20140439 Ver 1_Stream Call Request_20140501

REC'iVrLD NcDENR
North Carolina Department of Environment and Natural Resources
MAY - 1 2M Division of Water Quality
Pat McCrory Thomas A. Reeder John E. 5kyarla, Ili
Governor Acting Director Secretary
7)WQ-
174yQt1sethtly.ProjE,+drf 1-4 -nu3y
Stream Origin /Buffer Applicability Determination
Required Information
1. Owner Information (corporatfonlndividual who is legally responsible for the property and its compliance)
1 a. Name(s) on Recorded Deed
Weyerhaeuser Company
1b. Responsible Party (for LLC)
1c. Mailing Address
1785 Weyedlaeuser Road Vanceboro, NC 285856
1d. Telephone Number
252 - 229 -8328
1 le. Email Address
Cliff. [e-mail]
2. Location of Project Site - please include the county, nearest named town and highway number:
3. Has anyone from DWQ visited the site?
F N
I Staff Name
5d. River Basin Neuse
Date of VMV
Please attach a map of the site indicating projeot boundaries on the USGS 1:24,000 Topo andlor NRCS Soil Survey.
r..... — —.M. r L. =*& 0111 . sf terry, rrraos_ ohi contact the Regional Office for assistance.
Additional Requested Information
4. AgentlConsuttant Information (if applicable)
4a. Name, Company
4b. Mailing address
4c. Telephone no.
ad. Email address
5. Project and Site Information See attached maps
5a. Name of project
S S O 13 Z(2) f �
5b. County orJe 5
5c. Nearest Named Stream
5d. River Basin Neuse
5e. Provide a brief description of this project (attach site plan if available):
Final Harvest
Access at � :ii-
call at %--�- q, 867- 3`f `14
Please attach a map of the site indicating projeot boundaries on the USGS 1:24,000 Topo andlor NRCS Soil Survey.
r..... — —.M. r L. =*& 0111 . sf terry, rrraos_ ohi contact the Regional Office for assistance.
Please return form to: Anthony Scarbrough
943 Washington Square Mall Note: Submittals on Friday after 1200 pm
Washington, NC 27889 will be stamped as received on ;he
Fax: [phone] next business day.
Emil: anthony scarbrauoh(al ncdenr gov
Please contact Anthony Scarbrough at (252) 946 -6481 if you have any questions.

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