R-3430 FINAL Revised PJD Package_Reduced.pdf

P`M wvA
F r
+rn a
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
Roy COOPER JAMES H.TROGDON,III
GOVERNOR SECRETARY
April 26, 2019
ATTN: Steven Kichefski and Lori Beckwith
U.S. Army Corps of Engineers
Asheville Regulatory Field Office
151 Patton Avenue, Room 208
Asheville,North Carolina 28801-5006
SUBJECT: Updated Preliminary Jurisdictional Determination Package (PJD) for the following
Natural Resources Technical Report: STIP R-3430 — Widening of SR 1001 (Connelly
Springs Road) from US 70 in Burke County, to SR 1933 (Southwest Boulevard) in
Caldwell County,NC.
Mr. Kichefski and Ms. Beckwith:
The North Carolina Department of Transportation (NCDOT) proposes to widen SR 1001 (Connelly
Springs Road) from US 70 in Burke County to SR 1933 (Southwest Boulevard) in Caldwell County.
Below and attached are a brief description of the project, figures depicting all features, and appropriate
forms.
Field work was conducted June 20-21, 2018. Three Oaks Engineering (Three Oaks) staff members
Nathan Howell and Cody Parks conducted the site investigation (Figure 1). Nineteen potential
jurisdictional features (10 streams, 8 wetlands, and 1 stormwater basin) were originally identified
(Tables 1-4; Figures 2-3). During a PJD field verification meeting held on April 23, 2019, one
additional intermittent stream (Stream SE) was added within the study area (Figures 2-9 and 3-9),
resulting in a new total of 20 potential jurisdictional features.
North Carolina Division of Water Resources (NCDWR) Stream Identification forms are included for
each potential jurisdictional stream. United States Army Corps of Engineers (USACE) Wetland
Determination forms (wetland and upland) are included for each potential jurisdictional wetland. North
Carolina Stream Assessment Method (NCSAM) and Wetland Assessment Method (NCWAM) forms
were completed for features possessing characteristics conducive to them receiving lower functional
rating values and, subsequently, lower mitigation ratios.
Mailing Address: Telephone:[phone] Location:
NC DEPARTMENT OF TRANSPORTATION Customer Service: 1-877-368-4968 CENTURY CENTER,BUILDING A
ENVIRONMENTAL ANALYSIS UNIT 1000 BIRCH RIDGE DRIVE
ENVIRONMENTAL COORDINATION AND Website:www.ncdot.gov RALEIGH,NC 27610
PERMITTING
1598 MAIL SERVICE CENTER
RALEIGH,NC 27699-1598

Table 1. Potential jurisdictional streams in the study area
Stream Name Map ID NCDWR Index Best Usage Figure
Number Classification
Catawba River Catawba River 11- 37 WS-IV; B; CA 2-4; 3-4
UT to Hoyle Creek SA 11-45- 2 WS-IV; CA 2-2; 3-2
UT to Catawba River SB l l- 37 WS-IV; B; CA 2-4; 3-4
UT to Catawba River SC l l- 37 WS-IV; B; CA 2-4; 3-4
UT to Stafford Creek SD 11-43- 1 WS-IV 2-6; 3-6
UT to Little SE 11-55-2-(1) C 2-9; 3-9
Gunpowder Creek
UT to Little SF 11-55-2-(1) C 2-8; 3-8
Gunpowder Creek
UT to Gunpowder SG 11-55-(0.5) C 2-10; 3-10
Creek
UT to Gunpowder SH 11-55-(0.5) C 2-10; 3-10
Creek
UT to Gunpowder SI 11-55-(0.5) C 2-11; 3-11
Creek
UT to Gunpowder Si 11-55-(0.5) C 2-11; 3-11
Creek
Table 2. Characteristics of potential jurisdictional streams in the st dy area
NCSAM River Basin Appears on
Map ID Length(ft.) Classification NRCS Soil
Rating Buffer Survey?
Catawba 2,551 Perennial * Subject Yes
River
SA 73 Intermittent * Not Subject No
SB 1,588 Perennial * Not Subject No
SC 220 Perennial * Not Subject No
SD 131 Perennial Low Not Subject Yes
SE 245 Intermittent Low Not Subject No
SF 76 Perennial * Not Subject No
SG 507 Perennial * Not Subject Yes
SH 641 Perennial Low Not Subject No
SI 21 Perennial * Not Subject No
Si 407 Perennial * Not Subject No
Total 6,460
Note: NCSAM forms were completed for streams possessing characteristics conducive to them receiving lower
functional rating values and mitigation ratios.

Table 3. Characteristics of potential 'urisdictional wetlands in the study area
NCWAM NCWAM Hydrologic
Map ID Classification RatingClassification Figure Area (ac.)
Nontidal
WA Freshwater * Riparian 2-4; 3-4 0.02
Marsh
WB Headwater * Riparian 2-4; 3-4 0.01
Forest
WC Headwater * Riparian 2-4; 3-4 0.01
Forest
WD Headwater * Riparian 2-4; 3-4 <0.01
Forest
WE Headwater * Riparian 2-4; 3-4 0.06
Forest
WF Headwater * Riparian 2-4; 3-4 0.03
Forest
WG Headwater * Riparian 2-8; 3-8 0.18
Forest
WH Headwater * Riparian 2-11; 3-11 0.13
Forest
Total 0.44
Note: All wetlands within this projects study area possessed characteristics conducive to them receiving high
functional rating values. Therefore,NCWAM forms were not completed.
Table 4. Potential surface waters in the study area
Surface Water Area ac Figure
BA 1 0.10 2-1; 3-1
If you have any questions or require additional information, please contact me by phone at (919)-707-
6108 or email at [e-mail]. This is a request for concurrence with our assessment. We
appreciate your assistance on this project.
Sincerely,
Erin Cheely
Environmental Program Consultant
North Carolina Division of Transportation
Environmental Coordination and Permitting
1598 Mail Service Center
Raleigh,NC 27699-1598
Cc: Dave Wanucha,NCDWR
Kevin Barnett,NCDWR

Appendix A
Figures

' ;SR' 7�0 SR 1933 �o� �G oYk SR 1 60
LU
Q � j J UO 153
co�RlrF Z a ^�^
1146 S,R cn
140
Gp J� -�
� pp 221 N SR 1952
©O,penStreetMap(and) Little Gua R 719
:•urn Aenunrum r contnbutd?r .CC-BY-SA
iv ?� 5R 11 4'e�.Cgeek
12g6 C) = w
SR 1130 110a
SR
N � �
136 1
I � �
CD
` SR 112� 21
00 V 1S � � mu' SR 1 j24 SR 1123 p
EK1RD \\ Gi�'LO SR 1139 c,Ft�ti�o rll CrPPF
SR11115.
r:• w,\ QO
\ Q 4
\\ f�.uR�119S `n�h CYeelr
ao-
Catawba
(Rhodhzsskebelo� CALD_WELL COUNTY
�SEITZRD �O,S ejP°4frohBURKECOUN V,
TY---- �
NBERR 995)- O
n
sierr1ym RHOD S
— NHD Stream G� VtiF o�'
NCDOT Road
MAIN SpE ,�� a� x US O�c BA/
R-3430 Study Area 0 RING PL <�yRo
County Boundary �°ol �• e 140
w ;
t 40 NC enter for Geographic Information&A nal ysis
yp-tf�,�C. Prepared For: Imp rovements to SR 1001 Date:
O _ xoRr
t Q® (Connelly Springs Rd) From US 70 Scale: August 2018 Figure
v to SR 1933 (Southwest Blvd) o 2,000 4,000 reef
STIP No. R-3430 Job No.
o4ti Project Vicinity Map 18-611
IL 33K�`� ' r r aAPe Drawn By Checked By:
Burke&Caldwell Counties, North Carolina _J NMS NDH

SIB
Si
I t"
WH
Gamewell L ---J SH , r
j Sheet
3!10
-
«im�in - -? -
Sheet Hudson
3-9
I
Sheet
318
I..i A.,
Li— -� WG
S-heet
3-7
• `� I I
L
Sheet
�\\ Sp 3-6
� ; I
�.
\� \-Sh
3-5
l I
L_ WD J
WF Catawba River
G G,y Catawba River
-----------------------
Wc-
I
Sheet
Potential Perennial Stream 3-3
Potential Intermittent Stream L_
I I
Culvert Sheet
Potential Wetland L�3-2 Connelly Springs
F�,irie rn
Potential Stormwater Basin icSheet
R-3430 Study Area
r t L TUSGS The National.Map:National Boundaries Dataset, National
Ij, Sheet Index Elevation Dataset, Geographic Names Information System,National
r-----� Hydrograph.y Dataset, National Land Cover Database, National
L County Boundary Structures Dataset,and National Transportation Dataset; U.S. Census
Bureau-TIGER/Line;HERE Road Data
6lNEFRI Prepared For: Improvements to SR 1001 Date August
NCOwed y (Connelly Springs Rd) From US 70 2018 Figure
scale: 2,000 4,000 Feet
AW to SR 1933 (Southwest Blvd)
M e STIP No. R-3430 Job No.:
oPJ F Jurisdictional Features Index 18-611
t p@ Drawn By: Checked By:
Burke&Caldwell Counties,North Carolina NMS I NDH

N
.k.
O O
� •.` oP�.� eO RSYr'`o I- -S J I sou7�'w � �icroR�
FSTBLVD -Op�z y QQJRwpO °RpG`'
I O T
?ZA ND RD ROC CRG
KY (P.SWANSpN
O O
U I PLEASANTH�LL,Rp Z
FOXRG2 OJ2�P-• � ORCHARD DR -L- I s�MT�`� � Q��MO��AI/y'A
LEGION
�r
v� 2/pp i o GP�pNM 2 a� ,
Cbl RD Sheet ! Z J 50�' o
CAJAH MOUNTAIN
' - ,� L--- - < ..4! •r� $, MISSION -•l
y U.
X - q �NTP I V V ii 3
SheetIA � � <RD zo BAIC�cRC
J LN =QD GS
Sheet j °�BENDRO 32jq r;�
316 j s
g n� MAY RD +•
—
�
S�OF�G�yt EK RD ` � Bq N SGZO Sheet I NCR\ DRY PONDS RD
\ Catawba River �FR.TMiRD
CALDWELL COUNTY
�'— BURKE COUNTY
Potential Perennial Stream __�- �
� WA -- �i �
Potential Intermittent Stream
Culvert
R RQ
Streets DY RD NE
��ox
Potential Wetland <o°Q av
i 3-2 OAK RIDGE CHURCH RD RHODN�55
Potential Stormwater Basin GPFtDIOIq�� - OL
CREFyf
R-3430 Study Area Sheet
— — j, Sheet Index +off' TF ! sNA° MCDUFFI�
RD
L-----j, County Boundary j40W�140Eo P�
------------
a
N 'tenter for Geographic Information&Analysis
Prepared For: Date:
�,1tL f�j Improvements to SR 1001
Fy �GJ .flarN (Connelly Springs Rd) From US 70 gust 2018 Figure
Scale: Au
0 2,000 4,000 Feet
to SR 1933 (Southwest Blvd)
M e STIP No. R-3430 Job No.
9� Jurisdictional Features Index 1 18-611
33ty1� u: s"°�@ Burke&Caldwell Counties,North Carolina Drawn By: Checked By:
NMS I NDH

Q R-3430 Study Area Potential Perennial Stream Culvert Sheet Index
Potential Wetland Potential Intermittent Stream Potential Stormwater Basin County Boundary
EXCEL
l - �F�------------------------ - —-—- -------------------------I
s 1 �0 1
C BUCKINGHA'
D i
3
N
sr+sarr:aRost
F; Rutherford Cal ege CHARL'
--f" CAMPUS 51
�•.. ` C,4Mj�LO. Tyr 0� � � --
r . - p
r~ - W 5T.r2D - -
6
GR1fF1
LJ
OR
WM17F ST
I I
z 1 Ol BRAVARD'ST
-
� -
��- RFEP sT
Ss r
0 5r
�1
R11M
1 SEY 5T N BOY
�y 4 GR ffYE Sr v� PRr5C1LLA QR 1 7
0 2 I
TU £ROW y �'
} LOWMAN Sr COCK ILj
1 1
BA
L-------------- .-----=---------------------------------------I
z
ff USGS The National Map:National Boundaries Dataset, National f
y l� Elevation Dataset, Geographic Names Information System,National
�—'A�T'A
Hydrography Dataset, National Land Cover Database, National
Structures Dataset,and National Transportation Dataset; U.S. Census
Bureau-TIGER/Line;HERE Road Data
yp-t�� Prepared For: Improvements to SR 1001 Date:
auarN August 2018 Figure
t (Connelly Springs Rd) From US 70 Scale:
�;� 0 200 400 Feet
to SR 1933 (Southwest Blvd) I 2- 1
ON
STIP No. R-3430 JobNo.:
;A7f�f
Jurisdictional Features Map 18-611
T �, Drawn By: Checked By:
�Nlihi4 F Zp4 Burke&Caldwell Counties,North Carolina NMS NDH

N
R-3430 Study Area Potential Perennial Stream Culvert F I— Sheet Index —Streets
Potential Wetland Potential Intermittent Stream Potential Stormwater Basin �_Ji County Boundary
� p
I CAMPUS ST
I
I I
� WEST ST •�+'�w'
I i I
GRIFFIN ST a
r I
WHITE o
I � I
I REEP ST , �'► � VJ5
I
U
I -
� RAMSEY ST " r`i I
I C�//CDERS S
� GREE,L PRISCILLA DR = I _
I COWMAN ST cmb I �
Mq�NsTF,li :a
US70 � � SPFt\NG ST
■ �:_
,� NC'Centerfor Geographic Information_&Analysis
�C. Prepared For: Improvements to SR 1001 Date:
O xgp,N p August 2018 Figure
;'' (Connelly Springs Rd) From US 70
O �i►J � e r Scale:0 200 400 Feet
f� to SR 1933 (Southwest Blvd)M e STIP No. R-3430 Job No.: 3- 1
Jurisdictional Features Map 18-611
33K�`� ' r e Drawn VI Checked B
�� s"° Burke&Caldwell Counties,North Carolina NMS NDH

_ N
Q R-3430 Study Area Potential Perennial Stream Culvert Sheet Index
Potential Wetland Potential Intermittent Stream Potential Stormwater Basin County Boundary
-- �m
F-- ----------------------I _
�FA �R ri
�Q ES PL `F
I I
SA
- I I
I I
I I
I I
I I
I I
I - I i
t' O EP ST
� x
t ��grcR�EXD A � •�
ES TES❑R ,_..
-- Fes{ CAP SZ
r
7160 --
�
H IVErrurr
5
REg4tK
,.FXCElSlpR DR I � r� ` -
i
Z r.
N — --- —-—-—-—-—-—-—-—-—-—-—-LI
I.
a �Bt1CK1Nc••••'
a ch USGS The.National Map:National Boundaries Dataset, National
- Elevation Dataset, Geographic Names Information System,National
W Hydrograpky Dataset, National Land Cover Database, National
Structures Dataset,and National Transportation!Dataset; U.S. Census
STRAF Bureau-TIGER/Line;HERE Road Data
yp-t�� Prepared For: Improvements to SR 1001 Date:
O __ auarN August 2018 Figure
t (Connelly Springs Rd) From US 70 scale:
0 200 400 Feet
o to SR 1933 (Southwest Blvd) I I i 2-2
STIP No. R-3430 JobNo.:
Jurisdictional Features Map 18-611
T �, Drawn By: Checked By:
�N���3��� F Zp4 Burke&Caldwell Counties,North Carolina NMS NDB

NLP
Study Area Potential Perennial Stream Culvert �— Sheet Index -Streets
Wr=—lR-3430
Potential Wetland Potential Intermittent Stream Potential Stormwater Basin County Boundary
°OCR i N
M
'Y
jai
O
I I
I I
I I
I I
i
' SA I
i pv I
O�
I �
5
i ERN � MAST I -
ESTES
Y
EXCELSIOR DR 3
O
I r
OO �
O - '
agp
U'� � _ NC enterforGeographic;Information& nal sis
Prepared For: Improvements to SR 1001 Date:
O xgp,N (Connelly Springs Rd) From US 70
O �i►J e r Scale: August 2018 Figure
0 200 400 Feet
f� to SR 1933 (Southwest Blvd) I I STIP No. R-3430 JobNo.:Jurisdictional Features Map18-611 3-2
33K�`� ' r e Drawn By: Checked B
"° Burke&Caldwell Counties,North Carolina NMS I NDH

_ N
Q R-3430 Study Area Potential Perennial Stream Culvert Sheet Index
Potential Wetland Potential Intermittent Stream Potential Stormwater Basin County Boundary
River
W _
(?7
N
CO
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
rJN
I I
I � I
I I
r
L------------------------------------- ---------------------�
CV
ri :.USGS.The rational Map:National Boundaries Dataset, National
Elevation Dataset, Geographic Names Information System,National
a) Hydrography Dataset, National Land Cover Database, National
Structures Dataset,and National Transportation!Dataset; U.S. Census
Bureau-T
pIGER/Line;HERE Road Data
��p-t�� . Prepared For: Improvements to SR 1001 Date:
O __ auarN August 2018 Figure
' (Connelly Springs Rd) From US 70 Scale:
0 200 400 Feet
4 to SR 1933 (Southwest Blvd) I � 2-3
� STIP No. R-3430 JobNo.:
C� "� ` Jurisdictional Features Map 18-611
��� 'd T F sw4�'@ Drawn By: Checked By:
�33K1 Burke&Caldwell Counties,North Carolina NMS NDH

