OHIO DEPARTMENT OF TRANSPORTATION OFFICE OF ENVIRONMENTAL SERVICES 1980 WEST BROAD STREET MAIL STOP 4170 (614) Project C-R-S / Name: Project Identification Number (PID): Report Type: Level 2 ESR Report Author(s): Affiliation: Phone: Email: Date of Submission: Certification (Must be acknowledged by a responsible party) I certify that I have personally examined and am familiar with the information in this report and all attachments, and that the data collection was supervised by an individual(s) prequalified to conduct ecological surveys for ODOT or by trained ODOT Environmental staff. Based on my inquiry of those persons immediately responsible for obtaining the information contained in the report, I believe that the information has been collected in accordance with the ODOT Ecological Manual current at the time of the report preparation, and is true, accurate, and complete. Name: Date: Title:
RESULTS: AQUATIC ECOLOGY - STREAMS Were any streams identified within the project area? Total number of streams within the project area: Total length of streams within the project area (linear feet): STREAM TABLE : RESOURCES IDENTIFIED ON FIGURE(S) Stream Name/I.D.: Photograph #(s): (mi 2): (if applicable): 12-Digit HUC: Total Length Within Project Area (lin. ft.): Is this Stream Captured within the Roadway Ditch: *Stream Hydrology Type: ᶧUSACE Flow Characteristics: Habitat Assessment Evidence of Mussels Present: Biological Sampling Conducted Ohio EPA Aquatic Life Use Designation: : or Scenic Rivers or Streams for Potential In-water Work Restriction: 401 WQC for Length In Study Area (ft.) Salamanders Observed: Fish Observed: Aquatic Observed: *P = Perennial, I= Intermittent, E = Ephemeral ᶧSubject to verification by the USACE (TNW=Traditional Navigable Water, RPW=Relatively Permanent Water) ᶧᶧ Indicates Provisional designations based on habitat assessment forms and/or HMFEI.
RESULTS: AQUATIC ECOLOGY – DITCHES Were any potentially jurisdictional ditches or ditches serving as conveyances for adjacent wetlands identified within the project area? Total number of potentially jurisdictional ditches within the project area: Total area of potentially jurisdictional ditches within the project area (acres): POTENTIALLY JURISDICTIONAL DITCH TABLE : RESOURCES IDENTIFIED ON FIGURE(S) (Note: ditches that acquire/possess an ordinary high water mark and become relatively permanent waters outside of right-of-way (upstream) should be assessed as streams and included on the Stream Table) Ditch I.D.: Photograph #(s): Receiving Waters: 12-Digit HUC Boundary the Ditch is Located within: USACE Flow Characteristics: OHWM Present: Constructed Through or Drains a wetland: Constructed Through a Mapped Hydric Soil Unit(s): Flows Between Two or More Potential Waters of the US: Average Width of Wetted Perimeter Within Project Area (ft.) Total Length Within Project Area (lin. ft.):
RESULTS: AQUATIC ECOLOGY – PONDS, LAKES, RESERVOIRS, RETENTION / DETENTION BASINS Were any ponds, lakes, reservoirs and retention/detention basins identified within the project area? Total number of ponds, lakes, reservoirs and retention/detention basins within the project area: Total area of ponds, lakes, reservoirs and retention/detention basins within the project area (acres): PONDS, LAKES, RESERVOIRS, RETENTION / DETENTION BASINS TABLE : RESOURCES IDENTIFIED ON FIGURE(S) Water Body I.D. Photograph #(s): Receiving Waters 12 Digit HUC Boundary the Water body is Located within: Hydrologic Connection: Type Function Functioning as Intended? Located Within a Mapped Hydric Soil Unit(s): Approximate Total Size (ac.): Pond Area Located Within the Project Area (ac.):
RESULTS: TERRESTRIAL ECOLOGY - BIRDS Were any birds observed within the project area? If yes, total number of bird species identified: BIRDS NESTING ON BRIDGES OR CULVERTS Note any colony nesting birds or any peregrine falcon sightings on bridges or culverts. If evidence colony nesting birds or peregrine falcon are observed, note the structure’s C-R-S and discuss the observation, including the number of nests, their locations, the species present (if known), and whether the nests will be impacted by the project activities. BIRD TABLE Scientific Name Common Name Date of Observation Federally Listed: State Listed: Location (use vegetative community codes): Additional Bird Observations:
RESULTS: TERRESTRIAL ECOLOGY - AMPHIBIANS Were any amphibian communities sampled/observed within the project area? If yes, total number of amphibian species identified: AMPHIBIAN TABLE Scientific Name Common Name Federally Listed: State Listed: Location (use vegetative community codes): Additional Amphibian Observations:
Evidence of Mussels: Presence of fresh dead mussel shells and living mussels will trigger a full mussel survey ☐ None ☐ Mussel Shell Only - Subfossil ☐ Mussel Shell Only – Weathered Dead ☐ Mussel Shell – Fresh Dead ☐ Living Mussels Results Site Sketch. Approximate numbers and locations of shells and live mussels. Include species list if possible. Required Attachments 1) Location Map and 2) Photo Log
Potential Maternity Roost Tree Determination Form – For use on SWH impacts beyond 100 feet from edge of pavement. Project CRS Examiner Date of Observations Project Area (ac) Tree ID # dbh in inches Species Condition Crevice, split, or cavity present? Y/N % loose bark above 4 m (13 ft) Approx. hours of solar exposure Located with GPS Y/N