20221125 Ver 1_CH Determination- Copy_20220623

PUBLIC WORKS DEPARTMENT
STORMWATER MANAGEMENT DIVISION
405 Martin Luther King, Jr. Blvd.
Chapel Hill, NC 27514-5705
Telephone [phone]
Fax [phone]
www.townofchapelhill.org
March 4, 2022
Mr. Philip Beach
Sage Ecological Services, Inc.
3707 Swift Drive
Raleigh, NC 27606
[e-mail]
RE: Stream Determination for 5217, 5227 & 5305 Mt. Moriah Road, Chapel Hill, NC
PINS 9890-84-9934, 9890-94-5812, 9890-95-8043, 9890-83-5996 & 9890-74-0792
Dear Mr. Beach:
As requested, the Town Public Works Department has performed a stream determination for the properties
identified on the attached forms. This determination indicates whether different types of streams (perennial,
intermittent, and/or ephemeral) or perennial waterbodies are present on the properties in question or on
nearby properties. These streams and their classifications are shown on the accompanying area map. Stream
segments regulated by the Town's Jordan Lake Watershed Riparian Buffer regulations are highlighted.
Locations of all features on the map are approximate and must be field surveyed for precise location.
This stream determination information is used to determine the location and extent of the Resource
Conservation District (RCD) and Jordan Lake Watershed Riparian Buffers. Specific land use regulations and
restrictions apply within the boundaries of these protected areas. If you are considering any kind of work on
these properties, including clearing vegetation, paving, grading, or building, please consult with the Town's
Planning Department to determine the possible extent of the Resource Conservation District (RCD) and Jordan
Lake Watershed Riparian Buffer on these properties and the applicable corresponding restrictions.
This stream determination will remain in effect for five years from the date of the last site visit, after which
a new stream determination with site visit will be required.
In accordance with the Town's procedures, you may appeal this administrative decision to the Town Manager.
If you wish to do so, you must file your written appeal accompanied by any materials you believe support
your appeal, within 30 days of receipt of this letter.
If you have questions regarding this stream determination, please contact me at [phone] or
[e-mail]. If you have questions about the application of the Town's Resource
Conservation District (RCD) or Jordan Watershed Riparian Buffer regulations to these properties, please
contact the Planning Department at [e-mail] or [phone]. You may also view
information about buffer regulations online at: http://www.townofchapelhill.org/stormwater.
Sincerely,
Az.aanWeitiQelA.,
Allison Schwarz Weakley
Stormwater Analyst

PUBLIC WORKS DEPARTMENT
STORMWATER MANAGEMENT DIVISION
405 Martin Luther King, Jr. Blvd.
Chapel Hill, NC 27514-5705
Telephone [phone]
Fax [phone]
www.townofchapelhill.org
STREAM DETERMINATION SITE VISIT RESULTS
Property Information
Parcel ID Number (PIN)
Address / Location Description
9890-84-9934, 9890-94-5812,
9890-95-8043, 9890-83-5996 &
9890-74-0792
5217, 5227 & 5305 Mt. Moriah Road, Chapel Hill
These are the results of a site visit to the property(ies) listed above for a stream determination
conducted on 1/28/2022 & 2/2/2022 by Town Staff:
n No perennial, intermittent, or ephemeral streams or perennial waterbodies were identified
on or near the property(ies) in question.
n Perennial, intermittent, or ephemeral streams, or perennial waterbodies, were identified on
or near the property(ies) in question and are shown on the attached map(s).
A map showing water features, their Town flow classifications, presence of Jordan Watershed
Riparian Buffers, and their approximate locations is attached. Note that Resource
Conservation District (RCD) buffers may also apply but are not shown. Origins or breakpoints
that have been flagged in the field are marked on the map. Stream classification forms and
additional site visit notes and maps are also attached.
Other conditions exist which may affect the location of the Resource Conservation District
(RCD) or Jordan Watershed Riparian Buffer:
FEMA floodzone is mapped in the area. Precise location of the Base Flood Elevation and
associated RCD must be determined by a field survey commissioned by the owner or a
representative.
Segments of perennial or intermittent stream are piped in the area, as shown on the map.
These segments do not have an associated Jordan Watershed Riparian Buffer, but do have an
associated buffer if the RCD applies.
7
Possible Jurisdictional Wetlands have been identified in the area. A formal review by a
professional certified in Jurisdictional Wetland Delineation is recommended.
v4P.Qi.4UtiLANect,�2,t�
3/4/2022
Town Staff Signature Date
Version7/24/2020

Stream Determination Area Map
0I
D
Unclassified Stream
Ephemeral Stream
Intermittent Stream
Perennial Stream
Wide Perennial Stream
Perennial Waterbody
Culverts
2-foot Contours
10-foot Contours
Buildings
Parcels
Subject Property
OWASA Easements
* Addresses
Approximate Jordan Buffer
NCNHP Natural Area
✓ Town Property
Flood Zones
I 1500-year Floodplain
V/ 100-year Floodplain
Q Ephemeral Breakpoint
Q Intermittent Breakpoint
O Perennial Breakpoint
Address: 5217, 5227 & 5305 Mt. Moriah Road
Chapel Hill, NC
Parcel ID: 9890-84-9934, 9890-94-5812, 9890-95-8043,
9890-83-5996 & 9890-74-0792
0 250 500
I 1 I I
1,000 Feet
i i J
1 inch = 500 feet
Stream locations are approximate and must be verified by survey.
Buffers are measured from top of bank. RCD buffers are not shown
but may apply. Wetlands are also present but not shown. Please
contact the Town of Chapel Hill Planning Department
to verify all applicable buffers.
Created 4/(Xn of,ChaHill PublicWorks Department X�tormww 1\1‹.\ Management Division
5115
/4
Dry Creek/Mount
Moriah
Bott mlarid
Date: 3/4/2022
N zCxu�c

