20140686 Ver 1_Stream Call Request_20140701

RECEIVED
North Carolina Department of Environment and Natural Resources
JUL - 1 2014
Pat McCrory DWQ Use Only: Project u
GoverjWQ—WAR®
LLJJ John E. Skvarla, III
Stream Origin /Buffer Applicability Determination Secretary
Required Information
1. Owner Information (corporation/individual who is legally responsible for the property and its compliance)
1a. Nani on Recorded
h
Gam d
Steve ra Grady
y
1b. Responsible Party (for
LLC)
1c. Mailing Address
4066 Central Heights Road Goldsboro NC 27534
1d. Telephone Number
919- 920 -3354
1e. Email Address
sgrady9 ®ne.rr.com
2. Location of Project Site - please include the county, nearest named town and highway number.
Wayne County, Goldsboro NC, State Road 1709 / 4066 Central Heights Rd. Also referred to as Hwy 13 N rear on tax
forms.
3. Has anyone from DWO visited the Y / N
site? No
Staff
Name
5d. River
Basin
Date of
visit?
5e. Provide a brief description of this project (attach site plan if available):
Additional Requested Information
4. Agent/Consultant Information (if applicable) Not Available
4a. Name, Company
4b. Mailing address
4c. Telephone no.
4d. Email address
5. Project and Site Information
5a. Name of project
Bear Creek Ranch Community
5b. County
Wayne
5c. Nearest Named Stream
Bear Creek
5d. River
Basin
Nauss River
5e. Provide a brief description of this project (attach site plan if available):
Proposed single family subdivision.
Please 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 Regional Office for assistance.
I DWO Use Only: Is this stream call for the purpose of: — buffer mitigation _ nutrient offset credit I
Division of Water Resources- Water Quality Regional Operations Section - Washington Regional Office
943 Washington Square Mall, Washington, NC w.nc - ^
Phone: 252- 946b4811 Fax: [phone]ntemat: www.ncdencgov (\lz)l
An Equal OpportunirylAfirmadve Action Employer — Made in part by recyded paper

Please return form Anthony Scarbraugh
to: 943 Washington Square Mall
Washington, NC 27889 Note: SubmittalsnrLFriday after 12:00 pm
Fax: [phone] will be stamped as received on the
next business day.
Email:
a nthony. sca rh ra upb(d) n cden noov
Please contact Anthony Scarbraugh at (252) 946 -6481 if you have any questions.

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