20150829 Ver 1_Buffer Determination Request_20150813

Q�f� r
RE oo � a o a mNDENR
r Ina nt
of Environment and Natural Resources
Division of Water Resources
Pat McCrory AUG 13 2015 Water Quality Programs John E. Skvarla, III
Governor Thomas A. Reeder Secretary
water Quality Regional Director
Operations Section
Washington Regional Office
DWQ Use Only: Project# �f Of(29
Stream Origin /Buffer Applicability Determination
Required Information
1. Owner Information (corporation /individual who is legally responsible for the property and its compliance)
la. Name(s) on Recorded Deed YMCA of the Triangle Area, Inc.
1 b. Responsible Party (for LLC) Tim Carr
1c. Mailing Address 801 Corporate Center Dr., Suite 200, Raleigh, NC 27607
1d. Telephone Number (919) 719 -9628 11e. Email Address I Tim.carr @ymcatriangle.org
2. Location of Project Site - please include the county, nearest named town and highway number:
Camp Seafarer, 2744 Seafarer Road, Arapahoe, Pamlico County, NC
3. Has anyone from DWQ visited the site? I No I Staff Name
Additional Requested Information
4. Agent/Consultant Information (if applicable)
I Date of Visit? I
4a. Name, Company Bob Zarzecki, Soil & Environmental Consultants, PA (S &EC)
4b. Mailing address 8412 Falls of Neuse Rd., Suite 104, Raleigh, NC 27614
4c. Telephone no. (919) 846 -5900 14d. Email address I bzarzecki @sandec.com
5. Project and Site Information
5a. Name of project Camp Seafarer Aquatics Facility 51b. County Pamlico
5c. Nearest Named Stream Neuse River, 27- (104), SB;Sw,NSW 5d. River Basin Neuse
5e. Provide a brief description of this project (attach site plan if available):
New pool facility (pool, patio, fence, pool house, etc.) to be constructed adjacent to existing swim tank / swim lake.
Reconfigure swim tanks & decking within swim lake.
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 Reqional Office for assistance.
DWQ Use Only: Is this stream call for the purpose of:
Please return form to: Anthony Scarbraugh
943 Washington Square Mall
Washington, NC 27889
Fax: [phone]
Email: anthonv.scarbrauohOncdenr.aov
buffer mitigation nutrient offset credit
Note: Submittals on Friday alter 12:00 pm
will be stamped as received on the
next business day.
Please contact Anthony Scarbraugh at (252) 946 -6481 if you have any questions.

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NC DWR Stream Identification Form Version 4.11
7
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uator: �N I County
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d Points:
m is at least intermittent Stream, Determination (circle one)
Emeral intermittent Perennial
') or perennial ifs 30' �j t-(-
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1
;eomorpholoov (Subtotal =
iresence of Baseflow
Absent
ontinuity of channel bed and bank
0
0
eaflitter
;wosity of channel along thalweg
0
pediment on plants or debris .
}channel structure: ex. riffle -pool, step -pool,
0
;ple -pool sea uence
0
inicle size of stream substrate
0
,tive /relict floodplain
0
`:positional bars or benches
0
:cent alluvial deposits
0
'aadcuts
0
Weak
1 -
1
1
1
1 -
1
1
1
'ade control 0 0.5
latural valley 0 0.5
!econd or greater order channel No = 0
ial ditches are not rated; see discussions in manual
lydrology (Subtotal = 1
1
�. 2
iresence of Baseflow
0
'on oxidizing bacteria
0
0.5
eaflitter
1.5
1
pediment on plants or debris .
I 0
0.5
lrganic debris lines or piles
0
Other = 0
foil -based evidence of high water table?
N0=0
`iology (Subtotal =
librous roots in streambed 3
footed upland plants in streambed 3
lacrobenthos (note diversity and abundance) 0
t_quatic Mollusks 0
fish 0
rayfish - -- - 0
lmphibians 0
?Igae 0
Yetland plants in streambed
:nnial streams may also be identified using other methods. See p. 35 of manual.
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Other = 0
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Soil & Environmental Consultants, PA
8412 F.A. X Nmu a Road, Suilc 1119, R:doiKh, NC 27615 • Phone (919) W -591X1 • Fns: (919) 846 -9467
snndec.com •'tl) '. , 71-
PROPERTY OWNER CERTIFICATION /
AGENT, AUTHORIZATION
Project Name /Description: YMCA Camo Seafarer — Aouatics Facilities S &EC Project # 12625
Date: July 2015
The Department of the Army
U.S. Army Corps of Engineers, Wilmington District
69 Darlington Avenue
Wilmington,NC 28403
Attn: Gary Beecher Field Office: Washington Regulatory Field Office
I, the undersigned, a duly authorized owner of record of the property/properties identified herein, do
authorize representatives of the Wilmington District, U.S. Army Corps of Engineers (Corps) and Soil &
Environmental Consultants, PA (S &EC) staff (as my agent) to enter upon the property herein described
for the purpose of conducting on -site Investigations and Issuing a determination associated with Waters
of the U.S. subject to Federal jurisdiction under Section 404 of the Clean Water Act and /or Section 10 of
the Rivers and Harbors Act of 1899. This document also authorizes S &EC (as my agent) to act on my
behalf and take all actions necessary for the processing, issuance and acceptance of a permit or
certification and any and all associated standard and special conditions.This notification supersedes any
previous correspondence concerning the agent for this project.
NOTICE: This authorization, for liability and professional courtesy reasons, is valid only for government
officials to enter the property when accompanied by S &EC staff. You should call S &EC to arrange a site
meeting prior to visiting the site.
PARCEL INFORMATION:
Parcel Index Number(s) (PIN):
Site Address:
City, County, State:
Lat/Long:
6446327429000
2744 Seafarer Road
Aranahoe, Pamlico Countv, NC
34.99641/-076.85483
PROPERTY OWNER INFORMATION:
Name: YMCA of the Triangle Area, Inc.
Address: 801 Corporate Center Drive, Suite 200, Raleigh, NC
Phone No,: (919) 719 -9628 Fax No.: ( )
Email: [e-mail]
Tr n CAr2tz-
Pro erty Owner -(please print)
Prooerty Owner Signature
27607
Mobile No.: (919) 345 -5596
(�? Jut
Date
We hereby certify the above information submitted in this application is true and accurate to
the best of our know /edge.
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