4 Buffer Determination_20140214

Pat McCrory
Governor
Date Received C�
NCDENR
North Carolina Department of Environment and
Division of Water Resources
Thomas A. Reeder
Director
Natural Resources
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)
1a. Name(s) on Recorded Deed
James Dunn II
1b. Responsible Party (for LLC)
Send to S&EC
1c. MailingAddress
.1d. Telephone Number
Ia. Email Address
2. Location of Project Site - please include the county, nearest named town and highway number:
3. Has anyone from DWQ visited the site?
I Y / N
I Staff Name
Date of Visit?
Additional Requested Information
4. Agent/Consultant Information (if applicable)
4a. Name, Company
S&EC (Steven Ball)
4b. Mailingaddress
8412 Falls of Neuse Road, Suite 104 Raleigh
4c. Telephone no.
9198465900
4d. Email address
I [e-mail]
5. Project and Site Information
5a. Name of project
Bryson village
5b. County
Wake
5c. Nearest Named Stream
5d. River Basin
Neuse
5e. Provide a brief description of this project (attach site plan if available):
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: Sara Knies
1628 Mail Service Center
Raleigh, NC 27699-1628
Fax: [phone]
Email: sara.knies oOncdenr.gov
Note: Submittals on Friday after 12:00 pm willbe
stamped as received on the
nextbusinessday.
Please contact the Raleigh Regional Officeat [phone] if you have any questions.
For DWR Staff Email following documents to applicant:
0 Riparian Buffer Authorization & Help Document PCI M PCN Checklist
0 Session Law 2012-200 Minor/Ivor Variance