20221248_Determination Request_20220912

Stream Origin/Buffer Applicability Determination
NORTH CAROLINA
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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: *
Drainage feature south of 1764 Doolittle Court
Is this a transportation project?* 0 Yes ® No
Is this request fora mitigation site?* 0 Yes O No
What type of request is this?*
✓O Buffer
O Isolated Wetland
Check all that apply.
Owner/Applicant Information
C IP Stream Determination
C Stream
Owner Information
Name on the Recorded Deed: * Barbara Wilson current owner, Ross Smith potential acquisition
Responsible Party : (for LLC, Corporations, businness, agency, etc.)
Telephone Number:
How would you like to received your determination?*
USPS Email
Email Address:*
[e-mail]
Is there an agent or consultant responsible for the request?*
O Yes
O No
Agent/Consultant Information
Project and Site Information
Project Information

Has anyone form DWR done a previous site visit?*
Yes
No
Other
Staff Name: Glenn Allen Stewart
Date of Visit: 9/12/2022
Site Information
Nearest Highway/Street:* Doolittle Court
Nearest Town:* VUnterville
Nearest Named Stream:* unknown
River Basin:* Neuse
County: *
F
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
USGS mapping in proximity to Doolittle
211.42KB
Court.pdf
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
1764 Doolittle parcel boundary &
390.57KB
im proveme nts. pdf
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:
Longitude:
Misc attachments:
Address Lookup
Manually
pdf or kmz file types only
Sign and Submit

By digitally signing below, I certify that:
o I have given true, accurate, and complete information on this form;
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")
o 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*

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