20190800 Ver 1_BufferViabilityDWR_20190627

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
NORTH CAROLINA
Environmental Quality
BUFFER MITIGATION &/OR NUTRIENT OFFSET
SITE VIABILTV ASSESSMENT REQUEST
(Form must be complete and all attachments included to process request)
BUFFER MITIGATION ❑ NUTRIENT OFFSET ❑ BOTH
Name
Ted Griffith
Company
Eco Terra Partners, LLC
Address
1117 Peachtree Walk NE, Ste 126, Atlanta, GA 30309
Phone
[phone]
Email
[e-mail]
Do you have the right to access the property?
� YES ❑ NO
PARCEL/SITE DETAILS
Proposed Site Name
Boseman Buffer Mitigation Site
Address
8019-7621 NC -97
City: Battleboro
Site Coordinates
35.969941, -77.700757
County: Edgecombe
River Basin
Tar -Pamlico
8 -Digit HUC:03020101
Sub -watershed (if in
Jordan Lake or Falls)
Will this be part of a stream or wetland project/bank?
❑ YES ti4 NO
Has anyone from DWR or the USACE visited the site in the past 12 months? ❑ YES IR NO
Has a riparian buffer or stream call been performed by Division of Water Resources staff on the
subject site? ❑ YES li? NO
Is the project receiving any state or federal grant money? ❑ YES IR NO
Are there any State, Local or Federal Permits associated with the subject site? F�? YES ❑ NO
PARCEL/SITE ATTACHMENTS (provide items 1-4 as a separate attachment, not to exceed 10 pages)
1. Detailed description of the site including existing site conditions and Aerial Site Map;
2. Include a timeline of landuses and landuse changes from 1990 -Present;
3. Most recent 1:24,000 scale USGS Topo Map showing the site; AND
4. Most recent published NRCS county soil survey showing site;
NCDWR - 401 & Buffer Permitting Branch
Attn: Katie Merritt
SEND COMPLETE REQUEST TO: 1617 Mail Service Center
Raleigh, NC 27699-1617
or by email to [e-mail]