N
0 R-3430 Study Area Potential Perennial Stream Culvert �— Sheet Index —Streets
Potential Wetland — Potential Intermittent Stream Potential Stormwater Basin �_—i County Boundary
River o
i
I
I ,
I ('7
I N
U)
I I
HARBOR RIDGE DR
I I
I I
I I I
I I
I I
I I
I I
' I I
I I
I I
I I
I I
3 I I
I
I I
11 I O`S I
I
I
I
I I
I I
I � I
I I
I I
I
`5
• I
I Rtl �O\ I
OL----------------------- --- --- --- —=— -y ------------�O I — -- — i
Op �
NC enter for Geographic Inform'ationl &Analysis
yp-t��f�1,�C• Prepared For: Improvements to SR 1001 Date:
O xgp,N August 2018 Figure
����yy (Connelly Springs Rd) From US 70
O �i►J - e r Scale: August
200 400 Feet
ffio
to SR 1933 (Southwest Blvd) I I 3-3
STIP No. R-3430 Job No.:
�� o=�F� @9� Jurisdictional Features Map 18-611
33K�`� ' r e Drawn By: Checked B
�� s"° Burke&Caldwell Counties,North Carolina NMS NDH

_ N
Q R-3430 Study Area Potential Perennial Stream Culvert Sheet Index
Potential Wetland Potential Intermittent Stream Potential Stormwater Basin County Boundary
N i
L I
U)- ------------- ------- ---------------------------------I---,
I I
I ,
M
I �
CO
I I
I I
I I
I I
I I
I I
j WF j
I I
WE
I I
WC WD
I � I
SB.
I I
I I
WB Catawba
River
WA
SC
I I
Catawba
River
I I
I I
I I
j "----------
CALDWELL COUNTY - "—" ['.I R I [
------------ ------------------------ — —
— — BURKE COUNTY --- --------- l li i -
Catawba
River
I I
I I
I I
I I
I I
I - I -
-------------------------------------- --- --------- --------
�j USGS The National Map:•National Boundaries Dataset, National
Elevation Dataset, geographic Na es Information System,National
Hydrography Dataset, National Land Cover Database, National
Structures Data set,;and National Transportation!Dataset; U.S. Census
Bureau-TIGER/Line;HERE Road Data
Prepared For: Improvements to SR 1001 Date:
40 _ auarN p August 2018 Figure
S t �oY (Connelly Springs Rd) From US 70 Scale:0 200 400 Feet
o to SR 1933 (Southwest Blvd) i /'�/
M o STIP No. R-3430 JobNo.: L-4
Jurisdictional Features Map 18-611
� Drawn By: Checked By:
'��'ld�33l�41 F Zp4 Burke&Caldwell Counties,North Carolina NMS NDH

Q R-3430 Study Area Potential Perennial Stream Culvert Sheet Index —Streets
Potential Wetland Potential Intermittent Stream Potential Stormwater Basin �— County Boundary
L
y
N �
L I
---,
I I
I �
I M
I �
I �
I I
I I
I �
I I
I I
WF
WE
I I
WD
SB
I I
I j
WB Catawba
0 River
I F I
S ,
River
/DGE
I I
I I
I I
CALDWELL COUNTY - "--
BURKE COUNTY -- --
Catawba _
River
_ A DR
- O '
M
(D ^�
� I
to
NC enter for Geographic Information&Analysis
p f�,�C. Prepared For: Improvements to SR 1001 Date:
O
�' a (Connelly Springs Rd) From US 70 Scale: August 2018 Figure
O q 0 200 400 Feet
to SR 1933 (Southwest Blvd) /l�
STIP No. R-3430 JobNo.: J_4
Jurisdictional Features Map 18-611
[� t p Drawn By: Checked B :
�33�11 F ZP¢ Burke&Caldwell Counties,North Carolina NMS NDH

_ N
Q R-3430 Study Area Potential Perennial Stream Culvert Sheet Index
Potential Wetland Potential Intermittent Stream Potential Stormwater Basin County Boundary
I '.P t
�--�fvR
------Sheet 3-6 �-------------- --------- ----------- ,y� ------Sheet 3-5 —�
1 NIDDEN CAKE IDR_
I I
I I
I �
SOMA L-
5T �I
I 1 _� GREER
Fo,,r. N?•N w.
I ¢ I
r CILWff y LN
BEECH sr
� cE
k;uER UN RO =
_fLM CIR
Op _2
PREMIER Ra- I � a ,
I I p -
I I �
r� f
C1.p�;
3 p�DS
PL Rb
I �
I I =
I I
I I
I I
L----------------- ------- ---------------------------------�---,
I �
USGS The National Map:National Boundaries Datase, National
Elevation Dataset, Geographic Names Information System,National
Hydrography Dataset, National Land Cover Database National
Structures Dataset,and National Transportation Datarset; U.S. Census
Bureau-TIGER/Line;HERE Road Data
yp-t�� Prepared For: Improvements to SR 1001 Date:
O __ auarN Figure
t (Connelly Springs Rd) From US 70 Scale:
�;� 0 August 2018
200 400 Feet
o to SR 1933 (Southwest Blvd) I �/
M o STIP No. R-3430 JobNo.: 2-5
Jurisdictional Features Map 18-611
Drawn By: Checked By:
Burke&Caldwell Counties,North Carolina NMS I NDH

N
Q R-3430 Study Area Potential Perennial Stream Culvert �— Sheet Index Streets
Potential Wetland Potential Intermittent Stream Potential Stormwater Basin 1 County Boundary
-----Sheet 3-6 ------------- —=-- ---_ -_---------I --------Sheet 3-5—
O� HIDDEN LA�KE�DR ` !P
jikW
AM
I � I
N
?�
I I
- I I
w
I r o
'� ' �• . ,j PREMIER RD � � � � -•� � � I
•—• I '•� _ W � ELM CIR
.,E. DRY pONOS R O
I I
I I
I
I I
I o I
IIr � I
w
I � I
I I
I I
I I
I I
I I
I �?
I �
I �
NC enter for geographic Information&Analysis
��p-t��f�,�C• Prepared For: Improvements to SR 1001 Date:
O xgp,N (Connelly Springs Rd) From US 70
O �i►J e r Scale: August 2018 Figure
0 200 400 Feet
f� to SR 1933 (Southwest Blvd) I I 3-5
STIP No. R-3430 JobNo.:
Jurisdictional Features Map 18-611
33K�� r e Drawn By: Checked B :
"° Burke&Caldwell Counties,North Carolina NMS NDH

I N
Q R-3430 Study Area Potential Perennial Stream Culvert Sheet Index
Potential Wetland Potential Intermittent Stream Potential Stormwater Basin County Boundary
I I
I i
L--Sheet 3-7--i=== ________- ________________________________==--Sheet-3-6 —�
(`ONWAY OR
I `
J -
IJAy CT i 1 P7 I i
` 7-
j RFCyOR Sr
7dgp Z
,
*� I. rRACKS►af WAY
SID
i I
I I
-ram
I � I
, I n kAAFvr,rw1 c
s�
KAYLOR aR I
I � I
L--------------------------------------- —-—-—-—-— ----------- -Sheet 3-5------
,
USGS The National Map:Natio3al Boundaries Dataset,National
Elevation Dataset, Geographic Names Information System, National
Hydrography Dataset, National Land Cover Database: National
Structures DataseY,and National Transportation Uata'sef,'U.S. Census
Bureau-TIGER/Line;HERE Road Data
Prepared For: Im Improvements to SR 1001 Date:
p August 2018 Figure
t (Connelly Springs Rd) From US 70 Scale:
0 200 400 Feet
o to SR 1933 (Southwest Blvd) I 2-6
STIP No. R-3430 JobNo.:
Jurisdictional Features Map 18-611
Drawn By: Checked By:
Burke&Caldwell Counties,North Carolina NMS NDH

N
Q R-3430 Study Area Potential Perennial Stream Culvert �— Sheet Index —Streets
Potential Wetland Potential Intermittent Stream Potential Stormwater Basin _i County Boundary
A I
Rk.I � � � •ram- ��... _ I
--Sheefi3-7--i=--- r- --_—._- _ ___ -- :-�;====T---�-----;=====1—Sheet 3-6—
9.d hr a +
40
DR j
CONWAY
CONWAY
i � I
RECTO `
r
i - 44F.
OO
?"}d�+
GNpp�RD`• .�2ON .,• � �t .a �
KI77Y BEAN LN
BATON CHURCH RD �
+ l
I 5 p' I
i•.rj � ,� ,�. ■ l j l `ia A .\'q DR �P�ELN
r...........I,._
�,r a I"'•�� ��,
I
r y
KAYLOR DR
°✓ . '
-------��---------------------------- ----- --- -- --------�--Sheet
I
I
HIDDEN
L,gKE'DR
"O NC enter for Geographic Information&A�ria'lysi"s
yp-t1��f�,�C. Prepared For: Improvements to SR 1001 Date:
(Connelly Springs Rd) From US 70 August 2018 Figure
Scale:0 200 400 Feet
to SR 1933 (Southwest Blvd) 3-6
STIP No. R-3430 JobNo.:Jurisdictional Features Map 18-611
33K�`� r e Drawn By: Checked B ::]
"° Burke&Caldwell Counties, North Carolina y
NMS NDH

I _ N
Q R-3430 Study Area Potential Perennial Stream Culvert Sheet Index
Potential Wetland Potential Intermittent Stream Potential Stormwater Basin County Boundary
I
WG fs■tia
L---Sheet 3-8 ---------------------- _--'---- --------- ------- Sheet-3-7--, -
I ,
I I
I I
I I
I I
I ,
I I
I i
I I
I I
I I
I I
I I
I I
I ,
I
I I
y
, o
Z
I �
HAMSy ST
i V I
W I
I 2 I
I ca -
I
j I �I ,
I I
, f
I ` I
I I
I I
I ,
I I
I I
I ,
L-----------i--- --------- -----------------------------------I-Sheet-3-6--�
USGS The National Map:National Boundaries Dataset, National
Elevation Dataset, Geographic Names Information System,National
Hydrography Dataset, National Land Cover Database, National I
Structures Dataset,and National Transportation Dataset; U.S. Census
Bureau-TIGER/Line;HERE Road Data
Prepared For: Improvements to SR 1001 Date:
O __ auarN t (Connelly Springs Rd) From US 70 August 2018 Figure
Scale:
0 200 400 Feet
v to SR 1933 (Southwest Blvd) I � 2-7
� STIP No. R-3430 JobNo.:
[� "� ` Jurisdictional Features Map 18-611
JIL ��� 'd T F sw4�'@ Drawn By: Checked By:
�33K1 Burke&Caldwell Counties,North Carolina NMS NDH

N
Q R-3430 Study Area Potential Perennial Stream Culvert �— Sheet Index Streets
Potential Wetland Potential Intermittent Stream Potential Stormwater Basin � County Boundary
N RD
--Sheet 3-8 ------------------------------- --------- -------�
I I
I I
I I
I I
I I
I I
o
�BEANE
I I
I I
I I
I I
I I
I a � O
co
I � I
HAMBY ST
I
I U I
I � I
I
"F -
�gON
I-EEQ�P dt r i; �► i
----------_____ ----- ' -- ------------- ------__________===-Sheet-3-644 --
got
-w �+ P
N'C Centerf�orGeographic Information&Analysis
f� C. Prepared For: Improvements to SR 1001 Date:
,*
O xgp,N
;A- (Connelly Springs Rd) From US 70
O �i►J e r Scale: August 2018 Figure
0 200 400 Feet
f� to SR 1933 (Southwest Blvd) I I 3-7
STIP No. R-3430 Job No.:
Jurisdictional Features Map 18-611
33 K�� r e Drawn By: Checked B
IL "° Burke&Caldwell Counties,North Carolina NMS NDH

N
Q R-3430 Study Area Potential Perennial Stream Culvert Sheet Index
Potential Wetland Potential Intermittent Stream Potential Stormwater Basin County Boundary
i
N R gRA�ua
_Sheet 3-9--------------------- -----_jr+uv ------------------------------,
. I
r PL 00
Wow' L REST DR
� N
I �
z �
I
a I
I r I
I 2 I
I � I
I � I
I I
I I
I I
5T11i AT -_ _
" 4
Cr HF RY K DR
t7
WIMBE Y DR
r
13 - GR£ENBR1AR
� l
_ 1
WG
i SF
t� '
I Cajoh i
L----------- ---------------------Nra�,r.�,__--- --------- --------Sheet 3-7---
USGS The National Map:National Boundaries Dataset-National I
Elevation Data set, Geographic Name Anformation System,National
Hydrography Dataset, Nlational Land Cover Database, National
Structures Data set,and,ational Transportation Dataset; U.S. Census
Bureau-TIGER/Line;HERE Road Data
CL,I'*C Prepared For: Improvements to SR 1001 Date:
5 "Ap Vl auarN August 2018 Figure
(Connelly Springs Rd) From US 70 Scale:0 200 400 Feet
to SR 1933 (Southwest Blvd) i /'�/
M o STIP No. R-3430 JobNo.: L_8
F Jurisdictional Features Map 18-611
Drawn By: Checked By:
Burke&Caldwell Counties,North Carolina NMS NDH

Q R-3430 Study Area Potential Perennial Stream Culvert Sheet Index Streets
Potential Wetland Potential Intermittent Stream Potential Stormwater Basin 1 County Boundary
R-
----------, 0
J
Z M
LAND ST ai
t
I �
I I
I I
I i
I i
I I
I I
BRADSHAVW TER
I j
I I
I i
i
I I
UNION GRO\E&
I
R I I
� I I
I' 0
z O�
D I 2 I , d
Z GREENBRIER DR i r .
G I �� I ti:�•..
7C1 i G�,
SF WG
I I
I I
I I
I I '
I I
I I
I I
I I
I I
I
------------------------------------------- ---- --- -------�
p Sheet3-7---
I I
I I
i NC enter for Geographic Information&Analysis
��p-t1��
f�,�C. Prepared For: Improvements to SR 1001 Date:
O xgp,N
;A- (Connelly Springs Rd) From US 70
O �i►J e r Scale: August 2018 Figure
0 200 400 Feet
f� to SR 1933 (Southwest Blvd) I I
M e STIP No. R-3430 Job No.: 3-8
Jurisdictional Features Map 18-611
"° Burke&Caldwell Counties,North Carolina Drawn By: Checked By:
NDH

N
Q R-3430 Study Area Potential Perennial Stream -Culvert � i Sheet Index o
Potential Wetland Potential Intermittent Stream Potential Stormwater Basin County Boundary
----------------------------- -—-—-—-—-— ----------------------------U)
ID0A1 R
I �
� M
I �
U �
r i RCh'ARp DR = U
I r I
h
i y Calah'5 J"
p Mountain i
L i
t _
SE -- i
- I I
T
I.SlJT)�ff 2
^V
1DGf op I Q I
mlll ;vc RD� I
---- ---- ---------2+---------I-Sheet 3-8-=1�4
woo
pz T
I � I
Prepared For: Improvements to SR 1001 Date:
■aArk p August 2018 Figure
S F f (Connelly Springs Rd) From US 70 Scale:0 zoo 400 Feet
to SR 1933 (Southwest Blvd)
rro
STI P No. R-3430 Job No.: 2-9
Jurisdictional Features Map 18-611
(,� ase Drawn By: Checked By:
aF
�33�� `"a Burke&Caldwell Counties,North Carolina NMS ND I

N
F[=R-3430 Study Area Potential Perennial Stream Culvert � Sheet Index —Streets
Potential Wetland Potential Intermittent Stream Potential Stormwater Basin County Boundary
19
W _-------=� —}----------------- -—-—- -—-— -—-—-—-—-— —-—-—-—- --------CO
_ Q LNG N�v rn
o '
l� i •r p o N CO
f ,",r•r.l ORCHARD DR
v I I
z
I
j BUSNV/�l
SE
' I I
I I
I I
I
I
I
OAKMONT
4 � I
I � I
�--nn
V"
w sU7Tp� I
TIMBER RIDGE DR I U I
O '
I I
I NOO COTTAGE GROVE Ez0
E
I I
z NOON�O
LAND ST CO 6�
I ' �
� N ante for Geographic Informaltion&Analysis
Prepared For: Date:
Improvements to SR 1001 August 2018 Figure
NflAfk
(Connelly Springs Rd) From US 70 Scale:
f to SR 1933 (Southwest Blvd) 0 200 400 Feet 3-9
STIP No. R-3430 Job No.:
Jurisdictional Features Map 18-611
Drawn By: Checked By:
�33�� F k" Burke&Caldwell Counties,North Carolina NMS I NDH

_ N
Q R-3430 Study Area Potential Perennial Stream Culvert Sheet Index
Potential Wetland Potential Intermittent Stream Potential Stormwater Basin County Boundary
N �
U Sheet 3-11 to
--------------- -------- -----------------------------------�
l �n���. Sheet 3-10
P. SUNSHINE LN
- - p0 C -
7- SIE
I I
` � I
SG ae$
FLORAL pR ¢ SH
I I
KITH _
£ ACRES 5T
�-
SHORT
z
7-
oft
_
! !
• CryFES�A-Lti
OULA AR
M
��. )
[-Sheet 3-9-L------------------- ----------- --------------
!7 YSply R
� - - USGS The National Map:National Boundaries Dataset, National
Elevation Dataset, Geographic Names Information System,National
Hydrography Dataset, National Land Cover Database, National
Structures Dataset,and National!Transportation Dataset; U.S. Census
Bureau-TIGER/Line;HERE Road Data
CL,I'*C Prepared For: Im Improvements to SR 1001 Date:
Vl auarN p August 2018 Figure
5 y (Connelly Springs Rd) From US 70 Scale:0 200 400 Feet
to SR 1933 (Southwest Blvd) i '/'�/
M o STIP No. R-3430 JobNo.: L_ 1 0
F Jurisdictional Features Map 18-611
Drawn By: Checked By:
Burke&Caldwell Counties,North Carolina NMS NDH

