20220112 Ver 1_Determination Request_20220128

Stream Origin/Buffer Applicability Determination
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: * [e-mail]
Is this a transportation project?* Yes • No
Is this request for a mitigation site?* • Yes No
What type of request is this?* Buffer
Isolated Wetland
Check all that apply.
Owner Information
Name on the Recorded Deed: *
Responsible Party :
Telephone Number:
Billy Dean Bulluck Jr. Trustee et al
Billy Dean Bulluck
(for LLC, Corporations, businness, agency, etc.)
How would you like to received your determination? *
USPS Email
Email Address:*
[e-mail]
Name on the Recorded Deed: *
Billy Dean Bulluck Life Estate
Responsible Party : Billy Dean Bulluck
(for LLC, Corporations, businness, agency, etc.)
Telephone Number:
How would you like to received your determination? *
USPS Email
Email Address: *
[e-mail]
Is there an agent or consultant responsible for the request? *
Yes
No
Attach agent authorization letter:* Bulluck Agent Authorization.pdf
PDF only
Agent/Consultant Information
.........................................................................................................................................................
How would you like to receive your USPS
determination letter?*
• Email
IP Stream Determination
Stream
1014.26KB
Name of Agent: *
Jamey O'Shaughnessey

Company Name:*
Email Address:*
Project Information
Eco Terra
[e-mail]
Has anyone form DWR done a previous site visit?*
Yes
No
Other
Date of Visit:
Site Information
Nearest Highway/Street: *
Nearest Town:*
Nearest Named Stream:*
River Basin: *
County: *
Edgecombe
Battleboro-Leggett Rd
Rocky Mount
Falling Run
Tar -Pamlico
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
1 FallingRun-TopoMap.pdf 3.35MB
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
3FallingRun-Soil Survey.pdf 2.07MB
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.
Latitude: 35° 59'32.99"N
Longitude: 77°40'31.97"W
Misc attachments:
By digitally signing below, I certify that:
Address Lookup
• Manually
pdf or kmz file types only

o I have given true, accurate, and complete information on this form;
o 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")
a 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");
o 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
rw# C5a kr7-dr3E y
Date Submitted:
Initial Review RRO
...............................................................
ID#* 20220293
Version* 1
Do you want to send this for review? • Yes No
Select Reviewer: * Shelton Sulivan:eads\sosullivan
Select Regional Office:* Raleigh Regional Office - [phone]
11/22/2021

Agent Authorization Form
Parcel ID: .3L-1 it 3(,,,i-3; ??ct2.02_3ci
County: C-1-ck ecer.bc_
Street Address: 35ct, 1octci ?)ni4qe-t0L--Oi JC 27K09
Property Owner(s): Vec,v\
The undersigned, registered property owners of the above noted property, do hereby
authorize employees of Eco Terra Partners LLC (Contractor / Agent) to act as an
agent on our behalf in the identification and delineation of jurisdictional wetlands and
streams located on the above property.
We hereby authorize entry upon the property by authorized agents of the United
States Army Corps of Engineers, North Carolina Division of Water Resources, and
North Carolina Division of Mitigation Services to perform duties in conjunction with
the establishment of a mitigation or buffer bank.
The above information submitted in this form is true and accurate to the best of our
knowledge.
Owne "Authorized Signature Date
EAS
Property Owner's Address (if different than property above)
2.9 0
Telephone

Legend
Proposed Conservation Easement
NC CGIA, Maxar
ecolerra
USGS Topographic Map
Falling Run Mitigation Site
Edgecombe County, NC
35°59'46.86"N 77°40'37.65"W
November 2021
USGS Topographic Quadrangles: Hartsease & Whitakers
W+E

ecolerra.
Soil Survey Map
Falling Run Mitigation Site
Edgecombe County, NC
35°59'46.86"N 77°40'37.65"W
November 2021
1979 Soil Survey of Edgecombe County, NC
Map Sheets #6, #9
Legend
Proposed Conservation Easement
N
W+E
S