The URL can be used to link to this page

Home My WebLink About20221510 Ver 1_Determination Request_20221012DocuSign Envelope ID: 461 E7198-26F2-4FF9-AB19-3741 FA2E5B11 R )Y COOPER MICHAEL S. REGAN LINDA CULPEPPER NORTH CAROLINA Environmental Qualify SAMPLE AGENT AUTHORIZATION FORM PROPERTY LEGAL DESCRIPTION: LOT NO. PLAN NO. PARCEL ID: STREET ADDRESS: Please print: Property Owner: YVONNE W. PURNELL �DocuSigned by: Property Owner: qUO-Nikke W. PU UJ 61D4FEB5E05C4AC... 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): 428 BAYFIELD DR WILMINGTON NC 28411 Telephone: 252-646-4573 We hereby certify the above information submitted in this application is true and accurate to the best of our knowledge. Digitally signed by: Bryan K Bryan K DN: P= N Bryan K E bklones®nErirconn G = Jones, PE4°eae?o9 a ;�o;=anosoo Authorized Print Name Authorized Signature Date: Date: D,E Q North Carolina Deportment of Environmental Quality (Division of Water Resources - Washington Regional Office 943 Washington Square Mall, Washington, North Carolina 27889 252-946-6481 DocuSign Envelope ID: C5OFC0C3-A7EF-4EA6-9769-3AC9EC440F38 ROY COOPER MICHAEL S. REGAN [..INDA CULPEPPER NORTH CAROLINA Environmental Quality SAMPLE AGENT AUTHORIZATION FORM PROPERTY LEGAL DESCRIPTION: LOT NO. PLAN NO. PARCEL ID: STREET ADDRESS: Please print: Property Owner: BEST PROPERTIES INC DocuSigned by: Property Owner: Lraw )St -St 77FBD73538AD48B... 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): 1721 W NEW HOPE RD GOLDSBORO NC 27530 Telephone: 919-222-7201 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: DEQ?) North Carotina Department of Environmental Quality (Division of Water Resources - Washington Regional Office 943 Washington Square Mall, Washington, North Carolina 27889 252-946-6481 2 0 0 0 0 GOLD (cou 0 0 O BORO y seat) WaB WaC (Joins sheet 15) Js NoB 00 0 KaD N ( NoB 0 0 0 o KaD 10 NoB Ly NoA Adam • 'Ile Go SEYMOUR - JOHNS Ly AIR FORCE 2 310 000 FEET To BASE (Joins sheet 26) ' NoB Ke 'WaB WAYNE COUNTY, NORTH CAROLINA — SHEET NUMBERLy20 `uB Rm NoA To, ifs Go • NrB2 .,,° . Czntral ugh Schi 2 330 000 FEET WALNUT POCOSIN Cq 0 0 NoA NrB2 NoC b Cre�� CV S Co 0 WAYNE COUNTY, NORTH CAROLINA NO. 2 ROY COOPER Governor MICHAEL S. REGAN secretary LINDA CULPEPPER Director NORTH CAROLINA Environment& Quality Buffer Applicability / Stream Origin Determination Express 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 Strickland, Robert W & Best Properties, Inc 1b. Responsible Party (for LLC) Strickland, Robert W & Best, Horace lc. Mailing Address 1721 W New Hope Rd ld. Telephone Number le. Email address 2. Address of Property or Location of Project Site (including county, nearest named town, and highway or road name/ number): Next to 101 SHANNON AVE, Goldsboro, NC 27530 3. Agent / Consultant Information 3a. Agent/ Consultant Name Bryan Jones, PE 3b. Company Bryan K Jones Consulting Engineers, PA 3c. Mailing address PO Box 10882, Goldsboro, NC 27532 3d. Telephone no. 919-221-5222 3e. Email address bkjones@nc.rr.com 4. Project / Site Information 4a. Name of project 4d. River Basin Neuse 4b. County Wayne 4e. Lat/Long 35.396642 / -77. 934599 4c. Nearest Named Stream Bill Br y 4F. Number Stream Calls 4 5. Project Description (attach plan if available) 6. Has anyone from DWQ visited the site? Y No Staff Name: Date of Visit: 7. Does DWR staff have permission to access this property? Y Yes 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: Lyn Biles 943 Washington Square Mall Washington, NC 27889 Email: lyn.hardison@ncdenr.gov Please contact Anthony Scarbraugh at the Washington Regional Office at (252) 946-9481 if you have any questions. ir)9?) W ' -1a ~ 6.1•E.+n 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 DocuSign Envelope ID: C5OFC0C3-A7EF-4EA6-9769-3AC9EC440F38 ROY COOPER MICHAEL S. REGAN [..INDA CULPEPPER NORTH CAROLINA Environmental Quality SAMPLE AGENT AUTHORIZATION FORM PROPERTY LEGAL DESCRIPTION: LOT NO. PLAN NO. PARCEL ID: STREET ADDRESS: Please print: Property Owner: BEST PROPERTIES INC DocuSigned by: Property Owner: Lraw )St -St 77FBD73538AD48B... 