N
R-3430 Study Area Potential Perennial Stream Culvert �— Sheet Index Streets F
Potential Wetland Potential Intermittent Stream Potential Stormwater Basin � 1 County Boundary
Sheet 3-11
GN --------- ----- --------- ------------------------- ----
'� I SUNSHINE�LN I ��
tiwA.
FLORAL DR
I I
I I
I I
i'
I I
GREENACRES
N
n
I � I
HOYLE pR
I � I
j HAAS'LN
I I
I I
I I
� I
I I
I I
j u) CHELSEq�N
N
CO
9l� I I
� � I
n I I
j vv Z� LOVEJ o
CO
Sheet3-9 ------------------- ----- ----- ----------- -------i -------
ORCHARDCenter for G�eographic Information&Analysis
C. Prepared For: Improvements to SR 1001 Date:
f�,*
O xgp,N
;A- (Connelly Springs Rd) From US 70
O �i►J e r Scale: August 2018 Figure
to SR 0 200 400 Feet 1933 (Southwest Blvd) 3- 10
STIP No. R-3430 JobNo I I:
Jurisdictional Features Map 18-611
33K�`� ' r e Drawn By: Checked B :
"° Burke&Caldwell Counties,North Carolina NMS NDH

_ N
Q R-3430 Study Area Potential Perennial Stream Culvert Sheet Index
Potential Wetland Potential Intermittent Stream Potential Stormwater Basin County Boundary
' rAR�A PC SW--,
---------- ----------------Sheet 3-11 ------ ----------------I
GUS
� I
I �r
------�J S.w st V5
I I �
AWE MA LN
I h I r1
I I
I I
I 1 �
GR
WH
Si
♦
1280 . f 10NIVER CIR
Al
v4rvf_i �� 4 1
lr„ fRWAYACRES D -i--
i SI
! y�fY� FA�!fYgCFY
F�IR�At wP� a, — !'ST1 MORN aR
I
!L Sheet 3-11
-------------- -------- - S--------------------------------�
Sheet 3-10 0
f+� USGS The National Map:National Boundaries D,ataset, National
ch y Elevation•.Dat , et,;Geographic Names Informatio
0 n System,National
v Hydrography Dataset, National Land Cover Database, National
Structures Dataset,and National Transportationt6ataset; U.S. Census
Bureau-TIGER/Line;HERE Road Data C9
CL,I'*C Prepared For: Im Improvements to SR 1001 Date:
Vl auarN p August 2018 Figure
5 y (Connelly Springs Rd) From US 70 Scale:0 200 400 Feet
to SR 1933 (Southwest Blvd) i 2- 11
STIP No. R-3430 JobNo.:
F Jurisdictional Features Map 18-611
T �, Drawn By: Checked By:
Burke&Caldwell Counties,North Carolina NMS NDH

N
R-3430 Study Area Potential Perennial Stream Culvert �— Sheet Index Streets
Potential Wetland Potential Intermittent Stream Potential Stormwater Basin 1 County Boundary
- TARA PLC m ,
DOSE m DR _
I I
I I
I I
I �
SOUTHWEST BLVp j
I I
I I
+ i ALLIE MAY LN .—
G7 �
r
I
I � I
I O I
I
.i i ���� HIGHLgND� I
•j 000 j
ircI 5
SJ Go
aJ � CONNER C�
a NRyOeq � FAIRWAYACRES RD j
R'yFS�N I PQyDR SI �
i Q HAY��
I
� I I
MISTY MORN DR
ilk
.qr.. s GNPP���p L--------- ----- --- --- - Sheet3-11--------------- ---------�
CLp,RK o Sheet-3-10 0
SUNSHINE LN
� N
� N
t t
N enter for GeographicQnformation&Analysis
Prepared For: Improvements to SR 1001 Date:
O xgp,N August 2018 Figure
����yy (Connelly Springs Rd) From US 70
;A7 #41
i►J Scala:0 200 400 Feet
fto SR 1933 (Southwest Blvd) ^/ll�M e STIP No. R-3430 Job No.: V—
o=�F� @9� 11
Jurisdictional Features Map 18-611
�ti��IL 33K�� r e Drawn By: Checked B :
"° Burke&Caldwell Counties,North Carolina NMS I NDH

Appendix B
Stream and Wetland Data Forms

NC DWQ Stream Identification Form Version 4.11
Date, rr�� i Project/Site. 2 Latitude:
Q - --j 15, �46--g4
Evaluator: Jr,, �; �/ �' County: Longitude; '
z. .... ..... -------
Total Points: Stream Determt abpn circle one) Other
Stream is at least intermittent r7 Ephemeral'- Perennial e. Quad Name: t r ,
If� 19 or srennial if a 30" p 9 Up' ��
A. Geomar halo Subtotal=r,5- /) Absent Weak Moderate Strang
10 Continuity of channel bed and bank 0 1 _ 2 3
2. Sinuosity of channel along thalweg T 0 2 3
3, In-channel structure; ex riffle-pool, step-pool, 2 3
ripple-pool sequence
4. Particle size of stream substrate 0 2 3
5. Activelreiict floodplain 1 2 3
5, Depositional bars or benches a 2 3
7, Recent alluvial deposits ;fl 1 2 3
8, Headcuts 0 1 2 3
9. Grade control �( Q p.5 1 1.5
10, Natural valley 0 0.5 1 1.5
11. Second or greater order channel _ No , 0 Yes=3
'artificial ditches are not rated;see discussions in manual
B. Hydrology {Subtotal =
12. Presence of Baseflow p 1 3
13, Iron oxidizing bacterla 0 1 2 3
14. Leaf litter 1 5� 1 0.5 p
15. Sediment on plants or debris 0 1 1 5
16. Organic debris lines or piles 0 D,5 1 1.5
17, Soil-based evidence of high water table? No 0 Yes=3
C. Biology Subtotal=
18. Fibrous roots in streambed 3 1 0
19- Rooted upland plants in strearni7ed "3 2 1 0
2O Macrobenthos (note diversity and abundance) 1 2 3
21, Aquatic Mollusks rQ 1 2 3
22. Fish Q 0-5 1 1-5 _
23 Crayfish _ 0-5 1 1.5 -
24. Amphibians - _� 0.5 _ 1 _ 1.5 —
25. Algae 0 05 _ 1 1.5
26 Wetland plants in streambed FACW=b 75 BL= 1 5 Other=0 _
•perennial streeTs may also be identified using other methods.See p 35 of manual
Notes: .• - f / - 4.
Bank Height tfty: ,�-�•
Sketch: �e c, F"j,f ea Bankfull width(ft).�
water depth(in)- i f
Channel substrate•Cla .Silt,Sand Grave Cobble,
Bedrock _
Velocity- fast,moderate: low
Clarity cry ieari Ilghtly turbid,turbid
r

NC DW Stream Identification Form Version 4,11
Date: DI
I» Pra}ectfSite: qu�^ atitude
D 4 - ` L
�rl
Evaluator:IJ,fJ A/ T County: Longitude:
Total Points. Stream-❑etermInation(circle one) Other
Stream is at least fnterraltfent
1f a 19 or erennial if a 3D` i Ephemera]_�in rmittent Perennial a-g Quad!Varna:
A. Geomorphology Subtotal= �r Absent Weak TModerate SUM
1' Continuity of channel bed and bank 0 1 2 3
2. Sinuo ity s of channel along thalweg 0 1 2 _ 3
3. In-channel structure: ex riffle-pool, step-pool, 0 T 2 3 - -
6 ie- oaf sequence
4. Particle size of stream substrate 0 r 1 2 3
5. Active/relict floodplain ``0 1 2 3
S. Depositional bars or benches "p _ 1 2 3
7. Recent alluvial deposits 0 1 2 3
8. Headcuts 0 ',1 2 3
9. Grade control r_0 d,5 1 1.5
10. Natural valley 0 _ 0,5 1 .1 5
11. Second or greater order channel N 0 Yes=3
s artlfclal ditches are not rated;see di cumons in manual
B. Hydrology Subtotal=
12. Presence of Baseflow 0 1 2 3
13. Iron oxidizin bacteria —� r'0 2 3
14. Leaf litter 1.5 i r 0.5 0
15. Sediment on plants or debris L p,5 1 1 5
15. Organic debris lines or piles 1 1.5
17. Soil-based evidence of high watertable? N -p Yes=3
C. Biology subtotal=
18. Fibrous roots in streambed 3 2 1 0
19. Rooted upland plants in streambed r 2 1 0
20. Macrobenthos(note diversity and abundance) 0 Z 1 2 3
21. Aquatic Mollusks 0 1 2 3
22. Fishp 0,5 1 1,5
23 Crayfish 6 0.5 1 1-5
24- Amphibians 0.5 - 1 1.5 f j
26 Wetland plants in streambed _ - FACW=0 75; OBL=1 5 Other=0
--perennial streF a may also be identified using other methods See p.35 of manual
Notes;
r _ Rank Height
Sketch: � r Bankfull width(ft): .
Water depth(in).
Channel substrate'GLP 51 t Sa_nd,Gr�av_e� obble,
Bedroa ~
Velocity fast,moderate,slow
•Clarity clear slightly turbid,turbidN''�

NC DWQ Stream Identification Form. Version 4.11
date: 40'r��J�� ProjectlSite: �_ ��f�� Latitude:
Evaluator: County; Longitude;
A1�1P� � CA
Total Points:Stream is at least intermittent Stream Determination(circle one) Other
If2 �9 or p erennlal if 2!30 -f ' Ephemeral Intermittent erennia e.g Quad Name:
A. Geomor hol❑ Subtotal = r 1 rAbsent Weak Moderate Strang
1a Continuity of channel bed and bank 1 2
2. Sinuosity of channel along thalweg ;j •' 2 3
3. In-channel structure: ex riffle-pool, step-pool, 1 2
ri le- ool sequence
4. Particle size of stream substrate 0 1 2 3
5. Activelrelict floodplain 0 1 2 3
6. Depositional bars or benches 0 1 3
7- Recent alluvial deposits 0 1 2 3
8- Headcuts 0 2 3
9. Grade control 0 y' 1 5�
10. Natural valley _ 0 0.5 1
11- Second or greater order channel No=0 Yes=3
artificlaI ditches are not rated;see discussions in manuai
B. Hydrology (Subtotal T -7
12. Presence of Baseflow 0 1 2
13. Iron oxidizing bacteria 0-1 1 2 3
14. Leaf litter T 1.S 1 0.5 0
15. Sediment on plants or debris 0 0.5 1 1 1 5
16, Organic debris lines or piles 0 p. ] 1 1.5
17- Soil-based evidence of high water tahle? No=0 Yes-3
C. Biology Subtotal=
18. Fibrous roots in streambed 3 2 1 0
19. Rooted upland plants in streambed 3 2 1 0
20. Macrobenthos{note diversity and abundance} - 0 1 2 3
21. Aquatic Mollusks 0 - 1 2 3
22. Fish 0 .5 1 1.5
23 Crayfish 0 0 5 1 1.5
24. Amphibians -------- �, 0.5 --- 1 -_ -- 1.5 .
25- Algae _ 0 05 _ 1 1.5
26 Wetland plants in streambed �- FACW=0.75; OSL= 1.5 Other.4 0 _
perennial skrecros may also be-identified using other met ds.Seep 35 of manual -
N
Sketch-. j��_..._. _. -- ----__.�-._ ...-----•- f Rank Height{ft}: I--,9,• r r '- -----
]�y is f Bankfull width
water depth(in). ��fr_-
Channel substrate a. •tt,Sand•Gravel,Cobble,
Velocity• fast,moderate'sla
Clarity ciea slightly turbid,turbid

r
NC DWQ Stream Identification Fortin Version 4.11
Date: �Auld+ ProjectIsite: Tj Latitude:
Evaluator:A914,,ii1 County: /I Longitude;
-------
Total Points: r_..__.._...__-------.
Stream is at least lnrertntttertt Stream Determination{cilrele Qne) Other
If a 19 or perennial if z 30' f Ephemeral intermittent,' erenrti e.g Quad Name: "A
A. Geomorphology Subtotal = L- F Absent Weak Moderate Strong
10 Continuity of channel bed and bank 0 1 2
2. Sinuosity of channel along thalweg -� - 0 1 - �2 3
3, In-channel structure: ex riffle-pool, ste"oal,
ripple-pool sequence 0 1 2
4. Particle size of stream substrate 0 2
5. Activelrelict floodplain 0 2 3
S. Depositional bars or benches 0 1 3
7. Recent alluvial deposits p 1 2 3
8. Headcuts 0 1 2 3
9. Grade control 302
.0 ia.5 1 1,5
10. Natural valley 0 0.5 1 1,5
11. Second or greater order channel No=Q Yes 3
a artificial dftches are not rated;see disco ions in manual'
B. H drolo Subtotal =
12. Presence of Baseflow p i 2 3 �}
13. iron oxidizing bacteria !0 1 2 3
14, Leaf I fitter 1 5-- ) 1 0.5 0
15. Sediment on plants or debris _ 0 _0.5 ) 1. 1 5
15. Organic debris lines or piles 0 v6.5 1 1.5
17. Soil'-based evidence of high water table? No=0 Yes=3 ;
C. Biology Subtotal
18. Fibrous roots in streambed `3 2 1
19. Rooted upland plants in streambed 3 2 1 0
20. Macrobenthos (note diversity and abundance) Q 1 2 3
21. Aquatic Mollusks 1 2 3 i
22. Fish Q Q 5 1 1.5
23 Crayfish -�- - � --- ---- - 1.5 -�
24. Amphibians T--•-LL----------- � q 0, 1 1.5
25. Algae _ _ _ _ 05 _ i 1.5
25 Wetland plants in streambed _ FACW=0.75; OBL= 1 5 Other=4]
`perennial scree rs may also be'de ntified using other methods.See p.35 of manual _
Notes:P:�.� �r��'%-�.�t r P �- + - �•rr-r°�j �'•� �:: I.r
Bank Height(ft):
Sketch; r.
�.+(' Sankfull width(ft):
Water depth(in).) -
Channel substrate•day.Silt,sand,Gravel,Cobble
Bed rob
Velocity- Fast,rnoderate,stow
Clarity clear k}ightly turbid,turbid

s�
NC:' DWQ Stream identification Form Version 4.11
Date: 6X? 1201-7, ProjectfSite: Latitude:
Evaluator: -11 r County Longitude:
Total Points: Stream Determination(cirLrennial
es tither
Stream is at least Intermittent r if a19 or erennial if e 30` Ephemeral Intermittent'P e.g quad Nome: T�-� ,
A. Geomorphology Subtotal= � Absent Weak Moderate Strong
1a Continuity of channel bed and bank_.. 0 1 _...__._ 2 _yam
2- Sinuosity of channel along thalweg 0 2� 3
3. In-channel structure: ex riffle-pool, step-pool, ---' )
ripple-pool sequence 0 2 3
4. Particle size of stream substrate 0 2 3
S. Active/relict floodplain CP 1 2 3
5. Depositional bars or benches 0 2 3
7- Recent alluvial deposits 0 1- 2 3
8- Headcuts 0 1 2) 3
9. Grade oontrol 0 �.5 1 1.5�
10- Natural valley 0 0.5 1 1.5
11. Second or greater order channel No(;=0 Yes =3
a artlficlal ditches are not rated;see discussions in manual
B. Hydrology (Subtotal = ��
12• Presence of Baseflow p 1 2
13• Iran oxidizing bacteria 0 1 2 3
14. Leaf litter ; 1 0.5 0
15, Sediment on plants or debris 0 p, t 1 5
16- Organic debris lines or piles 0 0.5 1.5
17, Soil-based evidence of high water table? No=0 Yes^4 i
C. Biology Subtotal =
18. Fibrous roots in streambed 3 1 0
19. Rooted upland plants in streambed 3' 2 _ 1 4
20. Macrobenthos{note diversity and abundance} 0 2 3
21. Aquatic Mollusks ; 0 1 2 3
22. Fish 0 0.5 1 1-5
23 Crayfish 0 0-5 T 1 1-5
24. Amphibians 0 0.5 1 1-5
25_Algae _ 0 _ 1 _ 1.5
26 Wetland plants in streambed FACW BL = 1 5 Other=0
'perennial stree To may also be identified using o her methods.See p.35 of rpanual mm
: ���+Sr� �i7u,�� L�rI/'✓i�£r 1 P��1 r f t5'�Gr�:'It iT..+?I Bank Height lft};9 -
Sketch r
Ban kfull width(ft)]?��
Water depth(in).tI)
1 (Z' J J � �j r7 Channel substrat Clay-ilt,5and,Gravel.,Cobble,
Bedrock
Velocity- fast,moderate,slaw'
(� ' '•lo Clarity clear slightly turbid,lurbid

i
�re o� S�eF
NC DWQ Stream identification Form Version 4.11 _
Date: -- ProjectJsite: (2, 3 y Latitude: 3 jr gK b --6
Evaluator: N)4 ,r1 County: Longitude:
V .Sy2 o2`d
Total Points: r� Stream Determ' - ' cle one Other
Stream is at least intermittent � 2,45 hemera ntermitt erennial e.
if 2 19 or perennial if 2!30 E' P g Quad Name:
A. Geomorphology Subtotal = 5 Absent Weak Moderate Strong
18 Continuity of channel bed and bank_ _ 0 1 _ 2 .3
2. Sinuosity of channel along thalweg 0 1 - 2 -- 3
3. In-channel structure: ex riffle-pool, step-pool,
----- --
ri le ool sequence 0 ,`�,� 2 3
4. Particle size of stream substrate 0 1 3
5. Active/relict floodplain 1 2 3
6. Depositional bars or benches 1 2 3
7. Recent alluvial deposits 1 2 3
8. Headcuts , 0 1 2 3
9. Grade control 0 0:5 i 1.5
10. Natural valley 0.5 1 1.5
11. Second or greater order channel No/t-:g Yes=3
a artlficial ditches are not rated;see disc asions in manual
B. Hydrology (Subtotal= �/
12. Presence of Baseflow 0 2 3
13. Iron oxidizing bacteria D 1 2 3
14. Leaf litter r1.5 1 0.5 0
15. Sediment on plants or debris 0 0.5 1 1 5
16. Organic debris lines or piles 0 0.5 1 1.5
17. Soil-based evidence of high water table? No= 0 Ye =3
C. Bi010 Subtotal=
18. Fibrous roots in streambed 3 2 � 0 _
19. Rooted upland plants in streambed 3 ,W 2 1 0
- -_�--
acro en os(note diversity and abundance) 0 1 2 3
21. Aquatic Mollusks _ 0 1 2 3
22. Fish - 0 0.5 1 1.5
23 Crayfish - `-
4. Amphibians 0 0.5 1 1 5
25. Algae ----- - -- -- --0 5-..-- ----- ----- ---- --- 1.5 --
26 Wetland plants in streambed FAC' =0.75; ?BL = 1.5 Other=0
'perennial streaTs may also b entified using other hods.5e p.35 of manual
Sk@tCh: � - Bank Height(ft):
C _ r \ Water depth(in):Q �r� raI flll��
J I v® Channel substrate1Z]] ilt,Sand,Grave obble,
N �.. ® Bedrock
Velocity• fast,moderate,
Clarity, clear lightly turbid,turbid
014, UV
N '�t

