Gateway Centre Blvd

��
D NR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Thomas A. Reeder John E. Skvarla, III
Governor Acting Director Secretary
DWQ Use Only: Project #
Stream Origin/Buffer Applicability Determination
Required Information
1. Owner Information (corporation/individual who is legally responsible for the property and its compliance)
1a. Name(s) on Recorded Deed
Republic Property Company
1 b. Responsible Party (for LLC)
Gerald Dews
1c. Mailing Address
4392 Peachtree Road; Atlanta, GA 30319
1d. Telephone Number
404-975-5200, Ext 23
1e. Email Address
[e-mail]
2. Location of Project Site - please include the county, nearest named town and highway number:
3801 & 3901 Gateway Center Blvd — Cary, Wake County
3. Has anyone from DWQ visited the site?
Y / N
Staff Name
Date of Visit?
Additional Requested Information
4. Agent/Consultant Information (if applicable)
4a. Name, Company
Troy Beasley — Withers & Ravenel
4b. Mailing address
1410 Commonwealth Drive, Suite 101; Wilmington, NC 28403
4c. Telephone no.
910-256-9277
4d. Email address
[e-mail]
5. Project and Site Information
5a. Name of project
Restaurant Depot— 3801&3901
Gateway Centre Blvd
5b. County
Wake
5c. Nearest Named Stream
Brier Creek
5d. River Basin
Neuse
5e. Provide a brief description of this project (attach site plan if available):
The project will consist of the construction of a commercial restaurant equipment distribution warehouse. The project is
currently being designed and the site plan has not been finalized.
Please attach a map of the site indicating project boundaries on the USGS 1:24,000 Topo and/or NRCS Soil Survey.
If ou are unable to locate either of these maps, please contact the Re ional Office for assistance.
DWQ Use Only: Is this stream call for the purpose of: _buffer mitigation_ nutrient offset credit
Please return form to: Tom Ascenzo
1628 Mail Service Center Note: Submittals on Friday after 12:00 pm will be
Raleigh, NC 27699-1628
stamped as received on the next business
Fax: [phone] day.
Email: tom.ascenzoirDncdenr.gov
Please contact the Raleigh Regional Office at [phone] if you have any questions.

w
GRAPHIC SCALE
l inch — 300 h.
\ `\ I
1
Y
YI
RE B
I '
t
FEATURE A
` (POND)
R
� a4
J
a
as
Ilk
1�q
WITHERB
RESIAURANTDEPOT USGSQUAD -CARY f RAVEN EL
\Y111\t\1 I Il/•YY \\1 1 lY\Y\YOYI
W.LL111%.Alr \t1Y1111 .\ .II\n

WITHERS &- RAVENEL
ENGINEERS I PLANNERS I SURVEYORS
Buffer Determination Request Information
Restaurant Depot - 3801 & 3901 Gateway Centre Blvd
Property Owner/Applicant — Republic Property Company
Gerald Daws
4392 Peachtree Road
Atlanta, GA 30319
404-975-5200; Ext 23
[e-mail]
Written Authorization — See attached Agent Authorization Form
Physical Address — 3801 & 3901 Gateway Centre Blvd, Cary
Drains eg Basin — Neuse - 03020201
Receiving Waters — Brier Creek
Stream Index — 27-33-4
Surface Water Classification —QNSW
Decide rg ees — 35.848852°N;-78.801241 ° W
USGS Quad Map — Cary
Soils Mao — Wake Co. Soil Survey — Sheet 36
Total Area — t9.25 acres
i43o Commonwealth Drive, Suite %oi Wilmington, North Carolina 28403 tel: [phone] fU:910-256-2584
www.w1thersravenei.com