20170195 Ver 1_Field Notes_20170215

Water Resources
Environmental Quality
REGENEDINCI)f RIO
FZB 15 2017
Water Quality R®gional
Operations So a� �fiioe
Viashington Reg
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. JAY ZIMMERMAN
Director
DWR Use Only: Project #:
Date Received: 2-/110
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 Bray Real Estate Foundation LLC
1b. Responsible Party (for LLC) Emily Jarvis
lc. Mailing Address 996 Contentnea Lane Grifton NC 28530
1d. Telephone Number 252-531-7203 1e. Email address [e-mail]
2. Address of Property or Location of Project Site (including county, nearest named town, and highway or road name/ number):
Terminus of Contentnea Lane southwest of Jacksontown Road
3.
Agent / Consultant Information
3a. Agent/ Consultant Name
Bryan C. Fagundus, PE
3b. Company
Ark Consulting Group, PLLC
3c. Mailing address
3280 Charles Boulevard I Suite B
3d. Telephone no.
252.558.0888
3e. Email address
[e-mail]
4. Project / Site Information
4a. Name of project
A Time for Science
4c. Nearest Named Stream
Contentnea Creek
4b. County
Pitt
4d. River Basin
Neuse
5. Project Description (attach plan if available)
Construction of a pole barn structure for use as an educational classroom for A Time for Science
6. Has anyone from DWQ visited the site? I Y / N Staff Name: I N/A Date of Visit: N/A
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 Note: Submittals on Friday after 12:00 pm
Washington, NC 27889 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.
—7 --,"Nothing Compares- ---
State
State of North Carolina I Environmental Quality I Water Resources -Water Quality Regional Operations Section -Washington Regional Office
943 Washington Square Mall, Washington, North Carolina 27889
252-946-6481

96�'ConsultinK
A
Agent Authorization Form
PROPERTY LEGAL DESCRIPTION
Site A Time for Science Size 50 Ac +/- PARCEL ID 63173, 49709, 42808
Location Contentnea Lane, Pitt County
Property Owner Bray Real Estate Foundation, LLC c/o A Time for Science
The undersigned, registered property owners of the above noted property, do hereby authorize Bryan C Fagundus, PE
of Ark Consulting Group, PLLC (Contractor/Agent) (Name of consulting firm) to act on my behalf and take all actions
necessary for the processing, issuance and acceptance of this wetland delineation and Jurisdictional determination as
required by the Clean Water Act
Property Owner's Address
996 Contentnea Lane
Grifton, NC 28530
Telephone [phone]
We hereby certify the above information submitted in this application is true and accurate to the best of our knowledge
Print Name
Emily Jarvis
Authorized Signa► re
Title Executive Director
Date 2/14/2017

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UTM GRID AND 1010 MAGNETIC NORTH CONTOUR INTERVAL 5 FEET
DECLINATION AT CENTER of SHEET NORTH AMERICAN VERTICAL DATUM OF 1988
AYDEN, NC
2016
Project Mgr._ BCF Project No.: �???? RK NC i-cerse P-1199SITE LOCATION PLAN EXHIBIT
Drawn By: KLG Scale: AS SHCVMA TIME FOR SCIENCE
Checked By: STA Date: 02\10117 A-1
Engineers &Planners
3280 Charles Blvd. I Ste. B I Greenville, NC 27858 949 ContentnLane
Griffon Township, Pitt County, North Carolina