20140815 Ver 1_Buffer Determination Request_20140902

NCDENR
North Carolina Department of Environment and Natural
Division of Water Quality
Pat McCrory Thomas A. Reeder
Governor Acting Director
Resources
John E. Skvada, III
Secretary
DWQ Use Only: Project# {K- Coy/d-
Stream Origin /Buffer Applicability Determination
Required Information
t. Owner Information (oorporationiindividual who is legally responsible for the property and its compliance)
1a. Name(s) on Recorded Deed
Weyerhaeuser Company
1b. Responsible Party (for LL-11
4c. Telephone no.
1c. Mailing Address
1785 Weyerhaeuser Road Vanceboro, NC 2858 6
1d. Telephone Number
252 - 229 -8328
I le. Email Address
[e-mail]
2. Location of Project Site - please include the county, nearest named town and highway number
cot In, ti w a
3. Has anyone from DWQ visited the site?
I N I Staff Name
Date of Visit?
Additional Requested Information
4. Agent/Consultant Information ('rf applicable)
4a. Name, Company
4b. Mailing address
4c. Telephone no.
4d. Email address
S. Project and Site Information See attached maps
5a. Name of project
3G,OZ - Z011+
5c. Nearest Named Stream
5d. River Basin
Neuse
5e. Provide a brief description of this prof (attach site plan if available):
r-inal 1— —t thiuNtn
Access at {0 3 } .31 to fit( S� . !S t
call at (v 3 } �w S 3t{ Sf5 . 43 B
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 Re ional ice for assistance.
of _X_ butler mitigation _ nutrient offset credit
Please return form to: Anthony Scarbraugh
943 Washington Square Mall Note. Submittals on Friday alter 12:00 pm
Washington, NC 27889 will be stamped as received on the
Fax: [phone] next business day.
Email: a_nthonv scarbrauahOncdenrcoy
Please contact Anthony Scarbraugh at [phone] if you have any questions.

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For Aves 123 Pine TPA 369 Row Width 20.0 Comp 15
Seed Yr 2003 Pine BA 107 Prim Exam Post -prune Exam Stand 121100
Origin Genetic -Pt Pine DBH 7.3 Prim Exam End Date 2012103/20

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