20091011 Ver 1_401 Application_20090909

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48' 101 1
COURTESY COPY
MEETS ALL CONDITIONS
CoUIRTESY
COPY
E1N@L30W1g@
S E P 18 2009
DENR - WATER OuAUTY
WETLANDS AND STORMWATER BRANCH
WRITTEN APPROVAL NOT REQUIRED
US 21 Pipe Extension Project
Town of Huntersville
Huntersville, North Carolina
September 9, 2009
li+ ..
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Corps Submittal Cover Sheet
Please provide the following info:
1. Project Name U S Z. I P/PI I'?CT97H S10/y
2. Name o ro ert Own Applicant: T W 4 OF )4V1V n:,Q S V I LL E
3. Name of Consultant/Agent: N/A
*Agent authorization needs to be attached.
4. Related/Previous Action ID number(s): NOn4'
5. Site Address: US 21 AT Vq#V M Wb TRI& SoyTk OF UQ cViM.G'_ CO
4L C
mats. QR.
6. Subdivision Name: NIA
7. City: 1400 rz-p?s V i .L y-
8. County: MECk LE-d B V R&
9. Lat: W- 41 b011 ° N Long: "?. 8sb5r8S ° (Decimal Degrees Please)
10. Quadrangle Name: GoRNG L1 VS , NC. CH9 3
11. Waterway: UT I D"w c, -M -My twce CK TRt 13 . t 2
12. Watershed: C,4'r,411J$,4
13. Requested Action:
Nationwide Permit # 3
General Permit #
- Jurisdictional Determination Request
Pre-Application Request
The following information will be completed by Corps office:
AID:
Prepare File Folder Assign number in ORM Begin Date
Authorization: Section 10 Section 404
Project Description/ Nature of Activity/ Project Purpose:
Site/Waters Name:
Keywords:
? T 4mten
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NORTH CAROLINA
' englneermg p he
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September 9, 2009
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U.S. Army Corps of Engineers
' Asheville Regulatory Field Office
151 Patton Avenue, Room 208
Asheville, North Carolina 28801-5006
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Attention: Mr. Steve Chapin
1 N.C. DWQ, 401/Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
1 Attention: Ms. Cyndi Karoly
1 Reference: PCN Application for Nationwide Permit No. 3
US 21 Pipe Extension Project
Huntersville, North Carolina
1 Dear Mr. Chapin and Ms. Karoly:
' The Town of Huntersville is submitting this application for impacts to waters of the U.S. in
accordance with Department of the Army Nationwide Permit No. 3 (Maintenance). The
proposed project will involve the extension of an existing pipe by 12 linear feet within an urban
' stream channel located in Huntersville, North Carolina. In support of this NWP 3 application,
please find enclosed the following:
' Appendix V: U.S. Army Corps of Engineers (USACE) Stream Quality Assessment
Worksheet and N.C. Division of Water Quality (DWQ) Stream Identification Form.
' The proposed project has also been designed and will be constructed in accordance with the
applicable conditions of General Water Quality Certification No. 3687. Accordingly, written
1 concurrence from DWQ is not required, and a copy of the application is being provided as a
courtesy.

1 11316 Sam Furr Road • PO Box 664 • Huntersville, NC 28070
Phone: [phone] • Fax: [phone]
Website: www.huntersville.org
1
' Nationwide Permit No.3 September 9, 2009
US 21 Pipe Extension Project
' The proposed project area is located in an urbanized area within the northeast quadrant of the
intersection of Gilead Road and US 21. Adjacent parcels contain multi-family residential
' dwellings. and retail businesses. The larger vicinity consists primarily of residential and
commercial development. The location of the project area is depicted on the Site Vicinity Map
(Figure 1), the appropriate portions of the Cornelius, N.C. (1993) USGS Topographic Map
' (Figure 2), a 2009 Aerial Photograph (Figure 3), and the USDA Soil Survey (Figure 4).
An unnamed, perennial tributary (UT 1) of Torrence Creek Tributary #2 flows through
' approximately 100 feet of 60" reinforced concrete pipe (RCP) underneath US 21. The onsite
tributary is entrenched and has previously been channelized. There is minimal in-stream habitat
diversity and no vegetated buffer present. The proposed project will extend the existing pipe 12
' feet upstream with partially-buried 60" RCP and the construction of a headwall. Profile details
for the proposed project area included in Appendix II.
' Best Management Practices employed for the project will be in compliance with the most recent
version of the "North Carolina Sediment and Erosion Control Planning and Design Manual." Tc
prevent sedimentation of downstream portions of UT 1, construction will be conducted in the dry
I through the use of rock check dams. Temporary erosion and sediment control measures will be
removed and the original grade restored upon completion of the project.