USGS 24K Topographic / County Soil Survey Maps
Subject Property
0 250 500 750 1,000 Feet
I I I I I
1 inch = 800 feet
Address: 5217, 5227 & 5305 Mt. Moriah Road, Chapel Hill, NC
Parcel ID: 9890-84-9934, 9890-94-5812, 9890-95-8043, 9890-83-5996
& 9890-74-0792
Created by Town of Chapel Hill Public Works Department - Stormwater Management Division- 2/24/2022
USGS 2019 Topographic Map
(s
8
NRCS'1977 Orange County Soil Survey

ANDt v.��w.e�2 1 FAffiC///
FIELD MAP 1(29ZZ41 212412-
Mt Moriah Rd/Erwin Rd
PINs 9890-84-9934, 9890-94-5812,
9890-95-8043 9890-83-5996, 9890-74-0792
0 75 150 300 450 600 Feet
(1tiltiiliiilttil

22-2412. 1 Cc 2
NC DWO Stream Identification Form Version 4.11
atvire
Date: 2e:Z\2Z
Project/Site: 'Y;t pIA.
Latitude: 3 5` (,it 24
Evaluator: \K j r. k. ,
1
q
County:Lon
itude:
Total Points:
Stream is at/east intermittent
if >_ 19 or perennial if >_ 30*
Stre termination (circle one)
Ephemer Intermittent Perennial
Other
e.g. Quad Name:
A. Geomorphology (Subtotal = )
Absent
Weak
Moderate
Strong
la Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
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
1�
2
3
9. Grade control
0
'.-fat)
1
1.5
10. Natural valley
0
0
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 = • S
12. Presence of Baseflow
1
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
1
15
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0
5
1
1.5
17. Soil based evidence of high water table?
_
(o = 0)
Yes = 3
C. Bioloov (Subtotal =
18. Fibrous roots in streambed
3
2
0
19. Rooted upland plants in streambed
3
24
1
0
20. Macrobenthos (note diversity and abundance)
(0)
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
Q
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae
1.
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: L „ i' ' (k) ,

20220 t 2S 1009
NC DWQ Stream Identification Form Version 4.11
Date:(2.,S
Project/Site: M
rn '
Latitude:
Evaluator: A r e(...i) Lt°i
�"�'� `1
.
County: () (1)105e....
Longitude:
. c/
Total Points:
Stream is at least intermittent 11,
if >_ 99 or perennial if >_ 30*
5
Str ettrerminationcircle one)
E hemera Intermittent Perennial
p
Other
e.g.Quad Name:
A. Geomorphology (Subtotal = ` [ ,`_? )
Absent
Weak
Moderate
Strong
la Continuity of channel bed and bank
0
l
2
3
2. Sinuosity of channel along thalweg
0
..11"---
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate IU+C or
0
(L)
2
3
5. Active/relict floodplain i
1
2
3
6. Depositional bars or benches ������
0
CD
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
[ 2
3
9. Grade control
C u)
0.5
1
1.5
10. Natural valley
0
C.5)
1
1.5
11. Second or greater order channel
(NI = a)
Yes = 3
artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = 4
12. Presence of Baseflow /,V -7
0
(.:/
2
3
13. Iron oxidizing bacteria
()
11.5
1
2
3
14. Leaf litter
CO
0.5
0
15. Sediment on plants or debris
0
0.5
R
1.5
16. Organic debris lines or piles
0 0.5
1.5
17. Soil -based evidence of high water table?
iNo =-0
Yes = 3
C. BioloQv (Subtotal =
18. Fibrous roots in streambed
3
(i„)
1
0
19. Rooted upland plants in streambed
3
2
.. r
0
20. Macrobenthos (note diversity and abundance)
0
(1 j
2
3
21. Aquatic Mollusks
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
L/l�4
0
0.5
1
1.5
��
26. Wetland plants in streambed �j�.ti,.,4
FACW = 0.75; OBL = 1.5 Other = 0
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: (_ify-1 lai�t:- 5 Sy f )Cet S
Sketch: "t-'c af.,1X , �,(ei „1 s G r(O 1 N' l

