20211195 Ver 1_Determination Request_20210730

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:* Elks Park
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 rJ Stream
Check all that apply.
Owner Information
Name on the Recorded Deed:* DR Horton, Inc
Responsible Party: Robert C. Stuart
(for LLC, Corporations, businness, agency, etc.)
Telephone Number: 919 460-2943
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:* Authorization Stream - Signed.pdf
PDF only
Agent/Consultant Information
How would you like to receive your r USPS
determination letter?* r Email
Name of Agent:* Scott Anderson
Company Name:* Ark Consulting Group
Email Address:* [e-mail]
Has anyone form DWR done a previous site visit?*
C' Yes
r No
r Other Unknown
344.9KB

Date of Visit:
Site Information
Nearest Highway/Street:* Bailey Lane (1654) / Morningside
Drive
Nearest Town:* Vanceboro
Nearest Named Stream:* Mauls Swamp
River Basin:* Neuse
County:*
Please attach a map of the site indicating project boundaries on the USGS 1:24,000 Topo.
ciickthe upload button or drag and drop files here to attach document
Quad Map.pdf 658.38KB
Fttf 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.
ciickthe upload button or drag and drop files here to attach document
Soils Map.pdf 345.69KB
Fttf 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
f Manually
Project Look Up Address: Street Address
450 Morningside Drive
Address Line 2
city
State / Rovince / Fbgion
Vanceboro
NC
Fbstal / Zip Code
Country
28586
US
Latitude: 35.3136222
Longitude:-77.15572850000001
M isc attachments: Elks Park - PC E Slide 184.pdf 399.19KB
pdF 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:*
7/30/2021
20211195
1
r Yes r No
Robert Tankard:eads\rbtankard
Washington Regional Office - [phone]

NORTH CARO-INA
Environmental Quality
ROY COOPER
MICHAEL S. REGAN
Sec relarl.
LINDA CULPEPPER Director AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION: Elks Park - DB 3681, Page 715
LOT NO. 1, 3, 4, 8, 9, 10, & 11 PLAN NO. PARCEL ID: 1-045-1-001, 1-045-1-003,
1-045-1-004, 1-045-1-008, 1-045-1-009, 1-045-1-010, 1-045-1-011
STREET ADDRESS: Morningside Drive
Vanceboro. NC
Please print:
Property Owner: D.R. Horton — Central Carolina Div.,
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Scott T. Anderson, PE of Ark Consulting; Group, PLLC
(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):
2000 Aerial Center Parkway, Suite 110A, Morrisville, NC 27560
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
beVofur knowledge.
��� j✓`/ � t� �lif Crr'%� G
Authorized Print Name Authorized Signature
Date: 7/30/2021 Date: %,Z3C,,2c-, i
North Carolina Department of Environmental Quality IDivision of Water Resources -Washington Regional Office
943 Washington Square Mall, Washington, North Carolina 27889
252-946-6481

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Project Mgr.: STA Project No.: 21054 n NC License: P-1199 SITE LOCATION PLAN EXHIBIT
Drawn By: KLG scale: AS SHOWN �f-.�CONSULTING ELKS PARK
Checked By: STA Date: 6/2/2021 77"--��[[ ` GROUP, A— 1
Engineerrss &Planners EROSION CONTROL NARRATIVE
2755-B Charles Blvd. I Greenville, NC 27858 NEW BERN TWSP., CRAVEN COUNTY, NORTH CAROLINA