18-411_Determination Request_20181107

Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all
mandatory questions are answered.
Project Name:*
Is this a transportation project?*
What type of request is this?*
Owner Information
Name on the Recorded Deed:*
Hillsborough Site
r Yes r No
PF Buffer r IP Stream Determination
r- Isolated Wetland V Stream
Check all that apply.
KIMEAST REAL ESTATE INVESTMENT TRUST
Responsible Party: Jay Diamond
(for LLC, Corporations, businness, agency, etc.)
Telephone Number: 410427-4463
(xxx)xxx-xxxx
How would you like to received your determination?*
F W
Email Address:* [e-mail]
Is there an agent or consultant responsible for the request?*
r
Attach agent authorization letter:* Hillsborough Site Agent Auth.pdf
FDF only
Agent/Consultant Information
How would you like to receive your r USPS
determination letter?* r Email
Name of Agent:* Jason Hartshorn, PWS
Company Name:* Kimley-Horn
Email Address:* [e-mail]
Has anyone form DWR done a previous site visit?*
C No
r Other Unknown
46.15KB

Date of Visit:
Site Information
Nearest Highway/Street:* Cardinal Drive
Nearest Town:* Hillsborough
Nearest Named Stream:* Eno River
River Basin:* Neuse
County: *
Orange
Please attach a map of the site indicating project boundaries on the USGS 1:24,000 Topo.
(lick the upload button or drag and drop files here to attach docurrent
Hillsborough USGS.pdf 944.83KB
Fttf file type only
TOPO map look up: https://viewer.nationalmap.gov/basic/
Please attach a map of the site indicating project boundaries on the NRCS Soil Survey.
Qick the upload button or drag and drop files here to attach docurrent
Hillsborough NRCS.pdf
Fttf file type only
977.69KB
Soil Survey Link: https://v w v.nres.usda.gov/wps/portal/nres/surveylist/soils/survey/state/?stateld=NC
Latitude and Longitude
Please provide the Latitude and Longitude for physical location for the determination that. If you have a
physical address you can look up the Latitude and Longitude by typing in an address or filling out the
information manually.
Choose below how you would like to r Address Lookup
provide this information. F Manually
Latitude: 36.057242
Longitude: -79.108951
Misc attachments: Hillsborough JD Features.pdf 1.53MB
S1 INT.pdf 20.31 KB
pdf or kTm file types only
By digitally signing below, I certify that:
o I have given true, accurate, and complete information on this form;
o I agree that submission of this form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the
"Uniform Electronic Transactions Act")
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act');
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
o I intend to electronically sign and submit the "Determination Request' form."

Signature Sign
Date Submitted: 11/5/2018
Initial Review RRO
D# * 18-411
Do you want to send this for review? r Yes r No
Select Reviewer:* Jeremiah Dow:eads\jjdow
Select Regional Office:* Raleigh Regional Office - [phone]

AGENT AUTHORIZATION FORM
Name:
Address:
Phone:
Project Name/Description: Hillsborough Site
Date:
NC Department of Environmental Quality - Division of Water Resources
Attention: Mr. And, Neal_
Field Office: Raleigh Regional Office
Re: Neuse River Basin Riparian Buffer Determinations
To Whom It May Concern:
KIMEAST REAL ESTATE INVESTMENT TRUST hereby designates and authorizes Kimley-Horn
and Associates, Inc. to act in my/our behalf as my/our agent solely for the purpose of processing Neuse
River Basin Riparian Buffer Determinations and to furnish upon request supplemental information in
support of applications, etc. from this day forward until successful completion of the riparian buffer
determination process or revocation by the KIMEAST REAL ESTATE INVESTMENT TRUST.
Authorized this the 22 l day of . 0 CT -b 6 a2 ,
By: STUB 0, Co
Print Name
Cc: Karen Higgins
NC Division of Water Resources
401 & Buffer Permitting Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
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North Carolina Division of Water Quality - Stream Identification Form, Version 4.11
A.
Stream S1
Absent
Date: 10/17/2018
Project/Site:
Latitude: 36.058238
Score
Hillsborough Site
Continuity of channel bed and bank
Evaluator: J. Hartshorn, PWS
(Kimley-Horn)
County: Orange
Longitude: -79.10994
Total Points: 27
Stream Dete (circle one)
Other
Stream is at least intermittent
Ephemer Intermitten Perennial
e.g. Quad Name: Hillsborough Quad
if >_ 19 or perennial if >_ 30
3
1
A.
Geomorphology Subtotal = 12
Absent
Weak
Moderate
Strong
Score
1a.
Continuity of channel bed and bank
0
1
2
3
3
2.
Sinuosity of channel along thalweg
0
1
2
3
1
3. In -channel structure: ex. riffle -pool, step -pool, ripple-
poolsequence
0
1
2
3
1
4.
Particle size of stream substrate
0
1
2
3
2
5.
Active/relic floodplain
0
1
2
3
0
6.
Depositional bars or benches
0
1
2
3
1
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
1
10.
Natural valley
0
0.5
1
1.5
1
11.
Second or greater order channel
No =
0
Yes
= 3
0
artificial ditches are not rated; see discussions in manual
B. Hydrology Subtotal =
12.
Presence of Baseflow
0
1
2
3
3
13.
Iron oxidizing bacteria
0
1
2
3
0
14.
Leaf litter
1.5
1
0.5
0
1
15.
Sediment on plants or debris
0
0.5
1
1.5
0.5
16.
Organic debris lines or piles
0
0.5
1
1.5
0.5
17.
Soil -based evidence of high water table?
No =
0
Yes
= 3
3
C. Biology Subtotal =
18.
Fibrous roots in streambed
3 2
1
0
3
19.
Rooted upland plants in streambed
3 2
1
0
3
20.
Macrobenthos (note diversity and abundance)
0 1
2
3
1
21.
Aquatic Mollusks
0 1
2
3
0
22.
Fish
0 0.5
1
1.5
0
23.
Crayfish
0 0.5
1
1.5
0
24.
Amphibians
0 0.5
1
1.5
0
25.
Algae
0 0.5
1
1.5
0
26.
Wetland plants in streambed
FACW = 0.75; OBL = 1.5; Other =
0
0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Stream S1 is a short linear channel beginning at the culvert outlet beneath an old
road bed. Culvert is perched and failing, with one section of pipe hanging and
about to fall. Upstream of road bed, water is impounded and sediment buildup is
prevent stronger downstream flow. S1 enters culvert beneath 185 north of
property line.

Legend
Hillsborough Site Area
Kimley>>> Horn
250 500 1,000
Feet
Figure 4: NRCS Soil Survey
Hillsborough Site
Orange County, NC
October 2018

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Legend 9
Hillsborough Site Area 0 250 500 1,000
ow I Feet
Kimley>>> Horn
Figure 2: USGS Topographic Map
Hillsborough Site
Orange County, NC
October 2018