1234 Ver 1_NC DWQ Stream Identification Form_20230131

NC DWQ Stream Identification Form Version 4.11
Date: Project/Site: Latitude:
Evaluator: County: Longitude:
Total Points:
Stream is at least intermittent
if ≥ 19 or perennial if ≥ 30*
Stream Determination (circle one)
Ephemeral Intermittent Perennial
Other
e.g. Quad Name:

A. Geomorphology (Subtotal =_________) Absent Weak Moderate Strong
1a. Continuity of channel bed and bank 0 1 2 3
2. Sinuosity of channel along thalweg 0 1 2 3
3. In-channel structure: ex. riffle-pool, step-pool,
ripple-pool sequence 0 1 2 3
4. Particle size of stream substrate 0 1 2 3
5. Active/relict floodplain 0 1 2 3
6. Depositional bars or benches 0 1 2 3
7. Recent alluvial deposits 0 1 2 3
8. Headcuts 0 1 2 3
9. Grade control 0 0.5 1 1.5
10. Natural valley 0 0.5 1 1.5
11. Second or greater order channel No = 0 Yes = 3
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = _________)
12. Presence of Baseflow 0 1 2 3
13. Iron oxidizing bacteria 0 1 2 3
14. Leaf litter 1.5 1 0.5 0
15. Sediment on plants or debris 0 0.5 1 1.5
16. Organic debris lines or piles 0 0.5 1 1.5
17. Soil-based evidence of high water table? No = 0 Yes = 3
C. Biology (Subtotal = _________)
18. Fibrous roots in streambed 3 2 1 0
19. Rooted upland plants in streambed 3 2 1 0
20. Macrobenthos (note diversity and abundance) 0 1 2 3
21. Aquatic Mollusks 0 1 2 3
22. Fish 0 0.5 1 1.5
23. Crayfish 0 0.5 1 1.5
24. Amphibians 0 0.5 1 1.5
25. Algae 0 0.5 1 1.5
26. Wetland plants in streambed FACW = 0.75; OBL = 1.5 Other = 0
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:

Sketch:

S--e ttilo ; tit '3taodard for Se vfr'e '
Oeote .hnical s Construction Materiais • Environmental • Facilities
Agent Authorization
Property/Site:
Address of Site:
/7Zza,,41 .tea%�:, �'� z iZ 3
Parcel Identification Number (PIN): _ 79/D 5 ©S / 9o�-
Owner Information:
Name: / '�i�G—L_ .� �.� �� /�Q�1G. '�S Ai�k%i4
Address: 313f._
2. 7�oq
Telephone Number:
Fax Number:
E-mail Address: f Lr 9G_162—_ _61-2 - 6-4v -V4
Property Owner Certification:
I, the undersigned, a duly authorized owner of record of the property/properties identified herein,
do authorize representatives of the Wilmington District, U.S. Army Corps of Engineers (USACE)
and/ or the North Carolina Division of Water Resources (NCDWR) to enter upon the property
herein described for the purpose of conducting on -site investigations and issuing a
determination associated with Waters of the U.S. subject to Federal/State jurisdiction under
Section 404 and 401 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of
1899. 1 also authorize ECS to act in my behalf in the processing of this request and to furnish
supplemental information in support of this request, including stream/wetland matters in
coordination with the USACE and the NCDWR field verification aprmit application:
Property Owner Signature:
Date: / o
a
=CS l.'.c'atd ,.e?r ici�s P�..LC . _.,-S Rori=.. 3 ((;p r ° �.C. .. `�'+� , ,.:.tf3 f w t ' • ' � $ I:E.-: i I }�`, � _q"'_' 4 :� ���: FF � � �'�,a ��.�
'-:i� 6.i..W - E. = L.i.. i., -. °+C� a _�.`Liti v f. L_� _C�� iz,i�._.-.7.

FIGURE 3A
ECS Project No.
Title:
Client:
Approved By:Date:
Drawn By:KEW
10/28/2022WBF
49: 18855
Project:
Scale:
GUILFORD COUNTYSOIIL SURVEY
DATED: 1977
Project Study Area (~18.47 Acres)
BAKER ROAD SITE
1525 BAKER ROAD,HIGH POINT,GULFORD COUNTY,NORTH CAROLINA
³
0 500 1,000250
Feet
1 " = 500 '
PROJECT STUDY AREA
S&S CONTRACTING OF NC, INC
FIGURE 2
ECS Project No.
Title:
Client:
Approved By:Date:
Drawn By:KEW
10/28/2022WBF
49: 18855
Project:
Scale:
USGS TOPOGRAPHICMAP
HIGH POINT EAST, NCQUADRANGLEDATED:1983
Project Study Area (~18.47 Acres)
BAKER ROAD SITE
1525 BAKER ROAD,HIGH POINT,GULFORD COUNTY,NORTH CAROLINA
³
0 1,000 2,000500
Feet
1 " = 1,000 '
PROJECT STUDY AREA
S&S CONTRACTING OF NC, INC