20190138 Ver 1_stream determination request form_20190130

ROY COOPER
r '
y, Governor
MICHAEL S. REGAN
Secretary
Water Resources w S. JAY ZIMMERMAN
Environmental Quality Director
DWR Use Only: Project #:
Date Received:
Express 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 Bobby Joe Tripp
1b. Responsible Party (for LLC) N/A
1c. Mailing Address PO Box 128 Ayden, NC 28513
1d. Telephone Number 252-378-5284 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):
Pleasant Plain Road in Ayden,NC. PN 22589
3.
Agent / Consultant Information
3a. Agent/ Consultant Name
Richie Brown, PE
3b. Company
Stroud Engineering, PA
3c. Mailing address
107B Commerce Street, Greenville,NC 27858
3d. Telephone no.
252-756-9352 3e. Email address [e-mail]
4. Project / Site Information
4b. Nearest Named Stream Contentnea Creek per USGS Quad Map
4a. Name of project
PN 22589
4d. River Basin Neuse
4e No. of Stream
4c. County
Pitt
1
Call/property
5. Project Description (attach plan if available): Possible Single Family Development
6. Has anyone from
y❑X / NEI
Staff
Chris Pullinger
Date of Visit:
1/30/19
DWQ visited the site?
Name:
7. 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 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: Chris Pullinger
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 Chris Pullinger at the Washington Regional Office at (252) 948- 3973 if you have any
questions.
--'�-{'Nothing Compares:`- —
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