20170058 Ver 2_Field Map_20220214

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
NORTH CAROLINA
Environmental Quality
Date Received
DWR Use Only: Project #
Buffer Determination Request Form
Property Owner Information
1. Owner Information
la. Name(s) on Recorded Deed
SpringShire Retirement, LLC
lb. Responsible Party (for LLC)
David & Leigh Ammons
lc. Mailing Address
PO Box 2600, Greensboro, NC 27420
ld. Telephone Number
*call agent
le. Email Address
*email agent
Address of Property: 3404 NC-43 North, Greenville, Pitt County, NC (P1Ns: 4668496587, 4668480157, & 4668483829)
Project Description (attach plan if available): retirement community
Consultant/Agent Information
4. Agent/Consultant Information
4a. Name, Company
Bob Zarzecki, Soil & Environmental Consultants, PA
4b. Mailing address
8412 Falls of Neuse Road, Suite 104, Raleigh, NC 27615
4c. Telephone no.
[phone]
4d. Email address
[e-mail]
5. Project and Site Information
5a. Name of project
SPRINGSHIRE
5b. County
Pitt
5c. Nearest Named Stream
Tar River 28-(84) & Sam's Branch 28-29
5d. River Basin
Tar -Pam 03020103-0401
6. Has anyone from DWR visited the site?
Y / N
Yes
Staff Name
Chris Pullinger
Date of Visit?
DWR17-0058
Attach a map of the site indicating project boundaries on the USGS 1:24,000 Topo and/or NRCS Soil Survey.
Please return form to: Lyn Hardison — Express Program
943 Washington Square Mall
Washington, NC 27889
Email: [e-mail]
D_E
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Oaparhment o<Envlmmmenla49uality
North Carolina Department of Environmental Quality I Division of Water Resources
Raleigh Regional Office 13800 Barrett Drive I Raleigh, North Carolina 27609
919.791.4200

INC74 ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
Water Resources S. JAY ZIMMERMAN
Environmental Quality Director
February 2, 2017
Springshire Retirement, LLC
ATTN: David W. Ammons
7200 Creedmoor Road, Suite 102
Raleigh, North Carolina 27613
17-0058
PITT County
Subject: On -Site Determination for Applicability to Tar -Pamlico Riparian Buffer Rules (15A BCAC 02B .0259)
Subject Property/ Project Name: Springshire site
Address/Location: North side of NC HWY 43, approximately a quarter of a mile west of the exit ramp off NC
HWY 264, northwest of Greenville, NC.
Stream(s) Evaluated: 2
Determination Date: January 25, 2017 Staff: Chris Pullinger, Anthony Scarbraugh
Determination Type:
Buffer:
❑ Neuse (15A NCAC 02B .0233)
❑ Tar -Pamlico (1SA NCAC 02B .0259)
❑ Catawba (15A NCAC 02B .0243)
❑ Jordan (15A NCAC 02B .0267) (governmental
and/or interjurisdictional projects)
❑ Randleman (15A NCAC 02B .0250)
❑ Goose Creek (15A NCAC 02B .0605-.0608)
Stream:
❑ Intermittent/Perennial Determination
Stream
E/I/P*
Not
Subject
Subject
Start@
Stop@
Soil
Survey
USGS
Topo
17-0058
No stream found in
project area
X
17-0058 A
Begin
17-0058 A
End
X
17-0058
No stream found in
project area (wetland)
X
17-0058 B
Begin
17-0058 B
end
X
*E/I/P = Ephemeral/Intermittent/Perennial
The Division of Water Resources has determined that the streams listed above and included on the attached map
have been located on the most recent published NRCS Soil Survey of Pitt County, North Carolina and/or the most
recent copy of the USGS Topographic map at a 1:24,000 scale and evaluated for applicability to the Neuse Riparian
Buffer Rule. Each stream that is checked "Not Subject" has been determined to not be at least intermittent or not
present on the property. Streams that are checked "Subject" have been located on the property and possess
characteristics that qualify them to be at least intermittent streams. There may be other streams or features
located on the property that do not appear on the maps referenced above but may be considered jurisdictional
according to the US Army Corps of Engineers and subject to the Clean Water Act.
""Nothing Compares':-.--
State of North Carolina I Environmental Quality I Water Resources -Water Quality Regional Operations Section -Washington Regional Office
943 Washington Square Mall, Washington, North Carolina 27889
252-946-6481

This on -site determination shall expire five (5) years from the date of this letter. Landowners or affected parties
that dispute a determination made by the DWR may request a determination by the Director. An appeal
request must be made within sixty (60) calendar days of date of this letter to the Director in writing.
If sending via US Postal Service:
c/o Karen Higgins
DWR — 401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
If sending via delivery service (UPS, FedEx, etc.):
c/o Karen Higgins
DWR — 401 & Buffer Permitting Unit
512 N. Salisbury Street
Raleigh, NC 27604
This determination is final and binding as detailed above, unless an appeal is requested within sixty (60) days.
This determination only addresses the applicability to the buffer rules and does not approve any activity
within the buffers. The project may require a Section 404/401 Permit for the proposed activity. Any
inquiries regarding applicability to the Clean Water Act should be directed to the US Army Corps of
Engineers Washington Regulatory Field Office at (910)-251-4629.
If you have questions regarding this determination, please feel free to contact Chris Pullinger at [phone].
Sincerely,
Robert Tankard, Assistant 'egional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
cc: WaRO DWR File Copy
LASERFICHE
Bob Zarzecki, S & EC (e-mail: [e-mail])

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