20211037 Ver 1_Buffer and/or Stream Determination Request_20210624

ROY COOPER
Governor
MICHAEL S. REGAN
Secretart•
LINDA CULPEPPER
Director
NORTH CAROLINA
Environmental 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)
la. Name(s)
on Recorded Deed
Anderson Family Farms LLC
1b. Responsible Party
(for LLC)
Pete Anderson
lc. Mailing Address
1882 Olympia Road New Bern, NC 28560
id. Telephone Number
252.474.4555
le. Email address
[e-mail]
2. Address of Property or Location of Project
691 Stapleford Road, New Bern NC 28560
Site
(including county, nearest named town, and highway or road name/ number):
3.
Agent / Consultant
Information
3a. Agent/ Consultant Name
Barrett Jenkins
3b. Company
Restoration Systems
3c. Mailing address
1101 Haynes Street Suite 211 Raleigh NC 27604
3d. Telephone no.
512.230.0424
3e. Email address
[e-mail]
4.
Project / Site Information
4a. Name of project
Anderson Farm 4d. River Basin
Neuse 04
4b. County
Craven 4e. Lat/Long
35.172480, -76.985773
4c. Nearest Named Stream
Morgan 4F. Number
Swamp Stream Calls
4
S. Project
Proposed
Description (attach plan if available)
Nutrient Offset and Buffer Restoration Project
6. Has anyone from DWQ visited the
site?
Y
N
X
Staff Name:
Date of Visit:
7. Does DWR staff have permission to
access this property?
Y
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
to:
Chris Pullinger
943 Washington Square Mall
Washington, NC 27889
Email: [e-mail]
Please contact Chris Pullinger at the Washington Regional Office at [phone] if you have any
questions.
Note: Submittals on Friday after 12:00 pm
Will be stamped as received on the
Next business day
\orth Carolina Department of Environmental Quality IDivision of Water Resources - Washington Regional Office
9-13 Washington Square \4a11. Washington, \orth C'aroltna 27889
252-946-648l

LANDOWNER AUTHORIZATION FORM
PROPERTY LEGAL DESCRITTON:
Deed Book: 3570 Page: 1139 County: Craven
Parcel ID Number: 2-023-029
Street Address: 691 Stopleford Road
New Bern, NC
Property Owner: Anderson Family Forms LLC; contact Pete Anderson
The undersigned, registered property owner(s) of the above property, do hereby authorize
Barrett Jenkins of Restoration Systems, LLC
Matthew Harrell of Restoration Systems, LLC
to take all actions necessary for the evaluation of the property as a potential nutrient, buffer, or stream and
wetland mitigation project, including conducting stream and/or wetland determinations and delineations,
as well as issuance and acceptance of any required pennit(s) or cettification(s). I agree to allow State and
Federal regulatory agencies, including the US Army Corps of Engineers, to visit the property as part of
these environmental reviews,
Property Owners(s) Address: 1882 Olympia Rd, New Bern, NC 28560
Property Owner Telephone Number: Pete Anderson [phone]
We hereby certify the above information to be true and accurate to the best of our knowledge.
)its
(Property Owner Authorized Signature)
JH/21/ZI
(bate)

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
NORTH CAROLINA
Environmental 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)
la. Name(s) on Recorded Deed
Kenneth L Klein
1b. Responsible Party (for LLC)
N/A
lc. Mailing Address
PO Box 12462, New Bern, NC 28561
id. Telephone Number
252-636-8361
le. Email address
[e-mail]
2. Address of Property or Location of Project
1700 Saints Delight Church Road, New Bern,
Craven County
Site
NC
(including county, nearest named town, and highway or road name/ number):
28561
3. Agent / Consultant Information
3a. Agent/ Consultant Name
Barrett Jenkins
3b. Company
Restoration Systems, LLC
3c. Mailing address
1101 Haynes Street Suite 211, Raleigh, NC 27604
3d. Telephone no.
512-230-0424
3e. Email address
[e-mail]
4. Project / Site Information
4a. Name of project
Klein Farm
4d. River Basin
Neuse 04
4b. County
Craven
4e. Lat/Long
35.1742158079, -76.9930342273
4c. Nearest Named Stream
Morgan
Swamp to
Upper Broad
Creek
4F. Number
Stream Calls
3
5. Project Description (attach plan if available)
Potential Buffer Restoration for Nutrient Offset Bank
6. Has anyone from DWQ visited the
site?
NO
Staff Name:
Date of Visit:
7. Does DWR staff have permission to
access this property?
YES
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
to:
Chris Pullinger
943 Washington Square Mall
Washington, NC 27889
Email: [e-mail]
Please contact Chris Pullinger
questions.
asEEI• ' e
Lw r! :t-t ca ! ni-v —eat pa,t,
Note: Submittals on Friday after 12:00 pm
Will be stamped as received on the
Next business day
nal Office at [phone] if you have any
North Carolina Department of knvitonmental Quality Division of Water Resources - Washington Regional Office
9:1 3 Washington Square Mall. Washington, North Carolina 27889
252-946-6481

