20150012 Ver 1_Stream Call Request_20150106

Beverly Perdue. Governor
Dee Freeman- Secrelary
0 North Carolina Department of Environment and Natural Resources
O Y 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
NCTP 3300 Real Estate Investment Co. LLC
Applicant /Owner Address: P.O. Box 10749 City: Goldsboro State: NC Zip: 27532
Applicants phone number: (919) 751 -2200 Fax number: (919) 751 -1253
Applicants email address: pbenton a ecog com Mobile Number:
Consultant /Contact person Name (if applicable): Jeffrey L Kornegav, PE PIS / B R Korne,av, 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: ieffrey a kornegaysen coin Mobile Number: (919) 921 -0537
Name of Project Chevrolet of Goldsboro County: Wavne
Please specify the number to stream origin determination(s) requesting for this project: 1 4 of stream calls
Nearest Named stream + River Basin (firont USGS topographic map):
Richland Creek + Neuse River
Please provide a brief description of this project (attach site plan if available):
Proposed building addition
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 corner of the intersection of U.S. Hwy. 70 Bvp East and Oak Forest Road (SR 171 1)
in Goldsboro NC - Wayne County. The proposed building is located at the south side of the existing building.
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 _n (Please check one). If No please specify
This form may be submitted via email to Ivn.hardison Q nedenreov (252- 948 -3842) or roberto.scheIler(incelenr.gov (252 -948-
3940) mailed or hand- delivered to: 943 Washington Square Mall, Washington, NC 27889. (Note: Submittals of the revielo
packages on Friday after 12:00 pin 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.eocstateoc.us
943 Washington Square Mall Phone: [phone]
7�7One
lna
Washington, NC 27889 17AX 252- 946 -9215
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NC DWO Stream tdentifientinn Farm Vrrsinn d -11 '
Date: ti
13roJecVSite: V �
Latitude:
Evaluator:
County: .l
Longitude:
Total Points:
Stream Determination (circle one)
Other
if 19 orp rennialnrermittent --
N s 19 or perennial it z 30'
Ephemeral Intermittent Perennial
e.g. Quad Name:
A. Geortior holo (Subtotal=_ )
Absent
Weak
Moderate
Strong
1' 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. Panicle 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 -
R Hvdrnlnnv rsi thtntal = y V I„ "a"uaI
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?
No'= 0
Yes = 3
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: S
Sketch:
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