20200257 Ver 1_Determination Request_20200218

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
Billy & Betty, LLC Tract
r Yes r No
r% Buffer r IP Stream Determination
r Isolated Wetland r Stream
Check all that apply.
Name on the Recorded Deed:* Billy and Betty LLC
Responsible Party:
Canal Wood LLC
(for LLC, Corporations, businness, agency, etc.)
Telephone Number:
910-385-6846
How would you like to received your determination?*
1— 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 No
r Other NC Forest Service
Date of Visit: 2/3/2020
Site Information
Nearest Highway/Street:* Memorial church rd
Nearest Town:* Freemont
Nearest Named Stream:* Nahunta Swamp
River Basin:* Neuse
County:*

Wayne
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
Billy & Betty topo.pdf 2.5MB
FtIF 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 document
Billy & Betty soil.pdf 4.8MB
FtIF 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.
f Address Lookup
r Manually
Latitude: 35.536419
Longitude:-78.014655
Misc attachments:
Billy & Betty Imagery.pdf
pdF or kne file types only
By digitally signing below, I certify that:
13.18MB
• 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
Date Submitted:
Initial Review
ID#*
Version*
Do you want to send for review?*
Select Reviewer:*
+/A494
2/18/2020
20200257
1
r Yes r No
Anthony Scarbraugh:eads\adscarbraugh1

Select Regional Office:* Washington Regional Office - [phone]

Billy & Betty, LL C Tract
2019 USGS Topographic Map Scale 1:24K
for Kenly East, NC
Legend
Extent of Determ ination
Not Subjec t
1000 ft
N➤➤N
Billy & Betty, LL C Tract
Google Earth Im agery 5/3/18
Legend
1000 ft
N➤➤N
Billy & Betty, LL C Tract
1974 NRCS Soil Survey of Wayne County Sheets 2 & 6
Legend
1000 ft
N➤➤N