20200444 Ver 1_Stream Call Request Form_20200403

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
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)
1 a. Name(s) on Recorded Deed
Grace G. Jones
1 b. Responsible Party (for LLC)
1c. Mailing Address
1696 Swift Creek Road, Smithfield, NC 27577
1d. Telephone Number
919-349-2671
1e. Email Address
[e-mail]
2. Location of Project Site - please include the county, nearest named town and highway number:
Located near Dobbs County Courthouse Road. Approximatley 1020 feet south of the intersection of Piney Grove Church
Road and Dobbs County Courthouse Road, Wayne County. Existing ditch and pond are approximately 800 feet south of
Dobbs County Court House Road.
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
Jeffrey L. Kornegay, PE, PLS / B. R. Kornegay, Inc.
4b. Mailing address
300 E. Walnut Street, Goldsboro, NC 27530
4c. Telephone no.
919-735-5886
4d. Email address
[e-mail]
5. Project and Site Information
5a. Name of project
Dobbs County Estates, Section 13
5b. County
Wayne
5c. Nearest Named Stream
Walnut Creek
5d. River Basin
Neuse
5e. Provide a brief description of this project (attach site plan if available):
Residential subdivision.
Please 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 Regional Office for assistance.
DWQ Use Only: Is this stream call for the purpose of: buffer mitigation nutrient offset credit
Please return form to: Anthony Scarbraugh
943 Washington Square Mall
Washington, NC 27889 Note: Submittals on Friday after 12:00 pm
will be stamped as received on the
Fax: [phone] next business day.
Email: anthony.scarbrauph(cDncdenr.gov
Please contact Anthony Scarbraugh at [phone] if you have any questions.

aw
es
I H
ism 1
J-
— — — — — — — — — - 7 - — — — — — — — — — —
— — — — — — — — — — —
--------------------
'M�Zl 'A�ENT -- — — — -- — — — — -- — — — — —
Z
LOCAION SKETCH
T
- - - - - - - - - - - - - - - - - - - - - - - -
3o' 3o'
gbg RIGHT of WAY
�k /f�
----------
------------------
�j
yg
IT
2
V IX
MDM&&MAS
(PUBLIC ROAD)
4r,=
PROPOSED OL TER
C3
MAL13OX UNI
- - - - - - - - - - - - - - - - - - - - -
�-j
- - - - - - --- - - -
d
- - - - - - - - - - -
d
GRAPHIC SCALE
III
FOR REVIEW ONLY
U
NOT FOR CONSTRUCTION
IN FELT
1 inch - 40 ft.
DRAM BY. 13. R. KORNEGAY, INC. lax
DESIGNED BY. #
LAND SURV"NG ' EMNMMo PLAMNQ 01)�CVNUMPLM M DMMC=ffffMffATM=TM13 I-erse Number. F-1 OF:
4 TOVIN-- A.I.
300 E-t Wdmt Street DATE DAIE W 200M
Goa
., N.0 27530 SCALE: WAYNE COUNTY. N.C.
....kornegays,tp-cm [phone] F=[phone] 1 f - OF

51' 60.0000" W 077' 51' 30.0000" W
077' 50' 60.0000" W
4 +
(29)
o
CD
O
F
a ,`
+
Z
o
CD
o
O
O
IT
f J' rrJ
r
O
CO
P
BM 32.'B
CD_
Markef
O
o
` �'
o
(00
F�1e� ry t3 •--�
_...
COO
co —CO
existing ditch and pond f .
0
A...k20
CD
CD
O
O
4
4
i l
k
B r•
r}
20-4 1
.y
�' i
CD
O
O
m
m
o
x�- — .
+�
-
LO
o
`
SCALE 1:12000
0 1000
2000 3000
Feet
4
C Co ri ht 2016, Trimble Navigation Limite
5160.0000" W 077° 51' 30.0000" W I I I I I I 1 1
077' 50' 60.0000" W