23-404_Buffer_Determination Request Form_11082023

Division of Water Resources, Raleigh Regional Office, Water Quality Operations Section http://portal.ncdenr.org/web/wq/aps
1628 Mail Service Center, Raleigh, NC 27699-1628 Phone: [phone]
Location: 3800 Barrett Drive, Raleigh, NC 27609 Fax: [phone]
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Interim Director

Date Received_______________ DWR Use Only: Project # _________________

Buffer Determination Request Form
Property Owner Information
1. Owner Information
1a. Name(s) on Recorded Deed SMITH, RICHARD JAMES TRUSTEE TAYLOR-SMITH, CHRISTINA L
TRUSTEE
1b. Responsible Party (for LLC)
1c. Mailing Address 7820 Wakebrook Dr, Raleigh, NC 27616
1d. Telephone Number N/A 1e. Email Address N/A
Address of Property: 7820 Wakebrook Dr, Raleigh, NC 27616
Project Description (attach plan if available): Unknown

Consultant/Agent Information
4. Agent/Consultant Information
4a. Name, Company Steven Ball Soil & Environmental Consultants, PA (S&EC)
4b. Mailing address 8412 Falls of Neuse Road, Suite 104, Raleigh, NC 27587
4c. Telephone no. 9196912114 4d. Email address [e-mail]

5. Project and Site Information
5a. Name of project 7820 Wakebrook Dr 5b. County Wake
5c. Nearest Named Stream Hodges Mill Crk 5d. River Basin Neuse
6. Has anyone from DWR visited the site? Y / N N Staff Name N/A Date of Visit? N/A

Attach a map of the site indicating project boundaries on the USGS 1:24,000 Topo and/or NRCS Soil Survey.

Please return form
to:

Division of Water Resources, Raleigh Regional Office, Water Quality Operations Section
1628 Mail Service Center
Raleigh, NC 27699-1628
Email: [e-mail]
Please contact the Raleigh Regional Office at [phone] if you have any questions.

USGS The National Map: National Boundaries Dataset, 3DEP Elevation
Program, Geographic Names Information System, National Hydrography
Dataset, National Land Cover Database, National Structures Dataset, and
National Transportation Dataset; USGS Global Ecosystems; U.S. Census
Bureau TIGER/Line data; USFS Road Data; Natural Earth Data; U.S.
Department of State Humanitarian Information Unit; and NOAA National
Centers for Environmental Information, U.S. Coastal Relief Model. Data
refreshed June, 2020.
Project Number:
SB
Project Manager:
1" = 1000'Scale:
10/12/2023Date:
Map Title:
Source:
Figure 1 - USGS Map
7820 Wakebrook Dr
Wake County, NC
USGS National Map
¯0 1,000 2,000
Feet
15845.W1

Project Number:
SB
Project Manager:
1" = 500'Scale:
10/12/2023Date:
Map Title:
Source:
Figure 2 - Soil Survey Map
7820 Wakebrook Dr
Wake County, NC
Soil Survey Sheet No. 31 & 41
¯0 500 1,000
Feet
15845.W1