By copy of this correspondence and completed PCN, we are requesting written concurrence from
USACE for this NWP No. 3 permit application. If you have any questions or require additional
information, please feel free to contact me at 704-875-7007.
Sincerely,
M. Kevin Fox, P.E.
Town Construction Engineer
Town of Huntersville
' Attachments

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FIGURES
t Figure 1 - Site Vicinity Map
¦ Figure 2 - USGS Topographic Map
' Figure 3 - 2009 Aerial Photography
¦ Figure 4 - USDA Soil Survey Map

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SITE VICINITY MAP
US 21 Pipe Extension
Huntersville, North Carolina
FIGURE
NO.
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USGS TOPOGRAPHIC MAP
US 21 Pipe Extension
Huntersville, North Carolina
FIGURE
NO.
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2009 AERIAL PHOTOGRAPH
US 21 Pipe Extension
Huntersville, North Carolina
FIGURE
NO.
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USDA SOIL SURVEY MAP
US 21 Pipe Extension
Huntersville, North Carolina
FIGURE
NO.
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APPENDIX I
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¦ Pre-Construction Notification Form

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?OF W A'
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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from the
Corps:
®Section 404 Permit El Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: 3 or General Permit (GP) number:
1 c. Has the NWP or GP number been verified by the Corps? ® Yes ? No
1 d. Type(s) of approval sought from the DWQ (check all that apply):
? 401 Water Quality Certification - Regular ? Non-404 Jurisdictional General Permit
? 401 Water Quality Certification - Express ? Riparian Buffer Authorization
1 e. Is this notification solely for the record
because written approval is not required? For the record only for DWQ 401
Certification:
® Yes ? No For the record only for Corps Permit:

? Yes ? No
1f. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program. ? Yes ® No
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below. ? Yes ® No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ® No
2. Project Information
2a. Name of project: UT1 of Torrence Creek Trib #2 Culvert Extension
2b. County: Mecklenburg
2c. Nearest municipality / town: Huntersville
2d. Subdivision name:
2e. NCDOT only, T.I.P. or state
project no:
N/A DEN
R-WATEROUNM
3. Owner Information WETIA
3a. Name(s) on Recorded Deed: Town of Huntersville
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if
applicable):
3d. Street address: P.O. Box 664
3e. City, state, zip: Huntersville, NC 28070
3f. Telephone no.: 704-875-7007
3g. Fax no.: 704-948-0111
3h. Email address: [e-mail]
Page 1 of 11
PCN Form - Version 1.3 December 10, 2008 Version
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4. Applicant Information (if different from owner)
4a. Applicant is: ? Agent ® Other, specify: Public Agency
4b. Name: Kevin Fox, P.E.
4c. Business name
(if applicable): Town of Huntersville
4d. Street address: P.O. Box 664
4e. City, state, zip: Huntersville, NC 28070
4f. Telephone no., 704-875-7007
4g. Fax no.: 704-948-0111
4h. Email address: [e-mail]
5. Agent/Consultant Information (if applicable)
5a. Name:
5b. Business name
(if applicable):
5c. Street address:
5d. City, state, zip:
5e. Telephone no.:
5f. Fax no.:
5g. Email address:
Page 2 of 11
PCN Form - Version 1.3 December 10, 2008 Version

