20150276 Ver 1_Buffer Determination_20150306

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NCDE R
North Carolina Department of Environment and Natural Resources
YE�Il�,pt7Wpy� Division of Water Quality
Pat McCrory Thomas A. Reeder John E. Skvada, III
Governor MAR 6 2015 Acting Director Secretary
Streaam W gin /Buffer Applicability Determination
Required Information
1. Owner Information (corporationllndividual who is legally responsible for the property and its compliance)
la. Name(s) on Recorded Deed
Weyerhaeuser Company
1b. Responsible Party (for LLC)
1c. Mailing Address
1785 Weyerhaeuser Road Vanceboro, NC 285856
1d. Telephone Number
252 -229 -8328
1 le. Email Address I Cliff.tyson @weyerhaeuser.com
2. Location of Project Site - please include the county, nearest named town and highway number:
fa FF SIL / tt Z w Ole
3. Has anyone from DWQ visited the site? 1 N
Staff Name
5c. Nearest Named Stream
Date of Visit?
Additional Requested Information
4. AgentrConsultant Information (if applicable)
4a. Name, Company
4b. Mailing address
4c. Telephone no.
4d. Email address
5. Project and Site Information See attached maps
5a. Name of project
O f O I
5b. County r J
5c. Nearest Named Stream
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5d. River Basin Neuse
5e. Provide a brief description of this project (attach site plan if available):
Final Harvest
Access at l 2 1. >' a- 3 f{ Gt . o cs
can at �5 .31G 3� 44.o3v
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.
Please return form to: Anthony Scarbraugh
943 Washington Square Mall
Washington, Note: Submittals on Friday after 12:00 pm
Washington, NC 27889 will be stamped as received on the
Fax: [phone] next business day.
Email: anthony.scarbraugh(olncdenr.00v
Please contact Anthony Scarbraugh at (252) 946 -6481 if you have any questions.

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