2009
Sue Homewood
NC DENR Winston-Salem Regional Office
Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
Re: Glencoe Mill SAW200900110
Dear Ms. Homewood:
oc? - C) aq Co
AUG i 2UU9
OW - WAi to vuAUTY
WERM AND STORMNATER BNO
Enclosed are the two copies you requested of everything that was in correspondence with Andrew
Williams regarding the Glencoe Mill project -request for information. I am providing you all revised
paperwork for this project.
Please feel free to call me if you have any questions or concerns regarding the project or if you need any
additional information. Thank you.
Sincerely,
a eo Fl
Robin Eddy
PO Box 341 Fuquay-Varina, North Carolina 27526
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?. P.O. BOLL 1PNVIRONXBNTdL. p.?. PREPARED FM GLENCOE MILL
P.O. o. BOX s41
FUQUAY YARINA, NC 27526 DAh: 05/05J2W9 SCALE 1' BURLINGTON, NC - ALAMANCE CO.
OFFICE: 919-557-4682 OVERALL IMPACT MAP
FAX: [phone] SOL SCIENTIST CONTACT' STREAMS
w mMitohoUirnvironmentaGoom SCOTr WTCHELL. PE. LSS
oa-o1glp
C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
? Wetlands X? Streams - tributaries ? Buffers
? Open Waters ? Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland impact Type of jurisdiction
number - Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ - non-404, other) (acres)
Temporary
W1 ? P ? T ? Yes ? Corps
? No ? DWQ
W2 ? P ? T ? Yes ? Corps a
? No ? DWQ
W3 ? P ? T ? Yes ? Corps AUG
7 ?
[] No ? DWQ 0
W4 ? P ? T ? Yes
E] No ? Corps
El DWQ • WATER
'SST QUAtiTy
W5 ? P ? T ? Yes ? Corps
? No ? DWQ
W6 ? P ? T ? Yes ? Corps
? No ? DWQ
2g. Total wetland impacts 0
2h. Comments: n/a
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
number - (PER) or (Corps - 404, 10 stream length
Permanent (P) or intermittent DWQ - non-404, width (linear
Temporary (T) (INT)? other) (feet) feet)
S1 X? PEI T Stormwater
Culvert UT to Haw River X? PER
? INT X? Corps
X? DWQ 3 96
S1 ? P X[:] T Pump
Around/dewatering River
UT to Haw X[:1 PER
[] INT X? Corps
X? DWQ
3
15
S3 ? P ? T ? PER ? Corps
? INT ? DWQ
S4 ? P ? T ? PER ? Corps
? INT ? DWQ
S5 ? P ? T ? PER ? Corps
? INT ? DWQ
S6 ? P ? T ? PER ? Corps
? INT ? DWQ
3h. Total stream and tributary impacts 96
3i. Comments: Sue Homewood with DWQ on 02/17/2009 stated that 41 feet of the downstream end of the impacted
perennial stream is intermittent. This portion of the lacks important aquatic features. The indicated impact length
takes into account this subtraction.
L?
MCN
Page 4 of 10
PCN Form - Version 1.3 December 10, 2008 Version
B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): 8877301022, 8876398194, 8876396517
1 b. Site coordinates (in decimal degrees): Latitude: 36.138239 Longitude: -79.427934
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size: 2.69 Ac + 0.86 Ac. + 2.73 Ac (6.28 Total Acres) acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Haw River
proposed project:
2b. Water Quality Classification of nearest receiving water: C; NSW
2c. River basin: Cape Fear
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
The site is an abandoned historic mill. The buildings are unsafe and there is lots of trash and debris on the site.
The surrounding area is rural residential.
3b. List the total estimated acreage of all existing wetlands on the property:
0
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
500 Linear Feet
3d. Explain the purpose of the proposed project:
To build a multi-purpose site with commercial, business, residential and historical interest.
3e. Describe the overall project in detail, including the type of equipment to be used:
The project will construct parking lots and infrastructure as well as renovating the existing buildings. Equipment
used to install infrastructure includes bull dozers, track-hoe excavators, pans, rollers, pavers, etc.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past?
Comments: Sue Homewood with DWQ made a field
X? Yes ? No ? Unknown
determination on 02/17/2009 stating that feature
identified as a swale on the west side of thn rn a%-'
was determined to be an intermittent feature.
4b. If the Corps made the jurisdictional determination, what type
? Preliminary ? Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company:
Name (if known): Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a. Have permits or certifications been requested or obtained for ? Yes X? No ? Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project? ? Yes X? No
6b. If yes, explain.
Page 3 of 10
PCN Form -Version 1.3 December 10, 2008 Version
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The redesign of the project seeks to directly minimize impacts. Parking lots have been designed around the
most pristine and heavily forested segment of the existing stream on the eastern portion of the property. Less
than 100 feet of stream will be piped as a result of the site redesign. This stream is already in poor condition as
it has been impacted by sanitary sewer installation and a maintained powerline easement. The site redesign
concentrates proposed impacts on the previously impacted portions of the stream and the intermittent segment
that lacks important aquatic function on the east side of the property. Due to the site redesign, the intermittent
stream on the northwestern portion of the property will not be impacted at all.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The construction sequence for culvert installation provides for a dry work environment that will minimize
downstream sedimentation resulting from this activity.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State? ? Yes X? No
2b. If yes, mitigation is required by (check all that apply): ? DWQ ? Corps

