20131306 Ver 1_Stream Call Request_20131219

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DELNorth Carolina Department of Environment and Natural Resources
1 S. 2013 Division of Water Duality
Pat McCrory Thomas A. Reeder John E. Skvada, III
Governor �', f{�t,; Acting Director Secretary
-� VA
DWQ Use Ony: Project #
Stream Origin /Buffer Applicability Determination
Required Information
1. Owner Information (corporationrindividual who Is legally responsible for the property and its compliance)
la. Name(s) on Recorded Deed
Triangle East Timber Inc.
1b. Responsible Party (for LLC)
Chris Cox
tc. Mailing Address
625 Mills Road, Mount Olive, NC 28365
1d. Telephone Number
(919) 738 -4770
11 e. Email Address
5a. Name of project
2. Location of Project Site - please include the county, nearest named town and highway number.
Located at the southeast comer of the intersection of Wayne Memorial Blvd and Tommys Road in Goldsboro, Wayne County,
North Carolina.
3. Has anyone from DWQ visited the site?
i Y / N I
Staff Name
I N/A
Date of Visit? I
N/A
Additional Requested Information
4. Agent/Consultant Information (if applicable)
4a. Name, Company
Walter Cole, LSS with SBME
4b. Mailing address
3201 Spring Forest Road
4c. Telephone no.
(919) 872 -2660
4d. Email address
I wcole @smeinc.com
5. Project and Site Information
5a. Name of project
Wal -Mart Store — Goldsboro NE
5b. County
Wayne
5c. Nearest Named Stream
Reedy Branch
5d. River Basin
Neuse
5e. Provide a brief description of this project (attach site plan if available):
Development of the 5.71 acre site will include a Waimart building located along the southeastern property line, associated
paved parking and access drive (pnmanly northwest of the proposed building) and a gas station.
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 Mail
Washington, INC 27889 Note: Submittals on Friday after 12:00 pm
will be stamped as received on the
Fax: [phone] next business day.
Email: anlhonv.scarbrauah(Dncdenr.aov
Please contact Anthony Scarbrough at (252) 94e -8481 if you have any questions.

AGENT AUTHORIZATION FORM
Date: 11 -22 -2013
Project Information
S &ME Project Name: Goldsboro Walmart (NB)
Type of Project: Commercial
Location: Southwest of the intersection of Wayne Memorial Drive and
Tommy's Road in Goldsboro, Wayne County, North Carolina
Property Owner/Representative Information
Business Name:
MailingAddness:
tc ! 2 Tt
City, State, Zip Code: dL- ! f.
Telephone No. — �� L Lv3 E•
=0/•77 D
contact,
Agent Information
Business Name:
S&ME, Inc.
Street Address:
3201 Spring Forest Road
City, State, Zip Code:
Raleigh, NC 27616
Telephone No.
919472 -2660
Contact
Mr. Walter Cole
Authorization: I f ' rz5 �. — on behalf of
(Contact Signs
�p�i a ed hereby ai.ithorize
(Name of QQandowner or Represeomtive)
S&ME to act as agent with the USCAE in connection wim the
above- mentioned project

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MAP SOURCE: USDA•SCS WAYNE COUNTY SOIL SURVEY MAP; ISSUED JUNE 1974
':20.03 *S&ME
USDA -SCS SOIL SURVEY MAP
DEC ,= 201
WAYNE COUNTY SHEET 15
ly: m
W`MN.SMEINC CO: " PROPOSED WALMART STORE
NO HC 1 SPFUNG OCBISED. PALE GOLDSBORO NE SITE, WAYNE MEMORIAL BLVD.
1054 - 13378E azo/ SpraNC FOREST rto, NuopH. NC 17018
FKXM NO.