265 Northbrook BufferDetermReqForm-RRO-20221122

North Carolina Department of Environmental Quality Division of Water Resources
512 North Salisbury Street 1617 Mail Service Center Raleigh, North Carolina 27699-1617
919.707.9000

Date Received___ DWR Use Only: Project #

Buffer Determination Request Form
Property Owner Information
1. Owner Information
1a. Name(s) on Recorded Deed RSC INVESTMENTS LLC
1b. Responsible Party (for LLC)
1c. Mailing Address 2102 W LONE CACTUS DR, PHOENIX/AZ/85027

1d. Telephone Number 1e. Email Address
Address of Property: 265 Northbrook Drive, Youngsville, NC
Project Description (attach plan if available): Commercial Building

Consultant/Agent Information
4. Agent/Consultant Information
4a. Name, Company David Gainey, Sage Ecological Services
4b. Mailing address 3707 Swift Drive, Raleigh NC 27606
4c. Telephone no. 919-771-9136 4d. Email address [e-mail]
5. Project and Site Information
5a. Name of project 265 Northbrook Property 5b. County Franklin
5c. Nearest Named Stream Brandy Creek 5d. River Basin Tar-Pamlico
6. Has anyone from DWR visited the site? Y / N Staff Name Date of Visit?

Attach a map of the site indicating project boundaries on the USGS 1:24,000 Topo and/or NRCS Soil Survey.

Please return form
to:

Joe Myers
1628 Mail Service Center
Raleigh, NC 27699-1628
Email:
[e-mail]
.gov

Sage Ecological Service s, Inc.Office: 9 19-335-6757Cell: 919-559-153 7
Figure 1
WAKE
FRANKLIN
NASH
GRANVILLE
VANCE WARREN
Ma p Location 265 Northbro ok DriveSage P roje ct #2024.033
USGS TopoMap Serve r 20 24Franklinton, NC Qua dra nglePrepared by: P. B eachMarch 19, 2024
USGS Topo Map
³
Note: No surface waters are depictedwithin the project study area.
1 inch = 1,500 feet
0 2,0001,000 Feet
Project S tu dy Area
Fe at ure A
Sage Ecological Service s, Inc.Office: 9 19-335-6757Cell: 919-559-153 7
Figure 2
WAKE
FRANKLIN
NASH
GRANVILLE
VANCE WARREN
Ma p Location 265 Northbro ok DriveSage P roje ct #2024.033
Fra nklin Cou nty, NC Soil Survey 1994Sheet # 9Prepared by: P. B eachMarch 19, 2024
NRCS Soils Map
³1 inch = 800 feet
0 1,000500Feet
Project S tu dy Area
Data Point 1 UplandNorthbrook D
r
Sage Ecological Services, Inc.
Office: 919-335-6757
Cell: 919-559-1537
Figure 3
WAKE
FRANKLIN
NASH
GRANVILLE
VANCE WARREN
Map Location
265 Northbrook Drive
Sage Project #2024.033
Prepared by: D. Gainey
March 28, 2024
Wetland Sketch Map
³1 inch = 100 feet
010050
Feet
NOTE: Features depicted herein must be field verified
by the USACE and/or NCDWR, or its delegated authority
before being valid. Location, shape, and size of depicted
features on the evaluated site are approximate and should
be surveyed by a licensed NC surveyor for final site planning.
Data Point
Project Study Area
Contours
Roads

Please contact the Raleigh Regional Office at [phone] if you have any questions.