20220112 Ver 1_Stream Determination Request_20211122

Stream Origin/Buffer Applicability Determination
NORTH CAROLINA
Envlronm¢ntcl Qvofiry
Processing Information
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/Applicant Information
IP Stream Determination
Stream
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:*
Responsible Party :
Telephone Number:
How would you like to received your determination? *
USPS Email
Email Address:*
Billy Dean Bulluck Life Estate
Billy Dean Bulluck
(for LLC, Corporations, businness, agency, etc.)
[e-mail]

Is there an agent or consultant responsible for the request?*
Yes
No
Attach agent authorization letter:*
Bulluck Agent Authorization.pdf 1014.26KB
PDF only
Agent/Consultant Information
Agent/Consultant Information
How would you like to receive your
determination letter?*
Name of Agent: *
Company Name:*
Email Address: *
USPS
Email
Jamey O'Shaughnessey
Eco Terra
[e-mail]
Project and Site Information
Project Information
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:
Longitude:
Misc attachments:
35°59'32.99"N
77°40'31.97"W
Sign and Submit
Address Lookup
Manually
pdf or kmz file types only
By digitally signing below, I certify that:
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")
o 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*
( a,447 C]4%,Feeke r '

BULLUCK
BILLY
DEAN JR
fBU•L--LUCK
BILLY DEAN J'R
TRUSTEE et al
BULLUCK BILI Y.
DEAN J ))
TRUSTEE et al
i
\fJ
BULLUSiK
BILLY DE)P)N J R
_T,RU.S-TE-E et al
0
Legend
Area of Interest
Water Bodies of Interest
Stream
Edgecombe County Tax Parcels
2' Contours
V
0
B�uucFtB.6LL�1��/ 1
D'E.AN`L15•E EST a r, ' ' L ULLUCK
•
ecolerra.
Figure 2: Site Map
Falling Run Buffer Site
PIN: 3891193663
Tar -Pamlico 03020101
35°59'46.86"N 77°40'37.65"W
Edgecombe County, NC
NC Onemap 2021 Aerial

Q Proposed Conservation Easement
ecolerram
Figure 3: Soil Survey
Falling Run Buffer Site
PIN: 3891193663
Tar -Pamlico 03020101
35°59'46.86"N 77°40'37.65"W
Edgecombe County, NC
1979 Soil Survey of Edgecombe County, NC
Map Sheets #6, #9
N
W+E
S

Proposed Conservation Easement
ecolerram
LciYirence Ceril
Figure 1: USGS Topographic Map
Falling Run Buffer Site
PIN: 3891193663
Tar -Pamlico 03020101
35°59'46.86"N 77°40'37.65"W
Edgecombe County, NC
2019 USGS Topographic Quadrangles: Hartsease & Whitakers
NC CGIA, Maxar

Legend
Area of Interest
5aate of Horth Cr©Caram DOT, EM, HERE, Arran, ONC63EMEN a G o MSeE, EG
USDA VAC CGcD& Mew, kaccrorout
ecolerram
Figure 4: LiDAR Map
Falling Run Buffer Site
PIN: 3891193663
Tar -Pamlico 03020101
35°59'46.86"N 77°40'37.65"W
Edgecombe County, NC
QL2 LiDAR
W+E