20141065 Ver 1_Stream Call Request_20141010

NC DWO Stream Identification Form Version 4.11 �\Oerl r. 4r_ J.\ Nit fi
Date: V 1
Absent
0
ProjectlSite: `
Latitude:
Evaluator: `
County:
-Longitude:
Total Points:
Stream Determination (circle one)
Other
Stream is at bast intermlftent
if z 19 a rennial if= 30
Ephemeral Intermittent Perennial
e.g. Quad Name:
A. Geomorphology Subtotal = )
1'' Continuity of channel bed and bank
Absent
0
Weak
Moderate
2
Strong
3
2. Sinuosity of channel along thalweg
0
1
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
0.5
2
3
6. Depositional bars or benches -
0
1
2
3
7. Recent alluvial deposits
0
2
3
8. Headcuts
24. Amphibians
1
0
3
9. Grade control
1.5
0.5
1
1.5
10. Natural valley
1
0.5
1
1.5
11. Second or greater order channel
No = 0
Yes = 3
wiiii vnams she a�ssions mmanual - - - - -- - - --
B. Hvdroloov (Subtotal = B , <7 1
12. Presence of Baseflow
0
1
3
13. Iron oxidizing bacteria
0
1
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 r piles
0.5
1
1 5
17. Soil -based evidence of high wateNo
-= 0
es = 3
libr-il -lb -1. Pt01[61C -1N --
18. Fibrous roots in stre ambed
3
1
0
19. Rooted upland plants in stream bed
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
2
3
22. Fish
0
0.5
1
1,5
23. Crayfish -
1
1.5
24. Amphibians
0
0.
1
1.5
25. Algae
0
1
1.5
26. Wetland plants in streambed
FAC = 0.75; OBL = 1.5 Other = 0
'perennial streams may aim be Identified using other nlethoks.
See p. 35 of manual.
Notes:
Sketch:
Z�� f; -4 �'/

I

EXPRESS
NC ®ENR
Express
Dec Freemen., Secretary
North Carolina Department of Environment and Natural Resources
Origin Determination
Colleen Sullins. Director
Division of Water Quality
ApplicanttOwner's Name (corporation/individual who is legally responsible for the property and its compliance
Alleman Investments LLC
Applicant/Owner Address: PO Box 1 1387 City: Goldsboro State: NC Zip: 27532
Applicants phone number: (919) 778 -6655 Fax number:
Applicants email address: chervlallemanc a a nc rr com Mobile Number:
Consultant/Contact person Name (if applicable): Jeffrey L Komegav PE PLS / B.R. Komeeav, Inc.
Consultant address (if applicable): P.O. Drawer 1435 Goldsboro NC 27533
Consultants phone number: (919) 735 -5886 Fax number: (919) 580 -9053
Consultants email address: ieffre korneraysep com Mobile Number: (919) 921 -0537
Name of Project: Alleman site County: Wane
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):
Stoney Creek + Neuse River
Please provide a brief description of this project (attach site plan if available):
Pr000sed office building and parking lot
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.
The property is located at the south side of Ash Street approximately 430 feet east of the intersection of Ash Street and
Spence Ave in Goldsboro NC - Wayne County
Has any DWQ staff visited the site? No , 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 or No M (Please check one). If No please specify
This form may be submitted via email to lyn hardison(alncdeur.gov (252- 948 -3842) or roberto.scheller(alncdenr.gov (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.nc.us One
943 Washington Square Mall Phone: [phone]
Washington, NC 27889 FAX [phone] N��/ttt`o�/tthf fC�yarrofiina
An Equal Opponunity/ A81nnativeAction Employer - 50 %RecycledAO % Post Consumer Paper {/ ►"µtmra"bf

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