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. , <br /> WETLAND DETERMINATION DATA FORM -Midwest Region <br /> Project/Site �.,�� �.5� ��,� �,�� City/County: �,.�� Sampling Date:��B���_ <br /> AppiicanUOwner: L��ri�`�; State: �� Sampling Point: 2_ uP <br /> Investigator(s): (,��— �ection,Township, Range: 3! — ) !�—23 <br /> Landform(hillslope,terrace,etc.): �;��s.�o Local relief(concave, convex,none): ���s,� <br /> Slope(%): �_ Lat: Long: . Datum: <br /> Soil Map Unit Name f,,,Q��� � �WI Classification: <br /> Are climatic/hydrologic conditions of the site typical for this time of the year? _� (If no,explain in remarks) <br /> Are vegetation ,� ,soil _�� ,or hydrology_�,/ significantly disturbed? Are"normal circumstances" <br /> Are vegetation �, soil _�� ,or hydrology_,� naturally problematic? present?� <br /> SUMMARY OF FINDINGS (If needed,explain any answers in remarks.) <br /> Hydrophytic vegetation present? N <br /> Hydric soil present? _� is the sampled area within a wetland? N . <br /> Indicators of wetland hydrology present? � f yes, optional wetland site ID: <br /> Remarks:(Explain alternative procedures here or in a separate report.) <br /> VEGETATION -- Use scientific names of plants. <br /> ' ' Absolute Dominan Indicator pominance Test Worksheet <br /> Tree Stratum (Plot size: ) %Cover t Species Staus Number of Do�ninant Species <br /> 1 that are OBL,�FACW,or FAC: ( (A) <br /> 2 Total Number of Dominant <br /> 3 Species Across ail Strata: 2 (6) <br /> 4 Percent of Dominant Species <br /> 5 • that are OBL, FACW,or.FAC:_ �(A/B) <br /> 0 =Total Cover <br /> Saplinq/Shrub straturc (Plot size: ) Prevalence Irtdex Worksheet <br /> 1 Total%Cover of: <br /> 2 OBL species 0 x 1 = 0 <br /> 3 FACW species 0 x 2= 0 <br /> 4 FAC species 0 x 3= 0 <br /> 5 FACU species 0 x 4= 0 <br /> 0 =Total Cover UPL species 0 x 5= 0 <br /> Herb stratum (Plot size: �j'��� ) Column totals 0 (A) 0 (B) � <br /> 1 ��,�.,,A�� ;�,�m_s � �_ �_ Prevalence index=B/A= <br /> T <br /> z Zo �_ �AL <br /> 3 Sp ����_ . Hydrophytic Vegetation Indicators: <br /> J� t-���:��. —.1.� —�L �s� <br /> 4 Rapid test for hydrophytic vegetation <br /> 5 Dominance test is>50% <br /> g Prevalence index is<_3.0' <br /> � Morphogical adaptations`(provide <br /> 8 supporting data in Remarks or on a <br /> g separate sheet) <br /> 10 Problematic hydrophytic vegetation' <br /> �A=Total Cover _(explain) , <br /> WoodV vine stratum (Plot siZe: ) �Indicators of hydric soil and wetland hydrology must be <br /> � present,unless disturbed or problemaiic <br /> Z Hydrophytic <br /> 0 =Total Cover vegetation <br /> present? N <br /> Remarks: (Include photo numbers here or on a separate sheet) <br /> US Amy Corps of Engineers Midwest Region <br />