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DATA FORM <br /> ROUTINE WETLAND DETERMINATION <br /> 1987 COE Wetlands DeNneatlon Manual <br /> Pro*afte Debs <br /> Applicant 1 Owner County HIS <br /> Investigator State <br /> Do Normal Circumstances exist on the site? OYES ®NO Community ID <br /> Is the site significantly disturbed(Atypical Situation)? JAYES 13NO Transect ID <br /> Is the area a potential Problem Area?(if needed,explain on reverse) OYES NNO Plot ID 'a <br /> VEGETATION <br /> Dominant Plant Species(Scientific Name) Common Name Stratum %Cover Indicator <br /> 141 <br /> r <br /> a <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 FAG). <br /> marks: <br /> HYDROLOGY <br /> WETLAND HYDROLOGY INDICATORS <br /> Q Recorded Data(Describe In Remarks) Primary Indicators: <br /> 118tream,Lake,or Tide Gauge j$Inundated <br /> IIAeriai Photographs XSetursted In Upper 12 Inches <br /> IIOther II Water Marks <br /> RXo Recorded Date Available II Drift Lina <br /> 13 Sediment Deposits <br /> FIELD OBSERVATIONS II Drainage Patterns in Wetlands <br /> Depth of Surface Water 2 (in) Secondary Indicators(2 or more Required): <br /> Q Oxidized Root Channels in Upper 12 Inches <br /> Depth to Free Water in Pit + 2. (in) II Water-Stained Leaves � <br /> 0 Local Soil Survey Data <br /> Depth to Saturated Soil (in) 0 FAG-Neutral Test <br /> ❑Other(Explain in Remarks)t `" <br /> ay .�a v►ry ramAwa o�m�.aoe <br />