2c. If yes, which mitigation option will be used for this
project? [I Mitigation bank

? Payment to in-lieu fee program
? Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type Quantity
3c. Comments
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached. X[] Yes
4b. Stream mitigation requested: 225 linear feet
4c. If using stream mitigation, stream temperature: X? warm ? cool ?cold
4d. Buffer mitigation requested (DWQ only): 0 square feet
4e. Riparian wetland mitigation requested: 0 acres
4f. Non-riparian wetland mitigation requested: 0 acres
4g. Coastal (tidal) wetland mitigation requested: 0 acres
4h. Comments: Note: We have a NC EEP acceptance letter approving 225 linear feet of impact. We will not be
utilizing this form of mitigation. Mitigation is not required.
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
n/a
Page 6 of 10
PCN Form -Version 1.3 December 10, 2008 Version
Glencoe Mill Project Site
Photos of Stream Impacts
Sanitary Sewer manhole
outlet to Tail Race on Haw River
Mitchell Environmental, P.A.
PO Box 341 Fuquoy-Varina, North Carolina 27526
Office: 919-557-4682 Fax: [phone]
Intermittent Stream portion of Perennial Stream
Intermittent (Lacking important aquatic function) portion
of Perennial Stream on the east portion of Property
Perennial Stream running next to
Perennial Stream on Eastern portion of Property
Mitchell Environmental, P.A.
June 16, 2009
Mr. Andrew Williams
Regulatory Project Manager
Wilmington District, Raleigh Field Office
3331 Heritage Trade Drive, Suite 105
Wake Forest, NC 27587
Re: Glencoe Mill SAW200900110
Incomplete Application Notification Response
Dear Mr. Williams:
This letter is in response to the Incomplete Application Notification for the Glencoe Mill Project
(SAW 200900110) dated February 9, 2009. There are enclosed site maps to indicate the property
boundaries and revised development designs. A site visit with Sue Homewood of the NC DWQ Winston
Salem Office took place on 02/17/2009. Jurisdictional calls made on site by Ms. Homewood have been
incorporated into the redesign.
Perennial Stream
The stream on the eastern portion of the property has been classified as Perennial. There are two
distinct areas of vegetation along this stream. The northern portion has a pristine herbaceous wooded
landscape while the southern portion is a degraded landscape with poor stream quality. The upper portion
is where a 2,640 square feet of stream protection area has been designated, next to River Road. This
stream protection area is designed to minimize impacts as well as preserve the higher quality portion of
the stream. There will be approximately 15' of temporary impacts in the stream protected area due to
construction of a cofferdam as required for stream dewatering for culvert installation.
All proposed permanent impacts are below the stream protection area. Impacts will be concentrated
in the already degraded portion of stream. This perennial stream will have 96 linear feet of permanent
impacts. The stream will be piped under the proposed parking lot in 48" RCP to the Haw River. The
bottom 40' of this channel is non jurisdictional per our meeting with Sue Homewood due to the fact that it
is underground.
Intermittent Stream
The stream on the north-west side of the property has been classified as intermittent by Sue
Homewood. DWQ and USACE stream forms for the intermittent stream have been included in this
package. The forms concur with Sue Homewood's decision to classify the stream Intermittent.
Development and parking lot plans have been redesigned so there will be no impacts to this stream.
Avoidance and Minimization/ Parking
