20141289 Ver 1_Buffer Determination Request_20141215

Pat McCrory
Governor
e��r
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Thomas A. Reeder
Acting Director
John E. Skvarla, III
Secretary
DWQ Use Only: Project #
Stream Origin /Buffer Applicability Determination
Required Information
1. Owner Information (corporation /individual who is legally responsible for the property and its compliance)
1 a. Name(s) on Recorded Deed
Carter Kerwan
1 b. Responsible Party (for LLC)
Doug Boyd
1c. MailingAddress
1d. Telephone Number
2529435743
le. Email Address
5a. Name of project
2. Location of Project Site - please include the county, nearest named town and highway number:
Farm is located off of NCSR 1336 near Bath, NC. Please see map..
3. Has anyone from DWQ visited the site?
Yes
Staff Name
Robert Tankard
Date of Visit?
1 12/1312014
Additional Requested Information
4. Agent/Consultant Information (if applicable)
4a. Name, Company
4b. Mailingaddress
4c. Telephone no.
4d. Email address
5. Project and Site Information
5a. Name of project
3B Farms
5b. County
Beaufort
5c. Nearest Named Stream
Duck Creek
5d. River Basin
Tar Pam
5e. Provide a brief description of this project (attach site plan if available):
Redo drainage of Farm. Activity will still be agricultural.
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.
DWQ Use Only: Is this stream- call'for the purpose of. buffer mitigation nutrient offset credit
Please return form to: Anthony Scarbraugh
943 Washington Square Mall
Wa shington, NC 27889 Note: Submittals on Friday after 12:00 pm willbe
Washington,
stamped as received on the
Fax: [phone] nextbusinessday.
Email: anthonv.scarbrauoh(o)ncdenr.gov
Please contact Anthony Scarbraughat (252) 946 -6481 if you have any questions.

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