2-O Z2..bk2` (b 23
NC DWQ Stream Identification Form Version 4.11
ce
Date:
ZC1
-�Z
�
Mtn; f
Project/Site: .t ;n .AA.
/
Latitude: 3S qi, 3z
Evaluator: we ak te� 41.. l
County: ortireecLongitude:. , CO21
Total Points:
Stream is at least intermittent (q 5-Ephemeral
if_ 19 or perennial if>_ 30*
Stream Determination circle one)
Other
e.g. Quad Name:
ntermittenn Perennial
A. Geomorphology (Subtotal = / () )
Absent
Weak
Moderate
Strong
la Continuity of channel bed and bank
0
1
O
3
2. Sinuosity of channel along thalweg
0
(0
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate 1 et
0
1
(2)
3
5. Active/relict floodplain . (0i -
0)
1
2
3
6. Depositional bars or benches
0
(1)
2
3
7. Recent alluvial deposits
0
1
0
3
8. Headcuts
O
1
2
3
9. Grade control
0
1
1.5
10. Natural valley
0 t5.--)
1
1.5
11. Second or greater order channel
6lo = 5)
Yes = 3
artificial ditches are not rated; see discussions in manual
B. Hydrologv (Subtotal = 5 .5
12. Presence of Baseflow wa�`'c1(�1
0
0
2
3
13. Iron oxidizing bacteria
01.5
2
3
14. Leaf litter
0.5
0
15. Sediment on plants or debris
0
0.5
Q
1.5
16. Organic debris lines or piles
0 C05)
1
1.5
17. Soil -based evidence of high water table?
'ICo =,
Yes = 3
C. Biology (Subtotal = (a
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
0
Cr)
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: itf t Y�- ( uYJCM) WY \ prAS 1 sOpir-a4
t
Sketch: Callre C)C
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2z20 ( I I 1 f
NC DWQ Stream Identification Form Version 4.11
-erk-t-ucte
Date: L,2i12,I
Project/Site: Mtr/ 1 , I.k
Latitude:
/-2
Evaluator: o
W e dit. k.- e 9
j
1 A�."k`"
County:Longitude;_
D a
g `
, cO 34,
Total Points:
Stream is pee leastintermittentlif >_ 30* fer3013 S
_
if ?9 or
Str etermination (circle one)
phemera Intermittent Perennial
Other
e.g. Quad Name:
A. Geomorphology (Subtotal = (p )
Absent
Weak
Moderate
Strong
1a. Continuity of channel bed and bank
0
2
3
2. Sinuosity of channel along thalweg
0
pi)
2
3
3. In -channel structure: ex. riffle -pool, step- ool,
ripple -pool sequence I p{.rt_{ ( (A Livi
0
(-CO
J
2
3
4. Particle size of stream substrate .t.yiA P
0
>l��
2
3
5. Active/relict floodplain ` [1-
1
2
3
6. Depositional bars or benches
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
Grade control
0
Al.
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
o =i-
Yes = 3
artificial ditches are not rated: see discussions in manual
B. Hydrology (Subtotal = 2 .
12. Presence of Baseflow yCyx{ pex,) S
0
2
3
al
13. Iron oxidizing bacteria
CO)
1
2
3
14. Leaf litter
1.5
1
- 0.5
0
15. Sediment on plants or debris
0
%°'-4
1
1.5
16. Organic debris lines or piles
0
6.0
1
1.5
17. Soil -based evidence of high water table?
(o = 9
Yes = 3
C. Bioloov (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
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish0.5
tO
1
1.5
24. Amphibians1
0.5
1.5
25. Algae
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: a 4c, i (4,(7'L sli c,
[ i
Sketch: ice 6Y i Q�(1 f l (�
Q OitCa - Q P l
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NC DWQ Stream Identification Form Version 4.11
re
Date: 1 I
12-2-
M OTA
Project/Site: r - ,,: t i c1/(
Latitude: ss , Cfr 24
Evaluator: G►
V`�l 'Gt .(� ; �
�
�
County:�L"
Uf&C
Longitude:_
g .Cy);3
Total Points:
Stream Deter n (circle one)
Other
Stream is at least intermittent 24-
if _> 19 or perennial if a 30*
Ephemeral ntermittertt) Perennial
e.g. Quad Name:
A. Geomorphology (Subtotal = (1 ,s )
Absent
Weak
Moderate
Strong
la Continuity of channel bed and bank
0
1
(2-)
3
2. Sinuosity of channel along thalweg
0
1
(L2)
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
/,', J )
��
2
3
of stye S O tkA h
4. Particle size of stream substrate ((
0
1
2
3
5. Active/relict floodplain `` -
0
1
2
3
6. Depositional bars or benches
0
()
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
4111
2
3
9. Grade control
0
C
1
1.5
10. Natural valley
0 0.5
/
1.5
11. Second or greater order channel
("-No =S1)
Yes = 3
artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = 5 )
12. Presence of Baseflow sPii12 •l r 4. 0
1Y0ICi fps .teetC
1
0
3
13. Iron oxidizing bacteria a W i-t-fr,(ruf t,-4- ��
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
Ores = 3)
sa U
. 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
1
2
3
22, Fish
0.5
1
1.5
23. Crayfish
( t1)
0.5
1
1.5
24. Amphibians
0.1
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: Gllflrl 11 G?157� Gj
1-''tj/.1e,
Sketch:
ktekeDe,ctt 6ci.
Gr (nap ci't ..

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NC DWQ Stream Identification Form Version 4.11
keA-tvre
Date: ta%
Project/Site: Tr�:\
Latitude: 3
go 7
Evaluator: Vic
ke
, -
a�
County: �r �) q--Longitude:.
'
J
oat`Total
Points:tStream.Determination(ciirle
Stream is at least intermittent
if >_ 19 or perennial if >_ 30*
(f'Ephemeral
one)
Intermittent Perennial
Other
e.g.Quad Name:
A. Geomorphology (Subtotal = `# )
Absent
Weak
Moderate
Strong
I Continuity of channel bed and bank
0
., ,(
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
Get. -
0
t'.)
2
3
l
5. Active/relict floodplain
t5
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
CO ._5)
1
1.5
10. Natural valley
0
1
1.5
11. Second or greater order channel
o = 0
Yes = 3
artificial ditches are not rated, see discussions in manual
B. Hydrology (Subtotal =
12. Presence of Baseflow
0
t,)
2
3
13. Iron oxidizing bacteria
()
1
2
3
14. Leaf litter
1.5
1
0.5
05
15. Sediment on plants or debris
0
0.
1
5
16. Organic debris lines or piles
0
&
.5
1
1.5
17. Soil -based evidence of high water table?
No = 0
es
3
. BIoIoQv (Subtotal =
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
?�
0.5
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae
()
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: 1 ea6ts1S
Sketch: i
(e 6e Q
to rw. . 11
C o k- tk 6+7r
. Ct! .a. C to(a
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2_4()22p12SLZl
NC DWQ Stream Identification Form Version 4.11
-lea-hvre
Date: I
2 8 2-2_
Project/Site: 'I 1 Ef' NI
Latitude: 3c I62p
Evaluator:
A k_ I k., ,e ,�_ .. ►
rj f
County: O r it n y
Longitude:�Ci‘f Gj�Q
` v 1 [�
Total Points:
:
'
Stream is at least intermittent
Stream Deter circle one)
Other
if _ 19 or perennial if >_ 30 2-3
Ephemeral termitte Perennial
e.g. Quad Name:
A. Geomorphology (Subtotal = i U ,S )
Absent
Weak
Moderate
Strong
le Continuity of channel bed and bank
0
1
illa3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
_J ��
CD
2
3
4. Particle size of stream substrate , / c
-i-
0
1
2
3
5. Active/relict floodplain Ora
0..
1
3
6. Depositional bars or benches
10
1
2
3
7. Recent alluvial deposits
0
r 1�
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.
1
1.5
10. Natural valley
0
.0.5
CO
1.5
11. Second or greater order channel
(No = 0,
Yes = 3
artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = (0, S-
12. Presence of Baseflow W t Ai :.r1.1
0
2
3
13. Iron oxidizing bacteria n.0,1041611< -i
03
1
2
3
14. Leaf litter 5o�+1E{`Ai +or7 f tf ie_ 5
1.5
0.5
0
15. Sediment on plants or debris Ol(vCt (c i a-,0
e
1
1.5
16. Organic debris lines or piles
0
0.5
Lam,?
1.5
17. Soil -based evidence of high water table?
No = 0
Ses = 3,
. Biology (Subtotal =
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
CO
2
1
0
20. Macrobenthos (note diversity and abundance)
0
(
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
0.5
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: am AA1 C't A
,
Sketch: TL_ LC l U,(.6._be vo s L (O lLi 46 ijt.0
.etNAc, e 2 -\a . -1 e. ( 4
c map
f d." (47(ct 3 '
�
/

