20090584 Ver 1_Stream Call Request_20090528

WATF�47r-
;:vrl Beverly Perdue, Governor
�/A P S Dee Freeman.. Secretary
MAY 9'7 North Carolina Department of Environment and Natural Resources
PVC DE � Colleen Sullins, Director
IU Division of Water Quality
Express Stream Origin Determination
Applicant/Owner's Name (corporation /individual who is legally responsible for the property and its compliance
Applicant /Owner Address: 1015 CONFERENCE DRIVE City: GREENVILLE State: NC Zip: 27858_
Applicant's phone number: 252.756.1390 Fax number: _252.321.1412
Applicant's email address: sowens rt baldwinandianowski.com Mobile Number 252.413.7927
Consultant /Contact person Name (if applicable): Baldwin & Janowski, PA, Sean Owens
Consultant address (if applicable): 1015 CONFERENCE DRIVE GREENVILLE,_NC _27858
Consultant's phone number: 252.756.1390 Fax number: 252.321.1412
Consultant's email address: [e-mail] Mobile Number: 252.413.7927
Name of Project: N/A County: BEAUFORT
Please specify the number to stream origin determination(s) requesting for this project: I # of stream calls
Nearest Named stream + River Basin (front USGS topographic map):
Gar Gut in Pamlico River Basin
Please provide a brief description of this project (attach site plan if available):
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.
Near the intersection of Bay View Rd (NCSR 1746) and King Blount Street (NCSR 1748) near Bay View in Bath,Beaufort
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 X_ or No (Please check one). If No please specify
Please schedule a time to meet with consultant. Sean Owens with Baldwin & Janowski PA 252.756.1390
This form may be submitted via email to lyn.hardison0ancdenrc,ov (252- 948 -3842) or roberto.schellera,nedenr.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 12: 00 pm will he 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 ul Wider Quality Internet'. h2o.enr.state.no.us
943 Washington Square Mall Phone: [phone]
Washington, NC 27889 FAX [phone]
An Equal OpportunitylAff rma6ve Action Employer — 50% Recycled/10% Post Consumer Paper
NorthCarolina
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ORDER OF:
'Two Hundred and.00 /100
NCDENR `
MEMO. - AUTHORIZED SIGNATURE.
Bayview'Stream Call
11'0003695711' 1: 25317162111: 000009015911'
BALDWIN 6 JANOWSKI, PA
NCDENR 5/22/2009
Bayview Stream Call
EXPRESS
MAY 2 7 2009
NC DENR
� 5
0
)OLLARS
36957
Bank, 90159 Bayview Stream Call 200.00

Baldwin&
14nowski,PA
INEERNG -SUP EYING PLANNING
1015 Conference Drive, Greenville, NC 27858
252 - 756 -1390 • 252- 321 -1412 (fax)
To: NCDENR
943 WASHINGTON SQUARE MALL
Date: Job No:
05/22/09 07 -143
Attention:
LYN HARDISON
WASHINGTON, NC 27889 Re:
BAY VIEW
We are sending you: ❑❑ Attached ❑ Under separate cover via the following:
E] Drawings Plans F±] Prints ❑ Pay Request/
❑Specifications
Invoice
I_Letter Package CI Other APPLICATION
.. s:
1
5/22/09
EXPRESS STREAM ORIGIN DETERMINATION 1 FEATURE
1
USGS TOPO MAP
1
PRELIMINARY SITE SURVEY
1
BEAUFORT COUNTY SOIL SURVEY
1
5/22/09
36957
CHECK FOR FEES $200.00 EXPRESS
MAY 27 2009
NC DENR
Transmitted as checked below:
IlForapproval ❑ Approved as noted ❑ Resubmit copies for approval
❑X For your use ❑ Approved as submitted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected copies
❑ For review ❑ Other
Remark: PLEASE CONTACT ME TO SCHEDULE A TIME TO MEET ON SITE FOR THE STEAM CALL
(252) 413 -7927
Copy to: l
SEAN OWENS