20090623 Ver 2_DWR Stream Determination_20220412

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NORTH CAROLINA
Environmental Quality
ROY COOPER
6 t„ ,
MICHAEL S. REGAN.Ser,t fan Express Buffer Applicability / Stream Origin
LINDA CULPEPPER Determination Request
Property Owner Information
1.Owner Information(corporation/individual who is legally responsible for the property and its compliance)
la. Name(s)on Recorded Deed Chamm, LLC, et al.
lb. Responsible Party(for LLC) James O. Bond,Jr., et al.
1c. Mailing Address 1696 East Arlington Boulevard,Greenville, NC 27858
ld.Telephone Number 252-355-0752 le.Email address i [e-mail]
2.Address of Property or Location of Project Site(including county,nearest named town,and highway or road name/number):
Closest adjacent E-911 assigned address is 255 South Square Drive,Winterville, NC 28590
3. Agent/Consultant Information
3a.Agent/Consultant Name Igor Palyvoda
3b.Company Baldwin Design Consultants, PA
3c. Mailing address 1700-D East Arlington Boulevard,Greenville, NC 27858
3d.Telephone no. 252-756-1390 3e. Email address [e-mail]
4. Project/Site Information
South
4a. Name of project 4d. River Basin Neuse
Square
4b.County Pitt 4e. Lat/Long 35.552026,-77.398850
4c. Nearest Named Stream Fork Swamp 4F. Number 2
Stream Calls
5.Project Description (attach plan if available)
A developer is interested in purchasing Pitt County parcels#08387 and#13361(portion of).An up to date stream determination needs
to be made for the 2 potential blue line streams that may impact the two parcels in question during developer's due diligence period.
6. Has anyone from DWQ visited the y N Staff Name:Chris Pullinger Date of Visit: 6/2/2009
site? X
7. Does DWR staff have permission y N
to access this property? X
8. 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 DWR Washington Regional Office for assistance.
i DWR Use Only:Is this determination for the purpose of Buffer mitigation? Nutrient offset credit?
J
9.Please return form Chris Pullinger
to: 943 Washington Square Mall Note: Submittals on Friday after 12.00 pm
Washington, NC 27889 Will be stamped as received on the
Email:[e-mail] Next business day
Please contact Chris Pullinger at nal Office at(252)948-3922 if you have any
questions.
a..•—' -Lin g r
North Caroluut Department of hmtrommental()twins 11)i'tti1011 of 11 ater Re otit e. 11 atihmgton Regional°thee
941 W tclttngton Squat e Nttll.Wa,hmgton North Carolina 27889
75)946-6481

PROPERTY LEGAL DESCRIPTION:
LOT NO.
AGENT AUTHORIZATION FORM
PLAN NO. N/A PARCEL ID: 08387 and a portion of 13361
STREET ADDRESS: South Square Drive & Southpark Drive Intersection
Please print:
Property Owner:
Property Owner:
Property Owner:
Chamm, LLC
The New Market Investment Group, LLC
AAV Properties, LLC
The undersigned, registered property owners of the above noted property, do hereby authorize
Igor Palyvoda , of Baldwin Design Consultants, PA
(Contractor / Agent) (Name of Consulting Firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of this
permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
Chamm, LLC - 1696 E. Arlington Blvd, Greenville, NC 27858
Telephone: [phone]
Property Owner's Address (if different than property above):
The New Market Investment Group, LLC - 1609 E. 5th Street Greenville, NC 27858
Telephone: [phone]
Property Owner's Address (if different than property above):
AAV Properties, LLC - 1698 E. Arlington Blvd, Greenville, NC 27858
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the best of
our knowledge.
orized Signature
Date:
2 )-
Authorized Signature
Date:
Date:
Authorized Signatur
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