20140007 Ver 1_Stream Call Request_20140106

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Beverly Perdue, Governor
Dee Freeman., Secretary
North Carolina Department of Environment and Natural Resources
Express Stream Origin Determination
Colleen Sullins, Director
Division of Water Quality
Applicant/Owner's Name (corporation/individual who is legally responsible for the property and its compliance
Hills Beef and Pork Center. Inc. / Carl Beniamin Hill
Applicant/Owner Address: P.O. Box 1535 City: Goldsboro State: NC Zip: 27533
Applicant's phone number: (919) 735 -2744 Fax number:
Applicant's email address:
Mobile Number:
Consultant/Contact person Name (if applicable): Jeffrey L. Kornegay. PE. PLS / B.R. Kornegay. Inc
Consultant address (if applicable): 300 E. Walnut St.. Goldsboro, NC 27530
Consultant's phone number: (9191735 -5886 Fax number: (919) 580 -9053
Consultant's email address: leffrey0kornegayseo.com Mobile Number: (919) 921 -0537
Name of Project: Hills Beef and Pork Center. Inc. County: Wayne
Please specify the number to stream origin determination(s) requesting for this project: 1 # of stream calls
Nearest Named stream + River Basin (from USGS topographic map):
Peters Branch + Neuse River
Please provide a brief description of this project (attach site plan if available)
Proposed residential lots.
Please attach a map of site location indicating project boundaries using USGS 1:24,000 topo map and NRCS county soil
survey (depicting the streams in question).
Location of project site - please include reference to the county, nearest named town and highway number/ NCSR, etc.
The orooerty is located on the north side of Parkstown Road (SR 1714) approximatelev 0 7 miles west from the intersection
of Parkstown Road and North Beston Road. The ditch is approximate[: 3000 feet north of Parkstown Road along a soil path.
Has any DWQ staff visited the site? No , if yes, please provide DWQ staff name,
visit:
and date of
Does DWQ representative have permission to go on location to conduct the stream determination without the owner present?
Yes _R or No F-1 (Please check one). if No please specify
This forth may be submitted via email to lyn.hardison(ibncdenngov (252- 948 -3842) or roberto.scheller(ancdenr.gov (252 -948-
3940) mailed or hand- delivered to: 943 Washington Square Mall, Washington, NC 27889. (Note: Submittals of the review
packages on Friday after 11: 00 pm will be stamped as received on the next business day).
Please contact Chris Pullinger at 252- 948 -3920, if you have any questions regarding this form
North Carolina Division of Water Quality Internet h2c.enr.state.no.us
943 Washington Square Mall Phone: [phone]��One
Washington, NC 27889 FAX 252 - 946 -9215 1V Carolina
An Equal Opportunity /Affirmative Action Employer — 50% Regded110% Post Consumer Paper Aaturally

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