20110658 Ver 2_Buffer Determination Request_20120213

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H, Sullins Dee Freeman
Governor Director Secretary
Stream Origin/Buffer Applicability Determination �1
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Applicant/Owner's Name (corporation/individual who is legally responsible for the property and its compliance:
Carolina Helpers, LLC c/o Mr. Chris Matteo
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Applicant /Owner Address: 110 Lions Gate Drive; Cary, NC 27518
Applicant's phone number: (919) 360 -2278 Fax number:
Applicant's email address: [e-mail] RECEIVED
Consultant/Contact person Name (if applicable): Kim Williams, Land Management Group, Inc. Y
F E B 13 2012
Consultant address (if applicable): P.O. Box 2522; Wilmington, NC 28402 DWOWAR0
Consultant's phone number: (910) 452 -0001 Fax number: (910) 452 -0060 pol$* 0011-0669 vc'
Consultant's email address: kwilliams0meroumnet
Name of Project: Chadwick Creek County: Pamlico
Nearest Named stream + River Basin (from USGS topographic map):
Chadwick Creek• Neuse River Basin
Please provide a brief description of this project (attach site plan if available):
The purpose of the project is to provide access to uplands within the site for construction of a home.
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:
Site is located in Pamlico County, off Old Hobucken Rd (SR 1224). Take Highway 304 or 33 east towards Hobucken. Turn onto
Old Hobucken Rd (SR1224). Tract will be on east side of road just inside hunting g lub gate.
Has any DWQ staff visited the site? No, if yes, please provide DWQ staff name,
and date of visit:
This form may be submitted via email (amy.adams a,ncdenr.gov), 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 Amy Adams at 252- 948 -3917 if you have any questions regarding this form.
North Carolina Division of Water Quality Internet: www.newaterquality.or�
943 Washington Square Mall Phone: [phone] One
Washington, NC 27889 FAX [phone] NorthCarohna
An Equal Opportunity /Affirmative Action Employer - 50% Recycled /10% Post Consumer Paper Naturally

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Phone: [phone] •1.866.LMG.1078
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Map Source: Jones Bay Quadrangle 7.5 minute (topographic) 1990. SCALE 1" = 1000'
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Phone: [phone] •1.866.LMG.1078
01 -10 -200 Fax: [phone]
P.O. Box 2522, Wilmington, NC 28402

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Map Source: NRCS Soil Survey. SCALE 1" = 300t
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Phone: [phone] •1.866.LMG.1078
01 -10 -200 Fax: [phone]
P.O. Box 2522, Wilmington, NC 28402

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Map Source: North Carolina Atlas & Gazetteer. Pg 67.2003 SCALE 1" = 1 Mile
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Phone: [phone].LMG.1078
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Map Source: 2006 NAPP Aerial Photography SCALE 1" = 300'
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Phone: [phone] •1.866.LMG.1078
01 -10 -200
Fax: [phone]
P.O. Box 2522, Wilmington, NG 28402