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DATA FORM <br /> ROUTINE WETLAND DETERMINATION <br /> 1987 COE Wetlands Delineation Manual <br /> Project/Site R.Awt AM&W. Date <br /> Applicant/Owrner County <br /> Investigator WEETState <br /> Do Normal Circumstances exist on the site? []YES SNO Community ID <br /> Is the site significantly disturbed(Atypical Situation)? 19YES ❑NOTransectID <br /> Is the area a potential Problem Area?(if needed,explain on reverse) []YES N O IPlot ID —V <br /> VEGETATION <br /> Dominant Plant Species(Scientific Name) Common Name Stratum %Cover Indicator <br /> 2 <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9. <br /> 10. <br /> 11. <br /> 12. <br /> Percent of Dominant Species that are OBL,FACW or FAC(excluding FAC-)- <br /> Remarks. <br /> HYDROLOGY <br /> WETLAND HYDROLOGY INDICATORS <br /> js Recorded Data(Describe In Remarks) Primary Indicators: <br /> ❑Stream,Lake,or Tide Gauge Inundated <br /> 11Aerial Photographs ❑Saturated in Upper 12 Inches <br /> 00ther ❑Water Marks <br /> &No Recorded Data Available 13 Drift Lines <br /> n Sediment Deposits <br /> FIELD OBSERVATIONS Q Drainage Patterns in Wetlands <br /> Depth of Surface Water _ _ (in) Secondary Indicators(2 or more Required): <br /> 0 Oxidized Root Channels In Upper 12 Inches <br /> Depth to Free Water In Pit *7 111 (in) II Water-Stalned Leaves <br /> L[Local Soil Survey Data <br /> Depth to Saturated Soil (in) <br /> �� 0 FAC-Neutral Test <br /> 11 Other(Explain in Remarks) <br /> CADoc=wU and SM1rq0wj=b \My Doww,"%W Date Wnuiaadw <br />