20220954 Ver 1_Buffer and/or Stream Determination Request_20220706

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
DANNY SMITH
Director
NORTH TH CAROLINA
Envlronmerrtat Qualily
Express Buffer Applicability / Stream Origin
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
PC PROPERTY LLC
1 b. Responsible Party (for LLC)
Brandon Parrish
lc. Mailing Address
PO Box 222, Micro NC 27555
1d. Telephone Number
919-631-6956
le. Email address
2. Address of Property or Location of Project Site (including county, nearest named town, and high way.
Massey Road, Dudley NC, O'Berry Rd exit from 177 south to Massey Road, 35.276784, -78.067432
3. Agent / Consultant Information
3a. Agent/ Consultant Name
Wyatt Brown
3b. Company
Brown's Environmental Group, Inc
3c. Mailing address
242 Batten Farm Road, Selma NC 27576
3d. Telephone no.
919-524-5956
3e. Email address
[e-mail]
4. Project / Site Information
4a. Name of project
Massey Road
Tract
4d. River Basin
Neuse
4b. County
Wayne
4e. Lat/Long
4c. Nearest Named Stream
Yellow Marsh
Branch
4F. Number
Stream Calls
4
5. Project Description (attach plan if available)
Single family housing S/D in a farm field.
6. Has anyone from DWQ visited the
site?
Y
N X
Staff Name:
Date of visit:
7. Does DWR staff have permission to
access this property?
Y X
N
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.
DWR Use Only: Is this determination for the purpose of Buffer mitigation? Nutrient offset credit?
9. Please return form
to:
Chris Pullinger
943 Washington Square Mall
Washington, NC 27889
Email: [e-mail]
Please contact Chris Pullinger at the Washington Regional Office at [phone] if you have any questions.
Cit)
Note: Submittals on Friday after 12:00 pm
Will be stamped as received on the
Next business day
North Carolina Department of Environmental Quality (Division of Water Resources - Washington Regional Office
943 Washington Square Mall, Washington, North Carolina 27889
252-946-6481

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
DANNY SMITH
Director
NORTH CAROLINA
Errwironrraerrla! Qualify
SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION: give details as seen on deed
LOT NO. as labelled in plan PLAN NO. any other identifier PARCEL ID:
STREET ADDRESS:
Please print:
Property Owner:
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
of
(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):
Telephone:
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Print Name Authorized Signature
Date: Date:
North Carolina Department of Environmental Quality Division of Water Resources - Washington Regional Office
943 Washington Square Mall, Washington, North Carolina 27889
252-946-6481

June 20, 2022
US Army Corps of Engineers
2407 West 5`h Street
Washington, NC 27889
Re: PC Property Dudley, Wayne County
I, the undersigned, a duly authorized owner of record of the property/properties identified herein, do
authorize representatives of the Wilmington District, U.S. Army Corps of Engineers (Corps) to enter upon
the property herein described (PIN 2575850389) for the purpose of conducting on -site investigations
and issuing a determination associated with Waters of the U S. subject to Federal jurisdiction under
Section 404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899.
Also Mr Wyatt Brown of Brown's Environmental Group, Inc has my permission to act as my agent on
this property concerning wetlands and streams.
ndbri Art l`t Waceriti C L C

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7/6/22, 10:12 AM
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