20071196 Ver 1_Stream Call Request_20110321

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'SENT'SY: 0195083066; JUL -10 -07 3:45Pb1; PAGE 1
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0071196
tN[chacl r- Farley, Govcrnor
William G. Ross Jr., SI;Untury
North Carolina tRpartmcnl of Er.• ironmcnt and Nutuml Resowo”
Strcam Origin Determination
Alnn W. Klimek, F.E. Director
ApplicantNdme: James Joyce Property 1.1.17 „ a
Applicant Address: 117 Wolfpack Lane Durham, NC 27704 __
Applicant's phone number: __919- 8804411 Fax number: 919 - 598 - 3066,.
Applicant's email address: __ioycet(ip(on(a)aol.com
Consultant Name (if applicable):
Consultant address (if applicable):
Consultants phone number:
Consultant's email address:
Fax number:
JUL 112007
Name cf prcjeor storage Facility County: _Beaufort
Nearest Named stream + River Basin (from USOS topo map):
Mixon Creek
Please provide a brief description of this project (attach site plan if available):
Storage buildings and open storage for boats and RV
Please attach a map of site location using USGS 1:24,000 map and county soil survey.
Location of project site - please include reference to the county, nearest name town and highway number.
_Bayview Road Bath NC street number not assigned yet.
Hwy 92 East aY new water tower turn right, property approx. % mile on left, timbered land
Has any DWQ staff visited the site ?_no_ if yes; please provide DWQ staff name
and date of visit:
This form may be submitted via email (chris.pullingcr faxed (252 - 946 - 9215), mailed or hand - delivered
to the 943 Washington Square Mall, Washington, NC 27817, (eine: S'nbmillab of the review piwilOges on Friday
niter 12: 00 pm wilt be stamped as received on the nest business dav).
Plcase contact Chris Pullinger at 252 - 948 -3920 if you have any questions regarding this form.
NoaL Ca. otalm Divicinn of Water VualIN
Inlenet h2oenr9b19.nC.uS
252.946.6481
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941 Wuchington Won Mull
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Washingron, NC 27889
PAX 252'?a6!)2li
�? /Car/foliina
t� u ally
An Equal Opportunity /Affirmative Action Employer -50%
Reryded110% Post ConSllmar Paper

SENT ;6y: .; Oln59e3066; JUL -10 -07 3:45PM; PAGE 2/4
TopoZone - USGS Bath (NC) North Carolina Topo
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Sandetone in mare L-mors
American Sandstone for flooring, walls, interior, exterior Prot[
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