202ic 2 .(zz--2-
fee
1
.
fee
Date: l 2 I1ZZ Project/Site: Ei{ rNw i nt�p Latitude: $ , -I el
Evaluator: �. A,kte I / i Ct;( County: cx'0 r4 Longitude: �C{', oaf
s-
Total Points: J Stream Determination (circle one) Other
Stream is at least intermittent I phemera Intermittent Perennial e.g. Quad Name:
if >_ 19 or perennial if >_ 30* l
A. Geomorphology (Subtotal = 4 . S )
A. Geomorphology (Subtotal = 4 . S )
Absent
Weak
Moderate
Strong
1 a. Continuity of channel bed and bank
0
-
2
3
2. Sinuosity of channel along thalweg
0
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
( p )
1
2
3
4. Particle size of stream substrate `1. 4N I t'
0
�)
2
3
5. Active/relict floodplain
CO)
`T
2
3
6. Depositional bars or benches
0
CD
2
3
7. Recent alluvial deposits
0
1
(2'
3
8. Headcuts
CO__)
1
2
3
9. Grade control
0
Co. J
1.5
10. Natural valley
0
0.5
/1
(I)
1.5
11. Second or greater order channel
60 = 0
Yes = 3
a artificial ditches are not rated; see discussions in manual
R Hvri rnlnnv 1Ri�htntal = f0 . Cr 1
12. Presence of Baseflow' is rj'avi1�
0
(�
2
3
13. Iron oxidizing bacteria L tkQ ki 1+ p�Fu,4-(A, 1
G)
1
2
3
14. Leaf litter
1.5
Q
0.5
0
15. Sediment on plants or debris
0
0.5
CID
1.5
16. Organic debris lines or piles
0
(5)
1
1.5
17. Soil -based evidence of high water table?
No = 0
6s = 3) lf
ow
vc,t�,
18. Fibrous roots in streambed
3
(_ 2 )
(2)
1
0
19. Rooted upland plants in streambed
3
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
(0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish 1
0)
0.5
1
1.5
24. Amphibians ��
0
0.5
1
1.5
25. Algae
Ll./
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: t ) /tA 1 4 r 5-;_
c�i'rzt
Sketch: . a�Vre k c n 2 Caver*
o +'`'ail
- t,f e a roof
Lax,L Gt a GI-C\ 51A kflQ a.& "t"

2c22 D 1 11--
a+i)u'e co
Date: \\z\�Z
ProjecSite: .
C
Latitude: c"c� /
°F
•
Evaluator: �/ N jek„e i (7e I to__
County: Ot-Qn ty
Longitude: J4q, WO
Total Points:
Stream is at least intermittent
if>_ 19 or perennial if? 30*
Str etermination (circle one)
phemer ' Intermittent Perennial
Other
e.g. Quad Name:
A. Geomorphology (Subtotal = S )
Absent
Weak
Moderate
Strong
la Continuity of channel bed and bank
0
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
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
2
3
7. Recent alluvial deposits
0
�1
( )
2
3
8. Headcuts
(P)
1
2
3
9. Grade control
0
1
1.5
10. Natural valley
0
1
1.5
11. Second or greater order channel
(tic) =-0
Yes = 3
a artificial ditches are not rated; see discussions in manual
12. Presence of Baseflow
(o/
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
1.5
17. Soil -based evidence of high water table?
I`�o =...
Yes = 3
18. Fibrous roots in streambed
3
2
(1 )
0
19. Rooted upland plants in streambed
3
Y
1
0
20. Macrobenthos (note diversity and abundance)
0
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
Amphibians
0.5
1
1.5
25. Algae
224.
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: ct"`V(c 61.4(-1 0 {r .r:,4 Ct Of(...0 a.
` et

