The URL can be used to link to this page

Home My WebLink About20211111 Ver 1_Buffer and/or Stream Determination Request_20210624ROY 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 drklein@eastcarolinadermatology.com 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 bjenkins@restorationsystems.com 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: Chris.Pullinger@ncdenr.gov 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 (252) 948-3922 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 919.755.9490 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 : 919.755.9490 FAX : 919.755.9492 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 : 919.755.9490 FAX : 919.755.9492 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 919.755.9490 FAX 919.755.9492 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 . 919.755.9490 FAX : 919.755.9492 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