20170110 Ver 1_Buffer Determination Request_20170124

Water Resources
ENVIRONMENTAL QUALITY
RECENED/NCDENR/DWR
JAN 2 4 2017
Wiltaf Duality R+ttio *
opwa►tions Section
Washington Regional t)Niae
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. JAY ZIMMERMAN
Director
DWR Use Only: Project #:
Date Received: X10P7
Buffer Applicability / Stream Origin Determination Request
Property Owner Information
1. Owner Information (corporation/individual who is legally responsible for the property and its compliance)
1a. Name(s) on Recorded Deed WEAVER, JERRY MACK
1b. Responsible Party (for LLC)
1c. Mailing Address 453 Weaver Rd. ' a
1d. Telephone Number �ty�c
1e. Email address
-
2. Address of Property or Location of Project Site (including county, nearest named town, and highway or road name/ number):
453 Weaver Rd, Goldsboro, NC 27530 1.5 miles Northeast of Grantham, NC Property is located between US Hwy 13 S and Old
Grantham Rd. (SR 1219)
3.
Agent / Consultant Information
3a. Agent/ Consultant Name
Raymond Holz
3b. Company
Restoration Systems, LLC
3c. Mailing address
1101 Haynes St. Suite 211 Raleigh, NC 27064
3d. Telephone no.
919-604 9314 3e. Email address [e-mail]
4. Project / Site Information
4a. Name of project
Weaver Farm
4c. Nearest Named
Falling Creek
Stream
4b. County
Wayne
4d. River Basin
Neuse 03020201
5. Project Description (attach plan if available)
The property has two un -named tributaries to Falling Creek and a number of ditches with direct hydrological connection to the
un -named tributaries and to Falling Creek. All features are being proposed for perpetual protection under a conservation easement
and reforestation with native North Carolina hardwoods.
6. Has anyone from DWQvisited the site? I Y N Staff Name: Date of Visit:
7. 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 DWR Washington Regional Office for assistance.
DWR Use Only: Is this determination for the purpose of Buffer mitigation? Nutrient offset credit?
8. 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
Email: [e-mail] Next business day
Please contact Anthony Scarbraugh at the Washington Regional Office at [phone] if you have any questions.
State of North Carolina I Environmental Quality I Water Resources
Washington Regional Office 1 943 Washington Square Mall I Washington, North Carolina 27889
252 946 6481

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Water Resources
ENVIRONMENTAL OVALITY
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. JAY ZIMMERMAN
Director
BUFFER MITIGATION WOR NUTRIENT OFFSET
SITE VIABILTY ASSESSMENT REQUEST
(Form must be complete and all attachments included to process request)
❑ BUFFER MITIGATION ❑ NUTRIENT OFFSET ❑X BOTH
Name
Raymond Holz
Company
Restoration Systems, LLC
Address
1101 Haynes St. Suite 211 Raleigh, NC 27607
Phone
919-604-9314
Email
[e-mail]
PARCEL/SITE DETAILS
Proposed Site Name
Weaver Farm
Address
453 Weaver Rd. Goldsboro
City: Goldsboro I County: Wayne
River Basin
Neuse River
Watershed &
Sub -watershed
8 Digit USGS HUC: 03020201
14 Digit USGS HUC: 03020201170010
Will this be part of a stream or wetland project/bank?
❑ YES ❑X NO
Has a riparian buffer or stream call been performed by Division of Water
Resources staff? ❑ YES ❑X NO
PARCEUSITE ATTACHMENTS (if more than io pages, a hard copy will be required)
1. Brief description of the site including existing site conditions and land use(s);
2. Most recent 1:24,000 scale USGS Topo Map showing the site;
3. Most recent published NRCS county soil survey showing site; AND
4. Aerial Site Map
SEND COMPLETE REOUESTS TO:
NCDWR - 401 & Buffer Permitting Branch
Atm: Katie Merritt
1617 Mail Service Center
Raleigh, NC 27699-1617
or by email to [e-mail]

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RESTORATION SYSTEMS, LLC SCALE: 1 in=2,000ft N
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1101 HAYNES ST SUITE 211 DATE: 1-2017 �WNC p//e''++aver Farm Map
RALEIGH, NC 27604 Wayne County, Soil Survey Map (pg. 30)
PHONE: [phone] SITE: WF01-000
FAX: [phone]
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disda resp—lbil" fu damages or fabiliN from any deima that may ansa oN of t he user mouse of Nis map. It is 9 ry c )
the sole responsibility d the user to deter d Te data an Tis map is compatlhk w•th the user's needs. This map Feet
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RESTORATION SYSTEMS, LLC SCALE: 1 in = 625 ft N
1101 HAYNES ST, SUITE 211 DATE: 1-2017 Weaver Farre
RALEIGH, NC 27604 Aerial Overview
PHONE: [phone] SITE: WF01-000
FAX: [phone]
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