21 Z2o2..o2 (cd Coe
NC DWQ Stream Identification Form Version 4.11
Date: (IZig
2 I 2IZ
Z 2-
Project/Site:Ntt tr,u\I r� C1�
Latitude: 35, r(/„6).
Evaluator:
In s= ,_ 1,i f 1
County:(Ackt
Longitude:,
Total Points:
Stream is at least intermittent
if ? 19 or perennial if? 30*
Stream Determination (circle one)
'phemeral; Intermittent Perennial
-__ . _
Other
e.g. Quad Name:
A. Geomorphology (Subtotal = ? `� )
Absent
Weak
Moderate
Strong
la Continuity of channel bed and bank
0
4-(1)
2
3
2. Sinuosity of channel along thalweg
0
(i�
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
6 ,
��
1
2
3
4. Particle size of stream substrate
0
61,
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
(�
1
1.5
11. Second or greater order channel
c"" 0
Yes = 3
1=
Y12. Presence of Baseflow �cv! S+ �1 iCtC (
0
G
2
3
13. Iron oxidizing bacteria In c.4�t Ytfl(n ( cj ".E (
`. J
1
2
3
14. Leaf litter cd=" t f ,t4c r
1.5
1
75)-,
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0
0.9
1
1.5
17. Soil -based evidence of high water table?
No = 0
es bey
1=
J
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)
1
2
3
21. Aquatic Mollusks
(00
1
2
3
22. Fish
70
0.5
1
1.5
23. Crayfish
L0)
0.5
1
1.5
24. AmphibiansE
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: aYYI [% , r <<,,,,,,- -
I
Sketch: �4 V (�. be gins
-c-EI-e.( ..0a roa • Li
((Ai.)(J W`.
. k 't •frTa`
& ow
- wr1
p
` _6,6) .4 ) -
< < if
` Lwus ` r .._ r d
u pCava
I
51 )
,
co
cE
rvm on h 1
{ o m mon
urn
6q54A01 ()rat' c ((at

Zo 22012_ I�"g
NC DWQ Stream Identification Form Version 4.11
r-e
(Project/Site:
Zg k2.2_
Iltkllasnutii
netd
rA
Latitude: 3S, �s-v
`Date:
Evaluator: \n .em, u) 4
"
�'- '
County: Oramz.
Longitude: -
cos'-/
!
Total Points:
Stream r et least l if? 30*ent I
if >_ 19 or perennial if >_ 30"
Stream Deter ' circle one)
Ephemera ntermitten Perennial
Other
e.g. Quad Name:
A. Geomorphology (Subtotal = J. S )
Absent
Weak
Moderate
Strong
1 a. Continuity of channel bed and bank
0
2
3
2. Sinuosity of channel along thalweg
0
E1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
CO
2
3
4. Particle size of stream substrate
(�
G rt..,
0
1
0
3
5. Active/relict floodplain L..jy-ure
0
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
G
2
3
9. Grade control
0
�1
i )
1.5
10. Natural valley
0
0.5
r1
i�
1.5
11. Second or greater order channelo
Yes = 3
a artificial ditches are not rated; see discussions in manual
12. Presence of Baseflow
0
1
(`)
3
o F srrtcc.lt n .
13. Iron oxidizing bacteria
t
0
1
2
3
14. Leaf litter
.5
t
0.5
0
15. Sediment on plants or debris
0
0.5
1.5
16. Organic debris lines or piles
0
0.5
1
1.5
17. Soil -based evidence of high water table?
No = 0
tes =3
18. Fibrous roots in streambed
3
O
1
0
19. Rooted upland plants in streambed
()
2
1
0
20. Macrobenthos (note diversity and abundance)
0
0
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
00,5,_
1
1.5
25. Algae
0
CQV
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: GlJ%f\ QntF64S lC'tt"t. S6 64UC1. 1.C• L)Jc (Mtg.
Sketch; ( ) ) k 4A- /er
6.-actoex/- p e - -il 1 A. m .
c
L.

20Z20202.1+1
NC DWQ Stream Identification Form Version 4.11
-a-fry (e
Date: ZI ,4Z2
Project/Site: AM': err (0 1
Latitude: ss, ci ' G
Evaluator: `^ Iza H . e A
►-t V✓J
/ a(4.4-
`'7 `
County: 0 r A/�
Longitudes �',
c
Total Points:
S etteermination (fci-rcle one)
Other
Stream is at least intermittent
if >_ 19 or perennial if >_ 30*
14 '3hemeral
Intermittent Perennial
C..._
e.g.Quad Name:
A. Geomorphology (Subtotal = 1 )
Absent
Weak
Moderate
Strong
la 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
1
2
3
4. Particle size of stream substrate
0
0
2
3
5. Active/relict floodplain sCpvrir�G)
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
(t )
Yes = 3
artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = (D
12. Presence of Baseflow ?poi
0
0
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
ryes = 3 cTc'+'
C. Biolociv (Subtotal =
18. Fibrous roots in streambed
3
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae
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: .,Gt , V r Y s6,(0_,:atek' ✓1ed ink) k) ci t
Lois of INnoc s -- ma 4 yf 1-Sct i C.
Ole:4461/ Sa -6 OctOr
^n n is i/
' n -C4aToe c,

2-Q242L 212 32-
NC DWO Stream Identification Form Version 4.11
Date: 4
2
ProjectlSite: Twin
Latitude: &S f
Evaluator: ? a l d t,
co„, a.!--
County: 0 ( (x\oo.t
Longitude;..-Ci, 00( p
Total Points:
Stream is at least intermittent
if >_ 19 or perennial if >_ 30 *
2-C
Stream. Determination (circle one)
Ephemeral\ Intermittent Perennial
Other
e.g. Quad Name:
A. Geomorphology (Subtotal = CO. $ )
Absent
Weak
Moderate
Strong
la Continuity of channel bed and bank
0
<
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
�:J
2
3
4. Particle size of stream substrate
F05
1
2
3
5. Active/relict floodplain
1
2
3
6. Depositional bars or benches
0
1)
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
2
3
9. Grade control
0
431,
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 = 3
�r..
12. Presence of Baseflow SyiU�1 t?dtj�c?
0
0
2
3
13. Iron oxidizing bacteria
C71
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
o
1
1.5
Organic debris lines or piles
0
-, 0.5
CO16.
L
1.5
17. Soil -based evidence of high water table?
ct.lo = 9
Yes = 3
C. Bioloav (Subtotal =
18. Fibrous roots in streambed
3
2
(1)
0
19. Rooted upland plants in streambed
3
( )
1
0
Macrobenthos (note diversity and abundance)
0
320.
1
2
3
21. Aquatic Mollusks
i
1
2
3
22. Fish
( )
0.5
1
1.5
23. Crayfish
7b)
0.5
1
1.5
24. Amphibians
0 ,'
0.5
1
1.5
25. Algae
9%
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: 6xnpioa 04 ( V ts'4* C. abonctrkici in pool
Sketch: on\Q ' f) s - seteta r( tp
slncc.l o o( 1 pa 1 o uppe c r at(/')
cn-eA, il'l0 [awe,r reitcG, .
Inn e
be eoThes

