20170527 Ver 1_Buffer and/or Stream Determination Request_20170428

Water Resources
ENVIRONMENTAL QUALITY
RECENED/NCDENR/DWR
PAT MCCRORY
APR 2 8 2017 (im ernor
DONALD R VAN DER VAART
Water Quality Regional Sectel y
Operations Section S JAY ZIMMERMAN
Washington Regional Office
DWR Use Only Project# aa1-1b5JDC_f
Stream Origin/Buffer Applicability Determination
Required Information
1 Owner Information (corporation/individual who is legally responsible for the property and its compliance)
1a Name(s) on Recorded Deed
State Employees' Credit Union
1 b Responsible Party (for LLC)
Jamie Applegwst, Executive Vice -President
1c Mailing Address
119 N Salisbury St, Raleigh, NC 27603
Id Telephone Number
[phone]
1 e Email Address
Jamie Applequist@ncsecu org
2 Location of Project Site - please include the county, nearest named town and highway number
Pitt County, City of Greenville, NW comer of Charles Blvd (Hwy 43) and Wall St
3 Has anyone from DWR visited the site?
Y / N
I Staff Name
I
Date of Visit?
Tar -Pamlico
Additional Requested Information
4 Agent/Consultant Information (if applicable)
4a Name, Company
Aaron Hutchens, Summit Design and Engineering Services
4b Mailing address
504 Meadowland Drive, Hillsborough, NC 27278
4c Telephone no
[phone]
4d Email address
aaron hutchens@summitde net
5 Project and Site Information
5a Name of project
State Employees' Credit Union
5b County
Pitt
5c Nearest Named Stream
Fomes Branch
5d River Basin
Tar -Pamlico
5e Provide a brief description of this project (attach site plan if available) SECU plans to demolish the existing branch
They will use the additional acreage of the adjacent, vacant, parcel they have recently purchased to build a new, larger, credit
union branch
Please attach a map of the site indicating project boundaries on the USGS 1.24,000 Topo and/or NRCS 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 buffer mitigation nutrient offset credit
Please return form to: Anthony Scarbraugh
9
943 Washington Square Mall Note Submittals on Fnday after 12 00 pm
Washington, NC 27889 will be stamped as received on the
Fax [phone] next business day
Email anthony scarbraughCcDncdenr gov
Please contact Anthony Scarbraugh at [phone] if you have any questions
State of North Carolina I Environmental Quality I Water Resources —Water Quality Regional Operations —Washington Regional Office
943 Washington Square Marl, Washington, NC 27889
252-946-6481

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