20120872 Ver 1_Complete File_20120924

O�OF VA TF19 Beverly Perdue, Governor
PRESS' Dee Freeman., Secretary
r North Carolina Department of Environment and Natural Resources
' _+ SEP 20 2012
D `C Colleen Sullins, Director
Division of Water Quality
Express Stream Origin Determination
Applicant/Owner's Name (corporation/individual who is legally responsible for the property and its compliance _Eastern
Pride,Inc
Applicant/Owner Address: 2405 F Nash Street
Applicant's phone number: 252_-230-0632
Applicant's email address:
_City: Wilson
Fax number:
Consultant/Contact person Name (if applicable): Marie Peedin
Consultant address (if applicable): _128 Abbey Lane Washington, N C 27889
State: NC Zip: _27896_
Mobile Number
Consultant's phone number: _252-945-2983 Fax number: 252974-7618
Consultant's email address: [e-mail] — Mobile Number:
Name of Project: _Retail Store C- : _Beaafwl /J
Please specify the number to stream origin determination(s) requesting for this project: _i_ # of stream calls
Nearest Named stream + River Basin (from USGS topographic map):
Trib to Back Creek - Tar Pamlico
Please provide a brief description of this project (attach site plan if available):
Retail Site Plan
Please attach a map of site location indicating project boundaries using USGS 1:24,000 topo map and NRCS county soil
survey (depicting the streams in question).
Location of project site - please include reference to the county, nearest named town and highway number/ NCSR, etc.
Ditch located 250' north west of the intersection of Waterside Drive and NC 99 South west side of NC 99
Has any DWQ staff visited the site? n_, if yes, please provide DWQ staff name,
visit:
and date of
Does DWQ representative have permission to go on location to conduct the stream determination without the owner present?
Yes—X— or No (Please check one). If No please specify
This form may be submitted via email to [e-mail] (252-948-3842) or [e-mail] (252-948-
3940) mailed or hand -delivered to: 943 Washington Square Mall, Washington, NC 27889. (Note: Submittals of the review
packages on Friday after 12:00 pm will be stamped as received on the next business day).
Please contact Chris Pullinger at 252-948-3920, if you have any questions regarding this form.
North Carolina Division of Water Quality Internet: h2o.enr.state.naus
943 Washington Square Mall Phone: [phone]
Washington, NC 27889 FAX [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper
NorthCarolina
Natmally

9/19/12 MSRMaps: Print
Send To Printer Back To MSR Maps Change to 11x17 Print Size Show Grid tines Change to Landscape
DUES 2 km NE of Bath, North Carolina, United States 01 Jul 1982
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Date: OAt
Project/Site:
Latitude:
Evaluator:
County.
Longitude:
Total Points:
1
2
Stream is at least intermittent
Stream Determination circle one
( )
Other
if a 19 or perennial if 2:30*
Ephemeral Intermittent Perennial
e.g. Quad Name:
A. L-jeomor nolo (Subtotal = )
1a' Continuity of channel bed and bank
Absent
0
Weak
1
Moderate
2
Strong
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
a
Other = 0
No = 0
Yes = 3
�........... ............ .,........ ...... , .......awaawno ui manual
B. Hvdmloav (Suhtntal = 1
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?
0.5
No = 0
Yes = 3
1.5
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 r.
0
1
2
3
22. Fish 9
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians < '
4 y
00.5
1
1.5
25. Algae 3 '
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:
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Beaufort
Page 1 of 1
Beaufort County Home Page I Data Layers I Background Layers I Search for a property I Search using a Street Name
ZaOFA TO PARCEL
IDENTIFY RESULTS
Layer: Parcels
PIN
15006330
G PIN
6653-34-0916
GPINLONG
6653-34-0916
NAME1
CHESSONJASPE
(JACK)
NAME2
ADDR1
PO BOX 258
ADDR2
CITY
BATH
STATE
NC
ZIP
27808
PROP_ROAD
INC 92
ACRES
0
ACCT NBR
18567
MAP—SHEET
665314
NBR BLDG
0
DATE
1/23/1990
DB_PG
921/0162
LAND_VAL
60000
BLDG_VAL
0
DEFR_VAL
0
TOT VAL
60000
NBHD_CDE
Al
NBHD_DESC
IZONElAVERAGE
SUB_CDE
SUB_DESC
STAMPS
24
SALE PRICE
24000
ZONE
B2
LAND USE
DISTRICT
06
PROP_DESC
1 LOT (#6)
MIDGETTE/TANK
MBL
166531415
EXMPT_PROP
EXMPT AMT
0
ROAD TYPE
P
CENSUS BLK
PREVASSESS 0
http://www2.undersys.com/beaufortweb/beaufortmain.html 9/21/2012

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Name: BATH Location: 035° 28'27.30" N 076'48'21.74" W
Date: 9/21/2012 Caption: Stream Determination, Chesson Property, Tax PIN# 15006330
Scale: 1 inch equals 1000 feet
Copyright (C) 1998, Maptech, Inc

SEP 2 0 2011