NC DWQ Stream Identification Form Version 4.11
Date: f �) Projectisite. Latitude:
Evaluator: lVn � l �5 County: ' Longitude:. ��
r r� _ — --- M- 5-
Total Points: ! Stream Determination=circa Other
Stream is at least intermittent �� r
If a 19 or orennial if z 30 Ephemeral Intermittent`1'erennial e.g [quad Name: )r`e. O
r
A. Geomorphology Subtotal = � `� Absent Weak Moderate Strong
1" Continuity of channel bed and bank _ 0 ti
2. Sinuosity of channel along thalweg 0 ;,1 2 3
3. In-channel structure' ex riffle-pool, step-pool, T 0 1 3
ripple-pool sequence
4. Particle size of stream substrate 0 K1 2 3
5. Activelrelict floodpiain 0 1 2 3
fi. Deposr ional bars or benches 0 1 2 3
7. Recent alluvial deposits 0 2 3
8. Headcuts 0 2 3
9. Grade control 0 0.5 1 1.5
10. Natural valley 0 0.5 1 1.5
11. Second or greater order channel Nqr 0 Yes =3
a artltiicial ditches are not rated;see di Mons in manual
B. H drolo Subtotal
12. Presence of BasefZow 0 1 2 C �
13, Iron oxidizing bacteria 0 1 W� 2 3
14. Leaf litter 1- 1 0-5 0
15. Sediment on plants or debris 0 1_ 1.5
1E. Organic debris lines or piles 0 0.5 1_ 1.5
17. Soil-based evidence of High watertableF No=0 Yes=3
C. Biology Subtotal= 4
18- Fibrous roots in streambed 2 1 0 _
19- Rooted upland plants in streambed _ L2 1 0
20. Macrobenthos(note diversity and abundance) 0 1 2 3
21, Aquatic Mollusks 0 1 2 3
22. Fish 0 0,5 1 1.5
r
23 Crash 0 0.5 1 1-5
24. Amphibians-T_—____..�--..-------•— - —'D D.5 1 4-5 ----
25. Algae � _.. .�...0 5 —_.. 1 _. ._._ l 5 _....
2B Wetland plants in streambed _ F FACW=0.75; OBL= 1 5 Other,.�0
'perennial streeTs may also be identified usfn other methods.See p 35 of manual
Notes: � -��l��x ! �'�• ----` �� - _^__.., _._.
Bank Height(t):f
Sketch: =` I� j Bankfu[I width Iftl:--3-IV ?
Water depth(in).,57 —
Channel substrate lay-Slit,Sand,Gravel, Oble,
Bedrock
Velocity- Fast,moderate, 10��
clarityF dea f lightly turbid,turbid

NC D" Stream identification Form Version 4.11
❑ate; J, r PnajectfSife: 2j� Latitude: ,
Evaluator: - County: t f Longitude; /
IjP&4
Total Points; Stream Determination(tire! Other
Stream is at least Intermittent Ephemera[ Intertrsitten Perenni e.g Quad Name:
If� 19 or orenniaf it a 34'
A. Geomor holy Subtotal = �, J Absent Weak I Moderate J Strop
1" Continuity of channel bed and bank fl ti 2 3
2- Sinuosity of channel along thalweg T 0 --- - 2
3. Ire-channel structure_ ex riffle-pool, step-pool, 0 1 2
ripple-pool sequence
4. Particle size of stream substrate 0 1 2 `3 )
5. Active/relict floodplain 0 1 2 3
6, Depositional bars or benches 0 2 3
T Recent alluvial deposits 0 t 2 3
8, Headcuts 0 2 3
9. Grade control ( � 0,5 1 1.5
10. Natural valley 0 0.5 1
11. Second or greater order channel No =0 Yes 3
a artificlaI ditches are not rated;see discussions in manual
E3. Hydrology {Subtotal = l
12. Presence of Baseflow -- 0 2
13. iron oxidizing bacteria 0 J 1 2 3
14. Leaf litter f 1.5 1 0.5 0
15. Sediment on plants or debris I} 0-5 1 1 5
16. Organic debris lines or piles 0 0.5 1 1.5
17. Soil-based evidence of high ter table? No=0 Yes=3
C. Biology Subtotal =
18. Fibrous roots in streambed 3 2 1 0
19. Rooted upland plants in streambed 3 2 1 0 ^
20. Macrobenthos(note diversity and abundance) ' 1 2 3
21.Aquatic Mollusks i s 1 2 3
22- Fish 0 0.5 ��f�j 1.5
23 Crayfish 0.5 1 -- 1.5 --
24. Amphibians 0, 0.5 1 1-5
25. Algae ----•---...�... ----- --�_� -- --__- ----- ----•- __
.0_ 0 5 1 1-5�
26 Wetland plants in streambed FACW=0.75; 08L= 1 5 Other= `
'perennial streams mpy so be identified using❑th [hods See p.35of manual -
Notes:
Sketch:
Bank Height(ft): �I
�
Bankfull width(ft)/d r ��
Water depth{in),,r] -- `
Channel substrate- and Gravel. Cobble,
Bed roa
Velocity- fast moderate slo
Ciarty� Ilea lightly turbid,turbid

� J
NC DWQ Stream Identification Form Version 4,1.1
Date: �1 tea, ProjectlSite: Latitude: 2f33�
Evaluator: /'. -� 1 1
'I"5� •a couRn �y��{ J J longitude; �Ly —
Total Points: r �f5 Stream Determination tots l Other
" f
Srrearn is ai leas[Intermittenr Ephemeral (ntermitte Prt erennial e. 4vad hlame:
It 2: 19 or perennial it 30. P g
A. Geomorphology Subtotal= � � Absent Weak Moderate SI
1a Continuity of channel bed and bank 0 ti 2 3 _
2. Sinuosity of channel along thalweg 0 ;g 2 3
1 In-channel structure: ex riffle-pool, step-pool, 3
ri Ie- ool se uence L_�
4. Particle size of stream substrate 0 1 2 3
5. Activelrel let floodplain p ,� 1 2 3
6. Depositional bars or benches 0 2 3
7, Recent alluvial deposits 0 i 2 3
8- Headcuts 0 2 3
9, Grade control 0 1 1.5
10. Natural valley 0 0,5 1 1-5
11, Second or greater order channel Noy- Yes=3
a arf1ficlal ditches are not rated;see discussions in manual
B. Hydrology (Subtotal =
12, Presence of Baseflow q 1 2 3
13, Iron oxidizing bacteria 0 2 3
14- Leaf litter .��5 1 0.5 0
15. Sediment on plants or debris 0 0,5.. 1 1 5
16- Organic debris lines or piles 0 0.5 1] 1.5
17, Soil-based eAdence of high water table? No=0 Yes=3�
C, Biology Subtotai - r
18. Fibrous roots in streambed 2 1 0 _
19. Rooted upland plants in streambed 2 1 0
20. Macrobenthos(note diversity and abundance) �1� 2 3
21. Aquatic Mollusks L':b 1 �� 2 3
22. Fish 0.5 1 1.5
23 Crayfish 0 Y_ 1 1 5
24. Amphibians 0 0,5 1,5
25. Algae _._...-•------��.__ -• 0 05 _ -f 1 -- -•- 1.5"-
_ _. ._
26 Wetland plants in streambed FAC 0.75 BL= 1 5 Other=0
'perennial streers may also be identified using other melhads,See p 35 of manual
Notes: - --
Sketch: Bank Height(ftj: - r
Bankfull Width(ft):,�
j � rC'. Fr
Water depth(in).r -
Channel substrate Clay_5[lt,Sand.Gravel Cvb61e.
Bedrock
velocity• fast,modest 'slow
Clarit ilea ighdy turbid,lutb+d

NC DWQ Stream Identification Form Version 4.11
Date: �/. 1 6 l� prajectlSite: - J �D Latitude:Y Z
Evaluator:�)G4?, } , KS County: per Longitude:_ I �J
Total Points: Stream Determination[circle one other
Streamisat least intermittent Ephemeral Intermittent Pergtlni e.g. Quad Name: alp
if? 19 or perennial if z 30
A. Geomo hold Subtotal= 2 Absent Weak Moderate Strong
1a Continuity of channel bed and bank 0 1 2 3
2. Sinuosity of channel along thalweg 0 1 . 2 3
3. In-channel structure: ex.riffle-pool,step-pool, 0 2 3
ripple-pool sequence
4. Particle size of stream substrate 0 i 3
5-Active/re Iict f aodplain 0 1 2 3
6. Depositional bars or benches 0 t 1 2 3
7- Recent alluvial deposits 0 t 2 3
8- Headcuts 0 1 2' 3
9. Grade control 0.5 1 1.5
10. Natural valley 0 0.5 1 •1.5
11. Second or greater order channel No-D Yes=3
a artlficial ditches are not rated;see discussions in manual
B. Hydrology Subtotal= �
12- Presence of Baseflow 0 1 2
13. Iron oxidizing bacteria 0 i 2 3
14- Leaf litter %;1.5J 1 0.5 0
15. Sediment on plants or debris 0 1 0 1 1-5
16. organic debris lines or piles 0 1 A6.5 1 1-5
17_Soil-based evidence of high water table? No=0 Yes,=3
C. Biol❑ Subtotal=
18. Fibrous roots in streambed 3 2 1 0 1
19. Rooted upland plants in streambed { 3 2 1 0
20. Macrobenthos(note diversity and abundance) 0 1 2 3
21.Aquatic Mollusks 0 1 2 3
22- Fish 0 0.5 1 1.5
23. CrWish 0D 0.5 1 1.5
24. Amphibians 0 fl-5 1 1.5
25.Algae 0 0.5 1 1.5
25 Wetland plants in streambed FACW=0-75; C8L=1.5 Othe 0
'perennial stree may also be identified using other methods.See p.35 o1 manual
Notes:
Bank Height(ftl:�- r
Sketch; aankivII width If*
r
Water depth[m):Q
Channel substrate i and Grave bible.
aedro6
Velocity-fast,moderat sla
Claritr� lightly turbid,turbid

NC DWQ Streaua Identification Form Version 4.1.1
Date: pro sctlSite: Latitude:
Evaluator: .! r County: .� Longitude;r r
Total Points: Stream❑etermInat:ion[circle one Other
Stream is at least Intermittent Ephemeral lnt$rrnitten erennial e.g Quad Neme:
if� 19 or perennial if a 3fl'
A. Geomvr hvlo Subtotal /=;14 Weak Moderate S ng
1a Continuityofchannel bed and bank 1 2 32- Sinuosity of channel along thalweg 1 2 33. In-channel structure: ex riffle-pool, s s ,1 �1 •
ripple-pool sequence �_D2 3
4, Particle size of stream substrate 0 1 2 3
5.Active/relict floodplain 0� 1 2 3
5, Depositional bars of benches 0 1 2 3
7. Recent alluvial deposits 0 2 3
8. Headcuts 0 2 3
9. Grade control 1 1.5
10. Natural valley 0 0,5 t 1.5
11. Second or greater order channel Nora Yes=3
a artlrictai ditches are not rated;see discussions In manual
B. Hydrology [Subtotal
12- Presence of Basefiow 0 1 2
13- Iron oxidizing bacteria �- 0 2 3
14. Leaf litter 1.5 ~1 l 0.5 0
15. Sediment on plants or debris 0 .0.5 1 1.5
16- Organic debris lines or piles 0 05
17. Sail-based evidence of high water table? No=0 Yes=
C. Biology subtotal = -w
18. Fibrous roots in streambed --3 2 1 0
19. Rooted upland plants in streambed 2 1 0
E
crobenthos(note diversity and abundance) 0 � 1 2 3
uatic Mollusks 0 1 2 3
22. Fish �L) 0.5 1 1.5
23 Grayfrsh -- _ ---- — — 0 W .�0 1 1-5 ._.
24. Amphibians 0 0.5 1-5
25. Algae ...�.__
-- 0 -- 05 __- t -- 1.5
26 Wetland plants in streambed FACW=0-75: OBL= 1 5 Oth =0 _
'perennial strea7s may also tre identified using other methods.See p.35 of manual �~
-�
Bank Height(ft):6 - �� •-_.-.__--.-�-
5icel
Bankfull width(ft): ;rJ
Water depth(in).
� avelChannel sfbstra a Cbbie,
Bedrock
Velocity fa
st,moderate;:Sl&D
Clarity.JI�rlightly turbid,turbid !

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

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

12. Aquatic Life—assessment reach metric(skip for Tidal Marsh Streams)
12a. ®Yes ❑No Was an in-stream aquatic life assessment performed as described in the User Manual?
If No,select one of the following reasons and skip to Metric 13. ❑No Water ❑Other:
12b. ®Yes ❑No Are aquatic organisms present in the assessment reach (look in riffles, pools, then snags)? If Yes, check all that
apply. If No, skip to Metric 13.
1 >1 Numbers over columns refer to"individuals"for Size 1 and 2 streams and"taxa"for Size 3 and 4 streams.
❑ ®Adult frogs
❑ ❑Aquatic reptiles
❑ ❑Aquatic macrophytes and aquatic mosses(include liverworts, lichens, and algal mats)
❑ ❑Beetles
® ❑Caddisfly larvae(T)
❑ ❑Asian clam (Corbicula)
❑ ❑Crustacean(isopod/amphipod/crayfish/shrimp)
❑ ❑Damselfly and dragonfly larvae
❑ ❑Dipterans
❑ ❑Mayfly larvae(E)
❑ ❑Megaloptera(alderfly,fishfly, dobsonfly larvae)
❑ ❑Midges/mosquito larvae
❑ ❑Mosquito fish(Gambusia)or mud minnows(Umbra pygmaea)
❑ ❑Mussels/Clams(not Corbicula)
❑ ❑Other fish
❑ ®Salamanders/tad poles
❑ ❑Snails
❑ ❑Stonefly larvae(P)
❑ ❑Tipulid larvae
❑ ❑Worms/leeches
13. Streamside Area Ground Surface Condition—streamside area metric(skip for Tidal Marsh Streams and B valley types)
Consider for the Left Bank(LB)and the Right Bank(RB). Consider storage capacity with regard to both overbank flow and upland runoff.
LB RB
❑A ❑A Little or no alteration to water storage capacity over a majority of the streamside area
❑B ❑B Moderate alteration to water storage capacity over a majority of the streamside area
®C ®C Severe alteration to water storage capacity over a majority of the streamside area(examples: ditches,fill,soil compaction,
livestock disturbance, buildings, man-made levees,drainage pipes)
14. Streamside Area Water Storage—streamside area metric(skip for Size 1 streams,Tidal Marsh Streams,and B valley types)
Consider for the Left Bank(LB)and the Right Bank(RB)of the streamside area.
LB RB
❑A ❑A Majority of streamside area with depressions able to pond water>6 inches deep
❑B ❑B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
❑C ❑C Majority of streamside area with depressions able to pond water<3 inches deep
15. Wetland Presence—streamside area metric(skip for Tidal Marsh Streams)
Consider for the Left Bank(LB)and the Right Bank(RB). Do not consider wetlands outside of the streamside area or within the normal
wetted perimeter of assessment reach.
LB RB
❑Y ❑Y Are wetlands present in the streamside area?
CAN ®N
16. Baseflow Contributors—assessment reach metric(skip for Size 4 streams and Tidal Marsh Streams)
Check all contributors within the assessment reach or within view of and draining to the assessment reach.
®A Streams and/or springs(jurisdictional discharges)
❑B Ponds(include wet detention basins;do not include sediment basins or dry detention basins)
❑C Obstruction passing flow during low-flow periods within the assessment area(beaver dam, leaky dam, bottom-release dam,weir)
®D Evidence of bank seepage or sweating(iron in water indicates seepage)
®E Stream bed or bank soil reduced (dig through deposited sediment if present)
❑F None of the above
17. Baseflow Detractors—assessment area metric(skip for Tidal Marsh Streams)
Check all that apply.
❑A Evidence of substantial water withdrawals from the assessment reach(includes areas excavated for pump installation)
❑B Obstruction not passing flow during low-flow periods affecting the assessment reach (ex:watertight dam,sediment deposit)
❑C Urban stream(>_24%impervious surface for watershed)
®D Evidence that the streamside area has been modified resulting in accelerated drainage into the assessment reach
❑E Assessment reach relocated to valley edge
❑F None of the above
18. Shading—assessment reach metric(skip for Tidal Marsh Streams)
Consider aspect. Consider"leaf-on"condition.
❑A Stream shading is appropriate for stream category(may include gaps associated with natural processes)
®B Degraded (example: scattered trees)
❑C Stream shading is gone or largely absent

