HomeMy WebLinkAbout20150302 Ver 1_Stream Call Request_20150320Baldwin Design
Consultan & CN �G ts, Pa
PLANNN\G
3740 -B Evans Street Greenville, NC 27834
252 - 756 - 1390 252- 321- 1412(fax)
To: NCDENR - Division of Water Q
Date: Job No:
3/18/15 15 -024
Attention:
Roberto Schaller
943 Washington Square Mall Re:
Washington, NC 27889
Land to be purchased by George Jefferson
We are sending you: x Attached I`l Under separate cover via the following:
Drawings
Plans Prints Pay Request/
Specifications
Invoice
Letter
Package u Other
Copies Date
Number Description
1
Stream Origin /Buffer Applicability Determination
Application
1
Soils Map
1
Quad Map showing location
RECEIVED /NCDENR/DV,
1 3119/15
Agent Authorization Form
1 3/17/15
404 Wetlands Survey Map
MAR 2 0 2015
Water Quality Regional
Operations Section
Washington Regional Otl,;;„
Transmitted as checked below:
❑ For approval
L] Approved as noted ❑ Resubmit _
copies for approval
For your use
❑ Approved as submitted Submit
copies for distribution
❑ As requested
❑ Returned for corrections ❑ Return
corrected copies
❑ For review
❑ Other
Remarks:
Roberto, Mr and Mrs. George Jefferson are purchasing this land from Louis Spell and Phil Lewis.
They need to install a driveway culvert across wetlands. Gary Beecher with the USACOE has already
delineated it for me and it shown on map. Anthony Scarbraugh said you guys needed to look at it also
even though its not on the quad map or soil survey. Let me know when we can meet. Thanks
Sigied: Nike B AWn Copy b:
w
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory Donald R. van der Vaart
Governor Secretary
DWR Use Only: Project 0
Stream Origin /Buffer Applicability Determination
Additional Requested Information
Required Information
1. Owner Information (corporationlindividual who is legally responsible for the property and its compliance)
1a. Name(s) on Recorded Deed
La)�S G, SQEI�- 4 �Ll ��l 44e E.WlS
1 b. Responsible Party (for LLC)
4c. Telephone no.
1c. Mailing Address
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1d. Telephone Number
�jti2s4 (oto
1e. Email Address
t✓SPfiI� —� GFfaF�,IC, Wt1
2. Location of Project Site - please include the county, nearest named town and highway number:
>o Q64< G'r rV-agi;M�, ac I F c y�Il , cv
G 97-
3. Has anyone from DWR visited the site?
Y (D Staff Name
Date of Visit?
-MIR I QAn
Additional Requested Information
4. Agent/Consultant Information (if applicable)
4a. Name, Company
4b. Mailing address
3 $ E 5 S-�Q� G V C G 2^•
4c. Telephone no.
2S2 71;rm. 31C> 4d. Email address
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5. Project and Site Informations
5a. Name of project
5b. CountyAy,�OR�
5c. Nearest Named Stream
I 5d. River Basin
-MIR I QAn
5e. Provide a brief description of this projeqq (attach site plan d available):
+CA y )ETisa�ip C- l A6 1=i� REs IDe► rCl <al 'GRt `�IPc'f
Please attach a map of the site indicating project boundaries on the USGS 1:24,000 Topo and/or NRCS Soil Survey.
B 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: (252) 946 -9215 next business day.
Email: anihonv.scarbraughancdenr.gov
Please contact Anthony Scarbraugh at (252) 946 -6481 if you have any questions.
