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HomeMy WebLinkAbout20160832 Ver 1_Buffer Determination Request_20160826RECENED/NCDEiVIII(DwRartment of Environmental Quality �Mnaid R van der til Tarr AUG 2 6 2016 fI Water Quality Regional Operations Section Washington Regional Office DWR Use Only: Project # A (0 Stream Origin/Buffer Applicability Determination Required Information 1. Owner Information (corporationfindividual who is legally responsible for the property and its compliance) 1a. Name(s) on Recorded Deed Weyerhaeuser NR 1 b. Responsible Party (for LLC) 1 c. Mailing Address 1785 Weyerhaeuser Road Vanceboro , NC 28586 1d. Telephone Number 1 (252) 229-8328 1e. Email Address cliff.tyson@weyerhaeuser.com 2. Location of Project Site - please include the county, nearest named town and highway number: F- S & U-- 67-3 3. Has anyone from DWR visited the site? Y/ Staff Name Date of Visit? Additional Requested Information 4_ Agent/Consultant Information (if applicable) 4a. Name, Company j 4b. Mailing address 4c. Telephone no. 14d. Email address 5. Project and Site Information 5a. Name of project iii 3 D fO 5b. County Sc. Nearest Named Stream Ir 5d. River Sasin Ie.K 5e. Provide a brief description of this project (attach site plan if avallable): rs4- Access at: Cali at: Please attach a map of the site indicating project boundaries on the USGS 1:24,000 Topo and/or MRCS Soil Survey. If you are unable to locate either of these maps, please contact the Regional Office for assistance. DWR Use Only: Is this stream call for the purpose of: �X buffer mitigation nutrient offset credit Please return form to: Anthony Scarbraugh 943 Washington Square Mail Washington, NC 27889 Note: Submittals on Friday after 12:00 pm will be stamped as received on the Fax: (252) 946-9215 next business day. Email: anthprtvsca1t !4gg@1c;ftfa& r a } r«E VYdt o1Npp �Vatar Quaf+>1r Repianal CVirA" Sa"V . 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