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

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

NC SAM FIELD ASSESSMENT RESULTS
Accompanies User Manual Version 2.1
USACE AID#: NCDWR#:
INSTRUCTIONS: Attach a sketch of the assessment area and photographs. Attach a copy of the USGS 7.5-minute topographic quadrangle,
and circle the location of the stream reach under evaluation. If multiple stream reaches will be evaluated on the same property, identify and
number all reaches on the attached map,and include a separate form for each reach. See the NC SAM User Manual for detailed descriptions
and explanations of requested information. Record in the "Notes/Sketch"section if supplementary measurements were performed. See the
NC SAM User Manual for examples of additional measurements that may be relevant.
NOTE EVIDENCE OF STRESSORS AFFECTING THE ASSESSMENT AREA(do not need to be within the assessment area).
PROJECT/SITE INFORMATION:
R-3430 Connelly Springs Rd
1. Project name(if any): Improvements 2. Date of evaluation: 04/23/2019
3.Applicant/owner name: NCDOT 4.Assessor name/organization: Nathan Howell
5. County: Caldwell 6. Nearest named water body
7. River basin: Catawba on USGS 7.5-minute quad: Little Gunpowder Creek
8. Site coordinates(decimal degrees, at lower end of assessment reach): 35.806751,-81.533345
STREAM INFORMATION: (depth and width can be approximations)
9. Site number(show on attached map): Stream SE 10. Length of assessment reach evaluated(feet): 200
11. Channel depth from bed(in riffle, if present)to top of bank(feet): 3 ❑Unable to assess channel depth.
12. Channel width at top of bank(feet): 4-5 13. Is assessment reach a swamp steam? ❑Yes ❑No
14. Feature type: ❑Perennial flow ®Intermittent flow ❑Tidal Marsh Stream
STREAM CATEGORY INFORMATION:
15. NC SAM Zone: ❑ Mountains(M) ® Piedmont(P) ❑ Inner Coastal Plain (I) ❑ Outer Coastal Plain (0)
16. Estimated geomorphic ®A ❑B
valley shape(skip for
Tidal Marsh Stream): (more sinuous stream,flatter valley slope) (less sinuous stream,steeper valley slope)
17.Watershed size: (skip ®Size 1 (<0.1 mi2) ❑Size 2(0.1 to<0.5 mil) ❑Size 3(0.5 to<5 mil) ❑Size 4(>-5 mi2)
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
18.Were regulatory considerations evaluated? ®Yes ❑No If Yes, check all that apply to the assessment area.
❑Section 10 water ❑Classified Trout Waters ❑Water Supply Watershed (❑I ❑II ❑III ❑IV ❑V)
❑Essential Fish Habitat ❑Primary Nursery Area ❑ High Quality Waters/Outstanding Resource Waters
❑Publicly owned property ❑NCDWR Riparian buffer rule in effect ❑Nutrient Sensitive Waters
❑Anadromous fish ❑303(d)List ❑CAMA Area of Environmental Concern(AEC)
❑Documented presence of a federal and/or state listed protected species within the assessment area.
List species:
❑Designated Critical Habitat(list species)
19.Are additional stream information/supplementary information/supplementary measurements included in"Notes/Sketch"section or attached? ®Yes ❑No
1. Channel Water-assessment reach metric(skip for Size 1 streams and Tidal Marsh Streams)
®A Water throughout assessment reach.
❑B No flow,water in pools only.
❑C No water in assessment reach.
2. Evidence of Flow Restriction-assessment reach metric
❑A At least 10% of assessment reach in-stream habitat or riffle-pool sequence is severely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impoundment on flood or ebb within
the assessment reach(examples: undersized or perched culverts,causeways that constrict the channel,tidal gates,debris jams,
beaver dams).
®B Not A
3. Feature Pattern-assessment reach metric
®A A majority of the assessment reach has altered pattern (examples:straightening, modification above or below culvert).
❑B Not A
4. Feature Longitudinal Profile-assessment reach metric
®A Majority of assessment reach has a substantially altered stream profile(examples: channel down-cutting, existing damming, over
widening, active aggradation, dredging, and excavation where appropriate channel profile has not reformed from any of these
disturbances).
❑B Not A
5. Signs of Active Instability-assessment reach metric
Consider only current instability, not past events from which the stream has currently recovered. Examples of instability include
active bank failure, active channel down-cutting(head-cut), active widening,and artificial hardening(such as concrete,gabion, rip-rap).
®A < 10%of channel unstable
❑B 10 to 25%of channel unstable
❑C >25%of channel unstable

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

12. Aquatic Life—assessment reach metric(skip for Tidal Marsh Streams)
12a. ®Yes ❑No Was an in-stream aquatic life assessment performed as described in the User Manual?
If No,select one of the following reasons and skip to Metric 13. ❑No Water ❑Other:
12b. ❑Yes ®No Are aquatic organisms present in the assessment reach (look in riffles, pools, then snags)? If Yes, check all that
apply. If No, skip to Metric 13.
1 >1 Numbers over columns refer to"individuals"for Size 1 and 2 streams and"taxa"for Size 3 and 4 streams.
❑ ❑Adult frogs
❑ ❑Aquatic reptiles
❑ ❑Aquatic macrophytes and aquatic mosses(include liverworts, lichens, and algal mats)
❑ ❑Beetles
❑ ❑Caddisfly larvae(T)
❑ ❑Asian clam (Corbicula)
❑ ❑Crustacean(isopod/amphipod/crayfish/shrimp)
❑ ❑Damselfly and dragonfly larvae
❑ ❑Dipterans
❑ ❑Mayfly larvae(E)
❑ ❑Megaloptera(alderfly,fishfly, dobsonfly larvae)
❑ ❑Midges/mosquito larvae
❑ ❑Mosquito fish(Gambusia)or mud minnows(Umbra pygmaea)
❑ ❑Mussels/Clams(not Corbicula)
❑ ❑Other fish
❑ ❑Salamanders/tad poles
❑ ❑Snails
❑ ❑Stonefly larvae(P)
❑ ❑Tipulid larvae
❑ ❑Worms/leeches
13. Streamside Area Ground Surface Condition—streamside area metric(skip for Tidal Marsh Streams and B valley types)
Consider for the Left Bank(LB)and the Right Bank(RB). Consider storage capacity with regard to both overbank flow and upland runoff.
LB RB
❑A ❑A Little or no alteration to water storage capacity over a majority of the streamside area
®B ®B Moderate alteration to water storage capacity over a majority of the streamside area
❑C ❑C Severe alteration to water storage capacity over a majority of the streamside area(examples: ditches,fill,soil compaction,
livestock disturbance, buildings, man-made levees,drainage pipes)
14. Streamside Area Water Storage—streamside area metric(skip for Size 1 streams,Tidal Marsh Streams,and B valley types)
Consider for the Left Bank(LB)and the Right Bank(RB)of the streamside area.
LB RB
❑A ❑A Majority of streamside area with depressions able to pond water>6 inches deep
❑B ❑B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
®C ®C Majority of streamside area with depressions able to pond water<3 inches deep
15. Wetland Presence—streamside area metric(skip for Tidal Marsh Streams)
Consider for the Left Bank(LB)and the Right Bank(RB). Do not consider wetlands outside of the streamside area or within the normal
wetted perimeter of assessment reach.
LB RB
❑Y ❑Y Are wetlands present in the streamside area?
CAN ®N
16. Baseflow Contributors—assessment reach metric(skip for Size 4 streams and Tidal Marsh Streams)
Check all contributors within the assessment reach or within view of and draining to the assessment reach.
®A Streams and/or springs(jurisdictional discharges)
❑B Ponds(include wet detention basins;do not include sediment basins or dry detention basins)
❑C Obstruction passing flow during low-flow periods within the assessment area(beaver dam, leaky dam, bottom-release dam,weir)
❑D Evidence of bank seepage or sweating(iron in water indicates seepage)
®E Stream bed or bank soil reduced (dig through deposited sediment if present)
❑F None of the above
17. Baseflow Detractors—assessment area metric(skip for Tidal Marsh Streams)
Check all that apply.
❑A Evidence of substantial water withdrawals from the assessment reach(includes areas excavated for pump installation)
❑B Obstruction not passing flow during low-flow periods affecting the assessment reach (ex:watertight dam,sediment deposit)
❑C Urban stream(>_24%impervious surface for watershed)
®D Evidence that the streamside area has been modified resulting in accelerated drainage into the assessment reach
❑E Assessment reach relocated to valley edge
❑F None of the above
18. Shading—assessment reach metric(skip for Tidal Marsh Streams)
Consider aspect. Consider"leaf-on"condition.
❑A Stream shading is appropriate for stream category(may include gaps associated with natural processes)
❑B Degraded (example: scattered trees)
®C Stream shading is gone or largely absent

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

Draft NC SAM Stream Rating Sheet Stream SE
Accompanies User Manual Version 2.1
Stream Site Name R-3430 Connelly Springs Rd Date of Assessment 04/23/2019
Improvements
Stream Category Pal Assessor Name/Organization Nathan Howell
Notes of Field Assessment Form (Y/N) YES
Presence of regulatory considerations(Y/N) NO
Additional stream information/supplementary measurements included (Y/N) YES
NC SAM feature type(perennial, intermittent, Tidal Marsh Stream) Intermittent
USACE/ NCDWR
Function Class Rating Summary All Streams Intermittent
(1) Hydrology LOW LOW
(2)Baseflow MEDIUM MEDIUM
(2) Flood Flow LOW LOW
(3)Streamside Area Attenuation LOW LOW
(4) Floodplain Access MEDIUM MEDIUM
(4)Wooded Riparian Buffer LOW LOW
(4)Microtopography MEDIUM MEDIUM
(3)Stream Stability LOW LOW
(4)Channel Stability HIGH HIGH
(4)Sediment Transport LOW LOW
(4)Stream Geomorphology LOW LOW
(2)Stream/Intertidal Zone Interaction NA NA
(2)Longitudinal Tidal Flow NA NA
(2)Tidal Marsh Stream Stability NA NA
(3)Tidal Marsh Channel Stability NA NA
(3)Tidal Marsh Stream Geomorphology NA NA
(1)Water Quality MEDIUM MEDIUM
(2)Baseflow MEDIUM MEDIUM
(2)Streamside Area Vegetation LOW LOW
(3)Upland Pollutant Filtration LOW LOW
(3)Thermoregulation LOW LOW
(2) Indicators of Stressors NO NO
(2)Aquatic Life Tolerance HIGH NA
(2) Intertidal Zone Filtration NA NA
(1) Habitat LOW LOW
(2) In-stream Habitat LOW LOW
(3)Baseflow MEDIUM MEDIUM
(3)Substrate LOW LOW
(3)Stream Stability MEDIUM MEDIUM
(3) In-stream Habitat LOW LOW
(2)Stream-side Habitat LOW LOW
(3)Stream-side Habitat LOW LOW
(3)Thermoregulation LOW LOW
(2)Tidal Marsh In-stream Habitat NA NA
(3)Flow Restriction NA NA
(3)Tidal Marsh Stream Stability NA NA
(4)Tidal Marsh Channel Stability NA NA
(4)Tidal Marsh Stream Geomorphology NA NA
(3)Tidal Marsh In-stream Habitat NA NA
(2) Intertidal Zone NA NA
Overall LOW LOW

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

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

12. Aquatic Life—assessment reach metric(skip for Tidal Marsh Streams)
12a. ®Yes ❑No Was an in-stream aquatic life assessment performed as described in the User Manual?
If No,select one of the following reasons and skip to Metric 13. ❑No Water ❑Other:
12b. ®Yes ❑No Are aquatic organisms present in the assessment reach (look in riffles, pools, then snags)? If Yes, check all that
apply. If No, skip to Metric 13.
1 >1 Numbers over columns refer to"individuals"for Size 1 and 2 streams and"taxa"for Size 3 and 4 streams.
❑ ®Adult frogs
❑ ❑Aquatic reptiles
❑ ❑Aquatic macrophytes and aquatic mosses(include liverworts, lichens, and algal mats)
❑ ❑Beetles
❑ ❑Caddisfly larvae(T)
❑ ❑Asian clam (Corbicula)
❑ ❑Crustacean(isopod/amphipod/crayfish/shrimp)
❑ ❑Damselfly and dragonfly larvae
❑ ❑Dipterans
❑ ❑Mayfly larvae(E)
❑ ❑Megaloptera(alderfly,fishfly, dobsonfly larvae)
❑ ❑Midges/mosquito larvae
❑ ❑Mosquito fish(Gambusia)or mud minnows(Umbra pygmaea)
❑ ❑Mussels/Clams(not Corbicula)
❑ ❑Other fish
❑ ®Salamanders/tad poles
❑ ❑Snails
❑ ❑Stonefly larvae(P)
❑ ❑Tipulid larvae
❑ ®Worms/leeches
13. Streamside Area Ground Surface Condition—streamside area metric(skip for Tidal Marsh Streams and B valley types)
Consider for the Left Bank(LB)and the Right Bank(RB). Consider storage capacity with regard to both overbank flow and upland runoff.
LB RB
❑A ❑A Little or no alteration to water storage capacity over a majority of the streamside area
❑B ❑B Moderate alteration to water storage capacity over a majority of the streamside area
®C ®C Severe alteration to water storage capacity over a majority of the streamside area(examples: ditches,fill,soil compaction,
livestock disturbance, buildings, man-made levees,drainage pipes)
14. Streamside Area Water Storage—streamside area metric(skip for Size 1 streams,Tidal Marsh Streams,and B valley types)
Consider for the Left Bank(LB)and the Right Bank(RB)of the streamside area.
LB RB
❑A ❑A Majority of streamside area with depressions able to pond water>6 inches deep
❑B ❑B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
❑C ❑C Majority of streamside area with depressions able to pond water<3 inches deep
15. Wetland Presence—streamside area metric(skip for Tidal Marsh Streams)
Consider for the Left Bank(LB)and the Right Bank(RB). Do not consider wetlands outside of the streamside area or within the normal
wetted perimeter of assessment reach.
LB RB
❑Y ❑Y Are wetlands present in the streamside area?
CAN ®N
16. Baseflow Contributors—assessment reach metric(skip for Size 4 streams and Tidal Marsh Streams)
Check all contributors within the assessment reach or within view of and draining to the assessment reach.
®A Streams and/or springs(jurisdictional discharges)
❑B Ponds(include wet detention basins;do not include sediment basins or dry detention basins)
❑C Obstruction passing flow during low-flow periods within the assessment area(beaver dam, leaky dam, bottom-release dam,weir)
❑D Evidence of bank seepage or sweating(iron in water indicates seepage)
®E Stream bed or bank soil reduced (dig through deposited sediment if present)
❑F None of the above
17. Baseflow Detractors—assessment area metric(skip for Tidal Marsh Streams)
Check all that apply.
❑A Evidence of substantial water withdrawals from the assessment reach(includes areas excavated for pump installation)
❑B Obstruction not passing flow during low-flow periods affecting the assessment reach (ex:watertight dam,sediment deposit)
❑C Urban stream(>_24%impervious surface for watershed)
®D Evidence that the streamside area has been modified resulting in accelerated drainage into the assessment reach
❑E Assessment reach relocated to valley edge
❑F None of the above
18. Shading—assessment reach metric(skip for Tidal Marsh Streams)
Consider aspect. Consider"leaf-on"condition.
❑A Stream shading is appropriate for stream category(may include gaps associated with natural processes)
❑B Degraded (example: scattered trees)
®C Stream shading is gone or largely absent