Division of Water Resources - Water Quality Regional Operations Section - Washington Regional Office
943 Washington Square Mall, Washington, NC 27989
Phone: 252 - 946 -Mi k Fax: 252 - 97537161 Internet www.nodenr.gov
An Equal Opportuniq 1 Af nnadre Action Employer —Made in pat by regded paper
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SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. I0,Q1 AG. PLAN NO. PARCEL ID: Iso Z86ZCO
Please print:
Property Owner:
Property Owner: ?V' 1L`• T
The undersigned, registered property owners of the above noted property, do hereby authorize
N'11 ck"L• bJ.���'q�11t! , of i?�.byJI� S1Cu�
(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):
905 6&G-T- , 4, 1Q 1Z i 'IaL h . , G'F�,tJy AG Z'aBSB
Telephone: Z52.3�'✓S•41(OC�,
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Signatures Aut orize Signa
Date: Date:
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WOODED
DONALD E. AYERS
DB 1182, PG 619
PC G, SLIDE 9-1
"=.="°� __
S 01'30'37^ E� DELINEATION / __- ~__~
2Og.56' (TIE) / \ / s/P-�v� F----
/ N �2'25'32^ -�/ DB 1285, PG 515
. 'u PLAT CABINET Q SLIDE S 1 ---
171]1 (TIE) ~D^-�-~. ' - '/ --- .
�4 �� EASEMENT
~ ~~~~ . . . .
`m��~=_ � 'A TO B
R��� '" ~-"P/' /^ DB 43l P� 069
0 ' - Uv.~- ^ ' � � ' �
"THIS csnnFIcs THAT THIS oopy Or THIS PLAT xnooR^TEcr oEpers THE
eouwo^Rv or THE JURISDICTION or SECTION 404 OF THE CLEAN WATER
ACT IN THE AREAS IMPACTED BY THE PRESENT PROPOSED ACT|VIr/, AS
DETERMINED BY THE UNDERSIGNED ON THIS DATE. OTHER AREAS Or
JuR|so|cnom MAY BE PRESENT ON THE SITE BUT HAVE NOT BEEN DELINEATED.
UNLESS rVsRc IS CHANGE IN THE Lew on OUR PUBLISHED REGULATIONS, THIS
nErERw|w^T|ow OF SECTION *04 Jun|30CT|ow WAY BE RELIED UPON FOR A
P[n|oD NOT TO EXCEED FIVE YEARS FROM THIS DATE, THIS DETERMINATION WAS
MADE unuZ|wn THE APPROPRIATE REGIONAL SUPPLEMENT T0 THE 1e87 oonpS
OF ENGINEERS WETLAND DELINEATION lvl/.MuAL."
REGULATORY OFFICIAL:
TITLE:
DATE:
USACE ACTION |D NO.:
zou 100r o xoo +oo oou
GRAPHIC SCALE: 1" = 200'
I5HEET 1 OF 1
PIN #15028826
GP|N #8653-75-0922
/
|
|
/
CONTROL
CORNER
/
Z 15' EASEMENT
BEARING
404
�uuI� ��. �d`tLL '=
010
TABLE
LINE
AND
~~`~~
`
PHIL LIP A. LEWIS
' ' '`��'' ' ~ ��~~'-~ ~~ cowT*uL
DB 1285, PG 515 -~~~
o*
08'13'24"
W
conmsn
PLAT CABINET G. SLIDE 9-1 sx. NAIL
10 xo
I XT-
"THIS csnnFIcs THAT THIS oopy Or THIS PLAT xnooR^TEcr oEpers THE
eouwo^Rv or THE JURISDICTION or SECTION 404 OF THE CLEAN WATER
ACT IN THE AREAS IMPACTED BY THE PRESENT PROPOSED ACT|VIr/, AS
DETERMINED BY THE UNDERSIGNED ON THIS DATE. OTHER AREAS Or
JuR|so|cnom MAY BE PRESENT ON THE SITE BUT HAVE NOT BEEN DELINEATED.
UNLESS rVsRc IS CHANGE IN THE Lew on OUR PUBLISHED REGULATIONS, THIS
nErERw|w^T|ow OF SECTION *04 Jun|30CT|ow WAY BE RELIED UPON FOR A
P[n|oD NOT TO EXCEED FIVE YEARS FROM THIS DATE, THIS DETERMINATION WAS
MADE unuZ|wn THE APPROPRIATE REGIONAL SUPPLEMENT T0 THE 1e87 oonpS
OF ENGINEERS WETLAND DELINEATION lvl/.MuAL."
