HomeMy WebLinkAboutVer _Determination Request_20230830Please 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?*
Owner Information
THE BEAUTIFUL COMMUNITY
Yes No
Yes No
Buffer
Isolated Wetland
Check all that apply.
Name on the Recorded Deed: * BUILDER BEE PROJECTS, LLC
Responsible Party : CHARLES SANTOS
(for LLC, Corporations, businness, agency, etc.)
Telephone Number: 919-987-5068
Email Address: * charles@builderbeeprojects.com
How would you like to received your determination?*
Is there an agent or consultant responsible for the request?*
Yes
No
Attach agent authorization letter: * 517 BUCK JONES ROAD AGENT
AUTHORIZATION. pdf
PDF only
Agent/Consultant Information
How would you like to receive your USPS
determination letter?* Email
Name of Agent: * RANDALL MILLER
Company Name:* THOMPSON AND ASSOCIATES
Email Address: * millerpel9793@gmail.com
n
IF Stream Determination
Stream
45.37KB
Has anyone form DWR done a previous site visit?*
Yes
No
Other
Date of Visit:
Site Information
Nearest Highway/Street:
Nearest Town: *
Nearest Named Stream:*
River Basin:
County:
Wake
517 BUCK JONES/5323 BARCLAY
DR
RALEIGH
WALNUT CREEK
Neuse
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
517 BUCK JONES ROAD USGS
1.84MB
TOPO.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
517 BUCK JONES SOIL MAP.pdf 1.48MB
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 Address Lookup
provide this information. Manually
Project Look Up Address
Street Address
517 Buck Jones Road
Address Line 2
City
Raleigh
Postal / Zip Code
27606-2201
State / Province / Region
NC
Country
US
Latitude: 35.7750886
Longitude:-78.73156279999999
Misc attachments: 517 BUCK JONES ROAD VICINITY MAP
1.04MB
(2).pdf
pdf or knnz file types only
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
Date Submitted: 8/30/2023
Initial Review RRO
Do you want to send this for review? Yes No
SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION: c -t 7 39 ? `F L4 7 o
LOT NO. PLAN NO. _ PARCEL ID: O -173q 1 C1 37 1
STREET ADDRESS: 5 L I i3U C-V- TdaES Ro n-�D j2,p L" 14 4 c- Z,7(ooro
53 �3 t3a�2Lt.� prz�v� �1"-►c,�4 �..[;c Z7 CMG
Please print:
Property Owner: LD g� E P
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
i t . L _ 1-'C L.t..t-'� r of - l ►,c �� .�: - SScX= l-P-'z' €�
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
k f 51 X Fo -�V-5R�D 5 R-A CZ-tC i IC_
Telephone: q I - Cl S 'SO e-8
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
horized 6gnrature Authorized Signature
Date: f Date:
704890
35° 46' 42" N
35° 46 21" N
704970 705M 705130 705210
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Q Map Sole: 1:3,130 if printed on A porb-at (8.5' x 11'� sheet.
Meters
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Map projection: Web Merotor Comermordinates: WGS84 Edge bm: UTM Zone 17N WGS84
USDA Natural Resources Web Soil Survey
Conservation Service National Cooperative Soil Survey
Soil Map —Wake County, North Carolina
(517 BUCK JONES ROAD-RALEIGH,NC)
704970 705M 705130 M5210
3
705370
35' 46 42" N
35° 4621" N
705370
3
v
8/30/2023
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Map Unit Legend
Map Unit Symbol Map Unit Name Acres in AOI Percent of AOI
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25.7%
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5A
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Pacolet-Urban land complex,
16.6
40.5%
10 to 15 percent slopes
Ur
Urban land _
0.9
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W
Water
1.2
2.9%
Totals for Area of Interest
40.8
100.0%
usm Natural Resources Web Soil Survey 8/30/2023
"� Conservation Service National Cooperative Soil Survey Page 3 of 3
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