20130766 Ver 1_Application_20130725

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RECEIVED KNEW
North Carolina Department of Environment and Natural Resources
Division of Water Qualit
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Pal��k 4 013 Thomas A. Reeder John E. Skvarla, III
Governor Acting Director Secretary
DWQ -WARO DWQ Use Only: Project #
K)�&4 1�rID I &b
Stream Origin /Buffer Applicability Determination
Required Information
1. Owner Information (corporation /individual who is legally responsible for the property and its compliance)
1a. Name(s) on Recorded Deed
Coastal Piedmont Developers, LLC
1b. Responsible Party (for LLC)
Donald G. Lawrence
1c. Mailing Address
803 -A East Main Street, Havelock, NC 28532
1d. Telephone Number
252 - 447 -1529
1 1e. Email Address
Donald.lawrence @gmail.com
2. Location of Project Site - please include the county, nearest named town and highway number:
Project is at the intersection of NC HWY 306 and Pinecliff Retreat Road, just south of the Cherry Branch Ferry
(that goes to Minnesott Beach).
3. Has anyone from DWQ visited the site? I
N
I Staff Name
Unnamed Trib. To Trent River
Date of Visit?
I Neuse
Additional Requested Information
4. Agent/Consultant Information (if applicable)
4a. Name, Company
Thomas Engineering, PA
4b. Mailing address
PO Box 1309, New Bern, NC 28563
4c. Telephone no.
252.637.2727
4d. Email address
BobbyBillingsley @ThomasEngine
eringPA.com
5. Project and Site Information
5a. Name of project
Hanes Farm — Phase One
5b. County
Craven
5c. Nearest Named Stream
Unnamed Trib. To Trent River
5d. River Basin
I Neuse
5e. Provide a brief description of this project (attach site plan if available): Site is just a wooded lot. Owner is planning
on doing something with it, not sure what at the moment.
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, lease contact the Regional Office for assistance.
IDWQ Use Only: Is this stream call for the purpose of: buffer mitigation nutrient offset credit I
Please return form to: Anthony Scarbraugh
943 Washington Square Mall Note: Submittals on Friday after 12:00 pm
Washington, NC 27889 will be stamped as received on the
Fax: [phone] next business day.
Email: anthony.scarbraugh(cDncdenr.gov
Please contact Anthony Scarbraugh at (252) 946 -6481 if you have any questions.

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