REGULATORY OFFICIAL:
TITLE:
DATE:
USACE ACTION |D NO.:
zou 100r o xoo +oo oou
GRAPHIC SCALE: 1" = 200'
I5HEET 1 OF 1
PIN #15028826
GP|N #8653-75-0922
/
|
|
/
CONTROL
CORNER
/
Z 15' EASEMENT
BEARING
404
WETLANDS CALL
TABLE
LINE
BEARING
LENGTH
N
08'13'24"
W
5593
"THIS csnnFIcs THAT THIS oopy Or THIS PLAT xnooR^TEcr oEpers THE
eouwo^Rv or THE JURISDICTION or SECTION 404 OF THE CLEAN WATER
ACT IN THE AREAS IMPACTED BY THE PRESENT PROPOSED ACT|VIr/, AS
DETERMINED BY THE UNDERSIGNED ON THIS DATE. OTHER AREAS Or
JuR|so|cnom MAY BE PRESENT ON THE SITE BUT HAVE NOT BEEN DELINEATED.
UNLESS rVsRc IS CHANGE IN THE Lew on OUR PUBLISHED REGULATIONS, THIS
nErERw|w^T|ow OF SECTION *04 Jun|30CT|ow WAY BE RELIED UPON FOR A
P[n|oD NOT TO EXCEED FIVE YEARS FROM THIS DATE, THIS DETERMINATION WAS
MADE unuZ|wn THE APPROPRIATE REGIONAL SUPPLEMENT T0 THE 1e87 oonpS
OF ENGINEERS WETLAND DELINEATION lvl/.MuAL."
REGULATORY OFFICIAL:
TITLE:
DATE:
USACE ACTION |D NO.:
zou 100r o xoo +oo oou
GRAPHIC SCALE: 1" = 200'
I5HEET 1 OF 1
PIN #15028826
GP|N #8653-75-0922
/
|
|
/
CONTROL
CORNER
/
Z 15' EASEMENT
BEARING
DISTANCE
Distance
SHORELINE OF BACK CREEK
UP CREEK
Bearing
Distance
-------
LEGEND
-------
/
UP CREEK
Bearing
Distance
-------
LEGEND
-------
/
omm///
/
-------
LEGEND
-------
/
omm///
/
EIS
EXISTING IRON STAKE
SIP
SET IRON PIPE
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RIGHT-OF-WAY
-
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NIPS
NO POINT SET
-u--c�'
C
CENTERLINE
SEAL
NOT TO SCALE
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GENERAL NOTES
1 T�- xB PROPERTY IS LOCATED IN A SPECIAL FLOOD HAZARDOUS
AF-7.4 AS DETERMINED BY THE FEDERAL EMERGENCY
MANAGEMENT
A�ENCY. FLOOD ZONE AE. BASE FLOOD ELEVATION
9.0' /�A�D 1g88)
THIS |5 TO CERTIFY THAT THIS MAP ��S D�\�N
^
REF' FIRM �7�OGG420OJ DATED: MAY 15 200�
` '
UNDER WY ]DIRECTION AND SUPERVISION FRrAW AN
' ' .
ACTUAL Fit-LLD LAND SURVEY PERFORMED UH0ER
2. AL- AREAS CALCULATED BY COORDINATE GEOMETRY.
NY DIRECTION AND SUPERVISION THAT THE ERROR
3. RE:7*ERENCE: DEED BOOK 1295, PAGE 515 OF THE
BE4UFORT
OF CLOSURE AS CALCULATED BY LATITUDES AND
C--JNTY REGISTER OF DEEDS.
DEPARTURES |5 1:10.000'THAT THE BOUMD�IIES
4� U�,-ESS OTHERWISE NOTED THERE ARE NO POINTS
SET ALONG THE
NOT SURVEYED ARE SHOWN AS DASHED L|M�� THAT
N0�MAL HIGH WATER L|NE OF BA�K CREEK�
THIS MAP WAS PREPARED IN ACCORDANCE ��H
G.S. 47-30 AS AMENDED.
?::�-
D AND SEAL _17#h_
CHECK BOUNDARY
NC HWY 92
-CLOSURE
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R/VV PAVED PUBL|C\
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MICHAEL WEST BxLuw|n. pLS L-3082