20170258 Ver 1_Buffer and/or Stream Determination_20170306

FECSVED/NCIDIDIR DWR ROY COOPER
Governor
MICHAEL S. REGAN
MAR 62017 Secretary
Water Resources S. JAY ZIMMERMAN
Environmental QualityDirector
Wateroustky Regional
opsrstione Section
Washington Regional Office DWR Use Only: Project #: )-[,1762-)y
Date Received: � 4 /17
Buffer Applicability / Stream Origin Determination Request
Property Owner Information
1. Owner Information (corporation/individual who is legally responsible for the property and its compliance)
1a. Name(s) on Recorded Deed Kings Crossroads Original FWB Church INC
1b. Responsible Party (for LLC)
1c. Mailing Address 2435 Kittrell Hill Road Farmville NC 27828
1d. Telephone Number 252-717-8699 1e. Email address [e-mail]
2. Address of Property or Location of Project Site (including county, nearest named town, and highway or road name/ number):
2058 Seven Pines Road Fountain NC near intersection of Kings Crossroads Road and Seven Pines Road between Farmville and Falkland
3. Agent / Consultant Information
3a. Agent/ Consultant Name
3b. Company
3c. Mailing address
3d. Telephone no. 3e. Email address
Pitt
4. Project/ Site Information
4a. Name of project
KCR stream delineation
4c. Nearest Named Stream Tyson Creek
4b. County
Pitt
4d. River Basin Tar
5. Project Description (attach plan if available) KCR owns Parcel 82856, 26855, and 62386. We want to connect the parcel 26855 and
62386 parking lots with future potential development of parcel 82856. USACE rep Kyle Barnes completed delineation on March 2nd
and determined stream feature in question to not be jurisdictional from a fed. standpoint. Feature is on topo map but not soils.
6. Has anyone from DWQ visited the site? Y / N Staff Name: Date of Visit:
7. Attach a map of the site indicating project boundaries on the USGS 1:24,000 Topo and/or NRCS Soil Survey
If you are unable to locate either of these maps, please contact the DWR Washington Regional Office for assistance.
DWR Use Only: Is this determination for the purpose of Buffer mitigation? Nutrient offset credit?
8. Please return form to: Anthony Scarbraugh
943 Washington Square Mall Note: Submittals on Friday after 12:00 pm
Washington, NC 27889 Will be stamped as received on the
Email: [e-mail] Next business day
Please contact Anthony Scarbraugh at the Washington Regional Office at [phone] if you have any
questions.
-">'''Nothing Compares" -----
State of North Carolina I Environmental Quality I Water Resources -Water Quality Regional Operations Section -Washington Regional Office
943 Washington Square Mall, Washington, North Carolina 27889
252-946-6481

if

395
15491

1Y4 Y4
0 1 Mile
5 000 4 000 3 000 2000 1 000 0 5 000 Feet
m Scale 1:15840
0
Gaal. 1 • 1X, QAr%
',()no Foe+
—30"- Z C
C
C