20130312 Ver 1_Complete File_20130329

i T�N�
NCDENR + * 1' !VE D
North Carolina Department of Environment and Natural Reso rN
Division of Water Quality
Pat McCrory Charles Wakild, P.E. MAR 12h9 E.arla 111
Governor Director Secretary
Stream Origin /Buffer Applicability Determin 4�' vC —
rV YARo
Applicant /Owner's Name (corporation /individual who is legally responsible for the property and its compliance:
A""L_y G- IQ.,,v1G,,N. Sc
Applicant /Owner Address: 211S & CJtL,(Ei>04- �a�o. A►C1t -Z-7 Tot
Applicant's phone number ( -eS7) 14$r4'IS S Fax number:
Applicant's email address:
Consultant /Contact person Name (if applicable):
Consultant address (if applicable):
Consultant's phone number: Fax number:
Consultant's email address: -�
Name of Project: Lsjha .. -N' ,,d County: 1Jtca r-}-
Nearest Named stream + River Basin (from USGS topographic map):
Twa Ccte L Is this stream call for the purpose of:
_buffer mitigation
I
nutrient offset credit
Please provide a brief description of this project (attach site plan if available):
F I1-)rY1 ar Cc, 4to me, dt tc L :14n INA
Location of project site - please include reference to the county, nearest named town and highway number:
P 5 wki4e i�oa Yea 40Vw 6$pelce_a,n+ C.dres< . -LG.cL Lwt64-N Corner
ASr 0 coat rl,
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 ? %, if yes, please provide DWQ staff name,
date of visit:
and
This form may be submitted via email ( anthony.scarbraugh @ncdenr.gov), 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 Anthony Scarbraugh at 252 -948 -3924 if you have any questions regarding this form.
North Carolina Division of Water Quality Internet: �c 9_��.,ncwateruualita :or,
943 Washington Square Mall Phone: [phone] One
Washington, NC 27889 FAX [phone] NorthCarolina
An Equal Opportunity /Affimutve Action Employer — 50% Recycled /10% Post Consumer Paper AdAffizllrf

Scarbraugh, Anthony
b
From: jlatham @gotricounty.com
Sent: Monday, March 25, 2013 10:03 AM
To: Scarbraugh, Anthony
Subject: Re: Stream Request Form
Attachments: DWQ.jpg
Mr.Scarbraugh,
Here is the completed form for the work I was asking about doing. My phone nomber is 252 - 945 -9755 if you would call me
if you need any more information, or before you come visit I would like to be there if that is okay. Thank you for your help.
James Latham
Slade Landscaping
(252) 945 -9755
j lath am .gotricounty.corn
- - - -- Original Message - - - --
From: Scarbrauqh, Anthony
To: jlatham gotricounty.com
Sent: Monday, March 25, 2013 9:11 AM
Subject: FW: Stream Request Form
Anthony Scarbraugh
Environmental Senior Specialist
Washington Regional Office
North Carolina Department of Environment and Natural Resources
Division of Water Quality - Surface Water Protection Section
943 Washington Square Mall
Washington, NC 27889
(252) 948 -3924
E -mail correspondence to and from this address may be subject to the North Carolina Public
Records Law and may be disclosed to third parties unless the content is exempt by statue or other regulation.
From: Scarbraugh, Anthony
Sent: Monday, March 25, 2013 9:11 AM
To: 'jlathan @gotricounty.com'
Subject: Stream Request Form
Mr. Latham,
Per our conversation, please fill out the attached form and return it to my attention.
Thanks,
Anthony Scarbraugh
Anthony Scarbraugh
Environmental Senior Specialist
Washington Regional Office
North Carolina Department of Environment and Natural Resources
Division of Water Quality - Surface Water Protection Section
943 Washington Square Mall

Washington, NC 27889
(252) 948 -3924
E -mail correspondence to and from this address may be subject to the North Carolina Public
Records Law and may be disclosed to third parties unless the content is exempt by statue or other regulation.

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Map NCAerial2010
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PIN 15025856
GPIN 6634 -91 -0604
GPINLONG 6634 -91 -0604
NAME1 LATHAM JAMES G JR
NAME2
ADDR1 418 CRAVEN STREET
ADDR2
CITY BATH
STATE NC
ZIP 27808
PROP—ROAD SR 1343
ACRES 7.5900
ACCT_NBR 892516
MAP—SHEET 663400
NBR_BLDG 0.0000
DATE 1/29/2009 12:00:00 AM
DB_PG 1672/0198
LAND_VAL 25596.0000
BLDG_VAL 0.0000
DEFR_VAL 0.0000
TOT_VAL 25596.0000
NBHD_CDE Al
NBHD_DESC ZONE1 AVERAGE
SUB_CDE
SUB_DESC
STAMPS 48.0000
SALE PRICE 24000.0000
ZONE
LAND-USE
DISTRICT 07
PROP_DESC 7.59 AC TR 2 SHARON B TYER
MBL 66340057
EXMPT_PROP
EXMPT_AMT 0.0000
ROAD—TYPE P
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NC DWO Stream Identification Form Version 4.11
Date: 13
Project/Site: 13-0312-
Latitude: 35`•4`t{�Z3q
Evaluator: d
County: 8EA%J 64,f
Longitude: ��.
Total Points:
Stream Determination (circle one)
Other
Steam is at least intermittent
if _ 19 or perennial if z 30* N
Ephemeral Intermittent Perennial
e.g. Quad Name:
R
A. Geomorphology (Subtotal = )
Absent
Weak
Moderate
Strong
,a, 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
artificial ditches are not rated; see discussions in manual
B. Hvdroloav (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 1
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; OBI = 1.5
Other = 0
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
f
am* wiry s 04A'
Ms