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B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): 01712105
1 b. Site coordinates (in decimal degrees): Latitude: 35.41601 Longitude: - 80.856585
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size: <0.2 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Unnamed Trib to Torrence Creek Trib #2
proposed project:
2b. Water Quality Classification of nearest receiving water: Torrence Creek WS-IV
2c. River basin: Catawba; NCDWQ Subbasin 03-08-33
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
The existing stream is entrenched and has historically been straightened. There is minimal instream habitat diversity
present and no vegetated buffer present. The adjacent surrounding area is multi-family residential. The watershed
consists of predominantly single and multifamily residential development.
3b. List the total estimated acreage of all existing wetlands on the property:
None.
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
20 LF
3d. Explain the purpose of the proposed project:
Extend an existing culvert to allow the crossing of a sidewalk
3e. Describe the overall project in detail, including the type of equipment to be used:
Presently, a culvert underneath Hwy 21 conveys UT1 through approx 100 feet of 60" RCP. A sidewalk is proposed along
Hwy 21. The project will extend the existing pipe 12 feet upstream with 60" RCP to allow the sidewalk construction. A
new headwall will be constructed. A trackhoe will perform the work in dry conditions.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property / El Yes ® No El Unknown
project (including all prior phases) in the past?
Comments:
4b. If the Corps made the jurisdictional determination, what type
? Preliminary ? Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company:
Name (if known): Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a. Have permits or certifications been requested or obtained for ? Yes ® No ? Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
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PCN Form - Version 1.3 December 10, 2008 Version

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6. Future Project Plans
6a. Is this a phased project? ? Yes ® No
6b. If yes, explain.
Page 4 of 11
PCN Form - Version 1.3 December 10, 2008 Version
C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
? Wetlands ® Streams - tributaries ? Buffers
? Open Waters ? Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland impact Type of jurisdiction
number - Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ - non-404, other) (acres)
Temporary T
W1 ? P ? T ? Yes ? Corps
? No ? DWQ
W2 ? P ? T ? Yes ? Corps
? No ? DWQ
W3 ? P ? T ? Yes ? Corps
? No ? DWQ
W4 ? P ? T ? Yes ? Corps
? No ? DWQ
W5 ? P ? T ? Yes ? Corps
? No ? DWQ
W6 ? P ? T ? Yes ? Corps
? No ? DWQ
2g. Total wetland impacts
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
number - (PER) or (Corps - 404, 10 stream length
Permanent (P) or intermittent DWQ - non-404, width (linear
Temporary (T) (INT)? other) (feet) feet)
S1 ®P ? T Culvert Extension UT1 to Torrence ® PER ® Corps 4 12
Creek Trib #2 ? INT ? DWQ
S2 ? P ? T ? PER ? Corps
? INT ? DWQ
S3 ? P ? T ? PER ? Corps
? INT ? DWQ
S4 ? P ? T ? PER ? Corps
? INT ? DWQ
S5 ? P ? T ? PER ? Corps
? INT ? DWQ
S6 ? P ? T ? PER ? Corps
? INT ? DWQ
3h. Total stream and tributary impacts 12
3i. Comments:
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4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number - (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Temporary T
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If and or lake construction proposed, then complete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose (acres)
number of pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
5f. Total
5g. Comments:
5h. Is a dam high hazard permit required?
? Yes ? No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWO)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an impacts require mitigation, then you MUST fill out Section D of this form.
6a.
? Neuse ? Tar-Pamlico ? Other:
Project is in which protected basin? ® Catawba ? Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number - Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) or for Stream name mitigation (square feet) (square feet)
Temporary T impact required
B1 ?P?T ?Yes
? No
B2 ? PEI T ? Yes
? No
B3 ? P ? T ? Yes
? No
6h. Total buffer impacts
6i. Comments:
Page 6 of 11
PCN Form - Version 1.3 December 10, 2008 Version

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D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
UT1 is crossed only once for this project. A new headwall will be constructed. Existing stream dimensions will be maintained
upstream of culvert.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The engineer will adjust the limits of grading to minimize site disturbance. Activities will be performed in dry work areas.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State? ? Yes ® No
2b. If yes, mitigation is required by (check all that apply): ? DWQ ? Corps

2c. If yes, which mitigation option will be used for this

project? ? Mitigation bank

? Payment to in-lieu fee program

? Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type Quantity
3c. Comments:
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached. ? Yes
4b. Stream mitigation requested: linear feet
4c. If using stream mitigation, stream temperature: ? warm ? cool ?cold
4d. Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetland mitigation requested: acres
4f. Non-riparian wetland mitigation requested: acres
4g. Coastal (tidal) wetland mitigation requested: acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 7 of 11
PCN Form - Version 1.3 December 10, 2008 Version
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) - required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation? ? Yes ® No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.