According to the City of Burlington's zoning ordinance (Section 32-11. C.) the Glencoe Mill property
is intended to have 426 parking spaces. The previous site design had 294 spaces but avoidance of stream
impacts was greatly considered and thus the number reduced. Due to site constraints the current
development design only has 216 parking spaces designed for the site. The reason for further reducing
PO Box 341 Fuguay-Varina, North Carolina 27526
Office: 919-557-4682 Fax: [phone]
parking is to lessen development and minimize impacts. By reducing the parking lots on the property the
designers have minimized to the maximum extent practicable.
Other Requested Information
The project site is comprised of three parcels for this project. PIN Ws: 8877301022, 8873398194 and
8876396517. There is no mitigation proposed for the revised impact proposal. The contact for the
applicant is: Carrie Ehrfurth, Hedgehog Holdings, P.O. Box 12929, Raleigh NC 27526, Phone (919) 755-
2250, Fax. [phone]. I have contacted Ms. Renee Gledhill Early as you requested. The North
Carolina State Historic Preservation Office had no additional comments or concerns. They are aware that
this is a historic site under potential development.
The municipal sewer system is an existing feature. The proposed development will utilize this
existing sewer. A map showing the sewer line and easement is included. A pump station is located 10
feet off site on an adjacent property. The pump station will facilitate the sanitary sewer requirements of
the Glencoe Mill Property.
Please feel free to call me if you have any questions or concerns or if you need any additional
information. Thank you.
Sincerely,
Robin Eddy
2
Glen(()e Mill
North Carolina Division of Water Quality - Stream Identification Form; Version 3.1?'"?t
Date: J Project: Latitude: 3 ?O . 3 2 3`?
Evaluator: R__ EdAA_A Site: Longitude: _ 'l Lj 21
Total Points: Other
Stream is at least intermittent 2 County: a' am a y) c e e.g. Quad Name:
if > 19 or perennial if z 30 J
(Subtotal = l? 7 )
A. Geomorphology Absent 1 Weak Moderate Strong
...
1a. Continuous bed and bank 0 1 2 3
2. Sinuosity 0 1 2 j 3
3. In-channel structure: riffle-pool sequence 0 1 3
4. Soil texture or stream substrate sorting 0 1 3
5. Active/relic floodplain 0 1 2 3
6. Depositional bars or benches 1 3
7. Braided channel 0 1 2 3
8. Recent alluvial deposits 0 2 3
9 a Natural levees 0 1 2 3
10. Headcuts 0 1 2 3
11. Grade controls 0 .5 1 1.5
12. Natural valley or drainageway 0 0.5 1 1.5
13. Second or greater order channel on existing
USGS or NRCS map or other documented
evidence.
No =9
Yes = 3
Man-made ditches are not rated; see discussions in manual
Q 4lvrlrnlnnv /G ?f?tn471 = In 1
14. Groundwater flow/discharge 0 1 2 3
15. Water in channel and > 48 hrs since rain, or
Water in channel - d or growing season 0 1 2 3
16. Leaflitter 1.5 IT> 0.5 0
17. Sediment on plants or debris 0 0.5 1 1.5
18. Organic debris lines or piles (Wrack lines) 0 0. 1 1.5
19. Hydric soils (redoximorphic features) present? No = 0 Yes =
r` Rinlnnv /G dh#ntol = 10,6
20b Fibrous roots in channel 2 1 0
21 . Rooted plants in channel 3 2 1 0
22. Crayfish 0.5 1 1.5
23. Bivalves 0 1 2 3
24. Fish 0.5 1 1.5
25. Amphibians 0 0.5 1 1.5
26. Macrobenthos (note diversity and abundance) 0 0.5 1 1.5
27. Filamentous algae; periphyton 0 1 2 3
28. Iron oxidizing bacteria/fungus. 0 0:5 1 1.
29 . Wetland plants in streambed FAC = 0.5; FACW = 0.75; OBL = 1.5 SAV = 2.0; Other
Items 20 and 21 focus on the presence of upland plants, Item 29 tocUSes on me presence or aquanc or weuana pianrs.
Sketch:
Notes: (use back side of this form for additional notes.)

