20160326 Ver 1_Buffer Determination Request_20160404

RCEIVEDINCDENRIDWR NCDMR
E orth Carolina Department of Environment and Natural Resources
2016 Division of Water Resources
Pat McCrory APR 4 Water Quality Programs John E. Skvarla, III
Governor Zonal Thomas A. Reeder Secretary
floesQuality
n s Regional Director
Washington Regional ofllco
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)
1 a. Name(s) on Recorded Deed
Deep Run Water Corporation, Contact Person - Jamie Cannon
1 b. Responsible Party (for LLC)
324 Evans St. Greenville NC 27858
1c. Mailing Address
1821 Liddell Rd., Deep Run, NC 28525
1d. Telephone Number
252-568-3006
1 1e. Email Address
I [e-mail]
2. Location of Project Site - please include the county, nearest named town and highway number: Inside NCDOT ROW along
Sandy Foundation Rd. (SR 1137 ) between the intersection of Big Oak Rd. (SR 1138) and Pa Nobles Store Rd. (SR 1136)
near Deep Run, NC in Lenoir County.
3. Has anyone from DWQ visited the site?
Y AS
Staff Name
I
I Date of Visit?
I Neuse
Additional Requested Information
4. Agent/Consultant Information (if applicable)
4a. Name, Company
The East Group
4b. Mailing address
324 Evans St. Greenville NC 27858
4c. Telephone no.
252-758-3746
4d. Email address
I [e-mail]
5. Project and Site Information
5a. Name of project
DRWC Water Main Extension
5b. County
Lenoir
5c. Nearest Named Stream
Hornpipe Branch
5d. River Basin
I Neuse
5e. Provide a brief description of this project (attach site plan if available):
A water main extension along Sandy Foundation Rd. between the intersection of Big Oak Rd. and Pa Nobles Store Rd.
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: Anthony Scarbraugh
943 Washington Square Mall
Washington, NC 27889 Note: Submittals on Friday after 12:00 pm
will be stamped as received on the
Fax: [phone] next business day.
Email: anthonv.scarbraugh(c)ncdenr.gov
Please contact Anthony Scarbraugh at [phone] if you have any questions.

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