Zone 6c.
Reason for impact 6d.
Total impact
(square feet)
Multiplier 6e.
Required mitigation
(square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
6h. Comments:
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E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified ? Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
? Yes ? No
Comments:
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? 0%
2b. Does this project require a Stormwater Management Plan? ? Yes ® No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: The proposed project is a municipal
maintenance project and will not add impervious cover.
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
? Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? ? DWQ Stormwater Program
? DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project?
? Phase II
3b. Which of the following locally-implemented stormwater management programs ? NSW
? USMP
apply (check all that apply): ? Water Supply Watershed
? Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ? Yes ? No
attached?
4. DWQ Stormwater Program Review
? Coastal counties
? HQW
4a. Which of the following state-implemented stormwater management programs apply ? ORW
(check all that apply):
? Session Law 2006-246
? Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
attached? ? Yes ? No
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements? ? Yes ? No
5b. Have all of the 401 Unit submittal requirements been met? ? Yes ? No
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F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. Does the project involve an expenditure of public (federal/state/local) funds or the ® Yes ? No
use of public (federal/state) land?
1 b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State ? Yes ® No
(North-Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
? Yes ? No
letter.)
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, ? Yes ® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after-the-fact permit application? ? Yes ® No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in ? Yes ® No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
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5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or ® Yes ? No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act ® Yes ? No
impacts?
?
Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted. ® Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
Brian Tomkins of US FWS stated that no potential impacts were present.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ? Yes ® No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
Brian Tomkins of US FWS stated that no potential impacts were present.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation ? Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
John Mintz of NC SHPO stated that no potential impacts were present.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? ? Yes ® No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination? FIRM Panel 4641

Applicant/Agent's Printed Name
qlnt-s Signature
*IicarqjA-
Date
(Agent's sign ure i alid only if an authorization letter from the applicant
is provided.)
Page 11 of 11
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APPENDIX II
' US 21 Pipe Extension Profile Drawing
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APPENDIX III
¦ Site Photographs

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APPENDIX IV
¦ Routine Wetland Determination Form
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DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)
Project / Site: Hwy 21 Culvert Extension Date: 7-31-09
Applicant / Owner: Town of Huntersville, NC County: Mecklenburg
Investigator: -Brian Sikes State: NC
Do normal circumstances exist on the site? Yes x No Community ID: Upland
Is the site significantly disturbed (Atypical situation)? Yes No x Transect ID:
Is the area a potential problem area? Yes No x Plot ID: DPI
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. Festuca sa. herb N/A 9.
2. 10.
3. 11.
4. 12.
5. 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). 0%
Remarks:
DPI is located within in a maintained grassed area adjacent to unnamed trib of Torrence Creek Trib #2.
HYDROLOGY
Recorded Data (Describe In Remarks): Wetland Hydrology Indicators
Stream, Lake, or Tide Gauge
Aerial Photographs Primary Indicators:
Other Inundated
-Saturated in Upper 12"
x No Recorded Data Available _ Water Marks
Drift Lines
Field Observations: Sediment Deposits
Drainage Patterns in Wetlands
Depth of Surface Water: N/A (in.) Secondary Indicators:

Depth to Free Water in Pit: N/A (in.) Oxidized Roots Channels in Upper 12"
Water-Stained Leaves
Local Soil Survey Data
Depth to Saturated Soil: >12 (in.) FAC-Neutral Test
Other (Explain in Remarks)
Remarks:
DPI does not exhibit primary or secondary indicators of wetland hydrology.
SOILS
Map Unit Name
(Series and Phase): Cecil sandy clay loam (CeD2) Drainage Class:
Taxonomy (Subgroup): Confirm Mapped Type? Yes_ No
Profile Descriation:
Depth Matrix Colors Mottle Colors Mottle Texture, Concretions,
(inches) Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
0-12 B l OYR 4/4 N/A N/A clay loam
Hydric Soil Indicators:
Histosol Concretions
_ Histic Epipedon _ High Organic Content in Surface Layer in Sandy Soils
Sulfidic Odor Organic Streaking in Sandy Soils
Aquic Moisture Regime Listed On Local Hydric Soils List
_ Reducing Conditions Listed on National Hydric Soils List
Gleyed or Low-Chroma Colors _ Other (Explain in Remarks)
Remarks:
DPI exhibits no indicators of hydric soil.
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes No x Is the Sampling Point
Wetland Hydrology Present? Yes No x Within a Wetland? Yes_ No x
Hydric Soils Present? Yes No x
Remarks:
DP1 is located in a non-jurisdictional upland area.
APPENDIX V
¦ USACE Stream Quality Assessment Worksheet
¦ DWQ Stream Identification Form
1
1
1

