20211017 Ver 1_Determination Request_20210622

Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all
mandatory questions are answered.
Project Name:* GP Dudley Pond
Is this a transportation project?* f Yes r No
Is this request for a mitigation site? * r Yes r No
What type of request is this?* rJ Buffer IP Stream Determination
Isolated Wetland Stream
Check all that apply.
Owner Information
Name on the Recorded Deed:* Georgia Pacific Wood Products
Responsible Party: Brandy Turley
(for LLC, Corporations, businness, agency, etc.)
Telephone Number: 919-705-0526
How would you like to received your determination?*
I— V
Email Address:* [e-mail]
Is there an agent or consultant responsible for the request?*
c:
r
Attach agent authorization letter:* Terracon Agent Authorization Form 6-2-
622.73KB
21.pdf
FDF only
Agent/Consultant Information
How would you like to receive your r IJSPS
determination letter?* r Email
Name of Agent:* Rhiannon Graham
Company Name:* Terracon
Email Address:* [e-mail]
Has anyone form DWR done a previous site visit?*

c-
c-
Date of Visit:
Nearest Highway/Street:* Old Mt Olive Highway
Nearest Town:* Dudley
Nearest Named Stream:* Brooks Swamp
River Basin:* Neuse
County:*
Please attach a map of the site indicating project boundaries on the USGS 1:24,000 Topo.
nick the upload button or drag and drop files here to attach docurrent
DWR Request.pdf 341.56KB
GP Dudley pond.pdf 3.8MB
Ftlt file type only
TOPO map look up: https://viewer.nationalmap.gov/basic/
Please attach a map of the site indicating project boundaries on the NRCS Soil Survey.
aick the upload button or drag and drop files here to attach docurrent
Ftlr file type only
Soil Survey Link: https://www.nres.usda.gov/wps/portal/nres/surveylist/soils/survey/state/?stateld=NC
Latitude and Longitude
Please provide the Latitude and Longitude for physical location for the determination that. If you have a
physical address you can look up the Latitude and Longitude by typing in an address or filling out the
information manually.
Choose below how you would like to provide this information.
r Address Lookup
f Manually
Latitude: 35.25875
Longitude:-78.03724
M isc attachments: pdt or kne file types only
By digitally signing below, I certify that:
• I have given true, accurate, and complete information on this form;
• I agree that submission of this form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the
"Uniform Electronic Transactions Act")
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act');
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written

signature; AND
o I intend to electronically sign and submit the "Determination Request' form."
Signature
Date Submitted:
Initial Review
ID#*
Version*
Do you want to send for review?*
Select Reviewer:*
,?Ikl 'IV
6/22/2021
20211017
r Yes r No
Robert Tankard:eads\rbtankard
Select Regional Office:* Washington Regional Office - [phone]

6/3/2021
Submission Completed
Stream Origin/Buffer ApplicabilityDetermination
NORTH CAIROiINA
Environmanraf Quality
Processing Information
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all
mandatory questions are answered.
Project Name: *
Is this a transportation project?*
Is this request for a mitigation site?*
What type of request is this?*
Georgia-Pacific (Dudley Plant ) Pond
Yes No
Yes No
Buffer
Isolated Wetland
Check all that apply.
Owner/Applicant Information
Owner Information
Name on the Recorded Deed: * Georgia Pacific Wood Products
Responsible Party: Brandy Turley
jor LLC, Corporations, businness, agency, etc.)
Telephone Number: 919-705-0526
How would you like to received your determination?
USPS Email
Email Address: * [e-mail]
IP Stream Determination
Stream
https://edocs.deq.nc.gov/Forms/Form/Submit 1 /4

6/3/2021
Submission Completed
Is there an agent or consultant responsible for the request?*
Yes
No
Attach agent authorization letter: * Terracon Agent Authorization Form 6-2... 622.73KB
PDF only
Agent/Consultant Information
Agent/Consultant Information
How would you like to receive your ( USPS
determination letter?* Email
Name of Agent: *
Company Name:*
Email Address: *
Rhiannon Graham
Terracon
[e-mail]
Project and Site Information
Project Information
Has anyone form DWR done a previous site visit?
Yes
No
Other
Date of Visit:
Site Information
Nearest Highway/Street: * Old Mt Olive Highway
Nearest Town: * Dudley
Nearest Named Stream:* Brooks Swamp
https://edocs.deq.nc.gov/Forms/Form/Submit 2/4

6/3/2021 Submission Completed
River Basin: * Neuse
County: *
Wayne
Please attach a map of the site indicating project boundaries on the USGS 1:24,000 Topo.
Click the upload button or drag and drop files here to attach document
combined figures and photos.pdf 4.65MB
Pdf file type only
TOPO map look up: https://viewer.nationalmap.gov/basic/
Please attach a map of the site indicating project boundaries on the NRCS Soil Survey.
Click the upload button or drag and drop files here to attach document
Pdf file type only
Soil Survey Link: https://www.nres.usda.gov/wps/portal/nres/surveylist/soils/survey/state/?stateld=NC
Latitude and Longitude
Please provide the Latitude and Longitude for physical location for the determination that. If you have a
physical address you can look up the Latitude and Longitude by typing in an address or filling out the
information manually.
Choose below how you would like to
provide this information.
Latitude: 35.2590
Longitude:-78.0339
Misc attachments:
Sign and Submit
Address Lookup
Manually
combined figures and photos.pdf 4.65MB
pdf or kmz file types only
By digitally signing below, I certify that:
o I have given true, accurate, and complete information on this form;
https://edocs.deq.nc.gov/Forms/Form/Submit 3/4