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

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

WETLAND DETERMINATION DATA SHEET— Eastern Mountains and Piedmont Region
Project/Site: R-3430 Improvements to Connelly Springs Road City/County: Caldwell Sampling Date: 6/20/2018
Applicant/Owner: NCDOT State: NC Sampling Point: WA-3 Wet
Investigator(s): Nathan Howell&Cody Parks Section,Township, Range: Cajah's Mountain
Landform(hillside,terrace,etc.): Floodplain Local relief(concave,convex, none): Flat Slope(%): 0
Subregion(LRR or MLRA): LRR P, MLRA 136 Lat: 35.782585 Long:-81.528431 Datum: NAD 83
Soil Map Unit Name: Hibriten-Woolwine complex, 15-50%slopes NWI classification: None
Are climatic/hydrologic conditions on the site typical for this time of year? Yes X No (If no,explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are"Normal Circumstances"present? Yes X No
Are Vegetation Soil or Hydrology naturally problematic? (If needed,explain any answers in Remarks.)
SUMMARY OF FINDINGS—Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes X No Is the Sampled Area
Hydric Soil Present? Yes X No within a Wetland? Yes X No
Wetland Hydrology Present? Yes X No
Remarks: NCWAM: Nontidal Freshwater Marsh
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators(minimum of two required)
Primary Indicators(minimum of one is required;check all that apply) _Surface Soil Cracks(136)
X Surface Water(Al) _True Aquatic Plants(B14) _Sparsely Vegetated Concave Surface(B8)
X High Water Table(A2) —Hydrogen Sulfide Odor(Cl) X Drainage Patterns(B10)
X Saturation(A3) _Oxidized Rhizospheres on Living Roots(C3) _Moss Trim Lines(B16)
—Water Marks(B1) —Presence of Reduced Iron(C4) _Dry-Season Water Table(C2)
X Sediment Deposits(132) _Recent Iron Reduction in Tilled Soils(C6) _Crayfish Burrows(C8)
X Drift Deposits(133) _Thin Muck Surface(C7) X Saturation Visible on Aerial Imagery(C9)
_Algal Mat or Crust(B4) —Other(Explain in Remarks) —Stunted or Stressed Plants(D1)
_Iron Deposits(135) X Geomorphic Position(D2)
_Inundation Visible on Aerial Imagery(137) —Shallow Aquitard(D3)
—Water-Stained Leaves(69) _Microtopographic Relief(D4)
Aquatic Fauna(B13) X FAC-Neutral Test(D5)
Field Observations:
Surface Water Present? Yes X No Depth(inches): 1
Water Table Present? Yes X No Depth(inches): 0
Saturation Present? Yes X No Depth(inches): 0 Wetland Hydrology Present? Yes X No
includes capillary fringe)
Describe Recorded Data(stream gauge, monitoring well,aerial photos,previous inspections), if available:
Remarks:
Army Uorps ot Engineers Eastern Mountains and Fliedmont—Version .0

VEGETATION (Four Strata) - Use scientific names of plants. Sampling Point: WA-3 Wet
Absolute Dominant Indicator
Tree Stratum (Plot size: 30'radius ) %Cover Species? Status Dominance Test worksheet:
1. Absent Number of Dominant Species
2. That Are OBL, FACW,or FAC: 4 (A)
3. Total Number of Dominant
4. Species Across All Strata: 4 (B)
5. Percent of Dominant Species
6. That Are OBL, FACW,or FAC: 100.0% (A/B
7. Prevalence Index worksheet:
=Total Cover Total%Cover of: Multiply by:
50%of total cover: 20%of total cover: OBL species 40 x 1 = 40
Saplinq/Shrub Stratum (Plot size: 15'radius ) FACW species 60 x 2= 120
1. Cephalanthus occidentalis 40 Yes OBL FAC species 0 x 3= 0
2. Platanus occidentalis 20 Yes FACW FACU species 0 x 4= 0
3. UPL species 0 x 5= 0
4. Column Totals: 100 (A) 160 (E
5. Prevalence Index =B/A= 1.60
6. Hydrophytic Vegetation Indicators:
7. _1 -Rapid Test for Hydrophytic Vegetation
8. X 2-Dominance Test is>50%
9. X 3-Prevalence Index is:53.0'
60 =Total Cover 4-Morphological Adaptations'(Provide supportin
50%of total cover: 30 20%of total cover: 12 data in Remarks or on a separate sheet)
Herb Stratum (Plot size: 5'radius ) _Problematic Hydrophytic Vegetation' (Explain)
1. Juncus effusus 20 Yes FACW 'Indicators of hydric soil and wetland hydrology must I
2. Boehmeria cylindrica 20 Yes FACW present,unless disturbed or problematic.
3. Sagittaria sp. Definitions of Four Vegetation Strata:
4• Tree-Woody plants,excluding vines,3 in.(7.6 cm)c
5. more in diameter at breast height(DBH), regardless o
6 height.
7• Sapling/Shrub-Woody plants,excluding vines, less
8. than 3 in. DBH and greater than or equal to 3.28 ft
9 m)tall.
10. Herb-All herbaceous(non-woody)plants, regardless
11. of size,and woody plants less than 3.28 ft tall.
40 =Total Cover Woody Vine-All woody vines greater than 3.28 ft in
50%of total cover: 20 20%of total cover: 8 height.
Woody Vine Stratum (Plot size: 30'radius )
1. Absent
2.
3.
4.
5.
Hydrophytic
=Total Cover Vegetation
50%of total cover: 20%of total cover: Present? Yes X No
Remarks: (Include photo numbers here or on a separate sheet.)
-Vei sim 1 2:0

SOIL Sampling Point: WA-3 Wet
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color(moist) % Color(moist) % Type' Loc2 Texture Remarks
0-5 10YR 4/3 100 Sandy Sandy overwash
5-12 10YR 4/2 90 10YR 4/6 10 C M Loamy/Clayey Sand/Organic inclusions
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains. 2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators. Indicators for Problematic Hydric Soils3:
_Histosol(A1) _Polyvalue Below Surface(S8)(MLRA 147,148) _2 cm Muck(A10)(MLRA 147)
_Histic Epipedon(A2) _Thin Dark Surface(S9)(MLRA 147, 148) —Coast Prairie Redox(A16)
—Black Histic(A3) —Loamy Mucky Mineral(F1)(MLRA 136) (MLRA 147, 148)
—Hydrogen Sulfide(A4) —Loamy Gleyed Matrix(F2) —Piedmont Floodplain Soils(F19)
—Stratified Layers(A5) X Depleted Matrix(F3) (MLRA 136, 147)
_2 cm Muck(A10)(LRR N) _Redox Dark Surface(F6) —Red Parent Material(F21)
_Depleted Below Dark Surface(A11) _Depleted Dark Surface(F7) (outside MLRA 127,147, 148)
_Thick Dark Surface(Al2) _Redox Depressions(F8) —Very Shallow Dark Surface(F22)
_Sandy Mucky Mineral(S1) _Iron-Manganese Masses(F12)(LRR N, _Other(Explain in Remarks)
—Sandy Gleyed Matrix(S4) MLRA 136)
—Sandy Redox(S5) _Umbric Surface(F13)(MLRA 122, 136) 3Indicators of hydrophytic vegetation and
—Stripped Matrix(S6) _Piedmont Floodplain Soils(F19)(MLRA 148) wetland hydrology must be present,
Dark Surface(S7) Red Parent Material(F21)(MLRA 127, 147, 148) unless disturbed or problematic.
Restrictive Layer(if observed):
Type:
Depth(inches): Hydric Soil Present? Yes X No
Remarks:
Soils within this delta-like wetland are disturbed due to heavy sediment input from stream SA. Soils are a mix of sand, loam,and organics.
US Army Corps of Engineers Eastern Mountains and Piedmont—Version 2.0

WETLAND DETERMINATION DATA SHEET— Eastern Mountains and Piedmont Region
Project/Site: R-3430 Improvements to Connelly Springs Road City/County: Caldwell Sampling Date: 6/20/2018
Applicant/Owner: NCDOT State: NC Sampling Point: WA-3 Upl
Investigator(s): Nathan Howell&Cody Parks Section,Township, Range: Cajah's Mountain
Landform(hillside,terrace,etc.): Hillslope Local relief(concave,convex, none): Convex Slope(%): 35
Subregion(LRR or MLRA): LRR P, MLRA 136 Lat: 35.782743 Long:-81.528412 Datum: NAD 83
Soil Map Unit Name: Hibriten-Woolwine complex, 15-50%slopes NWI classification: None
Are climatic/hydrologic conditions on the site typical for this time of year? Yes X No (If no,explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are"Normal Circumstances"present? Yes X No
Are Vegetation Soil or Hydrology naturally problematic? (If needed,explain any answers in Remarks.)
SUMMARY OF FINDINGS—Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No X Is the Sampled Area
Hydric Soil Present? Yes No X within a Wetland? Yes No X
Wetland Hydrology Present? Yes No X
Remarks:
The upland plots for Wetlands WB-WH all possess similar edaphic,floristic,and hydrologic characteristics. Therefore,they are included under this
form.
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators(minimum of two required)
Primary Indicators(minimum of one is required;check all that apply) _Surface Soil Cracks(136)
_Surface Water(Al) _True Aquatic Plants(B14) _Sparsely Vegetated Concave Surface(B8)
_High Water Table(A2) —Hydrogen Sulfide Odor(Cl) —Drainage Patterns(B10)
_Saturation(A3) _Oxidized Rhizospheres on Living Roots(C3) _Moss Trim Lines(B16)
—Water Marks(B1) —Presence of Reduced Iron(C4) _Dry-Season Water Table(C2)
_Sediment Deposits(132) _Recent Iron Reduction in Tilled Soils(C6) _Crayfish Burrows(C8)
_Drift Deposits(133) _Thin Muck Surface(C7) _Saturation Visible on Aerial Imagery(C9)
_Algal Mat or Crust(B4) _Other(Explain in Remarks) _Stunted or Stressed Plants(D1)
_Iron Deposits(135) —Geomorphic Position(D2)
_Inundation Visible on Aerial Imagery(137) —Shallow Aquitard(D3)
—Water-Stained Leaves(69) _Microtopographic Relief(D4)
Aquatic Fauna(B13) FAC-Neutral Test(D5)
Field Observations:
Surface Water Present? Yes No X Depth(inches): 0
Water Table Present? Yes No X Depth(inches): 0
Saturation Present? Yes No X Depth(inches): 0 Wetland Hydrology Present? Yes No X
includes capillary fringe)
Describe Recorded Data(stream gauge, monitoring well,aerial photos,previous inspections), if available:
Remarks:
Army Uorps ot Engineers Eastern Mountains and Fliedmont—Version .0

VEGETATION (Four Strata) - Use scientific names of plants. Sampling Point: WA-3 Upl
Absolute Dominant Indicator
Tree Stratum (Plot size: 30'radius ) %Cover Species? Status Dominance Test worksheet:
1. Pinus echinata 40 Yes UPL Number of Dominant Species
2. Pinus strobus 30 Yes FACU That Are OBL, FACW,or FAC: 1 (A)
3. Total Number of Dominant
4. Species Across All Strata: 7 (B)
5. Percent of Dominant Species
6. That Are OBL, FACW,or FAC: 14.3% (A/B
7. Prevalence Index worksheet:
70 =Total Cover Total%Cover of: Multiply by:
50%of total cover: 35 20%of total cover: 14 OBL species 0 x 1 = 0
Saplinq/Shrub Stratum (Plot size: 15'radius ) FACW species 0 x 2= 0
1. Carya tomentosa 40 Yes UPL FAC species 10 x 3= 30
2. Quercus falcata 30 Yes FACU FACU species 70 x 4= 280
3. UPL species 100 x 5= 500
4. Column Totals: 180 (A) 810 (E
5. Prevalence Index =B/A= 4.50
6. Hydrophytic Vegetation Indicators:
7. _1 -Rapid Test for Hydrophytic Vegetation
8. 2-Dominance Test is>50%
9. _3-Prevalence Index is:53.0'
70 =Total Cover 4-Morphological Adaptations'(Provide supportin
50%of total cover: 35 20%of total cover: 14 data in Remarks or on a separate sheet)
Herb Stratum (Plot size: 5'radius ) _Problematic Hydrophytic Vegetation' (Explain)
1. Coreopsis major 20 Yes UPL 'Indicators of hydric soil and wetland hydrology must I
2. present,unless disturbed or problematic.
3. Definitions of Four Vegetation Strata:
4• Tree-Woody plants,excluding vines,3 in.(7.6 cm)c
5. more in diameter at breast height(DBH), regardless o
6 height.
7• Sapling/Shrub-Woody plants,excluding vines, less
8. than 3 in. DBH and greater than or equal to 3.28 ft
9 m)tall.
10. Herb-All herbaceous(non-woody)plants, regardless
11. of size,and woody plants less than 3.28 ft tall.
20 =Total Cover Woody Vine-All woody vines greater than 3.28 ft in
50%of total cover: 10 20%of total cover: 4 height.
Woody Vine Stratum (Plot size: 30'radius )
1. Smilax glauca 10 Yes FACU
2. Vitis rotundifolia 10 Yes FAC
3.
4.
5.
Hydrophytic
20 =Total Cover Vegetation
50%of total cover: 10 20%of total cover: 4 Present? Yes No X
Remarks: (Include photo numbers here or on a separate sheet.)
-Vei sim 1 2:0

SOIL Sampling Point: WA-3 Upl
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color(moist) % Color(moist) % Type' Loc2 Texture Remarks
0-4 10YR 4/4 100 Loamy/Clayey
4-12 Rock
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains. 2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators. Indicators for Problematic Hydric Soils3:
_Histosol(A1) _Polyvalue Below Surface(S8)(MLRA 147,148) _2 cm Muck(A10)(MLRA 147)
_Histic Epipedon(A2) _Thin Dark Surface(S9)(MLRA 147, 148) —Coast Prairie Redox(A16)
—Black Histic(A3) —Loamy Mucky Mineral(F1)(MLRA 136) (MLRA 147, 148)
—Hydrogen Sulfide(A4) —Loamy Gleyed Matrix(F2) —Piedmont Floodplain Soils(F19)
—Stratified Layers(A5) _Depleted Matrix(F3) (MLRA 136, 147)
_2 cm Muck(A10)(LRR N) _Redox Dark Surface(F6) —Red Parent Material(F21)
_Depleted Below Dark Surface(A11) _Depleted Dark Surface(F7) (outside MLRA 127,147, 148)
_Thick Dark Surface(Al2) _Redox Depressions(F8) —Very Shallow Dark Surface(F22)
_Sandy Mucky Mineral(S1) _Iron-Manganese Masses(F12)(LRR N, _Other(Explain in Remarks)
—Sandy Gleyed Matrix(S4) MLRA 136)
—Sandy Redox(S5) _Umbric Surface(F13)(MLRA 122, 136) 3Indicators of hydrophytic vegetation and
—Stripped Matrix(S6) _Piedmont Floodplain Soils(F19)(MLRA 148) wetland hydrology must be present,
Dark Surface(S7) Red Parent Material(F21)(MLRA 127, 147, 148) unless disturbed or problematic.
Restrictive Layer(if observed):
Type:
Depth(inches): Hydric Soil Present? Yes No X
Remarks:
This data sheet is revised from Eastern Mountains and Piedmont Regional Supplement Version 2.0 to include the NRCS Field Indicators of Hydric
Soils,Version 8.0,2016.
US Army Corps of Engineers Eastern Mountains and Piedmont—Version 2.0

WETLAND DETERMINATION DATA SHEET— Eastern Mountains and Piedmont Region
Project/Site: R-3430 Improvements to Connelly Springs Road City/County: Caldwell Sampling Date: 6/20/2018
Applicant/Owner: NCDOT State: NC Sampling Point: WC-6 Wet
Investigator(s): Nathan Howell&Cody Parks Section,Township, Range: Cajah's Mountain
Landform(hillside,terrace,etc.): Hillside Local relief(concave,convex, none): Convex Slope(%): 15
Subregion(LRR or MLRA): LRR P, MLRA 136 Lat: 35.784756 Long:-81.529587 Datum: NAD 83
Soil Map Unit Name: Hibriten-Woolwine complex, 15-50%slopes NWI classification: None
Are climatic/hydrologic conditions on the site typical for this time of year? Yes X No (If no,explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are"Normal Circumstances"present? Yes X No
Are Vegetation Soil or Hydrology naturally problematic? (If needed,explain any answers in Remarks.)
SUMMARY OF FINDINGS—Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes X No Is the Sampled Area
Hydric Soil Present? Yes X No within a Wetland? Yes X No
Wetland Hydrology Present? Yes X No
Remarks:
NCWAM:Headwater Forest. Wetlands WB and WD possess similar edaphic,floristic,and hydrologic properties. Therefore,they are included under
this form.
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators(minimum of two required)
Primary Indicators(minimum of one is required;check all that apply) _Surface Soil Cracks(136)
X Surface Water(Al) _True Aquatic Plants(B14) _Sparsely Vegetated Concave Surface(B8)
X High Water Table(A2) —Hydrogen Sulfide Odor(Cl) —Drainage Patterns(B10)
X Saturation(A3) _Oxidized Rhizospheres on Living Roots(C3) _Moss Trim Lines(B16)
—Water Marks(B1) —Presence of Reduced Iron(C4) _Dry-Season Water Table(C2)
_Sediment Deposits(132) _Recent Iron Reduction in Tilled Soils(C6) X Crayfish Burrows(C8)
_Drift Deposits(133) _Thin Muck Surface(C7) _Saturation Visible on Aerial Imagery(C9)
_Algal Mat or Crust(B4) —Other(Explain in Remarks) —Stunted or Stressed Plants(D1)
_Iron Deposits(135) X Geomorphic Position(D2)
_Inundation Visible on Aerial Imagery(137) —Shallow Aquitard(D3)
X Water-Stained Leaves(69) _Microtopographic Relief(D4)
Aquatic Fauna(B13) X FAC-Neutral Test(D5)
Field Observations:
Surface Water Present? Yes X No Depth(inches): 1
Water Table Present? Yes X No Depth(inches): 0
Saturation Present? Yes X No Depth(inches): 0 Wetland Hydrology Present? Yes X No
includes capillary fringe)
Describe Recorded Data(stream gauge, monitoring well,aerial photos,previous inspections), if available:
Remarks:
Army Uorps ot Engineers Eastern Mountains and Fliedmont—Version .0