1
1
1
1
1
1
1
1
1
North Carolina Division of Water Quality - Stream Identification Form; Version 3.1
Date: 7. 3' . 09 Project: Latitude:
Evaluator: 8. SIXES Site: US 7-1 Longitude:
Total Points: I 1
Stream is at least intermitter S County: Aik "Bvk(r Other
if 2 19 or perennial if 2 30 e.g. Quad Name:
In
A. Geomorphology Subtotal = v ) Absent Weak Moderate Strong
1a. Continuous bed and bank 0 1 3
2. Sinuosity 0 2 3
3. In-channel structure: riffle-pool sequence 0 2 3
4. Soil texture or stream substrate sorting 0 1 2 3
5. Active/relic floodplain 1 2 3
6. Depositional bars or benches 0 2 3
7. Braided channel 1 2 3
8. Recent alluvial deposits 1 2 3
9 a Natural levees 1 2 3
10. Headcuts 1 2 3
11. Grade controls 0 0.5 1.5
12. Natural valley or drainageway 0 0.5 1.5
13. Second or greater order channel on existing
USGS or NRCS map or other documented
evidence.
No
Yes = 3
man-maae ancnes are not rates; see aiscussions in manual
B_ Hvdrnlnav (Suhtntal = 7.5 1
14. Groundwater flow/discharge 0 2 3
15. Water in channel and > 48 hrs since rain, or
Water in channel -- d or growing season 0

O!N 1 dD 3
16. Leaflitter 0 1 0.5 0
17. Sediment on plants or debris 0 0 1 1.5
18. Organic debris lines or piles (Wrack lines) 0 0.5 1.5
19. Hydric soils (redoximorphic features) present? No = 0 Yes=
C. Bioloov (Subtotal= 5• X )
20 . Fibrous roots in channel 3 2 0
21b. Rooted plants in channel 3 2 0
22. Crayfish 0 0.5 1.5
23. Bivalves 1 2 3
24. Fish 0 1 1.5
25. Amphibians 0 0.5 1 1.5
26. Macrobenthos (note diversity and abundance) 0 1 1.5
27. Filamentous algae; periphyton 1 2 3
28. Iron oxidizing bacteria/fungus. 0 0. 1.5
29'. Wetland plants in streambed FAC = 0.5; FACW = .7 OBL = 1.5 SAV = 2.0; Other = 0
1-11- eu d1w e i tows on me presence or upiano piants, item zu rocuses on the presence of aquatic or wetland plants.
Sketch:
Notes: (use back side of this form for additional notes.)
61
NIAI MJA16D 8'gM&5 PITY TURF 6A4f-s .
t'*C*TA;t 04T

USACE AID# DWQ # Site # (indicate on attached map)
' M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach un der assessment:

1. Applicant's name: TWIN OF ?l/NTEM?SY I GLE D
2. Evaluator's name: p • .? d ?C ? ?

' 3. Date of evaluation: 57' 31 • 81
5. Name of stream: 0T 6F 7'00&c6 6,K 7?4N3 *2. 4. Time of evaluation: l i - 90 4M
6. River basin: cATA w a A
7. Approximate drainage area: 100 A r- 8. Stream order: t= !R-? G R j2
' 9. Length of reach evaluated: /Go - 10. County: /?!£GKLc?Nd Vl? ?"
11. Site coordinates (if known)
:
prefer in decimal degrees. 12. Subdivision name (if any): lvl A
t ,
f
Latitude (ex. 34.872312): 3G " '41(p o l l p AJ Longitude (ex.-77.556611): ° vi
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS they G Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
' OT oP Tolzag-N f GK Ti1te 0 Z hr US ZI S©UTN of 911NT614(11&46 CoMZc ovS DI .
14. Proposed channel work (if any): PIPE G" XROIS IVAJ
15. Recent weather conditions:-- 41 AI (,, ATI{ 1111 L 119 4471/9.5
' 16. Site conditions at time of visit: C (/EiE'- 42;T T. AIV I