6/3/2021
Submission Completed
o I agree that submission of this form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act")
c I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act");
o I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
o I intend to electronically sign and submit the "Determination Request" form."
Signature *
https://edocs.deq.nc.gov/Forms/Form/Submit 4/4

1 WAL IER FULCHFR RD
. Southern
'Wayne HS
O
W�
These preliminary delineation results are subject to regulatory
review and concurrence.
This is not a replacement for a traditional survey and is suitable for
preliminary planning purposes only and for use by surveyor to aid in
locating flags.
Neuse River Basin
DATA SOURCES:
® Pond USGSTopo tile base map service of The National Map
0 2,000 4,000 (TNM), data refreshed May 2020.
Feet Note: Vegetation removal or alteration of soils or hydrology
after initial site evaluation can affect jurisdictional status
and may require re-evaluation of wetland boundaries.
PM:
RT
Project No.
Project Location
EXHIBIT
70217362
No.
Drawn By:
Scale:
KT
1 in = 2,000 ft
Irerracon
GP Dudley Pond
Dudley,Wayne County,
Checked By: RT
Filename:
topo.mxd
North Carolina
Approved By:
Date:
2401 Brentwood Road, Suite 107 Raleigh, NC 27604
JH
May 2021
phone: [phone] Fax: [phone]

o1
f
W
ia
:..
i h rnm Wayne
Soil Mapping Units{
Bb Bibb sandy loam
NoA Norfolk loamy sand, 0-2% slopes
fA
•
_-
� 'sir
=: {y
KE{'
"fry' .�
..
;:'•:
B
+*�40
Ile
o
DATA SOURCES: .o
0 500 1,000 NRCS Soil Survey Wayne County, 1974.iiiiiia N
n
Feet
Note: Vegetation removal or alteration of soils or hydrology
g
after initial site evaluation can affect jurisdictional status
and may require re-evaluation of wetland boundaries. a
0
PM: RT
Project No.
NRCS Soils
EXHIBIT
70217362
No.
Drawn By:
Scale:
KT
1 in = 500 ft
Irerracon
GP Dudley Pond
Dudley, Wayne County,
2
Checked By: RT
Filename:
soils.mxd
North Carolina
Approved By:
Date:
JE401 Brentwood Road, Suite 101 Raleigh, NC 27604
JH
May 2021
phone: (919):172211 Fax: [phone]
w

These preliminary delineation results are subject to regulatory
review and concurrence.
This is not a replacement for a traditional survey and is suitable for
preliminary planning purposes only and for use by surveyor to aid in
locating flags.
0
b�
fine -
Neuse River Basin
DATA SOURCES:
Latest High -Resolution NC Statewide Orthoimagery, NC
200 400 OneMap Server, 2017.
Feet Note: Vegetation removal or alteration of soils or hydrology
after initial site evaluation can affect jurisdictional status
and may require re-evaluation of wetland boundaries.
PM: RT
Project No.
Potential Wetlands and Waters
EXHIBIT
70217362
No.
Drawn By:
Scale:
KT
1 in = 200 ft
Irerracon
GP Dudley Pond
Dudley,Wayne County,
3
Checked By: RT
Filename:
aerial.mxd
North Carolina
Approved By:
Date:
2401 Brentwood Road, Suite 107 Raleigh, NC 27604
JH
May 2021
phone: [phone] Fax: [phone]

USAGE/NCDWR Agent Authorization Form
Property/Site
Address of Site:
Irerracon
�r�0- - pac e
Parcel Identification Number (PIN): o! Jpq Zg65YO
Owner Information:
Name: dooq a' 0oI a ' 4L
Address: PO ( / Q56 9
9flanha GIA 3o3y8 ,,"56E 1
Telephone Number: c?/y.705• 0 5,57 6
E-mail Address: / 01-/p
Y
Property Owner Certification:
I, the undersigned, a duly authorized owner of record of the property/properties identified herein,
do authorize representatives of the Wilmington District, U.S. Army Corps of Engineers (Corps)
and/ or the North Carolina Division of Water Resources (NCDWR) to enter upon the property
herein described for the purpose of conducting on -site investigations and issuing a determination
associated with Waters of the U.S (WOTUS) subject to Federal/State jurisdiction under Section
404 and 401 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899.
Terracon, as designated by the current property owner, is the authorized consultant to coordinate,
schedule, and provide supplemental inform n Moth agencies in support of this verification
and/or permit application.
Property Owner Signature: / /Z \ Ie"'
Date: �la 72 i
Terracon Consultants Inc. 2401 Brentwood Road, Suite 107, Raleigh, NC 28208-3608
P:919-873-2211 F:919-873-9555 terracon.com