20150835 Ver 1_Buffer Determination Request_20150821

F c,,EDMcDENRlDwRt NC®ENR
North Carolina Department of Environment and Natural Resources
Pat McCrory AUG 19 2015 Donald R.,van der Vaart
Governor Secretary
Water Oualky Regional
operations section
Washington Regional Office
DWR Use Only: Project #
Stream Origin /Buffer Applicability Determination
Required Information
1. Owner Information (corporationfindividual who is legally responsible for the property and its compliance)
1a. Name(s) on Recorded Deed
1 b. Responsible Party (for LLC) //�� ,�
1 c. Mailing Address 44a-2 I�FIA/EES 67- 164�E/61/ /w 076,f7-
1d. Telephone Number C _ GI Iq CDZ , l r Y1C .
2. Location of Project Site - please include the county, nearest named town and highway number: vrrr, �
UP12E/2 6PLZI -vGQ9EK P-D
5 , P, / 23 / LOW GANJ) . /V1 . l2'41O 1 GO
3. Has anyone from DWR visited the site?
4. Agent/Consultant Information (if applicable)
4a. Name, Company
4b. Mailing address
4c. Telephone no.
5. Project and Site Information
l J N I Staff Name I ALLizW UlAe j I Date of Visit?
Additional Requested Information
14d. Email address I
5a. Name of project ienne°ey Duck hgP.%iA1,P46v-I 5b. County
5c. Nearest Named Stream I Jl'P�1Z 5PP /A/f7 CL���tC 5d. River Basin I rA19-1011A i G'O
5e. Provide a brief description of this project (attach site plan if available):
Du GK Ir>7�OUlJr�»7��U %
Please attach a map of the site indicating project boundaries on the USGS 1:24,000 Topo and/or NRCS Soil Survey.
If you are unable to locate either of these maps, please contact the Regional Office for assistance.
DWR Use Only: Is this stream call for the purpose of:
Please return form to: Anthony Scarbraugh
943 Washington Square Mall
Washington, NC 27889
Fax: [phone]
buffer mitigation _ nutrient offset credit
Note: Submittals on Friday after 12:00 pm
will be stamped as received on the
next business day.
Email: anthony.srarbraugh @ncdenr.gov
Please contact Anthony Scarbraugh at (252) 9466481 if you have any questions.
Division of Water Resources - Water Quality Regional Operations Section - Washington Regional Office
943 Washington Square Mall, Washington, NC 27889
Phone: 252 - 946 -64811 Fax: 252 - 975 -37161 Internet: www.nodenr.cov
An Equal Opportunity I All wmaWe Action Employer— Made in part by recycled paper

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NC Lowlana 20100820 TM geo -3.pdf (1 page)
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NC DWR Stream Identification Form Version 4.11
Date: Y /2 ProjectlSite: (�-ref
Evaluator: County: p,,,Ll -60
Total Points: Stream - Determination (circle one)
Stream is at least intermittent !n he al Intermittent Perennial
if 2 19 or perennial if 2 30'
Latitude: 3j '771N
Longitude: 7 (o _ j� b 7y
Other L_0 u&-'q
e.g. Quad Name:
A. Geomorpholociv (Subtotal= )
Absent
Weak
Moderate
Strong
1a 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,
0
1
2
3 jl
ripple -pool sequence
4. Particle size of stream substrate
0
1
2
3 1
5. Active /relict floodplain
0
1
2
3 1
_
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3 1
8. Headcuts
0
1
2
3 1
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. Hydrology (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
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;
OBL = 1.5 Other = 0
'perennial streams may also be identified using other methods.
See p. 35 of manual.
Notes:
Sketch: j 3s. 271 5 y e
It ryfirctJ
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