1
17. Identify any special waterway classifications known: -Section 10 -Tidal Waters -Essential Fisheries Habitat
-Trout Waters -Outstanding Resource Waters _ Nutrient Sensitive Waters -Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES 0 If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES S 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use
22. Bankfull width
V
q® % Residential 20 % Commercial % Industrial (0 % Agricultural
20 % Forested 10 % Cleared / Logged % Other (
23. Bank height (from bed to top of bank): 4
24. Channel slope down center of stream: Flat (0 to 2%) -Gentle (2 to 4%) -Moderate (4 to 10%) -Steep (>10%)
25. Channel sinuosity: K Straight -Occasional bends -Frequent meander -Very sinuous -Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
T
Score (from reverse): '33 Comments (-)V i Z 67-1 S;-X,-4 M
/L1 */iU T+t
t ?.civ? ,a,tirn,h L4117u !y,?r al?f?rf-sue LtycAw-P&E-0 A rwe&-nl Z'w o Guc. y62r's
Evaluator's Signature &14 ? Date 7 ' 19
'
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
' quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
ECOREGION POIN T RANGE

# CHARACTERISTICS SCORE
Coastal Piedmont Mountain
1 Presence of flow / persistent pools in stream 0-5 0-4 0-5
4
no flow or saturation = 0; strong flow = max oints '
2 Evidence of past human alteration 0-6 0-5 0-5
extensive alteration = 0; no alteration = max points)
3 Riparian zone 0- 6 0- 4 0- 5 t)
no buffer = 0; contiguous, wide buffer = max oints
4 Evidence of nutrient or chemical discharges
0-5
0-4
0
4
(extensive discharges = 0, no discharges = max points) - -d

5 Groundwater discharge
0-3
0-4
0-4
U no discharge = 0; springs, seeps, wetlands, etc. = max points)
6 Presence of adjacent floodplain 0- 4 0- 4 0- 2 t
(no flood lain = 0; extensive flood lain = max points)
a Entrenchment / floodplain access 0- 5 0- 4 0- 2
(deeply entrenched = 0; frequent flooding = max points)

8
Presence of adjacent wetlands
j
0-6
0-4
0-2 _
no wetlands = 0; large ad
acent wetlands = max points)
9 Channel sinuosity 0-5 0-4 0-3
1
1
(extensive channelization = 0; natural meander = max points)

10 Sediment input
0-5
0-4
0-4
extensive deposition= 0; little or no sediment = max points)

11
Size & diversity of channel bed substrate
NA*
0-4
0-5 --i
fine, homogenous = 0; large, diverse sizes = max points)
12 Evidence of channel incision or widening 0-5 0-4 0-5
(deeply incised = 0; stable bed & banks = max points)
F"
13 Presence of major bank failures
0-5
0--5
0-5
(severe erosion = 0; no erosion, stable banks = max oints) ,

Q
14 Root depth and density on banks
0-3
0-4
0 5
F no visible roots = 0; dense roots throughout = max points)

15 Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
4
substantial impact =0; no evidence = max points)
16 Presence of riffle-pooVripple-pool complexes 0-3 0-5 0-6
?
E no riffles/ripples or pools = 0; well-developed = max points) r
Q
17 Habitat complexity
0-6
0-6
0-6
? (little or no habitat = 0; frequent, varied habitats = max points)

18 Canopy coverage over streambed
0- 5
0-5
0-5
(no shading vegetation = 0; continuous canopy = max points)

19 Substrate embeddedness
NA
0-4
0-4
(deeply embedded = 0; loose structure = max 2-
20 Presence of stream invertebrates (see page 4) 0-4 0-5 0-5
no evidence = 0; common, numerous types = max points) -
21 Presence of amphibians 0-4 0-4 0-4
O no evidence = 0; common, numerous types = max points)
O 22 Presence of fish 0-4 0-4 0-4
(no evidence = 0; common, numerous types = max points) d
23 Evidence of wildlife use 0-6 0-5 0-5
no evidence = 0; abundant evidence = max points)
Total Points Possible 100 100 100
TOTAL SCORE (also enter on first page) 33
T t nese cnaractertsttcs are not assessed to coastal streams.
2