20211122 Ver 1_Determination Request_20210716

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:* B & S Enterprises, Inc. - Kinston
Is this a transportation project?* f Yes r No
Is this request for a mitigation site? * r Yes r No
What type of request is this?* V Buffer rJ IP Stream Determination
F Isolated Wetland F Stream
Check all that apply.
Owner Information
Name on the Recorded Deed:* B & S Land Holdings, LLC
Responsible Party: B & S Enterprises, Inc.
(for LLC, Corporations, businness, agency, etc.)
Telephone Number: 252-264-2400
How would you like to received your determination?*
F V
Email Address:* [e-mail]
Is there an agent or consultant responsible for the request?*
c:
r
Attach agent authorization letter:* B & S Enterprises - auth letter
244.54KB
executed.pdf
FDF only
Agent/Consultant Information
How would you like to receive your r IJSPS
determination letter?* r Email
Name of Agent:* Scott Edwards
Company Name:* Cox -Edwards Co
Email Address:* [e-mail]
Has anyone form DWR done a previous site visit?*

c-
c-
Date of Visit:
n
Nearest Highway/Street:* NC 11
Nearest Town:* Kinston NC
Nearest Named Stream:* Beaverdam Branch
River Basin:* Neuse
County:*
Lenoir
Please attach a map of the site indicating project boundaries on the USGS 1:24,000 Topo.
Qick the upload button or drag and drop files here to attach docurrent
B & S Enterprises - USGS site loc.pdf 1.44MB
Rir 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.
dick the upload button or drag and drop files here to attach docurrent
B & S Enterprises - Soil Survey site
1.21 MB
loc.pdf
Ftlt 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.
r Address Lookup
f Manually
Latitude: 35d 19'24.42"N
Longitude:-7700'27.73"W
M isc attachments: pdr or lace 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
Date Submitted:
Initial Review
ID#*
Version*
Do you want to send for review?*
Select Reviewer:*
Select Regional Office:*
[�r�irasY �r^dtY [�d�ieA7 Pry,!
7/16/2021
20211122
r Yes r No
Chris Pullinger:eads\rcpullinger
Washington Regional Office - [phone]

r a o 1395 US Hwy 17 South 147 Hwy 32 North 5038 Old Raleigh Road ar
Elizabeth City, NC 27909 Sunbury, NC 27979 Wilson, NC 27893 CAS`A I i
f
* Phone:[phone] Phone:[phone] Phone:[phone]
AND Fax:[phone] Fax:[phone] Fax:[phone]
fit
www.bandsent.com
B & S Enterprises, Inc.
1395 Hwy 17 South
Elizabeth City, NC 27909
Per this letter notice B & S Enterprises Inc. is authorizing Scott Edwards of the Cox -Edwards Company
to complete and submit the proper form for the stream origin/buffer application determination for
review.
Thank You,
Wm Bria3(/V"A_
ings
Brian Jennings Dealer Principle
B & S Enterprises, Inc.
[phone] office
[phone] fax
[phone] mobile
brianla),BgndSent.com

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