2 22OW 21;14
NC DWQ Stream Identification Form Version 4.11 �.
Date: �J
2_
��
NCI 1 M `a`t 1 J\
Project/Site: 0 In .R..4
Latitude: 3s CTS9 2.
Evaluator:
v\1 �e.
'
-e. v\ i� �4.11:,
4-
County:
0Y �. vn
Longitude:.- r"
g 4t - (el C
Total Points:
Str etermination (circle one)
Other
Stream is at least intermittent
if >_ 19 or perennial if? 30*
1.5
phemera Intermittent Perennial
e.g. Quad Name:
A. Geomorphology (Subtotal = 9 )
Absent
Weak
Moderate
Strong
1a Continuity of channel bed and bank
0
1
t`2 )-Y
3
2. Sinuosity of channel along thalweg
0
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
4.-7(
2
3
4. Particle size of stream substrate
0
&---C\
2
3
5. Active/relict floodplain
(0)
1
2
3
6. Depositional bars or benches
0
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
CO)
0.5
1
1.5
10. Natural valley
0
0.5
0
1.5
11. Second or greater order channel
o 7-1)
Yes = 3
a artificial ditches are not rated: see discussions in manual
B. Hvdroloav (Subtotal =
12. Presence of Baseflow k
0
0
2
3
13. Iron oxidizing bacteria
1
2
3
14. Leaf litter
1.5
1
S
0
15. Sediment on plants or debris
0
0.5
1.5
16. Organic debris lines or piles
0
0.5
1
17. Soil -based evidence of high water table?
to = 0
Yes = 3
C. Bioloav (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
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1.5
24. Amphibians
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 identifi d using other methods. See p. 35 of manual.
Notes: I;ees.; S a Ona.a.,VV:
C fa,-c>,` 0l
I
Sketch: T� .4w
4' .exnds C
c -e
bt. Ci� e
(51Ak Li v - -ROW
A ma.�.
`.
1
p DCYi_'� tA. Y 2 Gttx
(&4A4 1. ,
6-h r the
La 691 1 Ga:�
I I S a I,S r u

26 22,02O21 cS41-
:. ,.,1 aCQ�11(C @..)
L\t. 1,,♦V
Date: VA.1:2___Project/Site:
\[ ....7 II c.aaaa aua.a
••.wawa, . ..a aaa
. .,a „_„-_ ___ _ (^
1
G�(
Latitude: a Cf.s 1 5
Evaluator: W1'e:Otkle, } 6
""
k a
County: oY and['
Longitude:- qq. 01 1 1
JJ
Total Points:
Stream is at least intermittent
if>_ 19 or perennial if>_ 30*
(2-
Stream Determination (circle'irone)
ma e erIntermittent Perennial
Other
e.g. Quad Name:
A. Geomorphology (Subtotal = .3.0
)
Absent
Weak
Moderate
Strong
la Continuity of channel bed and bank
0
2
3
2. Sinuosity of channel along thalweg
0
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
/0
�J
1
2
3
4. Particle size of stream substrate
0
�
%
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
to =-�
Yes = 3
a artificial ditches are not rated: see discussions in manual
D. nyuivivyy louuLvLai - ✓
12. Presence of Baseflow
0
CD
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.
1
0.5 '
/
Ca)
15. Sediment on plants or debris
0
69- -"�
1
1.5
16. Organic debris lines or piles
0
0.5
CO--,
1.5
17. Soil -based evidence of high water table?
No = 0
Yes = UPeGf is
L.. vivwyy louuwLai - 1
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
C)
1
0
20. Macrobenthos (note diversity and abundance)
5
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
6
0.5
1
1.5
23. Crayfish
b
0.5
1
1.5
24. AmphibiansT
0.5
1
1.5
25. Algae
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:
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USE OF ors UNDER IT SHALL CONSTITUDI RA AGREEMENT SY THE
51214ATURE OF nit OWNER(4)
TOCAT CONSTRiCTIIM OF ALL ISIPPOVEVENTS SHOW 't! OK THE APPROVED
PlatAIRART SKETCH WILL SE GOISPLETED AS THEREON 'WAWA)
reagraMetelin
PROVIDED THAT THIS PLAT SE RUA' ROE D WITHItti 30 DA eS OF FINAL
ear
4.
MA Ft E WO OD SOSO/ VISION
FROPEiTY OF
CHARE.L HILL TRIP ORANW CV, NC
SCALE /001- AVG. 9,1978
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19780829000059810
29/52
Book 29