VEGETATION (Four Strata) - Use scientific names of plants. Sampling Point: WC-6 Wet
Absolute Dominant Indicator
Tree Stratum (Plot size: 30'x6' ) %Cover Species? Status Dominance Test worksheet:
1. Absent Number of Dominant Species
2. That Are OBL, FACW,or FAC: 1 (A)
3. Total Number of Dominant
4. Species Across All Strata: 1 (B)
5. Percent of Dominant Species
6. That Are OBL, FACW,or FAC: 100.0% (A/B
7. Prevalence Index worksheet:
=Total Cover Total%Cover of: Multiply by:
50%of total cover: 20%of total cover: OBL species 10 x 1 = 10
Saplinq/Shrub Stratum (Plot size: 30'x6' ) FACW species 0 x 2= 0
1. Viburnum nudum 10 Yes OBL FAC species 0 x 3= 0
2. FACU species 0 x 4= 0
3. UPL species 0 x 5= 0
4. Column Totals: 10 (A) 10 (E
5. Prevalence Index =B/A= 1.00
6. Hydrophytic Vegetation Indicators:
7. _1 -Rapid Test for Hydrophytic Vegetation
8. X 2-Dominance Test is>50%
9. X 3-Prevalence Index is:53.0'
10 =Total Cover 4-Morphological Adaptations'(Provide supportin
50%of total cover: 5 20%of total cover: 2 data in Remarks or on a separate sheet)
Herb Stratum (Plot size: 30'x6' ) _Problematic Hydrophytic Vegetation' (Explain)
1. Absent 'Indicators of hydric soil and wetland hydrology must I
2. present,unless disturbed or problematic.
3. Definitions of Four Vegetation Strata:
4• Tree-Woody plants,excluding vines,3 in.(7.6 cm)c
5. more in diameter at breast height(DBH), regardless o
6 height.
7• Sapling/Shrub-Woody plants,excluding vines, less
8. than 3 in. DBH and greater than or equal to 3.28 ft
9 m)tall.
10. Herb-All herbaceous(non-woody)plants, regardless
11. of size,and woody plants less than 3.28 ft tall.
=Total Cover Woody Vine-All woody vines greater than 3.28 ft in
50%of total cover: 20%of total cover: height.
Woody Vine Stratum (Plot size: 30'x6' )
1. Absent
2.
3.
4.
5.
Hydrophytic
=Total Cover Vegetation
50%of total cover: 20%of total cover: Present? Yes X No
Remarks: (Include photo numbers here or on a separate sheet.)
Plot size is indicative of wetland shape.
-Vei sim 1 2:0

SOIL Sampling Point: WC-6 Wet
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color(moist) % Color(moist) % Type' Loc2 Texture Remarks
0-8 10YR 3/2 90 7.5YR 4/6 10 C M Loamy/Clayey SL
8-12 Rock
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains. 2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators. Indicators for Problematic Hydric Soils3:
_Histosol(A1) _Polyvalue Below Surface(S8)(MLRA 147,148) _2 cm Muck(A10)(MLRA 147)
_Histic Epipedon(A2) _Thin Dark Surface(S9)(MLRA 147, 148) —Coast Prairie Redox(A16)
—Black Histic(A3) —Loamy Mucky Mineral(F1)(MLRA 136) (MLRA 147, 148)
—Hydrogen Sulfide(A4) —Loamy Gleyed Matrix(F2) —Piedmont Floodplain Soils(F19)
—Stratified Layers(A5) _Depleted Matrix(F3) (MLRA 136, 147)
_2 cm Muck(A10)(LRR N) X Redox Dark Surface(F6) —Red Parent Material(F21)
_Depleted Below Dark Surface(A11) _Depleted Dark Surface(F7) (outside MLRA 127,147, 148)
_Thick Dark Surface(Al2) _Redox Depressions(F8) —Very Shallow Dark Surface(F22)
_Sandy Mucky Mineral(S1) _Iron-Manganese Masses(F12)(LRR N, _Other(Explain in Remarks)
—Sandy Gleyed Matrix(S4) MLRA 136)
—Sandy Redox(S5) _Umbric Surface(F13)(MLRA 122, 136) 3Indicators of hydrophytic vegetation and
—Stripped Matrix(S6) _Piedmont Floodplain Soils(F19)(MLRA 148) wetland hydrology must be present,
Dark Surface(S7) Red Parent Material(F21)(MLRA 127, 147, 148) unless disturbed or problematic.
Restrictive Layer(if observed):
Type:
Depth(inches): Hydric Soil Present? Yes X No
Remarks:
Soils within this seepage-fed wetland are sandy loams.
US Army Corps of Engineers Eastern Mountains and Piedmont—Version 2.0

WETLAND DETERMINATION DATA SHEET— Eastern Mountains and Piedmont Region
Project/Site: R-3430 Improvements to Connelly Springs Road City/County: Caldwell Sampling Date: 6/20/2018
Applicant/Owner: NCDOT State: NC Sampling Point: WE-3 Wet
Investigator(s): Nathan Howell&Cody Parks Section,Township, Range: Cajah's Mountain
Landform(hillside,terrace,etc.): Floodplain Local relief(concave,convex, none): Convex Slope(%): 5%
Subregion(LRR or MLRA): LRR P, MLRA 136 Lat: 35.785363 Long:-81.529589 Datum: NAD 83
Soil Map Unit Name: Hibriten-Wollwine Complex, 15-50%slopes NWI classification: None
Are climatic/hydrologic conditions on the site typical for this time of year? Yes X No (If no,explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are"Normal Circumstances"present? Yes X No
Are Vegetation Soil or Hydrology naturally problematic? (If needed,explain any answers in Remarks.)
SUMMARY OF FINDINGS—Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes X No Is the Sampled Area
Hydric Soil Present? Yes X No within a Wetland? Yes X No
Wetland Hydrology Present? Yes X No
Remarks:
NCWAM: Headwater Forest. Wetland WF possesses similar edaphic, hydrologic,and floristic properties. Therefore, it is included under this form.
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators(minimum of two required)
Primary Indicators(minimum of one is required;check all that apply) _Surface Soil Cracks(136)
X Surface Water(Al) _True Aquatic Plants(B14) _Sparsely Vegetated Concave Surface(B8)
X High Water Table(A2) —Hydrogen Sulfide Odor(Cl) X Drainage Patterns(B10)
X Saturation(A3) _Oxidized Rhizospheres on Living Roots(C3) _Moss Trim Lines(B16)
—Water Marks(B1) —Presence of Reduced Iron(C4) _Dry-Season Water Table(C2)
_Sediment Deposits(132) _Recent Iron Reduction in Tilled Soils(C6) X Crayfish Burrows(C8)
_Drift Deposits(133) _Thin Muck Surface(C7) _Saturation Visible on Aerial Imagery(C9)
_Algal Mat or Crust(B4) —Other(Explain in Remarks) —Stunted or Stressed Plants(D1)
_Iron Deposits(135) X Geomorphic Position(D2)
_Inundation Visible on Aerial Imagery(137) —Shallow Aquitard(D3)
X Water-Stained Leaves(69) Microtopographic Relief(D4)
Aquatic Fauna(B13) FAC-Neutral Test(D5)
Field Observations:
Surface Water Present? Yes X No Depth(inches): 1
Water Table Present? Yes X No Depth(inches): 0
Saturation Present? Yes X No Depth(inches): 0 Wetland Hydrology Present? Yes X No
includes capillary fringe)
Describe Recorded Data(stream gauge, monitoring well,aerial photos,previous inspections), if available:
Remarks:
Army Uorps ot Engineers Eastern Mountains and Fliedmont—Version .0

VEGETATION (Four Strata) - Use scientific names of plants. Sampling Point: WE-3 Wet
Absolute Dominant Indicator
Tree Stratum (Plot size: 30'radius ) %Cover Species? Status Dominance Test worksheet:
1. Quercus bicolor 30 Yes FACW Number of Dominant Species
2. That Are OBL, FACW,or FAC: 2 (A)
3. Total Number of Dominant
4. Species Across All Strata: 3 (B)
5. Percent of Dominant Species
6. That Are OBL, FACW,or FAC: 66.7% (A/B
7. Prevalence Index worksheet:
30 =Total Cover Total%Cover of: Multiply by:
50%of total cover: 15 20%of total cover: 6 OBL species 0 x 1 = 0
Saplinq/Shrub Stratum (Plot size: 15'radius ) FACW species 30 x 2= 60
1. Ilex opaca 30 Yes FACU FAC species 15 x 3= 45
2. FACU species 30 x 4= 120
3. UPL species 0 x 5= 0
4. Column Totals: 75 (A) 225 (E
5. Prevalence Index =B/A= 3.00
6. Hydrophytic Vegetation Indicators:
7. _1 -Rapid Test for Hydrophytic Vegetation
8. X 2-Dominance Test is>50%
9. X 3-Prevalence Index is:53.0'
30 =Total Cover 4-Morphological Adaptations'(Provide supportin
50%of total cover: 15 20%of total cover: 6 data in Remarks or on a separate sheet)
Herb Stratum (Plot size: 5'radius ) _Problematic Hydrophytic Vegetation' (Explain)
1. Unknown fern 'Indicators of hydric soil and wetland hydrology must I
2. Carex sp. present,unless disturbed or problematic.
3. Definitions of Four Vegetation Strata:
4• Tree-Woody plants,excluding vines,3 in.(7.6 cm)c
5. more in diameter at breast height(DBH), regardless o
6 height.
7• Sapling/Shrub-Woody plants,excluding vines, less
8. than 3 in. DBH and greater than or equal to 3.28 ft
9 m)tall.
10. Herb-All herbaceous(non-woody)plants, regardless
11. of size,and woody plants less than 3.28 ft tall.
=Total Cover Woody Vine-All woody vines greater than 3.28 ft in
50%of total cover: 20%of total cover: height.
Woody Vine Stratum (Plot size: 30'radius )
1. Smilax rotundifolia 15 Yes FAC
2.
3.
4.
5.
Hydrophytic
15 =Total Cover Vegetation
50%of total cover: 8 20%of total cover: 3 Present? Yes X No
Remarks: (Include photo numbers here or on a separate sheet.)
-Vei sim 1 2:0

SOIL Sampling Point: WE-3 Wet
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color(moist) % Color(moist) % Type' Loc2 Texture Remarks
0-12 10YR 4/2 85 10YR 4/6 15 C M Loamy/Clayey Prominent redox concentrations
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains. 2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators. Indicators for Problematic Hydric Soils3:
_Histosol(A1) _Polyvalue Below Surface(S8)(MLRA 147,148) _2 cm Muck(A10)(MLRA 147)
_Histic Epipedon(A2) _Thin Dark Surface(S9)(MLRA 147, 148) —Coast Prairie Redox(A16)
—Black Histic(A3) —Loamy Mucky Mineral(F1)(MLRA 136) (MLRA 147, 148)
—Hydrogen Sulfide(A4) —Loamy Gleyed Matrix(F2) —Piedmont Floodplain Soils(F19)
—Stratified Layers(A5) X Depleted Matrix(F3) (MLRA 136, 147)
_2 cm Muck(A10)(LRR N) _Redox Dark Surface(F6) —Red Parent Material(F21)
_Depleted Below Dark Surface(A11) _Depleted Dark Surface(F7) (outside MLRA 127,147, 148)
_Thick Dark Surface(Al2) _Redox Depressions(F8) —Very Shallow Dark Surface(F22)
_Sandy Mucky Mineral(S1) _Iron-Manganese Masses(F12)(LRR N, _Other(Explain in Remarks)
—Sandy Gleyed Matrix(S4) MLRA 136)
—Sandy Redox(S5) _Umbric Surface(F13)(MLRA 122, 136) 3Indicators of hydrophytic vegetation and
—Stripped Matrix(S6) _Piedmont Floodplain Soils(F19)(MLRA 148) wetland hydrology must be present,
Dark Surface(S7) Red Parent Material(F21)(MLRA 127, 147, 148) unless disturbed or problematic.
Restrictive Layer(if observed):
Type:
Depth(inches): Hydric Soil Present? Yes X No
Remarks:
This data sheet is revised from Eastern Mountains and Piedmont Regional Supplement Version 2.0 to include the NRCS Field Indicators of Hydric
Soils,Version 8.0,2016.
US Army Corps of Engineers Eastern Mountains and Piedmont—Version 2.0

WETLAND DETERMINATION DATA SHEET— Eastern Mountains and Piedmont Region
Project/Site: R-3430 Improvements to Connelly Springs Road City/County: Caldwell Sampling Date: 6/21/2018
Applicant/Owner: NCDOT State: NC Sampling Point: WH-9 Wet
Investigator(s): Nathan Howell&Cody Parks Section,Township, Range: Cajah's Mountain
Landform(hillside,terrace,etc.): Hillside Local relief(concave,convex, none): Convex Slope(%): 20%
Subregion(LRR or MLRA): LRR P, MLRA 136 Lat: 35.868725 Long:-81.539204 Datum: NAD 83
Soil Map Unit Name: Fairview sandy clay loam,8-15%slopes, moderately eroded NWI classification: None
Are climatic/hydrologic conditions on the site typical for this time of year? Yes X No (If no,explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are"Normal Circumstances"present? Yes X No
Are Vegetation Soil or Hydrology naturally problematic? (If needed,explain any answers in Remarks.)
SUMMARY OF FINDINGS—Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes X No Is the Sampled Area
Hydric Soil Present? Yes X No within a Wetland? Yes X No
Wetland Hydrology Present? Yes X No
Remarks:
NCWAM:Headwater Forest. Wetland WG possesses similar edaphic,floristic,and hydrologic properties. Therefore,it is included under this form.
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators(minimum of two required)
Primary Indicators(minimum of one is required;check all that apply) _Surface Soil Cracks(136)
_Surface Water(Al) _True Aquatic Plants(B14) _Sparsely Vegetated Concave Surface(B8)
X High Water Table(A2) —Hydrogen Sulfide Odor(Cl) —Drainage Patterns(B10)
X Saturation(A3) _Oxidized Rhizospheres on Living Roots(C3) _Moss Trim Lines(B16)
—Water Marks(B1) —Presence of Reduced Iron(C4) _Dry-Season Water Table(C2)
_Sediment Deposits(132) _Recent Iron Reduction in Tilled Soils(C6) X Crayfish Burrows(C8)
_Drift Deposits(133) _Thin Muck Surface(C7) _Saturation Visible on Aerial Imagery(C9)
_Algal Mat or Crust(B4) —Other(Explain in Remarks) —Stunted or Stressed Plants(D1)
_Iron Deposits(135) X Geomorphic Position(D2)
_Inundation Visible on Aerial Imagery(137) —Shallow Aquitard(D3)
X Water-Stained Leaves(69) _Microtopographic Relief(D4)
Aquatic Fauna(B13) X FAC-Neutral Test(D5)
Field Observations:
Surface Water Present? Yes No X Depth(inches): 0
Water Table Present? Yes X No Depth(inches): 2
Saturation Present? Yes X No Depth(inches): 0 Wetland Hydrology Present? Yes X No
includes capillary fringe)
Describe Recorded Data(stream gauge, monitoring well,aerial photos,previous inspections), if available:
Remarks:
Army Uorps ot Engineers Eastern Mountains and Fliedmont—Version .0

VEGETATION (Four Strata) - Use scientific names of plants. Sampling Point: WH-9 Wet
Absolute Dominant Indicator
Tree Stratum (Plot size: 30'radius ) %Cover Species? Status Dominance Test worksheet:
1. Nyssa sylvatica 60 Yes FAC Number of Dominant Species
2. Ulmus rubra 30 Yes FAC That Are OBL, FACW,or FAC: 8 (A)
3. Total Number of Dominant
4. Species Across All Strata: 8 (B)
5. Percent of Dominant Species
6. That Are OBL, FACW,or FAC: 100.0% (A/B
7. Prevalence Index worksheet:
90 =Total Cover Total%Cover of: Multiply by:
50%of total cover: 45 20%of total cover: 18 OBL species 70 x 1 = 70
Saplinq/Shrub Stratum (Plot size: 15'radius ) FACW species 30 x 2= 60
1. Viburnum nudum 30 Yes OBL FAC species 105 x 3= 315
2. Toxicodendron vernix 10 Yes OBL FACU species 0 x 4= 0
3. Aronia arbutifolia 10 Yes FACW UPL species 0 x 5= 0
4. Column Totals: 205 (A) 445 (E
5. Prevalence Index =B/A= 2.17
6. Hydrophytic Vegetation Indicators:
7. _1 -Rapid Test for Hydrophytic Vegetation
8. X 2-Dominance Test is>50%
9. X 3-Prevalence Index is:53.0'
50 =Total Cover 4-Morphological Adaptations'(Provide supportin
50%of total cover: 25 20%of total cover: 10 data in Remarks or on a separate sheet)
Herb Stratum (Plot size: 5'radius ) _Problematic Hydrophytic Vegetation' (Explain)
1. Osmunda spectabilis 30 Yes OBL 'Indicators of hydric soil and wetland hydrology must I
2. Osmundastrum cinnamomeum 20 Yes FACW present,unless disturbed or problematic.
3. Carex sp. Definitions of Four Vegetation Strata:
4• Tree-Woody plants,excluding vines,3 in.(7.6 cm)c
5. more in diameter at breast height(DBH), regardless o
6 height.
7• Sapling/Shrub-Woody plants,excluding vines, less
8. than 3 in. DBH and greater than or equal to 3.28 ft
9 m)tall.
10. Herb-All herbaceous(non-woody)plants, regardless
11. of size,and woody plants less than 3.28 ft tall.
50 =Total Cover Woody Vine-All woody vines greater than 3.28 ft in
50%of total cover: 25 20%of total cover: 10 height.
Woody Vine Stratum (Plot size: 30'radius )
1. Toxicodendron radicans 15 Yes FAC
2.
3.
4.
5.
Hydrophytic
15 =Total Cover Vegetation
50%of total cover: 8 20%of total cover: 3 Present? Yes X No
Remarks: (Include photo numbers here or on a separate sheet.)
-Vei sim 1 2:0

