20131292 Ver 1_Stream Call Request_20131216

NCDENR
North Carolina Department of Environment and Natural Resources
DEC 16 2013 Division of Water Quality
Pat McCrory Thomas A. Reeder John E. Skvada, III
Govemor , Acting Director Secretary
DWQ Use Only: Project # 0— 12.92-
Stream Origin /Buffer Applicability Determination
Required Information
1. Owner Information (corporationhndividual who is legally responsible for the property and its compliance)
1a. Name(s) on Recorded Deed
Kem Company, Inc.
1 b. Responsible Party (for L-C)
Paul Kern
tc. Mailing Address
11101 Tara Road, Rockville, MD 20854
Id. Telephone Number
N/A
1 1e. Email Address
N/A
2. Location of Project Site - please include the county, nearest named town and highway number:
Project is located on SR 1107 (Flanners Beach Road), at it's intersection with US 70 West. Project is additionally
bordered by the service road to US 70. Approximate coordinates: 340 57' 59" N, 76° 57' 51" W
3. Has anyone from DWQ visited the site?
I 7 I
Staff Name
I
Date of Visit?
Neuse
Additional Requested Information
4. Agent/Consultant Information (if applicable)
4a. Name, Company
John Thomas - Thomas Engineering, PA
4b. Mailing address
PO Box 1309, New Bern, NC 28563
4c. Telephone no.
252.637.2727
4d. Email address
JohnThomas @ThomasEngineerin
gPA.com
5. Project and Site Information
5a. Name of project
Otter Creek — Tract A
5b. County
Craven
5c. Nearest Named Stream
Otter Creek
5d. River Basin
Neuse
5e. Provide a brief description of this project (attach site plan if available): Proposed project has not yet been
determined. This is for initial mapping to determine what can be done with the Tract. A boundary map is
additionally included for the purposes of the scope. Please call John Thomas at 252.671.5855 prior to site visit so
that we can meet onsite and get GEO locates on stream ends as determined.
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, please contact the Regional Office for assistance.
DWQ Use Only: Is this stream call for the purpose of: _ buffer mitigation _ nutrient offset credit
Please return form to: Anthony Scarbraugh
943 Washington Square Mall
Washington, NC 27889 Note: Submittals on Friday after 12:00 pm
will be stamped as received on the
Fax: [phone] next business day.
Email: anthonv.searbraunhAncdenr.eov
Please contact Anthony Scarbraugh at (252) 946 -6481 if you have any questions.

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