PUBLIC WORKS DEPARTMENT
STORMWATER MANAGEMENT DIVISION
405 Martin Luther King, Jr. Blvd.
Chapel Hill, NC 27514-5705
Telephone [phone]
Fax [phone]
www.townofchapelhill.org
REQUEST FOR STREAM DETERMINATION
Stream determinations provide information used to determine whether the Town's Resource
Conservation District (RCD) or Jordan Watershed Riparian Buffer Protection regulations apply to a
property. Town staff will typically conduct a field visit to classify streams on the property(ies) indicated
below within two weeks of a request, depending on weather conditions, staff availability, and scope of the
request. Please note that stream determinations cannot be conducted within 48 hours of a rain event.
There is no fee for stream determinations conducted by Town staff.
A stream determination report indicates the results of a stream classification. Stream classifications expire
after five years. If a stream determination has been completed on or near the property(ies) listed below
within the last five years, a site visit may not be required unless local hydrology has changed significantly
or the stream classification has expired. If a site visit is not required, the stream determination will be
based on a records review.
Requests may be emailed([e-mail]), faxed, dropped off at Town Hall or the
Stormwater Office, or mailed to the above address in care of the "Stormwater Analyst."
Requestor's Name: Philip Beach (Sage Ecological Services)
Mailing Address: 3707 Swift Drive
City, State, ZIP: Raleigh, NC 27606
Phone / FAX / Email: [e-mail]
Check method(s) for
report to be sent:
❑ US Mail ® Email
❑ FAX ❑ Call for pickup
Signature of property owner or designated legal agent granting permission to Town Staff to enter
the property(ies) indicated below for purposes of a Stream Determination:
Owner Name(s):
(Signature)
December 14, 2021
(Date)
Company Name (if applicable):
(Please print)
Property Information
Fill in both columns, or fill in Parcel ID Number (PIN) and attach a site map indicating location.
Parcel ID Number (PIN)
Address / Location Description
See attached
Where the total area of the property(ies) to visit is over 3 acres, please attach an as -built drawing or a
topographic map with current landmarks.
Version 2/21/2017

PUBLIC WORKS DEPARTMENT
STORMWATER MANAGEMENT DIVISION
405 Martin Luther King, Jr. Blvd.
Chapel Hill, NC 27514-5705
Telephone [phone]
Fax [phone]
www.townofchapelhill.org
Stream Determination Request
AUTHORIZED AGENT FOR LEGAL REPRESENTATION FORM
PROPERTY LEGAL DESCRIPTION:
PARCEL ID (PIN) In ?Oe f3y 9j909q55/z., 1et#015603, .7090.5
07-r "104/41* ao op305 51' 0-7 4/0 7f
r my/v*1i 'ex:,
STREET ADDRESS:5 2z-7 mr moi2hign ,Qoocif
Please print:
Property Owner:
Property Owner:
The undersigned, owner(s) of the above described property, ci( hereby :authorize
Qv
,ofE 01.0a.14 1i‘.511
(Contractor/Agent) (Name of consulting firm if applicable)
to request a stream determination on this property and to act on my/our behalf and take all actions, 1/we could
have taken if present, necessary for the processing, issuance and acceptance of the stream determination for
this property.
Property Owner's Address (if different than property above):
....5-',19/z77A/ 7A //N/- Z7g06
Owner Telephone: 9/9- ?-1/-efily Email: (222 e C Roe cv-P2
We hereby certify the above information submitted is true and accurate to the best of our knowledge.
honze Signature
Owner Authorized Signature
Contractor/Agent Authorized Signature
Ooz
Date
Date
Date
s e return form by email (aweakley©townofchapelhillxb, fax, or mail to the above address in care of the
"Stormwater Analyst" The form may also be dropped off at the Stormwater Management office at
208 N. Columbia Street, Chapel NC. For questions, please call (919) 969-RAIN.
y ovic_ vrifet1770/1" .06-- fro
/17 Lfr'r
Version 2/21/2017

PUBLIC WORK; DEPARTMENT
STORMWATER MANAGEMENT DIVISION
405 Martin Luther King, Jr. Blvd.
Chapel Hill, NC 27514-5705
Telephone [phone]
Fax [phone]
vmw.townofchapelhill.org
Stream Determination Request
AUTHORIZED AGENT FOR LEGAL REPRESENTATION FORM
PROPERTY LEGAL DESCRIPTION:
PARCEL ID (PIN) 9» 1 O ±3 5gij6
STREET ADDRESS:
Please print: N NNIe "w+? e- GAzzet C o w144",s�-t
rJ,gim.7 A LAIN GAS 0. 6,e A74,
Pro ert ❑caner: 4',tT.,e-t��
Property Owner 17a-04, o T$roc 3 05Arivis- o r!
IClei s ri pem-vdt 4-5 54 *iv ri •�
The undersigned, owner(s) of the above described grope: ty, do hereby authorize
I�Iciion e crf •ecvG L
sea 7T .+7Gdgi-a-47,09.„ E iatcjii +G
/v/ S Ay°
6-ete , of �r,# �G OL, p6 /AL SE.€1/ E-5/ ,
(ContractorlAgent) (Name of consulting firm if applicable)
to request a stream determination on this property and to act on my/our behalf and take all actions, live could
have taken if present, necessary fcr the processing, issuance and acceptance of the stream determination for
this property.
Property Owner's Address (if different than property above):
Y 72 EewiN ,ea,Ovrg ,� , A/ Z7707
Owner Telephone: 9/ I - 4.` - 7210 Email: CAS ri4 erdei.z.omo-stipie : e.ri!
We hereby certify the above information submitted is true and accur-Az to the best of our knowledge.
er Auth
orized Authorized Signature
Owner Authorized Signature
Date
Date
Contractor/Agent Authorized Signature Date
Please return to by email (a lametif@townotchapelhilLorg). fax, or ?? a (to the above address in care Or .
"Storrnwator Analyst." The form may also be dropped off at the Storms ater Management office at
208 N. Columbia Street. Chapel !-iHi, NC. For questions, please call (919) 959-RAIN.
+�ir/N C. C if-i2xed.. L pokwerz. op A%rJ/2,t-1L.Y
JGoep,0 i / . o 4900,4 7 z p»/O /4 3z
Version 2/21E2017

