20150044 Ver 1_Buffer Determination Request_20150114

AIN WA
NCDENR
North Carolina Department of Environment and Natural Resources
JAN 13 2015
Pat McCrory Donald R. van der Vaart
Governor VftWQWftR19l'
secom Secretary
DWR Use Only: Project # _
Stream Origin /Buffer Applicability Determination
Required Information
1. Owner Information (corporation /individual who is legally responsible for the property and its compliance)
1 a. Name(s) on Recorded Deed
Walter and Kathleen Haddock
1 b. Responsible Party (for L-C)
1c. Mailing Address
509 Mike Stocks Rd, Hookerton, NC 28538
td. Telephone Number
(252) 560 -9975
1e. Email Address
JSHmec @hotmail.com
2. Location of Project Site - please include the county, nearest named town and highway number:
1797 Shady Grove Church Road, Hookerton, NC
3. Has anyone from DWR visited the site?
Y / N
I Staff Name
I Anthony Scarbraugh
Date of Visit?
01/13/15
Additional Requested Information
4. Agent/Consultant Information (if applicable)
4a. Name, Company
4b. Mailing address
4c. Telephone no.
4d. Email address
5. Project and Site Information
5a. Name of project
Walter and Kathleen Haddock Property
5b. County
Greene
5c. Nearest Named Stream
Rainbow Creek
5d. River Basin
Neuse.
5e. Provide a brief description of this project (attach site plan if available):
Planning to install a stream crossing to access the property.
Please attach a map of the site indicating project boundaries on the USGS 1:24,000 Topo and /or NRCS Soil Survey.
If you are unable to locate either of these maps, please contact the Regional Office for assistance.
DWR Use Only: Is this stream call for the purpose of: _ buffer mitigation _ nutrient offset credit
Please return form to: Anthony Scarbraugh
943 Washington Square Mall
Washington, Note: Submittals on Friday after 12:00 pm
Washington, NC 27889 will be stamped as received on the
Fax: [phone] next business day.
Email: anthony.scarbraugh(Wricdenr.gov,
Please contact Anthony Scarbraugh at (252) 946 -6481 if you have any questions.
Division of Water Resources - Water Quality Regional Operations Section - Washington Regional Office
943 Washington Square Mall, Washington, NC 27889
Phone: 252 - 946 -64811 Fax: [phone] Internet: www.ncdenr.gov
An Equal Opportunity 1 ARrmadve Acton Employer — Made in pan by recycled paper

S Ge LT >' 1 VI17%�6�
Date: j /
1
Project/Site:
Latitude: P, y' 23
Evaluator: eN b
County: _ .
Longitude: 77-TI Y
0
0
1
2
2
Total Points:
Stream Determination (circle o
Other
Stream is at least intermittent
Ephemeral Intermittent ere n,
e.g. Quad Name:
if 2:19 or perennial if ? 30'
0
1
A. Geomorphology Subtotal = )
Absent
Weak
Moderate
Strong
la Continuity of channel bed and bank
osity of channel along thalweg
0
0
1
2
2
3
el structure: ex. riffle -pool, step -pool,
ool se uence
0
1
2
3
size of stream substrate
0
1
2
0
elict floodp lain
ional bars or benches
alluvial deposits
Rge
0
0
0
1
c2
V
2
3
3
0
8. Headcuts
0
VO
2
3
9. Grade control
No = 0
1
1.5
10. Natural valley
0
1 L Second or greater order channel
Yes = 3
° artificial ditches are not rated; see discussions in manual
o. n ui UIV ouuwwi-
12. Presence of Baseflow
0
1
2
13. Iron oxidizing bacteria
0)
1
2
3
14. Leaf litter
1.5
0.5
0
15. Sediment on plants or debris
0
1
1.5
16. Organic debris lines or piles
0
0.5
1
17. Soil -based evidence of high water table?
No = 0

ConnectGIS Feature Report
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e maps and data provided herein were prepared for the inventory of real property found within this jurisdiction and are compiled from recorded deeds, plats, and othe
Public data. Users of this service are hereby notified that the aforementioned public primary information sources should be consulted for verification of the informatic
ontained herein. Neither the County nor any contracted company hired for the purpose of compiling or hosting the data assume any legal liability for the informatio
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