20230246 Ver 1_20190327 WaRO-DWR Stream Det_express_20230213

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
P40RTH CAPOLINA
Envilronmerrtat Quailly
Express Buffer Applicability / Stream Origin
Determination Request
Property Owner Information
1. Owner Information (corporation/individual who is legally responsible for the property and its compliance)
1a. Name(s) on Recorded Deed
C. Breeze Properties, LLC
1b. Responsible Party (for LLC)
Harold G. Carroll, Jr.
1c. Mailing Address
63 Veron Ct.
1d. Telephone Number
[phone]
1e. Email address
[e-mail]
2. Address of Property or Location of Project Site (including county, nearest named town, and highway or road name/ number):
The property is located at the end of Sandy Springs Drive off of Forest Knolls Road in Goldsboro, NC
3. Agent / Consultant Information
3a. Agent/ Consultant Name
Jeffrey L. Kornegay, PE, PLS
3b. Company
B. R. Kornegay, Inc.
3c. Mailing address
300 E. Walnut St., Goldsboro, NC 27530
3d. Telephone no.
919-735-5886
3e. Email address
[e-mail]
4. Project / Site Information
4a. Name of project
Sandy Springs 4d. River
Basin
Neuse
4b. County
Wayne 4e. Lat/Long
35.3333/-77.9395
4c. Nearest Named Stream
Neuse River 4F. Number
Stream Calls
1
5. Project Description (attach plan if available)
Clearing and grubbing of existing subdivision lots.
6. Has anyone from DWQ visited the
site?
Y
N X
Staff Name:
Date of Visit:
7. Does DWR staff have permission to
access this property?
Y X
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 Chris Pullinger
to: 943 Washington Square Mall Note: Submittals on Friday after 12:00 pm
Washington, NC 27889 Will be stamped as received on the
Email: [e-mail] Next business day
Please contact Chris Pullinger at the Washington Regional Office at [phone] if you have any
questions.
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North Carolina Department of Environmental Quality IDivision of Water Resources - Washington Regional Office
943 Washington Square Mall, Washington, North Carolina 27889
252-946-6481