PUBLIC WORKS DEPARTMENT
STORMWATER MANAGEMENT DIVISION
405 Martin Luther King, Jr. Blvd.
Chapel Hill, NC 27514-5705
Telephone [phone]
Fax [phone]
www.townofchapelhill.org
Stream Determination Request
AUTHORIZED AGENT FOR LEGAL REPRESENTATION FORM
PROPERTY LEGAL DESCRIPTION:
PARCEL ID (PIN) _16.'1 0 7yQ 7L2
STREET ADDRESS:
Please print:
Property Owner: G&/YD *I MAC 1 e-4'Z1 L f
Property Owner: (J SOP/ Dii 12 i)/ Z5 A NP K?Iff D# /1Lc .5GAr4 A ' d
The undersigned, owner(s) of the above described property, do hereby authorize
5 4N �. .
(ContraoloriAgent)
,of _5;46 5"E'A21f/C�.S,,,G.
(Name of consulting firm if applicable)
to request a stream determination on this property and to act on my/our behalf and take all actions, I/we could
have taken if present, necessary for the processing, issuance and acceptance of the stream determination for
this property.
Property Owner's Address (if different than property above):
2
F
Owner Telephone:
tog-667 37o°
Email: P 1/ 6 lei b-e '/'/4/c . 6.0)0
We hereby certify the above information submitted is true and accurate to the best of our knowledge.
Ownelk
orized Signature Date
Owner Authorized Signature
ContractoriAgent Authorized Signature
Date
Date
Please return form by ern- l (e ieakkley@t04` li7rCi?ap iflStl.Gris?, %, C r mail to the above addr'esa in care Of the
°Sttom water Analyst,' The forrn my also be dropped 'rtt wt th S annwa er Management office at
208 N. Columbia Street, Chapel Hill, NC. For guestinns, please cal! (919) 969-RAIN.
J'01-/N G. Giejggat. Apfr/c=,�. .P AirceratiEY
gecosz v /iI jeep 460' 67' z p4» //z.5
Version 2 2gnon

Name:
Address:
Phone:
Email:
ECOLOGICAL
SERVICES
AGENT AUTHORIZATION FORM
All Blanks to Be Filled in By the Current Landowner or Legal Representative
/11 I CH4-EL., D. 6- 0 ccliclzeD
.3 A7°0 Li 5/04-,,ery Ai 4-o'er
/1/49/4z &-‘444 276o
VI- 77/ - 0119
600 r4ie-ao e Ev2 . con -I
Project Name/Description:
Sage Project #
Date:
Mt. Moriah Property
2021.153
11- .3o zo zi
The Department of the Army
U.S. Army Corps of Engineers, Wilmington District
P.O. Box 1890
Wilmington, NC 28402
Attn:
Field Office:
Re: Wetlands and Streams Related Consulting and Permitting
To Whom It May Concern:
I, the undersigned, the owner or a duly authorized representative of record of the property/properties identified
herein, do authorize representatives of the U.S. Army Corps of Engineers (Corps) 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 jurisdiction under Section 404 of the Clean Water Act and/or Section 10 of the Rivers
and Harbors Act of 1899. I also hereby designate and authorize Sage Ecological Services to act on my behalf as my
agent in the processing of permit applications, to furnish upon request supplemental information in support of
applications, etc. from this day forward.
This notification supersedes any previous correspondence concerning the agent for this project.
Notice: This authorization, for liability and professional courtesy reasons, is valid only for government
officials to enter the property when accompanied by Sage staff. Please contact Sage to arrange a meeting
prior to visiting the site.
BY: mie Hifff L L6.000reeD BY:
Print Name of Landowner or
Legal Representative
ignature of Landowner or
Legal Representative

PUBLIC WORKS DEPARTMENT
STORMWATER MANAGEMENT DIVISION
405 Martin Luther Kiwi., jr, Blvd.
Chapel Hill, NC 27514-5705
Telephone [phone]
Fax [phone]
wwvtownofchape1hllLorg
Stream Determination Request
AUTHORIZED AGENT FOR LEGAL REPRESENTATION FORM
PROPERTY LEGAL DESCRIPTION:
PARCE. ID (PIN) 9$1c2
STREET ADDRESS:
Please print:
Property Owner:
Property Owner,
1-04/
he undersigned, owner(s) of the above described property, do hereby authorize
/elife__of .te514_6-
14
7707
C 0 ‘../4-4 VICES /WC
actor/Agent) (Name of consulting firm if app cable)
to request a stream determination on this property and to act on my/our behalf and take all actions, liwe could
have taken if present, necessary for the processing, issuance and acceptance of the stream determination for
this property,
Property Owner's Address (if different
Owner Telephone:
ha
property above):
Email:
We hereby certify the above information submitted is true and accurate to the best of aur kno
-er 'zed Ngnature
Owner Authorized Signature
Contractor/Agent Authorized Signature
Date
Date
Date
e,
LAI F.L. ye-L.-iv ye hip t N or/
Aire 124, t-e 7-we
Version 212112017

PUBLIC WORKS DEPARTMENT
STORMWATER MANAGEMENT DIVISION
405 Martin Luther King, jr. Blvd.
Chapel Hill, NC 27514-.5705
Telephone [phone]
Fax [phone]
wwwtownofchapethilLorg
Stream Determination Request
AUTHORIZED AGENT FOR LEGAL REPRESENTATION FORM
PROPERTY LEGAL DESCRIPTION:
PARCEL. ID (PIN) 113 4500_95 6 09_5
STREET ADDRESS: 54.304:/e0 itor 4/0
Please print:
Property Owner:
Property Owner
The undersigned. owner(s
(Co
'4/4g14,
riAgent)
le above described property, d hereby authorize
C04 sox, p"h
Narne n consulting flrriif applicable)
to request a stream determination on this property and to act on my/our behalf and take ail actions, litive could
have taken if present, necessary for the processing, issuance and acceptance of the stream determination for
this property.
Property Owner's Address (if different than property above):
if
Owner Telephone: I )
We hereby certif
Email:
the above informationsubrnitted is true and accurate to the best of our knowledge.
ner Authorized Signature
Owner Authorized Signature
Contractor/Agent Authorized Signature
Date
Date
Date
Version 212112017
7'70 7