LANDOWNER AUTHORIZATION FORM
PROPERTY LEGAL DESCRITION:
Deed Book: 1547
Parcel ID Number: 2-023-050
Street Address:
Page: 0377 County: Craven
(ROB ,A,,.
.i .Q uJ.t's
Property Owner (please print: P �-e, \AJ—e i c&
Property Owner (please print): (<,e0 A-e t V� S li c cc V J UC
The undersigned, registered property owner(s) of the above property, do hereby authorize
46t'n'dF Zfe&j64 of f ici v `
(Contractor/Agent/Project Manager)' (Name of Contractor/Agent Ni m/Agency)2
to take all actions necessary for the evaluation of the property as a potential stream, wetland and/or
riparian buffer mitigation project, including conducting stream and/or wetland determinations and
delineations, as well as issuance and acceptance of any required permit(s) or certification(s). I
agree to allow regulatory agencies, including the NC Division of Water Resources, to visit the
property as part of these environmental reviews.
Property Owners(s) Address: 4 s CtutiL-
(if different from above)
Property Owner Telephone Number: k, J E— CK %
7.
Property Owner Telephone Number:
We hereby certify the above information to be true and accurate to the best of our knowledge.
\ it/Yalta
(Property Owner Authorized Signature)
p .r�_� S (f vS I e
(Property Owner Authorized Signature)
4 ? «1 /
(Date)
(Date)
Name of full delivery staff member (full -deliveries) or DMS project manager (design -bid -build).
2Name of company (full -deliveries) or DMS (design -bid -build).

RESTORATION
SYSTEMS I LLC
RESTORATION SYSTEMS, LLC
1101 HAYNES ST, SUITE 211
RALEIGH. NC 27604
PHONE [phone]
FAX • 919.755.9492
Ths map ano all data :anta.ned vnlr ^ s supplied as is with no warranty Resl at:on Systems :I,C expressly
d•sclaims respors,o I ;y'ol damages or Ilan 1 y rrom any claims that may arise out of 1 he use or misuse or this map. It l5
the sole res ponslba ;y o' :he user to deter rr—e if the data on this map is compatible with the user's needs. This map
was not created as survey data. nor should 1 be used as such. It l5 the users responsibility la obi we proper survey
data. prepared by a licensed surveyor where required bylaw.
SCALE 1:5,800
Date: 6/18/2021
SITE P Anderson
Anderson/Klein Property
Stream Call Feature Reference Map

RESTORATION SYSTEMS, LLC
1101 HAYNES ST, SUITE 211
RALEIGH, NC 27604
PHONE : [phone]
FAX : [phone]
This map and all data contained within are supplied as is with no warranty. Restoration Systems. LLC expressly
disclaims responsibility for damages or 'laby from any claims that may anse out oft he use or misuse of this map. II ,s
the sole responsibility of the user to determine if the data on this map is cornpalible wall the user's needs This map
was not created as survey data. nor should it he used as such. It is the users responsibildy to obt sin proper survey
data, prepared by a licensed surveyor where required by law.

2 II
0 200 400 600 8001,000 Feet
11 1 MN
RESTORATION
SYSTEMS I LLC
RESTORATION SYSTEMS, LLC
1101 HAYNES ST, SUITE 211
RALEIGH. NC 27604
PHONE : [phone]
FAX : [phone]
53
SCALE 1:7,615.99
Date: 6/17/2021
SITE P. Anderson
Tns rap and all data contained wihm are supplied as is wdh no warranty Sestu,alior. Systems LLC expressly
msclai,1s responsibility for damages or liability from any claims that may arse out oft he use o' m,suse of this map. It s
the scle responsibility of the user to determine if the data on this map i5 compatible with the user s needs. This map
was nu created as survey data nor should it be used as such It is the users responsibilidy to obt a,n proper survey
data. prepared by a licensed surveyor where reuuired by law.
s+�
Anderson/Klein Property

RESTORATION SYSTEMS, LLC
1101 HAYNES ST, SUITE 211
RALEIGH. NC 27604
PHONE [phone]
FAX [phone]
Tors map and all data contarneo wth n are supplied as with no .ant Restoration Systems. ,LC expressly
dsclarms responsibility lu. dan-ages or Midday tram any claims that may apse out o1 t he use or misuse o1 this map. It is
the ado responsibility of the i. ser to determine d the data on this map r5 campat ble wdh the user 5 needs. This map
was nil created as survey data nor should d be used as such. It rs the users responsibility to abt am proper survey
data prepared by a Icensed surveyor where required by law.
SCALE 1:7,615.99
Date: 6/17/2021
SITE P. Anderson
Anderson/Klein Property

0 200 400 600 8001,000 Feet
S oilrce
USDA.
Esrl DigitalGlobe; GeoEye,
Aq,k0GR1t],
J Geogra o ics
!Ai'rt *'s, DS
RESTORATION
SYSTEMS I LLC
RESTORATION SYSTEMS, LLC
1101 HAYNES ST, SUITE 211
RALEIGH. NC 27604
PHONE . [phone]
FAX : [phone]
SCALE 1 :6,936.8
Date: 6/17/2021
SITE P. Anderson
This map an. ail oa:a contained wihin are supplied as is with no warranty Restoration Systems LLC expressly
disclaims responsibility for damages ar liability from any claims that may arise oat of 1 he use or misuse of this map. his
the sale responsibility of the user to determine ii the data on this map is compatible wdh the users heeds. This map
was nol created as survey data nor should i1 he used as such. 11 is the users responsibility to dal ale proper suvey
data. prepared by a licensed surveyor where required by law.
Anderson/Klein Property
Craven County NRCS Soil Map 1989