20100335 Ver 1_Stream Call Request_20100506

�OF tfJATF90 ��� Michael F. Easley, Governor
William ecr
G. Ross Jr., Setary
q North Carolina Dclianntent of Envirotunent and Natural Resources
Collcen Sullins, Dircdar
Division of Water Quality
Stream Origin Determination
Applicant/Owner's Name (corporation/individual who is legally responsible for the property and its compliance
Weverhaeuser Timberlands
Applicant/Owner Address: 1785 Weyerhaeuser Road Vanceboro INC 28586
Applicant's phone number: 252 633 -7482 Fax number: 252 -633 -7426
Applicant's email address: cliff (yson weyerhaeuser.com
Consultant/Contact person Name (if applicable):
Consultant address (if applicable):
Consultant's phone number:
Consultant's email address:
Name of Project: _ D, } __
Fax number:
County: Y' {wi y
Nearest Named stream + River Basin (from USGS topographic map):
Please provide a brief description of this project (attach site plan if available):
Please attach a map of site location indicating project boundaries using USGS 1:24,000 topo map and NRCS county soil survey.
Location of project site - please include reference to the county, nearest named town and highway number:
Has any DWQ staff visited the site? if yes, please provide DWQ staff name,
and date of visit:
This form may be submitted via email (chris.pullinger&n - ail.ne(� faxed (252- 946 - 9215), mailed or hand - delivered to:
943 Washington Square Mall, Washington, NC 27889. (Note: Submittals of the review packages on Friday after 12 :00 pm 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: h2oerrc.slale.nc.us
943 Washington Square Mall Phone. [phone]
Washington, NC 27889 FAX [phone]
An Equal GpporturtolAffirmairve Action Empbyer- 50% Recydedr10% Post Consumer Paper
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® Natural Heritage — ••— Exempt ® Dangerous Intersections
Grave Sites — ••— Denied; Non - Exempt
XX Aesthetically Sensitive MgtUnits — -- Utility ® a Crossings
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— Abandoned R/R ROW
Neuse Area 2011 Final Harvest Candidate 1:15,840 MBN - 3112/10
MU #: 310617 Pine TPA: 67 Primary Exam End Dte: 2007/01/30
Frstble Ac: 84 Pine Avg Dbh:14.6 Map #: K- 11 -26B
Seed Yr: 1979 Pine CCF /Ac: 23.5 Cnty: Beaufort (S)
Origin: Genetic-Plt Pine CF /LF -Grd: 0.70 Comp: 104
Seas: Transitional Logging Site Indx: 62 Landform: Upland Clay Flats
Sens: No Primary Exam: UDAR Exam Aesthetics: Non - Sensitive