20200221 Ver 1_Determination Request_20200211

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?*
What type of request is this?*
Owner Information
Name on the Recorded Deed:*
Walter Kohn Residence - 2981 Oakwood Drive
r Yes r No
17 Buffer
r Isolated Wetland
Check all that apply.
Walter Kohn
r IP Stream Determination
r Stream
Responsible Party: Pool Pro of Greenville LLC
(for LLC, Corporations, businness, agency, etc.)
Telephone Number: 252-559-3960
How would you like to received your determination?*
F 141
Email Address:* [e-mail]
Is there an agent or consultant responsible for the request?*
r Yes
r No
Project Information
Has anyone form DWR done a previous site visit?*
r
r
r
Date of Visit:
Site Information
Nearest Highway/Street:* 2981 Oakwood Drive
Nearest Town:* Winterville
Nearest Named Stream:* Swift Creek
River Basin:* Neuse
County:*

F 1
Please attach a map of the site indicating project boundaries on the USGS 1:24,000 Topo.
aickthe upload button or drag and drop files here to attach document
Walter Kohn Topo.pdf
Fttt file type only
2.91 MB
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 document
Walter Kohn Soil.pdf
Ftlt file type only
4.26MB
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
Project Look Up Address: Street Address
2981 Oakwood Drive
Address Line 2
City
Winterville
Fbstal / Zip Code
28590
Latitude: 35.51522000000001
Longitude:-77.3950249
State / Frovince / Fbgion
NC
Country
US
Misc attachments: Walter Kohn Imagery.pdf 11.65MB
pdr 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
• I intend to electronically sign and submit the "Determination Request' form."
Signature
. rm<"n't
Date Submitted: 2/11/2020

Initial Review
ID#* 20200221
Version* 1
Do you want to send for review?* F Yes r No
Select Reviewer:* Chris Pull inger:eads\rcpullinger
Select Regional Office:* Washington Regional Office - [phone]

Walter Kohn Resi den ce - 2981 Oakw ood Drive
USGS Topographic Map Sc ale 1:24K for Greenville SW, NC
Legend
1000 ft
N➤➤N
Walter Kohn Resi den ce - 2981 Oakw ood Drive
Google Earth Im agery 3/4/2018
Legend
600 ft
N➤➤N
Walter Kohn Resi den ce - 2981 Oakw ood Drive
NRCS Soil Survey of Pitt County
Publis hed 1974 Sheet 56
Legend
1000 ft
N➤➤N