700 North Tryon Street
Charlotte, NC 28202
Fax: 704.336.4391
DATE
Name and Title of Applicant
Company Name
Mailing Address
Re:
PROJECT NAME
Disapproval of Request for Stream Exemption
Project Location
Town Name, North Carolina
Dear Applicant Name:
Please be advised that the Request for Stream Exemption that you submitted for
PROJECT NAME has been disapproved by this Office. Charlotte-Mecklenburg Storm
Water Services staff have performed an on-site evaluation using the North Carolina
Division of Water Quality (NCDWQ) methodology for stream identification and
determined that the stream reach as shown on the attached aerial photograph is an
intermittent stream or a perennial stream (see attached form). This stream reach will be
subject to the applicable Post Construction buffer requirements when development or
redevelopment activities occur on the property.
The Planning Department for the TOWN NAME is being notified of this disapproval by
copy of this letter.
If you have any questions or want to discuss the evaluation, please call Inspector Name at
_________________ .
Sincerely,
Rusty Rozzelle
Storm Water Administrator
Attachments: Stream Reach Aerial Photograph
Stream Reach Evaluation Form
CC:
Town Planning Department
Inspector Name
Form #PCO40
To report pollution, call: 704.336.5500
To report drainage problems , call: 311
http://stormwater.charmeck.org
Stream Reach Aerial Photograph
Project Name: Example
Project Location: 101 Smith Street
LEGEND:
= Stream reach evaluated for the Post Construction buffer requirements
Stream Reach Evaluation Form
Date:
Project:
Evaluator:
Easting:
Northing:
Total Points:
Stream is at least intermittent if > 19 or perennial if > 30*
(right-click the purple number and left-click Update Field to summarize points)
Absent
Weak
Moderate Strong
Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In-channel structure: riffle- / step- pool sequence
0
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relic 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 controls
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
Geomorphology Subtotal
a
Man-made ditches are not rated: see discussion in NCDWQ Manual
A. Geomorphology
0.0
SCORE
1a.
0.0
B. Hydrology
12. Presence of Baseflow
13. Iron Oxidizing Bacteria
14. Leaf litter
15. Sediment on plants or debris
16. Organic debris lines or piles (Wrack lines)
17. Soil-based Evidence of high water table?
0
0
1.5
0
0
1
1
1
0.5
0.5
No = 0
2
3
2
3
0.5
0
1
1.5
1
1.5
Yes = 3
Hydrology Subtotal
0.0
C. Biology
18.
19.
20.
21.
22.
23.
24.
25.
26.
Fibrous roots in streambed
Rooted upland plants in streambed
Macrobenthos (note diversity and abundance)
Aquatic Mollusks
Fish
Crayfish
Amphibians
Algae
Wetland plants in streambed
3
2
1
0
3
2
1
0
0
1
2
3
0
1
2
3
0
0.5
1
1.5
0
0.5
1
1.5
0
0.5
1
1.5
0
0.5
1
1.5
FACW= 0.75, OBL= 1.5, Other= 0
Biology Subtotal
* perennial streams may also be identified using other methods. See page 35 of NCDWQ manual.
Notes:
I certify that this evaluation conforms to the latest version of
the NCDWQ document entitled Methodology for Identification
of Intermittent and Perennial Streams and their Origins.
0.0
____________________________________
Signature of Certified Evaluator
(version 4.11)