20210144 Ver 1_Stream Determination Request_20210125

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
NORTH CAPOLINA
Envoranmenraf Quality
Express 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
Storage Logix, LLC
1b. Responsible Party (for LLC)
Dennis Bryan Jones — Member/Manager
1c. Mailing Address
4391 Don Lee Road, Arapahoe, NC 28510
1d. Telephone Number
252.671.9260
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):
17867 NC Highway 55, Merritt, NC 28556
3. Agent / Consultant Information
3a. Agent/ Consultant Name
John G. Thomas, PE
3b. Company
Thomas Engineering, PA
3c. Mailing address
1316-B Commerce Drive, New Bern, NC 28562
3d. Telephone no.
252.637.2727
3e. Email address
[e-mail]
4. Project / Site Information
4a. Name of project
Storage Logix, 4d. River Basin
Neuse
4b. County
Pamlico 4e. Lat/Long
35.119847N,-76.7350460W
4c. Nearest Named Stream
Rattlesnake 4F. Number
Branch Stream Calls
1
5. Project Description (attach plan if available)
Expansion of existing self storage faciility
6. Has anyone from DWQ visited the
site?
Y
NO X
Staff Name:n/a
Date of Visit:
n/a
7. Does DWR staff have permission to
access this property?
Yes X
N
8. 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?
9. Please return form Chris Pullinger
to: 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 Chris Pullinger at the Washington Regional Office at [phone] if you have any
questions.
E
North Carolina Department of Environmental Quality IDivision of Water Resources - Washington Regional Office
943 Washington Square Mall, Washington, North Carolina 27889
252-946-6481

ROY COOPER NORTH -CAROLINA
Errvironmerrrol Quality
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER AGENT AUTHORIZATION FORM
Director
PROPERTY LEGAL DESCRIPTION:
LOT NO. N/A PLAN NO. MAP ID 105-27 PARCEL ID: PIN 6570764263000
STREET ADDRESS: 17867 NC Hiehwav 55. Merritt. NC 28556
Please print:
Property Owner: Storage Logix, LLC
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
John G. Thomas, PE of Thomas Engineering, PA
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
4391 Don Lee Road. Arapahoe. NC 28510
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
_Dennis Bryan Jones
Authorized Print Name Authorized Signature
Date: Date:
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North Carolina Department of Environmental Quality (Division of Water Resources - Washington Regional Office
943 Washington Square Mall, Washington, North Carolina 27889
252-946-6481

THOMAS ENGINEERING. PA est I
civil engineeringeland surveyingeproject management
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. N/A PLAN NO. MAP ID I05-27 PARCEL ID: PIN 6570764263000
STREET ADDRESS: 17867 NC Highway 55, Merritt, NC 28556
Please print:
Property Owner: Storage Logix, LLC — Dennis Bryan Jones, Member/Manager
The undersigned, registered property owners of the above noted property, do hereby
authorize John G. Thomas, PE of Thomas Engineering, PA
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and
acceptance of this permit or certification and any and all standard and special conditions
attached.
Property Owner's Address (if different than property above):
4391 Don Lee Road, Arapahoe, NC 28510
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate
to the best of our knowledge.
Dennis Bryan Jones
Authorized Print Name Autho ' d Siyhature
Date: Date: /- 2.2 - St
1316-B Commerce Drive.P.0. Box 1309.New Bern, NC 28563
Phone: [phone].Fax: [phone].Wehsiter ThomasEngineeringPA.com

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