SOIL Sampling Point: WH-9 Wet
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color(moist) % Color(moist) % Type' Loc2 Texture Remarks
0-8 10YR 4/1 80 10YR 4/6 20 C M Loamy/Clayey Prominent redox concentrations
8-12 10YR 5/1 80 10YR 4/6 20 C M Loamy/Clayey Prominent redox concentrations
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains. 2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators. Indicators for Problematic Hydric Soils3:
_Histosol(A1) _Polyvalue Below Surface(S8)(MLRA 147,148) _2 cm Muck(A10)(MLRA 147)
_Histic Epipedon(A2) _Thin Dark Surface(S9)(MLRA 147, 148) —Coast Prairie Redox(A16)
—Black Histic(A3) —Loamy Mucky Mineral(F1)(MLRA 136) (MLRA 147, 148)
—Hydrogen Sulfide(A4) —Loamy Gleyed Matrix(F2) —Piedmont Floodplain Soils(F19)
—Stratified Layers(A5) X Depleted Matrix(F3) (MLRA 136, 147)
_2 cm Muck(A10)(LRR N) _Redox Dark Surface(F6) —Red Parent Material(F21)
_Depleted Below Dark Surface(A11) _Depleted Dark Surface(F7) (outside MLRA 127,147, 148)
_Thick Dark Surface(Al2) _Redox Depressions(F8) —Very Shallow Dark Surface(F22)
_Sandy Mucky Mineral(S1) _Iron-Manganese Masses(F12)(LRR N, _Other(Explain in Remarks)
—Sandy Gleyed Matrix(S4) MLRA 136)
—Sandy Redox(S5) _Umbric Surface(F13)(MLRA 122, 136) 3Indicators of hydrophytic vegetation and
—Stripped Matrix(S6) _Piedmont Floodplain Soils(F19)(MLRA 148) wetland hydrology must be present,
Dark Surface(S7) Red Parent Material(F21)(MLRA 127, 147, 148) unless disturbed or problematic.
Restrictive Layer(if observed):
Type:
Depth(inches): Hydric Soil Present? Yes X No
Remarks:
This data sheet is revised from Eastern Mountains and Piedmont Regional Supplement Version 2.0 to include the NRCS Field Indicators of Hydric
Soils,Version 8.0,2016.
US Army Corps of Engineers Eastern Mountains and Piedmont—Version 2.0

Appendix C
JD Request Form
PJD Form

Jurisdictional Determination Request
La
US Army Corps
of Engineers
Wilmington district
This form is intended for use by anyone requesting a jurisdictional determination(JD) from the
U.S. Army Corps of Engineers, Wilmington District(Corps). Please include all supporting
information, as described within each category, with your request. You may submit your request
via mail, electronic mail, or facsimile. Requests should be sent to the appropriate project
manager of the county in which the property is located. A current list of project managers by
assigned counties can be found on-line at:
http://www.saw.usace.g,M.mil/Missions/Re ug lato!yPermitProgram/Contact/CountyLocator.aspx,
by calling 910-251-4633, or by contacting any of the field offices listed below. Once your
request is received you will be contacted by a Corps project manager.
ASHEVILLE&CHARLOTTE REGULATORY WASHINGTON REGULATORY FIELD OFFICE
FIELD OFFICES US Army Corps of Engineers
US Army Corps of Engineers 2407 West Fifth Street
151 Patton Avenue,Room 208 Washington,North Carolina 27889
Asheville,North Carolina 28801-5006 General Number:[phone]
General Number:[phone] Fax Number:[phone]
Fax Number:[phone]
WILMINGTON REGULATORY FIELD OFFICE
RALEIGH REGULATORY FIELD OFFICE US Army Corps of Engineers
US Army Corps of Engineers 69 Darlington Avenue
3331 Heritage Trade Drive,Suite 105 Wilmington,North Carolina 28403
Wake Forest,North Carolina 27587 General Number:910-251-4633
General Number:[phone] Fax Number:[phone]
Fax Number:[phone]
INSTRUCTIONS:
All requestors must complete Parts A,B, C,D,E, F and G.
NOTE TO CONSULTANTS AND AGENCIES: If you are requesting a JD on behalf of a
paying client or your agency, please note the specific submittal requirements in Part H.
NOTE ON PART D—PROPERTY OWNER AUTHORIZATION: Please be aware that
all JD requests must include the current property owner authorization for the Corps to
proceed with the determination, which may include inspection of the property when
necessary. This form must be signed by the current property owner(s) or the owner(s)
authorized agent to be considered a complete request.
NOTE ON PART D -NCDOT REQUESTS: Property owner authorization/notification for
JD requests associated with North Carolina Department of Transportation (NCDOT)
projects will be conducted according to the current NCDOT/USACE protocols.
NOTE TO USDA PROGRAM PARTICIPANTS: A Corps approved or preliminary JD
may not be valid for the wetland conservation provisions of the Food Security Act of
1985. If you or your tenant are USDA Program participants, or anticipate participation in
USDA programs, you should also request a certified wetland determination from the local
office of the Natural Resources Conservation Service,prior to starting work.
Version:May 2017 Page 1

Jurisdictional Determination Request
A. PARCEL INFORMATION
Street Address: Multiple Parcels
City, State: Cajah's Mountain, NC
County: Burke & Caldwell
Parcel Index Number(s) (PIN): Multiple PIN's
B. REQUESTOR INFORMATION
Name: Erin Cheelv
Mailing Address: 1598 Mail Service Center
Raleigh, NC 27699-1598
Telephone Number: 919-707-6108
Electronic Mail Address: [e-mail]
Select one:
EI am the current property owner.
aI am an Authorized Agent or Environmental Consultant'
Interested Buyer or Under Contract to Purchase
1-1 Other,please explain.
C. PROPERTY OWNER INFORMATION'
Name: Multiple Property Owners
Mailing Address:
Telephone Number:
Electronic Mail Address:
' Must provide completed Agent Authorization Form/Letter.
2 Documentation of ownership also needs to be provided with request(copy of Deed,County GIS/Parcel/Tax Record).
Version:May 2017 Page 2

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

Jurisdictional Determination Request
F. JURISDICTIONAL DETERMINATION(JD)TYPE (Select One)
❑✓ I am requesting that the Corps provide a preliminary JD for the property identified herein.
A Preliminary Jurisdictional Determination(PJD)provides an indication that there may
be "waters of the United States" or"navigable waters of the United States"on a property.
PJDs are sufficient as the basis for permit decisions. For the purposes of permitting, all
waters and wetlands on the property will be treated as if they are jurisdictional"waters of
the United States". PJDs cannot be appealed(33 C.F.R. 331.2); however, a PJD is
"preliminary" in the sense that an approved JD can be requested at any time. PJDs do
not expire.
❑ I am requesting that the Corps provide an approved JD for the property identified herein.
An Approved Jurisdictional Determination(AJD) is a determination that
jurisdictional "waters of the United States"or"navigable waters of the United
States" are either present or absent on a site. An approved JD identifies the limits of
waters on a site determined to be jurisdictional under the Clean Water Act and/or
Rivers and Harbors Act. Approved JDs are sufficient as the basis for permit
decisions. AJDs are appealable (33 C.F.R. 331.2). The results of the AJD will be
posted on the Corps website. A landowner,permit applicant, or other"affected
party" (33 C.F.R. 331.2)who receives an AJD may rely upon the AJD for five years
(subject to certain limited exceptions explained in Regulatory Guidance Letter 05-
02).
❑ I am unclear as to which JD I would like to request and require additional information
to inform my decision.
G. ALL REQUESTS
❑ Map of Property or Project Area. This Map must clearly depict the boundaries of the
review area.
❑ Size of Property or Review Area 654 acres.
❑ The property boundary(or review area boundary) is clearly physically marked on the site.
Version:May 2017 Page 4

Jurisdictional Determination Request
H. REQUESTS FROM CONSULTANTS
Project Coordinates (Decimal Degrees): Latitude: 35.808424
Longitude: -81 .533667
A legible delineation map depicting the aquatic resources and the property/review area.
Delineation maps must be no larger than l 1x17 and should contain the following: (Corps
signature of submitted survey plats will occur after the submitted delineation map has been
reviewed and approved).6
■ North Arrow
■ Graphical Scale
■ Boundary of Review Area
■ Date
■ Location of data points for each Wetland Determination Data Form or tributary
assessment reach.
For Approved Jurisdictional Determinations:
■ Jurisdictional wetland features should be labeled as Wetland Waters of the US, 404
wetlands, etc. Please include the acreage of these features.
■ Jurisdictional non-wetland features (i.e. tidal/navigable waters, tributaries,
impoundments) should be labeled as Non-Wetland Waters of the US, stream, tributary,
open water, relatively permanent water, pond, etc. Please include the acreage or linear
length of each of these features as appropriate.
■ Isolated waters, waters that lack a significant nexus to navigable waters, or non-
jurisdictional upland features should be identified as Non-Jurisdictional. Please
include a justification in the label regarding why the feature is non jurisdictional (i.e.
"Isolated", "No Significant Nexus", or"Upland Feature"). Please include the acreage
or linear length of these features as appropriate.
For Preliminary Jurisdictional Determinations:
■ Wetland and non-wetland features should not be identified as Jurisdictional, 404,
Waters of the United States, or anything that implies jurisdiction. These features can be
identified as Potential Waters of the United States, Potential Non-wetland Waters of
the United States, wetland, stream, open water, etc. Please include the acreage and
linear length of these features as appropriate.
Completed Wetland Determination Data Forms for appropriate region
(at least one wetland and one upland form needs to be completed for each wetland type)
6 Please refer to the guidance document titled"Survey Standards for Jurisdictional Determinations"to ensure that the
supplied map meets the necessary mapping standards.http://www.saw.usace.army.mil/Missions/Re ug latory-Permit-
Pro gram/Jurisdiction/
Version:May 2017 Page 5

Jurisdictional Determination Request
✓❑ Completed appropriate Jurisdictional Determination form
• PJDs,please complete a Preliminary Jurisdictional Determination Form'and include the
Aquatic Resource Table
• AJDs,please complete an Approved Jurisdictional Determination Form'
✓❑ Vicinity Map
✓❑ Aerial Photograph
USGS Topographic Map
Soil Survey Map
Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan,previous delineation maps, LIDAR maps, FEMA floodplain maps)
Landscape Photos (if taken)
NCWAM and/or NCWAM Assessment Forms and Rating Sheets
❑✓ NC Division of Water Resources Stream Identification Forms
❑ Other Assessment Forms
' www.saw.usace.army.mil/Portals/59/docs/regulatorregdocs/JD/RGL 08-02_App A Prelim_JD_Form_fillable.pdf
' Please see http://www.saw.usace.ar uy.mil/Missions/Regulatory-Permit-Program/Jurisdiction/
Principal Purpose:The information that you provide will be used in evaluating your request to determine
whether there are any aquatic resources within the proj ect area subject to federal jurisdiction under the regulatory
authorities referenced above.
Routine Uses:This information may be shared with the Department of Justice and other federal,state,and local
government agencies,and the public,and may be made available as part of a public notice as required by federal
law. Your name and property location where federal jurisdiction is to be determined will be included in the
approved jurisdictional determination(AJD),which will be made available to the public on the District's website
and on the Headquarters USAGE website.
Disclosure:Submission of requested information is voluntary;however,if information is not provided,the
request for an AJD cannot be evaluated nor can an AJD be issued.
Version:May 2017 Page 6

Appendix 2 - PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PJD: 4/24/2019
B. NAME AND ADDRESS OF PERSON REQUESTING PJD: Erin Cheely
C. DISTRICT OFFICE, FILE NAME, AND NUMBER:
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES AND/OR
AQUATIC RESOURCES AT DIFFERENT SITES)
State: NC County/parish/borough: Burke/Caldwell city: Cajah's Mountain
Center coordinates of site (lat/long in degree decimal format):
Lat.: 35.808424 Long.: -81 .533667
Universal Transverse Mercator: 17
Name of nearest waterbody: Catawba 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 List

Aquatic resources in the review area which "ma be" subject to egulatory jurisdiction
Estimated amount of Type of Geographic
Site Number Latitude Longitude aquatic resource in aquatic authority to which
review area (If& ac) resource the aquatic resource
"ma be" subject
Catawba River 35.781099 -81.525873 2,552 linear feet Non-wetland Section 404
SA 35.760803 -81.527980 73 linear feet Non-wetland Section 404
SB 35.785290 -81.529562 1,588 linear feet Non-wetland Section 404
SC 35.783221 -81.529665 220 linear feet Non-wetland Section 404
SD 35.806752 -81.533346 131 linear feet Non-wetland Section 404
SE 35.846288 -81.542028 245 linear feet Non-wetland Section 404
SF 35.829061 -81.534188 76 linear feet Non-wetland Section 404
SG 35.862528 -81.539539 507 linear feet Non-wetland Section 404
SH 35.863315 -81.539216 641 linear feet Non-wetland Section 404
SI 35.868583 -81.539780 21 linear feet Non-wetland Section 404
Si 35.868831 -81.539147 407 linear feet Non-wetland Section 404
WA 35.782572 -81.528447 0.02 acre Wetland Section 404
WB 35.784457 -81.529536 0.01 acre Wetland Section 404
WC 35.784757 -81.529587 0.01 acre Wetland Section 404
WD 35.784995 -81.529501 <0.01 acre Wetland Section 404
WE 35.785364 -81.529589 0.06 acre Wetland Section 404
WF 35.786142 -81.529791 0.03 acre Wetland Section 404
WG 35.828975 -81.534155 0.18 acre Wetland Section 404
WH 35.868726 -81.539204 0.13 acre Wetland Section 404
BA 35.740162 -81.526305 0.10 acre Non-Wetland Section 404

1) The Corps of Engineers believes that there may be jurisdictional aquatic resources in
the review area, and the requestor of this PJD is hereby advised of his or her option
to request and obtain an approved JD (AJD)for that review area based on an
informed decision after having discussed the various types of JDs and their
characteristics and circumstances when they may be appropriate.
2) In any circumstance where a permit applicant obtains an individual permit, or a
Nationwide General Permit (NWP) or other general permit verification requiring "pre-
construction notification" (PCN), or requests verification for a non-reporting NWP or
other general permit, and the permit applicant has not requested an AJD for the
activity, the permit applicant is hereby made aware that: (1)the permit applicant has
elected to seek a permit authorization based on a PJD, which does not make an
official determination of jurisdictional aquatic resources; (2) the applicant has the
option to request an AJD before accepting the terms and conditions of the permit
authorization, and that basing a permit authorization on an AJD could possibly result
in less compensatory mitigation being required or different special conditions; (3)the
applicant has the right to request an individual permit rather than accepting the terms
and conditions of the NWP or other general permit authorization; (4) the applicant can
accept a permit authorization and thereby agree to comply with all the terms and
conditions of that permit, including whatever mitigation requirements the Corps has
determined to be necessary; (5) undertaking any activity in reliance upon the subject
permit authorization without requesting an AJD constitutes the applicant's acceptance
of the use of the PJD; (6) accepting a permit authorization (e.g., signing a proffered
individual permit)or undertaking any activity in reliance on any form of Corps permit
authorization based on a PJD constitutes agreement that all aquatic resources in the
review area affected in any way by that activity will be treated as jurisdictional, and
waives any challenge to such jurisdiction in any administrative or judicial compliance
or enforcement action, or in any administrative appeal or in any Federal court; and (7)
whether the applicant elects to use either an AJD or a PJD, the JD will be processed
as soon as practicable. Further, an AJD, a proffered individual permit (and all terms
and conditions contained therein), or individual permit denial can be administratively
appealed pursuant to 33 C.F.R. Part 331. If, during an administrative appeal, it
becomes appropriate to make an official determination whether geographic
jurisdiction exists over aquatic resources in the review area, or to provide an official
delineation of jurisdictional aquatic resources in the review area, the Corps will
provide an AJD to accomplish that result, as soon as is practicable. This PJD finds
that there "may be"waters of the U.S. and/or that there "may be"navigable waters of
the U.S. on the subject review area, and identifies all aquatic features in the review
area that could be affected by the proposed activity, based on the following
information:

SUPPORTING DATA. Data reviewed for PJD (check all that apply)
Checked items should be included in subject file. Appropriately reference sources
below where indicated for all checked items:
❑■ Maps, plans, plots or plat submitted by or on behalf of the PJD requestor:
Map:Vicinity Map, Topographic Map, Jurisdictional Features Map
0 Data sheets prepared/submitted by or on behalf of the PJD requestor.
❑ Office concurs with data sheets/delineation report.
❑ Office does not concur with data sheets/delineation report. Rationale:
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
❑ U.S. Geological Survey Hydrologic Atlas:
❑ USGS NHD data.
❑ USGS 8 and 12 digit HUC maps.
❑■ U.S. Geological Survey map(s). Cite scale & quad name: 1:24,000 Valdese & Drexel
2006 Burke County Natural Resources Conservation Service Soil Survey. Citation: 1989 Caldwell County Soil Survey
Soil Survey
❑ National wetlands inventory map(s). Cite name:
❑ State/local wetland inventory map(s):
❑ FEMA/FIRM maps:
❑ 100-year Floodplain Elevation is: .(National Geodetic Vertical Datum of 1929)
❑ Photographs: ❑ Aerial (Name & Date):
or ❑ Other (Name & Date):
❑ Previous determi nation(s). File no. and date of response letter:
❑ Other information (please specify):
IMPORTANT NOTE: The information recorded on this form has not necessarily
been verified by the Corps and should not be relied upon for later jurisdictional
determinations.
8/19/19
Signature and date of Signature and date of
Regulatory staff member person requesting PJD
completing 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.