E
I ._ l "Ct'Lt`jl ttlI, I
a_n-e of stream:: VT `IO fL??`?U kt?? { c. R.i erbasir.: i. =t?f Fa?c? i __
approximate drainage area:_-
q. Length of reach evaluated: Z (il)
11. Site coordinates (ifknozw/n?): prefcr1in. dWcimd! deg-ee5.
u u 17?t'?r' Jl'J, v/ l ?
8. Str:.-am order
10. Count,4: A[., y l! i t-r:
12. Subdivision name O any): 1/1 r _.
Lonj itude !ex. _7'.5566' i ;:
Method location deteruuned (circle): GPS Tom Ortho iAerial I Photo GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any):
15. Recent weather conditions: 1 Q t r r1i1
16. Site conditions at time of visit: SU in ?i i (t f? _
17. Identify any special waterway classifications known: -Section 10 _Tidal Waters -Essential Fisheries Habitat
-Trout Waters -Outstanding Resource Waters _ Nutrient Sensitive Waters -Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES 0 If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? V5 NO 20. Does channel appear on USDA Soil Survey? ;YU NO
21. Estimated watershed land user% Residential 1% Commercial _% Industrial i? % Agricultural
% Forested _% Cleared / Logged _% Other (
22. Bankfull width: 3 23. Bank height (from bed to top of bank): 1 ( 1
24. Channel slope down center of stream: Flat (0 to 2%) -Gentle (2 to 4%) -Moderate (4 to 10%) -Steep (>10%)
25. Channel sinuosity: Straight Occasional bends -Frequent meander -Very sinuous -Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest). the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): 4L '17
Ec aiuator's Signature (JCo?*?-? Date 7/-6 i 1 2.0c)
This channel evaluation form is intended be used oniv as a guide to assist landowner and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of strelm
quality-. The total score resulting from the completion of this form is subject to 1rSACE approval and does ?got impii a
ICIlia r tri tigavon ratio or requiren ew, Ti

l ECOREG
CI
-
AC
ERISTIC ION POIN T RANGE
.. R
A
T
S
: CflR i
' j C$SIlIf ? j?l Aid hfiiTl7 tai

I Presence of flaw I persistent pools in stream
5 - - --

0-
no flow or saturation = 0; s"ng flow = max points)
0-4
0-5

I 2 Evidence of past human alteration
0 - 6
d - 5
d - 5 - -
extensive alteration = 0; no alteration. = max points
)
3 Riparian e 1 0-6 0-4 - 0
5
j
no bu> r'= 0;
wide-buffer = max
oonfiguoys, -
3.
?_. 4-` Evidence of'aatrfe?et or dko* ti dischatgea
1 0-5
0-4
0-4
exta v;Ak*igoF -0; w dwbarps ,-- . = max rats
. nth diargie - - - -:
5 erg; ,ee.=wax iats 0-3 0-4 4-4
sd
j
_
ivo ?' e
rats 0-4 0-4 0-2
,. 0 5 0-4 0-2
.s

th'.
Low

ti-fs

0-4

0--2

,

0 -4 0
t1
a***,''MOMM a max is -5 0 -4
s

1 z

poin
ve= ices is
(fide, too!
0-4
0-5
Avaaww #l d ch s or.wid '
12
?: ?ablaixd &.??ks =std. A- 5 0
4 0-5

13` 1tlltetx ?s "
0
0-5
- eev?e`eroaia? st?eica*Rnwc -5 4-5 ? ?
?
f 0- 3 0-4 0-5

`
a :5 4 r$ y

FRNA ..T. ."?y?'. t
77 77-7
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- #? 0 M-4 U-5 0-5

