HomeMy WebLinkAbout20120924 Ver 1_Complete File_20121213NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E. Dee Freeman
Governor Director Secretary
Stream Origin /Buffer Applicability Determination
Applicant /Owner's Name (corporation /individual who is legally responsible for the property and RECEIVED
Applicant /Owner Address: O S Y fOd tAJ S S)"'_
Applicant's phone number: .? q a - ✓'rf.2 (o Fax number: I/q
Applicant's email address: . i` /'e le *Vft
Consultant /Contact person Name (if applicable): Aa___41L
Consultant address (if applicable):
Consultant's phone number: 9�9�ayz - 51 Z4. Fax number:: 910*- ° Z'`7f / V4
5
Consultant's email address: aV� -� Ot•o- G�(/`yY C,
Name of Project: Vaj lI A.O,ao-o.c A4 t L County: GJCO'rr�
Nearest Named stream + River Basin (from �USGSltopographic map):
Piece p�royide a brief description of this project (attach site plan if available):
To be filled out by DWQ:
Is this stream call for the purpose of:
buffer mitigation
nutrient offset credit
Location of project site - please include reference to the county, nearest named town and ighway npmber:
/01 —, c,c
(J 2) on 2
Please attach a map of site location indicating project boundaries using USGS 1:24,000 topo map and NRCS county soil survey.
Has any DWQ staff visited the site? No, if yes, please provide DWQ staff name,
date of visit:
and
This form may be submitted via email (amv.adams @ncdenr.eov), faxed (252- 946 - 9215), 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 Amy Adams at 252- 948 -3917 if you have any questions regarding this form.
North Carolina Division of Water Quality Internet: w%ti c.ncwaterquality.orre
943 Washington Square Mall Phone: 252 -946 -6481
Washington, NC 27889 FAX 252 -946 -9215
An Equal Opportunity/Affirmative Action Employer — 50 % Recycled /10% Post Consumer Paper
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Scale: 1 inch equals 1000 feet
1998,
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Name: NORTHEAST GOLDSBORO
Location: 035° 29'51.38"
N 077° 59' 13.51" W
Date: 12/12/2012
Caption: Vail Apts.
Pikeville, Wayne Co.
Scale: 1 inch equals 1000 feet
1998,
NC DWQ Stream Identification Form Version 4.11
r}
f
Date: !
Project/Site:
Latitude: ?5 i (
Evaluator.
County: ,.,y�-
?
Longitude:`j�o�9 �"
r
Total Points:
Stream Determination (circle one)
Other
Stream is at least intermittent
if a 19 or erennial if a 30'
Ephemeral Intermittent Perennial
e.g. Quad Name:
A. Geomorphology (Subtotal= )
Absent
Weak
Moderate
Strong
1' Continuity of channel bed and bank
0 )
1
2
3
2. Sinuosity of channel along thalweg
t)
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. Hvdroloqv (Subtotal = , V � "` )
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
19. Rooted upland plants in streambed
1
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
Ud
0.5
1
1.5
16. Organic debris lines or piles
1 0
0.
1
1 1.5
17. Soil -based evidence of high water table?
I No = 0
Yes = 3
C. Biolow (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:
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