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): 1721 W NEW HOPE RD GOLDSBORO NC 27530 Telephone: 919-222-7201 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: DEQ?) North Carotina Department of Environmental Quality (Division of Water Resources - Washington Regional Office 943 Washington Square Mall, Washington, North Carolina 27889 252-946-6481 DocuSign Envelope ID: 461 E7198-26F2-4FF9-AB19-3741 FA2E5B11 R )Y COOPER MICHAEL S. REGAN LINDA CULPEPPER NORTH CAROLINA Environmental Qualify SAMPLE AGENT AUTHORIZATION FORM PROPERTY LEGAL DESCRIPTION: LOT NO. PLAN NO. PARCEL ID: STREET ADDRESS: Please print: Property Owner: YVONNE W. PURNELL �DocuSigned by: Property Owner: qUO-Nikke W. PU UJ 61D4FEB5E05C4AC... 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): 428 BAYFIELD DR WILMINGTON NC 28411 Telephone: 252-646-4573 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: D,E Q North Carolina Deportment of Environmental Quality (Division of Water Resources - Washington Regional Office 943 Washington Square Mall, Washington, North Carolina 27889 252-946-6481 USGS science for a changing world 78°00' 35°30' 3932000m N 3931 3930 3929 27' 30' 25' 39 3926 3925 392 3923 3922 600 000 FEET 3920 3919 35°22'30" 78°00' U.S. DEPARTMENT OF THE INTERIOR U.S. GEOLOGICAL SURVEY 229000m E STONEY HILL RD 2 300 000 FEET BOOKER ST 229 INDUSTRY CT 0 230 COMBS RD #3 35.449618 -77.96291 4TL4Nr,CAVE GOLDS Produced by the United States Geological Survey North American Datum of 1983 (NAD83) World Geodetic System of 1984 (WGS84). Projection and 1 000-meter grid: Universal Transverse Mercator, Zone 18S 10 000-foot ticks: North Carolina Coordinate System of 1983 This map is not a legal document. Boundaries may be generalized for this map scale. Private lands within government reservations may not be shown. Obtain permission before entering private lands. Imagery NAIP, May 2014 Roads U.S. Census Bureau, 2015 - 2016 Names GNIS, 2016 Hydrography National Hydrography Dataset, 2014 Contours National Elevation Dataset, 2008 Boundaries Multiple sources; see metadata file 1972 - 2016 Wetlands FWS National Wetlands Inventory 1977 - 2014 ORO �E Wq 41, 231 S COTTONWOOD DR 9° 33" 170 MILS 1° 42' r GN 30 MILS UTM GRID AND 2016 MAGNETIC NORTH DECLINATION AT CENTER OF SHEET U.S. National Grid 100,000-m Square ID TE Grid Zone Designation 18S 57'30" Wayne_ Executive Jetport PICKENS DR 111 CARDINAL DR 31 57'30" 232 The National Map C US Topo 233 234 #2 35.414393 -77.927166 #1 35.396642 -77.934599 232 0.5 1000 500 1 0 DAW PATE RD Langton 233 SCALE 1:24 000 KILOMETERS 1 1Patet®Wln 234 By;, 70 235 2 0.5 0 1000 0 1000 2000 3000 METERS 0 1000 2000 MILES 4000 5000 FEET 6000 7000 8000 9000 10000 CONTOUR INTERVAL 5 FEET NORTH AMERICAN VERTICAL DATUM OF 1988 This map was produced to conform with the National Geospatial Program US Topo Product Standard, 2011. A metadata file associated with this product is draft version 0.6.19 55' 55' 236 COLEY RD E NEW HOPE RD _7' NORTH CAROLINA• QUADRANGLE LOCATION 2 3 4 5 6 7 8 ADJOINING QUADRANGLES 237 NORTHEAST GOLDSBORO QUADRANGLE NORTH CAROLINA-WAYNE CO. 7.5-MINUTE SERIES WOODS MILL RD 1 Kenly East 2 Fremont 3 Stantonsburg 4 Northwest Goldsboro 5 Jason 6 Southwest Goldsboro 7 Southeast Goldsboro 8 La Grange BEAR CREE 237 Expressway Secondary Hwy Ramp 2 330 000 FEET ADDY'S RD 125 EXUM MILL LN 77°52'30" 35°30' 100 M�iltB 1l // INCH R 238 000m E ROAD CLASSIFICATION OODCROFT'DR t �1 New Hope Local Connector Local Road 4WD 3932 3931 3930 630 000 FEET 3929 "28 27'30" 927 3926 3925 3924 25' 922 921 920 919000.N 35°22'30" 77°52'30" • Interstate Route US Route O State Route NORTHEAST GOLDSBORO, NC 2016 NrAy I-remoni RP•Rtaiirnnts HntPIs li7 Things to do gle M11SP.L1ms FurPka El Transit 14 Pharmar_ips Ii1 ATN� 123553 1 133 7 I I1340I Nahunta 1353_1 #5 Pikeville - Princeton Rd near Summer Field St PIkPvillP 11 C35 Sports Complex JJ11Illli �Iv 1F Rosewood 4FI A rYeus' #3 Combs Rd Lane Tree Golf Course Westover Busco Beach and ATV nark 70, r Goldsboro I _ r I'c Vannalc 115441 Stoney Creek #2 Tommy's Rd & Hare Rd lisp Spin Cluby v Go gle Q 11) #4 True Vine Rd Re Shed Furniture Red Shed Furniture IIIILIL New Hope •.x Faro Head Grocer) I nrin'r• V sn i, r. 11 ,JGI Ik. a r\cI II IGIJ 1 L' C Saints Delight uiiiteU Hely• 4f14JrIn L[1 DYP r rsrm