DATA FORM 

 ROUTINE ONSITE DETERMINATION METHOD"" 



Field Investigator(s): Date: _ 



Project/Site: State: County: 



Applicant/Owner: Plant Community #/Name: 



Note: If a more detailed site description is necessary, use the back of data form or a field notebook. 



Do normal environmental conditions exist at the plant community? 



Yes No (If no, explain on back) 



Has the vegetation, soils, and/or hydrology been significantly disturbed? 

 Yes No (If yes, explain on back) 



VEGETATION 



Indicator Indicator 



Dominant Plant Species Status Stratum Dominant Plant Species Status Stratum 



1. 11. 



2. 12. 



3. 13. 



4. 14. 



5. 15. 



6. 16 



7. 17. 



8. 18. 



9. 19. 



10. 20 



Percent of dominant species that are OBL, FACW, and/or FAC 



Is the hydrophytic vegetation criterion met? Yes No 



Rationale: — 



SOILS 



Series/phase: Subgroup:^ 



Is the soil on the hydric soils list? Yes No Undetermined 



Is the soil a HIstosol? Yes No Histic epipedon present? Yes No 



Is the soil: Mottled? Yes No Gleyed? Yes No 



Matrix Color: Mottle Colors: 



Other hydric soil indicators: 



Is the hydric soil criterion met? Yes No . 



Rationale: 



HYDROLOGY 



Is the ground surface inundated? Yes No Surface water depth: 



Is the soil saturated? Yes No 



Depth to free-standing water in pit/soil probe hole: 



List other fiekj evidence of surface inundation or soil saturation. 



Is the wetland hydrology criterion met? Yes No 



Rationale: 



JURISDICTIONAL DETERMINATION AND RATIONALE 



Is the plant community a wetland? Yes No 



Rationale for jurisdictional decision: 



^ This data form can be used for the Hydric Soil Assessment Procedure and the Plant Community 



Assessment Procedure. 

 2 Classification according to "Soil Taxonomy." 



B-2 



