20141265 Ver 1_Buffer Determination Request_20141204

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1Qottf� Carolina Department of Environment and Natural Resources
Pat McCrory DEC 4 John E. Skvada, III
Governor , Secretary
DWR�,-WXIR
DWR Use Only: Project #
Stream Origin/Buffer Applicability Determination
Required Information
1. Owner Information (corporationfindividual who is legally responsible for the property and its compliance)
1a. Name(s) on Recorded Deed
The Verena Paul Estate
1 b. Responsible Party (for L-C)
Larry Bragg, Contract Owner
1c. Mailing Address
19901 W. Catawba Avenue, Comellus, NC 26092
1d. Telephone Number
704560.5046
1e. Email Address
[e-mail]
2. Location of Project Site - please include the county, nearest named town and highway number:
Beaufort County, farm adjacent to Highway 99, Pineville, NC, 5 miles south of Belhaven, NC; Bordered by Bridge Creek on the
south, and Scotts Creek on the East; Dallas Paul Road (PVT) bisects the property.
3. Has anyone from DWR visited the site?
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Staff Name
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Date of Visit? l
Additional Requested Information
4. Agent/Consultant Information (if applicable)
4a. Name, Company
4b. Mailing address
4c. Telephone no.
4d. Email address
5. Project and Site Information
5a. Name of project
North Bay Pointe
5b. County
Beaufort
5c. Nearest Named Stream
Scotts Creek
5d. River Basin
Tar Pamilioo
5e: Provide a brief description of this project (attach site plan If available):
68 Acre active farm, with creek front and associated wetlands; Fields are ditched and maintained.
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.
DWR Use Only: Is this stream call for the purpose of. _ buffer mitigation _ nutrient offset credit
Please return form to: Anthony Scarbreugh
943 Washington Square Mall
Wa shington, NC 27889 Note: Submittals on Friday after 12.•00 pm
Washington,
will be stamped as received on the
Fax: [phone] next business day.
Email: anthony.scarbrauchCciincdennuov
Division of Water Resources - Water Oual4 Regional Operations Section - Washington Regional Office
943 Washington Square Mall, Washington, NC 27889
Phone: [phone] Fax: [phone]W Internet: www.nodencgov
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Paul Estate Beaufort County. North Carolina

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