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HomeMy WebLinkAbout20241379 Ver 1_Determination Request_20241010Please 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 Lot No. 6 - Craven County Industrial Park Yes No Yes No Buffer Isolated Wetland Check all that apply. Name on the Recorded Deed: * Efird Commercial Real Estate, LLC Responsible Party : Efird Commercial Real Estate, LLC (for LLC, Corporations, businness, agency, etc.) Telephone Number: 910-200-0037 Email Address: * frank.efird@svn.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: * Agent Authorization —Lot No. 6 - Craven County Industrial Park.pdf PDF only Agent/Consultant Information How would you like to receive your USPS determination letter?* Email Name of Agent: * Joseph C Avolis, PE, PLS Company Name:* Avolis Engineering, PA Email Address: * joe@avoliseng.com n IP Stream Determination Stream 176.95KB Has anyone form DWR done a previous site visit?* Yes No Other Date of Visit: Site Information Nearest Highway/Street: * Industrial Drive Nearest Town: * New Bern Nearest Named Stream:* Deep Branch River Basin: * Neuse County: Craven 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 Map —Lot No. 6 - Craven County 587.43K6 Industrial Park.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 Soils Map_Lot No. 6 - Craven County 469.11 KB Industrial Park.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. Address Lookup Manually Latitude: 35.14172 Longitude:-77.11129 Misc attachments: Overall Site Plan Lot No. 6 - Craven 767.24KB County Industrial Park.pdf pdf or kmz 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 e /.w.v e/r.,.v.6 c,5iPr r � X. Date Submitted: 9/26/2024 Initial Review ID#* 20070161 Version * Do you want to send for review?* Yes No