2r1_ 0-4, 4. 4-4
? 0 4 -0-4 0--•-4

- ? 2

3
* These characteristics are not assessed in coastal streams q 7
5VA011 tv.propect
North Carolina Division of Water Quality - Stream Identification Form; Version 3.1
Date: Z/l 7/2 on el Project: (,1 tow .0'r K k t Latitude: 3b, 13 8 Z 3q
Evaluator: j e. "J y Site: Longitude: _ -3 q . 4 7-1 0? 7, y
Total Points: Other
Stream is at feast intermittent 1-7-51 county: A I cAyyx a n t P e.g. Quad Name:
if 2 19 or perennial if 2 30
A GeomorpWo hol (Subtotal - Attsettt
Weak Mod a Stron -
)
-
1 a Continuous bed and bank '
_
0 1 -
S!
3
- -- - -
2. Sinuosity --
-
0 1 2 3
3. In-channel stnx Lure: nffle-pool sequence 0 1 3
-
4. Soil texture or stream substrate sorting 0 1
--- -
- 2 3
-
5. Active/relic floodplain 1 3
6. Depositional bars or benches -- ?_-- 1 -- 2 3
7. Braided channel 0 1 2 3
8. Recent alluvial deposits 0 1 2 3
9 a Natural levees 0 1 2 -
3
10.
Headcuts 0 1Q 2 ! 3
-
11. Grade controls 0 0.5
[ 1 1 5
-- -
12. Natural valley or drainageway _
0. 1 15
13. Second or greater order channel on existim
USGS or NRCS map or other documented
No 0)
Yes = 3
evidence. -- I
L - -- - --- -
- Man-made ditches are not rated: see discussions in manual
". ddrdM_(Subtotal = 7• ) _-
-
-
14. Groundwater flow/discharge T 0
15. Water in channel and > 48 hrs since rain, or
0
Water in channel - dry or ro
ry growing season
16- Leaflitter- 1.5
17. Sediment on plants or debris II
18. Organic debris tines or piles Wad lines) 0
- -
19. H dric soil redoxim hic features r__ -
_ - Y ( ?P ) Present? 1 ---

C. Bioloov (Subtotal = i.; 1
1 _ 3 -
(2) 3
-- -- 1 -- _ 0.5 ---0
5 1 1.5
- --- 5
No=O ?_.__ Yes 67%
206. Fibrous roots in channel ?- 3 2 1 - 0
21 . Rooted plants in channel
--- ----- - -- - -- - ------
- 3
- 2
Y--- 1 0
-
22. Crayfish 0 0.5 ! 1.5
23 Bivalves ! 2 1 3
24. Fish
.- ' 0.5 1 ?- 1.5
25. Amphibians 0 0.5 1
- ( 1.5
26. Macrobenthos (note diversity and abundance) 0 1 1.5
1 27. Filamentous algae; periphyton 0 ! 2 3
28. Iron oxidizing bacteriatfungus 0 1 ! 1-5
29'. Wetland plants in stn°ambed FAC 0.5 FACW = 0.75; OBL = 1.5 SAV = 2.0; Other = 0
! ---- - _ _ - - --- ---- ---- - - - - ..- w -- -__.- -----
tems 20 and 21 foau on the
presence of upland plants. Item 29 focuses on the presence of aquatic or wetland plants.
Sketch:
Notes: (use back side of the form for additional notes.)
< 1 V?k tYrt; t4c c? ?++? c>! ,?v1
USACE AID#
DWQ
Site # (indicate on attached map)
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name:-JA I k-IU i y I en J 1(? Q?llfrr/' 2. Evaluator's name: r- •
3. Date of evaluation: 7-11117,0001 4. Time of evaluation: i 90 6L VVI
5. Name of stream: 4 6. River basin: CU e e yea r
7. Approximate drainage area: & Stream order:
9. Length of reach evaluated: 0 10. County: CL, Ma Vic 9-
11. Site coordinates (if known): 2prefer in decimal degrees. 12. Subdivision name (if any): V1? (A ?
Latitude (ex 34.872312): 3o, J v 2,JCi Longitude (ex -77.556611): -1-G,1 . 7 21c, 5I-1
Method location determined (circle): GPS T Sh Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any):`
15. Recent weather conditions: {Q I fM
16. Site conditions at time of visit: Si1kl NT (-' 1 P6 v
17. Identify any special waterway classifications known: -Section 10 -Tidal Waters -Essential Fisheries Habitat
-Trout Waters -Outstanding Resource Waters _ Nutrient Sensitive Waters -Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES NO If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES & 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use:% Residential% Commercial _% Industrial ((7 % Agricultural
_% Forested
22. Bankfull width: 2 1' 1-
24. Channel slope down center of stream: ?Flat (0 to 2%)
25. Channel sinuosity: __V/Straight -Occasional bends
i% Cleared / Logged _% Other ( )
23. Bank height (from bed to top of bank): 6 h ?+
-Gentle (2 to 4%) -Moderate (4 to 10%) -Steep (>10%)
-Frequent meander Very sinuous Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse):
Comments:
Evaluator's Signature a6,3 Date 211'112009
This channel evaluation form is intended Wbe used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.
i;

