20160833 Ver 1_Buffer Determination Request_20160826 (2)

of Environmental Ouality
R'i:CE►VEQiNC�trr� ., :;
Pat McCrory Donald R van Ott$ vaari
Govemcr 6 2016 Semtary
water Quality Regional
operations Seotlonn n
Vltashington Regional DWR Use Only: Project ## � � J
Stream Origin/Buffer Applicability Determination
Required Information
1. Owner Information (corporationlindividual 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
id. Telephone Number
1 [phone]
'le. Email Address
[e-mail]
2. Location of Project Site - please include the county, nearest named town and highway number:
C" tet= R,11 O S^
3. Has anyone from DWR visited the site?
Staff Name
zi ` ^ Date of Visit? /I , b
Additional Requested Information
4. Agent/Consultant Information (if applicable)
4a. Name, Company
4b. Mailing address
4c. Telephone no.
4d. Email address
5. Project and Site Information
5a. Name of project
(� 30 3p� - zo t
5b. County
5c. Nearest Named Stream
i 7 �C /' di
5d. River Basin
e
5e. Provide a brief description of this project (attach site plan if available): l
�S 711i
Access at: C S Z, S Z S` 3 S- • -(c( L
Call 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 Mall
Washington, NC 27889 !Vote: Submittals on Friday after 12:00 pm
will be stamped as received on the
Fax: (252) W-9215 next business day.
Email:
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• Buried Utilities State Routes —•"— Denied: Non -Exempt !_ _- , Eagle Nest -Active RCW Cluster - Inactive = ARCHAEOLOGICAL
Gas Lines ROW Exempt ;_ __; Eagle Nest - Inactive Q RCW Recruitment ECOLOGICAL
Overhead Utilities — Weyerhaeuser Road ® Research Q RCW Cluster -Active RCW Buffer - HISTORICAL
CInterstates --- Other Natural Heritage ® GRAVESITE
Fed/State Hwy —I Railroad Area of Interest
WY M
MR gt Unit
2017 ICT Candidates
1:15,840
MBN -8/23116
LIMS ID: NCT00630303
Seas: Wet Weather Logging
Pine Dom Hgt: 47.9
County: Pamlico
MU # 630303
Sens: No
Site Index: 95
Landform: Upland
For. Acres: 24
Pine TPA: 337
Primary Exam: Post -prune Exam
Comp: 4
Seed Year: 2006
Pine DBH: 7.2
Primary Exam Date: 2014/10/03
Stand # 32466
Origin: Genetic-Plt
Pine BA: 95.9
Map #: M -11-03A

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