HomeMy WebLinkAbout20160893 Ver 1_Buffer Determination Request_20160913Water Resources
ENVIRONMENTAL QUALITY
SEP 19 2016
water Quality Re91onal
gperationa section
Wltghin®ton Regional Office
PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
S. JAY ZIMMERMAN
Director
DWR Use Only: Project #
Date Received 4' (3 11 (- I
Buffer Determination Request Form
Property Owner Information
1. Owner Information
Ia. Name(s) on Recorded Deed
Maxwell Foods, LLC
Ib. Responsible Party (for LLC)
Tammy Hare
lc. Mailing Address
PO Box 10009, Goldsboro, NC 27532
Id. Telephone Number
(919) 778-3130
le. Email Address
tammy.hare@goldsboromilling.com
Address of Property: Hull Rd, Kinston, Lenoir County, NC 28504 Lat/Long: (36.055410 / -079.963668)
Project Description (attach plan if available):
Consultant/Agent Information
4. Agent/Consultant Information
4a. Name, Company
S&EC — Bob Zarzecki
4b. Mailing address
8412 Falls of Neuse Road, Suite 104
4c. Telephone no.
(919) 846-5900
4d. Email address
bzarzecki@sandec.com
5. Project and Site Information
5a. Name of project Joyner Farm Property 5b. County Lenoir
5c. Nearest Named Stream Taylors Branch 5d. River Basin Neuse
6. Has anyone from DWQ visited the site? I Y / N Staff Name
I 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: Anthony Scarbraugh
943 Washington Square Mall Note: Submittals on Friday after 12:00 pm
Washington, NC 27889 will be stamped as received on the
Fax: (252) 946-9215 next business day.
Email: anthonv.scarbrauahencdenr.gov
Please contact Anthony Scarbraugh at (252) 946-6481 if you have any questions.
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Project No. Scale' Lenoir County NI3FnIbdFueRm45uEIW,Rari�.SC2]UIS•PMaa919)84-900•Faa(919)B49Nd
12957 1" = 1000' Falling Creek Quadrangle
Project Mgr.: 07/28/16 Prepared by: 0 500 1,000 2,000 Feet
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Joyner Farm Property Soil &Environmental Consultants, PA V
Project No.Lenoir Cou my Soil Survey Rill Falb M.mc RmA. SmNc 90P, Ra1wgA. NC TfbIS • Phona: (919) 8iuS-S8W • Faa (919) G69A59
12957 1" = 1000' Sheets 10 and 15
Project Mgr.: Prepared by: 0 500 1,000 2,000 Feet
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