st?re?,w,
STREAM QUALITY ASSESSMENT WORKSHEET
ECOREG ION POINT RANGE
A SCORE
# RACTERISTICS
CH Coastal Pia?ont Maatntaia
Presence of flow/ persistent pools in stream 0-5 0-4 0-5
I no flow or saturation = 0• strong flow = max points)
Evidence of past human alteration 0-6 0-5 0-5 0
2 extensive alteration = 0• no at eration = max ids
3 Riparian zone 0-6 0-4 0-5
no buffer = 0• contiguous, wide buffer = max rots
Evidence of nutrient or chemical discharges
0_ 5
0- 4
0- 4
3
4 extensive discharges = 0• no discharges = max points)
5 Groundwater discharge 0-3 0-4 0-4
no discharge = 0• springs, wetlands etc. = max points)
6 Presence of adjacent floodplain 0- 4 0- 4 0- 2
no floc lain = 0; extensive flood lain = max points)
7 Entrenchment / floodplain access 0-5 0-4 0-2
2
(deeply entrenched = 0 ent flooding = max points)
Presence of adjacent wetlands 0-6 0-4 0-2
8 adjacent wetlands = max points)
no wetlands = 0• large
9 .
Channel sinuosity 0-5 0-4 0-3
LI
extensive channelization = 0• natural meander = max points)
10 Sediment input 0-5 0-4 0-4
3
extensive deposition= 0• little or no sediment = max ints
Size & diversity of channel bed substrate NA* 0-4 0-5
I I fine homogenous = 0• large, diverse sizes = max points)
Evidence of channel incision or widening 0-5 0-4 0-5
yr 12 (deeply incised = 0• stable bed & banks = max points)
-+ Presence of major bank failures 0-5 0-5 0-5
t?
. 13 severe erosion = 0• no erosion, stable banks = max points)
Root depth and density on banks 0-3 0-4 0-5
14 no visible roots = 0• dense roots throughout = max points)

Impact by agriculture, livestock, or timber production 0-5 0-4 0-5
4
15 substantial impact =0• no evidence = max rots
Presence of riffle-poolNipple-pool complexes 0-3 0-5 0-6
16 no riffles/riles or pools = 0• well-developed = max points)
Habitat complexity 0-6 0-6 0-6
I
17 little or no habitat = 0 uen varied habitats = max points)
18 Canopy coverage over streambed 0-5 0-5 0-5
'j
no shading vegetation = 0• continuous canopy = max ints
Substrate embeddedness
NA*
0-4
0-4

/
14
WSM!y embedded = 0• loose structure = max Z
20 Presence of stream invertebrates (see page 4) 0-4 0-5 0-5
no evidence = 0• common, numerous types = max points)
0 21 Presence of amphibians 0-4 0-4 0-4
Q no evidence = 0• common numerous types = max points)
Q 22 Presence of fish 0-4 0-4 0-4
no evidence = 0• common numerous s = max ints
?, 23 Evidence of wildlife use 0-6 0-5 0 - 5
no evidence = 0• abundant evidence = max points)

Totd:Fonatg Possible 100' J 100 _too
TOTAL SCORE (also enter on page)

* These characteristics are not assessed m coastal streams.
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