DATA FORN 1 

 WETLAND DETERMINATION 



Applicant 



Name : 



State: 

 Date: 



County: 



Application 



Number : 



Project 



Name : 



Plot No. 



Legal Description: Township; 

 Section: 



Range : 



Vegetation [list the three dominant species in each vegetation layer (5 if 

 only 1 or 2 layers) ] . Indicate species with observed morphological or known 

 physiological adaptations with an asterisk. 



Species 

 Trees 

 1. 

 2. 

 3. 



Saplings /shrubs 

 4. 

 5. 

 6. 



Indicator 

 Status 



Species 



Indicator 

 Status 



Herbs 



7. 



Woody vines 

 10. 

 11. 

 12. 



7. of species that are OBL, FACW, and/or FAC: . 



Hydrophytic vegetation: Yes No . Basis: 



Other indicators: 



Soil 



Series and phase: 



Mottled: Yes ; No 



Gleyed: Yes 



No 



Hydric soils: Yes 



On hydric soils list? Yes_ 



No 



Mottle color: 



; Matrix color: 



Other indicators: 



No ; Basis: 



Hydrology 

 Inundated: Yes 



; No 



Depth of standing water; 



Saturated soils: Yes ; No . Depth to saturated soil: 



Other indicators: 



Wetland hydrology: Yes ; No 



Atypical situation: Yes ; No 



Normal Circumstances? Yes No_ 



Wetland Determination: Wetland 



Comments : 



Basis ; 



; Nonwetland 



Determined by: 

 B2 



