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� DATA FC)RM <br /> ROUTtNE WETLAND DETERMINATION <br /> 1987 COE Wetlands Delineation Manual <br /> ProjecbSite • Date <br /> Applicant/Owner County <br /> Investigator State <br /> Do Normal Circumstances exist on the site? �.YES ❑NO Community ID <br /> Is the site significanfly disturbed(Atypicai Situation)? ❑YES �NO Transect ID <br /> is the area a potential Problem Area?(if needed,explain on reverse) ❑YES �110 Plot iD <br /> .► <br /> VEGETATI�R� <br /> Dominant Plant Species (Scientific Name) Common Name Stratum % Cover Indicator <br /> 1 <br /> 2 <br /> 3 ` � �' <br /> _ <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 8. <br /> 10. <br /> 11. <br /> 12. <br /> ercent of Dominant Species that are OBL, FACW or FAC(excluding FAC-). 2,�1" <br /> emarks: <br /> HYDROLOGY <br /> WETLAND HYDROLOGY INDICATORS <br /> [j Recorded Data (Describe in Remarks) Primary Indicators: <br /> IIStream, Lake, o�T'tde Gauge j�Inundated <br /> IIAeriaf Photographs <br /> II Saturated in Upper 12 inches <br /> ❑Other <br /> II Water Marks <br /> �No Recorded Data Available ❑Drift Lines <br /> [j S�diment Deposits <br /> FIELD OBSERVATIONS II Drainage Patterns in Wetiands <br /> Depth of Surface Water 1_ �i�� Secondary indicators (2 or more Required): <br /> ❑Oxidized Root Channels in Upper 12 Inches <br /> Depth to Free Water in Pit ` ' � ���� Q Water-Stained Leaves <br /> r ❑Local Soil Survey Data <br /> Depth to Saturated Soil Q FAC-Neutral Test <br /> � Q (inj <br /> t� a Other(Explain in Remarks) <br /> C.U)otumems�nd Setlingi�wjecobwnlMy Do��menls\Wetland DeierminationAoc � <br />